- About this Journal ·
- Abstracting and Indexing ·
- Aims and Scope ·
- Annual Issues ·
- Article Processing Charges ·
- Articles in Press ·
- Author Guidelines ·
- Bibliographic Information ·
- Citations to this Journal ·
- Contact Information ·
- Editorial Board ·
- Editorial Workflow ·
- Free eTOC Alerts ·
- Publication Ethics ·
- Reviewers Acknowledgment ·
- Submit a Manuscript ·
- Subscription Information ·
- Table of Contents
Oxidative Medicine and Cellular Longevity
Volume 2013 (2013), Article ID 793525, 13 pages
Resveratrol Suppresses PAI-1 Gene Expression in a Human In Vitro Model of Inflamed Adipose Tissue
1Division of Pediatric Endocrinology and Diabetes, Department of Pediatrics and Adolescent Medicine, Ulm University Medical Center, Eythstraße 24, 89075 Ulm, Germany
2Department of Biochemistry and Biocenter Oulu, University of Oulu, P.O.B. 3000, 90014 Oulu, Finland
Received 22 March 2013; Revised 7 May 2013; Accepted 8 May 2013
Academic Editor: Nilanjana Maulik
Copyright © 2013 Ivana Zagotta et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Increased plasminogen activator inhibitor-1 (PAI-1) levels are associated with a number of pathophysiological complications; among them is obesity. Resveratrol was proposed to improve obesity-related health problems, but the effect of resveratrol on PAI-1 gene expression in obesity is not completely understood. In this study, we used SGBS adipocytes and a model of human adipose tissue inflammation to examine the effects of resveratrol on the production of PAI-1. Treatment of SGBS adipocytes with resveratrol reduced PAI-1 mRNA and protein in a time- and concentration-dependent manner. Further experiments showed that obesity-associated inflammatory conditions lead to the upregulation of PAI-1 gene expression which was antagonized by resveratrol. Although signaling via PI3K, Sirt1, AMPK, ROS, and Nrf2 appeared to play a significant role in the modulation of PAI-1 gene expression under noninflammatory conditions, those signaling components were not involved in mediating the resveratrol effects on PAI-1 production under inflammatory conditions. Instead, we demonstrate that the resveratrol effects on PAI-1 induction under inflammatory conditions were mediated via inhibition of the NFκB pathway. Together, resveratrol can act as NFκB inhibitor in adipocytes and thus the subsequently reduced PAI-1 expression in inflamed adipose tissue might provide a new insight towards novel treatment options of obesity.
Obesity is becoming an increasing public health problem worldwide. The excessive accumulation of adipose tissue leads to the development of dyslipidemia, impaired glucose metabolism, hypertension, and proinflammation, processes playing an essential role in the pathogenesis of cardiovascular disease, type 2 diabetes, the metabolic syndrome, and various cancers (reviewed by ). Many of those obesity-related pathophysiological conditions are associated with increased plasminogen activator inhibitor-1 (PAI-1) levels [2–6]. PAI-1 is the primary, fast-acting inhibitor of both tissue-type and urokinase-type plasminogen activators and therefore controls the regulation of the fibrinolytic system in blood [7, 8]. In addition, PAI-1 is an important regulator of extracellular matrix turnover, tissue remodeling, and fibrosis . PAI-1 levels can be increased in response to hypoxia [10, 11], hormones like insulin [12, 13], coagulation factors, and cytokines (discussed by ). More recently PAI-1 levels have been considered as one of the biomarkers used to predict obesity-associated diseases . Elevated PAI-1 mRNA levels have been found in adipose tissues from obese ob/ob mice  and also in human obesity with higher expression levels in visceral compared to subcutaneous adipose tissue depots . Thus, high plasma PAI-1 levels are a common finding in obesity in both mice and humans [18–25]. Most importantly, the obesity-induced PAI-1 increase is reversible by lifestyle intervention. Weight loss due to calorie restriction decreased plasma PAI-1 concentrations in obese individuals [26, 27]. These data imply that substances that potentially mimic calorie restriction may be used as modulators of PAI-1 levels in the treatment of obesity and obesity-related diseases.
From a number of natural compounds mimicking calorie restriction by targeting various metabolic pathways, resveratrol gained special interest. Resveratrol is a polyphenol produced by plants in response to environmental stress and found in red grape skin, peanuts, a variety of berries, and medical plants . It has been suggested to act as a calorie restriction mimetic based on data from rodents. When mice and/or rats were fed a high-fat diet, resveratrol treatment improved glucose homeostasis, mitochondrial function, lipid parameters, body weight, and survival [29–39]. While the resveratrol effects are intensively studied in animal models only few clinical trials were conducted so far to study the effects of resveratrol supplementation in the context of human obesity  and coronary artery disease ; yet there exists some controversy  and the effect of resveratrol in obese human individuals remains to be further investigated.
Although obesity and obesity-associated diseases seem to be positively influenced by resveratrol, not much is known about the effect of resveratrol on PAI-1 in obesity. Therefore, it was the aim of this study to investigate the effects of resveratrol on the production of PAI-1 in human adipocytes and in an in vitro model of human adipose tissue inflammation. We found that resveratrol reduces PAI-1 levels in adipocytes especially under inflammatory conditions. Thus, our data support the concept that resveratrol can alleviate obesity-induced upregulation of PAI-1 in human adipose tissue.
2. Materials and Methods
2.1. Reagents and Cell Culture
All biochemicals were of analytical grade and were purchased from commercial suppliers. Resveratrol, sirtinol, and LY204002 were obtained from Sigma (Deisenhofen, Germany). SC-514 was from Merck Millipore (Darmstadt, Germany). Small molecule inhibitors were diluted in DMSO which alone was also used as vehicle control. The following concentrations of resveratrol and inhibitors were used in experiments: resveratrol 10, 50, 100 μM, sirtinol 10 μM; LY204002 20 μM, SC-514 100 μM.
Simpson-Golabi-Behmel syndrome (SGBS) preadipocytes were cultured as previously described . Human primary preadipocytes were prepared by collagenase digestion from subcutaneous adipose tissue of 3 healthy women using a previously described protocol . Adipogenic differentiation of SGBS and human primary and SGBS preadipocytes was induced in serum-free DMEM/F12 medium supplemented with 10 μg/mL iron-poor transferrin, 10 nM insulin, 200 pM thyroid hormone, and 0.1 μM cortisol and for the first four days 2 μM rosiglitazone, 250 μM isobutylmethylxanthine, and 25 nM dexamethasone. Cells were used for experiments on day 8 of adipogenic differentiation.
