Document Information


PMID 18846047  (  )
Title Obesity upregulates genes involved in oxidative phosphorylation in livers of diabetic patients.
Abstract Obesity is a major cause of insulin resistance and contributes to the development of type 2 diabetes. The altered expression of genes involved in mitochondrial oxidative phosphorylation (OXPHOS) has been regarded as a key change in insulin-sensitive organs of patients with type 2 diabetes. This study explores possible molecular signatures of obesity and examines the clinical significance of OXPHOS gene expression in the livers of patients with type 2 diabetes. We analyzed gene expression in the livers of 21 patients with type 2 diabetes (10 obese and 11 nonobese patients; age, 53.0 +/- 2.1 years; BMI, 24.4 +/- 0.9 kg/m(2); fasting plasma glucose, 143.0 +/- 10.6 mg/dl) using a DNA chip. We screened 535 human pathways and extracted those metabolic pathways significantly altered by obesity. Genes involved in the OXPHOS pathway, together with glucose and lipid metabolism pathways, were coordinately upregulated in the liver in association with obesity. The mean centroid of OXPHOS gene expression was significantly correlated with insulin resistance indices and the hepatic expression of genes involved in gluconeogenesis, reactive oxygen species (ROS) generation, and transcriptional factors and nuclear co-activators associated with energy homeostasis. In conclusion, obesity may affect the pathophysiology of type 2 diabetes by upregulating genes involved in OXPHOS in association with insulin resistance markers and the expression of genes involved in hepatic gluconeogenesis and ROS generation.

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Targets by SciMiner Summary

HUGO ID Symbol Target Name #Occur ActualStr
6081INSinsulin35insulin |
9237PPARGC1Aperoxisome proliferator-activated receptor gamma, coactivator 1 alpha15pgc 1 alpha | PGC-1 | pgc 1 alpha |
9232PPARAperoxisome proliferator-activated receptor alpha7PPAR-alpha | PPARs |
9236PPARGperoxisome proliferator-activated receptor gamma6ppar gamma | PPAR-gamma |
30022PPARGC1Bperoxisome proliferator-activated receptor gamma, coactivator 1 beta6pgc 1 beta | pgc 1 beta |
8725PCK2phosphoenolpyruvate carboxykinase 2 (mitochondrial)5PEPCK2 | PEPCK |
13633ADIPOQadiponectin, C1Q and collagen domain containing4adiponectin |
4552GPTglutamic-pyruvate transaminase (alanine aminotransferase)4alanine aminotransferase |
14874NOX5NADPH oxidase, EF-hand calcium binding domain 54nadph oxidase |
12518UCP2uncoupling protein 2 (mitochondrial, proton carrier)3uncoupling protein 2 | UCP2 | UCP-2 |
6553LEPleptin2leptin |
11892TNFtumor necrosis factor (TNF superfamily, member 2)2tumor necrosis factor alpha |
7794NFKB1nuclear factor of kappa light polypeptide gene enhancer in B-cells 1 (p105)2NF-kappaB |
1516CATcatalase2catalase |
7661NCF2neutrophil cytosolic factor 2 (65kDa, chronic granulomatous disease, autosomal 2)1NCF2 |
2642CYP4A11cytochrome P450, family 4, subfamily A, polypeptide 111CYP4A11 |
2367CRPC-reactive protein, pentraxin-related1c reactive protein |
2328CPT1Acarnitine palmitoyltransferase 1A (liver)1carnitine palmitoyltransferase |
2578CYBBcytochrome b-245, beta polypeptide (chronic granulomatous disease)1CYBB |
4458GPIglucose phosphate isomerase1glucose phosphate isomerase |
8951SERPINE2serpin peptidase inhibitor, clade E (nexin, plasminogen activator inhibitor type 1), member 21plasminogen activator inhibitor type 1 |
25806GSTCDglutathione S-transferase, C-terminal domain containing1glutathione s transferase |
8636PCpyruvate carboxylase1pyruvate carboxylase |
8548P4HBprocollagen-proline, 2-oxoglutarate 4-dioxygenase (proline 4-hydroxylase), beta polypeptide1protein disulfide isomerase |
7996NRF1nuclear respiratory factor 11nuclear respiratory factor 1 |
82ACAA1acetyl-Coenzyme A acyltransferase 1 (peroxisomal 3-oxoacyl-Coenzyme A thiolase)1acetyl coenzyme a acyltransferase |
121ACOX3acyl-Coenzyme A oxidase 3, pristanoyl1ACOX3 |
4061SLC37A4solute carrier family 37 (glucose-6-phosphate transporter), member 41glucose 6 phosphatase |
2631CYP2E1cytochrome P450, family 2, subfamily E, polypeptide 11CYP2E1 |
7660NCF1neutrophil cytosolic factor 1, (chronic granulomatous disease, autosomal 1)1NCF1 |
