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Frontiers in molecular biosciences2023; 10; 1214961; doi: 10.3389/fmolb.2023.1214961

Sex hormone-binding globulin improves lipid metabolism and reduces inflammation in subcutaneous adipose tissue of metabolic syndrome-affected horses.

Abstract: Equine metabolic syndrome (EMS) is a steadily growing endocrine disorder representing a real challenge in veterinary practice. As a multifactorial condition, EMS is characterized by three main metabolic abnormalities including insulin resistance, increased adiposity or obesity and hoof laminitis. Adipose tissue dysfunction is recognized as a core pathophysiological determinant of EMS, as it strongly participates to lipotoxicity and systemic metaflammation, both of which have been closely linked to the development of generalized insulin resistance. Besides, sex hormone binding globulin (SHBG) is an important sex steroids transporters that has been recently proposed as an important metabolic mediator. Therefore, the aim of this study was to verify whether SHBG treatment may ameliorate subcutaneous adipose tissue metabolic failure under EMS condition in terms of lipidome homeostasis, lipid metabolism programs, insulin signalling and local inflammation. Subcutaneous adipose tissue (SAT) biopsies were collected post-mortem from healthy (n = 3) and EMS (n = 3) slaughtered horses. SHBG protein has been applied to SAT samples from EMS horses for 24 h at a final concentration of 50 nM, while control groups (healthy and untreated EMS) were cultured in the presence of SHBG-vehicle only. Tissues from all groups were afterwards secured for downstream analysis of gene expression using RT-qPCR, protein levels by Western blot and ELISA assay and lipidomics through GC-MS technique. Obtained results showcased that SHBG intervention efficiently normalized the altered fatty acids (FAs) profiles by lowering the accumulation of saturated and trans FAs, as well as the pro-inflammatory arachidonic and linoleic acids. Moreover, SHBG showed promising value for the regulation of adipocyte lipolysis and engorgement by lowering the levels of perilipin-1. SHBG exerted moderated effect toward SCD1 and FASN enzymes expression, but increased the LPL abundance. Interestingly, SHBG exhibited a negative regulatory effect on pro-adipogenic stimulators and induced higher expression of KLF3, IRF3 and β-catenin, known as strong adipogenesis repressors. Finally, SHBG protein showed remarkable ability in restoring the insulin signal transduction, IR/IRS/Pi3K/AKT phosphorylation events and GLUT4 transporter abundance, and further attenuate pro-inflammatory response by lowering IL-6 tissue levels and targeting the PDIA3/ERK axis. Overall, the obtained data clearly demonstrate the benefice of SHBG treatment in the regulation of adipose tissue metabolism in the course of EMS and provide new insights for the development of molecular therapies with potential translational application to human metabolic disorders.
Publication Date: 2023-12-11 PubMed ID: 38146533PubMed Central: PMC10749534DOI: 10.3389/fmolb.2023.1214961Google Scholar: Lookup
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  • Journal Article

Summary

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The study investigates the effects of sex hormone-binding globulin (SHBG) on the metabolic failures of subcutaneous adipose tissue in horses affected by Equine metabolic syndrome (EMS). It finds that SHBG can potentially improve lipid metabolism, insulin signalling, and reduce inflammation, thus providing new insights for the development of therapies for human metabolic disorders.

Study Context

  • The research focuses on Equine Metabolic Syndrome (EMS), a complex and increasingly common endocrine disorder in horses. EMS is identified by insulin resistance, increased adiposity or obesity, and hoof laminitis.
  • Disruptions in adipose tissue function contribute significantly to EMS, leading to lipotoxicity and systemic metaflammation, which in turn result in widespread insulin resistance.
  • Sex hormone-binding globulin (SHBG), a transporter for sex steroids, has recently been suggested to be an important mediator for metabolism.
  • The researchers in this study sought to determine if SHBG could improve the metabolic failure in subcutaneous adipose tissue in horses with EMS, specifically looking at lipid homeostasis, lipid metabolism, insulin signalling, and local inflammation.

Methodology

  • Post-mortem subcutaneous adipose tissue (SAT) samples were collected from both healthy and EMS-affected horses.
  • SHBG protein was introduced to the EMS-affected horse samples, while the control groups (healthy and untreated EMS) were cultured with only the SHBG carrier.
  • Subsequently, all samples were analyzed to assess gene expression, protein levels, and lipidomics.

