Metabolic syndrome, wherein patients have both diabetes mellitus and dyslipidemia, is reaching epidemic proportions due to dietary factors and sedentary lifestyles.1) A major cause of mortality in these patients is atherosclerotic macrovascular diseases, the majority of which result from dyslipidemia associated with insulin-resistant diabetes. Adipose tissues, which were once thought to function primarily as passive depots for storage of excess lipid, are now understood to play crucial roles in metabolic regulation, feeding behavior and secretion of a variety of metabolic hormones.
2,3)Excessive accumulation of adipose cells in obesity contributes to the development of metabolic and cardiovascular diseases, as well as certain cancers. 4,5) Adipocytes accumulate energy in the form of triacylglycerols, which can be hydrolyzed and released as glycerol plus free fatty acids. When energy intake is dominant, excess lipid storage in white adipose tissues can be established through an increase in the size of mature adipocytes and/or recruitment of preadipocytes. This situation may lead not only to obesity but also to related pathophysiological conditions, such as type 2 diabetes mellitus, since adipose tissues are not only insulin-responsive tissues that convert glucose into fat stores, but also endocrine organs participating in energy balance regulation.6,7) Adipogenesis has been extensively studied in vitro using murine preadipocyte lineages and rat white adipocytes. Adipose conversion from such fibroblastic precursors is divided into at least three steps, namely cell commitment, clonal amplification and phenotype expression.
8)The initial step involves the induction of expression of several adipose-specific genes, whereas later events result in the appearance of the functional characteristics of mature adipocytes, such as increased glucose transport capacity, through the expression of insulin-responsive glucose transporters, which represent a key step in lipogenesis, thereby leading to progressive lipid accumulation. As a key factor for controlling the adipose mass in adipocytes, examination of the inhibitory activities of substances on excess lipid storage in white adipocytes represents a rational strategy for preventing obesity.Orengedokuto (OGT), Bofutsushosan (BTS) and Boiogito (BOT) are well-known Japanese, Korean and Chinese traditional herbal medicines used to clinically prevent or improve obesity. BTS has been reported to inhibit atherosclerosis, 9) obesity, 10) hypertension 11) and hyperglycemia. 12) However, Three Kampo medicines, Boiogito (BOT), Bofutsushosan (BTS) and Orengedokuto (OGT), used for obese patients were investigated for their effects on adipogenesis in cultured rat white adipocytes. Administration of the three extracts suppressed adipogenesis in concentration-dependent manners (1-100 m mg/ml) without any cytotoxicity. Changes in mRNA expression levels were analyzed using a Rat 230 2.0 Affymetrix GeneChip® microarray system. DNA microarray analysis (total probe set: 31099) using cDNAs prepared...