THP-1 cells (ATCC, Wesel, Germany) were cultured as described earlier . Differentiation into macrophages was induced by 125 ng/mL phorbol myristate acetate for 48 h. Macrophage-conditioned medium (MacCM) was collected after additional 48 h of incubation in serum-free basal medium containing 0.5% BSA and cleared by centrifugation. MacCM from 5 independently performed productions was pooled and then used for experiments.
Mouse embryonic fibroblasts (MEFs) were maintained in DMEM supplemented with 10% fetal bovine serum (Invitrogen, Karlsruhe, Germany), 1% nonessential amino acids (Invitrogen), and 0.5% antibiotics in an atmosphere of 16% O2, 5% CO2, and 97% humidity at 37°C in a cell culture incubator. Mouse embryonic fibroblasts Sirt1+/+ and Sirt1−/− were a generous gift from Dr. Michael McBurney (Ottawa Hospital Research Institute, Canada). We obtained AMPKα1,2+/+ and AMPKα1,2−/− MEFs  from Dr. Benoit Viollet (Institut Cochin, Paris, France). Nrf2 wild-type and Nrf2 knockdown MEFs were provided by Dr. Stephan Immenschuh (Hannover Medical School, Germany).
2.2. RNA Preparation and Quantitative Real-Time PCR
Isolation of total RNA was performed using the peqGOLD HP Total RNA kit (Peqlab, Erlangen, Germany) following the manufacturer’s instructions. One μg of total RNA was used for cDNA synthesis with using SuperScript II Reverse Transcriptase (Invitrogen, Darmstadt, Germany). Quantitative real-time PCR was performed with a LightCycler 2.0 (Roche Diagnostics, Mannheim, Germany) using a LightCycler FastStart DNA Master PLUS SYBR Green I kit (Roche Diagnostics, Mannheim, Germany). The quantitative real-time PCR results were normalized using hypoxanthine phosphoribosyltransferase (HPRT) as a housekeeping gene. The following primer sets were used: human PAI-1-F (5′-ACA AGT TCA ACT ATA CTG AGT TCA CCA CGC CC-3′), human PAI-1-R sequence (5′-TGA AAC TGT CTG AAC ATG TCG GTC ATT CCC-3′), human HPRT-F (5′-GAG ATG GGA GGC CAT CAC ATT GTA GCC CTC-3′), and human HPRT-R (5′-CTC CAC CAA TTA CTT TTA TGT CCC CTG TTG ACT GGT C-3′). The experiments for each data point were carried out in triplicate. The relative quantification of gene expression was determined using the ΔΔCt method . In some experiments conventional RT-PCR was performed using Sp1 as a reference gene (PAI-1-F: 5′-GTC TGC TGT GCA CCA TCC CCC-3′; PAI-1-R: 5′-GAA CAG CCT GAA GAA GTG GGG C-3′, Sp1-F: 5′-ACT ACC AGT GGA TCA TCA GGG-3′; Sp1-R: 5′-CTG ACA ATG GTG CTG CTT GGA-3′).
SGBS adipocytes were treated for 48 h with 10% MacCM, 100 μM resveratrol, and 100 μM SC-514 alone or in combination. The ELISA was performed using the Platinum ELISA kit for human PAI-1 (eBioscience, Vienna, Austria). Absorbance was measured on a spectrophotometer using 450 nm wavelength (ELx800 Absorbance Microplate Reader, BioTek, Bad Friedrichshall, Germany).
2.4. Western Blot Analyses
Western blot analyses were performed as previously described . In brief, 24 h after treatment with vehicle or resveratrol cell culture medium (for PAI-1) or total cell lysates were collected and 100 μg of protein was subjected to SDS-PAGE and blotted onto a nitrocellulose membrane. The following primary antibodies were used: PAI-1 (polyclonal 1 : 100) (American Diagnostics, Pfungstadt, Germany), AMPKβ1/2 (polyclonal, 1 : 1000) (Cell Signaling, Hamburg, Germany), Nrf2 (polyclonal, Nrf2 1 : 200) (Santa Cruz, Heidelberg, Germany), and Sirt1 (polyclonal, 1 : 1000) (Santa Cruz, Heidelberg, Germany). The secondary antibody was anti-rabbit immunoglobulin G (IgG)-horseradish peroxidase IgG (1 : 5000) (Biorad, Munich, Germany). The enhanced chemiluminescence (ECL) system (Amersham, Freiburg, Germany) was used for detection. Blots were quantified by using the Fiji program (NCBI).
2.5. ROS Measurement
To determine ROS production, SGBS adipocytes were incubated with 2.5 μM CM-H2DCFDA (Molecular Probes Europe BV, The Netherlands) for 30 min at 37°C. After three washes with PBS, cells were treated with 100 μM H2O2 or 10% MacCM for 15 min and analyzed by flow cytometry.
2.6. Preparation of Nuclear Extracts and Electrophoretic Mobility Shift Assay (EMSA)
SGBS adipocytes were treated with 100 μM resveratrol, 100 μM SC-514, and 10% MacCM alone or in combination. TNFα (10 ng/mL) was used as a positive control. Cells were collected from 6 cm dishes by scraping and centrifugation (10,000 g for 5 min at 4°C). After washing once with ice-cold PBS, cell pellets were resuspended in 200 μL low-salt buffer (10 mM HEPES-KOH pH 7.9; 1.5 mM MgCl2; 10 mM KCl) and incubated for 10 min on ice. After addition of 12.5 μL of a 10% Nonidet P-40 solution, samples were mixed vigorously for 30 s. Nuclei were collected by centrifugation and resuspended in 25 μL high-salt buffer (20 mM HEPES-KOH pH 7.9; 1.5 mM MgCl2; 420 mM NaCl, 0.2 mM EDTA; 25% glycerol). Both buffers were supplemented with a protease-inhibitor cocktail (Sigma), 0.2 mM PMSF, 0.5 mM dithiothreitol (DTT), and 1 mM sodium-orthovanadate before use. Nuclei were incubated 15 min on ice and vortexed periodically. Nuclear extracts were obtained by centrifugation at 12,500 g for 10 min at 4°C and stored at −80°C. Protein concentration was determined with the BCA Protein Assay Reagent kit (Pierce, Rockford, IL), according to manufacturer’s instructions. Single-stranded oligonucleotides were purchased from Biomers.net (Ulm, Germany): standard NFκB probe: sense, 5′-AGT TGA GGG GAC TTT CCC AGG C-3′; antisense, 5′-GCC TGG GAA AGT CCC CTC AAC T-3′. The sense oligonucleotide was labeled with γ-32P-ATP (Amersham, Freiburg, Germany) using T4-polynucleotide kinase (MBI Fermentas, St. Leon-Rot, Germany). A 2-fold molar excess of unlabeled antisense oligonucleotide was annealed, and the labeled double-stranded oligonucleotide was purified with a spin column (Micro Bio-Spin P30; Bio-Rad, Munich, Germany). Binding reactions were performed for 30 min on ice in 20 μL buffer (1 mM MgCl2, 0.5 mM EDTA, 0.5 mM DTT, 50 mM NaCl, 10 mM Tris-HCl, pH 7.5; 4% glycerol) containing 5 μg nuclear extract protein, 1 μg poly (dI:dC) (Sigma), and 10,000 cpm-labeled oligonucleotide.
