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Circulation. 2002;106:2767-2770
Published online before print November 4, 2002, doi: 10.1161/01.CIR.0000042707.50032.19
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(Circulation. 2002;106:2767.)
© 2002 American Heart Association, Inc.


Brief Rapid Communications

Adiponectin Reduces Atherosclerosis in Apolipoprotein E-Deficient Mice

Yoshihisa Okamoto, MD; Shinji Kihara, MD, PhD; Noriyuki Ouchi, MD, PhD; Makoto Nishida, MD, PhD; Yukio Arita, MD, PhD; Masahiro Kumada, MD; Koji Ohashi, MD; Naohiko Sakai, MD, PhD; Iichiro Shimomura, MD, PhD; Hideki Kobayashi, MS; Naoki Terasaka, MS; Toshimori Inaba, MS; Tohru Funahashi, MD, PhD; Yuji Matsuzawa, MD, PhD

From the Department of Internal Medicine and Molecular Science, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan (Y.O., S.K., N.O., M.N., Y.A., M.K., K.O., N.S., I.S., T.F., Y.M.); and Sankyo Co, Ltd, Shinagawa-ku, Tokyo, Japan (H.K., N.T., T.I.).

Correspondence to Shinji Kihara, Department of Internal Medicine and Molecular Science, Graduate School of Medicine, Osaka University, 2-2 B5 Yamadaoka, Suita, Osaka 565-0871, Japan. E-mail kihara{at}imed2.med.osaka-u.ac.jp


*    Abstract
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Background— Dysregulation of adipocyte-derived bioactive molecules plays an important role in the development of atherosclerosis. We previously reported that adiponectin, an adipocyte-specific plasma protein, accumulated in the injured artery from the plasma and suppressed endothelial inflammatory response and vascular smooth muscle cell proliferation, as well as macrophage-to-foam cell transformation in vitro. The current study investigated whether the increased plasma adiponectin could actually reduce atherosclerosis in vivo.

Methods and Results— Apolipoprotein E-deficient mice were treated with recombinant adenovirus expressing human adiponectin (Ad-APN) or ß-galactosidase (Ad-ßgal). The plasma adiponectin levels in Ad-APN–treated mice increased 48 times as much as those in Ad-ßgal treated mice. On the 14th day after injection, the lesion formation in aortic sinus was inhibited in Ad-APN–treated mice by 30% compared with Ad-ßgal–treated mice (P<0.05). In the lesions of Ad-APN–treated mice, the lipid droplets became smaller compared with Ad-ßgal–treated mice (P<0.01). Immunohistochemical analyses demonstrated that the adenovirus-mediated adiponectin migrate to foam cells in the fatty streak lesions. The real-time quantitative polymerase chain reaction revealed that Ad-APN treatment significantly suppressed the mRNA levels of vascular cell adhesion molecule-1 by 29% and class A scavenger receptor by 34%, and tended to reduce levels of tumor necrosis factor-{alpha} without affecting those of CD36 in the aortic tissue.

Conclusions— These findings documented for the first time that elevated plasma adiponectin suppresses the development of atherosclerosis in vivo.


Key Words: proteins • atherosclerosis • plasma • remodeling


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Adipose tissue secrets a variety of bioactive molecules that directly contribute to the development of cardiovascular diseases.14 Adiponectin is an adipose-specific plasma protein that was identified by our group in human adipose tissue.4 Acrp30 or AdipoQ, independently cloned by 2 groups, is the mouse counterpart of adiponectin.5,6 Interestingly, low plasma adiponectin concentrations were observed in patients with obesity, coronary artery disease (CAD), and type 2 diabetes with macroangiopathy.79 Furthermore, the incidence of cardiovascular death was higher in patients with low plasma adiponectin compared with those with higher adiponectin levels.10 Immunohistochemical studies revealed that adiponectin from the plasma adhered to the injured artery.11,12 In cultured cells, human recombinant adiponectin suppressed the endothelial expression of adhesion molecules, the proliferation of vascular smooth muscle cells, and the transformation of macrophage to foam cells.8,1214 These data suggest that adiponectin has anti-atherogenic properties.

In the present study, we investigated the therapeutic effects of adiponectin on the development of atherosclerosis in apolipoprotein E-deficient (apoE-/-) mice.


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Recombinant Adenovirus
Replication-defective recombinant adenovirus was constructed with Adenovirus Expression Vector Kit (Takara). Adenovirus expressing the full-length apM1 cDNA4 (Ad-APN) or ß galactosidase gene (Ad-ßgal) was propagated in 293 cells, purified by CsCl gradient centrifugations, and stored at -80°C until use.

Animal Protocol
Male apoE-/- mice (Jackson Laboratory, Bar Harbor, Me) were fed a normal chow. At the age of 12 weeks, Ad-APN or Ad-ßgal was injected into tail vein (2.2x108 pfu each). The mice were anesthetized with an intraperitoneal injection of pentobarbital (50 mg/kg), and the hearts, which contained the aortic sinus and aortic arch, were harvested at the indicated time. This protocol was approved by the Institutional Laboratory Animal Care and Use Committee of Osaka University.

