Endocrinology Vol. 141, No. 3 1041-1049
Copyright © 2000 by The Endocrine Society
Reduced Body Weight, Adipose Tissue, and Leptin Levels Despite Increased Energy Intake in Female Mice Lacking Acylation-Stimulating Protein1
Ian Murray,
Peter J. Havel,
Allan D. Sniderman and
Katherine Cianflone
Mike Rosenbloom Laboratory for Cardiovascular Research, McGill
University Health Center, Montréal, Québec, Canada H3A 1A1;
and the Department of Nutrition, University of California (P.J.H.),
Davis, California 95616
Address all correspondence and requests for reprints to: Dr. K. Cianflone, Mike Rosenbloom Laboratory for Cardiovascular Research, McGill University Health Center, Royal Victoria Hospital, 687 Pine Avenue West, Montréal, Québec, Canada H3A 1A1. E-mail:
mdkc{at}musica.mcgill.ca
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Abstract
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Acylation-stimulating protein (ASP) is a potent lipogenic protein
produced by adipocytes. In vitro studies have shown that
ASP increases triglyceride synthesis and glucose transport in both
murine and human adipocytes. Our initial study indicated that
complement C3-deficient (-/-) mice (and, therefore, ASP deficient)
demonstrated altered dietary postprandial triglyceride clearance. In
the present study we examined the phenotype of female mice
longitudinally on different diets. Female C3(-/-) mice on both low
(10% of energy) and high (40% of energy) fat diets displayed an
average reduction in total body weight of 10.1 ± 0.5%
(P < 0.0003, by ANOVA) compared with the C3(+/+)
littermates. Reductions in white adipose tissue mass accounted for most
of this weight difference (59% reduction; P <
0.01 on low fat diet). Plasma leptin levels were significantly reduced
in C3(-/-) mice on both high (P < 0.001) and low
fat diets (P < 0.01). This reduction was
significant even after adjusting for the reduced body weight and body
fat (P < 0.001). Leptin reductions in the
C3(-/-) were greater on the high fat diet and were associated with
increased food intake (18 ± 2% increase; P
< 0.001). Furthermore, there was a decrease in basal glucose levels
and basal insulin levels [12.8% decrease in glucose at 14 weeks (HF;
P < 0.05) and 41% decrease in insulin at 26 weeks
(HF; P < 0.05)]. These in vivo
experiments demonstrate that female mice lacking ASP have marked
alterations of body weight, adiposity, plasma leptin, and plasma
insulin levels. Decreased adiposity and leptin levels occurred in the
ASP-deficient animals despite increased energy intake, suggesting that
energy expenditure was elevated in these animals. Thus, ASP appears to
have an important role in the regulation of energy balance in mice.
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Introduction
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ACYLATION-STIMULATING protein (ASP)
stimulates both adipocyte fatty acid esterification into triglyceride
and glucose transport (reviewed in Ref. 1). This occurs via an increase
in diacylglycerol acyltransferase activity (2) and translocation of
glucose transporters (GLUT1, GLUT3, and GLUT4) from intracellular sites
to the cell surface (3, 4). These dual effects are mediated through
specific cell surface binding (5, 6), resulting in activation of a
signaling pathway that includes protein kinase C (7). In addition to
stimulation of fatty acid esterification, ASP has recently been shown
to also inhibit hormone-sensitive lipase in adipocytes, independently
and additively to insulin (8). The major site of action of ASP appears
to be on adipocytes, as determined by competitive binding, stimulation
of triglyceride synthesis, and enhanced glucose transport and
transporter translocation (reviewed in Ref. 1). There is also a
differentiation-specific increase in ASP binding and ASP response in
adipocytes (1).
ASP is identical to complement C3adesArg. Cleavage of complement C3
through the alternate complement pathway via the interaction of C3,
factor B, and adipsin generates C3a (9). Rapid cleavage of the
C-terminal arginine by carboxypeptidase N generates ASP (9). Adipocytes
are one of the few cells capable of producing all three of the factors
(factor B, adipsin, and C3) that are required for the production of ASP
(10, 11). ASP production increases consequent to adipocyte
differentiation (10, 12) and also after chylomicron stimulation
in vitro in adipocytes (13, 14). In vivo
arterial- venous gradients across a sc adipose tissue bed in humans
demonstrate postprandial production of ASP (15), and plasma ASP levels
are elevated in obesity (16, 17). The postprandial increase in ASP is
adipose tissue specific and is not observed in the general circulation
(15, 18) or in arterial venous differences across muscle tissue
(our unpublished observations).
The correlation between in vivo postprandial
arterial-venous adipose tissue ASP production associated with
dietary triglyceride clearance and in vitro functionality
data with chylomicron-stimulated ASP production suggests that ASP might
play an important role in dietary fat clearance and tissue deposition.
Our initial studies in murine models with excess exogenous ASP confirm
this. Administration of ASP to C57BL/6 mice resulted in decreased
plasma triglyceride levels after an orally administered fat load (19).
This increase in triglyceride clearance was dependent on the degree of
postprandial lipemia (19). Initial studies were performed in complement
C3 knockout mice (20), which lack circulating plasma C3 and complement
activity (21). Being deficient in C3, these mice are unable to produce
ASP. In young male mice (129Sv x C57BL/6 strain), although
fasting triglyceride levels were not different from those in wild-type
littermates, elevated triglyceride levels were observed postprandially
after an oral fat load, suggesting delayed triglyceride clearance in
the absence of ASP (22). Furthermore, administration of exogenous ASP
to these functional ASP knockout male mice was able to reduce this
postprandial lipemia and decrease plasma triglyceride levels (22). The
female mice displayed similar, but less striking, differences in
postprandial lipid metabolism (22).
Like ASP, leptin is produced by adipocytes (23) and is involved in the
regulation of body fat stores. Leptin production is regulated by
insulin responses to meals (24), an effect that appears to involve
increased adipocyte glucose metabolism (25). Leptin is critically
involved in the regulation of body energy balance via its central
actions on food intake and energy expenditure (26). However, leptin
also appears to have peripheral actions on substrate fluxes in the
liver (27) and may act directly on adipocytes (28, 29), where it has
been reported to increase lipolysis and impair insulin-mediated
lipogenesis. Therefore, leptin and ASP may have opposing effects on
adipocyte triglyceride stores. It is possible that ASP and leptin
interact in a paracrine fashion to directly regulate adipocyte
metabolism. In the present study longitudinal experiments were
conducted to examine the effects of age and diet on adipose stores,
energy intake, and circulating leptin and insulin levels in female mice
that are functionally deficient in ASP due to genetic knockout of the
C3 gene.