Findings

  • The results showed that SHBG treatment effectively normalized fatty acid (FA) profiles, reducing the buildup of saturated and trans FAs, as well as arachidonic and linoleic acids which can cause inflammation.
  • SHBG demonstrated potential in controlling adipocyte lipolysis and engorgement by reducing perilipin-1 levels. It also had a moderated effect on SCD1 and FASN enzymes expression and increased the quantity of LPL.
  • SHBG resulted in a suppressive effect on pro-adipogenic stimulators and triggered a higher expression of known adipogenesis repressors like KLF3, IRF3, and β-catenin.
  • Notably, SHBG significantly restored insulin signal transduction, IR/IRS/Pi3K/AKT phosphorylation events, and GLUT4 transporter abundance.
  • It was also found to significantly mitigate pro-inflammatory response by reducing IL-6 tissue levels and targeting the PDIA3/ERK axis.

Conclusions

  • The data demonstrates the potential benefits of SHBG treatment in regulating adipose tissue metabolism in the face of EMS.
  • These findings could also offer new insights for creating molecular therapies, with the possibility of translating these to treatments for human metabolic disorders.

Cite This Article

APA
Bourebaba L, Kępska M, Qasem B, Zyzak M, Łyczko J, Klemens M, Mularczyk M, Marycz K. (2023). Sex hormone-binding globulin improves lipid metabolism and reduces inflammation in subcutaneous adipose tissue of metabolic syndrome-affected horses. Front Mol Biosci, 10, 1214961. https://doi.org/10.3389/fmolb.2023.1214961

Publication

ISSN: 2296-889X
NlmUniqueID: 101653173
Country: Switzerland
Language: English
Volume: 10
Pages: 1214961

Researcher Affiliations

Bourebaba, Lynda
  • Department of Experimental Biology, Faculty of Biology and Animal Science, Wrocław University of Environmental and Life Sciences, Wrocław, Poland.
Kępska, Martyna
  • Department of Experimental Biology, Faculty of Biology and Animal Science, Wrocław University of Environmental and Life Sciences, Wrocław, Poland.
Qasem, Badr
  • Department of Experimental Biology, Faculty of Biology and Animal Science, Wrocław University of Environmental and Life Sciences, Wrocław, Poland.
Zyzak, Magdalena
  • Department of Experimental Biology, Faculty of Biology and Animal Science, Wrocław University of Environmental and Life Sciences, Wrocław, Poland.
Łyczko, Jacek
  • Department of Food Chemistry and Biocatalysis, Faculty of Biology and Animal Science, Wrocław University of Environmental and Life Sciences, Wrocław, Poland.
Klemens, Marta
  • Department of Food Chemistry and Biocatalysis, Faculty of Biology and Animal Science, Wrocław University of Environmental and Life Sciences, Wrocław, Poland.
Mularczyk, Malwina
  • Department of Experimental Biology, Faculty of Biology and Animal Science, Wrocław University of Environmental and Life Sciences, Wrocław, Poland.
  • International Institute of Translational Medicine, Wisznia Mała, Poland.
Marycz, Krzysztof
  • Department of Experimental Biology, Faculty of Biology and Animal Science, Wrocław University of Environmental and Life Sciences, Wrocław, Poland.
  • International Institute of Translational Medicine, Wisznia Mała, Poland.
  • Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, Davis, Davis, CA, United States.