Plasma Data Analyses
Blood samples were collected from mice ad libitum on the fifth day after adenovirus injection. Total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), and glucose levels were measured with enzymatic kits (Wako), and insulin levels were assayed with EIA kit (Glazyme). Human or mouse adiponectin levels were determined with adiponectin or Acrp30 ELISA kits (Otsuka Pharmaceutical Co Ltd).

Histochemical Analyses
The frozen cross-sections (10 µm thick) of aortic sinus embedded in Optimal Cutting Temperature (OCT; Sakura Finetechnical Co, Ltd) compound after overnight fixation in 10% formalin were mounted on slides. For the analysis of plaque size, the 3 sections (100 µm apart) from each mouse before and on the 14th day after adenovirus injection were stained with Oil Red O. The lesion size and the diameter of lipid droplets in the lesions were quantified with an image analyzing computer software, and the mean values were determined. For the immunohistochemical analyses, frozen sections, harvested on the fifth day after adenovirus injection, were incubated with the either rabbit anti-human adiponectin polyclonal antibody (OCT 9104, 2 µg/mL), rat anti-mouse macrophages (Mac-1) monoclonal antibody (Immunotec, 20 µg/mL), or mouse anti–{alpha}-smooth muscle actin ({alpha}-actin) monoclonal antibody (DAKO, 1 µg/mL). The counter-staining for the nucleus was carried out with Mayer’s hematoxylin.

Gene Expression Analysis
To quantify expression of vascular cell adhesion molecule-1 (VCAM-1), class A scavenger receptor (SR-A), tumor necrosis factor-{alpha} (TNF-{alpha}) and CD36 in aortic tissue, the real-time quantitative polymerase chain reaction (TaqMan PCR, Perkin-Elmer) was performed as previously described.15 The cDNA was generated from 2 µg total RNA isolated from the upper half of the heart and aortic arch with an oligo dT oligodeoxynucleotide primer (T12–18). The mRNA levels of target genes were divided by those of cyclophilin A, a standard control gene, and normalized. The values in Ad-APN–treated aortas are expressed as a relative percentage compared with those in Ad-ßgal treated aortas.

Data and Statistical Analysis
Data are presented as mean±SEM and were analyzed by Student’s t test or the Mann-Whitney U test, depending on their distribution pattern. A value of P<0.05 was considered statistically significant.


*    Results
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Plasma adiponectin levels in Ad-APN–treated mice increased to a level 48 times higher than the level of endogenous acrp30 in Ad-ßgal treated mice; however, no significant difference was observed between 2 groups in cholesterol, glucose, and insulin levels (Table). In 12-week-old non-treated apoE-/- mice, the atherosclerotic lesion area in aortic sinus and the diameter of lipid droplets in fatty streaks were 2.98x104±0.41 µm2 and 17.8±0.2 µm, respectively. After 14 days of adenovirus injection, the lesion area of Ad-APN–treated mice was significantly reduced by 30% compared with Ad-ßgal treated mice (5.20x104±0.62 versus 3.66x104±0.35 µm2, P<0.05) (Figure 1A and 1B). In the lesions of Ad-APN–treated mice, the diameter of lipid droplets in fatty streaks was significantly reduced relative to Ad-ßgal–treated mice (22.4±0.2 versus 18.0±0.2µm, P<0.01) (Figure 1C and 1D).


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Characteristics of Adenovirus-Treated apoE-/- Mice



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Figure 1. Effect of Ad-APN treatment on atherosclerotic lesions in apoE-/- mice 14 days after recombinant adenovirus injection. A, The representative lesions before and after injection of Ad-ßgal or Ad-APN (n=9 each) with low (A, bar=500 µm) and high (C, bar=100 µm) magnification are shown. B, Quantification of lesion areas in each group. The average lesion area of each mouse was determined from 3 cross-sections (100 µm apart). D, The diameter of lipid droplets over 10 µm in Ad-ßgal or Ad-APN treated mice (n=9 each). The values are mean±SEM.

To assess the role of elevated plasma adiponectin in atherosclerotic lesion formation, the localization of adenovirus-derived human adiponectin, macrophages, and smooth muscle cells were analyzed immunohistochemically on the fifth day after adenovirus injection. Adenovirus-derived human adiponectin abundantly adhered to Mac-1 positive and {alpha}-actin negative cells in the fatty streak lesions (Figure 2A).



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Figure 2. Effect of Ad-APN treatment on atherosclerotic lesions in apoE-/- mice 5 days after recombinant adenovirus injection. A, Immunohistochemical detection of adiponectin, Mac-1, {alpha}-actin, and Oil Red O staining in atherosclerotic lesions. Serial cross-section (1 0µm each) of the representative lesions in aortic sinus are shown (bar=100 µm). B, The mRNA levels of VCAM-1, SR-A, TNF-{alpha}, and CD36 in aortic tissue in Ad-ßgal or Ad-APN–treated mice (n=5 each). The values are mean±SEM.