Data represents mean ± standard error of means (SEM) of 3 independent experiments unless otherwise stated. Statistics: statistical significance was evaluated using one-way analysis of variants (ANOVA) considering as statistically significant.
3.1. Concentration- and Time-Dependent Downregulation of Human PAI-1 mRNA and Protein Levels by Resveratrol in SGBS Adipocytes
To determine how resveratrol modulates PAI-1 gene expression in SGBS adipocytes, we examined PAI-1 mRNA and protein levels after treatment with increasing concentrations of resveratrol at different time points (Figure 1). Treatment of cells for 12 h, 24 h, and 48 h with different concentrations of resveratrol resulted in a reduction of PAI-1 mRNA levels in a dose-dependent manner (data not shown); 100 μM resveratrol reduced PAI-1 mRNA levels by about 40% after 12 h and by about 60% after 48 h (Figures 1(a) and 1(b)). The resveratrol-mediated decrease of PAI-1 mRNA was followed by a decrease of PAI-1 protein levels. A resveratrol concentration of 50 μM or 100 μM diminished PAI-1 protein levels in the medium by about 50% after 24 h and by about 75% after 48 h (Figure 1(c)). Thus, resveratrol reduced PAI-1 mRNA and PAI-1 protein levels in a time- and concentration-dependent manner.
3.2. PAI-1 Gene Expression Is Upregulated in an In Vitro Model of Inflamed Human Adipose Tissue as well as in Primary Human Adipocytes
Obesity is associated with low-grade chronic inflammation  and increased circulating PAI-1 levels . Therefore, we mimicked human adipose tissue inflammation by using our previously described in vitro model system  where we incubated SGBS adipocytes with medium supplemented with increasing doses of macrophage-conditioned medium (MacCM) for 48 h. As shown in Figure 2(a), the presence of MacCM increased PAI-1 mRNA in SGBS adipocytes; already 5% MacCM induced PAI-1 mRNA by about 2-fold. In line with these findings, treatment of primary human ex vivo differentiated adipocytes obtained from healthy donors with MacCM increasing PAI-1 mRNA by about 1.6-fold (Figure 2(b)). Thus, these data suggested that obesity mimicking inflammatory conditions lead to an upregulation of PAI-1.
3.3. Resveratrol Reduces Upregulation of PAI-1 Gene Expression in an In Vitro Model of Inflamed Human Adipose Tissue
To determine the effect of resveratrol on the elevated PAI-1 mRNA and protein levels under inflammatory conditions, SGBS adipocytes were cultured in the absence or presence of different concentrations of resveratrol, 10% MacCM, or a combination of both for 48 h. Treatment of SGBS adipocytes with increasing doses of resveratrol alone resulted in a concentration-dependent reduction of PAI-1 mRNA and protein levels (Figures 3(a), 3(b) and 3(c)). Incubation of cells with MacCM induced PAI-1 mRNA levels and PAI-1 protein levels by about 3-fold (Figures 3(a), 3(b) and 3(c)). The MacCM-dependent induction of PAI-1 mRNA and protein levels was abolished in the presence of 100 μM resveratrol (Figures 3(a), 3(b) and 3(c)). Together, these data suggested that PAI-1 gene expression is enhanced under inflammatory conditions and that this induction is antagonized by the action of resveratrol.
3.4. The Effects of Resveratrol on PAI-1 Expression Are Not Mediated via Sirt1, AMPK, or PI3K
Resveratrol has been shown to modulate several key signaling molecules in adipocytes, including Sirt1 [50, 51], AMPK [52–54], and PI3K/Akt [52, 55–57]. To examine whether Sirt1, AMPK, and/or PI3K are involved in the resveratrol-dependent downregulation of PAI-1 gene expression, we used specific inhibitors of these signaling pathways as well as knockout cells. Concerning the inhibitor studies, SGBS adipocytes were incubated with DMSO as a vehicle control, the Sirt1 inhibitor sirtinol or PI3K inhibitor LY294002 along with resveratrol, MacCM, or combinations, and the PAI-1 mRNA levels were determined 48 h after treatment.
In line with the above mentioned results, resveratrol decreased PAI-1 mRNA levels in SGBS adipocytes cultured either with or without MacCM. Sirtinol treatment alone slightly reduced the basal expression of PAI-1 mRNA in SGBS adipocytes (Figure 4(a)). However, sirtinol had no significant effect on the resveratrol-dependent downregulation of the PAI-1 mRNA in SGBS adipocytes incubated with MacCM (Figure 4(a)). To further rule out the role of Sirt1 in resveratrol-dependent regulation of PAI-1 expression, we examined the effect of resveratrol on the PAI-1 protein levels in Sirt1-deficient (Sirt1−/−) mouse embryonic fibroblasts (MEFs). Although the basal PAI-1 protein levels were lower in Sirt1−/− MEFs, resveratrol treatment decreased the PAI-1 levels in both wild-type (Sirt1+/+) and the Sirt1−/− MEFs by about 50% (Figures 4(b) and 4(c)). Together, these results indicate that although Sirt1 per se might be involved in the regulation of PAI-1 gene expression, the resveratrol-dependent modulation of PAI-1 gene expression is independent of Sirt1.
