RT Journal Article T1 Disruption of GIP/GIPR axis in human adipose tissue is linked to obesity and insulin resistance. A1 Ceperuelo-Mallafré, Victoria A1 Durán, Xavier A1 Pachón, Gisela A1 Roche, Kelly A1 Garrido-Sánchez, Lourdes A1 Vilarrasa, Nuria A1 Tinahones, Francisco J A1 Vicente, Vicente A1 Pujol, Jordi A1 Vendrell, Joan A1 Fernández-Veledo, Sonia K1 Tejido adiposo K1 Índice de masa corporal K1 Línea celular K1 Regulación hacia abajo K1 Polipéptido inhibidor gástrico K1 Resistencia a la insulina K1 Obesidad K1 Receptores de la hormona gastrointestinal K1 Transducción de señal K1 Circunferencia de la cintura K1 Adipocitos AB CONTEXTGlucose-dependent insulinotropic peptide (GIP) has a central role in glucose homeostasis through its amplification of insulin secretion; however, its physiological role in adipose tissue is unclear.OBJECTIVEOur objective was to define the function of GIP in human adipose tissue in relation to obesity and insulin resistance.DESIGNGIP receptor (GIPR) expression was analyzed in human sc adipose tissue (SAT) and visceral adipose (VAT) from lean and obese subjects in 3 independent cohorts. GIPR expression was associated with anthropometric and biochemical variables. GIP responsiveness on insulin sensitivity was analyzed in human adipocyte cell lines in normoxic and hypoxic environments as well as in adipose-derived stem cells obtained from lean and obese patients.RESULTSGIPR expression was downregulated in SAT from obese patients and correlated negatively with body mass index, waist circumference, systolic blood pressure, and glucose and triglyceride levels. Furthermore, homeostasis model assessment of insulin resistance, glucose, and G protein-coupled receptor kinase 2 (GRK2) emerged as variables strongly associated with GIPR expression in SAT. Glucose uptake studies and insulin signaling in human adipocytes revealed GIP as an insulin-sensitizer incretin. Immunoprecipitation experiments suggested that GIP promotes the interaction of GRK2 with GIPR and decreases the association of GRK2 to insulin receptor substrate 1. These effects of GIP observed under normoxia were lost in human fat cells cultured in hypoxia. In support of this, GIP increased insulin sensitivity in human adipose-derived stem cells from lean patients. GIP also induced GIPR expression, which was concomitant with a downregulation of the incretin-degrading enzyme dipeptidyl peptidase 4. None of the physiological effects of GIP were detected in human fat cells obtained from an obese environment with reduced levels of GIPR.CONCLUSIONSGIP/GIPR signaling is disrupted in insulin-resistant states, such as obesity, and normalizing this function might represent a potential therapy in the treatment of obesity-associated metabolic disorders. PB Endocrine Society SN 0021-972X YR 2014 FD 2014-05 LK http://hdl.handle.net/10668/2050 UL http://hdl.handle.net/10668/2050 LA en NO Ceperuelo-Mallafré V, Duran X, Pachón G, Roche K, Garrido-Sánchez L, Vilarrasa N, et al. Disruption of GIP/GIPR axis in human adipose tissue is linked to obesity and insulin resistance. J. Clin. Endocrinol. Metab.. 2014; 99(5):E908-19 NO Journal Article; Research Support, Non-U.S. Gov't; DS RISalud RD Apr 19, 2025