To further assess the mechanism of lesion reduction, the mRNA levels of VCAM-1, SR-A, TNF-{alpha}, and CD36 were quantified. Ad-APN treatment significantly suppressed the mRNA levels of VCAM-1 (100±10.3 versus 70.9±4.8%, P<0.05) and SR-A (100±10.0 versus 65.8±9.2%, P<0.05, and tended to reduce those of TNF-{alpha} (100±33.6 versus 63.1±15.2%) without affecting those of CD36 in the aortic tissue (100±4.5 versus 100.2±13.0%) (Figure 2B).


*    Discussion
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In the present study, we demonstrated that adenovirus-mediated increase of plasma adiponectin significantly suppressed the progression of atherosclerotic lesions in apoE-/- mice. These mice develop hyperlipidemia and vascular lesions similar to human atherosclerosis.16,17 Even on a normal chow, the initial foam cell lesions in the aortic root progressed from 12- to 14-week-old mice as previously reported.18 Adenovirus-derived adiponectin accumulated in the fatty streak lesions composed of macrophages and foam cells in apoE-/- mice. Ad-APN treatment significantly suppressed the expression of VCAM-1 and SR-A and reduced the lipid accumulation in macrophages in atherosclerotic lesions of apoE-/- mice, although no difference was observed in plasma cholesterol, glucose, and insulin levels between Ad-APN and Ad-ßgal treatment.

We previously reported that human recombinant adiponectin suppressed nuclear factor-{kappa}B inducible gene expression including VCAM-1 in human aortic endothelial cells and SR-A expression in human monocyte-derived macrophages.8,12,14 The recombinant protein did not affect CD36 expression in macrophages.12 Adiponectin treatment dose-dependently decreased the uptake of modified low-density lipoprotein.12 In the present study, the Ad-APN treatment actually inhibited the expression of VCAM-1 and SR-A without affecting that of CD36 in vivo. VCAM-1 and SR-A play a pivotal role in the development of atherosclerosis. The expression of VCAM-1 localized over the surface of endothelial cells in lesion-prone sites, and the targeted disruption of SR-A reduced the size of atherosclerotic lesions in apoE-/- mice.19,20 Therefore, our findings suggest that the elevated plasma adiponectin protected endothelial cells from hypercholesterolemia-induced vascular injury and suppressed the uptake of modified low-density lipoprotein into foam cells in apoE-/- mice.

The hypo-adiponectinemia was observed in patients with CAD and was associated with the incidence of cardiovascular death.8,10 This study documented for the first time that the overexpression of adiponectin actually reduced atherosclerosis through attenuating endothelial inflammatory response and macrophage to foam cell transformation in vivo. Therefore, in future studies, this model of adiponectin gene transfection will be useful to determine the therapeutic level of plasma adiponectin for preventing atherosclerosis.


*    Acknowledgments
 
This work was supported by grants from the Japanese Ministry of Education and the Japan Society for Promotion of Science-Research for the Future Program.

Received August 19, 2002; revision received October 8, 2002; accepted October 8, 2002.


*    References
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3. Shimomura I, Funahashi T, Takahashi M, et al. Enhanced expression of PAI-1 in visceral fat: possible contributor to vascular disease in obesity. Nature Med. 1996; 2: 800–803.[CrossRef][Medline] [Order article via Infotrieve]

4. Maeda K, Okubo K, Shimomura I, et al. cDNA cloning and expression of a novel adipose specific collagen-like factor, apM1 (adipose most abundant gene transcript 1). Biochem Biophys Res Commun. 1996; 221: 286–289.[CrossRef][Medline] [Order article via Infotrieve]

5. Scherer EP, Williams S, Fogliano M, et al. A novel serum protein similar to C1q, produced exclusively in adipocytes. J Biol Chem. 1995; 270: 26746–26749.[Abstract/Free Full Text]

6. Hu E, Liang P, Spiegelman BM. AdipoQ is a novel adipose-specific gene dysregulated in obesity. J Biol Chem. 1996; 271: 10697–10703.[Abstract/Free Full Text]

7. Arita Y, Kihara S, Ouchi N, et al. Paradoxical decrease of an adipose-specific protein, adiponectin, in obesity. Biochem Biophys Res Commun. 1999; 257: 79–83.[CrossRef][Medline] [Order article via Infotrieve]

8. Ouchi N, Kihara S, Arita Y, et al. Novel modulator for endothelial adhesion molecules: adipocyte-derived plasma protein adiponectin. Circulation. 1999; 100: 2473–2476.[Abstract/Free Full Text]

9. Hotta K, Funahashi T, Arita Y, et al. Plasma concentrations of a novel, adipose-specific protein, adiponectin, in type 2 diabetic patients. Arterioscler Thromb Vasc Biol. 2000; 20: 1595–1599.[Abstract/Free Full Text]

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14. Ouchi N, Kihara S, Arita Y, et al. Adiponectin, an adipocyte-derived plasma protein, inhibits endothelial NF-kappaB signaling through a cAMP-dependent pathway. Circulation. 2000; 102: 1296–1301.[Abstract/Free Full Text]

