Il-6 receptor blockade increases circulating adiponectin levels in people with obesity: An explanatory analysis

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  • Stephan Wueest
  • Eleonora Seelig
  • Katharina Timper
  • Mark P. Lyngbaek
  • Karstoft, Kristian
  • Marc Y. Donath
  • Helga Ellingsgaard
  • Daniel Konrad

Human obesity is associated with decreased circulating adiponectin and elevated leptin levels. In vitro experiments and studies in high fat diet (HFD)-fed mice suggest that interleukin-6 (IL-6) may regulate adiponectin and leptin release from white adipose tissue (WAT). Herein, we aimed to investigate whether IL-6 receptor blockade affects the levels of circulating adiponectin and leptin in obese human individuals. To this end, serum samples collected during a multicenter, double-blind clinical trial were analyzed. In the latter study, obese human subjects with or without type 2 diabetes were randomly assigned to recurrent placebo or intravenous tocilizumab (an IL-6 receptor antibody) administration during a 12-week exercise training intervention. Twelve weeks of tocilizumab administration (in combination with exercise training) trend wise enhanced the decrease in circulating leptin levels (−2.7 ± 8.2% in the placebo vs. −20.6 ± 5.6% in tocilizumab, p = 0.08) and significantly enhanced the increase in circulating adiponectin (3.4 ± 3.7% in the placebo vs. 27.0 ± 6.6% in tocilizumab, p = 0.01). In addition, circulating adiponectin levels were negatively correlated with the homeostatic model assessment of insulin resistance (HOMA-IR), indicating that increased adiponectin levels positively affect insulin sensitivity in people with obesity. In conclusion, IL-6 receptor blockade increases circulating adiponectin levels in people with obesity.

OriginalsprogEngelsk
Artikelnummer79
TidsskriftMetabolites
Vol/bind11
Udgave nummer2
Antal sider7
ISSN2218-1989
DOI
StatusUdgivet - 2021

Bibliografisk note

Funding Information:
Funding: The Centre for Physical Activity Research (CFAS) is supported by TrygFonden (grants ID 101390 and ID 20045). During the study period, the Centre of Inflammation and Metabolism was supported by a grant from the Danish National Research Foundation (# 02-512-55). The study was further supported by grants from the European Foundation for the Study of Diabetes, and by the Swiss National Research Foundation. S.W. is supported by a research grant from the Hartmann-Müller Stiftung, University of Zurich (#2292). H.E. is supported by grants from the Danish Council for Independent Research (grant no. 12-132429) and the Novo Nordisk Foundation (project no. 959532028). D.K. is supported by a research grant from the Swiss National Science Foundation (#310030-179344).

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© 2021 by the authors. Licensee MDPI, Basel, Switzerland.

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