Conflict of Interest Statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

References

This article includes 89 references
  1. Ahmad B, Serpell CJ, Fong IL, Wong EH. Molecular mechanisms of adipogenesis: the anti-adipogenic role of AMP-activated protein kinase. Front. Mol. Biosci. 2020;7:76.
    doi: 10.3389/fmolb.2020.00076pmc: PMC7226927pubmed: 32457917google scholar: lookup
  2. Ahmed B, Sultana R, Greene MW. Adipose tissue and insulin resistance in obese. Biomed. Pharmacother. 2021;137:111315.
    doi: 10.1016/j.biopha.2021.111315pubmed: 33561645google scholar: lookup
  3. Alinezhad A, Jafari F. The relationship between components of metabolic syndrome and plasma level of sex hormone-binding globulin. Eur. J. Transl. Myology 2019;29(2):8196.
    doi: 10.4081/ejtm.2019.8196pmc: PMC6615072pubmed: 31354923google scholar: lookup
  4. Arner E, Westermark PO, Spalding KL, Britton T, Rydén M, Frisén J. Adipocyte turnover: relevance to human adipose tissue morphology. Diabetes 2010;59(1):105–109.
    doi: 10.2337/db09-0942pmc: PMC2797910pubmed: 19846802google scholar: lookup
  5. Aroor AR, Jia G, Sowers JR. Cellular mechanisms underlying obesity-induced arterial stiffness. Am. J. Physiology-Regulatory, Integr. Comp. Physiology 2018;314(3):R387–R398.
    doi: 10.1152/ajpregu.00235.2016pmc: PMC5899249pubmed: 29167167google scholar: lookup
  6. Basinska K, Marycz K, Śmieszek A, Nicpoń J. The production and distribution of IL-6 and TNF-α in subcutaneous adipose tissue and their correlation with serum concentrations in Welsh ponies with equine metabolic syndrome. J. Veterinary Sci. 2015;16(1):113–120.
    doi: 10.4142/jvs.2015.16.1.113pmc: PMC4367141pubmed: 25269712google scholar: lookup
  7. Bataille V, Perret B, Evans A, Amouyel P, Arveiler D, Ducimetière P. Sex hormone-binding globulin is a major determinant of the lipid profile: the PRIME study. Atherosclerosis 2005;179(2):369–373.
  8. Bourebaba N, Ngo T, Śmieszek A, Bourebaba L, Marycz K. Sex hormone binding globulin as a potential drug candidate for liver-related metabolic disorders treatment. Biomed. Pharmacother. 2022;153:113261.
    doi: 10.1016/j.biopha.2022.113261pubmed: 35738176google scholar: lookup
  9. Breidenbach A, Fuhrmann H, Busche R, Sallmann H-P. Studies on equine lipid metabolism. 1. A fluorometric method for the measurement of lipolytic activity in isolated adipocytes of rats and horses. J. Veterinary Med. Ser. A 1998;45(1–10):635–643.
  10. Caputo T, Gilardi F, Desvergne B. From chronic overnutrition to metaflammation and insulin resistance: adipose tissue and liver contributions. FEBS Lett. 2017;591(19):3061–3088.
    doi: 10.1002/1873-3468.12742pubmed: 28677122google scholar: lookup
  11. Cena H, Calder PC. Defining a healthy diet: evidence for the role of contemporary dietary patterns in health and disease. Nutrients 2020;12(2):334.
    doi: 10.3390/nሂ0334pmc: PMC7071223pubmed: 32012681google scholar: lookup
  12. Chen M, Lu P, Ma Q, Cao Y, Chen N, Li W. CTNNB1/β -catenin dysfunction contributes to adiposity by regulating the cross-talk of mature adipocytes and preadipocytes. Sci. Adv. 2020;6(2):eaax9605.
    doi: 10.1126/sciadv.aax9605pmc: PMC6949042pubmed: 31934629google scholar: lookup
  13. Chi X, Feng C, Wang X, Jin Z. Sex hormone-binding globulin regulates glucose metabolism in human placental trophoblasts via cAMP/PKA/CREB1. J. Obstetrics Gynaecol. Res. 2020;46(11):2340–2346.
    doi: 10.1111/jog.14429pmc: PMC7692910pubmed: 32830408google scholar: lookup
  14. Czech MP, Tencerova M, Pedersen DJ, Aouadi M. Insulin signalling mechanisms for triacylglycerol storage. Diabetologia 2013;56(5):949–964.
    doi: 10.1007/s00125-013-2869-1pmc: PMC3652374pubmed: 23443243google scholar: lookup
  15. De Oya I, Schoppen S, Lasunción MA, Lopez-Simon L, Riestra P, De Oya M. Sex hormone-binding globulin levels and metabolic syndrome and its features in adolescents. Pediatr. Diabetes 2009;11(3):188–194.