Next we investigated the role of AMPK in the resveratrol-dependent regulation of PAI-1 expression. For this purpose we used wild-type AMPKα1/2+/+ (AMPKβ1/2+/+) and AMPKα1/2-deficient (AMPKα1/2−/−) MEFs and measured PAI-1 protein levels after treatment with resveratrol by Western blot. The basal PAI-1 protein levels were significantly lower in AMPKα1/2−/− MEFs, but again resveratrol treatment resulted in a significant decrease (by about 65%) of the PAI-1 protein levels in both wild-type and the AMPKα1/2−/− MEFs (Figures 4(d) and 4(e)). Together, these data show that even though AMPK itself might be involved in the regulation of PAI-1 gene expression, the resveratrol-dependent downregulation of PAI-1 is mediated by an AMPK-independent mechanism.
We further studied whether the PI3K/Akt pathway is involved in resveratrol-dependent downregulation of PAI-1 and used the PI3K inhibitor LY294002. While resveratrol treatment reduced PAI-1 mRNA levels by about 50% in both untreated and MacCM-treated SGBS adipocytes, LY294002 treatment did not change the basal PAI-1 mRNA levels (Figure 4(f)). Furthermore, incubation with LY294002 did not block the decline of PAI-1 mRNA levels by resveratrol in both untreated and MacCM-treated SGBS adipocytes, implicating that the PI3K/Akt pathway is not involved in the resveratrol-modulated downregulation of PAI-1.
3.5. ROS Formation and the Antioxidant Transcription Factor Nrf2 Do Not Contribute to the Effects of Resveratrol on PAI-1 Gene Expression
Obesity and inflammation are associated with increased ROS formation [58, 59] and ROS-mediated signaling has been reported to regulate PAI-1 gene expression [60, 61]. Resveratrol is well known for its antioxidant potential and therefore we aimed to determine whether the observed MacCM-dependent induction of PAI-1 gene expression and hence the effects of resveratrol were dependent on ROS generation. To address this issue, ROS levels were examined in SGBS adipocytes treated with MacCM or for the purpose of a positive control with H2O2. Intracellular ROS levels increased upon treatment with H2O2. By contrast, no changes in ROS generation were detected in MacCM-treated SGBS adipocytes (Figures 5(a) and 5(b)) implying that MacCM-dependent PAI-1 induction is independent of ROS.
The NFE2-related factor 2 (Nrf2) is a key transcription factor, involved in the primary cellular defense against the cytotoxic effects of oxidative stress . To further exclude the possibility that the effects of MacCM and resveratrol on PAI-1 gene expression are independent of ROS, we used wild-type and Nrf2 knockdown MEFs. Interestingly, the knockdown of Nrf2 increased PAI-1 protein levels compared to the wild-type cells (Figures 5(c) and 5(d)) but the addition of resveratrol caused a decrease in PAI-1 levels by about 80% in wild-type cells and by about 35% in Nrf2 knockdown cells (Figures 5(c) and 5(d)). Thus, the antioxidant transcription factor Nrf2 is not involved in mediating the resveratrol effects on PAI-1 expression.
3.6. The Effects of Resveratrol on PAI-1 Gene Expression in an In Vitro Model of Inflamed Adipose Tissue Are NFκB Dependent
The reduction of PAI-1 expression by resveratrol under inflammatory conditions may be partially explained by the ability of resveratrol to suppress the activity of NFκB, a transcription factor critically involved in inflammation. Therefore, we examined the effect of resveratrol on the DNA-binding activity of NFκB in the model of inflamed adipose tissue. By performing EMSA, we found that an oligonucleotide with a NFκB binding site was able to form a single DNA-protein complex (Figure 6(a)) when incubated with nuclear extracts from SGBS adipocytes treated with either MacCM or the established NFκB activator, TNF-α. The NFκB DNA-binding activity was significantly reduced in nuclear extracts from cells treated with MacCM and resveratrol or MacCM and SC-514 (Figure 6(a)). These data demonstrate that resveratrol can lead to a suppression of NFκB DNA-binding activity under inflammatory conditions in SGBS adipocytes. Based on the above findings, demonstrating the suppressive effect of resveratrol on NFκB DNA-binding, we expected that inhibition of NFκB by resveratrol would reduce PAI-1 gene expression. Accordingly, SGBS adipocytes were treated with MacCM, resveratrol, and SC-514 alone or in combination, and PAI-1 protein levels were measured by ELISA. In line, resveratrol and SC-514 reduced MacCM-dependent PAI-1 protein induction (Figure 6(b)), though the effects of resveratrol were much more pronounced than the effects of the NFκB inhibitor SC-514 alone. These data strongly suggest that the effects of resveratrol on PAI-1 gene expression in SGBS adipocytes are NFκB dependent.
In this study we investigated the human PAI-1 expression in response to resveratrol in human SGBS adipocytes and in a model of inflamed human adipose tissue. Our data demonstrated several new findings with respect to resveratrol and human PAI-1 regulation under obesity-mimicking conditions. First, it was found that resveratrol downregulated PAI-1 mRNA and protein levels in a time- and concentration-dependent manner in human SGBS adipocytes. Second, the inhibitory effect of resveratrol on PAI-1 was even stronger on the obesity-associated and inflammation-dependent induction of PAI-1. Third, while resveratrol exerted its effects on inflammatory-dependent PAI-1 gene expression mainly via inhibition of NFκB, signaling via Sirt1, AMPK, PI3K, ROS, and Nrf2 did not mediate the effect of resveratrol on PAI-1 production.
Obesity represents a risk factor for the development of diseases like type 2 diabetes, hypertension, atherosclerosis and myocardial infarction. Intriguingly, obesity is also associated with a state of chronic low-grade inflammation characterized by elevated plasma concentrations of proinflammatory cytokines (IL-6, IL-1 and TNFα), chemokines (monocyte chemotactic protein 1, MCP-1), and adipokines (haptoglobin, PAI-1, leptin, visfatin, resistin and VEGF) . Plasma PAI-1 levels are considerably enhanced in obese humans and in patients with insulin resistance, type 2 diabetes, and cardiovascular diseases [23, 64]. The adipose tissue appears to be the major source of elevated PAI-1 levels observed in obesity [65, 66] maybe as a result of its increased capacity to produce PAI-1 and/or as an effect of direct stimulation of adipocytes by hormones and cytokines upregulated in obesity . Resveratrol is capable of attenuating obesity-associated inflammatory responses by inducing changes in the secretion profile of adipocytes [68–71]. In particular resveratrol inhibited TNFα-dependent PAI-1 upregulation in 3T3-L1 adipocytes [68, 70], IL1β-stimulated PAI-1 secretion , and PAI-1 production in human SGBS adipocytes . These data are very much in line with the results from the present study where we have shown that resveratrol not only downregulated PAI-1 expression (Figure 1) but even exerted a stronger effect on PAI-1 in a model of inflamed human adipose tissue (Figures 2 and 3). Although all these data indicate that resveratrol can alleviate obesity-induced upregulation of PAI-1 in adipose tissue, it has not been fully elucidated by which molecular mechanisms resveratrol exerts its effect on PAI-1 under inflammatory conditions.
