Exp Mol Med.  2009 Jul;41(7):501-507. 10.3858/emm.2009.41.7.055.

Annexin A6 is highly abundant in monocytes of obese and type 2 diabetic individuals and is downregulated by adiponectin in vitro

Affiliations
  • 1Department of Internal Medicine, Regensburg University Hospital, Regensburg, Germany. christa.buechler@klinik.uni-regensburg.de
  • 2Departament de Biologia Cellular, Facultat de Medicina, Universitat de Barcelona, Spain.
  • 3Faculty of Pharmacy, Department of Pharmaceutical Chemistry, University of Sydney, Sydney, Australia.
  • 4Institute of Clinical Chemistry and Laboratory Medicine, Regensburg University Hospital, Regensburg, Germany.

Abstract

Adiponectin stimulates cholesterol efflux in macrophages and low adiponectin may in part contribute to disturbed reverse cholesterol transport in type 2 diabetes. Monocytes express high levels of annexin A6 that could inhibit cholesterol efflux and it was investigated whether the atheroprotective effects of adiponectin are accompanied by changes in annexin A6 levels. Adiponectin reduces annexin A6 protein whereas mRNA levels are not affected. Adiponectin-mediated activation of peroxisome proliferator-activated receptor alpha (PPARalpha) and AMP-activated protein kinase (AMPK) does not account for reduced annexin A6 expression. Further, fatty acids and lipopolysaccharide that are elevated in obesity do not influence annexin A6 protein levels. Annexin A6 in monocytes from overweight probands or type 2 diabetic patients is significantly elevated compared to monocytes of normal-weight controls. Monocytic annexin A6 positively correlates with body mass index and negatively with systemic adiponectin of the blood donors. Therefore, the current study demonstrates that adiponectin reduces annexin A6 in monocytes and thereby may enhance cholesterol efflux. In agreement with these in vitro finding an increase of monocytic annexin A6 in type 2 diabetes monocytes was observed.

Keyword

adiponectin; annexin A6; diabetes mellitus, Type 2; monocytes; obesity

MeSH Terms

AMP-Activated Protein Kinases/metabolism
Adiponectin/*pharmacology
Animals
Annexin A6/genetics/*metabolism
Body Mass Index
CHO Cells
Case-Control Studies
Cell Culture Techniques
Cholesterol/metabolism
Cricetinae
Cricetulus
Diabetes Mellitus, Type 2/*blood
Down-Regulation/*drug effects
Electrophoresis, Polyacrylamide Gel
Humans
Immunoblotting
Male
Middle Aged
Monocytes/*metabolism
Obesity/*blood
PPAR alpha/metabolism
RNA, Messenger/metabolism
Recombinant Proteins/pharmacology
Reverse Transcriptase Polymerase Chain Reaction
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