Skip to main content

Advertisement

Log in

Resistin: molecular history and prognosis

  • Invited Review
  • Published:
Journal of Molecular Medicine Aims and scope Submit manuscript

Abstract

Obesity and diabetes have reached epidemic proportions worldwide. The antidiabetic thiazolidinedione (TZD) drugs are insulin-sensitizing agents now widely used in the treatment of type 2 diabetes. TZDs are ligands for the nuclear hormone receptor peroxisome proliferator activated receptor γ, which is a master regulator of adipogenesis and adipocyte metabolism. The molecular mechanisms by which TZDs improve insulin sensitivity have not been fully identified. Here we consider a novel secreted factor first identified as a TZD-suppressible gene in mouse adipocytes, called resistin, and discuss what is currently known about resistin regulation and function in mouse and human.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1.
Fig. 2.

Similar content being viewed by others

Abbreviations

FIZZ :

Found in inflammatory zone

LPS :

Lipopolysaccharide

NEFA :

Nonesterified fatty acid

PPAR :

Peroxisome proliferator activated receptor

RELM :

Resistin-like molecule

SNP :

Single-nucleotide polymorphism

TNF :

Tumor necrosis factor

TZD :

Thiazolidinediones

WAT :

White adipose tissue

References

  1. Goldstein B (2002) Insulin resistance as the core defect in type 2 diabetes mellitus. Am J Cardiol 90:3

    Article  Google Scholar 

  2. Saltiel AR (2001) New perspectives into the molecular pathogenesis and treatment of type 2 diabetes. Cell 104:517–529

    CAS  PubMed  Google Scholar 

  3. Bergman RN, Ader M (2000) Free fatty acids and pathogenesis of type 2 diabetes mellitus. Trends Endocrinol Metab 11:351–356

    Article  PubMed  Google Scholar 

  4. Boden G, Shulman GI (2002) Free fatty acids in obesity and type 2 diabetes: defining their role in the development of insulin resistance and beta-cell dysfunction. Eur J Clin Invest 32 Suppl 3:14–23

    Article  Google Scholar 

  5. Yu C, Chen Y, Cline GW, Zhang D, Zong H, Wang Y, Bergeron R, Kim JK, Cushman SW, Cooney GJ, Atcheson B, White MF, Kraegen EW, Shulman GI (2002) Mechanism by which fatty acids inhibit insulin activation of insulin receptor substrate-1 (IRS-1)-associated phosphatidylinositol 3-kinase activity in muscle. J Biol Chem 277:50230–50236

    Article  PubMed  Google Scholar 

  6. Shulman GI (2000) Cellular mechanisms of insulin resistance. J Clin Invest 106:171–176

    CAS  PubMed  Google Scholar 

  7. Day C (1999) Thiazolidinediones: a new class of antidiabetic drugs. Diabet Med 16:179–192

    CAS  PubMed  Google Scholar 

  8. Reginato MJ, Lazar MA (1999) Mechanisms by which thiazolidinediones enhance insulin action. Trends Endocrinol Metab 10:9–13

    CAS  PubMed  Google Scholar 

  9. Kahn BB, Flier JS (2000) Obesity and insulin resistance. J Clin Invest 106:473–481

    CAS  PubMed  Google Scholar 

  10. Spiegelman BM, Flier JS (2001) Obesity and the regulation of energy balance. Cell 104:531–543

    CAS  PubMed  Google Scholar 

  11. Willson TM, Lambert MH, Kliewer SA (2001) Peroxisome proliferator-activated receptor gamma and metabolic disease. Annu Rev Biochem 70:341–67

