PMID- 20978230 OWN - NLM STAT- MEDLINE DCOM- 20110131 LR - 20220317 IS - 1522-1555 (Electronic) IS - 0193-1849 (Linking) VI - 300 IP - 1 DP - 2011 Jan TI - Adipose proinflammatory cytokine expression through sympathetic system is associated with hyperglycemia and insulin resistance in a rat ischemic stroke model. PG - E155-63 LID - 10.1152/ajpendo.00301.2010 [doi] AB - Patients who experience acute ischemic stroke may develop hyperglycemia, even in the absence of diabetes, but the exact mechanisms are still unclear. Adipose tissue secretes numerous proinflammatory cytokines and is involved in the regulation of glucose metabolism. This study aimed to determine the effects of acute stroke on adipose inflammatory cytokine expression. In addition, because sympathetic activity is activated after acute stroke and catecholamines can regulate the expression of several adipocytokines, this study also evaluated whether alterations in adipose proinflammatory cytokines following acute stroke, if any, were medicated by sympathetic system. Acute ischemic brain injury was induced by ligating the right middle cerebral artery and bilateral common carotid arteries in male adult Sprague-Dawley rats. Adipose tumor necrosis factor-alpha (TNF-alpha) and monocyte chemoattractant protein-1 (MCP-1) mRNA and protein levels were determined by RT-PCR and enzyme-linked immunoassay, respectively. The stroke rats developed glucose intolerance on days 1 and 2 after cerebral ischemic injury. The fasting blood insulin levels and insulin resistance index measured by homeostasis model assessment were higher in the stroke rats compared with the sham group. Epididymal adipose TNF-alpha and MCP-1 mRNA and protein levels were elevated one- to twofold, in association with increased macrophage infiltration into the adipose tissue. When the rats were treated with a nonselective beta-adrenergic receptor blocker, propranolol, before induction of cerebral ischemic injury, the acute stroke-induced increase in TNF-alpha and MCP-1 was blocked, and fasting blood insulin concentration and homeostasis model assessment-insulin resistance were decreased. These results suggest a potential role of adipose proinflammatory cytokines induced by the sympathetic nervous system in the pathogenesis of glucose metabolic disorder in rats with acute ischemic stroke. FAU - Wang, Ya-Yu AU - Wang YY AD - Division of Family Medicine, Taichung Veterans General Hospital, Taichung, Taiwan. FAU - Lin, Shih-Yi AU - Lin SY FAU - Chuang, Yu-Han AU - Chuang YH FAU - Chen, Chun-Jung AU - Chen CJ FAU - Tung, Kwong-Chung AU - Tung KC FAU - Sheu, Wayne Huey-Herng AU - Sheu WH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20101026 PL - United States TA - Am J Physiol Endocrinol Metab JT - American journal of physiology. Endocrinology and metabolism JID - 100901226 RN - 0 (Adrenergic beta-Antagonists) RN - 0 (Ccl2 protein, rat) RN - 0 (Chemokine CCL2) RN - 0 (Cytokines) RN - 0 (Inflammation Mediators) RN - 0 (RNA, Messenger) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adipose Tissue, White/drug effects/*metabolism/pathology MH - Adrenergic beta-Antagonists/pharmacology MH - Animals MH - Brain Ischemia/blood/metabolism/*physiopathology MH - Chemokine CCL2/genetics/metabolism MH - Cytokines/blood/genetics/*metabolism MH - Gene Expression Regulation/drug effects MH - Glucose Intolerance/etiology MH - Hyperglycemia/blood/etiology/*metabolism MH - Inflammation Mediators/metabolism MH - *Insulin Resistance MH - Macrophages/metabolism MH - Male MH - RNA, Messenger/metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Stroke/blood/metabolism/*physiopathology MH - Sympathetic Nervous System/drug effects/*physiology MH - Time Factors MH - Tumor Necrosis Factor-alpha/genetics/metabolism EDAT- 2010/10/28 06:00 MHDA- 2011/02/01 06:00 CRDT- 2010/10/28 06:00 PHST- 2010/10/28 06:00 [entrez] PHST- 2010/10/28 06:00 [pubmed] PHST- 2011/02/01 06:00 [medline] AID - ajpendo.00301.2010 [pii] AID - 10.1152/ajpendo.00301.2010 [doi] PST - ppublish SO - Am J Physiol Endocrinol Metab. 2011 Jan;300(1):E155-63. doi: 10.1152/ajpendo.00301.2010. Epub 2010 Oct 26.