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Circulation. 2001;103:1057-1063

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(Circulation. 2001;103:1057.)
© 2001 American Heart Association, Inc.


Clinical Investigation and Reports

Adipocyte-Derived Plasma Protein, Adiponectin, Suppresses Lipid Accumulation and Class A Scavenger Receptor Expression in Human Monocyte-Derived Macrophages

Noriyuki Ouchi, MD; Shinji Kihara, MD, PhD; Yukio Arita, MD; Makoto Nishida, MD, PhD; Akifumi Matsuyama, MD; Yoshihisa Okamoto, MD; Masato Ishigami, MD, PhD; Hiroshi Kuriyama, MD, PhD; Ken Kishida, MD; Hitoshi Nishizawa, MD; Kikuko Hotta, MD, PhD; Masahiro Muraguchi; Yasukazu Ohmoto, PhD; Shizuya Yamashita, MD, PhD; Tohru Funahashi, MD, PhD; Yuji Matsuzawa, MD, PhD

From the Department of Internal Medicine and Molecular Science, Graduate School of Medicine, Osaka University, Osaka, Japan, and the Cellular Technology Institute (M.M., Y. Ohmoto), Otsuka Pharmaceutical Co., Ltd, Tokushima, Japan.

Correspondence to Noriyuki Ouchi, MD, Department of Internal Medicine and Molecular Science, Graduate School of Medicine, Osaka University, Osaka, Japan. E-mail ouchi{at}imed2.med.osaka-u.ac.jp

Background—Excessive lipid accumulation in macrophages plays an important role in the development of atherosclerosis. Recently, we discovered an adipocyte-specific plasma protein, adiponectin, that is decreased in patients with coronary artery disease. We previously demonstrated that adiponectin acts as a modulator for proinflammatory stimuli and inhibits monocyte adhesion to endothelial cells. The present study investigated the effects of adiponectin on lipid accumulation in human monocyte-derived macrophages.

Methods and Results—Human monocytes were differentiated into macrophages by incubation in human type AB serum for 7 days, and the effects of adiponectin were investigated at different time intervals. Treatment with physiological concentrations of adiponectin reduced intracellular cholesteryl ester content, as determined using the enzymatic, fluorometric method. The adiponectin-treated macrophages contained fewer lipid droplets stained by oil red O. Adiponectin suppressed the expression of the class A macrophage scavenger receptor (MSR) at both mRNA and protein levels by Northern and immunoblot analyses, respectively, without affecting the expression of CD36, which was quantified by flow cytometry. Adiponectin reduced the class A MSR promoter activity, as measured by luciferase reporter assay. Adiponectin treatment dose-dependently decreased class A MSR ligand binding and uptake activities. The mRNA level of lipoprotein lipase as a marker of macrophage differentiation was decreased by adiponectin treatment, but that of apolipoprotein E was not altered. Adiponectin was detected around macrophages in the human injured aorta by immunohistochemistry.

Conclusions—The adipocyte-derived plasma protein adiponectin suppressed macrophage-to-foam cell transformation, suggesting that adiponectin may act as a modulator for macrophage-to-foam cell transformation.


Key Words: atherosclerosis • macrophages • receptors • adiponectin




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J. Lo, S. E. Dolan, J. R. Kanter, L. C. Hemphill, J. M. Connelly, R. S. Lees, and S. K. Grinspoon
Effects of Obesity, Body Composition, and Adiponectin on Carotid Intima-Media Thickness in Healthy Women
J. Clin. Endocrinol. Metab., May 1, 2006; 91(5): 1677 - 1682.
[Abstract] [Full Text] [PDF]


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Clin. Chem.Home page
M. von Eynatten, A. Hamann, D. Twardella, P. P. Nawroth, H. Brenner, and D. Rothenbacher
Relationship of Adiponectin with Markers of Systemic Inflammation, Atherogenic Dyslipidemia, and Heart Failure in Patients with Coronary Heart Disease
Clin. Chem., May 1, 2006; 52(5): 853 - 859.
[Abstract] [Full Text] [PDF]