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Arterioscler. Thromb. Vasc. Bio.Home page
P. F. Bodary
Links Between Adipose Tissue and Thrombosis in the Mouse
Arterioscler Thromb Vasc Biol, November 1, 2007; 27(11): 2284 - 2291.
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Eur J EndocrinolHome page
A. Galler, G. Gelbrich, J. Kratzsch, N. Noack, T. Kapellen, and W. Kiess
Elevated serum levels of adiponectin in children, adolescents and young adults with type 1 diabetes and the impact of age, gender, body mass index and metabolic control: a longitudinal study
Eur. J. Endocrinol., October 1, 2007; 157(4): 481 - 489.
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Am. J. Clin. Nutr.Home page
D. Barb, C. J Williams, A. K Neuwirth, and C. S Mantzoros
Adiponectin in relation to malignancies: a review of existing basic research and clinical evidence
Am. J. Clinical Nutrition, September 1, 2007; 86(3): 858S - 866S.
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Cardiovasc ResHome page
G. Fesus, G. Dubrovska, K. Gorzelniak, R. Kluge, Y. Huang, F. C. Luft, and M. Gollasch
Adiponectin is a novel humoral vasodilator
Cardiovasc Res, September 1, 2007; 75(4): 719 - 727.
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Eur J EndocrinolHome page
A. E Schutte, H. W Huisman, R. Schutte, L. Malan, J. M van Rooyen, N. T Malan, and P. E H Schwarz
Differences and similarities regarding adiponectin investigated in African and Caucasian women
Eur. J. Endocrinol., August 1, 2007; 157(2): 181 - 188.
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EndocrinologyHome page
N. Aoki, S. Jin-no, Y. Nakagawa, N. Asai, E. Arakawa, N. Tamura, T. Tamura, and T. Matsuda
Identification and Characterization of Microvesicles Secreted by 3T3-L1 Adipocytes: Redox- and Hormone-Dependent Induction of Milk Fat Globule-Epidermal Growth Factor 8-Associated Microvesicles
Endocrinology, August 1, 2007; 148(8): 3850 - 3862.
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J. Biol. Chem.Home page
P.-h. Park, M. R. McMullen, H. Huang, V. Thakur, and L. E. Nagy
Short-term Treatment of RAW264.7 Macrophages with Adiponectin Increases Tumor Necrosis Factor-{alpha} (TNF-{alpha}) Expression via ERK1/2 Activation and Egr-1 Expression: ROLE OF TNF-{alpha} IN ADIPONECTIN-STIMULATED INTERLEUKIN-10 PRODUCTION
J. Biol. Chem., July 27, 2007; 282(30): 21695 - 21703.
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H. Katagiri, T. Yamada, and Y. Oka
Adiposity and Cardiovascular Disorders: Disturbance of the Regulatory System Consisting of Humoral and Neuronal Signals
Circ. Res., July 6, 2007; 101(1): 27 - 39.
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Am. J. Physiol. Endocrinol. Metab.Home page
S. Otabe, X. Yuan, T. Fukutani, N. Wada, T. Hashinaga, H. Nakayama, N. Hirota, M. Kojima, and K. Yamada
Overexpression of human adiponectin in transgenic mice results in suppression of fat accumulation and prevention of premature death by high-calorie diet
Am J Physiol Endocrinol Metab, July 1, 2007; 293(1): E210 - E218.
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Pharmacol. Rev.Home page
D. Ribatti, M. T. Conconi, and G. G. Nussdorfer
Nonclassic Endogenous Novel Regulators of Angiogenesis
Pharmacol. Rev., June 1, 2007; 59(2): 185 - 205.
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NeurologyHome page
O. Y. Bang, J. L. Saver, B. Ovbiagele, Y. J. Choi, S. R. Yoon, and K. H. Lee
Adiponectin levels in patients with intracranial atherosclerosis
Neurology, May 29, 2007; 68(22): 1931 - 1937.
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Mol. Cell. Biol.Home page
Z. V. Wang, T. D. Schraw, J.-Y. Kim, T. Khan, M. W. Rajala, A. Follenzi, and P. E. Scherer
Secretion of the Adipocyte-Specific Secretory Protein Adiponectin Critically Depends on Thiol-Mediated Protein Retention
Mol. Cell. Biol., May 15, 2007; 27(10): 3716 - 3731.
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DiabetesHome page
C. Menzaghi, V. Trischitta, and A. Doria
Genetic Influences of Adiponectin on Insulin Resistance, Type 2 Diabetes, and Cardiovascular Disease
Diabetes, May 1, 2007; 56(5): 1198 - 1209.
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Eur Heart JHome page
R. Jaumdally, C. Varma, R. J. Macfadyen, and G. Y.H. Lip
Coronary sinus blood sampling: an insight into local cardiac pathophysiology and treatment?
Eur. Heart J., April 2, 2007; 28(8): 929 - 940.
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J EndocrinolHome page