    Article  PubMed  Google Scholar 

  12. Kersten S, Desvergne B, Wahli W (2000) Roles of PPARs in health and disease. Nature 405:421–424

    CAS  PubMed  Google Scholar 

  13. Lazar MA (2002) Becoming fat. Genes Dev 16:1–5

    Google Scholar 

  14. Rosen ED, Spiegelman BM (2000) Molecular regulation of adipogenesis. Annu Rev Cell Dev Biol 16:145–171

    Google Scholar 

  15. Olefsky JM (2000) Treatment of insulin resistance with peroxisome proliferator-activated receptor gamma agonists. J Clin Invest 106:467–472

    CAS  PubMed  Google Scholar 

  16. Chao L, Marcus-Samuels B, Mason MM, Moitra J, Vinson C, Arioglu E, Gavrilova O, Reitman ML (2000) Adipose tissue is required for the antidiabetic, but not for the hypolipidemic, effect of thiazolidinediones. J Clin Invest 106:1221–1228

    CAS  PubMed  Google Scholar 

  17. Saltiel AR (2001) You are what you secrete. Nat Med 7:887–888

    Article  PubMed  Google Scholar 

  18. Ahima RS, Flier JS (2000) Adipose tissue as an endocrine organ. Trends Endocrinol Metab 11:327–332

    CAS  PubMed  Google Scholar 

  19. Ravussin E, Smith SR (2002) Increased fat intake, impaired fat oxidation, and failure of fat cell proliferation result in ectopic fat storage, insulin resistance, and type 2 diabetes mellitus. Ann N Y Acad Sci 967:363–378

    PubMed  Google Scholar 

  20. Steppan CM, Lazar MA (2002) Resistin and obesity-associated insulin resistance. Trends Endocrinol Metab 13:18–23

    CAS  PubMed  Google Scholar 

  21. Maeda N, Takahashi M, Funahashi T, Kihara S, Nishizawa H, Kishida K, Nagaretani H, Matsuda M, Komuro R, Ouchi N, Kuriyama H, Hotta K, Nakamura T, Shimomura I, Matsuzawa Y (2001) PPARgamma ligands increase expression and plasma concentrations of adiponectin, an adipose-derived protein. Diabetes 50:2094–2099

    CAS  PubMed  Google Scholar 

  22. Rangwala SM, Lazar MA (2000) Transcriptional control of adipogenesis. Annu Rev Nutr 20:535–559

    Article  PubMed  Google Scholar 

  23. Steppan CM, Bailey ST, Bhat S, Brown EJ, Banerjee RR, Wright CM, Patel HR, Ahima RS, Lazar MA (2001) The hormone resistin links obesity to diabetes. Nature 409:307–312

    Article  CAS  PubMed  Google Scholar 

  24. Li Y, Lazar MA (2002) Differential gene regulation by PPARgamma agonist and constitutively active PPARgamma2. Mol Endocrinol 16:1040–1048

    Google Scholar 

  25. Banerjee RR, Lazar MA (2001) Dimerization of resistin and resistin-like molecules is determined by a single cysteine. J Biol Chem 276:25970–25973

    Article  PubMed  Google Scholar 

  26. Ahima RS, Flier JS (2000) Leptin. Annu Rev Physiol 62:413–437

    Article  CAS  PubMed  Google Scholar 

  27. Rajala MW, Lin Y, Ranalletta M, Yang XM, Qian H, Gingerich R, Barzilai N, Scherer PE (2002) Cell type-specific expression and coregulation of murine resistin and resistin-Like molecule-alpha in adipose tissue. Mol Endocrinol 16:1920–1930

    Article  CAS  PubMed  Google Scholar 

  28. Kim KH, Lee K, Moon YS, Sul HS (2001) A cysteine-rich adipose tissue-specific secretory factor inhibits adipocyte differentiation. J Biol Chem 276:11252–1126

    Article  CAS  PubMed  Google Scholar 

  29. Li J, Yu X, Pan W, Unger RH (2002) Gene expression profile of rat adipose tissue at the onset of high-fat-diet obesity. Am J Physiol Endocrinol Metab 282:E1334–E1341