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Arch Intern MedHome page
L. E. Bernstein, J. Berry, S. Kim, B. Canavan, and S. K. Grinspoon
Effects of Etanercept in Patients With the Metabolic Syndrome.
Arch Intern Med, April 24, 2006; 166(8): 902 - 908.
[Abstract] [Full Text] [PDF]


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CLIN APPL THROMB HEMOSTHome page
H. Ekmekci and O. B. Ekmekci
The Role of Adiponectin in Atherosclerosis and Thrombosis
Clinical and Applied Thrombosis/Hemostasis, April 1, 2006; 12(2): 163 - 168.
[Abstract] [PDF]


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Physiol. Rev.Home page
A. Tedgui and Z. Mallat
Cytokines in Atherosclerosis: Pathogenic and Regulatory Pathways
Physiol Rev, April 1, 2006; 86(2): 515 - 581.
[Abstract] [Full Text] [PDF]


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J. Leukoc. Biol.Home page
M. Neumeier, J. Weigert, A. Schaffler, G. Wehrwein, U. Muller-Ladner, J. Scholmerich, C. Wrede, and C. Buechler
Different effects of adiponectin isoforms in human monocytic cells
J. Leukoc. Biol., April 1, 2006; 79(4): 803 - 808.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
A. Ehling, A. Schaffler, H. Herfarth, I. H. Tarner, S. Anders, O. Distler, G. Paul, J. Distler, S. Gay, J. Scholmerich, et al.
The Potential of Adiponectin in Driving Arthritis
J. Immunol., April 1, 2006; 176(7): 4468 - 4478.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
K. Matsushita, H. Yatsuya, K. Tamakoshi, K. Wada, R. Otsuka, S. Takefuji, K. Sugiura, T. Kondo, T. Murohara, and H. Toyoshima
Comparison of Circulating Adiponectin and Proinflammatory Markers Regarding Their Association With Metabolic Syndrome in Japanese Men
Arterioscler Thromb Vasc Biol, April 1, 2006; 26(4): 871 - 876.
[Abstract] [Full Text] [PDF]


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Am. J. Clin. Nutr.Home page
A. S Greenberg and M. S Obin
Obesity and the role of adipose tissue in inflammation and metabolism
Am. J. Clinical Nutrition, February 1, 2006; 83(2): 461S - 465S.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
C. Kobashi, M. Urakaze, M. Kishida, E. Kibayashi, H. Kobayashi, S. Kihara, T. Funahashi, M. Takata, R. Temaru, A. Sato, et al.
Adiponectin Inhibits Endothelial Synthesis of Interleukin-8
Circ. Res., December 9, 2005; 97(12): 1245 - 1252.
[Abstract] [Full Text] [PDF]


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StrokeHome page
B. Iglseder, V. Mackevics, A. Stadlmayer, G. Tasch, G. Ladurner, and B. Paulweber
Plasma Adiponectin Levels and Sonographic Phenotypes of Subclinical Carotid Artery Atherosclerosis: Data From the SAPHIR Study
Stroke, December 1, 2005; 36(12): 2577 - 2582.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
A. Singhal, N. Jamieson, M. Fewtrell, J. Deanfield, A. Lucas, and N. Sattar
Adiponectin Predicts Insulin Resistance But Not Endothelial Function in Young, Healthy Adolescents
J. Clin. Endocrinol. Metab., August 1, 2005; 90(8): 4615 - 4621.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
S. Pilz, R. Horejsi, R. Moller, G. Almer, H. Scharnagl, T. Stojakovic, R. Dimitrova, G. Weihrauch, M. Borkenstein, W. Maerz, et al.
Early Atherosclerosis in Obese Juveniles Is Associated with Low Serum Levels of Adiponectin
J. Clin. Endocrinol. Metab., August 1, 2005; 90(8): 4792 - 4796.
[Abstract] [Full Text] [PDF]


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J. Lipid Res.Home page
Y. Fu, N. Luo, R. L. Klein, and W. T. Garvey
Adiponectin promotes adipocyte differentiation, insulin sensitivity, and lipid accumulation
J. Lipid Res., July 1, 2005; 46(7): 1369 - 1379.
[Abstract] [Full Text] [PDF]