C.-J. Li, H.-W. Sun, F.-L. Zhu, L. Chen, Y.-Y. Rong, Y. Zhang, and M. Zhang
Local adiponectin treatment reduces atherosclerotic plaque size in rabbits
J. Endocrinol., April 1, 2007; 193(1): 137 - 145.
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DiabetesHome page
N. Hosogai, A. Fukuhara, K. Oshima, Y. Miyata, S. Tanaka, K. Segawa, S. Furukawa, Y. Tochino, R. Komuro, M. Matsuda, et al.
Adipose Tissue Hypoxia in Obesity and Its Impact on Adipocytokine Dysregulation
Diabetes, April 1, 2007; 56(4): 901 - 911.
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Am. J. Physiol. Endocrinol. Metab.Home page
S. Nakano, Y. Inada, H. Masuzaki, T. Tanaka, S. Yasue, T. Ishii, N. Arai, K. Ebihara, K. Hosoda, K. Maruyama, et al.
Bezafibrate regulates the expression and enzyme activity of 11beta-hydroxysteroid dehydrogenase type 1 in murine adipose tissue and 3T3-L1 adipocytes
Am J Physiol Endocrinol Metab, April 1, 2007; 292(4): E1213 - E1222.
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Am. J. Physiol. Heart Circ. Physiol.Home page
P. E. Szmitko, H. Teoh, D. J. Stewart, and S. Verma
Adiponectin and cardiovascular disease: state of the art?
Am J Physiol Heart Circ Physiol, April 1, 2007; 292(4): H1655 - H1663.
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Cardiovasc ResHome page
T. A. Hopkins, N. Ouchi, R. Shibata, and K. Walsh
Adiponectin actions in the cardiovascular system
Cardiovasc Res, April 1, 2007; 74(1): 11 - 18.
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Endocr. Rev.Home page
M. E. Trujillo and P. E. Scherer
Adipose Tissue-Derived Factors: Impact on Health and Disease
Endocr. Rev., December 1, 2006; 27(7): 762 - 778.
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Nephrol Dial TransplantHome page
H. A. Uchida, Y. Nakamura, M. Kaihara, H. Norii, Y. Hanayama, H. Sugiyama, Y. Maeshima, Y. Yamasaki, and H. Makino
Steroid pulse therapy impaired endothelial function while increasing plasma high molecule adiponectin concentration in patients with IgA nephropathy
Nephrol. Dial. Transplant., December 1, 2006; 21(12): 3475 - 3480.
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Arterioscler. Thromb. Vasc. Bio.Home page
T. Kawai, T. Ito, K. Ohwada, Y. Mera, M. Matsushita, and H. Tomoike
Hereditary Postprandial Hypertriglyceridemic Rabbit Exhibits Insulin Resistance and Central Obesity: A Novel Model of Metabolic Syndrome
Arterioscler Thromb Vasc Biol, December 1, 2006; 26(12): 2752 - 2757.
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Am. J. Physiol. Heart Circ. Physiol.Home page
H. Takano, Y. Kodama, Y. Kitta, T. Nakamura, J.-e. Obata, A. Mende, K.-i. Kawabata, Y. Saitoh, D. Fujioka, T. Kobayashi, et al.
Transcardiac adiponectin gradient is independently related to endothelial vasomotor function in large and resistance coronary arteries in humans
Am J Physiol Heart Circ Physiol, December 1, 2006; 291(6): H2641 - H2646.
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J. Clin. Endocrinol. Metab.Home page
S. Pilz, H. Mangge, B. Wellnitz, U. Seelhorst, B. R. Winkelmann, B. Tiran, B. O. Boehm, and W. Marz
Adiponectin and Mortality in Patients Undergoing Coronary Angiography
J. Clin. Endocrinol. Metab., November 1, 2006; 91(11): 4277 - 4286.
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DiabetesHome page
T. Soccio, Y.-Y. Zhang, S. Bacci, W. Mlynarski, G. Placha, G. Raggio, R. Di Paola, A. Marucci, M. T. Johnstone, E. V. Gervino, et al.
Common Haplotypes at the Adiponectin Receptor 1 (ADIPOR1) Locus Are Associated With Increased Risk of Coronary Artery Disease in Type 2 Diabetes.
Diabetes, October 1, 2006; 55(10): 2763 - 2770.
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HeartHome page
J George, S Patal, D Wexler, Y Sharabi, E Peleg, Y Kamari, E Grossman, D Sheps, G Keren, and A Roth
Circulating adiponectin concentrations in patients with congestive heart failure
Heart, October 1, 2006; 92(10): 1420 - 1424.
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J Am Coll CardiolHome page
F. Otsuka, S. Sugiyama, S. Kojima, H. Maruyoshi, T. Funahashi, K. Matsui, T. Sakamoto, M. Yoshimura, K. Kimura, S. Umemura, et al.
Plasma Adiponectin Levels Are Associated With Coronary Lesion Complexity in Men With Coronary Artery Disease
J. Am. Coll. Cardiol., September 19, 2006; 48(6): 1155 - 1162.
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DiabetesHome page
M. J. Yoon, G. Y. Lee, J.-J. Chung, Y. H. Ahn, S. H. Hong, and J. B. Kim
