Study2017Open access

Intermittent fasting promotes adipose thermogenesis and metabolic homeostasis via VEGF-mediated alternative activation of macrophage

Kim KH, Kim YH, Son JE, Lee JH, Kim S, Choe MS, Moon JH, Zhong J, Fu K, Lenglin F, Yoo JA, Bilan PJ, Klip A, Nagy A, Kim JR, Park JG, Hussein SM, Doh KO, Hui CC, Sung HK

Cell research · 190 citations

How it was studied

Design
Animal study (classified by our AI screen)
Studied in
People, plus animal or lab work
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
Nonprofit
Canadian Diabetes Association
Government
National Research Foundation
Government
National Research Foundation of Korea
University or hospital
Hospital for Sick Children
Government
Canadian Institutes of Health Research
Government
Natural Sciences and Engineering Research Council of Canada
University or hospital
Banting and Best Diabetes Centre, University of Toronto
Grants
National Research Foundation (2015R1A5A2009124); National Research Foundation of Korea (2015R1A5A2 009124)

Based on 7 listed funder(s) and full-text disclosure statement.

Publication

Published
2017-10-17 · Cell Res · vol. 27 · issue 11 · pp. 1309–1326
Publisher
Springer Nature
Cited
223 citations · more than 99% of similar papers · 8.7× the field average
Impact
Top 10% most cited in its field
References
73 works
Access
Open access (hybrid journal) · CC-BY
Research areas
Dietary Effects on Health · Adipose Tissue and Metabolism · Circadian rhythm and melatonin
Keywords
Adipose tissue, Thermogenesis, Endocrinology, Internal medicine, Biology, White adipose tissue, FGF21, Homeostasis, Metabolic syndrome, Brown adipose tissue, Obesity, Medicine, Fibroblast growth factor, Receptor
MeSH
macrophages, animals, humans, mice, obesity, vascular endothelial growth factor a, diet, fasting, macrophage activation, thermogenesis, homeostasis, male, adipose tissue, white, transcriptome

20 authors

From CA, KR, US

  • Kyoung-Han KimUniversity of Ottawa; Hospital for Sick Children
  • Yun Hye KimHospital for Sick Children
  • Joe Eun SonHospital for Sick Children
  • Ju Hee LeeUniversity of Toronto; Hospital for Sick Children
  • Sarah KimHospital for Sick Children
  • Min Seon ChoeHospital for Sick Children

Abstract

Intermittent fasting (IF), a periodic energy restriction, has been shown to provide health benefits equivalent to prolonged fasting or caloric restriction. However, our understanding of the underlying mechanisms of IF-mediated metabolic benefits is limited. Here we show that isocaloric IF improves metabolic homeostasis against diet-induced obesity and metabolic dysfunction primarily through adipose thermogenesis in mice. IF-induced metabolic benefits require fasting-mediated increases of vascular endothelial growth factor (VEGF) expression in white adipose tissue (WAT). Furthermore, periodic adipose-VEGF overexpression could recapitulate the metabolic improvement of IF in non-fasted animals. Importantly, fasting and adipose-VEGF induce alternative activation of adipose macrophage, which is critical for thermogenesis. Human adipose gene analysis further revealed a positive correlation of adipose VEGF-M2 macrophage-WAT browning axis. The present study uncovers the molecular mechanism of IF-mediated metabolic benefit and suggests that isocaloric IF can be a preventive and therapeutic approach against obesity and metabolic disorders.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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