Evidence map›Paper›PMID 26167410›Full record

ArticleAdipocyte

Improved adipose tissue metabolism after 5-year growth hormone replacement therapy in growth hormone deficient adults: The role of zinc-α2-glycoprotein.

Miroslav Balaž, Barbara Ukropcova, Timea Kurdiova, Miroslav Vlcek, Martina Surova, Patrik Krumpolec, Peter Vanuga, Daniela Gašperíková, Iwar Klimeš, Juraj Payer and 2 more

Open access · goldAbstract read
In one paragraph

Article in Adipocyte. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.6field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 15 citations in OpenAlex.

  1. GH administration decreases subcutaneous abdominal adipocyte size in men with abdominal obesity.Growth hormone & IGF research : official journal of the Growth Hormone Research Society and the International IGF Research Society · 2017
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  11. Observational
  12. Insulin signaling in the whole spectrum of GH deficiency.Archives of endocrinology and metabolism
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 4 countries.

Miroslav BalažInstitute of Experimental Endocrinology; Slovak Academy of Sciences ; Bratislava, Slovakia.
Barbara UkropcovaInstitute of Experimental Endocrinology; Slovak Academy of Sciences ; Bratislava, Slovakia ; Institute of Pathophysiology; Faculty of Medicine; Comenius University ; Bratislava, Slovakia.
Timea KurdiovaInstitute of Experimental Endocrinology; Slovak Academy of Sciences ; Bratislava, Slovakia.
Miroslav VlcekInstitute of Experimental Endocrinology; Slovak Academy of Sciences ; Bratislava, Slovakia.
Martina SurovaInstitute of Experimental Endocrinology; Slovak Academy of Sciences ; Bratislava, Slovakia.
Patrik KrumpolecInstitute of Experimental Endocrinology; Slovak Academy of Sciences ; Bratislava, Slovakia.
Peter VanugaNational Institute of Endocrinology and Diabetology ; Lubochna, Slovakia.
Daniela GašperíkováInstitute of Experimental Endocrinology; Slovak Academy of Sciences ; Bratislava, Slovakia.
Iwar KlimešInstitute of Experimental Endocrinology; Slovak Academy of Sciences ; Bratislava, Slovakia.
Juraj Payer5th Department of Internal Medicine; University Hospital; Faculty of Medicine; Comenius University ; Bratislava, Slovakia.
Christian WolfrumInstitute of Food; Nutrition and Health; Swiss Federal Institute of Technology; ETH Zurich ; Schwerzenbach, Switzerland.
Jozef UkropecInstitute of Experimental Endocrinology; Slovak Academy of Sciences ; Bratislava, Slovakia.
Institute of Experimental Endocrinology of the Slovak Academy of Sciences · SKSlovak Academy of Sciences · SKFaculty (United Kingdom) · GBÉcole Polytechnique Fédérale de Lausanne · CHInstitute of Endocrinology · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Growth hormone (GH) supplementation therapy to adults with GH deficiency has beneficial effects on adipose tissue lipid metabolism, improving thus adipocyte functional morphology and insulin sensitivity. However, molecular nature of these effects remains unclear. We therefore tested the hypothesis that lipid-mobilizing adipokine zinc-α2-glycoprotein is causally linked to GH effects on adipose tissue lipid metabolism. Seventeen patients with severe GH deficiency examined before and after the 5-year GH replacement therapy were compared with age-, gender- and BMI-matched healthy controls. Euglycemic hyperinsulinemic clamp was used to assess whole-body and adipose tissue-specific insulin sensitivity. Glucose tolerance was determined by oGTT, visceral and subcutaneous abdominal adiposity by MRI, adipocyte size morphometrically after collagenase digestion, lipid accumulation and release was studied in differentiated human primary adipocytes in association with GH treatment and zinc-α2-glycoprotein gene silencing. Five-year GH replacement therapy improved glucose tolerance, adipose tissue insulin sensitivity and reduced adipocyte size without affecting adiposity and whole-body insulin sensitivity. Adipose tissue zinc-α2-glycoprotein expression was positively associated with whole-body and adipose tissue insulin sensitivity and negatively with adipocyte size. GH treatment to adipocytes in vitro increased zinc-α2-glycoprotein expression (>50%) and was paralleled by enhanced lipolysis and decreased triglyceride accumulation (>35%). Moreover, GH treatment improved antilipolytic action of insulin in cultured adipocytes. Most importantly, silencing zinc-α2-glycoprotein eliminated all of the GH effects on adipocyte lipid metabolism. Effects of 5-year GH supplementation therapy on adipose tissue lipid metabolism and insulin sensitivity are associated with zinc-α2-glycoprotein. Presence of this adipokine is required for the GH action on adipocyte lipid metabolism in vitro.

Indexed as

ACC1, acetyl-CoA carboxylase 1adipocyte sizeadipose tissueBSA, bovine serum albuminDGAT, diacylglycerol acyltransferaseDMEM, Dulbecco's Modified Eagle MediumEHC, euglycemic hyperinsulinemic clampFABP4, fatty acid binding protein 4FAS, fatty acid synthaseFBS, fetal bovine serumFFA, free fatty acidsGAPDH, glyceraldehyde-3-phosphate dehydrogenaseGHD, growth hormone deficiencyGH, growth hormoneglucose toleranceGLUT4, glucose transporter 4growth hormone deficiencygrowth hormone replacement therapyHSL, hormone sensitive lipaseIGF-1, insulin-like growth factor 1insulin sensitivityIRS1, insulin receptor substrate 1lipolysisMRI, magnetic resonance imagingoGTT, oral glucose tolerance testPPARGC1A, peroxisome proliferator-activated receptor 1 gamma coactivator 1 αrhGH, recombinant human growth hormoneRPL13A, ribosomal protein L13aTG, triglyceridesZAG, zinc-α2-glycoprotein.

Identifiers

PMID26167410
PMCPMC4496981
OpenAlexW2059666119

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.