Adiponectin Increases Fatty Acid Oxidation in Skeletal Muscle Cells by Sequential Activation of AMP-Activated Protein Kinase, p38 Mitogen-Activated Protein Kinase, and Peroxisome Proliferator-Activated Receptor {alpha}
Diabetes, September 1, 2006; 55(9): 2562 - 2570.
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J. Biol. Chem.Home page
Y. Wang, K. S. L. Lam, L. Chan, K. W. Chan, J. B. B. Lam, M. C. Lam, R. C. L. Hoo, W. W. N. Mak, G. J. S. Cooper, and A. Xu
Post-translational Modifications of the Four Conserved Lysine Residues within the Collagenous Domain of Adiponectin Are Required for the Formation of Its High Molecular Weight Oligomeric Complex
J. Biol. Chem., June 16, 2006; 281(24): 16391 - 16400.
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DiabetesHome page
R. Ouedraogo, X. Wu, S.-Q. Xu, L. Fuchsel, H. Motoshima, K. Mahadev, K. Hough, R. Scalia, and B. J. Goldstein
Adiponectin Suppression of High-Glucose-Induced Reactive Oxygen Species in Vascular Endothelial Cells: Evidence for Involvement of a cAMP Signaling Pathway
Diabetes, June 1, 2006; 55(6): 1840 - 1846.
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GeneticsHome page
A. Ghazalpour, X. Wang, A. J. Lusis, and M. Mehrabian
Complex Inheritance of the 5-Lipoxygenase Locus Influencing Atherosclerosis in Mice
Genetics, June 1, 2006; 173(2): 943 - 951.
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Am. J. Physiol. Gastrointest. Liver Physiol.Home page
V. Thakur, M. T. Pritchard, M. R. McMullen, and L. E. Nagy
Adiponectin normalizes LPS-stimulated TNF-{alpha} production by rat Kupffer cells after chronic ethanol feeding
Am J Physiol Gastrointest Liver Physiol, May 1, 2006; 290(5): G998 - G1007.
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CirculationHome page
J.-a Kim, M. Montagnani, K. K. Koh, and M. J. Quon
Reciprocal Relationships Between Insulin Resistance and Endothelial Dysfunction: Molecular and Pathophysiological Mechanisms
Circulation, April 18, 2006; 113(15): 1888 - 1904.
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Physiol. Rev.Home page
A. Tedgui and Z. Mallat
Cytokines in Atherosclerosis: Pathogenic and Regulatory Pathways
Physiol Rev, April 1, 2006; 86(2): 515 - 581.
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M. Neumeier, J. Weigert, A. Schaffler, G. Wehrwein, U. Muller-Ladner, J. Scholmerich, C. Wrede, and C. Buechler
Different effects of adiponectin isoforms in human monocytic cells
J. Leukoc. Biol., April 1, 2006; 79(4): 803 - 808.
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Eur J EndocrinolHome page
I. Kowalska, M. Straczkowski, A. Nikolajuk, A. Krukowska, I. Kinalska, and M. Gorska
Plasma adiponectin concentration and tumor necrosis factor-{alpha} system activity in lean non-diabetic offspring of type 2 diabetic subjects
Eur. J. Endocrinol., February 1, 2006; 154(2): 319 - 324.
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Am. J. Clin. Nutr.Home page
A. S Greenberg and M. S Obin
Obesity and the role of adipose tissue in inflammation and metabolism
Am. J. Clinical Nutrition, February 1, 2006; 83(2): 461S - 465S.
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Nephrol Dial TransplantHome page
R. Furuya, M. Odamaki, H. Kumagai, and A. Hishida
Beneficial effects of icodextrin on plasma level of adipocytokines in peritoneal dialysis patients
Nephrol. Dial. Transplant., February 1, 2006; 21(2): 494 - 498.
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HypertensionHome page
Y. Hattori, K. Akimoto, T. Nishikimi, H. Matsuoka, and K. Kasai
Activation of AMP-Activated Protein Kinase Enhances Angiotensin II-Induced Proliferation in Cardiac Fibroblasts
Hypertension, February 1, 2006; 47(2): 265 - 270.
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J. Clin. Endocrinol. Metab.Home page
C. G. Schalkwijk, N. Chaturvedi, M. T. Schram, J. H. Fuller, C. D. A. Stehouwer, and the EURODIAB Prospective Complications Study Group
Adiponectin Is Inversely Associated with Renal Function in Type 1 Diabetic Patients
J. Clin. Endocrinol. Metab., January 1, 2006; 91(1): 129 - 135.
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Arterioscler. Thromb. Vasc. Bio.Home page
H. Kato, H. Kashiwagi, M. Shiraga, S. Tadokoro, T. Kamae, H. Ujiie, S. Honda, S. Miyata, Y. Ijiri, J. Yamamoto, et al.
Adiponectin Acts as an Endogenous Antithrombotic Factor
Arterioscler Thromb Vasc Biol, January 1, 2006; 26(1): 224 - 230.
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StrokeHome page