    PubMed  Google Scholar 

  30. Kratchmarova I, Kalume DE, Blagoev B, Scherer PE, Podtelejnikov AV, Molina H, Bickel PE, Andersen JS, Fernandez MM, Bunkenborg J, Roepstorff P, Kristiansen K, Lodish HF, Mann M, Pandey A (2002) A proteomic approach for identification of secreted proteins during the differentiation of 3T3-L1 preadipocytes to adipocytes. Mol Cell Proteomics 1:213–222

    PubMed  Google Scholar 

  31. Steppan CM, Brown EJ, Wright CM, Bhat S, Banerjee RR, Dai CY, Enders GH, Silberg DG, Wen X, Wu GD, Lazar MA (2001) A family of tissue-specific resistin-like molecules. Proc Natl Acad Sci U S A 98:502–506

    Article  PubMed  Google Scholar 

  32. Holcomb IN, Kabakoff RC, Chan B, Baker TW, Gurney A, Henzel W, Nelson C, Lowman HB, Wright BD, Skelton NJ, Frantz GD, Tumas DB, Peale FV Jr, Shelton DL, Hebert CC (2000) FIZZ1, a novel cysteine-rich secreted protein associated with pulmonary inflammation, defines a new gene family. EMBO J 19:4046–4055

    Article  PubMed  Google Scholar 

  33. Chen J, Wang L, Boeg YS, Xia B, Wang J (2002) Differential dimerization and association among resistin family proteins with implications for functional specificity. J Endocrinol 175:499–504

    PubMed  Google Scholar 

  34. Berg AH, Combs TP, Du X, Brownlee M, Scherer PE (2001) The adipocyte-secreted protein Acrp30 enhances hepatic insulin action. Nat Med 7:947–953

    CAS  PubMed  Google Scholar 

  35. Berg AH, Combs TP, Scherer PE (2002) ACRP30/adiponectin: an adipokine regulating glucose and lipid metabolism. Trends Endocrinol Metab 13:84–89

    Article  CAS  PubMed  Google Scholar 

  36. Yamauchi T, Kamon J, Waki H, Terauchi Y, Kubota N, Hara K, Mori Y, Ide T, Murakami K, Tsuboyama-Kasaoka N, Ezaki O, Akanuma Y, Gavrilova O, Vinson C, Reitman ML, Kagechika H, Shudo K, Yoda M, Nakano Y, Tobe K, Nagai R, Kimura S, Tomita M, Froguel P, Kadowaki T (2001) The fat-derived hormone adiponectin reverses insulin resistance associated with both lipoatrophy and obesity. Nat Med 7:941–946

    CAS  PubMed  Google Scholar 

  37. Haugen F, Jorgensen A, Drevon CA, Trayhurn P (2001) Inhibition by insulin of resistin gene expression in 3T3-L1 adipocytes. FEBS Lett 507:105–108

    Article  CAS  PubMed  Google Scholar 

  38. Shojima N, Sakoda H, Ogihara T, Fujishiro M, Katagiri H, Anai M, Onishi Y, Ono H, Inukai K, Abe M, Fukushima Y, Kikuchi M, Oka Y, Asano T (2002) Humoral regulation of resistin expression in 3T3-L1 and mouse adipose cells. Diabetes 51:1737–1744

    CAS  PubMed  Google Scholar 

  39. Hartman HB, Hu X, Tyler KX, Dalal CK, Lazar MA (2002) Mechanisms regulating adipocyte expression of resistin. J Biol Chem 277:19754–19761

    Article  PubMed  Google Scholar 

  40. Moore GB, Chapman H, Holder JC, Lister CA, Piercy V, Smith SA, Clapham JC (2001) Differential regulation of adipocytokine mRNAs by rosiglitazone in db/db mice. Biochem Biophys Res Commun 286:735–741