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Materials and Methods
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Ethics
All experimental protocols were approved by the Royal Victoria
Hospital animal care committee and were in accordance with the
guidelines set out by the Canadian committee on animal care.
Mice
Drs. H. Colten and R. H. Wetsel provided the knockout and
wild-type mice for breeding. Development of the complement C3 knockout
has been described previously in detail (20, 21). The mice were of
(129Sv x C57BL/6) strain, and heterozygous mating produced the
littermates [wild-type C3(+/+) and knockout C3(-/-)] used for the
present experiments. Mice were housed in sterile barrier facilities
with equal day/night periods. In all cases paired littermates were used
for the study to randomize genetic variation.
Genotyping
For genotyping, tail DNA was extracted, and PCR was performed.
PCR was performed using 800 nM each of the following
primers: C3 sense, CTT AAC TGT CCC ACT GCC AAG AAA CCG TCC CAG ATC; C3
antisense, CTC TGG TCC CTC CCT GTT CCT GCA CCA GGG ACT GCC CAA AAT TTC
GCA AC; neomycin sense, ATC GCA TCG AGC GAG CAC GTA CTC GGA; and
neomycin antisense, AGC TCT TCA GCA ATA TCA CGG CTA GCC. PCR conditions
were: 30 cycles at 94 C for 1 min, 67 C for 2 min, and 72 C for 3 min.
Products were separated by electrophoresis on a 7% polyacrylamide gel
and visualized with ethidium bromide staining.
Diet, feeding, and weighing
C3(+/+) and C3(-/-) female mice were weighed once weekly from
weaning at 4 weeks of age. At 8 weeks, the mice were housed
individually and allowed to acclimatize for 2 weeks. At 10 weeks of
age, the mice were placed on pelleted low fat diet (LF) consisting of
19.3% protein, 67.3% carbohydrates, and 4.3% fat (wt/wt/wt) or high
fat diet (HF) of 22.9% protein, 45.8% carbohydrate, and 20.3% fat
(wt/wt/wt) modified from the report by Van Heek et al. (30)
and obtained from Research Diets, Inc. (New Brunswick, NJ; diets D12477
and D12478, respectively). The diets contained 10% Cal (LF) and 40%
Cal (HF) energy from fat, with a 1:1:1 ratio of
saturated/monounsaturated/polyunsaturated fat and were stored at 4 C.
Carbohydrate was in the form of cornstarch rather than sucrose (70% LF
and 40% HF Cal). The vitamin and mineral content conformed with the
American Institutes for Nutrition guidelines. The food was weighed
twice weekly over a period of 16 weeks, and food intake was determined
over the time period of 1026 weeks of age.
Plasma assays
Blood was collected at 10, 14, 26, 32, and 48 weeks of age into
EDTA-containing tubes by tail bleeding as previously described (19, 22)
from mice fasted overnight (16 h) with water ad libitum.
Blood was separated by centrifugation and stored at -80 C. Leptin was
measured using a mouse leptin RIA assay (Linco Research, Inc., St. Charles, MO) as described by Ahren et al.
(31). Fasting insulin was measured using a rat insulin RIA kit, which
has 100% cross-reactivity to mouse insulin (as described by the
manufacturer, Linco Research, Inc.). Glucose was measured
using a Trinder glucose kit (Sigma, St. Louis, MO). Plasma
nonesterified fatty acids, cholesterol and triglyceride were measured
using colorimetric enzymatic kits (Roche, Laval,
Canada).
Fat load
After an overnight fast (16 h), 400 µl olive oil (followed by
100 µl air above the oil) was given by gastric gavage using a feeding
tube (12-cm curved ball tipped feeding needle (20) according to
standard procedures as previously described (19, 22) and similar to
previously published methods (32, 33, 34, 35). There was a 2-week interval
between the fasting blood sample and the fat load. Blood (40 µl) was
collected at 0, 1, 2, 3, 4, and 6 h by tail bleeding.
Glucose load
For glucose tolerance tests, mice were fasted overnight for
16 h with water ad libitum. Basal blood was taken (80
µl), and mice were then injected ip with a sterile
D-glucose solution in saline and 2 mg/g BW from a
stock solution of 200 mg/ml (0.010 ml/g BW). Blood was collected by
tail bleeding at 0,15, 30, 60, 90, and 120 min (80 µl at 0, 30, 60,
and 120 min for insulin and glucose, 20 µl at 15 and 90 min for
glucose only).
Tissues
Mice were anaesthetized (0.01 ml/10 g BW, im) with a cocktail
composed of 5 ml ketamine (100 mg/ml), 2.5 ml xylazine (20 mg/ml), 1 ml
acepromazine (10 mg/ml), and 1.5 ml sterile saline. Blood was drawn
(0.5 ml) by tail bleeding, and the mice were killed by cervical
dislocation. Tissues were dissected, weighed, and frozen in liquid
nitrogen. Four adipose tissues depots were collected: inguinal,
pectoral (together with suprascapular), gonadal (up to the apex of the
ovary) and perirenal (with the adrenal gland removed). Additional
tissues collected were heart, liver, intrascapular and scapular brown
adipose tissue, both kidneys and quadriceps muscles with all visible
fat removed.
Fecal analysis
The fat content of the feces was analyzed as described
previously (36). The animals were placed in a chamber with a metabolic
screen, and feces were collected over 24 h on normal chow (6%
fat) or collected for 24 h after a fat load (6 h) with 6 h
fasting, followed by food ad libitum. The stool was weighed
and dried to constant weight, and the fat was extracted as described by
Schwartz (36).
Statistical analyses
Results are presented as the mean ± SEM. The
two groups were compared by repeated measures two-way ANOVA followed by
Bonferroni post test (where indicated), t test, or
Pearsons correlation using computer-assisted analysis (SigmaStat,
Jandel Scientific, San Rafael, CA; and Prism, GraphPad Software, Inc., San Diego, CA).
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Results
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In this study of female C3(+/+) and C3(-/-) mice, growth curves
were measured from 426 weeks of age. Specific diets were fed from the
age of 10 weeks on: LF: C3(-/-), n = 12; C3(+/+), n = 8;
and HF: C3(-/-), n = 11; C3(+/+), n = 6. On the LF diet
(Fig. 1
left panel), the
C3(-/-) mice weighed 10.9 ± 0.5% less (P <
0.0001, by ANOVA), and this occurred primarily after 9 weeks of age
(after puberty) and maturation of the fat pad [6 weeks cited by
Shimomura (37)]. The results for the HF diet are also shown in Fig. 1
(right panel). Average weight gains in the knockout and
wild-type mice (4 weeks to 25 weeks) were similar and greater than that
in mice on the LF diet [11.5 ± 2.0% more in C3(+/+) and
20.5 ± 3.9% more in C3(-/-)]. Nonetheless, even on the high
fat diet, the C3(-/-) mice weighed significantly less (-9.3 ±
0.4%; P < 0.0003).

