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Iatrogenic Chronic Hypercortisolism and its implications to the adipose tissue plasticity an analysis of the dynamics of adipose tissue distribution in an experimental model of Cushing's Syndrome

Grant number: 16/25129-4
Support Opportunities:Research Projects - Thematic Grants
Duration: November 01, 2017 - January 31, 2024
Field of knowledge:Biological Sciences - Physiology - Physiology of Organs and Systems
Principal Investigator:Fabio Bessa Lima
Grantee:Fabio Bessa Lima
Host Institution: Instituto de Ciências Biomédicas (ICB). Universidade de São Paulo (USP). São Paulo , SP, Brazil
Pesquisadores principais:
Alice Cristina Rodrigues
Associated researchers:Marilia Cerqueira Leite Seelaender ; Rogério Antônio Laurato Sertié ; Sheila Collins
Associated grant(s):19/12668-2 - EMU (Multi-User Equipment) granted to the process 16/25129-4. name of the equipment: liquid scintillator Tri-Carb 5110TR, AP.EMU
Associated scholarship(s):19/19669-4 - Alterations in adipogenesis and apoptosis in different adipose territories induced by the chronic iatrogenic hypercortisolism, BP.PD
19/06805-7 - Study of changes in endocrine capacities in different anatomical adipose tissues induced by chronic iatrogenic hypercortisolism, BP.IC
18/11145-3 - Study of alterations in thermogenic capacity and regulation of browning / whitening in adipose territories of different anatomical locations induced by chronic iatrogenic hypercortisolism, BP.DR
18/16856-5 - Study of alterations in lipolytic response and glyceroneogenesis in adipose territories of different anatomical locations induced by chronic iatrogenic hypercortisolism, BP.DD
18/07241-7 - microRNAs participation in adipose tissue plasticity induced by iatrogenic chronic hypercortisolism, BP.PD


The Cushing's Syndrome encompasses a set of malaises characterized by an excessive and chronic (endogenous or iatrogenic) exposition to glucocorticoids that leads to a disruption of the circadian rhythm the hypothalamic-hypophyseal-adrenal axis. Clinically, in humans, the picture is manifested by a body fat redistribution with increase in the central (truncal) part of the body and reduction in the limbs. In parallel, patients develop signs of metabolic syndrome such as: insulin resistance (that can lead to Type 2 Diabetes Mellitus), Dyslipidemia, higher susceptibility to systemic Arterial Hypertension, and other signals and symptoms, like Abdominal Stria, Muscular Atrophy, Osteopenia, and exacerbated protein catabolism. The reproduction of this syndrome in rodents brings some technical difficulties, particularly relating to its clinical characterization, which has some differences of that seen in humans. Anyway, in recent study of our group, we tried a model of iatrogenic glucocorticoid prolonged and constant infusion (throughout a 4-week period) by means of an osmotic minipump in rats and we obtained a metabolic picture in which there was a more centripetal distribution of fat together with insulin resistance, glucose intolerance, and Bilateral Adrenal Hypotrophy characteristic of hypothalamic-pituitary-adrenal axis disruption. Using this model, we aim to assess the mechanisms that govern with the pattern of adipose tissue distribution in the body and how glucocorticoids interfere and modify it. More specifically, our objective is to investigate how glucocorticoids alter the profile of adipocyte biological responses (including lipolytic and lipogenic capacities and glyceroneogenesis), the adipose cell turnover (adipogenesis and apoptosis) and the distribution and function of white, brown and beige fats (through the evaluation of the thermogenic responsiveness and mitochondrial biogenesis) in distinct body fat regions (inguinal and interescapular subcutaneous, and epididymal, mesenteric and retroperitoneal visceral fats). For all these analyses, in vivo and in vitro approaches will be employed as well as molecular studies (protein [western blotting] and mRNAs [RT-PCT] and microRNAs [miR] expression). Details about all the aspects above mentioned are included in the body of the project. We consider that this model of iatrogenic induction of the Cushing's syndrome is an interesting and ideal approach to understand how the changes in the adipose tissue plasticity dynamics take place and which underlying mechanisms influence on its regulation. We believe that the knowledge that will emerge from this study can contribute to improve the strategies to deal with obesity and lipodystrophy. (AU)

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Scientific publications
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
SILVA, FLAVIANE DE FATIMA; KOMINO, AYUMI CRISTINA MEDEIROS; ANDREOTTI, SANDRA; REIS, GABRIELA BOLTES; LIMA, FABIO BESSA. Fat Redistribution in an Experimental Model of Hypercortisolism in Rats. FASEB JOURNAL, v. 32, n. 1, p. 2-pg., . (16/25129-4)
FIGUEIRA DA COSTA, TATIENNE NEDER; ANDREOTTI, SANDRA; DE FARIAS, TALITA DA SILVA MENDES; LIMA, FABIO BESSA; BARGI-SOUZA, PAULA. The Influence of Melatonin on the Daily 24-h Rhythm of Putative Reference Gene Expression in White Adipose Tissues. JOURNAL OF BIOLOGICAL RHYTHMS, v. 35, n. 6, . (16/25129-4, 16/24941-7, 14/25888-7)
SILVA, FLAVIANE DE FATIMA; MEDEIROS KOMINO, AYUMI CRISTINA; ANDREOTTI, SANDRA; REIS, GABRIELA BOLTES; CAMINHOTTO, RENNAN OLIVEIRA; LANDGRAF, RICHARDT GAMA; DE SOUZA, GABRIEL OREFICE; LAURATO SERTIE, ROGERIO ANTONIO; COLLINS, SHEILA; DONATO, JOSE, JR.; et al. Dexamethasone-Induced Adipose Tissue Redistribution and Metabolic Changes: Is Gene Expression the Main Factor? An Animal Model of Chronic Hypercortisolism. BIOMEDICINES, v. 10, n. 9, p. 23-pg., . (18/16856-5, 16/25129-4, 18/11145-3)

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