Skip to main content
Journal of Diabetes Research logoLink to Journal of Diabetes Research
. 2015 Dec 31;2016:1587594. doi: 10.1155/2016/1587594

Free Fatty Acids Activate Renin-Angiotensin System in 3T3-L1 Adipocytes through Nuclear Factor-kappa B Pathway

Jia Sun 1, Jinhua Luo 2, Yuting Ruan 1, Liangchang Xiu 3, Bimei Fang 4, Hua Zhang 1, Ming Wang 5,*, Hong Chen 1,*
PMCID: PMC4736205  PMID: 26881238

Abstract

The activity of a local renin-angiotensin system (RAS) in the adipose tissue is closely associated with obesity-related diseases. However, the mechanism of RAS activation in adipose tissue is still unknown. In the current study, we found that palmitic acid (PA), one kind of free fatty acid, induced the activity of RAS in 3T3-L1 adipocytes. In the presence of fetuin A (Fet A), PA upregulated the expression of angiotensinogen (AGT) and angiotensin type 1 receptor (AT1R) and stimulated the secretion of angiotensin II (ANG II) in 3T3-L1 adipocytes. Moreover, the activation of RAS in 3T3-L1 adipocytes was blocked when we blocked Toll-like receptor 4 (TLR4) signaling pathway using TAK242 or NF-κB signaling pathway using BAY117082. Together, our results have identified critical molecular mechanisms linking PA/TLR4/NF-κB signaling pathway to the activity of the local renin-angiotensin system in adipose tissue.

1. Introduction

Activation of the renin-angiotensin system (RAS) is instrumental in regulating blood pressure and fluid balance. RAS activation is also associated with impaired differentiation of preadipocytes [1] and increased lipolysis and enhanced oxidative stress and inflammatory response [28]. Defects in the system are associated with obesity, type 2 diabetes, and cardiovascular diseases. RAS are found in a number of tissues, including kidneys, heart, and nervous and immune systems. Components of RAS, including renin, angiotensinogen (AGT), angiotensin-converting enzyme (ACE), and angiotensins I, II, and III (ANG I, ANG II, and ANG III), have also been found in adipose tissue [9, 10]. It is well established that free fatty acids (FFAs) are activators of RAS in leukocytes [11, 12]. However, whether FFAs play a role in the activation of RAS in adipocytes is unclear. It has been shown that the levels of FFAs originating from lipolysis in adipocytes are significantly increased in peripheral circulation as well as local tissues in obese humans and animals [13, 14]. It has been hypothesized that RAS could regulate adipocyte differentiation through Ang II and the adipocyte AT1R in mice [15]. Therefore, FFAs may directly regulate RAS activation in adipose tissue which might be a trigging mechanism of glucose and lipid metabolism disorder and obesity-related diseases. FFA components such as palmitic acid (PA) and lauric acid can bind to Toll-like receptor 4 (TLR4) with the assistance of the endogenous ligand, fetuin A (Fet A), thus mediating the activation of TLR4 and NF-κB pathways and leading to the inflammatory cascade [14]. TLR4 is a member of the family of Toll-like receptors (TLRs), which can activate mitogen-activated protein kinase and nuclear factor κB (NF-κB) to regulate inflammatory and immune responses after binding to ligands [16]. Moreover, a recent study has demonstrated that active TLR4 can induce the activation of RAS in hepatocytes [17] and cardiac muscle cells [18]. Therefore, we hypothesize that palmitic acid (PA) triggers the TLR4 signaling pathway, leading to RAS activation in adipocytes.