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GutHome page
K Yamamoto, T Kiyohara, Y Murayama, S Kihara, Y Okamoto, T Funahashi, T Ito, R Nezu, S Tsutsui, J-I Miyagawa, et al.
Production of adiponectin, an anti-inflammatory protein, in mesenteric adipose tissue in Crohn's disease
Gut, June 1, 2005; 54(6): 789 - 796.
[Abstract] [Full Text] [PDF]


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Am. J. Pathol.Home page
X. Ding, N. K. Saxena, S. Lin, A. Xu, S. Srinivasan, and F. A. Anania
The Roles of Leptin and Adiponectin: A Novel Paradigm in Adipocytokine Regulation of Liver Fibrosis and Stellate Cell Biology
Am. J. Pathol., June 1, 2005; 166(6): 1655 - 1669.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
A. Xu, K. W. Chan, R. L. C. Hoo, Y. Wang, K. C. B. Tan, J. Zhang, B. Chen, M. C. Lam, C. Tse, G. J. S. Cooper, et al.
Testosterone Selectively Reduces the High Molecular Weight Form of Adiponectin by Inhibiting Its Secretion from Adipocytes
J. Biol. Chem., May 6, 2005; 280(18): 18073 - 18080.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
Y. Wang, K. S. L. Lam, J. Y. Xu, G. Lu, L. Y. Xu, G. J. S. Cooper, and A. Xu
Adiponectin Inhibits Cell Proliferation by Interacting with Several Growth Factors in an Oligomerization-dependent Manner
J. Biol. Chem., May 6, 2005; 280(18): 18341 - 18347.
[Abstract] [Full Text] [PDF]


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Endocr. Rev.Home page
T. Kadowaki and T. Yamauchi
Adiponectin and Adiponectin Receptors
Endocr. Rev., May 1, 2005; 26(3): 439 - 451.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
D. C. W. Lau, B. Dhillon, H. Yan, P. E. Szmitko, and S. Verma
Adipokines: molecular links between obesity and atheroslcerosis
Am J Physiol Heart Circ Physiol, May 1, 2005; 288(5): H2031 - H2041.
[Abstract] [Full Text] [PDF]


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Am. J. Clin. Nutr.Home page
T. Pischon, C. J Girman, N. Rifai, G. S Hotamisligil, and E. B Rimm
Association between dietary factors and plasma adiponectin concentrations in men
Am. J. Clinical Nutrition, April 1, 2005; 81(4): 780 - 786.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
M.-P. Chen, J. C.-R. Tsai, F.-M. Chung, S.-S. Yang, L.-L. Hsing, S.-J. Shin, and Y.-J. Lee
Hypoadiponectinemia Is Associated With Ischemic Cerebrovascular Disease
Arterioscler Thromb Vasc Biol, April 1, 2005; 25(4): 821 - 826.
[Abstract] [Full Text] [PDF]


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Eur J EndocrinolHome page
M. I. Yilmaz, A. Sonmez, S. Kilic, T. Celik, N. Bingol, M. Pinar, T. Mumcuoglu, and M. Ozata
The association of plasma adiponectin levels with hypertensive retinopathy
Eur. J. Endocrinol., February 1, 2005; 152(2): 233 - 240.
[Abstract] [Full Text] [PDF]


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J. Lipid Res.Home page
M.-T. Berthier, A. Houde, M. Cote, A.-M. Paradis, P. Mauriege, J. Bergeron, D. Gaudet, J.-P. Despres, and M.-C. Vohl
Impact of adiponectin gene polymorphisms on plasma lipoprotein and adiponectin concentrations of viscerally obese men
J. Lipid Res., February 1, 2005; 46(2): 237 - 244.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
M. B. Schulze, I. Shai, E. B. Rimm, T. Li, N. Rifai, and F. B. Hu
Adiponectin and Future Coronary Heart Disease Events Among Men With Type 2 Diabetes
Diabetes, February 1, 2005; 54(2): 534 - 539.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
H. Waki, T. Yamauchi, J. Kamon, S. Kita, Y. Ito, Y. Hada, S. Uchida, A. Tsuchida, S. Takekawa, and T. Kadowaki
Generation of Globular Fragment of Adiponectin by Leukocyte Elastase Secreted by Monocytic Cell Line THP-1
Endocrinology, February 1, 2005; 146(2): 790 - 796.
[Abstract] [Full Text] [PDF]