  16. De Simone M, Verrotti A, Iughetti L, Palumbo M, Farello G, Di Cesare E. Increased visceral adipose tissue is associated with increased circulating insulin and decreased sex hormone binding globulin levels in massively obese adolescent girls. J. Endocrinol. Investigation 2001;24(6):438–444.
    doi: 10.1007/BF03351044pubmed: 11434668google scholar: lookup
  17. De Souza RJ, Mente A, Maroleanu A, Cozma AI, Ha V, Kishibe T. Intake of saturated and trans unsaturated fatty acids and risk of all cause mortality, cardiovascular disease, and type 2 diabetes: systematic review and meta-analysis of observational studies. BMJ 2015;351:h3978.
    doi: 10.1136/bmj.h3978pmc: PMC4532752pubmed: 26268692google scholar: lookup
  18. Ding EL, Song Y, Manson JE, Hunter DJ, Lee CC, Rifai N. Sex hormone–binding globulin and risk of type 2 diabetes in women and men. N. Engl. J. Med. 2009;361(12):1152–1163.
    doi: 10.1056/NEJMoa0804381pmc: PMC2774225pubmed: 19657112google scholar: lookup
  19. Durham AE, Frank N, McGowan CM, Menzies-Gow NJ, Roelfsema E, Vervuert I. ECEIM consensus statement on equine metabolic syndrome. J. Veterinary Intern. Med. 2019;33(2):335–349.
    doi: 10.1111/jvim.15423pmc: PMC6430910pubmed: 30724412google scholar: lookup
  20. Ertelt A, Barton A-K, Schmitz RR, Gehlen H. Metabolic syndrome: is equine disease comparable to what we know in humans?. Endocr. Connect. 2014;3(3):R81–R93.
    doi: 10.1530/EC-14-0038pmc: PMC4068110pubmed: 24894908google scholar: lookup
  21. Fahed G, Aoun L, Bou Zerdan M, Allam S, Bou Zerdan M, Bouferraa Y. Metabolic syndrome: updates on pathophysiology and management in 2021. Int. J. Mol. Sci. 2022;23(2):786.
    doi: 10.3390/ijms23020786pmc: PMC8775991pubmed: 35054972google scholar: lookup
  22. Feng C, Jin Z, Chi X, Zhang B, Wang X, Sun L. SHBG expression is correlated with PI3K/AKT pathway activity in a cellular model of human insulin resistance. Gynecol. Endocrinol. 2018;34(7):567–573.
    doi: 10.1080/09513590.2017.1411474pubmed: 29298529google scholar: lookup
  23. Fleenor BS, Carlini NA, Ouyang A, Harber MP. Perivascular adipose tissue-mediated arterial stiffening in aging and disease: an emerging translational therapeutic target?. Pharmacol. Res. 2022;178:106150.
    doi: 10.1016/j.phrs.2022.106150pubmed: 35339679google scholar: lookup
  24. Folch J, Lees M, Sloane Stanley GH. A simple method for the isolation and purification of total lipides from animal tissues. J. Biol. Chem. 1957;226(1):497–509.
    doi: 10.1016/s0021-9258(18)64849-5pubmed: 13428781google scholar: lookup
  25. Frank N, Geor RJ, Bailey SR, Durham AE, Johnson PJ. Equine metabolic syndrome: equine metabolic syndrome. J. Veterinary Intern. Med. 2010;24(3):467–475.
  26. Gartung A, Zhao J, Chen S, Mottillo E, VanHecke GC, Ahn Y-H. Characterization of eicosanoids produced by adipocyte lipolysis: implication of cyclooxygenase-2 in adipose inflammation. J. Biol. Chem. 2016;291(31):16001–16010.
    doi: 10.1074/jbc.M116.725937pmc: PMC4965551pubmed: 27246851google scholar: lookup
  27. Gastaldelli A, Gaggini M, DeFronzo RA. Role of adipose tissue insulin resistance in the natural history of type 2 diabetes: results from the san antonio metabolism study. Diabetes 2017;66(4):815–822.
    doi: 10.2337/db16-1167pubmed: 28052966google scholar: lookup
  28. Ghaben AL, Scherer PE. Adipogenesis and metabolic health. Nat. Rev. Mol. Cell Biol. 2019;20(4):242–258.
    doi: 10.1038/s41580-018-0093-zpubmed: 30610207google scholar: lookup
  29. Gong J, Campos H, McGarvey S, Wu Z, Goldberg R, Baylin A. Genetic variation in stearoyl-CoA desaturase 1 is associated with metabolic syndrome prevalence in Costa Rican adults. J. Nutr. 2011;141(12):2211–2218.
    doi: 10.3945/jn.111.143503pmc: PMC3223878pubmed: 22049297google scholar: lookup