2. Material and Methods

2.1. Reagents

We purchased 3T3-L1 preadipocyte line from ATCC (CL-173); Dulbecco's Modified Eagle Medium (DMEM) with 25 mM D-glucose from HyClone (USA); Dexamethasone (DXM), Isobutylmethylxanthine (IBMX), 4% paraformaldehyde, Oil Red O, Irbesartan, and Captopril from Sigma (Sigma-Aldrich, St. Louis, USA); dimethyl sulfoxide (DMSO) from Invitrogen (USA); Ang II Enzyme-linked immunosorbent assay kit from Cusabio (Wuhan, China); Anti-TLR4 antibody from Abnova (Taiwan, China); anti-AGT antibody from Merck (Merck Millipore, Darmstadt, Germany); anti-AT1R antibody and anti-GAPDH antibody from Santa Cruz (CA, USA); Anti-α-tubulin antibody from Cell Signaling Technology (Beverly, MA, USA); and horseradish peroxidase-linked goat-anti-rabbit antibody from KPL (Gaithersburg, MD, USA).

2.2. Cell Culture, Differentiation, and Identification

3T3-L1 preadipocytes were subcultured with 25 mM D-glucose DMEM. Two days after confluence, the cells were differentiated to adipocytes using the same medium containing 10% fetal bovine serum (FBS, HyClone), supplemented with 10 μg/mL insulin, 1 μM DXM, and 0.5 mM IBMX. This medium was replaced with a fresh medium containing insulin 48 hours later, after which the medium was replaced every other day. Approximately 90%–95% of cells differentiated into mature adipocytes on days 8–10 of culture, which were used in the experiments. After the 3T3-L1 preadipocytes were completely differentiated, 4% paraformaldehyde was added to the culture dish and maintained for 10 min, stained with Oil Red O staining for 30 min, followed by stain extraction and observation using a microscope.

2.3. Preparation of Palmitic Acid

Palmitic acid (PA) and bovine serum albumin (BSA) were purchased from Sigma (Sigma-Aldrich, St. Louis, USA). PA were dissolved completely in 0.1 M NaOH at 70°C and then complexed with 9.5 mL 10% BSA at 55°C for 10 min such that a final PA concentration of 5 mM was achieved. Stock solutions were stored at 4°C after filtration or diluted with DMEM to one-tenth (500 μM PA) or one-twentieth (250 μM PA) that were prepared fresh before experiments.

2.4. Enzyme-Linked Immunosorbent Assay

3T3-L1 adipocytes were treated, respectively, with DMEM, DMEM + 0.1% BSA, DMEM + 0.1% BSA + 10 μg/mL Fet A, or DMEM + 0.1% BSA + 500 μM PA for 3 hours or treated in 500 μM PA + Fet A condition for 1, 3, or 5 hours. In other experiments, 3T3-L1 adipocytes were treated with 250 μM PA + 10 μg/mL Fet A or 500 μM PA + 10 μg/mL Fet A in the same vehicle, containing DMEM and 0.1% BSA, for 3 hours. The supernatants were collected and the concentrations of ANG II were determined by double antibody sandwich method, using Ang II Enzyme-linked immunosorbent assay kit. The OD values were measured by a microplate reader, and then ANG II concentration was calculated.

2.5. Quantitative RT-PCR

Amplification and detection of RNA were performed in an ABI Prism 7300 Sequence Detection System using SYBR Green (Applied Biosystems, Foster City, CA, USA), according to the manufacturer's instructions. Primers for quantitative RT-PCR were designed based on sequences from the GenBank, as follows. The relative mRNA expression level was calculated using the comparative expression level 2−ΔΔCT method:

TLR4: F: 5′-GCATCATCTTCATTGTCCTTGA-3′,

R: 5′-CTTGTTCTTCCTCTGCTGTTTG-3′;

AGT: F: 5′-CCTTCCATCTCCTTTACCACAA-3′,

R: 5′-GCAGGGTCTTCTCATTCACAG-3′;

AT1R: F: 5′-TGCCATGCCCATAACCATCTG-3′,

R: 5′-CGTGCTCATTTTCGTAGACAGG-3′;

GAPDH: F: 5′-GGAAGCCCATCACCATCTT-3′,

R: 5′-GGTTCACACCCATCACAAACAT- 3′.

