PMID- 25994074 OWN - NLM STAT- MEDLINE DCOM- 20160413 LR - 20220408 IS - 1432-0428 (Electronic) IS - 0012-186X (Linking) VI - 58 IP - 8 DP - 2015 Aug TI - GIP increases adipose tissue expression and blood levels of MCP-1 in humans and links high energy diets to inflammation: a randomised trial. PG - 1759-68 LID - 10.1007/s00125-015-3618-4 [doi] AB - AIMS/HYPOTHESIS: Obesity is associated with elevated monocyte chemoattractant protein-1 (MCP-1), a proinflammatory chemokine related to diabetes and cardiovascular disease. Since obesity is triggered by energy dense diets, we hypothesised that nutrient induced intestinal hormones such as glucose-dependent insulinotropic peptide (GIP) may directly stimulate the release of chemokines from adipose tissue and induce low-grade inflammation. METHODS: GIP effects on gene expression and secretion of inflammatory markers were studied by microarray analysis and PCR from human subcutaneous fat biopsies of slightly obese but healthy volunteers in the metabolic ward of German Institute of Human Nutrition, Department of Clinical Nutrition, Potsdam-Rehbrucke. To allocate the participants to the study arms they were numbered in order of their recruitment and then assigned to the groups by a random number generator. In a randomised, single-blind (participants) crossover design, the participants received GIP infusions in postprandial concentrations (2 pmol kg(-1) min(-1)) or saline (154 mmol/l NaCl) infusions for 240 min either alone, in combination with hyperinsulinaemic-euglycaemic (EU) or hyperinsulinaemic-hyperglycaemic (HC) clamps. Possible mechanisms of GIP effects were investigated in single and co-cultures of macrophage and adipocyte cell lines and in primary human monocytes, macrophages and adipocytes. RESULTS: A total of 17 participants were randomised to the following groups: EU with GIP infusion (n = 9); EU with NaCl infusion (n = 9); HC with GIP infusion (n = 8); HC with NaCl infusion (n = 8); sole GIP infusion (n = 11) and sole placebo infusion (n = 11). All 17 individuals were analysed. The study is completed. In human subcutaneous adipose tissue (hSCAT), infusions of GIP significantly increased inflammatory chemokine and cytokine gene networks in transcriptomic microarray analyses. Particularly MCP-1 (180 +/- 26%), MCP-2 (246 +/- 58%) and IL-6 (234 +/- 40%) mRNA levels in adipose tissue as well as circulating plasma concentrations of MCP-1 (165 +/- 12 vs 135 +/- 13 pg/ml; GIP vs saline after 240 min; p < 0.05 for all variables) in humans increased independently of circulating insulin or glucose plasma concentrations. GIP stimulation increased Mcp-1 mRNA-expression in co-cultures of differentiated 3T3L1-adipocytes and RAW 264.7 macrophages but not in the isolated cell lines. Similarly, GIP increased MCP-1 transcripts in co-cultures of primary human macrophages with human adipocytes. GIP receptor (GIPR) transcripts were present in primary monocytes and the different cell lines and induced activation of extracellular related kinase (ERK) as well as increases in cAMP, indicating functional receptors. CONCLUSIONS/INTERPRETATION: Our findings suggest that the nutrient induced gut hormone GIP may initiate adipose tissue inflammation by triggering a crosstalk of adipocytes and macrophages involving MCP-1. TRIAL REGISTRATION: ClinicalTrials.gov NCT00774488. FUNDING: This work was supported by the German Research Foundation (DFG): grant No. Pf164/021002. FAU - Gogebakan, Ozlem AU - Gogebakan O AD - Department of Clinical Nutrition, German Institute of Human Nutrition, Potsdam-Rehbruecke, Arthur-Scheunert-Allee 155, 14558, Nuthetal, Germany. FAU - Osterhoff, Martin A AU - Osterhoff MA FAU - Schuler, Rita AU - Schuler R FAU - Pivovarova, Olga AU - Pivovarova O FAU - Kruse, Michael AU - Kruse M FAU - Seltmann, Anne-Cathrin AU - Seltmann AC FAU - Mosig, Alexander S AU - Mosig AS FAU - Rudovich, Natalia AU - Rudovich N FAU - Nauck, Michael AU - Nauck M FAU - Pfeiffer, Andreas F H AU - Pfeiffer AF LA - eng SI - ClinicalTrials.gov/NCT00774488 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20150521 PL - Germany TA - Diabetologia JT - Diabetologia JID - 0006777 RN - 0 (Chemokine CCL2) RN - 0 (Insulin) RN - 59392-49-3 (Gastric Inhibitory Polypeptide) SB - IM MH - Adipocytes/drug effects/metabolism MH - Adipose Tissue/*drug effects/metabolism MH - Adolescent MH - Adult MH - Aged MH - Cells, Cultured MH - Chemokine CCL2/blood/genetics/*metabolism MH - Cross-Over Studies MH - *Diet MH - Gastric Inhibitory Polypeptide/blood/*pharmacology MH - Gene Expression/*drug effects MH - Humans MH - Inflammation/blood/*metabolism MH - Insulin/blood MH - Male MH - Middle Aged MH - Obesity/*metabolism MH - Signal Transduction/drug effects MH - Single-Blind Method MH - Young Adult EDAT- 2015/05/23 06:00 MHDA- 2016/04/14 06:00 CRDT- 2015/05/22 06:00 PHST- 2015/02/19 00:00 [received] PHST- 2015/04/15 00:00 [accepted] PHST- 2015/05/22 06:00 [entrez] PHST- 2015/05/23 06:00 [pubmed] PHST- 2016/04/14 06:00 [medline] AID - 10.1007/s00125-015-3618-4 [doi] PST - ppublish SO - Diabetologia. 2015 Aug;58(8):1759-68. doi: 10.1007/s00125-015-3618-4. Epub 2015 May 21.