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Publication : Adipocyte Hypoxia-Inducible Factor 2α Suppresses Atherosclerosis by Promoting Adipose Ceramide Catabolism.

First Author  Zhang X Year  2019
Journal  Cell Metab Volume  30
Issue  5 Pages  937-951.e5
PubMed ID  31668872 Mgi Jnum  J:283696
Mgi Id  MGI:6376838 Doi  10.1016/j.cmet.2019.09.016
Citation  Zhang X, et al. (2019) Adipocyte Hypoxia-Inducible Factor 2alpha Suppresses Atherosclerosis by Promoting Adipose Ceramide Catabolism. Cell Metab 30(5):937-951.e5
abstractText  Obesity-induced adipose dysfunction is a major contributor to atherosclerosis. Cold exposure has been reported to affect atherosclerosis through regulation of adipose function, but the mechanism has not been well clarified. Here, adipocyte hypoxia-inducible factor 2alpha (HIF-2alpha) was upregulated after mild cold exposure at 16 degrees C and mediated cold-induced thermogenesis. Adipocyte HIF-2alpha deficiency exacerbated Western-diet-induced atherosclerosis by increasing adipose ceramide levels, which blunted hepatocyte cholesterol elimination and thermogenesis. Mechanistically, Acer2, the gene encoding alkaline ceramidase 2, was identified as a novel target gene of HIF-2alpha, triggering ceramide catabolism. Adipose overexpression of ACER2 rescued adipocyte HIF-2alpha-deficiency-induced exacerbation of atherosclerosis. Furthermore, activation of adipose HIF-2alpha by the HIF prolyl hydroxylase inhibitor FG-4592 had protective effects on atherosclerosis, accompanied by a reduction in adipose and plasma ceramide and plasma cholesterol levels. This study highlights adipocyte HIF-2alpha as a putative drug target against atherosclerosis.
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