Aim/hypothesis: Obesity is associated with increased triacylglycerol (TAG) storage in adipose tissue and insulin resistance. The mobilization of stored TAG is mediated by HSL and the recently discovered ATGL. The aim of the present study was to examine whether ATGL and HSL mRNA and protein expression are altered in insulin resistant conditions. In addition, we investigated whether a possible impaired expression could be reversed by a period of weight reduction. Methods: Adipose tissue biopsies were taken from obese subjects (n=44) with a wide range of insulin resistance, before and just after a 10-week hypocaloric diet. ATGL and HSL protein, and mRNA expression was determined by Western blot and RT-qPCR, respectively. Results: Fasting insulin levels and the degree of insulin resistance (HOMAir) were negatively correlated with ATGL and HSL protein expression; independent of age, gender, fat cell size and body composition. Both mRNA and protein levels of ATGL and HSL were reduced in insulin resistant compared to insulin sensitive subjects (P<0.05). Weight reduction significantly decreased ATGL and HSL mRNA and protein expression. A positive correlation between the decrease in leptin and the decrease in ATGL protein level after weight reduction was observed. Finally, ATGL and HSL mRNA and protein levels seem to be highly correlated, indicating a tight coregulation and transcriptional control. Conclusions: In obese subjects insulin resistance and hyperinsulinemia are strongly associated with ATGL and HSL mRNA and protein expression independent of fat mass. Data on weight reduction indicated that also other factors (e.g. leptin) relate to ATGL and HSL protein expression.
Jocken, J. W., Langin, D., Smit, E., Saris, W. H., Valle, C., Hul, G. B. J., Holm, C., Arner, P., & Blaak, E. E. (2007). Adipose TriGlyceride Lipase (ATGL) and Hormone-Sensitive Lipase (HSL) protein expression is decreased in the obese insulin resistant state. Journal of Clinical Endocrinology & Metabolism, 29(6), 2292-2299. https://doi.org/10.1210/jc.2006-1318