Calorie restriction is considered to be one of the most effective nutritional interventions protecting against obesity, diabetes, and cardiovascular disease . The obesity-related enhancement of PAI-1 levels also appeared to be reversible by calorie restriction diet or calorie restriction mimetics [26, 27]. Several signaling pathways have been implicated in mediating the calorie restriction effect—the sirtuin pathway, the adenosine monophosphate (AMP) activated protein kinase (AMPK) pathway, and the insulin-like growth factor (IGF-1)/insulin signaling pathway (as discussed by ). In rodents calorie restriction and calorie restriction mimetics seem to extend the life span and are linked to silent mating type information regulation 2 homolog 1 (Sirt1) activation (references in ). Resveratrol was identified as a Sirt1 activator  and gained interest in a number of pathological settings—among them obesity. In line, the anti-inflammatory effects of resveratrol in adipocytes as well as in human adipose tissue were shown to be mainly dependent on Sirt1 activation [69, 76, 77]. However, in our study, neither inhibition of Sirt1 with sirtinol nor deficiency of Sirt1 was able to abrogate the resveratrol effects on PAI-1 (Figures 4(a), 4(b) and 4(c)) implicating that Sirt1 activation is not necessary to mediate the action of resveratrol on PAI-1 synthesis under inflammatory conditions.
Resveratrol is known to exert pleiotropic effects on cells and Sirt1 activation is not the only effect via which resveratrol exerts its beneficial actions on obesity-associated pathological consequences [29, 30, 78]. Therefore, the inhibitory effect of resveratrol on PAI-1 production in obesity may result from modulation of different signaling pathways. Some of the beneficial effects of resveratrol against diet-induced obesity and insulin resistance were mediated via AMPK activation [29, 35, 36, 38, 78, 79]. In addition, increasing evidence suggests that AMPK has anti-inflammatory actions [80, 81]. Therefore, we have tested whether the effects of resveratrol on PAI-1 expression are mediated via AMPK. Our results demonstrated that resveratrol-dependent downregulation of PAI-1 was still preserved in AMPK-deficient cells (Figures 4(d) and 4(e)) pointing out that resveratrol acts on PAI-1 in an AMPK-independent mechanism.
A number of experimental observations have demonstrated that the PI3K/Akt pathway represents an important signaling cascade in the initiation of the inflammatory response. Although we showed in an earlier study that resveratrol inhibits PI3K-driven Akt phosphorylation in SGBS cells  the PI3K inhibitor, LY294002, could not abrogate the resveratrol-dependent downregulation of PAI-1 (Figure 4(f)) implicating that the PI3K/Akt pathway is also not involved in the modulation of PAI-1 expression by resveratrol.
Inflammation is well known to exist in combination with oxidative stress which in turn is a potent modulator of PAI-1 gene expression in different systems [60, 82] as well as in this study. In this context, an important transcription factor mediating responses to oxidative stress is Nrf-2 . Resveratrol supplementation has been shown significantly to increase Nrf2 activity in humans after a meal . However, the conditions of our inflammatory model did not induce ROS generation (Figures 5(a) and 5(b)). In line with that, the knockdown of Nrf2 did not impair the resveratrol effect on PAI-1 secretion (Figures 5(c) and 5(d)).
An increase in plasma PAI-1 levels observed in obesity can also be the result of a cytokine-dependent induction of PAI-1 transcription where the proinflammatory cytokines such as IL-1, IL-6, and TNFα play the major role [85–87]. Interestingly, no STAT3 binding element participating in the IL-6 response could be mapped in the PAI-1 promoter whereas the so-called NFκB-like sites within the PAI-1 promoter and a TNFα-responsive enhancer located 15 kb upstream of the transcription start site were shown to participate in response to IL-1 and TNFα (references in ).
Nuclear factor (NF)κB is a transcription factor with a central role in the induction of a chronic inflammatory state associated with obesity, development of type 2 diabetes, cardiovascular risk, and insulin resistance . Previous reports established resveratrol as an inhibitor of NFκB [41, 89] and resveratrol treatment of TNFα-stimulated adipocytes reduced the expression of proinflammatory cytokines . Therefore, our results showing that the resveratrol effects on PAI-1 gene expression were NFκB-dependent (Figure 6) are in line with those findings.
Interestingly a number of in vivo and in vitro studies showed an inhibitory role of the resveratrol target Sirt1 on NFκB signaling [76, 77, 90, 91]. Similarly, AMPK signaling has been shown to inhibit the inflammatory responses induced by NFκB via several downstream targets of AMPK (references in ). Moreover, several previous findings have demonstrated that the PI3K/Akt pathway has a crucial role in the activation of the NFκB pathway [93, 94]. Based on these studies and the role of resveratrol as a Sirt and AMPK activator, PI3K inhibitor as well as ROS scavenger, and we were expecting that Sirt, AMPK, PI3K, or ROS would be involved in the resveratrol effects. Surprisingly, none of these upstream NFκB modulators contributed to the effects of resveratrol; however, in line with previous studies [77, 88, 95–100] our findings show that resveratrol can act as an NFκB inhibitor, most likely via so far not a characterized pathway.
Together, our study showing that resveratrol mediates an inhibitory effect on PAI-1 may be useful to further establish PAI-1 as a marker for obesity-associated inflammatory conditions. In addition, we add at least one novel aspect to the pleiotropy of the resveratrol action by showing that it can act as an NFκB inhibitor without involving Sirt1, AMPK, PI3K or ROS.
Ivana Zagotta and Elitsa Y. Dimova contributed equally to this work.