336AGTR1angiotensin II receptor, type 11angiotensin ii receptor |
2707ACEangiotensin I converting enzyme (peptidyl-dipeptidase A) 11angiotensin converting enzyme |
31395COX8Bcytochrome c oxidase, subunit 8B pseudogene1cytochrome c oxidase |
7889NOX1NADPH oxidase 11NOX1 |
9235PPARDperoxisome proliferator-activated receptor delta1ppar beta |
1663CD36CD36 molecule (thrombospondin receptor)1CD36 |
8724PCK1phosphoenolpyruvate carboxykinase 1 (soluble)1PEPCK1 |
2577CYBAcytochrome b-245, alpha polypeptide1CYBA |

 


Targets by SciMiner Full list

HUGO ID Symbol Name ActualStr Score FlankingText
13633ADIPOQadiponectin, C1Q and collagen domain containingadiponectin1.5free fatty acids or adipocytokines such as tumor necrosis factor-alpha adiponectin and leptin between the overweight and normal-weight groups ( Supplementary
8725PCK2phosphoenolpyruvate carboxykinase 2 (mitochondrial)PEPCK1.4encoding the key gluconeogenesis enzymes such as phosphoenolpyruvate carboxykinase (PEPCK), PEPCK phosphoglycerate kinase fructose-1 6-bisphosphatase glucose phosphate isomerase and glucose-6-phosphatase (G-6-Pase)
9232PPARAperoxisome proliferator-activated receptor alphaPPAR0.9We focused on the peroxisome proliferator_amp_#8211 activated receptor PPAR -alpha and PPAR-gamma as master control genes for the beta-oxidation
9236PPARGperoxisome proliferator-activated receptor gammaPPAR-gamma1.3focused on the peroxisome proliferator_amp_#8211 activated receptor PPAR -alpha and PPAR-gamma as master control genes for the beta-oxidation of fatty acids
9232PPARAperoxisome proliferator-activated receptor alphaPPAR-alpha0.3The PPAR-alpha and PPAR-gamma genes were both upregulated in obesity (obese/nonobese: obese
9236PPARGperoxisome proliferator-activated receptor gammaPPAR-gamma1.3The PPAR-alpha and PPAR-gamma genes were both upregulated in obesity (obese/nonobese: obese nonobese 1.50
9236PPARGperoxisome proliferator-activated receptor gammaPPAR-gamma1.3The PPAR-gamma gene expression level correlated with BMI ( r = 0.611
1663CD36CD36 molecule (thrombospondin receptor)CD361.1well as the expression levels of its target genes the CD36 gene ( 27 ( r = 0.864 P _lt_ 0.001
12518UCP2uncoupling protein 2 (mitochondrial, proton carrier)UCP21.9= 0.864 P _lt_ 0.001 and uncoupling protein 2 ( UCP2 gene ( 28 29 ( r = 0.532 P =
8725PCK2phosphoenolpyruvate carboxykinase 2 (mitochondrial)PEPCK1.4In addition gluconeogenic enzymes such as PEPCK require ATP for their catalytic actions
8724PCK1phosphoenolpyruvate carboxykinase 1 (soluble)PEPCK11.2significantly correlated with the expression of gluconeogenic genes such as PEPCK1 PEPCK2 and glucose transporter type 2 ( Table 3
8725PCK2phosphoenolpyruvate carboxykinase 2 (mitochondrial)PEPCK21.4correlated with the expression of gluconeogenic genes such as PEPCK1 PEPCK2 and glucose transporter type 2 ( Table 3
9237PPARGC1Aperoxisome proliferator-activated receptor gamma, coactivator 1 alphaPGC-11.1reported to be associated with OXPHOS or energy homeostasis including PGC-1 alpha PGC-1 beta nuclear res piratory factor-1 PPARs estrogen-related receptors
9237PPARGC1Aperoxisome proliferator-activated receptor gamma, coactivator 1 alphaPGC-11.1be associated with OXPHOS or energy homeostasis including PGC-1 alpha PGC-1 beta nuclear res piratory factor-1 PPARs estrogen-related receptors thyroid receptors
9232PPARAperoxisome proliferator-activated receptor alphaPPARs0.3homeostasis including PGC-1 alpha PGC-1 beta nuclear res piratory factor-1 PPARs estrogen-related receptors thyroid receptors steroid receptor co-activator-1 and transcriptional intermediary
9237PPARGC1Aperoxisome proliferator-activated receptor gamma, coactivator 1 alphaPGC-11.1Gene expression for PGC-1 beta PPAR-alpha steroid receptor co-activator-1 TR-alpha and transcriptional intermediary factor-2
9232PPARAperoxisome proliferator-activated receptor alphaPPAR-alpha0.3Gene expression for PGC-1 beta PPAR-alpha steroid receptor co-activator-1 TR-alpha and transcriptional intermediary factor-2 was significantly
9237PPARGC1Aperoxisome proliferator-activated receptor gamma, coactivator 1 alphaPGC-11.1However the expression of PGC-1 alpha which has been reported to be correlated with OXPHOS
