2001
DOI: 10.2337/diabetes.50.6.1378
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The HIV Protease Inhibitor Indinavir Impairs Sterol Regulatory Element-Binding Protein-1 Intranuclear Localization, Inhibits Preadipocyte Differentiation, and Induces Insulin Resistance

Abstract: Protease inhibitors used in the treatment of HIV infection have been causally associated with lipodystrophy and insulin resistance and were shown to alter adipocyte differentiation in cultured cells. We aimed to delineate the mechanism by which indinavir impaired adipocyte function. We report that indinavir altered neither the growth nor insulin sensitivity of 3T3-F442A preadipocytes, nor did it alter the initial step of their differentiation, i.e., clonal proliferation. However, adipose conversion was inhibit… Show more

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Cited by 297 publications
(255 citation statements)
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“…4,5,8,11 The increased amount of prelamin A in adipose tissue samples from lipodystrophic patients bearing LMNA mutations or treated with PIs indicates that prelamin A accumulation is occuring in vivo. Moreover, lipodystrophy itself could result from defective prelamin A processing, as sterol-regulatory element-binding protein-1, which contributes to adipogenesis, is sequestrated at the nuclear rim in cells with other LMNA mutations 7 and in preadipocytes chronically treated with PIs, 21 thereby impairing adipocyte differentiation. However, the role of lamin A in adipocyte differentiation is unclear.…”
Section: Discussionmentioning
confidence: 99%
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“…4,5,8,11 The increased amount of prelamin A in adipose tissue samples from lipodystrophic patients bearing LMNA mutations or treated with PIs indicates that prelamin A accumulation is occuring in vivo. Moreover, lipodystrophy itself could result from defective prelamin A processing, as sterol-regulatory element-binding protein-1, which contributes to adipogenesis, is sequestrated at the nuclear rim in cells with other LMNA mutations 7 and in preadipocytes chronically treated with PIs, 21 thereby impairing adipocyte differentiation. However, the role of lamin A in adipocyte differentiation is unclear.…”
Section: Discussionmentioning
confidence: 99%
“…Cell extracts prepared as described previously 21 were subjected to SDS-PAGE, blotted onto nitrocellulose membranes and probed with antibodies against lamin A/C (MAB-3211) or prelamin A (SC-6214, specific for prelamin A, and SC-7292, that recognizes both lamin A/C and prelamin A 31 ). Antibodies against p16 INK4a Cell apoptosis.…”
Section: Methodsmentioning
confidence: 99%
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“…9 Abnormally high SREBP-1 protein levels have been reported in adipose tissue from HALS patients in regimes containing protease inhibitors despite that SREBP1 mRNA levels were low. 14 Studies in adipocyte cell culture systems indicated an impairment in the translocation of SREBP-1 protein to the nucleus, 15 and it has been proposed that the accumulation of SREBP-1 protein in HALS patients results in fact from the accumulation of an inactive form of the protein thus explaining lipoatrophy and impaired adipogenesis. 14 However, transgenic mice overexpressing SREBP-1c show lipoatrophy, and there is no evidence that in these mice SREBP-1c accumulates in an inactive form.…”
Section: Introduction: Overview Of Adipose Tissue Disturbances In Hivmentioning
confidence: 99%
“…These include induction of adipocyte apoptosis [9], interference with terminal adipocyte differentiation [9,10,11], direct inhibition of the insulin-responsive glucose transporter GLUT4 [12,13,14] and interference with intracellular insulin signals leading to the deregulation of glucose and lipid metabolism [15]. None of these cellular mechanisms is necessarily mutually exclusive of the others [16,17].…”
Section: Introductionmentioning
confidence: 99%