  30. Guilherme A, Virbasius JV, Puri V, Czech MP. Adipocyte dysfunctions linking obesity to insulin resistance and type 2 diabetes. Nat. Rev. Mol. Cell Biol. 2008;9(5):367–377.
    doi: 10.1038/nrm2391pmc: PMC2886982pubmed: 18401346google scholar: lookup
  31. Henneke DR, Potter GD, Kreider JL, Yeates BF. Relationship between condition score, physical measurements and body fat percentage in mares. Equine Veterinary J. 1983;15(4):371–372.
  32. Huang S, Rutkowsky JM, Snodgrass RG, Ono-Moore KD, Schneider DA, Newman JW. Saturated fatty acids activate TLR-mediated proinflammatory signaling pathways. J. Lipid Res. 2012;53(9):2002–2013.
    doi: 10.1194/jlr.D029546pmc: PMC3413240pubmed: 22766885google scholar: lookup
  33. Jakab J, Miškić B, Mikšić Š, Juranić B, Ćosić V, Schwarz D. Adipogenesis as a potential anti-obesity target: a review of pharmacological treatment and natural products. Diabetes, Metabolic Syndrome Obes. Targets Ther. 2021;14:67–83.
    doi: 10.2147/DMSO.S281186pmc: PMC7802907pubmed: 33447066google scholar: lookup
  34. Jung U, Choi M-S. Obesity and its metabolic complications: the role of adipokines and the relationship between obesity, inflammation, insulin resistance, dyslipidemia and nonalcoholic fatty liver disease. Int. J. Mol. Sci. 2014;15(4):6184–6223.
    doi: 10.3390/ijms15046184pmc: PMC4013623pubmed: 24733068google scholar: lookup
  35. Kawai T, Autieri MV, Scalia R. Adipose tissue inflammation and metabolic dysfunction in obesity. Am. J. Physiology-Cell Physiology 2021;320(3):C375–C391.
    doi: 10.1152/ajpcell.00379.2020pmc: PMC8294624pubmed: 33356944google scholar: lookup
  36. Kern PA, Di Gregorio G, Lu T, Rassouli N, Ranganathan G. Perilipin expression in human adipose tissue is elevated with obesity. J. Clin. Endocrinol. Metabolism 2004;89(3):1352–1358.
    doi: 10.1210/jc.2003-031388pubmed: 15001633google scholar: lookup
  37. Kim C, Dabelea D, Kalyani RR, Christophi CA, Bray GA, Pi-Sunyer X. Changes in visceral adiposity, subcutaneous adiposity, and sex hormones in the diabetes prevention program. J. Clin. Endocrinol. Metabolism 2017;102(9):3381–3389.
    doi: 10.1210/jc.2017-00967pmc: PMC5587076pubmed: 28651370google scholar: lookup
  38. Koenen M, Hill MA, Cohen P, Sowers JR. Obesity, adipose tissue and vascular dysfunction. Circulation Res. 2021;128(7):951–968.
  39. Kornicka-Garbowska K, Bourebaba L, Röcken M, Marycz K. Sex hormone binding globulin (SHBG) mitigates ER stress in hepatocytes in vitro and ex vivo. Cells 2021;10(4):755.
    doi: 10.3390/cells10040755pmc: PMC8066020pubmed: 33808055google scholar: lookup
  40. Krzysztoszek J, Laudańska-Krzemińska I, Bronikowski M. Assessment of epidemiological obesity among adults in EU countries. Ann. Agric. Environ. Med. 2019;26(2):341–349.
    doi: 10.26444/aaem/97226pubmed: 31232069google scholar: lookup
  41. Kursawe R, Eszlinger M, Narayan D, Liu T, Bazuine MG, Cali AMG. Cellularity and adipogenic profile of the abdominal subcutaneous adipose tissue from obese adolescents: association with insulin resistance and hepatic steatosis. Diabetes 2010;59(9):2288–2296.
    doi: 10.2337/db10-0113pmc: PMC2927952pubmed: 20805387google scholar: lookup
  42. Lai H-H, Yeh K-Y, Hsu H-M, Her GM. Deficiency of adipose triglyceride lipase induces metabolic syndrome and cardiomyopathy in zebrafish. Int. J. Mol. Sci. 2022;24(1):117.
    doi: 10.3390/ijms24010117pmc: PMC9820674pubmed: 36613558google scholar: lookup
  43. Li N, Liu B-W, Ren W-Z, Liu J-X, Li S-N, Fu S-P. GLP-2 attenuates LPS-induced inflammation in BV-2 cells by inhibiting ERK1/2, JNK1/2 and NF-κB signaling pathways. Int. J. Mol. Sci. 2016;17(2):190.
    doi: 10.3390/ijms17020190pmc: PMC4783924pubmed: 26861286google scholar: lookup
  44. Li Y, Li Z, Ngandiri DA, Llerins Perez M, Wolf A, Wang Y. The molecular brakes of adipose tissue lipolysis. Front. Physiology 2022;13:826314.
    doi: 10.3389/fphys.2022.826314pmc: PMC8907745pubmed: 35283787google scholar: lookup