121ACOX3acyl-Coenzyme A oxidase 3, pristanoylACOX30.3encoding enzymes associated with peroxisomal beta-oxidation of fatty acids ( ACOX3 the nicotinamide adenine dinucleotide phosphate (NADPH) NADPH oxidase complex (
7889NOX1NADPH oxidase 1NOX10.9the nicotinamide adenine dinucleotide phosphate (NADPH) NADPH oxidase complex ( NOX1 CYBB CYBA NCF1 and NCF2 and the stress-responsive cytochromes (
2578CYBBcytochrome b-245, beta polypeptide (chronic granulomatous disease)CYBB0.3nicotinamide adenine dinucleotide phosphate (NADPH) NADPH oxidase complex ( NOX1 CYBB CYBA NCF1 and NCF2 and the stress-responsive cytochromes ( CYP2E1
2577CYBAcytochrome b-245, alpha polypeptideCYBA0.3adenine dinucleotide phosphate (NADPH) NADPH oxidase complex ( NOX1 CYBB CYBA NCF1 and NCF2 and the stress-responsive cytochromes ( CYP2E1 and
2631CYP2E1cytochrome P450, family 2, subfamily E, polypeptide 1CYP2E10.3CYBB CYBA NCF1 and NCF2 and the stress-responsive cytochromes ( CYP2E1 and CYP4A11 all of which are involved in ROS generation
2642CYP4A11cytochrome P450, family 4, subfamily A, polypeptide 11CYP4A110.3NCF1 and NCF2 and the stress-responsive cytochromes ( CYP2E1 and CYP4A11 all of which are involved in ROS generation in the
7660NCF1neutrophil cytosolic factor 1, (chronic granulomatous disease, autosomal 1)NCF10.1dinucleotide phosphate (NADPH) NADPH oxidase complex ( NOX1 CYBB CYBA NCF1 and NCF2 and the stress-responsive cytochromes ( CYP2E1 and CYP4A11
7661NCF2neutrophil cytosolic factor 2 (65kDa, chronic granulomatous disease, autosomal 2)NCF20.1dinucleotide phosphate (NADPH) NADPH oxidase complex ( NOX1 CYBB CYBA NCF1 and NCF2 and the stress-responsive cytochromes ( CYP2E1 and CYP4A11
9237PPARGC1Aperoxisome proliferator-activated receptor gamma, coactivator 1 alphaPGC-11.1skeletal muscle of patients with type 2 diabetes in which PGC-1 alpha-responsive genes of the OXPHOS pathway are coordinately downregulated and
8725PCK2phosphoenolpyruvate carboxykinase 2 (mitochondrial)PEPCK1.4upregulation of genes that encode the enzymes of gluconeogenesis including PEPCK and G-6-Pase with increases in insulin resistance
9232PPARAperoxisome proliferator-activated receptor alphaPPAR-alpha0.3pathway was supported by the upregulation of the genes for PPAR-alpha and PPAR-beta-oxidation ( 25 26
12518UCP2uncoupling protein 2 (mitochondrial, proton carrier)UCP-21.6The expression level of UCP-2 a target gene of PPAR- 28 29 was significantly correlated
9232PPARAperoxisome proliferator-activated receptor alphaPPAR-0.8The expression level of UCP-2 a target gene of PPAR- 28 29 was significantly correlated with that of the PPAR-gene.
13633ADIPOQadiponectin, C1Q and collagen domain containingadiponectin1.5factors alone because the serum levels of adipocytokines such as adiponectin leptin and tumor necrosis factor-alpha did not change significantly in
7794NFKB1nuclear factor of kappa light polypeptide gene enhancer in B-cells 1 (p105)NF-kappaB0.3in ROS generation in bovine aortic endothelial cells thereby preventing NF-kappaB activation ( 42
7794NFKB1nuclear factor of kappa light polypeptide gene enhancer in B-cells 1 (p105)NF-kappaB0.3OXPHOS pathway may stimulate ROS formation in the liver activate NF-kappaB and increase inflammation-associated insulin resistance ( 1
9237PPARGC1Aperoxisome proliferator-activated receptor gamma, coactivator 1 alphaPGC-11.1type 2 diabetes ( 9 10 the expression level of PGC-1 alpha was not significantly correlated with the severity of either
9237PPARGC1Aperoxisome proliferator-activated receptor gamma, coactivator 1 alphaPGC-11.1associated with the OXPHOS pathway or energy homeostasis such as PGC-1 beta nuclear respiratory factor-1 PPARs estrogen-related receptors and thyroid receptors
9232PPARAperoxisome proliferator-activated receptor alphaPPARs0.3or energy homeostasis such as PGC-1 beta nuclear respiratory factor-1 PPARs estrogen-related receptors and thyroid receptors ( 8 were significantly correlated
8725PCK2phosphoenolpyruvate carboxykinase 2 (mitochondrial)PEPCK1.4NADPH nicotinamide adenine dinucleotide phosphate PEPCK phosphoenolpyruvate carboxykinase TCA tricarboxylic acid
6081INSinsulininsulin1.0the identification of the upstream master gene s controlling the expression of the oxphos pathway genes is an important issue in elucidating the mechanism s underlying obesity induced insulin resistance.
