Stürzebecher, P.E.* ; Kralisch, S.* ; Schubert, M.R.* ; Filipova, V.* ; Hoffmann, A.* ; Oliveira, F. ; Sheikh, B. ; Blüher, M. ; Kogel, A.* ; Scholz, M.* ; Kokot, K.E.* ; Erbe, S.* ; Kneuer, J.M.* ; Ebert, T.* ; Fasshauer, M.* ; Miehle, K.* ; Laufs, U.* ; Tönjes, A.* ; Boeckel, J.N.*
     
 
    
        
Leptin treatment has vasculo-protective effects in lipodystrophic mice.
    
    
        
    
    
        
        Proc. Natl. Acad. Sci. U.S.A. 119:e2110374119 (2022)
    
    
    
		
		
			
				Lipodystrophy syndromes (LDs) are characterized by loss of adipose tissue, metabolic complications such as dyslipidemia, insulin resistance, and fatty liver disease, as well as accelerated atherosclerosis. As a result of adipose tissue deficiency, the systemic concentration of the adipokine leptin is reduced. A current promising therapeutic option for patients with LD is treatment with recombinant leptin (metreleptin), resulting in reduced risk of mortality. Here, we investigate the effects of leptin on endothelial to mesenchymal transition (EndMT), which impair the functional properties of endothelial cells and promotes atherogenesis in LD. Leptin treatment reduced inflammation and TGF-β2-induced expression of mesenchymal genes and prevented impairment of endothelial barrier function. Treatment of lipodystrophic- and atherosclerosis-prone animals (Ldlr-/-; aP2-nSrebp1c-Tg) with leptin reduced macrophage accumulation in atherosclerotic lesions, vascular plaque protrusion, and the number of endothelial cells with mesenchymal gene expression, confirming a reduction in EndMT in LD after leptin treatment. Treatment with leptin inhibited LD-mediated induction of the proatherosclerotic cytokine growth/differentiation factor 15 (GDF15). Inhibition of GDF15 reduced EndMT induction triggered by plasma from patients with LD. Our study reveals that in addition to the effects on adipose tissue function, leptin treatment exerts beneficial effects protecting endothelial function and identity in LD by reducing GDF15.
			
			
				
			
		 
		
			
				
					
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        Publikationstyp
        Artikel: Journalartikel
    
 
    
        Dokumenttyp
        Wissenschaftlicher Artikel
    
 
    
        Typ der Hochschulschrift
        
    
 
    
        Herausgeber
        
    
    
        Schlagwörter
        Atherosclerosis ; Endmt ; Gdf15 ; Leptin ; Lipodystrophy; To-mesenchymal Transition; Insulin-resistance; Adipose-tissue; Aortic-arch; Atherosclerotic Plaque; Diabetes-mellitus; Obesity; Atheromas; Risk; Endothelin-1
    
 
    
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        Sprache
        englisch
    
 
    
        Veröffentlichungsjahr
        2022
    
 
    
        Prepublished im Jahr 
        0
    
 
    
        HGF-Berichtsjahr
        2022
    
 
    
    
        ISSN (print) / ISBN
        0027-8424
    
 
    
        e-ISSN
        1091-6490
    
 
    
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	    Band: 119,  
	    Heft: 40,  
	    Seiten: ,  
	    Artikelnummer: e2110374119 
	    Supplement: ,  
	
    
 
  
        
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            Verlag
            National Academy of Sciences
        
 
        
            Verlagsort
            2101 Constitution Ave Nw, Washington, Dc 20418 Usa
        
 
	
        
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        Begutachtungsstatus
        Peer reviewed
    
 
    
        Institut(e)
        Helmholtz Institute for Metabolism, Obesity and Vascular Research (HI-MAG)
    
 
    
        POF Topic(s)
        30201 - Metabolic Health
    
 
    
        Forschungsfeld(er)
        Helmholtz Diabetes Center
    
 
    
        PSP-Element(e)
        G-555000-001
G-506501-001
    
 
    
        Förderungen
        German Research Foundation (Deutsche Forschungsgemeinschaft, DFG)
    
 
    
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        Erfassungsdatum
        2022-10-13