The authors thank Dr. Michael McBurney (Ottawa Hospital Research Institute, Canada) for the generous gift of the Sirt1-wild-type and Sirt1-deficient mouse embryonic fibroblasts (MEFs). They gratefully acknowledge Dr. Benoit Viollet (Institut Cochin, Paris, France) and Dr. Stephan Immenschuh (Hannover medical School, Germany) for providing them with AMPKα1,2+/+, AMPKα1,2−/−, and Nrf2 wild-type and Nrf2 knock-down MEFs, respectively. The authors also thank Alexandra Killian for excellent technical assistance. PFP was funded by a Margarete von Wrangell scholarship financed by the Baden-Wuerttemberg Ministry of Science, Research and Arts; the European Social Fund; and Ulm University. Ivana Zagotta is funded by the International Graduate School in Molecular Medicine Ulm. This study was in part supported by the Research Training Group GRK 1041 “Molecular Diabetology and Endocrinology in Medicine” to Pamela Fischer-Posovszky and Martin Wabitsch and the foundation “Das zuckerkranke Kind” to Pamela Fischer-Posovszky. Work in the Thomas Kietzmann lab is supported by grants from the Biocenter Oulu, Academy of Finland, and Sigrid Juselius Foundation.
- S. D. De Ferranti and S. K. Osganian, “Epidemiology of paediatric metabolic syndrome and type 2 diabetes mellitus,” Diabetes and Vascular Disease Research, vol. 4, no. 4, pp. 285–296, 2007.
- A. de Hamsten, G. Walldius, G. Dahlen et al., “Plasminogen activator inhibitor in plasma: risk factor for recurrent myocardial infarction,” The Lancet, vol. 2, no. 8549, pp. 3–9, 1987.
- I. Juhan-Vague, C. Roul, M. C. Alessi, J. P. Ardissone, M. Heim, and P. Vague, “Increased plasminogen activator inhibitor activity in non insulin dependent diabetic patients: relationship with plasma insulin,” Thrombosis and Haemostasis, vol. 61, no. 3, pp. 370–373, 1989.
- D. J. Schneider, T. K. Nordt, and B. E. Sobel, “Attenuated fibrinolysis and accelerated atherogenesis in type II diabetic patients,” Diabetes, vol. 42, no. 1, pp. 1–7, 1993.
- I. Juhan-Vague and M. C. Alessi, “PAI-1, obesity, insulin resistance and risk of cardiovascular events,” Thrombosis and Haemostasis, vol. 78, no. 1, pp. 656–660, 1997.
- C. Dellas and D. J. Loskutoff, “Historical analysis of PAI-1 from its discovery to its potential role in cell motility and disease,” Journal of Thrombosis and Haemostasis, vol. 93, pp. 631–640, 2005.
- H. R. Lijnen, L. Nelles, B. Van Hoef, E. Demarsin, and D. Collen, “Characterization of a chimeric plasminogen activator consisting of amino acids 1 to 274 of tissue-type plasminogen activator and amino acids 138 to 411 of single-chain urokinase-type plasminogen activator,” Journal of Biological Chemistry, vol. 263, no. 35, pp. 19083–19091, 1988.
- H. P. Kohler and P. J. Grant, “Plasminogen-activator inhibitor type 1 and coronary artery disease,” The New England Journal of Medicine, vol. 342, no. 24, pp. 1792–1801, 2000.
- L. R. Lund, B. Georg, L. S. Nielsen, M. Mayer, K. Dano, and P. A. Andreasen, “Plasminogen activator inhibitor type 1: cell-specific and differentiation-induced expression and regulation in human cell lines, as determined by enzyme-linked immunosorbent assay,” Molecular and Cellular Endocrinology, vol. 60, no. 1, pp. 43–53, 1988.
- E. Y. Dimova, U. Möller, S. Herzig et al., “Transcriptional regulation of plasminogen activator inhibitor-I expression by insulin-like growth factor-I via MAP kinases and hypoxia-inducible factor-I in HepG2 cells,” Thrombosis and Haemostasis, vol. 93, no. 6, pp. 1176–1184, 2005.
- T. Kietzmann, U. Roth, and K. Jungermann, “Induction of the plasminogen activator inhibitor-1 gene expression by mild hypoxia via a hypoxia response element binding the hypoxia-inducible factor-1 in rat hepatocytes,” Blood, vol. 94, no. 12, pp. 4177–4185, 1999.
- T. Kietzmann, A. Samoylenko, U. Roth, and K. Jungermann, “Hypoxia-inducible factor-1 and hypoxia response elements mediate the induction of plasminogen activator inhibitor-1 gene expression by insulin in primary rat hepatocytes,” Blood, vol. 101, no. 3, pp. 907–914, 2003.
- E. Y. Dimova and T. Kietzmann, “The MAPK pathway and HIF-1 are involved in the induction of the human PAI-1 gene expression by insulin in the human hepatoma cell line HepG2,” Annals of the New York Academy of Sciences, vol. 1090, pp. 355–367, 2006.
- E. Y. Dimova and T. Kietzmann, “Metabolic, hormonal and environmental regulation of plasminogen activator inhibitor-1 (PAI-1) expression: lessons from the liver,” Thrombosis and Haemostasis, vol. 100, no. 6, pp. 992–1006, 2008.
- M. Gonzalez, B. M. del Mar, A. Pons, I. Llompart, and J. A. Tur, “Inflammatory markers and metabolic syndrome among adolescents,” European Journal of Clinical Nutrition, vol. 66, pp. 1141–1145, 2012.
- F. Samad and D. J. Loskutoff, “Tissue distribution and regulation of plasminogen activator inhibitor-1 in obese mice,” Molecular Medicine, vol. 2, no. 5, pp. 568–582, 1996.
- M. Cigolini, G. Targher, A. I. Bergamo, M. Tonoli, G. Agostino, and G. De Sandre, “Visceral fat accumulation and its relation to plasma hemostatic factors in healthy men,” Arteriosclerosis, Thrombosis, and Vascular Biology, vol. 16, pp. 368–374, 1996.
- P. Vague, I. Juhan-Vague, V. Chabert, M. C. Alessi, and C. Atlan, “Fat distribution and plasminogen activator inhibitor activity in nondiabetic obese women,” Metabolism, vol. 38, no. 9, pp. 913–915, 1989.
- K. Landin, L. Stigendal, E. Eriksson et al., “Abdominal obesity is associated with an impaired fibrinolytic activity and elevated plasminogen activator inhibitor-1,” Metabolism, vol. 39, no. 10, pp. 1044–1048, 1990.