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Figure 1. Growth curves in mice on LF and HF diets. Knockout
C3(-/-) mice (filled circles, dotted
line) and wild-type C3(+/+) mice (open squares, solid
line) on LF (10% Cal; left panel) and HF (40%
Cal diet; right panel) diets were weighed twice weekly
from 426 weeks of age. The diets were started at 10 weeks of age. The
data are given as the mean ± SEM with C3(-/-) (LF,
n = 12; HF, n = 11) and C3(+/+) (LF, n = 8; HF, n =
6). Statistical differences were determined by two-way repeated
measures ANOVA.
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To investigate which body tissues were responsible for this reduced
weight, after 4 months on specific diets, tissues were collected from a
subset of both genotypes and diets at 32 and 48 weeks of age. As shown
in Fig. 2
, at 32 weeks in C3(-/-) mice
there were marked decreases in white adipose tissue depots on both LF
(left panel) and HF (right panel) consistent with
the decrease in body weight [27.9 ± 1.0 C3(-/-) vs.
34.2 ± 2.3 C3(+/+) g]. There were no significant changes in
liver, kidney, brown adipose tissue, or heart weights. The total
adipose tissue weight (sum of all four adipose depots, excluding brown
adipose tissue) was decreased by 59% on LF [1.78 ± 0.27
C3(-/-) vs. 4.34 ± 1.0 C3(+/+)] and by 40% on HF
[6.29 ± 1.28 C3 (-/-) vs. 10.41 ± 0.38
(+/+)] g/mouse. The C3(+/+) mice always had significantly greater
adiposity (measured as the sum of the four adipose tissue depots/BW) on
both diets [12% ± 2% C3(+/+) vs. 6% ± 1% C3(-/-) on
LF diet and 24% ± 2% C3(+/+) vs. 18% ± 1% C3(-/-) on
HF diet]. This difference in adipose tissue was also observed at 48
weeks on the low fat diet although to a lesser extent (35.3% decrease
in total adipose tissue; P < 0.04, data not shown),
whereas there was no difference on the HF diet.

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Figure 2. Adipose tissue weights in mice on LF and HF diets.
The adipose tissue weights of female knockout C3(-/-) mice
(filled bars) and wild-type C3(+/+) mice (open
bars) on a LF [10% Cal diet; left panel;
C3(-/-), n = 4; C3(+/+), n = 5] or a HF [40% Cal diet;
right panel; C3(-/-), n = 3; C3(+/+), n =
4] were measured at 32 weeks of age, and the data are represented as
the mean ± SEM. Ing, Inguinal; Pect, pectoral; Peri,
perirenal; Gonad, gonadal; BAT, brown adipose tissue. **,
P < 0.001; *, P < 0.05
[C3(-/-) vs. C3(+/+)].
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Leptin levels are highly correlated with adipose tissue mass and were
thus measured in these animals at 10, 14, and 26 weeks on the
corresponding diets (Fig. 3
). Leptin
levels increased with age and even more so with fat content of the
diet, as previously reported (30, 31, 38), accurately reflecting
increases in adipose tissue mass. The leptin levels were significantly
reduced in the knockout animals on both diets (LF, P <
0.01, ANOVA; HF, P < 0.0001, by ANOVA). Leptin levels
were also measured at 32 and 48 weeks of age in a subset of mice at the
time of death and dissection. At 32 weeks there were significant
differences in leptin in the knockout vs. the wild-type mice
on the LF diet [8.95 ± 2.0 (n = 4) vs. 18.7
± 5.6 (n = 5) ng/ml; P < 0.05] and on the HF
diet [17.4 ± 1.8 (n = 3) vs. 32.5 ± 3.5
(n = 4) ng/ml; P < 0.025], which corresponded to
the reduced adipose tissue mass (Fig. 2
). By 48 weeks of age, although
the differences were maintained on a LF diet, on the HF diet the
differences between C3(+/+) and C3(-/-) were no longer evident, again
consistent with the adipose tissue weights [LF diet, 20.6 ± 6.1
C3(-/-) (n = 3) vs. 27.3 ± 5.7 C3(+/+) (n
= 3); HF diet, 60.4 ± 5.5 C3(-/-) (n = 3) vs.
62.3 ± 5.2 C3(+/+) (n = 3) ng/ml leptin].

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Figure 3. Plasma leptin levels in mice on LF and HF diets.
Plasma leptin levels at 10, 14, and 26 weeks were measured in wild-type
C3(+/+) (open squares) and knockout C3(-/-)
(filled circles) on the LF and HF diets
(left and right panels, respectively).
The sample sizes are five and three for the C3(-/-) and four and four
for the C3(+/+) on the LF and HF diets, respectively. Results are shown
as the mean ± SEM, and statistical differences were
measured by two-way repeated measures ANOVA.
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Leptin levels correlated very closely with the size of all adipose
tissue depots (r = 0.799, 0.728, 0.909, and 0.844 for inguinal,
pectoral, perirenal, and gonadal, respectively) as well as with total
adipose tissue (r = 0.911; n = 24) for combined data of
female mice at 32 and 48 weeks, LF and HF diets, and C3(-/-) and
(+/+). However, the highest correlation was with body weight (r =
0.934, by Pearson correlation). The relationship between body weight
and leptin levels (which is an indicator of adiposity) in both the
C3(+/+) and C3(-/-) groups for all mice from 1048 weeks of age was
also significantly different. The data show that there is a linear
relationship between body weight and leptin in both sets of animals
[r2 = 0.85, slope = 1.08 ± 0.123,
x-intercept = 20.1, n = 36 for C3(+/+);
r2 = 0.70, slope = 1.36 ± 0.095,
x-intercept = 18.9, n = 38 for C3(-/-)]. For
any given body weight, leptin levels were significantly lower in
C3(-/-) mice (P < 0.0001).