  45. Litwack G. Eicosanoids. Hormones 2022;195–212.
  46. Liu N, Feng Y, Luo X, Ma X, Ma F. Association between dietary inflammatory index and sex hormone binding globulin and sex hormone in U.S. Adult females. Front. Public Health 2022;10:802945.
    doi: 10.3389/fpubh.2022.802945pmc: PMC9051085pubmed: 35493382google scholar: lookup
  47. Malodobra-Mazur M, Cierzniak A, Dobosz T. Oleic acid influences the adipogenesis of 3T3-L1 cells via DNA Methylation and may predispose to obesity and obesity-related disorders. Lipids Health Dis. 2019;18(1):230.
    doi: 10.1186/s12944-019-1173-6pmc: PMC6935146pubmed: 31883537google scholar: lookup
  48. Marycz K, Kornicka K, Basinska K, Czyrek A. Equine metabolic syndrome affects viability, senescence, and stress factors of equine adipose-derived mesenchymal stromal stem cells: new insight into EqASCs isolated from EMS horses in the context of their aging. Oxidative Med. Cell. Longev. 2016;2016:4710326–4710417.
    doi: 10.1155/2016/4710326pmc: PMC4670679pubmed: 26682006google scholar: lookup
  49. Mayas MD, Ortega FJ, Macías-González M, Bernal R, Gómez-Huelgas R, Fernández-Real JM. Inverse relation between FASN expression in human adipose tissue and the insulin resistance level. Nutr. Metabolism 2010;7(1):3.
    doi: 10.1186/1743-7075-7-3pmc: PMC2820025pubmed: 20148112google scholar: lookup
  50. Morgan R, Keen J, McGowan C. Equine metabolic syndrome. Veterinary Rec. 2015;177(7):173–179.
    doi: 10.1136/vr.103226pmc: PMC4552932pubmed: 26273009google scholar: lookup
  51. Nakhla AM, Leonard J, Hryb DJ, Rosner W. Sex hormone-binding globulin receptor signal transduction proceeds via a G protein. Steroids 1999;64(3):213–216.
    doi: 10.1016/S0039-128X(98)00084-1pubmed: 10400382google scholar: lookup
  52. Nielsen TL, Hagen C, Wraae K, Brixen K, Petersen PH, Haug E. Visceral and subcutaneous adipose tissue assessed by magnetic resonance imaging in relation to circulating androgens, sex hormone-binding globulin, and luteinizing hormone in young men. J. Clin. Endocrinol. Metabolism 2007;92(7):2696–2705.
    doi: 10.1210/jc.2006-1847pubmed: 17426100google scholar: lookup
  53. Norris DO, Carr JA. Synthesis, metabolism, and actions of bioregulators. Vertebrate endocrinology 2021;43–90.
  54. Panarotto D, Rémillard P, Bouffard L, Maheux P. Insulin resistance affects the regulation of lipoprotein lipase in the postprandial period and in an adipose tissue-specific manner: insulin resistance and postprandial lipoprotein lipase. Eur. J. Clin. Investigation 2002;32(2):84–92.
  55. Para I, Albu A, Porojan MD. Adipokines and arterial stiffness in obesity. Medicina 2021;57(7):653.
    doi: 10.3390/medicina57070653pmc: PMC8305474pubmed: 34202323google scholar: lookup
  56. Peter A, Weigert C, Staiger H, Machicao F, Schick F, Machann J. Individual stearoyl-CoA desaturase 1 expression modulates endoplasmic reticulum stress and inflammation in human myotubes and is associated with skeletal muscle lipid storage and insulin sensitivity in vivo. Diabetes 2009;58(8):1757–1765.
    doi: 10.2337/db09-0188pmc: PMC2712792pubmed: 19478146google scholar: lookup
  57. Pi-Sunyer X. The medical risks of obesity. Postgrad. Med. 2009;121(6):21–33.
    doi: 10.3810/pgm.2009.11.2074pmc: PMC2879283pubmed: 19940414google scholar: lookup
  58. Pollak NM, Hoffman M, Goldberg IJ, Drosatos K. Krüppel-like factors: crippling and un-crippling metabolic pathways. JACC Basic Transl. Sci. 2018;3(1):132–156.
  59. Ragno VM, Zello GA, Klein CD, Montgomery JB. From table to stable: a comparative review of selected aspects of human and equine metabolic syndrome. J. Equine Veterinary Sci. 2019;79:131–138.
    doi: 10.1016/j.jevs.2019.06.003pubmed: 31405493google scholar: lookup
  60. Rendle D, McGregor Argo C, Bowen M, Carslake H, German A, Harris P. Equine obesity: current perspectives. UK-Vet Equine 2018;2(5):1–19.
    doi: 10.12968/ukve.2018.2.S2.3google scholar: lookup