2.6. Western Blotting Analysis

Protein extract was separated on a 15% SDS-polyacrylamide gel and electrophoretically transferred onto a PDVF membrane (Millipore, Etten-Leur, The Netherlands). Membranes were blocked overnight with 5% nonfat dried milk and incubated for 2 h after washing with TBST (10 mM Tris, pH 8.0, 150 mM NaCl, and 0.1% Tween 20), and the membranes were incubated for 1 h with horseradish peroxidase-linked goat-anti-rabbit antibody. The membranes were washed again with TBST, and the proteins were visualized using ECL chemiluminescence.

2.7. Immunofluorescence Double Staining

3T3-L1 adipocytes were treated with 500 μM PA after pretreatment with two kinds of RAS blocking agents, respectively; one is an angiotensin receptor blocking agent (ARB), Irbesartan, with 10 μM concentration; the other is an inhibitor of ACE (ACEI), Captopril, with 10 μM concentration. Cells were then fixed by paraformaldehyde after the supernatant was removed. FITC + DAPI double staining method was used to detect nuclear translocation of the p65 subunit of NF-κB.

2.8. Statistical Analysis

All statistical analyses were performed using SPSS version 16.0 software. Results were presented as means ± SD. Student's t-test was used to compare the means between two samples and statistical comparisons of more than two groups were performed using one-way analysis of variance (ANOVA); post hoc tests were performed using LSD test or Tamhane's T2 test. P values < 0.05 were considered statistically significant.

3. Results

3.1. Combined Fet A and PA Upregulated the Expressions of AGT, AT1R, and TLR4 and Stimulated the Secretion of ANG II in 3T3-L1 Adipocytes

To investigate whether the involvement of Fet A has an effect on the components of RAS induced by PA in adipocytes, we conducted the following experiments. 3T3-L1 adipocytes were treated with DMEM, DMEM + 0.1% BSA, DMEM + 0.1% BSA + 10 μg/mL Fet A, or DMEM + 0.1% BSA + 500 μM PA for 3 hours, respectively. We found that there were no significant differences in mRNA expressions of AGT, AT1R and secretion of ANG II between groups. In particular, treatment group of PA or Fet A alone has no significant effect in mRNA expressions of RAS components (P > 0.05) (data not shown). In contrast, when 3T3-L1 adipocytes were treated with DMEM + 0.1% BSA + 250 μM PA + 10 μg/mL Fet A or DMEM + 0.1% BSA + 500 μM PA + 10 μg/mL Fet A for 3 hours, PA increased the mRNA expressions of TLR4, AGT, and AT1R (Figure 1) and the secretion of ANG II (Figure 2). We also test the optimal Fet A and PA treatment time for the secretion of ANG II. We found that the optimal time was 3 hours and time longer than 3 hours caused unspecific effect (Figure 3).

Figure 1.

Figure 1

mRNA expression of TLR4, AGT, and AT1R in 3T3-L1 adipocytes induced by PA. Data are presented as mean ± SD. (A) P < 0.05 versus control, (B) P < 0.05 versus 500 μM PA (x-±s, n = 9).

Figure 2.

Figure 2

Concentrations of ANG II secreted by 3T3-L1 adipocytes after being treated by different concentrations of PA. Data are presented as mean ± SD. (A) P < 0.05 versus control, (B) P < 0.05 versus 500 μM PA (x-±s, n = 6).

Figure 3.

Figure 3

Concentrations of ANG II secreted by 3T3-L1 adipocytes after being treated with PA + Fet A at different time. Data are presented as mean ± SD. (A) P < 0.05 versus control, (B) P < 0.05 versus 3 h (x-±s, n = 6).