- J. B. McGill, D. J. Schneider, C. L. Arfken, C. L. Lucore, and B. E. Sobel, “Factors responsible for impaired fibrinolysis in obese subjects and NIDDM patients,” Diabetes, vol. 43, no. 1, pp. 104–109, 1994.
- P. Eriksson, S. Reynisdottir, F. Lönnqvist, V. Stemme, A. Hamsten, and P. Arner, “Adipose tissue secretion of plasminogen activator inhibitor-1 in non- obese and obese individuals,” Diabetologia, vol. 41, no. 1, pp. 65–71, 1998.
- F. Samad and D. J. Loskutoff, “The fat mouse: a powerful genetic model to study elevated plasminogen activator inhibitor 1 in obesity/NIDDM,” Thrombosis and Haemostasis, vol. 78, no. 1, pp. 652–655, 1997.
- T. Skurk and H. Hauner, “Obesity and impaired fibrinolysis: role of adipose production of plasminogen activator inhibitor-1,” International Journal of Obesity, vol. 28, pp. 1357–1364, 2004.
- L. Ma, S. Mao, K. L. Taylor et al., “Prevention of obesity and insulin resistance in mice lacking plasminogen activator inhibitor 1,” Diabetes, vol. 53, no. 2, pp. 336–346, 2004.
- J. Hoffstedt, I. Andersson, L. Persson, B. Isaksson, and P. Arner, “The common-675 4G/5G polymorphism in the plasminogen activator inhibitor-1 gene is strongly associated with obesity,” Diabetologia, vol. 45, no. 4, pp. 584–587, 2002.
- A. R. Folsom, H. T. Qamhieh, R. R. Wing et al., “Impact of weight loss on plasminogen activator inhibitor (PAI-1), factor VII, and other hemostatic factors in moderately overweight adults,” Arteriosclerosis and Thrombosis, vol. 13, no. 2, pp. 162–169, 1993.
- M. C. Alessi and I. Juhan-Vague, “PAI-1 and the metabolic syndrome,” Arteriosclerosis, Thrombosis, and Vascular Biology, vol. 26, pp. 2200–2207, 2006.
- P. Signorelli and R. Ghidoni, “Resveratrol as an anticancer nutrient: molecular basis, open questions and promises,” Journal of Nutritional Biochemistry, vol. 16, no. 8, pp. 449–466, 2005.
- J. A. Baur, K. J. Pearson, N. L. Price et al., “Resveratrol improves health and survival of mice on a high-calorie diet,” Nature, vol. 444, no. 7117, pp. 337–342, 2006.
- M. Lagouge, C. Argmann, Z. Gerhart-Hines et al., “Resveratrol improves mitochondrial function and protects against metabolic disease by activating SIRT1 and PGC-1α,” Cell, vol. 127, no. 6, pp. 1109–1122, 2006.
- K. J. Pearson, J. A. Baur, K. N. Lewis et al., “Resveratrol delays age-related deterioration and mimics transcriptional aspects of dietary restriction without extending life span,” Cell Metabolism, vol. 8, no. 2, pp. 157–168, 2008.
- J. L. Barger, T. Kayo, J. M. Vann et al., “A low dose of dietary resveratrol partially mimics caloric restriction and retards aging parameters in mice,” PLoS ONE, vol. 3, no. 6, Article ID e2264, 2008.
- C. Sun, F. Zhang, X. Ge et al., “SIRT1 improves insulin sensitivity under insulin-resistant conditions by repressing PTP1B,” Cell Metabolism, vol. 6, no. 4, pp. 307–319, 2007.
- M. C. Aubin, C. Lajoie, R. Clement, H. Gosselin, A. Calderone, and L. P. Perrault, “Female rats fed a high-fat diet were associated with vascular dysfunction and cardiac fibrosis in the absence of overt obesity and hyperlipidemia: therapeutic potential of resveratrol,” Journal of Pharmacology and Experimental Therapeutics, vol. 325, pp. 961–968, 2008.
- J. Shang, L. Chen, F. Xiao, H. Sun, H. Ding, and H. Xiao, “Resveratrol improves non-alcoholic fatty liver disease by activating AMP-activated protein kinase,” Acta Pharmacologica Sinica, vol. 29, no. 6, pp. 698–706, 2008.
- J. Shang, L. Chen, and F. Xiao, “Resveratrol improves high-fat induced nonalcoholic fatty liver in rats,” Chinese Journal of Hepatology, vol. 16, no. 8, pp. 616–619, 2008.
- K. K. Rocha, G. A. Souza, G. X. Ebaid, F. R. Seiva, A. C. Cataneo, and E. L. Novelli, “Resveratrol toxicity: effects on risk factors for atherosclerosis and hepatic oxidative stress in standard and high-fat diets,” Food and Chemical Toxicology, vol. 47, no. 6, pp. 1362–1367, 2009.
- L. Rivera, R. Morón, A. Zarzuelo, and M. Galisteo, “Long-term resveratrol administration reduces metabolic disturbances and lowers blood pressure in obese Zucker rats,” Biochemical Pharmacology, vol. 77, no. 6, pp. 1053–1063, 2009.
- G. Ramadori, L. Gautron, T. Fujikawa, C. R. Vianna, J. K. Elmquist, and R. Coppari, “Central administration of resveratrol improves diet-induced diabetes,” Endocrinology, vol. 150, no. 12, pp. 5326–5333, 2009.
- S. Timmers, E. Konings, L. Bilet et al., “Calorie restriction-like effects of 30 days of resveratrol supplementation on energy metabolism and metabolic profile in obese humans,” Cell Metabolism, vol. 14, no. 5, pp. 612–622, 2011.
- J. Tome-Carneiro, M. Gonzalvez, M. Larrosa et al., “Grape resveratrol increases serum adiponectin and downregulates inflammatory genes in peripheral blood mononuclear cells: a triple-blind, placebo-controlled, one-year clinical trial in patients with stable coronary artery disease,” Cardiovascular Drugs and Therapy, vol. 27, no. 1, pp. 37–48, 2013.
- M. M. Poulsen, P. F. Vestergaard, B. F. Clasen et al., “An investigator-initiated, randomized, placebo-controlled clinical trial of substrate metabolism, insulin sensitivity, and body composition,” Diabetes, vol. 62, no. 4, pp. 1186–1195, 2013.
