BRL 49653 Blocks the Lipolytic Actions of Tumor Necrosis Factor-alpha: A Potential New Insulin-Sensitizing Mechanism for Thiazolidinediones

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Thiazolidinediones (TZDs) such as BRL 49653 are a class of antidiabetic agents that are agonists for the peroxisome proliferator-activated nuclear receptor (PPAR-gamma 2). In vivo, TZDs reduce circulating levels of free fatty acids (FFAs) and ameliorate insulin resistance in individuals with obesity and NIDDM. Adipocyte production of TNF-alpha is proposed to play a role in the development of insulin resistance, and because BRL 49653 has been shown to antagonize some of the effects of TNF-alpha, we examined the effects of TNF-alpha and BRL 49653 on adipocyte lipolysis. After a 24-h incubation of TNF-alpha (10 ng/ml) with 3T3-L1 adipocytes, glycerol release increased by [approximately] 7-fold, and FFA release increased by [approximately] 44-fold. BRL 49653 (10 micro mol/l) reduced TNF-alpha-induced glycerol release by [approximately] 50% (P < 0.001) and FFA release by [approximately] 90% (P < 0.001). BRL 49653 also reduced glycerol release by [approximately] 50% in adipocytes pretreated for 24 h with TNF-alpha. Prolonged treatment (5 days) with either BRL 49653 or another PPAR-gamma 2 agonist, 15-d-Delta-sup 12,14-prostaglandin J2 (15-d Delta PGJ2), blocked TNF-alpha-induced glycerol release by [approximately] 100%. Catecholamine (isoproterenol)-stimulated lipolysis was unaffected by BRL 49653 and 15-d Delta PGJ2. BRL 49653 partially blocked the TNF-alpha-mediated reduction in protein levels of hormone-sensitive lipase and perilipin A, two proteins involved in adipocyte lipolysis. These data suggest a novel pathway that may contribute to the ability of the TZDs to reduce serum FFA and increase insulin sensitivity. Diabetes 47:691-695, 1998

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