3.2. Combination of Fet A + PA Totally Lost the Effect on the Expressions of AGT and AT1R in the 3T3-L1 Adipocytes When Blocking TLR4 Beforehand

To investigate whether TLR4 is the medium of PA affecting RAS component expression, we pretreated 3T3-L1 adipocytes with 5 μM TLR4 inhibitor-TAK242 for 1 hour and then treated with DMEM + 0.1% BSA or DMEM + 0.1% BSA + 500 μM PA + 10 μg/mL Fet for 3 hours, respectively. Compared with the Fet A + PA alone group, TLR4 inhibitor-TAK242 completely blocked the expressions of AGT and AT1R in the mRNA level (Figure 4) and protein level (Figure 6).

Figure 4.

Figure 4

TAK242 pretreatment prevented upregulation of AGT and AT1R mRNA expressions. Data are presented as mean ± SD. (A) P < 0.05 versus control, (B) P < 0.05 versus PA group, and (C) P > 0.05 versus control (x-±s, n = 9).

Figure 6.

Figure 6

Effects of PA with or without TLR4/NF-κB inhibitors on AGT and AT1R protein expression in the 3T3-L1 adipocytes. Data are presented as mean ± SD. (A) P < 0.05 versus control, (B) P < 0.05 versus 500 μM PA, and (C) P > 0.05 versus control (x-±s, n = 3).

3.3. Combination of Fet A + PA Only Partly Lost the Effect on Expressions of AGT and AT1R in the 3T3-L1 Adipocytes When Blocking NF-κB Beforehand

To investigate whether NF-κB is the medium of PA affecting the expression of RAS components, we pretreated 3T3-L1 adipocytes with 1 μM NF-κB inhibitor-BAY117082 for 1 hour and then treated with DMEM + 0.1% BSA or DMEM + 0.1% BSA + 500 μM PA + 10 μg/mL Fet for 3 hours, respectively. Compared with the Fet A + PA alone group, NF-κB inhibitor-BAY117082 only partly blocked the expressions of AGT and AT1R in the mRNA level (Figure 5) and protein level (Figure 6).

Figure 5.

Figure 5

BAY117082 pretreatment partly prevented upregulation of AGT and AT1R mRNA expressions. Data are presented as mean ± SD. (A) P < 0.05 versus control, (B) P < 0.05 versus PA group, and (C) P > 0.05 versus control (x-±s, n = 9).

3.4. Combination of Fet A + PA Enabled the Translocation of p65 Subunit of NF-κB to the Nucleus in the 3T3-L1 Adipocytes, and the Effect Was Blocked by RAS Inhibitors

3T3-L1 adipocytes were treated with DMEM + 0.1% BSA (group 1) or DMEM + 0.1% BSA + 500 μM PA + 10 μg/mL Fet A (group 2) for 3 hours or pretreated with DMEM + 10 μM Irbesartan for 1 hour followed by DMEM + 0.1% BSA + 500 μM PA + 10 μg/mL Fet A for 3 hours (group 3) or pretreated with DMEM + 10 μM Captopril for 1 hour followed by DMEM + 0.1% BSA + 500 μM PA + 10 μg/mL Fet A (group 4) for 3 hours. The intensity of green fluorescence of FITC in the nucleus of group 2 was stronger, and the cytoplasm of group 2 was weaker than the other 3 groups. The intensity of green fluorescence of FITC in the nucleus and cytoplasm was almost similar in the control (group 1), Irbesartan pretreatment (group 3), and Captopril pretreatment (group 4) groups (Figure 7).

Figure 7.

Figure 7

Effect of PA with or without Irbesartan or Captopril pretreatment on NF-κB p65 subunit translocation in 3T3-L1 adipocytes. DAPI: DAPI staining of nucleus; FITC: FITC staining of NF-κB p65 subunit; Compose: composite images of DAPI and FITC.

In summary, we found that PA upregulated the expressions of AGT and AT1R in both gene and protein level, as well as the gene expression of TLR4 in 3T3-L1 adipocytes. The PA-induced enhancement of AGT resulted in increasing secretion of ANG II, which is believed to be a crucial early step in the development of adipocytes inflammation. Moreover, we found that RAS activation mediated by PA in adipocytes needs to act through TLR4 signaling pathway but not entirely to be dependent on TLR4 downstream NF-κB pathway.