Food intake was also measured and relative energy intake calculated as
caloric intake per g BW over the 16-week diet period. Despite the
decreased body weight in the knockout mice, there was no decrease in
food intake noted for the C3(-/-) mice on the low fat diet
[96.8 ± 1.1 C3(+/+) vs. 97.9 ± 1.4 C3(-/-)
cal/week]. On the high fat diet, the food intake of the knockout mice
increased markedly compared with that of the wild-type mice after 14
weeks of age, and this difference was maintained for the duration of
the study (Fig. 4
, left panel). The
average energy intake was 107.3 ± 1.8 cal/week C3(+/+)
vs. an energy intake of 125.9 ± 2.3 cal/week in the
C3(-/-), an average increase of 17.5 ± 2.1% (P
< 0.0001). Energy intake (in calories) per g BW was substantially
greater (and therefore less efficient) in the knockout animals than in
the wild-type mice on both diets, but especially the HF [Fig. 4
, right panel; increase, 33.2 ± 2.7% cal/g BW;
C3(-/-) vs. C3(+/+), P < 0.0001), and
over the 16-week period, the average calories per week/g increase in BW
was substantially greater in the C3(-/-) mice on both LF [172
± 20 C3(+/+) vs. 196 ± 32 C3(-/-); 14% increase]
and HF [160 ± 30 C3(+/+) vs. 192 ± 36
C3(-/-); 20% increase].

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Figure 4. Food intake and food efficiency on HF diets in
wild-type and knockout mice. Food was weighed three times weekly from
the age of 1026 weeks and expressed as calories consumed per week
(left panel) and food intake per g BW (calories consumed
per week per g BW; right panel) for the wild-type
C3(+/+) (open squares; n = 6) and knockout
C3(-/-) (filled circles; n = 11) as the
average ± SEM. Differences between wild-type and
knockout were determined by two-way repeated measures ANOVA.
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To determine whether this phenotype could be attributed to a lack of
intestinal absorption, fecal fat content was analyzed in a subset of
mice (1620 weeks old) on a chow diet equal in fat content to the LF
diet. There was no change in the fecal fat weight [5.7 ± 0.5%
vs. 6.1 ± 1.0% on chow diet (n = 5 and 3) and
11.3 ± 1.1% vs. 10.0 ± 0.2% (wt/wt; n = 3
and 2) after fat load for C3(-/-) vs. C3(+/+) mice,
respectively] or fecal lipid profile on TLC (data not shown).
Fasting plasma parameters were measured as shown in Table 1
. There was no significant difference in
fasting plasma triglyceride, cholesterol, or nonesterified fatty acid
between C3(+/+) and C3(-/-), although in both there was an
age-dependent increase in cholesterol and decrease in nonesterified
fatty acids (NEFA) as noted previously (39, 40). Interestingly, glucose
and insulin were significantly decreased in the C3(-/-) as well as
the glucose x insulin product, and these differences were more
marked on the HF diet. The correlation between insulin and glucose (all
ages and diets) indicated that for any given concentration of insulin,
glucose levels were always lower in the C3(-/-) (P <
0.002).
The glucose levels were investigated further with a glucose
tolerance test in a subset of mice at 30 weeks of age (after 4.5 months
on LF or HF diet). The glucose area under the curve (AUC) increased
slightly on the HF fat diet vs. the LF diet, but there was
no significant difference between the C3(+/+) and C3(-/-) (Table 2
). What was striking, however, was that
serum insulin in the C3(-/-) mice was markedly lower, both fasting
(Table 1
) and after the glucose tolerance test, as shown by the insulin
AUC even on the HF diet (Table 2
).
In the early postprandial period adipose tissue hormone-sensitive
lipase is inhibited. Both insulin and ASP have been shown to inhibit
hormone-sensitive lipase (8). We therefore examined the mice for
changes in plasma NEFA and triglyceride postprandially after a fat load
of 400 µl olive oil at 14 and 26 weeks of age (Table 3
). At 14 weeks of age, there was no
difference in triglyceride AUC between C3(+/+) and C3(-/-) on either
LF or HF diet. However, at 26 weeks of age, on both LF and HF, the
triglyceride AUC was reduced in C3(-/-) vs. C3(+/+) (Table 3
). With regard to the NEFA, although there was no significant
difference in fasting NEFA, there was an increase in NEFA AUC in the
C3(-/-) vs. C3(+/+), especially at 26 weeks (Fig. 5
, left panel). As shown in
Fig. 5
, right panel, there was also a consistent drop in
NEFA at 1 h postprandially in the C3(+/+) mice on both LF and HF
diets (HF, -24.0 ± 8.5%; HF, -32.3 ± 11.3%) at 4 months
on the diet (26 weeks of age). This drop was absent in the C3(-/-)
mice (average 1 h change: LF, 1.2 ± 7.2%; HF, 2.4 ±
8.6%).

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Figure 5. Increases in NEFA AUC and 1 h postprandial
drop after an oral fat load. The plasma fatty acid concentration was
measured at 0, 1, 2, 3, 4, and 6 h after an oral fat load. The AUC
for NEFA was determined over the whole time course, and the percent
change relative to basal NEFA was calculated (left
panel). The percent drop in NEFA at 1 h vs.
the basal (time zero) value was also calculated (right
panel). Basal NEFA concentrations are given in Table 1 . Data
are shown for C3(-/-) (filled bars) and C3(+/+),
(open bars) for mice on LF (10%) and HF (40%) diets.
*, P < 0.05; **, P < 0.01.
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Thus, in the female mice significant decreases were observed in body
weight, adipose tissue, leptin levels, and food efficiency, and
moderate changes were found in insulin, glucose, and fatty acid
metabolism.
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Discussion
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In the present report, the ASP phenotype in the female C3(-/-)
mice was characterized by marked decreases in adipose tissue, body
weight, plasma leptin concentrations, and food efficiency with moderate
changes in glucose, insulin, and postprandial NEFA. In male mice,
however, the changes in adipose tissue, body weight, leptin, and food
efficiency, although significant, were far less pronounced than those
in the females, but the NEFA increases were greater (our unpublished
observations). On the other hand, postprandial lipemia was greatly
increased in the male C3(-/-) mice, a phenomenon that we have seen
previously in young mice (22), but which was strikingly absent from
female mice in the present study at any age or diet stage. This
gender-specific difference may be due to two factors: 1) the greater
reservoir of fat tissue in females vs. males as noted
previously (41), and 2) the greater insulin sensitivity in females
vs. males in mice (40, 42). Both of these would contribute
to enhanced lipoprotein lipase mass and activity and enhanced
postprandial clearance, as noted in rodents (43) and humans (44). In
general, gender-specific phenotype penetrance is not uncommon in
transgenic mice.
We would hypothesize that the increased postprandial NEFA would be due
to a reduced efficiency of adipose tissue NEFA trapping due to the lack
of ASP. This reduced NEFA trapping may lead to disturbances that impact
on glucose metabolism. In studies described previously, when delivery
of NEFA to peripheral tissues is disrupted (with a targeted lipoprotein
lipase knockout), fasting glucose is proportionally lower (45).