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0along with the oxphos pathway genes the genes encoding enzymes associated with ros generation such as those involved in the mitochondrial and peroxisomal beta oxidation of fatty acids 15 nadph oxidase 30 and stress responsive cytochromes 31 were also upregulated in obesity.
1516CATcatalasecatalase1.0accordingly genes encoding redox and ros scavenging systems such as catalase and glutathione peroxidase may be upregulated in obesity.
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0these findings suggest that obesity causes oxidative stress in the liver partly attributable to ros generated from the oxphos pathway together with the peroxisomal beta oxidation of fatty acids nadph oxidase and cytochromes.
6081INSinsulininsulin1.0in summary we provide the first evidence that the increased expression of genes involved in oxphos in the human liver links obesity in diabetes with insulin resistance.
7996NRF1nuclear respiratory factor 1nuclear respiratory factor 11.0instead transcriptional factors or nuclear co activators reportedly associated with the oxphos pathway or energy homeostasis such as pgc 1 beta nuclear respiratory factor 1 ppars estrogen related receptors and thyroid receptors 8 were significantly correlated with the mean centroid of the oxphos pathway genes.
30022PPARGC1Bperoxisome proliferator-activated receptor gamma, coactivator 1 betapgc 1 beta 1.0instead transcriptional factors or nuclear co activators reportedly associated with the oxphos pathway or energy homeostasis such as pgc 1 beta nuclear respiratory factor 1 ppars estrogen related receptors and thyroid receptors 8 were significantly correlated with the mean centroid of the oxphos pathway genes.
30022PPARGC1Bperoxisome proliferator-activated receptor gamma, coactivator 1 betapgc 1 beta1.0instead transcriptional factors or nuclear co activators reportedly associated with the oxphos pathway or energy homeostasis such as pgc 1 beta nuclear respiratory factor 1 ppars estrogen related receptors and thyroid receptors 8 were significantly correlated with the mean centroid of the oxphos pathway genes.
9237PPARGC1Aperoxisome proliferator-activated receptor gamma, coactivator 1 alphapgc 1 alpha 1.0note that unlike in the skeletal muscle of patients with type 2 diabetes 9 10 the expression level of pgc 1 alpha was not significantly correlated with the severity of either obesity or insulin resistance or with the expression levels of genes encoding the enzymes of gluconeogenesis data not shown or the oxphos p
9237PPARGC1Aperoxisome proliferator-activated receptor gamma, coactivator 1 alphapgc 1 alpha1.0note that unlike in the skeletal muscle of patients with type 2 diabetes 9 10 the expression level of pgc 1 alpha was not significantly correlated with the severity of either obesity or insulin resistance or with the expression levels of genes encoding the enzymes of gluconeogenesis data not shown or the oxphos
6081INSinsulininsulin1.0indeed the expression of oxphos genes was significantly correlated with the expression of gluconeogenic genes and with insulin resistance suggesting that obesity latently enhances the oxphos pathway and insulin resistance in patients with type 2 diabetes.
6081INSinsulininsulin1.0 resistance suggesting that obesity latently enhances the oxphos pathway and insulin resistance in patients with type 2 diabetes.
6081INSinsulininsulin1.0note that unlike in the skeletal muscle of patients with type 2 diabetes 9 10 the expression level of pgc 1 alpha was not significantly correlated with the severity of either obesity or insulin resistance or with the expression levels of genes encoding the enzymes of gluconeogenesis data not shown or the oxphos pathway table 3 .
6553LEPleptinleptin1.0furthermore hepatic gene expression in obesity did not seem to be altered by adipocyte derived factors alone because the serum levels of adipocytokines such as adiponectin leptin and tumor necrosis factor alpha did not change significantly in the obese patients
9235PPARDperoxisome proliferator-activated receptor deltappar beta1.0obesity associated upregulation of the fatty acid beta oxidation pathway was supported by the upregulation of the genes for ppar alpha and ppar beta oxidation 25 26 .