4. Discussion

AGT, the precursor of ANG II, is mainly expressed in adipocytes [19], which is an important component of RAS in adipose tissue. AGT gets converted to ANG II after being catalyzed by the components of RAS-renin and ACE and the increased generation of ANG II responses to upregulation of AGT expression [4]. Therefore, AGT expression is the symbol of local RAS activation [2, 8, 10]. In addition to the elevation of AGT expression, local RAS activation is often accompanied by the increased expression of AT1R, which is the major ANG II receptor expressed in adipocytes, mediating a series of pathophysiological effects [20]. In current study, we show that PA with Fet A, a liver secretory glycoprotein which exists in blood circulation [21], upregulated the expression of AGT and AT1R and the secretion ANG II in 3T3-L1 adipocytes. Our results confirm that the activation of RAS in the adipose tissues is mediated by PA.

Next, we try to identify the signaling pathways of activation of local adipose RAS mediated by PA infusion. We found that PA with Fet A induced TLR4 activation in 3T3-L1 adipocytes. To further confirm PA-mediated activation of the adipose RAS through TLR4 signaling pathways, TLR4 blocker TAK242 was used to block TLR4 signal pathway before addition of PA and Fet A. We found that the TLR4 blocker completely prevented elevating expressions of AGT, ANG II, and AT1R, confirming that activation of adipose RAS depends on the TLR4 signaling pathway.

NF-κB, a nuclear transcription factor [22], also upregulated AGT and AT1R, the RAS components, in rat vascular smooth muscle cells [23] and preglomerular vascular smooth muscle cells [23]. Previous studies also found that Ang II could activate NF-κB and its downstream inflammatory pathways [20]. To examine whether NF-κB is involved in the activation of adipocyte RAS, we tested the expressions of AGT, ANGII, and AT1R in PA with Fet A induced RAS activation after using NF-κB inhibitors. We found that PA with Fet A still caused a marginal increase in the expressions of AGT, ANGII, and AT1R with the pretreatment of NF-κB inhibitors. Together, our results suggest that the activation of adipose RAS completely depends on the TLR4 signaling pathway but only partly depends on NF-κB although NF-κB can be activated by TLR4 signaling pathways.

To further vindicate the PA/TLR4/NF-κB signaling pathway, we examined the effect of PA with Fet A on the nuclear translocation of NF-κB. We found that PA with Fet A stimulated the nuclear translocation of NF-κB P65, resulting in eventually increasing NF-κB activity in 3T3-L1 adipocytes. However, this effect is diminished or partly prevented by ACEI or ARB pretreatment, further indicating that PA-induced activation of adipose RAS is correlated with NF-κB activation.

We present a schematic diagram to explain the pathways of activation of adipose RAS induced by PA/Fed A through TLR4/NF-κB signaling pathway in 3T3-L1 adipocytes (Figure 8). When combining act with Fed A, PA enhances TLR4/NF-κB activity, subsequently upregulating the gene and protein expression of AGT and AT1R in adipocytes. PA-induced enhancement of AGT results in increasing secretion of ANG II, which is a crucial early step in the development of adipocytes inflammation. Moreover, the adipose RAS activation mediated by PA/TLR4 is not entirely dependent on NF-κB.

Figure 8.

Figure 8

Mechanism of RAS activation induced by FFA (PA) in 3T3-L1 adipocytes.

Our findings identify a potential mechanism involved in the pathogenesis of obesity-related diseases.

Acknowledgments

This work was supported by grants to Jia Sun (National Natural Science Foundation of China no. 81300689; the Seedling Projects of Science Foundation of Guangdong Province of China, 2013LYM_0008; the Ministry of Education Foundation of China, 2013443312005) and Ming Wang (National Natural Science Foundation of China, 81403215).

Conflict of Interests

The authors declare that there is no conflict of interests regarding the publication of this paper.

