Obesity Doesn't Always Spur Diabetes
Hormone May Help Prevent Diabetes in Some Cases of Extreme Obesity, Lab Tests Show
WebMD News Archive
Aug. 23, 2007 -- Scientists may have found a loophole in the link between
obesity and diabetes.
A new study shows that some extremely obese mice metabolically resemble much
The key is a hormone called adiponectin, according to the researchers, who
included Philipp Scherer, PhD, of the University of Texas Southwestern Medical
Center in Dallas.
Scherer's team studied genetically engineered mice that lacked leptin, a
hormone that helps regulate appetite. Without leptin, the mice binged on chow;
packing on extra weight.
But despite what you might expect, the mice that gained the most weight
actually had the best metabolism and were least likely to develop type 2
"The message isn't that it's good to be obese, but that expanded fat
mass, when stored in the right places, can help prevent diabetes and reduce the
risk of heart disease," Scherer says in a news release.
The findings appear in today's online edition of The Journal of Clinical
Some of the mice also had higher-than-normal levels of the hormone
adiponectin, which controls sensitivity to insulin.
The mice with extra adiponectin gained the most weight. They became morbidly
obese, even though they didn't eat more than mice with normal adiponectin
However, the mice with extra adiponectin were more sensitive to insulin than
the other mice, lowering their odds of developing type 2 diabetes. They also
had better cholesterol and triglyceride levels.
In short, the mice with extra adiponectin were beyond obese, but their
extreme obesity didn't bog down their metabolism.
Why? It may be a chain reaction from extra adiponectin, according to the
Scherer's team took a close look at how the mice stored their fat.
The mice with extra adiponectin added lots of little fat cells to their
fatty tissue. But the mice with normal adiponectin levels expanded the size of
their fat cells.
Creating many small fat cells may be healthier than making bloated fat
cells, the researchers suggest.
Obviously, mice are different from people -- and the mice in this study
weren't normal mice. They were genetically engineered to have their leptin
and adiponectin levels altered.
But the researchers point out that not all extremely obese people have
insulin resistance (a risk factor for type 2 diabetes), and higher levels of
adiponectin often accompany favorable metabolic profiles.
Of course, reams of research show that extra weight makes diabetes and a
host of other health problems more likely. The adiponectin study doesn’t change
Scherer cautions that until scientists figure out how to put the findings to
work in humans, "exercise and reduction of food intake are the best ways to