Similarly, when GLUT4 is overexpressed in adipose tissue, this enhances
glucose utilization at the expense of fatty acids (46). Thus, NEFA and
glucose metabolism are closely linked, and this may explain the
increased postprandial NEFA but reduced glucose and insulin as well as
increased insulin sensitivity seen in our C3(-/-) mice. Finally, the
decreased glucose and decreased weight gain may explain the protection
against high fat diet-induced insulin resistance, as both weight gain
and increased plasma glucose contribute directly to insulin resistance
(47).
The size of the adipose tissue is regulated by the efficiency of
triglyceride synthesis and storage as well as inhibition of lipolysis
via hormone-sensitive lipase. ASP appears to affect both of these
processes in vitro. In the present studies, the lack of ASP
in female mice results in decreased body weight and adipose tissue
mass, implicating ASP not only in the efficiency of NEFA trapping (48, 49) but also in the regulation of adipose tissue size. As mice age,
body growth diminishes, and adipose tissue stores normally accumulate.
With the added input of a HF diet, this overcomes the inefficiency of
the adipose tissue seen in the C3(-/-) mice, so that gradually the
differences in adipose tissue mass between C3(-/-) and C3 (+/+) mice
are reduced. This decrease in adiposity could be due to a selective
reduction in gastrointestinal fat absorption, but malabsorption was
ruled out because there were no changes in fecal lipid content or lipid
composition. As the delivery of fat into the system is normal, and
postprandial lipemia is similar in C3(+/+) and C3(-/-) mice, we
postulate that the reduction in adipose tissue size is a consequence of
reduced storage of dietary triglyceride (through effects on
esterification enzymes) and/or enhanced lipolysis of adipose tissue
triglyceride. The lack of ASP is consistent with changes in both, as
ASP is able to affect both processes.
The lack of ASP not only disrupts adipose tissue balance and
NEFA/glucose metabolism (as described above), but also appears to alter
overall energy metabolism. This is exemplified by the changes in plasma
leptin concentration and feeding behavior/body weight balance. The
simplest explanation for the reduced plasma leptin is that it is a
consequence of reduced adipose tissue mass, as leptin is highly
correlated to adipose tissue mass and body weight (38). However, the
correlation analysis suggested that the leptin levels were decreased
more than could be explained by the decreased body weight, and this
occurred despite the increased food intake, which is an important
determinant of leptin production (24, 26). An altered set-point for
leptin to body weight has also been demonstrated in
ß3-adrenergic knockout mice (50). It may be
that ASP causes an indirect effect on leptin via the changes in plasma
glucose and insulin, as both of these affect leptin levels (25, 51, 52), or ASP may have an as yet undefined direct effect on leptin
secretion in adipose tissue.
The consequences of the decreased leptin are increased eating behavior.
However, at the same time that the caloric intake/body weight
increases, there must be simultaneous nutrient repartitioning into
tissues other than adipose tissue or the body weight in C3(-/-) would
be increased relative to that in wild-type mice. The most likely key
target tissues would be muscle and brown adipose tissue, and these
issues are now being explored.
There are other instances of leanness in murine models exhibiting
moderate (53, 54, 55) or dramatic (37, 56, 57) losses in adipose tissue.
Mice with major adipose tissue reductions demonstrated increased levels
of insulin, glucose, and decreased leptin (56, 57). Plasma NEFA levels
were unchanged (56) or increased (37). By contrast, with moderate
losses of adipose tissue (similar to our mice), there was little change
from wild-type mice in fasting plasma cholesterol, triglyceride, NEFA,
insulin, and glucose and no evidence of insulin resistance (53).
Interestingly, in the aP2/diptheria toxin white adipose tissue ablation
mouse (56), adipose tissue reduction only developed postmaturation of
the fat pads (after 8 weeks of age) similar to our C3(-/-) murine
model, suggesting that it is at the point of puberty and adipose
maturation that these differences become apparent. In the protein
kinase A subunit knockout (53), females were predominantly affected
over males, again similar to the C3(-/-) mice presented here. Our
mice have reduced leptin levels, which may suggest increased leptin
sensitivity, resulting in increased thermogenesis. Consequently, food
intake (hyperphagia) may increase to compensate. Hyperphagia and
reduced adipose tissue mass were also observed in both the protein
kinase A subunit knockouts (53) and white adipose tissue ablation mice
(56).
Adipose tissue loss in humans can also produce metabolic consequences
similar to those seen in the C3(-/-) mice. In postobese women there
appears to be a drive to regain body weight and reestablish the
set-point of adiposity. Increased lipoprotein lipase activity is
observed (58), and in some studies greater insulin sensitivity was
reported with weight loss (59). Lower insulin levels (60), enhanced
triglyceride clearance (Faraj, M., K. Cianflone, and A. D.
Sniderman, personal communication), reduced glucose levels (61),
reduced adipose tissue mass and reduced serum leptin (62, 63) have been
observed in postobese humans. In many ways, the description is similar
to our C3(-/-) mice.
Human genetic C3 deficiency is extremely rare, with only 20 cases
reported to date in the literature (64). Wetsel et al.
indicated that these "C3-deficient individuals do not appear to
display increased predisposition to hyperlipidemia or coronary artery
disease" (65); however, in the review cited (64), no lipid or
lipoprotein information is provided. Complement C3 deficiencies are
commonly associated with membranoproliferative glomerulonephritus,
partial lipodystrophy, and occasionally systemic lupus erythematosus
symptoms (reviewed (64, 66, 67, 68, 69). Unfortunately, the majority of these
patients were examined from an immunological standpoint, and we have
been unable to find any detailed lipid and/or lipoprotein analyses of
patients with C3 deficiency.
The reduced adiposity in the female C3 knockout mice resembles the
phenotype of acquired partial lipodystrophy seen in humans. Partial
lipodystrophy may be classified as congenital or acquired. The
congenital form often manifests in childhood, affects primarily
females, and is associated with hyperlipidemia, hyperinsulinemia, and
abnormal glucose tolerance (70, 71, 72). Acquired PLD occurs primarily in
adults, and there is little documentation of lipid and glucose
profiles. The acquired form affects both males and females. Of note, it
is associated specifically with hypocomplementemia of C3 (66) due to
enhanced catabolism as well as reduced biosynthesis of C3 (73). This
enhanced catabolism is the consequence of the presence of a C3
nephritic factor, which acts as an autoantibody, stabilizing the C3
convertase against spontaneous decay and enhancing C3 breakdown and
clearance (74), thus specifically affecting the proximal portion of the
alternate complement pathway. In a review of 21 cases with acquired
partial lipodystrophy, 80.9% demonstrated markedly reduced complement
C3 concentrations (66). Our murine model demonstrates similarities to
humans with acquired partial lipodystrophy, as evidenced by depleted C3
levels and reduced adipose tissue.