Authors' Contribution

Jia Sun and Jinhua Luo contributed equally to this work and they are co-first authors.

References

  • 1.Tomono Y., Iwai M., Inaba S., Mogi M., Horiuchi M. Blockade of AT1 receptor improves adipocyte differentiation in atherosclerotic and diabetic models. American Journal of Hypertension. 2008;21(2):206–212. doi: 10.1038/ajh.2007.50. [DOI] [PubMed] [Google Scholar]
  • 2.Jing F., Mogi M., Horiuchi M. Role of renin-angiotensin-aldosterone system in adipose tissue dysfunction. Molecular and Cellular Endocrinology. 2013;378(1-2):23–28. doi: 10.1016/j.mce.2012.03.005. [DOI] [PubMed] [Google Scholar]
  • 3.Banks W. A., Willoughby L. M., Thomas D. R., Morley J. E. Insulin resistance syndrome in the elderly: assessment of functional, biochemical, metabolic, and inflammatory status. Diabetes Care. 2007;30(9):2369–2373. doi: 10.2337/dc07-0649. [DOI] [PubMed] [Google Scholar]
  • 4.Putnam K., Shoemaker R., Yiannikouris F., Cassis L. A. The renin-angiotensin system: a target of and contributor to dyslipidemias, altered glucose homeostasis, and hypertension of the metabolic syndrome. American Journal of Physiology—Heart and Circulatory Physiology. 2012;302(6):H1219–H1230. doi: 10.1152/ajpheart.00796.2011. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 5.Suganami T., Tanaka M., Ogawa Y. Adipose tissue inflammation and ectopic lipid accumulation. Endocrine Journal. 2012;59(10):849–857. doi: 10.1507/endocrj.EJ12-0271. [DOI] [PubMed] [Google Scholar]
  • 6.Giacchetti G., Sechi L. A., Griffin C. A., Don B. R., Mantero F., Schambelan M. The tissue renin-angiotensin system in rats with fructose-induced hypertension: overexpression of type 1 angiotensin II receptor in adipose tissue. Journal of Hypertension. 2000;18(6):695–702. doi: 10.1097/00004872-200018060-00006. [DOI] [PubMed] [Google Scholar]
  • 7.Gorzelniak K., Engeli S., Janke J., Luft F. C., Sharma A. M. Hormonal regulation of the human adipose-tissue renin-angiotensin system: relationship to obesity and hypertension. Journal of Hypertension. 2002;20(5):965–973. doi: 10.1097/00004872-200205000-00032. [DOI] [PubMed] [Google Scholar]
  • 8.Hainault I., Nebout G., Turban S., Ardouin B., Ferré P., Quignard-Boulangé A. Adipose tissue-specific increase in angiotensinogen expression and secretion in the obese (fa/fa) Zucker rat. The American Journal of Physiology—Endocrinology and Metabolism. 2002;282(1):E59–E66. doi: 10.1152/ajpendo.2002.282.1.E59. [DOI] [PubMed] [Google Scholar]
  • 9.Kalupahana N. S., Massiera F., Quignard-Boulange A., et al. Overproduction of angiotensinogen from adipose tissue induces adipose inflammation, glucose intolerance, and insulin resistance. Obesity. 2012;20(1):48–56. doi: 10.1038/oby.2011.299. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 10.Kalupahana N. S., Moustaid-Moussa N. The adipose tissue renin-angiotensin system and metabolic disorders: a review of molecular mechanisms. Critical Reviews in Biochemistry and Molecular Biology. 2012;47(4):379–390. doi: 10.3109/10409238.2012.694843. [DOI] [PubMed] [Google Scholar]
  • 11.Azekoshi Y., Yasu T., Watanabe S., et al. Free fatty acid causes leukocyte activation and resultant endothelial dysfunction through enhanced angiotensin II production in mononuclear and polymorphonuclear cells. Hypertension. 2010;56(1):136–142. doi: 10.1161/HYPERTENSIONAHA.110.153056. [DOI] [PubMed] [Google Scholar]