    Article  PubMed  Google Scholar 

  41. Lu SC, Shieh WY, Chen CY, Hsu SC, Chen HL (2002) Lipopolysaccharide increases resistin gene expression in vivo and in vitro. FEBS Lett 530:158–162

    Article  PubMed  Google Scholar 

  42. Way JM, Gorgun CZ, Tong Q, Uysal KT, Brown KK, Harrington WW, Oliver WR Jr, Willson TM, Kliewer SA, Hotamisligil GS (2001) Adipose tissue resistin expression is severely suppressed in obesity and stimulated by peroxisome proliferator-activated receptor gamma agonists. J Biol Chem 276:25651–25653

    CAS  PubMed  Google Scholar 

  43. Fukui Y, Motojima K (2002) Expression of resistin in the adipose tissue is modulated by various factors including peroxisome proliferator-activated receptor alpha. Diabetes Obes Metab 4:342–345

    Article  PubMed  Google Scholar 

  44. Gabriely I, Ma XH, Yang XM, Atzmon G, Rajala MW, Berg AH, Scherer P, Rossetti L, Barzilai N (2002) Removal of visceral fat prevents insulin resistance and glucose intolerance of aging: an adipokine-mediated process? Diabetes 51:2951–2958

    CAS  PubMed  Google Scholar 

  45. Masuzaki H, Paterson J, Shinyama H, Morton NM, Mullins JJ, Seckl JR, Flier JS (2001) A transgenic model of visceral obesity and the metabolic syndrome. Science 294:2166–2170

    CAS  PubMed  Google Scholar 

  46. Hirosumi J, Tuncman G, Chang L, Gorgun CZ, Uysal KT, Maeda K, Karin M, Hotamisligil GS (2002) A central role for JNK in obesity and insulin resistance. Nature 420:333–336

    Article  PubMed  Google Scholar 

  47. Le Lay S, Boucher J, Rey A, Castan-Laurell I, Krief S, Ferre P, Valet P, Dugail I (2001) Decreased resistin expression in mice with different sensitivities to a high-fat diet. Biochem Biophys Res Commun 289:564–567

    Article  PubMed  Google Scholar 

  48. Levy JR, Davenport B, Clore JN, Stevens W (2002) Lipid metabolism and resistin gene expression in insulin-resistant Fischer 344 rats. Am J Physiol Endocrinol Metab 282:E626–E633

    PubMed  Google Scholar 

  49. Juan CC, Au LC, Fang VS, Kang SF, Ko YH, Kuo SF, Hsu YP, Kwok CF, Ho LT (2001) Suppressed gene expression of adipocyte resistin in an insulin-resistant rat model probably by elevated free fatty acids. Biochem Biophys Res Commun 289:1328–1333

    Article  PubMed  Google Scholar 

  50. Andrews RC, Walker BR (1999) Glucocorticoids and insulin resistance: old hormones, new targets. Clin Sci (Colch) 96:513–523

    Google Scholar 

  51. Makimura H, Mizuno TM, Bergen H, Mobbs CV (2002) Adiponectin is stimulated by adrenalectomy in ob/ob mice and is highly correlated with resistin mRNA. Am J Physiol Endocrinol Metab 283:E1266–E1271

    PubMed  Google Scholar 

  52. Fasshauer M, Klein J, Neumann S, Eszlinger M, Paschke R (2001) Tumor necrosis factor alpha is a negative regulator of resistin gene expression and secretion in 3T3-L1 adipocytes. Biochem Biophys Res Commun 288:1027–1031

    Article  CAS  PubMed  Google Scholar 

  53. Ling C, Kindblom J, Wennbo H, Billig H (2001) Increased resistin expression in the adipose tissue of male prolactin transgenic mice and in male mice with elevated androgen levels. FEBS Lett 507:147–150

    Article  PubMed  Google Scholar 

  54. Delhanty PJ, Mesotten D, McDougall F, Baxter RC (2002) Growth hormone rapidly induces resistin gene expression in white adipose tissue of spontaneous dwarf (SDR) rats. Endocrinology 143:2445–448