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0the pentose phosphate cycle supplies nadph and h + required for fatty acid and cholesterol synthesis and can also lead to ros generation via nadph oxidase 36 .
8636PCpyruvate carboxylasepyruvate carboxylase1.0increased fatty acid oxidation promotes the gluconeogenesis pathway in part by maintaining pyruvate carboxylase in an active state 33 .
6081INSinsulininsulin1.0our comprehensive search for metabolic pathways altered in obesity we found coordinated upregulation of genes that encode the enzymes of gluconeogenesis including pepck and g 6 pase with increases in insulin resistance.
6081INSinsulininsulin1.0this finding suggests that the moderate deficiency in oxphos that is observed in the skeletal muscle of insulin resistant humans is not a causative factor in diabetes but may instead be a compensatory response 19 20 .
9237PPARGC1Aperoxisome proliferator-activated receptor gamma, coactivator 1 alphapgc 1 alpha 1.0in fact the expression profile in the liver looks like a mirror image of that in the skeletal muscle of patients with type 2 diabetes in which pgc 1 alpha responsive genes of the oxphos pathway are coordinately downregulated and predict total body aerobic capacity 9 10 .
9237PPARGC1Aperoxisome proliferator-activated receptor gamma, coactivator 1 alphapgc 1 alpha1.0in fact the expression profile in the liver looks like a mirror image of that in the skeletal muscle of patients with type 2 diabetes in which pgc 1 alpha responsive genes of the oxphos pathway are coordinately downregulated and predict total body aerobic capacity 9 10 .
6081INSinsulininsulin1.0however the causative or compensatory nature of this oxphos gene expression in the pathogenesis of insulin resistance remains controversial 19 .
6081INSinsulininsulin1.0here we demonstrated that obesity further upregulated type 2 diabetes associated oxphos pathway gene expression with insulin resistance.
1516CATcatalasecatalase1.0in addition genes encoding ros scavenging systems such as glutathione s transferase protein disulfide isomerase catalase selenoproteins and glutathione peroxidase were upregulated in obesity.
25806GSTCDglutathione S-transferase, C-terminal domain containingglutathione s transferase1.0in addition genes encoding ros scavenging systems such as glutathione s transferase protein disulfide isomerase catalase selenoproteins and glutathione peroxidase were upregulated in obesity.
8548P4HBprocollagen-proline, 2-oxoglutarate 4-dioxygenase (proline 4-hydroxylase), beta polypeptideprotein disulfide isomerase1.0in addition genes encoding ros scavenging systems such as glutathione s transferase protein disulfide isomerase catalase selenoproteins and glutathione peroxidase were upregulated in obesity.
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0genes encoding enzymes associated with peroxisomal beta oxidation of fatty acids acox3 the nicotinamide adenine dinucleotide phosphate nadph oxidase complex nox1 cybb cyba ncf1 and ncf2 and the stress responsive cytochromes cyp2e1 and cyp4a11 all of which are involved in ros generation in the liver 15 30 31 were upregulated in obesity table 4 sup
6081INSinsulininsulin1.0ssion of genes involved in ros generation increased mitochondrial oxygen flux through the oxphos pathway leads to increased formation of ros as by products 15 and may contribute to the development of insulin resistance in patients with obesity.
30022PPARGC1Bperoxisome proliferator-activated receptor gamma, coactivator 1 betapgc 1 beta1.0phos pathway genes in the human liver we analyzed the expression of transcriptional factors and nuclear co activators reported to be associated with oxphos or energy homeostasis including pgc 1 alpha pgc 1 beta nuclear res piratory factor 1 ppars estrogen related receptors thyroid receptors steroid receptor co activator 1 and transcriptional intermediary factor 2 ref 8 .
9237PPARGC1Aperoxisome proliferator-activated receptor gamma, coactivator 1 alphapgc 1 alpha 1.0ession of oxphos pathway genes in the human liver we analyzed the expression of transcriptional factors and nuclear co activators reported to be associated with oxphos or energy homeostasis including pgc 1 alpha pgc 1 beta nuclear res piratory factor 1 ppars estrogen related receptors thyroid receptors steroid receptor co activator 1 and transcriptional intermediary factor 2 ref 8 .
9237PPARGC1Aperoxisome proliferator-activated receptor gamma, coactivator 1 alphapgc 1 alpha1.0ession of oxphos pathway genes in the human liver we analyzed the expression of transcriptional factors and nuclear co activators reported to be associated with oxphos or energy homeostasis including pgc 1 alpha pgc 1 beta nuclear res piratory factor 1 ppars estrogen related receptors thyroid receptors steroid receptor co activator 1 and transcriptional intermediary factor 2 ref 8 .