  • 12.Watanabe S., Tagawa T., Yamakawa K., Shimabukuro M., Ueda S. Inhibition of the renin-angiotensin system prevents free fatty acid-induced acute endothelial dysfunction in humans. Arteriosclerosis, Thrombosis, and Vascular Biology. 2005;25(11):2376–2380. doi: 10.1161/01.atv.0000187465.55507.85. [DOI] [PubMed] [Google Scholar]
  • 13.Boden G. Free fatty acids (FFA), a link between obesity and insulin resistance. Frontiers in Bioscience. 1998;3:d169–d175. doi: 10.2741/a272. [DOI] [PubMed] [Google Scholar]
  • 14.Pal D., Dasgupta S., Kundu R., et al. Fetuin-A acts as an endogenous ligand of TLR4 to promote lipid-induced insulin resistance. Nature Medicine. 2012;18(8):1279–1285. doi: 10.1038/nm.2851. [DOI] [PubMed] [Google Scholar]
  • 15.Putnam K., Batifoulier F., Bharadwaj K. G., et al. RAS regulate adipocyte differentiation through Ang II and the adipocyte AT1R in mice. Endocrinology. 2012;153(10):4677–4686. doi: 10.1210/en.2012-1352. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 16.Shi H., Kokoeva M. V., Inouye K., Tzameli I., Yin H., Flier J. S. TLR4 links innate immunity and fatty acid-induced insulin resistance. The Journal of Clinical Investigation. 2006;116(11):3015–3025. doi: 10.1172/jci28898. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 17.Shirai Y., Yoshiji H., Noguchi R., et al. Cross talk between toll-like receptor-4 signaling and angiotensin-II in liver fibrosis development in the rat model of non-alcoholic steatohepatitis. Journal of Gastroenterology and Hepatology. 2013;28(4):723–730. doi: 10.1111/jgh.12112. [DOI] [PubMed] [Google Scholar]
  • 18.Hua J., Peng Q., Wang H. Y. Effect of activating toll like receptor 4 on AGT and AT1R in myocardiocytes. Chinese Journal of Hypertension. 2008;16(4):336–339. [Google Scholar]
  • 19.Serazin V., Dieudonné M.-N., Morot M., De Mazancourt P., Giudicelli Y. cAMP-positive regulation of angiotensinogen gene expression and protein secretion in rat adipose tissue. The American Journal of Physiology—Endocrinology and Metabolism. 2004;286(3):E434–E438. doi: 10.1152/ajpendo.00188.2003. [DOI] [PubMed] [Google Scholar]
  • 20.Skurk T., van Harmelen V., Hauner H. Angiotensin II stimulates the release of interleukin-6 and interleukin-8 from cultured human adipocytes by activation of NF-κB. Arteriosclerosis, Thrombosis, and Vascular Biology. 2004;24(7):1199–1203. doi: 10.1161/01.atv.0000131266.38312.2e. [DOI] [PubMed] [Google Scholar]
  • 21.Jinhua L., Jia S., Dehong C. Effect of activating toll like receptor 4 on renin-angiotensin system in 3T3-L1 adipose cells. Journal of Southern Medical University. 2014;34(6):787–791. [PubMed] [Google Scholar]
  • 22.Baldwin A. S., Jr. The NF-κB and IκB proteins: new discoveries and insights. Annual Review of Immunology. 1996;14(1):649–681. doi: 10.1146/annurev.immunol.14.1.649. [DOI] [PubMed] [Google Scholar]
  • 23.Miyata K., Satou R., Shao W., et al. ROCK/NF-kappaB axis-dependent augmentation of angiotensinogen by angiotensin ii in primary-cultured preglomerular vascular smooth muscle cells. The American Journal of Physiology—Renal Physiology. 2014;306(6):F608–F618. doi: 10.1152/ajprenal.00464.2013. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Journal of Diabetes Research are provided here courtesy of Wiley

RESOURCES