    PubMed  Google Scholar 

  55. Fasshauer M, Klein J, Neumann S, Eszlinger M, Paschke R (2001) Isoproterenol inhibits resistin gene expression through a G(S)-protein-coupled pathway in 3T3-L1 adipocytes. FEBS Lett 500:60–63

    Article  CAS  PubMed  Google Scholar 

  56. Nagaev I, Smith U (2001) Insulin resistance and type 2 diabetes are not related to resistin expression in human fat cells or skeletal muscle. Biochem Biophys Res Commun 285:561–564

    Article  CAS  PubMed  Google Scholar 

  57. Savage DB, Sewter CP, Klenk ES, Segal DG, Vidal-Puig A, Considine RV, O'Rahilly S (2001) Resistin / Fizz3 expression in relation to obesity and peroxisome proliferator-activated receptor-gamma action in humans. Diabetes 50:2199–2202

    CAS  PubMed  Google Scholar 

  58. Patel L, Buckels AC, Kinghorn IJ, Murdock PR, Holbrook JD, Plumpton C, Macphee CH, Smith SA (2003) Resistin is expressed in human macrophages and directly regulated by PPARgamma activators. Biochem Biophys Res Commun 300:472–476

    Article  PubMed  Google Scholar 

  59. Janke J, Engeli S, Gorzelniak K, Luft FC, Sharma AM (2002) Resistin gene expression in human adipocytes is not related to insulin resistance. Obes Res 10:1–5

    CAS  PubMed  Google Scholar 

  60. McTernan CL, McTernan PG, Harte AL, Levick PL, Barnett AH, Kumar S (2002) Resistin, central obesity, and type 2 diabetes. Lancet 359:46–47

    Article  PubMed  Google Scholar 

  61. McTernan PG, McTernan CL, Chetty R, Jenner K, Fisher FM, Lauer MN, Crocker J, Barnett AH, Kumar S (2002) Increased resistin gene and protein expression in human abdominal adipose tissue. J Clin Endocrinol Metab 87:2407

    PubMed  Google Scholar 

  62. Osawa H, Onuma H, Murakami A, Ochi M, Nishimiya T, Kato K, Shimizu I, Fujii Y, Ohashi J, Makino H (2002) Systematic search for single nucleotide polymorphisms in the resistin gene: the absence of evidence for the association of three identified single nucleotide polymorphisms with Japanese type 2 diabetes. Diabetes 51:863–866

    PubMed  Google Scholar 

  63. Stumvoll M, Haring H (2002) The peroxisome proliferator-activated receptor-gamma2 Pro12Ala polymorphism. Diabetes 51:2341–2347

    PubMed  Google Scholar 

  64. Barroso I, Gurnell M, Crowley VE, Agostini M, Schwabe JW, Soos MA, Maslen GL, Williams TD, Lewis H, Schafer AJ, Chatterjee VK, O'Rahilly S (1999) Dominant negative mutations in human PPARgamma associated with severe insulin resistance, diabetes mellitus and hypertension. Nature 402:880–883

    CAS  PubMed  Google Scholar 

  65. Horikawa Y, Oda N, Cox NJ, Li X, Orho-Melander M, Hara M, Hinokio Y, Lindner TH, Mashima H, Schwarz PE, del Bosque-Plata L, Oda Y, Yoshiuchi I, Colilla S, Polonsky KS, Wei S, Concannon P, Iwasaki N, Schulze J, Baier LJ, Bogardus C, Groop L, Boerwinkle E, Hanis CL, Bell GI (2000) Genetic variation in the gene encoding calpain-10 is associated with type 2 diabetes mellitus. Nat Genet 26:163–175

