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MOLECULAR BIOLOGY OF THE CELL GROUP Cancer Metabolism Division TIPOS DE TA • BRANCO (unilocular, amarelo). • MARROM (multilocular) TECIDO ADIPOSO BRANCO MES (%) RPAT (%) EAT (%) C TB C TB C TB 14:0 2.03 + 0.45 1.59 + 0.33 2.37 + 0.24 1.55 + 0.07 1.99 + 0.21 1.72 + 0.08 16:0 45.70+4.11 39.99+ 3.3 43.49+2.39 43.00+10.6 45.53+5.76 41.35+8.77 16:1 _______ 0.55+0.01* 1.17 + 0.64 0.76 + 0.81 1.91 + 0.66 3.82 + 1.24 18:0 10.11+0.65 8.79+0.50* 7.37 + 1.53 2.68 + 2.57 4.44 + 1.49 1.00 + 0.74 18:1 16.81+2.54 21.19+0.51 18.38+0.80 22.01+3.79 19.63+2.85 16.17+4.58 18:2 24.24+ 1.6 27.20+3.27 27.06+3.99 37.67+4.68 26.98+2.06 36.27+2.0* sc M cel MES FEMURAL PERIGONADAL Belmonte et al., 2004 Kuk et al., 2006 Manipulação da dieta: efeitos heterogêneos TAG Rβ Adenil Ciclase Gs ATP AMPc R C C R PKA P P P P P P P P P -P -P -P -P -P -P -P CATECOLAMINAS TAG TAG TAG TAG TAG TAG P P P P P P P P R R ALBUMINA AG AG AG AG Diferenças no TA • Diidroepiandosterona (DHEAS) <om e sc • E e P >diferenciação ad. • Testosterona :reduz receptores L-2, > cpcdd lipolítica • HSL dep tamanho cel • Visc>SC>Glu -lipólise em homem • Dep omental e mesentérico > nos homens • Endócrino!!!! • Hormônios e citocinas= adipocinas Ronti et al., 2006 Ronti et al., 2006 Table 1. Factors produced by WAT Secreted proteins Receptors Enzymes and transporters Leptin Peptide and glycoprotein Lipid metabolism Adiponectin Insulin Lipoprotein lipase Resistin (in rodents) Glucagon Apolipoprotein E Angiotensinogen Thyroid stimulating hormone Cholesterol ester transfer protein TNF- Growth hormone Adipocyte fatty acid binding protein IL-6 Angiotensin-II CD36 Adipsin Gastrin/cholecystokinin B Acylation stmulating protein Adiponectin Glucose metabolism Fasting-induced adipose factor Cytokine Insulin receptor substrate 1,2 PAI-1 IL-6 Phosphatidylinositol 3-kinase Tissue factor TNF- Protein kinase B (Akt) Monocyte chemoattractant protein-1 Leptin GLUT4 Tranforming growth factor-ß Protein kinase / Visfatin Nuclear Vaspin PPAR Glycogen synthase kinase-3 Retinol binding protein-4 Glucocorticoid Estrogen Steroid metabolism Progesterone Aromatase Androgen 11ß-hydroxysteroid dehydrogenase type 1 Thyroid 17ß-hydroxysteroid dehydrogenase Vitamin D Nuclear factor- B Outras ações leptina: Controle da composição corporal e apetite; Puberdade e reprodução; Resposta imune; Sensibilidade à insulina no músculo e fígado Adiponectina Heterogeneidade endócrina humanos • Resistina: abdominal>femural • IL6: omental> SC • Adiponectina: SC> visceral • Leptina: SC> visceral? • Visfatina: Visceral> SC • Teoria da síndrome X vs. Gordura visceral obesidade Bibliografia básica • A Halpern, AFG Matos, HL Matos, MC Mancini, MT Zanella. Obesidade. Lemos Ed. São Paulo,1998 • T Brody. Nutritional Biochemistry.Academic Press, London, 1999 • Ciba Foundation Symposium. The origins and consequences of obesityJohn Wiley & Sons, New York, 1996 Institution: BRAZ 35042 MEDIC.RIB-80 Sign In as Member Table 2. ORs for all-cause mortality Model 1: control for age + follow-up time. Model 2: control for age, follow-up time, abdominal subcutaneous fat, visceral fat, and liver fat. OR, odds ratio; SE, standard error; CTL, liver attenuation; CTS, spleen attenuation. * The ORs for mortality in the table are expressed per SD for each variable. Cubic transformation used in the analyses. HO ME HE LP FEE DB AC K SU BS CRI PTI ON S AR CH IVE SE AR CH TA BLE OF CO NT EN TS HO ME HE LP FEE DB AC K SU BS CRI PTI ON S AR CH IVE SE AR CH TA BLE OF CO NT EN TS QUICK SEARCH: [adv anced ] Aut hor: Keywor d(s): Y e ar : V o l : P a g e : Retur n to articl e Model 1 Model 2 ß SE OR (95% CI)* p ß SE OR (95% CI)* p Visceral fat mass (kg) 0.85 0.29 1.83 (1.23 to 2.73) 0.00 3 0.86 0.41 1.81 (1.04 to 3.14) 0.04 Subcutaneous fat mass (kg) 1.20 0.58 1.44 (1.02 to 2.03) 0.04 –0.02 0.78 0.99 (0.63 to 1.58) 0.98 Visceral fat (L4–L5) (cm2) 5.0 x 10–8 1.9 x 10–8 1.76 (1.16 to 2.67) 0.00 8 4.7 x 10–8 2.4 x 10–8 1.69 (0.99 to 2.89) 0.05 Subcutaneous fat (L4–L5) (cm2) 0.003 0.002 1.31 (0.93 to 1.85) 0.15 –0.002 0.003 0.85 (0.53 to 1.36) 0.49 Waist circumference (cm) 1.19 x 10–6 5.89 x 10–7 1.41 (1.01 to 1.98) 0.04 –1.7 x 10–6 1.53 x 10–6 0.60 (0.25 to 1.44) 0.26 Mean liver (HU) –0.04 0.01 0.64 (0.46 to 0.87) 0.00 5 –0.01 0.02 0.87 (0.56 to 1.37) 0.55 CTL/CTS –1.37 0.82 0.76 (0.54 to 1.05) 0.10 1.13 1.69 1.26 (0.64 to 2.48) 0.50 Retur n to articl e and1relevance Go
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