6081INSinsulininsulin1.0furthermore the insulin resistance index quicki was significantly correlated with the expression of gluconeogenic genes data not shown .
6081INSinsulininsulin1.0hepatic insulin resistance contributes to impaired suppression of gluconeogenesis in humans 3 4 and in various animal models 5 .
9237PPARGC1Aperoxisome proliferator-activated receptor gamma, coactivator 1 alphapgc 1 alpha 1.0however the expression of pgc 1 alpha which has been reported to be correlated with oxphos gene expression in skeletal muscle in type 2 diabetes 9 10 was not correlated with the mean centroid of the oxphos genes in the liver table 3 .
6081INSinsulininsulin1.0therefore the upregulation of oxphos pathway genes may be associated with insulin resistance and related pathologies such as obesity fatty liver and atherosclerosis.
6081INSinsulininsulin1.0therefore obesity induced activation of the oxphos pathway may stimulate ros formation in the liver activate nf kappab and increase inflammation associated insulin resistance 1 .
6081INSinsulininsulin1.0moreover ros have been suggested to play a causal role in experimental models of insulin resistance in hepatocytes and adipocytes 13 41 .
13633ADIPOQadiponectin, C1Q and collagen domain containingadiponectin1.0furthermore hepatic gene expression in obesity did not seem to be altered by adipocyte derived factors alone because the serum levels of adipocytokines such as adiponectin leptin and tumor necrosis factor alpha did not change significantly in the obese patients
11892TNFtumor necrosis factor (TNF superfamily, member 2)tumor necrosis factor alpha1.0furthermore hepatic gene expression in obesity did not seem to be altered by adipocyte derived factors alone because the serum levels of adipocytokines such as adiponectin leptin and tumor necrosis factor alpha did not change significantly in the obese patients
9237PPARGC1Aperoxisome proliferator-activated receptor gamma, coactivator 1 alphapgc 1 alpha1.0however the expression of pgc 1 alpha which has been reported to be correlated with oxphos gene expression in skeletal muscle in type 2 diabetes 9 10 was not correlated with the mean centroid of the oxphos genes in the liver table 3 .
30022PPARGC1Bperoxisome proliferator-activated receptor gamma, coactivator 1 betapgc 1 beta 1.0gene expression for pgc 1 beta ppar alpha steroid receptor co activator 1 tr alpha and transcriptional intermediary factor 2 was significantly correlated with the mean centroid of the oxphos genes table 3 .
30022PPARGC1Bperoxisome proliferator-activated receptor gamma, coactivator 1 betapgc 1 beta1.0gene expression for pgc 1 beta ppar alpha steroid receptor co activator 1 tr alpha and transcriptional intermediary factor 2 was significantly correlated with the mean centroid of the oxphos genes table 3 .
30022PPARGC1Bperoxisome proliferator-activated receptor gamma, coactivator 1 betapgc 1 beta 1.0phos pathway genes in the human liver we analyzed the expression of transcriptional factors and nuclear co activators reported to be associated with oxphos or energy homeostasis including pgc 1 alpha pgc 1 beta nuclear res piratory factor 1 ppars estrogen related receptors thyroid receptors steroid receptor co activator 1 and transcriptional intermediary factor 2 ref 8 .
8951SERPINE2serpin peptidase inhibitor, clade E (nexin, plasminogen activator inhibitor type 1), member 2plasminogen activator inhibitor type 11.0with insulin resistance indices such as the fasting serum insulin level homeostasis model assessment of insulin resistance and quicki and tended to be correlated with bmi alanine aminotransferase and plasminogen activator inhibitor type 1 table 2 .
6081INSinsulininsulin1.0the mean centroid of the oxphos genes in the liver was significantly correlated with insulin resistance indices such as the fasting serum insulin level homeostasis model assessment of insulin resistance and quicki and tended to be correlated with bmi alanine aminotransferase and plasminogen activator inhibitor type 1 table 2 .
4552GPTglutamic-pyruvate transaminase (alanine aminotransferase)alanine aminotransferase1.0was significantly correlated with insulin resistance indices such as the fasting serum insulin level homeostasis model assessment of insulin resistance and quicki and tended to be correlated with bmi alanine aminotransferase and plasminogen activator inhibitor type 1 table 2 .
31395COX8Bcytochrome c oxidase, subunit 8B pseudogenecytochrome c oxidase1.0f nicotinamide adenine dinucleotide nadh _amp_#8211;ubiquinone oxidoreductase complex i succinate_amp_#8211;ubiquinone oxidoreductase complex ii ubiquinol_amp_#8211;cytochrome c reductase complex iii cytochrome c oxidase complex iv and atp synthase complex v .