  61. Reynolds A, Keen JA, Fordham T, Morgan RA. Adipose tissue dysfunction in obese horses with equine metabolic syndrome. Equine Veterinary J. 2019;51(6):760–766.
    doi: 10.1111/evj.13097pmc: PMC6850304pubmed: 30866087google scholar: lookup
  62. Robker RL, Akison LK, Bennett BD, Thrupp PN, Chura LR, Russell DL. Obese women exhibit differences in ovarian metabolites, hormones, and gene expression compared with moderate-weight women. J. Clin. Endocrinol. Metabolism 2009;94(5):1533–1540.
    doi: 10.1210/jc.2008-2648pubmed: 19223519google scholar: lookup
  63. Rochlani Y, Pothineni NV, Kovelamudi S, Mehta JL. Metabolic syndrome: pathophysiology, management, and modulation by natural compounds. Ther. Adv. Cardiovasc. Dis. 2017;11(8):215–225.
    doi: 10.1177/1753944717711379pmc: PMC5933580pubmed: 28639538google scholar: lookup
  64. Rosner W, Hryb DJ, Kahn SM, Nakhla AM, Romas NA. Interactions of sex hormone-binding globulin with target cells. Mol. Cell. Endocrinol. 2010;316(1):79–85.
    doi: 10.1016/j.mce.2009.08.009pubmed: 19698759google scholar: lookup
  65. Saez-Lopez C, Villena JA, Simó R, Selva DM. Sex hormone-binding globulin overexpression protects against high-fat diet-induced obesity in transgenic male mice. J. Nutr. Biochem. 2020;85:108480.
    doi: 10.1016/j.jnutbio.2020.108480pubmed: 32795655google scholar: lookup
  66. Sears B, Perry M. The role of fatty acids in insulin resistance. Lipids Health Dis. 2015;14(1):121.
    doi: 10.1186/s12944-015-0123-1pmc: PMC4587882pubmed: 26415887google scholar: lookup
  67. Serra MC, Ryan AS, Goldberg AP. Reduced LPL and subcutaneous lipid storage capacity are associated with metabolic syndrome in postmenopausal women with obesity. Obes. Sci. Pract. 2017;3(1):106–114.
    doi: 10.1002/osp4.86pmc: PMC5358073pubmed: 28392937google scholar: lookup
  68. Simó R, Sáez-López C, Barbosa-Desongles A, Hernández C, Selva DM. Novel insights in SHBG regulation and clinical implications. Trends Endocrinol. Metabolism 2015;26(7):376–383.
    doi: 10.1016/j.tem.2015.05.001pubmed: 26044465google scholar: lookup
  69. Simons PIHG, Valkenburg O, Telgenkamp I, Van Der Waaij KM, De Groot DM, Veeraiah P. Relationship between de novo lipogenesis and serum sex hormone binding globulin in humans. Clin. Endocrinol. 2021;95(1):101–106.
    doi: 10.1111/cen.14459pmc: PMC8287427pubmed: 33715205google scholar: lookup
  70. Sztalryd C, Brasaemle DL. The perilipin family of lipid droplet proteins: gatekeepers of intracellular lipolysis. Biochimica Biophysica Acta (BBA) - Mol. Cell Biol. Lipids 2017;1862(10):1221–1232.
  71. Takic M, Pokimica B, Petrovic-Oggiano G, Popovic T. Effects of dietary α-linolenic acid treatment and the efficiency of its conversion to eicosapentaenoic and docosahexaenoic acids in obesity and related diseases. Molecules 2022;27(14):4471.
    doi: 10.3390/molecules27144471pmc: PMC9317994pubmed: 35889342google scholar: lookup
  72. Tansey J, Sztalryd C, Hlavin E, Kimmel A, Londos C. The central role of perilipin A in lipid metabolism and adipocyte lipolysis. IUBMB Life (International Union Biochem. Mol. Biol. Life) 2004;56(7):379–385.
    doi: 10.1080/15216540400009968pubmed: 15545214google scholar: lookup
  73. Vangaveti VN, Jansen H, Kennedy RL, Malabu UH. Hydroxyoctadecadienoic acids: oxidised derivatives of linoleic acid and their role in inflammation associated with metabolic syndrome and cancer. Eur. J. Pharmacol. 2016;785:70–76.
    doi: 10.1016/j.ejphar.2015.03.096pubmed: 25987423google scholar: lookup
  74. Vick MM, Adams AA, Murphy BA, Sessions DR, Horohov DW, Cook RF. Relationships among inflammatory cytokines, obesity, and insulin sensitivity in the horse. J. Animal Sci. 2007;85(5):1144–1155.
    doi: 10.2527/jas.2006-673pubmed: 17264235google scholar: lookup
  75. Wakao H, Wakao R, Oda A, Fujita H. Constitutively active Stat5A and Stat5B promote adipogenesis. Environ. Health Prev. Med. 2011;16(4):247–252.
