Molecular Therapy for Obesity and Diabetes Based on a Long-Term Increase in Hepatic Fatty-Acid Oxidation §Δ
Open accessAbstract
Obesity-induced insulin resistance is associated with both ectopic lipid deposition and chronic, low-grade adipose tissue inflammation. Despite their excess fat, obese individuals show lower fatty-acid oxidation (FAO) rates. This has raised the question of whether burning off the excess fat could improve the obese metabolic phenotype. Here we used human-safe nonimmunoreactive adeno-associated viruses (AAV) to mediate long-term hepatic gene transfer of carnitine palmitoyltransferase 1A (CPT1A), the key enzyme in fatty-acid β-oxidation, or its permanently active mutant form CPT1AM, to high-fat diet-treated and genetically obese mice. High-fat diet CPT1A- and, to a greater extent, CPT1AM-expressing mice showed an enhanced hepatic FAO which resulted in increased production of CO2, adenosine triphosphate, and ketone bodies. Notably, the increase in hepatic FAO not only reduced liver triacylglyceride content, inflammation, and reactive oxygen species levels but also systemically affected a decrease in epididymal adipose tissue weight and inflammation and improved insulin signaling in liver, adipose tissue, and muscle. Obesity-induced weight gain, increase in fasting blood glucose and insulin levels, and augmented expression of gluconeogenic genes were restored to normal only 3 months after AAV treatment. Thus, CPT1A- and, to a greater extent, CPT1AM-expressing mice were protected against obesity-induced weight gain, hepatic steatosis, diabetes, and obesity-induced insulin resistance. In addition, genetically obese db/db mice that expressed CPT1AM showed reduced glucose and insulin levels and liver steatosis. Conclusion : A chronic increase in liver FAO improves the obese metabolic phenotype, which indicates that AAV-mediated CPT1A expression could be a potential molecular therapy for obesity and diabetes. (Hepatology 2011)
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In these studies, enhanced mitochondrial FAO did not increase ROS derivatives or liver injury.
“Furthermore, in these studies, enhanced mitochondrial FAO did not increase ROS derivatives or liver injury.”
From Mitochondrial fatty acid oxidation in obesity (2013) · cites this paper as [130]
Potential mechanisms to explain the beneficial effects of targeting mitochondrial fatty acid oxidation could be the concomitant enhancement of hepatic ketone bodies, CO2, acid soluble products, ATP production, and endergonic processes (e.g., gluconeogenesis) seen in previous publications.
“Potential mechanisms to explain the beneficial effects of targeting mitochondrial FAO could be the concomitant enhancement of hepatic ketone bodies, CO2, acid soluble products, ATP production, and endergonic processes (*e.g.,* gluconeogenesis) seen in previous publications ([38](#B38), [130](#B130), [158](#B158)).”
From Mitochondrial fatty acid oxidation in obesity (2013) · cites this paper as [130]
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- Authors
- Orellana-Gavaldà, J. M., Herrero, L., Malandrino, M. I., Pañeda, A., Sol Rodríguez-Peña, M., Petry, H., Asins, G., Van Deventer, S., Hegardt, F. G., & Serra, D.
- Affiliations
- Centro de Investigación Biomédica en Red (ES)
- Corresponding author
- Serra, Dolors
- Venue
- Hepatology
- Published
- 2011-03
- Volume
- 53
- Issue
- 3
- Pages
- 821-832
- ISSN
- 0270-9139 (ISSN-L)
- OpenAlex
- W2134823147
- Cited by
- 135
- References
- 40
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 2 · 2023: 10 · 2022: 8 · 2021: 6 · 2020: 11 · 2019: 2 · 2018: 10 · 2017: 7 · 2016: 12 · 2015: 10 · 2014: 15 · 2013: 8 · 2012: 12
- FWCI
- 6.71
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Hepatology (publishedVersion)
- PubMed (publishedVersion)
- Dipòsit Digital de la Universitat de Barcelona (Universitat de Barcelona) (submittedVersion, public-domain)
- Funders
- Universitat de Barcelona
- Instituto de Salud Carlos III (CB06/03, CB06/03/0026)
- Topics
- Health Sciences › Medicine › Physiology › Adipose Tissue and Metabolism
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Virus-based gene therapy research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Peroxisome Proliferator-Activated Receptors
- Keywords
- hepatic fatty acid oxidation, CPT1A, adeno-associated virus gene therapy, obesity, insulin resistance, type 2 diabetes, hepatic steatosis, high-fat diet, db/db mice, adipose tissue inflammation, gluconeogenesis, ketone bodies, molecular therapy
- MeSH terms
- Dependovirus, Animals, Carnitine O-Palmitoyltransferase, Diabetes Mellitus, Dietary Fats, Fatty Acids, Fatty Liver, Humans, Insulin Resistance, Liver, Male, Mice, Obese, Obesity, Oxidation-Reduction, Triglycerides, Genetic Therapy, Mice
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