In summary, ASP has been shown previously to play a role postprandially
in both humans and mice. The present study demonstrates that a lack of
ASP has clear effects on adiposity, energy metabolism, and adipose
metabolism in female mice. In the future, the ASP system may represent
a potential pharmacological target for reducing obesity.
 |
Acknowledgments
|
|---|
We appreciate the helpful discussions with Dr. S. Kubow,
Dietetics and Nutrition, McGill University.
 |
Footnotes
|
|---|
1 This work was supported by a scholarship from the Heart and Stroke
Foundation of Canada (to K.C.), the Colonel Renouf Fellowship from the
Royal Victoria Hospital Research Institute (to I.M.), a NSERC grant (to
K.C.), a grant from Servier Pharmaceuticals (to A.D.S.), NIH Grants
DK-35747 and DK-50129 (to P.J.H.), and grants from the USDA and the
American Diabetes Association (to P.J.H.). 
Received August 26, 1999.
 |
References
|
|---|
-
Cianflone K, Maslowska M, Sniderman AD 1999 Acylation stimulating protein (ASP), an adipocyte autocrine: new
directions. Semin Cell Dev Biol 10:3141[CrossRef][Medline]
-
Yasruel Z, Cianflone K, Sniderman AD, Rosenbloom M,
Walsh M, Rodriguez MA 1991 Effect of acylation stimulating protein
on the triacylglycerol synthetic pathway of human adipose tissue.
Lipids 26:495499[Medline]
-
Tao YZ, Cianflone K, Sniderman AD, Colby-Germinario SP,
Germinario RJ 1997 Acylation stimulating protein (ASP) regulates
glucose transport in the rat L6 muscle cell line. Biochim Biophys Acta 1344:221229[Medline]
-
Germinario R, Sniderman AD, Manuel S, Pratt S, Baldo A,
Cianflone K 1993 Coordinate regulation of triacylglycerol
synthesis and glucose transport by acylation stimulating protein.
Metabolism 42:574580[CrossRef][Medline]
-
Kalant D, Zhang ZJ, Cianflone K, Sniderman AD 1995 Specific binding of ASP to human fibroblasts and human adipocytes. Clin
Invest Med [B] 18:B10
-
Murray I, Parker RA, Kirchgessner TG, Tran J, Zhang ZJ,
Westerlund J, Cianflone K 1997 Functional bioactive recombinant
acylation stimulating protein is distinct from C3a anaphylatoxin. J
Lipid Res 38:24922501[Abstract]
-
Baldo A, Sniderman AD, Yazruel Z, Cianflone K 1995 Signal transduction pathway of acylation stimulating protein:
involvement of protein kinase C. J Lipid Res 36:14151426[Abstract]
-
Van Harmelen V, Reynisdottir S, Cianflone K, Degerman
E, Hoffstedt J, Nilsell K, Sniderman AD, Arner P 1999 The effect
of acylation stimulating protein (ASP) and insulin on the release of
fatty acids from isolated human fat cells. J Biol Chem 274:1824318251[Abstract/Free Full Text]
-
Hugli TE 1990 Structure and function of C3a
anaphylatoxin. Curr Top Microbiol Immunol 153:181208[Medline]
-
Cianflone K, Roncari DAK, Maslowska M, Baldo A, Forden
J, Sniderman AD 1994 The adipsin-acylation stimulating protein
system in human adipocytes: regulation of triacylglycerol synthesis.
Biochemistry 33:94899495[CrossRef][Medline]
-
Choy LN, Spiegelman BM 1996 Regulation of
alternative pathway activation and C3a production by adipose cells.
Obes Res 4:521532[Medline]
-
Cianflone K, Maslowska M 1995 Differentiation
induced production of ASP in human adipocytes. Eur J Clin Invest 25:817825[Medline]
-
Maslowska M, Scantlebury T, Germinario R, Cianflone
K 1997 Acute in vitro production of ASP in
differentiated adipocytes. J Lipid Res 38:2131
-
Scantlebury T, Maslowska M, Cianflone K 1998 Chylomicron specific enhancement of acylation stimulating protein (ASP)
and precursor protein C3 production in differentiated human adipocytes.
J Biol Chem 273:2090320909[Abstract/Free Full Text]
-
Saleh J, Summers LKM, Cianflone K, Fielding BA,
Sniderman AD, Frayn KN 1998 Coordinated release of acylation
stimulating protein (ASP) and triacylglycerol clearance by human
adipose tissue in vivo in the postprandial period. J Lipid
Res 39:884891[Abstract/Free Full Text]
-
Cianflone K, Sniderman AD, Kalant D, Marliss EB, Gougeon
R 1995 Response of plasma ASP to a prolonged fast. Int J Obes 19:604609
-
Maslowska M, Vu H, Phelis S, Sniderman AD, Rhodes B,
Blank D, Cianflone K 1999 Plasma ASP, adipsin, and lipids in
non-obese and obese populations. Eur J Clin Invest 29:679686[CrossRef][Medline]
-
Charlesworth JA, Peake PW, Campbell LV, Pussell BA,
OGrady S, Tzilopoulos T 1998 The influence of oral lipid loads
on acylation stimulating protein (ASP) in healthy volunteers. Int J
Obes Rel Metab Dis 22:10961102[CrossRef]
-
Murray I, Sniderman AD, Cianflone K 1999 Enhanced
triglyceride clearance with intraperitoneal human acylation stimulating
protein (ASP) in C57BL/6 mice. Am J Physiol
40:E474E480
-
Circolo A, Garnier G, Fukuda K, Wang X, Tunde H, Szalai
AJ, Briles DE, Volanakis JE, Wetsel RA, Colten HR 1999 Genetic
disruption of the murine complement C3 promoter region generates
deficient mice with extra-hepatic expression of C3 mRNA.
Immunopharmacology 42:135149[CrossRef][Medline]
-
Lubinski JM, Wang L, Soulika AM, Burger R, Wetsel RA,
Colten H, Cohen GH, Eisenberg RJ, Lambris JD, Friedman HM 1998 Herpes simplex virus type 1 glycoprotein gC mediates immune evasion
in vivo. J Virol 72:82578263[Abstract/Free Full Text]
-
Murray I, Sniderman AD, Cianflone K 1999 Mice
lacking acylation stimulating protein (ASP) have delayed postprandial
triglyceride clearance. J Lipid Res 40:16711676[Abstract/Free Full Text]
-
Zhang Y, Proenca R, Maffei M, Barone M, Leopold L,
Friedman JM 1994 Positional cloning of the mouse obese gene and
its human homologue. Nature 372:425432[CrossRef][Medline]
-
Havel PH, Twonsend R, Chaump L, Teff K 1999 High-fat meals reduce 24-h circulating leptin concentrations in women.
