Excess caloric intake can lead to insulin resistance. The underlying reasons are
complex but likely related to ectopic lipid deposition in nonadipose tissue. We
hypothesized that the inability to appropriately expand subcutaneous adipose tissue
may be an underlying reason for insulin resistance and β cell failure.
Mice lacking leptin while overexpressing adiponectin showed normalized glucose and
insulin levels and dramatically improved glucose as well as positively affected
serum triglyceride levels. Therefore, modestly increasing the levels of circulating
full-length adiponectin completely rescued the diabetic phenotype in
Ja-Young Kim, Esther van de Wall, Mathieu Laplante, Anthony Azzara, Maria E. Trujillo, Susanna M. Hofmann, Todd Schraw, Jorge L. Durand, Hua Li, Guangyu Li, Linda A. Jelicks, Mark F. Mehler, David Y. Hui, Yves Deshaies, Gerald I. Shulman, Gary J. Schwartz, Philipp E. Scherer
Excess adiponectin normalizes pancreatic islet histology and improves both local and systemic inflammation.