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GutHome page
S Kaser, A Moschen, A Cayon, A Kaser, J Crespo, F Pons-Romero, C F Ebenbichler, J R Patsch, and H Tilg
Adiponectin and its receptors in non-alcoholic steatohepatitis
Gut, January 1, 2005; 54(1): 117 - 121.
[Abstract] [Full Text] [PDF]


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Nephrol Dial TransplantHome page
F. Guebre-Egziabher, J. Bernhard, T. Funahashi, A. Hadj-Aissa, and D. Fouque
Adiponectin in chronic kidney disease is related more to metabolic disturbances than to decline in renal function
Nephrol. Dial. Transplant., January 1, 2005; 20(1): 129 - 134.
[Abstract] [Full Text] [PDF]


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CirculationHome page
K. K. Koh, M. J. Quon, S. H. Han, W.-J. Chung, J. Y. Ahn, Y.-H. Seo, M. H. Kang, T. H. Ahn, I. S. Choi, and E. K. Shin
Additive Beneficial Effects of Losartan Combined With Simvastatin in the Treatment of Hypercholesterolemic, Hypertensive Patients
Circulation, December 14, 2004; 110(24): 3687 - 3692.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Endocrinol. Metab.Home page
A. H. Berg, Y. Lin, M. P. Lisanti, and P. E. Scherer
Adipocyte differentiation induces dynamic changes in NF-{kappa}B expression and activity
Am J Physiol Endocrinol Metab, December 1, 2004; 287(6): E1178 - E1188.
[Abstract] [Full Text] [PDF]


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JRSMHome page
T. J Wilkin and L. D Voss
Metabolic syndrome: maladaptation to a modern world
J R Soc Med, November 1, 2004; 97(11): 511 - 520.
[Full Text] [PDF]


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Diabetes CareHome page
G. K. Shetty, P. A. Economides, E. S. Horton, C. S. Mantzoros, and A. Veves
Circulating Adiponectin and Resistin Levels in Relation to Metabolic Factors, Inflammatory Markers, and Vascular Reactivity in Diabetic Patients and Subjects at Risk for Diabetes
Diabetes Care, October 1, 2004; 27(10): 2450 - 2457.
[Abstract] [Full Text] [PDF]


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Diabetes CareHome page
M. Furuhashi, N. Ura, N. Moniwa, Y. Shinshi, H. Kouzu, M. Nishihara, N. Kokubu, T. Takahashi, K.-i. Sakamoto, M. Hayashi, et al.
Possible Impairment of Transcardiac Utilization of Adiponectin in Patients With Type 2 Diabetes
Diabetes Care, September 1, 2004; 27(9): 2217 - 2221.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
H. Staiger, S. Kaltenbach, K. Staiger, N. Stefan, A. Fritsche, A. Guirguis, C. Peterfi, M. Weisser, F. Machicao, M. Stumvoll, et al.
Expression of Adiponectin Receptor mRNA in Human Skeletal Muscle Cells Is Related to In Vivo Parameters of Glucose and Lipid Metabolism
Diabetes, September 1, 2004; 53(9): 2195 - 2201.
[Abstract] [Full Text] [PDF]


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Clin. Chem.Home page
U. Meier and A. M. Gressner
Endocrine Regulation of Energy Metabolism: Review of Pathobiochemical and Clinical Chemical Aspects of Leptin, Ghrelin, Adiponectin, and Resistin
Clin. Chem., September 1, 2004; 50(9): 1511 - 1525.
[Abstract] [Full Text] [PDF]


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Diabetes CareHome page
S. Bacci, C. Menzaghi, T. Ercolino, X. Ma, A. Rauseo, L. Salvemini, C. Vigna, R. Fanelli, U. Di Mario, A. Doria, et al.
The +276 G/T Single Nucleotide Polymorphism of the Adiponectin Gene Is Associated With Coronary Artery Disease in Type 2 Diabetic Patients
Diabetes Care, August 1, 2004; 27(8): 2015 - 2020.
[Abstract] [Full Text] [PDF]