Diabetes 48:334341[Abstract]
-
Mueller WM, Gregoire FM, Stanhope KC, Mobbs CV, Mizuno
TM, Warden CH, Stern JS, Havel PJ 1998 Evidence that glucose
metabolism regulates leptin secretion from cultured rat adipocytes.
Endocrinology 139:551558[Abstract/Free Full Text]
-
Havel PJ 1999 Mechanisms regulating leptin
production: implications for control of energy balance. Am J Clin
Nutr 70:305306[Free Full Text]
-
Brazilai N, Wang J, Massilon D, Vuguin P, Hawkins M,
Rossetti L 1997 Leptin selectively decreases visceral adiposity
and enhances insulin action. J Clin Invest 100:31053110[Medline]
-
Muller G, Ertl J, Gerl M, Preibisch G 1997 Leptin
impairs metabolic actions of insulin in isolated rat adipocytes. J
Biol Chem 272:1058510593[Abstract/Free Full Text]
-
Fuhbeck G, Aguado M, Martinez JA 1997 In
vitro lipolytic effect of leptin on mouse adipocytes: evidence for
a possible autocrine/paracrine role of leptin. Biochem Biophys Res
Commun 240:590594[CrossRef][Medline]
-
Van Heek M, Compton DS, France CF, Tedesco RP, Fawzi AB,
Graziano MP, Sybertz EJ, Strader CD, Davis HRJ 1997 Diet-induced
obese mice develop peripheral, but not central, resistance to leptin.
J Clin Invest 99:385390[Medline]
-
Ahren B, Mansson S, Gingerich L, Havel PJ 1997 Regulation of plasma leptin in mice: incluence of age, high-fat diet,
and fasting. Am J Physiol 273:R113R20
-
Maeda ND, Li H, Lee D, Oliver P, Quarfordt SH, Osada
J 1994 Targeted disruption of the apolipoprotein C-III gene in
mice results in hypotriglyceridemia and protection from postprandial
hypertriglyceridemia. J Biol Chem 269:2361023616[Abstract/Free Full Text]
-
Shimada M, Shimano H, Gotoda T, Yamamoto K, Kawamura M,
Inaba T, Yazaki Y 1993 Overexpression of human lipoprotein lipase
in transgenic mice. Resistance to diet-induced hypertriglyceridemia and
hypercholesterolemia. J Biol Chem 268:1792417929[Abstract/Free Full Text]
-
Weinstock PH, Bisgaier CL, Aalto-Setala, Radner H,
Ramakrishnan R, Levakfrank S, Essenburg AD, Zechner R, Breslow J 1995 Severe hypertriglyceridemia, reduced high density lipoprotein, and
neonatal death in lipoprotein lipase knockout mice. Mild
hypertriglyceridemia with impaired very low density lipoprotein
clearance in heterozygotes. J Clin Invest 96:25552568
-
Yasushi I, Azrolan N, OConnell A, Walsh A, Breslow
JL 1990 Hypertriglyceridemia as a result of human Apo CIII gene
expression in transgenic mice. Science 249:790793[Abstract/Free Full Text]
-
Schwarz M, Lund EG, Setchell KDR, Kayden HJ, Zerwekh JE,
Bjorkhem I, Herz J, Russell DW 1996 Disruption of cholesterol 7
alpha-hydroxylase gene in mice. J Biol Chem 271:1802418031[Abstract/Free Full Text]
-
Shimomura I, Hammer RE, Richardson JA, Ikemoto S,
Bashmakov Y, Goldstein JL, Brown MS 1998 Insulin resistance and
diabetes mellitus in transgenic mice expressing nuclear SREBP-1c in
adipose tissue: model for congenital lipodystrophy. Genes Dev 12:3182194[Abstract/Free Full Text]
-
Frederich RC, Hamann A, Anderson S, Lollmann B, Lowell
BB, Flier JS 1995 Leptin levels reflect body lipid content in
mice: evidence for diet-induced resistance to leptin action. Nat Med 1:1311134[CrossRef][Medline]
-
Weibust RS 1978 Inheritance of plasma cholesterol
levels in mice. Genetics 303:303312
-
Ranheim T, Dumke C, Schueler KL, Cartree GD, Attie
AD 1997 Interaction between BTBR and C57BL/6J genomes produces an
insulin resistance syndrome in (BTBRxC57BL/6J)
F1 mice. Arterio Thromb Vasc Biol 17:32863293[Abstract/Free Full Text]
-
Lemonnier D 1972 Effect of age, sex, and sites on
the cellularity of the adipose tissue in mice and rats rendered obese
by a high-fat diet. J Clin Invest 51:29072915
-
Moller DE, Chang PY, Yaspelkis BB3, Flier JS,
Wallberg-Hendriksson H, Ivy JL 1996 Transgenic mice with
muscle-specific insulin resistance develop increased adiposity,
impaired glucose tolerance, and dyslipidemia. Endocrinology 137:23972405[Abstract]
-
Jesmok GJ, Woods EF, Ditzler WS, Walsh G 1981 Fat
emulsion catabolism in vitro and in vivo-sex
related differences. J Parenter Enteral Nutr 5:200203[Abstract]
-
Tollin C, Ericsson M, Johnson O, Backman C 1985 Clearance of triglycerides from the circulation and its relationship to
serum lipoproteins: influence of age and sex. Scand J Clin Lab
Invest 45:679684[Medline]
-
Merkel M, Weinstock PH, Chajek-Shaul T, Radner H, Yin B,
Breslow JL, Goldberg IJ 1998 Lipoprotein lipase expression
exclusively in the liver. A mouse model for metabolism in the neonatal
period and during cachexia. J Clin Invest 102:893901[Medline]
-
Gnudi L, Shepherd PR, Kahn BB 1996 Overexpression
of GLUT4 selectively in adipose tissue in transgenic mice: implications
for nutrient partitioning. Proc Nutr Soc 55:191199[Medline]
-
Triscari J, Nauss-Karol C, Levin BE, Sullivan AC 1985 Changes in lipid metabolism in diet-induced obesity. Metabolism 34:580587[CrossRef][Medline]
-
Sniderman AD, Cianflone K, Arner P, Summers L,
Frayn K 1998 The adipocyte, fatty acid trapping and atherogenesis.
