Newly discovered hormone with potential treatment for obesity, type 2 diabetes, liver disease

November 17, 2014

ANN ARBOR -- Researchers at the University of Michigan have discovered how a previously unknown hormone serves as a messenger from fat cells to the liver and are investigating the potential of developing a new treatment for metabolic disorders.

Jiandie Lin of the Life Sciences Institute described how in mice the hormone, NRG4, is secreted by so-called brown fat cells and communicates with the liver to regulate the conversion of sugar into fat. Mice without NRG4 became obese and developed hallmarks of type 2 diabetes and fatty liver disease. When scientists genetically elevated NRG4 levels in these mice, however, the animals were protected from these metabolic disorders when fed a high-calorie, high-fat diet. The research was published today in Nature Medicine.

Brown fat is darker due to its high mitochondrial content, and has been widely assumed to generate heat and "burn" calories through a process called thermogenesis. However, Lin said, there was a paradox in the research field: When scientists disrupted brown fat formation, mice became more prone to obesity, but the removal of the protein responsible for generating heat only had modest effects on body weight.

"So we figured that brown fat must be doing something besides dissipating heat," Lin said.

Could brown fat be secreting a hormone that allowed the fat cells to communicate with other tissues in the body in a way that prevents obesity? And if so, could that hormone be used as a therapeutic to treat obesity and related metabolic disorders in humans?

The researchers identified NRG4, a hormone that is made primarily by brown fat in mice. Mice lacking NRG4 developed more severe obesity and related disorders when fed a high-fat diet, while mice with genetically higher levels of NRG4 were protected from the deleterious effects of the same diet.

Once bound to its receptor on liver cells, NRG4 reduces the conversion of sugar into fat, a process thought to promote disorders associated with obesity, particularly fatty liver. Without NRG4, the liver is abnormally active in converting sugar into fat, leading to metabolic disorders.

"In all models of obesity, NRG4 expression is reduced," Lin said.

And in humans, the amount of NRG correlates negatively with obesity.

"We think obesity is a state of NRG4 deficiency," he said.

While the amount of NRG4 is three to five times higher in brown fat than in white, humans have many more white fat cells than brown.

"Probably both types of fat cells are involved," Lin said.

The researchers are in the process of studying NRG4 as a treatment for type 2 diabetes and fatty liver disease.

"Realistically, there are still many challenges to figuring out how it acts in the body and might be used as a drug," Lin said. "But in general, we know that NRG4 is beneficial for body metabolism and are excited about its potential."

Jiandie Lin is a faculty member in the Life Sciences Institute, where his lab is located and his research conducted. He is also an associate professor in the Department of Cell and Developmental Biology at the U-M Medical School.
Other authors of the paper are Guo-Xiao Wang, Xu-Yun Zhao, Zhuo-Xian Meng, Zhimin Chen, Zoharit Cozacov and Siming Li of the Life Sciences Institute and the Department of Cell and Developmental Biology, University of Michigan Medical Center; Matthias Kern and Matthias Blüher of the Department of Medicine, University of Leipzig, Leipzig, Germany; Arne Dietrich of the Department of Surgery, University of Leipzig, Leipzig, Germany; Dequan Zhou, Adewole Okunade and Xiong Su of the Department of Internal Medicine, Center for Human Nutrition, Washington University School of Medicine

Support for the research was provided by the National Institutes of Health, Novo Nordisk and the American Heart Association.

University of Michigan

Related Diabetes Articles from Brightsurf:

New diabetes medication reduced heart event risk in those with diabetes and kidney disease
Sotagliflozin - a type of medication known as an SGLT2 inhibitor primarily prescribed for Type 2 diabetes - reduces the risk of adverse cardiovascular events for patients with diabetes and kidney disease.

Diabetes drug boosts survival in patients with type 2 diabetes and COVID-19 pneumonia
Sitagliptin, a drug to lower blood sugar in type 2 diabetes, also improves survival in diabetic patients hospitalized with COVID-19, suggests a multicenter observational study in Italy.

Making sense of diabetes
Throughout her 38-year nursing career, Laurel Despins has progressed from a bedside nurse to a clinical nurse specialist and has worked in medical, surgical and cardiac intensive care units.

Helping teens with type 1 diabetes improve diabetes control with MyDiaText
Adolescence is a difficult period of development, made more complex for those with Type 1 diabetes mellitus (T1DM).

Diabetes-in-a-dish model uncovers new insights into the cause of type 2 diabetes
Researchers have developed a novel 'disease-in-a-dish' model to study the basic molecular factors that lead to the development of type 2 diabetes, uncovering the potential existence of major signaling defects both inside and outside of the classical insulin signaling cascade, and providing new perspectives on the mechanisms behind insulin resistance in type 2 diabetes and possibly opportunities for the development of novel therapeutics for the disease.

Tele-diabetes to manage new-onset diabetes during COVID-19 pandemic
Two new case studies highlight the use of tele-diabetes to manage new-onset type 1 diabetes in an adult and an infant during the COVID-19 pandemic.

Genetic profile may predict type 2 diabetes risk among women with gestational diabetes
Women who go on to develop type 2 diabetes after having gestational, or pregnancy-related, diabetes are more likely to have particular genetic profiles, suggests an analysis by researchers at the National Institutes of Health and other institutions.

Maternal gestational diabetes linked to diabetes in children
Children and youth of mothers who had gestational diabetes during pregnancy are at increased risk of diabetes themselves, according to new research published in CMAJ (Canadian Medical Association Journal).

Two diabetes medications don't slow progression of type 2 diabetes in youth
In youth with impaired glucose tolerance or recent-onset type 2 diabetes, neither initial treatment with long-acting insulin followed by the drug metformin, nor metformin alone preserved the body's ability to make insulin, according to results published online June 25 in Diabetes Care.

People with diabetes visit the dentist less frequently despite link between diabetes, oral health
Adults with diabetes are less likely to visit the dentist than people with prediabetes or without diabetes, finds a new study led by researchers at NYU Rory Meyers College of Nursing and East Carolina University's Brody School of Medicine.

Read More: Diabetes News and Diabetes Current Events is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to