De Novo and Depot-Specific Androgen Production in Human Adipose Tissue: A Source of Hyperandrogenism in Women with Obesity.


Journal

Obesity facts
ISSN: 1662-4033
Titre abrégé: Obes Facts
Pays: Switzerland
ID NLM: 101469429

Informations de publication

Date de publication:
2022
Historique:
received: 31 08 2021
accepted: 15 12 2021
pubmed: 5 1 2022
medline: 6 5 2022
entrez: 4 1 2022
Statut: ppublish

Résumé

Obesity in women is often associated with hyperandrogenism, but the role of adipose tissue (AT) in androgen synthesis remains unclear. Therefore, we studied whether AT could be a source of androgens promoting hyperandrogenism. Subcutaneous and visceral (visc) AT was collected from lean and obese women. Androgen levels were evaluated in serum, AT, and cell-culture supernatant. Gene and protein expression of steroidogenic enzymes were determined. Obese subjects had elevated serum androgen levels, which reduced after weight loss. Androgens were measurable in AT and in cell-culture supernatants of adipocytes. Steroids were higher in AT from obese women, with the highest difference for testosterone in visc AT (+7.9-fold, p = 0.032). Steroidogenic enzymes were expressed in human AT with depot-specific differences. Obese women showed a significantly higher expression of genes of the backdoor pathway and of CYP19 in visc AT. The whole steroidogenic machinery of the classical and backdoor pathways of steroidogenesis, and the capacity for androgen biosynthesis, were found in both AT depots and cultured adipocytes. Therefore, we hypothesize that AT is a de novo site of androgen production and the backdoor pathway of steroidogenesis might be a new pathomechanism for hyperandrogenism in women with obesity.

Identifiants

pubmed: 34983051
pii: 000521571
doi: 10.1159/000521571
pmc: PMC9021649
doi:

Substances chimiques

Androgens 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

281-291

Informations de copyright

© 2022 The Author(s). Published by S. Karger AG, Basel.

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Auteurs

Isabel Viola Wagner (IV)

Pediatric Endocrinology Unit, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Department of Pediatrics, Medical Faculty, University of Cologne, Cologne, Germany.
Department of Pediatrics, Medical Faculty, UKSH, University of Lübeck, Lübeck, Germany.

Iuliia Savchuk (I)

Pediatric Endocrinology Unit, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.

Lena Sahlin (L)

Childhood Cancer Research Unit, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.

Alexandra Kulle (A)

Hormone Center for Pediatric Endocrinology Lab, University Hospital Kiel, Kiel, Germany.

Nora Klöting (N)

Department of Medicine and Department of Surgery, Integrated Research and Treatment Center (IFB Adiposity Diseases), University of Leipzig, Leipzig, Germany.
Helmholtz Institute for Metabolic, Obesity and Vascular Research (HI-MAG) of the Helmholtz Zentrum Muenchen at the University of Leipzig, Leipzig, Germany.

Arne Dietrich (A)

Department of Medicine and Department of Surgery, Integrated Research and Treatment Center (IFB Adiposity Diseases), University of Leipzig, Leipzig, Germany.

Paul-Martin Holterhus (PM)

Hormone Center for Pediatric Endocrinology Lab, University Hospital Kiel, Kiel, Germany.

Jörg Dötsch (J)

Department of Pediatrics, Medical Faculty, University of Cologne, Cologne, Germany.

Matthias Blüher (M)

Department of Medicine and Department of Surgery, Integrated Research and Treatment Center (IFB Adiposity Diseases), University of Leipzig, Leipzig, Germany.

Olle Söder (O)

Pediatric Endocrinology Unit, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.

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