Arterio Thromb Vasc Biol 18:147151[Free Full Text]
-
Fielding BA, Frayn KN 1998 Lipoprotein lipase and
the disposition of dietary fatty acids. Br J Nutr 80:495502[CrossRef][Medline]
-
Revelli JP, Preitner F, Samec S, Muniesa P, Kuehne F,
Boss O, Vassalli JD, Dulloo A, Seydoux J, Giacobino JP, Huarte J, Ody
C 1997 Targeted gene disruption reveals a leptin-independent role
for the mouse ß3-adrenoceptor in the regulation
of body composition. J Clin Invest 100:10981106[Medline]
-
Bradley RL, Cheatham B 1999 Regulation of ob gene
expression and leptin secretion by insulin and dexamethasone in rat
adipocytes. Diabetes 48:272278[Abstract]
-
Russell CD, Petersen RN, Rao SP, Ricci MR, Prasad A,
Zhang Y, Brolin RE, Fried SK 1998 Leptin expression from adipose
tissue in obese humans: depot-specific regulation by insulin and
dexamethasone. Am J Physiol 275:E507E515
-
Cummings DE, Brandon EP, Planas JV, Motamed K, Idzerda
RL, McKnight SG 1996 Genetically lean mice result from targeted
disruption of the RII-ß subunit protein kinase A. Nature 382:622626[CrossRef][Medline]
-
Soloveva V, Graves RA, Rasenick MM, Spiegelman B, Ross
SR 1997 Transgenic mice overexpressing the
ß1-adrenergic receptor in adipose tissue are
resistant to obesity. Mol Endocrinol 11:2738[Abstract/Free Full Text]
-
Luetteke NC, Lee DC, Palmiter RD, Brinster RL, Sandgren
EP 1993 Regulation of fat and muscle development by transforming
growth factor
in transgenic mice and cultured cells. Cell Growth
Differ 4:203213[Abstract]
-
Burant CF, Sreenan S, Hirano K, Tai TC, Lohmeiller J,
Lukens J, Davidson NO, Graves RA 1997 Troglitazone action is
independent of adipose tissue. J Clin Invest 100:29002908[Medline]
-
Moitra J, Mason M, Olive M, Krylov D, Gavrilova O,
Marcus-Samuels B, Feigenbaum L, Lee E, Aoyama T, Eckhaus M, Reitman ML,
Vinson C 1998 Life without white fat: a transgenic mouse. Genes
Dev 12:3168181[Abstract/Free Full Text]
-
Astrup A 1993 Dietary composition, substrate
balances and body fat in subjects with a predisposition to obesity. Int
J Obes Relat Metab Disord [Suppl 3] 17:S32S36
-
Enzi G, Busetto SS, Del Prato SS, De Kreutzenberg S,
Valente P, Lise M, Favretti F 1994 Modification of glucose
tolerance and insulin-mediated glucose and non-esterified fatty acids
utilization in morbid obese patients after a surgically induced massive
weight loss. In: Angel A, Anderson H, Bouchard C, Lau D, Leiter L,
Mendelson R (eds) Progress in Obesity Research, ed 7. Libbey:
London, pp 533539
-
Fletcher JM, McNurlan MA, McHardy KC 1989 Residual
abnormalities of insulin secretion and sensitivity after weight loss by
obese women. Eur J Clin Nutr 43:539545[Medline]
-
Cowan GS, Buffington CK 1998 Significant changes in
blood pressure, glucose and lipids with gastric bypass surgery. World
J Surg 22:987992[CrossRef][Medline]
-
Keim NL, Stern JS, Havel PJ 1998 Relation between
circulating leptin concentrations and appetite during a prolonged,
moderate energy deficit in women. Am J Clin Nutr 68:794801[Abstract]
-
Weigle DS, Duell PB, Conner WE, Steiner RA, Soules MR,
Kuijper JL 1997 Effects of fasting, refeeding, and dietary fat
restriction on plasma leptin levels. J Endocrinol Metab 82:561565[Abstract/Free Full Text]
-
Singer L, Colten HR, Wetsel RA 1994 Complement C3
deficiency: Human, animal and experimental models. Pathobiology 62:1428[Medline]
-
Wetsel RA, Kildsgaard J, Zsigmond E, Liao W, Chan L 1999 Genetic deficiency of acylation stimulating protein
(ASP/C3asesArg) does not cause hyperapobetalipoproteinemia in mice.
J Biol Chem 274:1942919433[Abstract/Free Full Text]
-
Sissons PJG, West RJ, Fallows J, Williams DG, Boucher
BJ, Amos N, Peters DK 1976 The complement abnormalities of
lipodystrophy. N Engl J Med 294:461465[Abstract]
-
Skattum L, Martensson U, Sjoholm AG 1997 Hypocomplementaemia caused by C3 nephritic factors (C3 NeF): clinical
findings and the coincidence of C3 NeF type II with anti-C1q
autoantibodies. J Intern Med 242:455464[Medline]
-
Walport MJ, Davies KA, Botto M, Naughton MA, Isenberg
DA, Biasi D, Powell RJ, Cheung NT, Struthers GR 1994 C3 nephritic
factor and SLE: report of four cases and review of the literature. Q
J Med 87:609615[Abstract/Free Full Text]
-
McLean RH, Hoefnagel D 1998 Partial lipodystrophy
and familial C3 deficiency. Hum Hered 30:149154
-
Davidson MB, Young RT 1975 Metabolic studies in
familial partial lipodystrophy of the lower trunk and extremities.
Diabetologia 11:561568[CrossRef][Medline]
-
Boucher BJ, Cohen RD, Frankel RJ, Mason SA, Broadley
G 1973 Partial and total lipodystrophy: changes in circulating
sugar, non-esterified fatty acids, insulin and growth hormone following
administration of glucose and insulin. Clin Endocrinol (Oxf) 2:111126[Medline]
-
Burn J, Baraitser M 1986 Partial lipodystrophy with
insulin resistant diabetes and hyperlipidemia (Dunnigan syndrome).
J Med Genet 23:128130[Abstract/Free Full Text]
-
Charlesworth JA, Williams GD, Sherington WE, Lachman PJ,
Peters DK 1974 Metabolic studies of the third component of
complement and the glycine-rich ß glycoprotein in patients with
hypocomplementemia. J Clin Invest 53:15781587
-
Tanuma T, Ohi H, hatano M 1990 Two types of C3
nephritic factor: properdin-dependent C3NeF and properdin-independent
C3NeF. Clin Immunol Immunopathol 56:226238[CrossRef][Medline]
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