    doi: 10.1007/s12199-010-0193-7pmc: PMC3117211pubmed: 21431790google scholar: lookup
  76. Wallace IR, McKinley MC, Bell PM, Hunter SJ. Sex hormone binding globulin and insulin resistance. Clin. Endocrinol. 2013;78(3):321–329.
    doi: 10.1111/cen.12086pubmed: 23121642google scholar: lookup
  77. Wang Q, Kangas AJ, Soininen P, Tiainen M, Tynkkynen T, Puukka K. Sex hormone-binding globulin associations with circulating lipids and metabolites and the risk for type 2 diabetes: observational and causal effect estimates. Int. J. Epidemiol. 2015;44(2):623–637.
    doi: 10.1093/ije/dyv093pubmed: 26050255google scholar: lookup
  78. Wang W-T, Sun L, Sun C-H. PDIA3-regulted inflammation and oxidative stress contribute to the traumatic brain injury (TBI) in mice. Biochem. Biophysical Res. Commun. 2019;518(4):657–663.
    doi: 10.1016/j.bbrc.2019.08.100pubmed: 31466719google scholar: lookup
  79. Wang X, Chi X, Feng C, Zhang X, Jin Z. Sex hormone-binding globulin regulates the activity of the ERK pathway in the placentas of patients with gestational diabetes mellitus. Biochem. Biophysical Res. Commun. 2020;532(4):613–619.
    doi: 10.1016/j.bbrc.2020.08.100pubmed: 32900481google scholar: lookup
  80. Wang Y. Definition, prevalence, and risk factors of low sex hormone-binding globulin in US adults. J. Clin. Endocrinol. Metabolism 2021;106(10):e3946–e3956.
    doi: 10.1210/clinem/dgab416pmc: PMC8571812pubmed: 34125885google scholar: lookup
  81. Weijers RNM. Membrane flexibility, free fatty acids, and the onset of vascular and neurological lesions in type 2 diabetes. J. Diabetes and Metabolic Disord. 2015;15(1):13.
    doi: 10.1186/s40200-016-0235-9pmc: PMC4847252pubmed: 27123439google scholar: lookup
  82. Winters SJ, Gogineni J, Karegar M, Scoggins C, Wunderlich CA, Baumgartner R. Sex hormone-binding globulin gene expression and insulin resistance. J. Clin. Endocrinol. Metabolism 2014;99(12):E2780–E2788.
    doi: 10.1210/jc.2014-2640pubmed: 25226295google scholar: lookup
  83. Wong RH, Sul HS. Insulin signaling in fatty acid and fat synthesis: a transcriptional perspective. Curr. Opin. Pharmacol. 2010;10(6):684–691.
    doi: 10.1016/j.coph.2010.08.004pmc: PMC3092640pubmed: 20817607google scholar: lookup
  84. Xia J, Sinelnikov IV, Han B, Wishart DS. MetaboAnalyst 3.0—making metabolomics more meaningful. Nucleic Acids Res. 2015;43(1):W251–W257.
    doi: 10.1093/nar/gkv380pmc: PMC4489235pubmed: 25897128google scholar: lookup
  85. Xie W, Hamilton JA, Kirkland JL, Corkey BE, Guo W. Oleate-induced formation of fat cells with impaired insulin sensitivity. Lipids 2006;41(3):267–271.
    doi: 10.1007/s11745-006-5096-4pubmed: 16711601google scholar: lookup
  86. Xing C, Zhang J, Zhao H, He B. Effect of sex hormone-binding globulin on polycystic ovary syndrome: mechanisms, manifestations, genetics, and treatment. Int. J. Women’s Health 2022;14:91–105.
    doi: 10.2147/IJWH.S344542pmc: PMC8818772pubmed: 35140526google scholar: lookup
  87. Yamazaki H, Kushiyama A, Sakoda H, Fujishiro M, Yamamotoya T, Nakatsu Y. Protective effect of sex hormone-binding globulin against metabolic syndrome: in vitro evidence showing anti-inflammatory and lipolytic effects on adipocytes and macrophages. Mediat. Inflamm. 2018;2018:3062319–3062412.
    doi: 10.1155/2018/3062319pmc: PMC6036814pubmed: 30046278google scholar: lookup
  88. Ye Q, Fu P, Dou J, Wang N. Downregulation of PDIA3 inhibits proliferation and invasion of human acute myeloid leukemia cells. OncoTargets Ther. 2018;11:2925–2935.
    doi: 10.2147/OTT.S162407pmc: PMC5961636pubmed: 29844689google scholar: lookup
  89. Zatterale F, Longo M, Naderi J, Raciti GA, Desiderio A, Miele C. Chronic adipose tissue inflammation linking obesity to insulin resistance and type 2 diabetes. Front. Physiology 2020;10:1607.
    doi: 10.3389/fphys.2019.01607pmc: PMC7000657pubmed: 32063863google scholar: lookup