Obesity

Endoplasmic reticulum (ER) stress aggravates diaphragm weakness through activating PERK/JNK signaling in obesity hypoventilation syndrome

Obesity (Silver Spring)Published Mechanistic study

Authors' conclusion

These data suggest that ectopic lipid deposition impairs the diaphragmatic function of people with obesity. Activation of PERK/JNK signaling is involved in the pathogenesis of lipotoxicity-induced diaphragm weakness in obesity hypoventilation syndrome.

Study context

Population
People with obesity (obesity hypoventilation syndrome context); mice fed a high-fat diet for 24 weeks; C2C12 myotubes
Comparison
People with obesity vs controls; high-fat diet obese mice; PERK or JNK inhibition in C2C12 myotubes
Outcome
Diaphragmatic function, lipid deposition and ER stress signaling
Methodological detailshuman patients, obese mice and C2C12 myotubes
  • Human patients, obese mice and C2C12 myotubes

Main finding

As reported in the abstract

  • People with obesity showed significant diaphragm weakness and lipid accumulation, confirmed in obese mice
  • Diaphragms of obese mice: altered lipid-metabolism gene expression and ER stress activation (elevated PERK and JNK activation)
  • In C2C12 myotubes, PERK or JNK inhibition abrogated lipotoxicity-induced intracellular lipid deposition and insulin resistance
  • JNK inhibition reversed lipotoxicity-induced impairment of elasticity in C2C12 myotubes

Original publication

ER stress aggravates diaphragm weakness through activating PERK/JNK signaling in obesity hypoventilation syndrome. Obesity (Silver Spring). Published 21 July 2023. doi:10.1002/oby.23809

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