B. Iglseder, V. Mackevics, A. Stadlmayer, G. Tasch, G. Ladurner, and B. Paulweber
Plasma Adiponectin Levels and Sonographic Phenotypes of Subclinical Carotid Artery Atherosclerosis: Data From the SAPHIR Study
Stroke, December 1, 2005; 36(12): 2577 - 2582.
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CirculationHome page
C. Kistorp, J. Faber, S. Galatius, F. Gustafsson, J. Frystyk, A. Flyvbjerg, and P. Hildebrandt
Plasma Adiponectin, Body Mass Index, and Mortality in Patients With Chronic Heart Failure
Circulation, September 20, 2005; 112(12): 1756 - 1762.
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Eur J EndocrinolHome page
P. W Peake, A. D Kriketos, L. V Campbell, Y. Shen, and J. A Charlesworth
The metabolism of isoforms of human adiponectin: studies in human subjects and in experimental animals
Eur. J. Endocrinol., September 1, 2005; 153(3): 409 - 417.
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J. Clin. Endocrinol. Metab.Home page
A. Singhal, N. Jamieson, M. Fewtrell, J. Deanfield, A. Lucas, and N. Sattar
Adiponectin Predicts Insulin Resistance But Not Endothelial Function in Young, Healthy Adolescents
J. Clin. Endocrinol. Metab., August 1, 2005; 90(8): 4615 - 4621.
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J. Clin. Endocrinol. Metab.Home page
C. S. Mantzoros, T. Li, J. E. Manson, J. B. Meigs, and F. B. Hu
Circulating Adiponectin Levels Are Associated with Better Glycemic Control, More Favorable Lipid Profile, and Reduced Inflammation in Women with Type 2 Diabetes
J. Clin. Endocrinol. Metab., August 1, 2005; 90(8): 4542 - 4548.
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Mol. Cell. Biol.Home page
J. Park, H. K. Rho, K. H. Kim, S. S. Choe, Y. S. Lee, and J. B. Kim
Overexpression of Glucose-6-Phosphate Dehydrogenase Is Associated with Lipid Dysregulation and Insulin Resistance in Obesity
Mol. Cell. Biol., June 15, 2005; 25(12): 5146 - 5157.
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K Yamamoto, T Kiyohara, Y Murayama, S Kihara, Y Okamoto, T Funahashi, T Ito, R Nezu, S Tsutsui, J-I Miyagawa, et al.
Production of adiponectin, an anti-inflammatory protein, in mesenteric adipose tissue in Crohn's disease
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A. H. Berg and P. E. Scherer
Adipose Tissue, Inflammation, and Cardiovascular Disease
Circ. Res., May 13, 2005; 96(9): 939 - 949.
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A. Xu, K. W. Chan, R. L. C. Hoo, Y. Wang, K. C. B. Tan, J. Zhang, B. Chen, M. C. Lam, C. Tse, G. J. S. Cooper, et al.
Testosterone Selectively Reduces the High Molecular Weight Form of Adiponectin by Inhibiting Its Secretion from Adipocytes
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J. Biol. Chem.Home page
Y. Wang, K. S. L. Lam, J. Y. Xu, G. Lu, L. Y. Xu, G. J. S. Cooper, and A. Xu
Adiponectin Inhibits Cell Proliferation by Interacting with Several Growth Factors in an Oligomerization-dependent Manner
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Endocr. Rev.Home page
T. Kadowaki and T. Yamauchi
Adiponectin and Adiponectin Receptors
Endocr. Rev., May 1, 2005; 26(3): 439 - 451.
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DiabetesHome page
H. Satoh, M.T. A. Nguyen, M. Trujillo, T. Imamura, I. Usui, P. E. Scherer, and J. M. Olefsky
Adenovirus-Mediated Adiponectin Expression Augments Skeletal Muscle Insulin Sensitivity in Male Wistar Rats
Diabetes, May 1, 2005; 54(5): 1304 - 1313.
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Am. J. Physiol. Heart Circ. Physiol.Home page
D. C. W. Lau, B. Dhillon, H. Yan, P. E. Szmitko, and S. Verma
Adipokines: molecular links between obesity and atheroslcerosis
Am J Physiol Heart Circ Physiol, May 1, 2005; 288(5): H2031 - H2041.
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J. Clin. Endocrinol. Metab.Home page
J. Housova, K. Anderlova, J. Krizova, D. Haluzikova, J. Kremen, T. Kumstyrova, H. Papezova, and M. Haluzik
Serum Adiponectin and Resistin Concentrations in Patients with Restrictive and Binge/Purge Form of Anorexia Nervosa and Bulimia Nervosa
J. Clin. Endocrinol. Metab., March 1, 2005; 90(3): 1366 - 1370.
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Eur J EndocrinolHome page
M. I. Yilmaz, A. Sonmez, S. Kilic, T. Celik, N. Bingol, M. Pinar, T. Mumcuoglu, and M. Ozata
The association of plasma adiponectin levels with hypertensive retinopathy
Eur. J. Endocrinol., February 1, 2005; 152(2): 233 - 240.