6081INSinsulininsulin1.0upregulation of the oxphos pathway and its association with insulin resistance the most significant pathway enzyme genes coordinately altered in obesity were the 144 genes involved in the mitochondrial oxphos pathway permutation p _lt_ 0.00001; table 1 .
12518UCP2uncoupling protein 2 (mitochondrial, proton carrier)uncoupling protein 21.080 p = 0.001 and quantitative insulin sensitivity check index quicki r = _amp_#8211;0.805 p _lt_ 0.001 as well as the expression levels of its target genes the cd36 gene 27 r = 0.864 p _lt_ 0.001 and uncoupling protein 2 ucp2 gene 28 29 r = 0.532 p = 0.013 .
9236PPARGperoxisome proliferator-activated receptor gammappar gamma1.0the ppar gamma gene expression level correlated with bmi r = 0.611 p = 0.003 homeostasis model assessment of insulin resistance r = 0.680 p = 0.001 and quantitative insulin sensitivity check index quicki r = _amp_#
6081INSinsulininsulin1.0the ppar gamma gene expression level correlated with bmi r = 0.611 p = 0.003 homeostasis model assessment of insulin resistance r = 0.680 p = 0.001 and quantitative insulin sensitivity check index quicki r = _amp_#8211;0.805 p _lt_ 0.001 as well as the expression levels of its target genes the cd36 gene 27 r = 0.864 p _lt_ 0.001 and uncoupling protein 2 ucp2 gene 28 29
9236PPARGperoxisome proliferator-activated receptor gammappar gamma1.0the ppar alpha and ppar gamma genes were both upregulated in obesity obese/nonobese: 1.50 and 2.00; p = 0.0037 and 0.0546 respectively .
9236PPARGperoxisome proliferator-activated receptor gammappar gamma1.0we focused on the peroxisome proliferator_amp_#8211;activated receptor ppar alpha and ppar gamma as master control genes for the beta oxidation of fatty acids 25 26 .
2328CPT1Acarnitine palmitoyltransferase 1A (liver)carnitine palmitoyltransferase1.0genes encoding enzymes of the fatty acid beta oxidation pathway including carnitine palmitoyltransferase and acetyl coenzyme a acyltransferase were upregulated in obesity supplementary figure s1c online .
82ACAA1acetyl-Coenzyme A acyltransferase 1 (peroxisomal 3-oxoacyl-Coenzyme A thiolase)acetyl coenzyme a acyltransferase1.0genes encoding enzymes of the fatty acid beta oxidation pathway including carnitine palmitoyltransferase and acetyl coenzyme a acyltransferase were upregulated in obesity supplementary figure s1c online .
6081INSinsulininsulin1.0therefore the expression of genes involved in glucose metabolism was coordinately upregulated with insulin resistance in the livers of obese patients with type 2 diabetes.
4458GPIglucose phosphate isomeraseglucose phosphate isomerase1.0sity was associated with significant upregulation of genes encoding the key gluconeogenesis enzymes such as phosphoenolpyruvate carboxykinase pepck phosphoglycerate kinase fructose 1 6 bisphosphatase glucose phosphate isomerase and glucose 6 phosphatase g 6 pase obese/nonobese: 1.50 1.50 1.38 and 1.57; p = 0.016 0.005 0.016 and 0.042 respectively; figure 1 .
4061SLC37A4solute carrier family 37 (glucose-6-phosphate transporter), member 4glucose 6 phosphatase1.0cant upregulation of genes encoding the key gluconeogenesis enzymes such as phosphoenolpyruvate carboxykinase pepck phosphoglycerate kinase fructose 1 6 bisphosphatase glucose phosphate isomerase and glucose 6 phosphatase g 6 pase obese/nonobese: 1.50 1.50 1.38 and 1.57; p = 0.016 0.005 0.016 and 0.042 respectively; figure 1 .
13633ADIPOQadiponectin, C1Q and collagen domain containingadiponectin1.0no significant differences were observed in the serum levels of high sensitivity c reactive protein free fatty acids or adipocytokines such as tumor necrosis factor alpha adiponectin and leptin between the overweight and normal weight groups supplementary table s1 online .
2367CRPC-reactive protein, pentraxin-relatedc reactive protein1.0no significant differences were observed in the serum levels of high sensitivity c reactive protein free fatty acids or adipocytokines such as tumor necrosis factor alpha adiponectin and leptin between the overweight and normal weight groups supplementary table s1 online .
11892TNFtumor necrosis factor (TNF superfamily, member 2)tumor necrosis factor alpha1.0no significant differences were observed in the serum levels of high sensitivity c reactive protein free fatty acids or adipocytokines such as tumor necrosis factor alpha adiponectin and leptin between the overweight and normal weight groups supplementary table s1 online .
