Zusammenfassung
Die Endokrinologie des Fettgewebes ist ein spannendes Forschungsgebiet, in dem zukünftig bahnbrechende Befunde erwartet werden. Vor allem seit der Entdeckung des von Adipozyten produzierten Hormons Leptin hat sich die Vorstellung von der Funktion des Fettgewebes radikal geändert. In vorliegender Übersichtsarbeit wird das aktuelle Wissen über die Bildung des Fettgewebes während der Embryonalphase und seine weitere Entwicklung im Kindes- und Jugendalter unter Berücksichtigung anthropometrischer, morphologischer und molekularbiologischer Daten zusammengefasst. Sowohl klassische Aufgaben des Fettgewebes wie Speicherung und Mobilisierung von Energie als auch seine erst kürzlich entdeckte Funktion als endokrines Organ werden im Detail erläutert. Als weiterer Schwerpunkt wird die Bedeutung der Sekretionsprodukte des Fettgewebes für die Entstehung der mit Adipositas assoziierten Komorbiditäten diskutiert.
Abstract
Endocrinology of adipose tissue has become an exciting research field in which revolutionary new findings can be expected. Especially since the discovery of the adipocyte-derived hormone leptin, the traditional view of adipose tissue has rapidly changed. This review summarizes current knowledge about adipose tissue formation during the embryonal phase and its further development in childhood and adolescence. Classical functions of adipose tissue, e.g., storage and mobilization of energy, and its recently discovered function as an endocrine organ will be explained. In addition, the involvement of adipocyte-derived factors in the development of obesity-associated comorbidities will be discussed in detail.
Literatur
Ahima RS (2006) Adipose tissue as an endocrine organ. Obesity (Silver Spring) 14 (Suppl 5): 242S–249S
Ailhaud G, Hauner H (2004) Development of white adipose tissue. In: Bray GA, Bouchard C (eds) Handbook of obesity. Dekker, New York, pp 481–514
Alessi MC, Morange P, Juhan-Vague I (2000) Fat cell function and fibrinolysis. Horm Metab Res 32: 504–508
Arner P, Eckel RH (1997) Adipose tissue as a storage organ. In: Bray, GA, Bouchard C (eds) Handbook of obesity. Dekker, New York
Braunstein GD (1999) Aromatase and gynecomastia. Endocr Relat Cancer 6: 315–324
Fischer-Posovszky P, Debatin KM, Wabitsch M (2002) Lipodystrophies. Klin Padiatr 214: 99–103
Fischer-Posovszky P, Tornqvist H, Debatin KM et al. (2004) Inhibition of death-receptor mediated apoptosis in human adipocytes by the insulin-like growth factor I (IGF-I)/IGF-I receptor autocrine circuit. Endocrinology 145: 1849–1859
Fischer-Posovszky P, Wabitsch M, Hochberg Z (2007) Endocrinology of adipose tissue – an update. Horm Metab Res 39: 314–321
Fischer P, Moller P, Bindl L et al. (2002) Induction of adipocyte differentiation by a thiazolidinedione in cultured, subepidermal, fibroblast-like cells of an infant with congenital generalized lipodystrophy. J Clin Endocrinol Metab 87: 2384–2390
Graham TE, Yang Q, Bluher M et al. (2006) Retinol-binding protein 4 and insulin resistance in lean, obese, and diabetic subjects. N Engl J Med 354: 2552–2563
Gregoire FM, Smas CM, Sul HS (1998) Understanding adipocyte differentiation. Physiol Rev 78: 783–809
Hauner H (1992) Physiology of the fat cell, with emphasis on the role of growth hormone. Acta Paediatr Suppl 383: 47–51
Hauner H, Wabitsch M (2005) Die endokrine Funktion von Fettzellen. In: Wabitsch M, Kiess W, Hebebrand J, Zwieauer K (Hrsg) Adipositas im Kindes- und Jugendalter – Grundlagen und Klinik. Springer, Berlin Heidelberg New York Tokyo, S 147–156
Havel J (2003) Energy-dispersive x-ray fluorescence spectrometry – a forensic chemistry method for determination of shooting distance. Soud Lek 48: 57–60
Mclaren DS (1987) A fresh look at some peripheral growth and nutritional standards. World Rev Nutr Diet 49: 87–120
Rosen ED, Spiegelman BM (2000) Molecular regulation of adipogenesis. Annu Rev Cell Dev Biol 16: 145–171
Spiegelman BM, Flier JS (2001) Obesity and the regulation of energy balance. Cell 104: 531–543
Stratz W (1902) Der Körper des Kindes. Emke, Stuttgart
Wabitsch M (2000) The acquisition of obesity: insights from cellular and genetic research. Proc Nutr Soc 59: 325–330
Wabitsch M, Blum WF, Muche R et al. (1996) Insulin-like growth factors and their binding proteins before and after weight loss and their associations with hormonal and metabolic parameters in obese adolescent girls. Int J Obes Relat Metab Disord 20: 1073–1080
Wabitsch M, Brenner RE, Melzner I et al. (2001) Characterization of a human preadipocyte cell strain with high capacity for adipose differentiation. Int J Obes Relat Metab Disord 25: 8–15
Wabitsch M, Fischer-Posovszky P, Debatin KM (2003) Human adipocytes – differentiation and apoptosis. Progress in Obesity Research 9. In: Medeiros-Neto, Halpern, Bouchard (eds) Proceedings of the 9th International Congress on Obesity
Wabitsch M, Heinze E, Debatin KM et al. (2000) IGF-I- and IGFBP-3-expression in cultured human preadipocytes and adipocytes. Horm Metab Res 32: 555–559
Walker BR, Andrew R (2006) Tissue production of cortisol by 11beta-hydroxysteroid dehydrogenase type 1 and metabolic disease. Ann NY Acad Sci 1083: 165–184
Wassermann F (1965) The development of adipose tissue. In: Renold AE, Cahill GF (eds) Handbook of physiology. Section 5: Adipose tissue. American Physiological Society, Washington, DC
Who (2000) Report of a WHO consultation; obesity: preventing and managing a global epidemic. WHO Technical Report Series 894
Yang Q, Graham TE, Mody N et al. (2005) Serum retinol binding protein 4 contributes to insulin resistance in obesity and type 2 diabetes. Nature 436: 356–362
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Wabitsch, M., Fischer-Posovszky, P. Grundlagen der Fettgewebsforschung und Adipozytokine. Gynäkologische Endokrinologie 6, 6–13 (2008). https://doi.org/10.1007/s10304-007-0226-5
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DOI: https://doi.org/10.1007/s10304-007-0226-5