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EndocrinologyHome page
H. Waki, T. Yamauchi, J. Kamon, S. Kita, Y. Ito, Y. Hada, S. Uchida, A. Tsuchida, S. Takekawa, and T. Kadowaki
Generation of Globular Fragment of Adiponectin by Leukocyte Elastase Secreted by Monocytic Cell Line THP-1
Endocrinology, February 1, 2005; 146(2): 790 - 796.
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Clin. Cancer Res.Home page
M. Ishikawa, J. Kitayama, S. Kazama, T. Hiramatsu, K. Hatano, and H. Nagawa
Plasma Adiponectin and Gastric Cancer
Clin. Cancer Res., January 15, 2005; 11(2): 466 - 472.
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Diabetes CareHome page
G. K. Shetty, P. A. Economides, E. S. Horton, C. S. Mantzoros, and A. Veves
Circulating Adiponectin and Resistin Levels in Relation to Metabolic Factors, Inflammatory Markers, and Vascular Reactivity in Diabetic Patients and Subjects at Risk for Diabetes
Diabetes Care, October 1, 2004; 27(10): 2450 - 2457.
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Diabetes CareHome page
M. Furuhashi, N. Ura, N. Moniwa, Y. Shinshi, H. Kouzu, M. Nishihara, N. Kokubu, T. Takahashi, K.-i. Sakamoto, M. Hayashi, et al.
Possible Impairment of Transcardiac Utilization of Adiponectin in Patients With Type 2 Diabetes
Diabetes Care, September 1, 2004; 27(9): 2217 - 2221.
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CirculationHome page
D. Nagata, R. Takeda, M. Sata, H. Satonaka, E. Suzuki, T. Nagano, and Y. Hirata
AMP-Activated Protein Kinase Inhibits Angiotensin II-Stimulated Vascular Smooth Muscle Cell Proliferation
Circulation, July 27, 2004; 110(4): 444 - 451.
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G. W. Wong, J. Wang, C. Hug, T.-S. Tsao, and H. F. Lodish
A family of Acrp30/adiponectin structural and functional paralogs
PNAS, July 13, 2004; 101(28): 10302 - 10307.
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R. Shibata, N. Ouchi, S. Kihara, K. Sato, T. Funahashi, and K. Walsh
Adiponectin Stimulates Angiogenesis in Response to Tissue Ischemia through Stimulation of AMP-activated Protein Kinase Signaling
J. Biol. Chem., July 2, 2004; 279(27): 28670 - 28674.
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HypertensionHome page
A. M. Sharma
Is There a Rationale for Angiotensin Blockade in the Management of Obesity Hypertension?
Hypertension, July 1, 2004; 44(1): 12 - 19.
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NEJMHome page
S. Klein, L. Fontana, V. L. Young, A. R. Coggan, C. Kilo, B. W. Patterson, and B. S. Mohammed
Absence of an Effect of Liposuction on Insulin Action and Risk Factors for Coronary Heart Disease
N. Engl. J. Med., June 17, 2004; 350(25): 2549 - 2557.
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CirculationHome page
S. E. Epstein, E. Stabile, T. Kinnaird, C. W. Lee, L. Clavijo, and M. S. Burnett
Janus Phenomenon: The Interrelated Tradeoffs Inherent in Therapies Designed to Enhance Collateral Formation and Those Designed to Inhibit Atherogenesis
Circulation, June 15, 2004; 109(23): 2826 - 2831.
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J. Clin. Endocrinol. Metab.Home page
B. J. Goldstein and R. Scalia
Adiponectin: A Novel Adipokine Linking Adipocytes and Vascular Function
J. Clin. Endocrinol. Metab., June 1, 2004; 89(6): 2563 - 2568.
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J. Clin. Endocrinol. Metab.Home page
A. M. Xydakis, C. C. Case, P. H. Jones, R. C. Hoogeveen, M.-Y. Liu, E. O. Smith, K. W. Nelson, and C. M. Ballantyne
Adiponectin, Inflammation, and the Expression of the Metabolic Syndrome in Obese Individuals: The Impact of Rapid Weight Loss through Caloric Restriction
J. Clin. Endocrinol. Metab., June 1, 2004; 89(6): 2697 - 2703.
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J. B. Seo, H. M. Moon, M. J. Noh, Y. S. Lee, H. W. Jeong, E. J. Yoo, W. S. Kim, J. Park, B.-S. Youn, J. W. Kim, et al.
Adipocyte Determination- and Differentiation-dependent Factor 1/Sterol Regulatory Element-binding Protein 1c Regulates Mouse Adiponectin Expression
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M. Kumada, S. Kihara, N. Ouchi, H. Kobayashi, Y. Okamoto, K. Ohashi, K. Maeda, H. Nagaretani, K. Kishida, N. Maeda, et al.
Adiponectin Specifically Increased Tissue Inhibitor of Metalloproteinase-1 Through Interleukin-10 Expression in Human Macrophages
Circulation, May 4, 2004; 109(17): 2046 - 2049.
[Abstract] [Full Text] [PDF]


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