6553LEPleptinleptin1.0no significant differences were observed in the serum levels of high sensitivity c reactive protein free fatty acids or adipocytokines such as tumor necrosis factor alpha adiponectin and leptin between the overweight and normal weight groups supplementary table s1 online .
4552GPTglutamic-pyruvate transaminase (alanine aminotransferase)alanine aminotransferase1.0bmi was significantly correlated with quicki r = _amp_#8211;0.482 p = 0.037 alanine aminotransferase r = 0.584 p = 0.005 aspartate aminotransferase r = 0.671 p = 0.001 and liver steatosis scores r = 0.598 p = 0.004 .
6081INSinsulininsulin1.0in addition insulin resistance estimated with homeostasis model assessment of insulin resistance and quicki was also higher in the overweight group and liver steatosis tended to be more severe.
6081INSinsulininsulin1.0the insulin regimen for all insulin treated patients 2 of 10 obese patients and 5 of 11 nonobese patients was prandial dosing with rapid acting insulin analogue.
4552GPTglutamic-pyruvate transaminase (alanine aminotransferase)alanine aminotransferase1.0cimens were obtained from 21 patients with type 2 diabetes 15 men 6 women; mean age 53.0 2.1 years; mean bmi 24.4 0.9 kg/m 2 ; mean fasting plasma glucose 7.94 0.59 mmol/l; mean hba 1c 7.3 0.3%; mean alanine aminotransferase 34.4 5.5 iu/l admitted to kanazawa university hospital between 2000 and 2003.
6081INSinsulininsulin1.0we further investigated the relationship of insulin resistance indices and hepatic gene expression for glucose and lipid metabolism and ros generation with oxphos gene expression.
6081INSinsulininsulin1.0in addition whether upregulation or downregulation of oxphos genes contributes to insulin resistance remains controversial 19 20 .
6081INSinsulininsulin1.0obesity is a major cause of insulin resistance and contributes to the development of type 2 diabetes.
6081INSinsulininsulin1.0the altered expression of genes involved in mitochondrial oxidative phosphorylation oxphos has been regarded as a key change in insulin sensitive organs of patients with type 2 diabetes.
6081INSinsulininsulin1.0the mean centroid of oxphos gene expression was significantly correlated with insulin resistance indices and the hepatic expression of genes involved in gluconeogenesis reactive oxygen species ros generation and transcriptional factors and nuclear co activators associated with energy
6081INSinsulininsulin1.0in conclusion obesity may affect the pathophysiology of type 2 diabetes by upregulating genes involved in oxphos in association with insulin resistance markers and the expression of genes involved in hepatic gluconeogenesis and ros generation.
6081INSinsulininsulin1.0obesity is a major cause of insulin resistance 1 and contributes to the development of type 2 diabetes.
6081INSinsulininsulin1.0in patients with diabetes the coexistence of obesity further increases insulin resistance and makes glycemic control difficult 2 .
6081INSinsulininsulin1.0absolute or relative failure of insulin action on the liver causes impaired suppression of glucose production 3 and hepatic insulin resistance leads to impaired suppression of gluconeogenesis contributing to fasting hyperglycemia in humans 3 4 and in various animal models 5 .
6081INSinsulininsulin1.0however little is known about how obesity causes hepatic insulin resistance in patients with type 2 diabetes.
6081INSinsulininsulin1.0recent gene chip technology data suggest that the altered expression of genes involved in mitochondrial oxidative phosphorylation oxphos is a key change in the insulin sensitive organs of patients with type 2 diabetes 8 9 10 11 .
6081INSinsulininsulin1.0mitochondrial oxphos is a major source of reactive oxygen species ros production in most cells 12 and ros comprise one of the many factors that have been suggested to play a role in multiple forms of insulin resistance 13 14 .
6081INSinsulininsulin1.0gulated systemically in the skeletal muscle 9 10 adipose tissue 11 and peripheral blood mononuclear cells 17 of patients with type 2 diabetes suggesting that the oxphos pathway plays a causal role in insulin resistance in type 2 diabetes 18 .
4552GPTglutamic-pyruvate transaminase (alanine aminotransferase)alanine aminotransferase1.0bmi and alanine aminotransferase values were elevated significantly in the overweight group p _lt_ 0.05 .
336AGTR1angiotensin II receptor, type 1angiotensin ii receptor1.0pharmacological treatments did not include statins angiotensin converting enzyme inhibitors or angiotensin ii receptor blockers.
6081INSinsulininsulin1.0none was prescribed any oral hypoglycemic agent or basal insulin replacement.
2707ACEangiotensin I converting enzyme (peptidyl-dipeptidase A) 1angiotensin converting enzyme1.0pharmacological treatments did not include statins angiotensin converting enzyme inhibitors or angiotensin ii receptor blockers.