    CAS  PubMed  Google Scholar 

  66. Engert JC, Vohl MC, Williams SM, Lepage P, Loredo-Osti JC, Faith J, Dore C, Renaud Y, Burtt NP, Villeneuve A, Hirschhorn JN, Altshuler D, Groop LC, Despres JP, Gaudet D, Hudson TJ (2002) 5′ flanking variants of resistin are associated with obesity. Diabetes 51:1629–1634

    CAS  PubMed  Google Scholar 

  67. Ma X, Warram JH, Trischitta V, Doria A (2002) Genetic variants at the resistin locus and risk of type 2 diabetes in Caucasians. J Clin Endocrinol Metab 87:4407–4410

    Article  PubMed  Google Scholar 

  68. Pizzuti A, Argiolas A, Di Paola R, Baratta R, Rauseo A, Bozzali M, Vigneri R, Dallapiccola B, Trischitta V, Frittitta L (2002) An ATG repeat in the 3′-untranslated region of the human resistin gene is associated with a decreased risk of insulin resistance. J Clin Endocrinol Metab 87:4403–4406

    Article  PubMed  Google Scholar 

  69. Wang H, Chu WS, Hemphill C, Elbein SC (2002) Human resistin gene: molecular scanning and evaluation of association with insulin sensitivity and type 2 diabetes in Caucasians. J Clin Endocrinol Metab 87:2520–2524

    PubMed  Google Scholar 

  70. Sentinelli F, Romeo S, Arca M, Filippi E, Leonetti F, Banchieri M, Di Mario U, Baroni MG (2002) Human resistin gene, obesity, and type 2 diabetes: mutation analysis and population study. Diabetes 51:860–862

    PubMed  Google Scholar 

  71. Cao H, Hegele RA (2001) Single nucleotide polymorphisms of the resistin (RSTN) gene. J Hum Genet 46:553–555

    Article  PubMed  Google Scholar 

  72. Rajala MW, Obici S, Scherer PE, Rossetti L (2003) Adipose-derived resistin and gut-derived resistin-like molecule-beta selectively impair insulin action on glucose production. J Clin Invest 111:225–230

    Article  PubMed  Google Scholar 

  73. Song H, Shojima N, Sakoda H, Ogihara T, Fujishiro M, Katagiri H, Anai M, Onishi Y, Ono H, Inukai K, Fukushima Y, Kikuchi M, Shimano H, Yamada N, Oka Y, Asano T (2002) Resistin is regulated by C/EBPs, PPARs, and signal-transducing molecules. Biochem Biophys Res Commun 299:291–298

    Article  PubMed  Google Scholar 

  74. Ahima RS, Prabakaran D, Mantzoros C, Qu D, Lowell B, Maratos-Flier E, Flier JS (1996) Role of leptin in the neuroendocrine response to fasting. Nature 382:250–252

    Google Scholar 

  75. Morash B, Willkinson D, Ur E, Wilkinson M (2002) Resistin expression and regulation in mouse pituitary. FEBS Lett 526:26

    Article  PubMed  Google Scholar 

  76. Tan MS, Chang SY, Chang DM, Tsai JC, Lee YJ (2003) Association of resistin gene 3'-untranslated region +62G→A polymorphism with type 2 diabetes and hypertension in a Chinese population. J Clin Endocrinol Metab 88:1258–1263

    Google Scholar 

Download references

Acknowledgements

We thank Shamina Rangwala and Claire Steppan for critical reading of this article. Work in the laboratory of M.A.L. was supported by NIDDK grants DK49780 and DK49210, and fostered by the University of Pennsylvania Diabetes and Endocrinology Research Center (DK19525). R.R.B. gratefully acknowledges support from an NIH Predoctoral Training Grant in Genetics at the University of Pennsylvania.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mitchell A. Lazar.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Banerjee, R.R., Lazar, M.A. Resistin: molecular history and prognosis. J Mol Med 81, 218–226 (2003). https://doi.org/10.1007/s00109-003-0428-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00109-003-0428-9

Keywords

Navigation