- P. Fischer-Posovszky, F. S. Newell, M. Wabitsch, and H. E. Tornqvist, “Human SGBS cells: a unique tool for studies of human fat cell biology,” Obesity Facts, vol. 1, no. 4, pp. 184–189, 2008.
- H. Hauner, T. Skurk, and M. Wabitsch, “Cultures of human adipose precursor cells,” Methods in Molecular Biology, vol. 155, pp. 239–247, 2001.
- P. Kotnik, M. Keuper, M. Wabitsch, and P. Fischer-Posovszky, “Interleukin-1beta downregulates RBP4 secretion in human adipocytes,” PLoS One, vol. 8, Article ID e57796, 2013.
- K. R. Laderoute, K. Amin, J. M. Calaoagan et al., “5′-AMP-activated protein kinase (AMPK) is induced by low-oxygen and glucose deprivation conditions found in solid-tumor microenvironments,” Molecular and Cellular Biology, vol. 26, no. 14, pp. 5336–5347, 2006.
- K. J. Livak and T. D. Schmittgen, “Analysis of relative gene expression data using real-time quantitative PCR and the 2(-Delta Delta C(T)) Method,” Methods, vol. 25, no. 4, pp. 402–408, 2001.
- M. F. Gregor and G. S. Hotamisligil, “Inflammatory mechanisms in obesity,” Annual Review of Immunology, vol. 29, pp. 415–445, 2011.
- M. Keuper, A. Dzyakanchuk, K. E. Amrein, M. Wabitsch, and P. Fischer-Posovszky, “THP-1 macrophages and SGBS adipocytes: a new human in vitro model system of inflamed adipose tissue,” Frontiers in Endocrinology, vol. 2, p. 89, 2011.
- F. Picard, M. Kurtev, N. Chung et al., “Sirt1 promotes fat mobilization in white adipocytes by repressing PPAR-γ,” Nature, vol. 429, no. 771, p. 776, 2004.
- P. Fischer-Posovszky, V. Kukulus, D. Tews et al., “Resveratrol regulates human adipocyte number and function in a Sirt1-dependent manner,” The American Journal of Clinical Nutrition, vol. 92, pp. 5–15, 2010.
- A. Wang, M. Liu, X. Liu et al., “Up-regulation of adiponectin by resveratrol: the essential roles of the Akt/FOXO1 and amp-activated protein kinase signaling pathways and DsbA-L,” Journal of Biological Chemistry, vol. 286, no. 1, pp. 60–66, 2011.
- S. Chen, Z. Li, W. Li, Z. Shan, and W. Zhu, “Resveratrol inhibits cell differentiation in 3T3-L1 adipocytes via activation of AMPK,” Canadian Journal of Physiology and Pharmacology, vol. 89, no. 11, pp. 793–799, 2011.
- A. Lasa, M. Schweiger, P. Kotzbeck et al., “Resveratrol regulates lipolysis via adipose triglyceride lipase,” The Journal of Nutritional Biochemistry, vol. 23, no. 4, pp. 379–384, 2012.
- I. Mader, M. Wabitsch, K. Debatin, P. Fischer-Posovszky, and S. Fulda, “Identification of a novel proapoptotic function of resveratrol in fat cells: SIRT1-independent sensitization to TRAIL-induced apoptosis,” FASEB Journal, vol. 24, no. 6, pp. 1997–2009, 2010.
- S. Miranda, A. González-Rodríguez, J. Revuelta-Cervantes, C. M. Rondinone, and A. M. Valverde, “Beneficial effects of PTP1B deficiency on brown adipocyte differentiation and protection against apoptosis induced by pro- and anti-inflammatory stimuli,” Cellular Signalling, vol. 22, no. 4, pp. 645–659, 2010.
- L. Kang, W. Heng, A. Yuan, L. Baolin, and H. Fang, “Resveratrol modulates adipokine expression and improves insulin sensitivity in adipocytes: relative to inhibition of inflammatory responses,” Biochimie, vol. 92, no. 7, pp. 789–796, 2010.
- K. Esposito, M. Ciotola, and D. Giugliano, “Rosiglitazone cools down inflammation in the metabolic syndrome,” Arteriosclerosis, Thrombosis, and Vascular Biology, vol. 26, pp. 1413–1414, 2005.
- A. Fernández-Sánchez, E. Madrigal-Santillán, M. Bautista et al., “Inflammation, oxidative stress, and obesity,” International Journal of Molecular Sciences, vol. 12, no. 5, pp. 3117–3132, 2011.
- E. Y. Dimova, A. Samoylenko, and T. Kietzmann, “Oxidative stress and hypoxia: implications for plasminogen activator inhibitor-1 expression,” Antioxidants and Redox Signaling, vol. 6, no. 4, pp. 777–791, 2004.
- R. Samarakoon, J. M. Overstreet, and P. J. Higgins, “TGF-beta signaling in tissue fibrosis: redox controls, target genes and therapeutic opportunities,” Cellular Signalling, vol. 25, no. 1, pp. 264–268, 2013.
- M. B. Sporn and K. T. Liby, “NRF2 and cancer: the good, the bad and the importance of context,” Nature Reviews Cancer, vol. 12, pp. 564–571, 2012.
- G. S. Hotamisligil, “Inflammation and metabolic disorders,” Nature, vol. 444, no. 7121, pp. 860–867, 2006.
- C. J. Lyon and W. A. Hsueh, “Effect of plasminogen activator inhibitor-1 in diabetes mellitus and cardiovascular disease,” The American Journal of Medicine, vol. 115, Supplement 1, no. 8, pp. 62–68, 2003.
- P. E. Morange, M. C. Alessi, M. Verdier, D. Casanova, G. Magalon, and I. Juhan-Vague, “PAI-1 produced ex vivo by human adipose tissue is relevant to PAI-1 blood level,” Arteriosclerosis, Thrombosis, and Vascular Biology, vol. 19, no. 5, pp. 1361–1365, 1999.
- I. Shimomura, T. Funahashi, M. Takahashi et al., “Enhanced expression of PAI-1 in visceral fat: possible contributor to vascular disease in obesity,” Nature Medicine, vol. 2, no. 7, pp. 800–803, 1996.
- D. J. Loskutoff and F. Samad, “The adipocyte and hemostatic balance in obesity studies of PAI-1,” Arteriosclerosis, Thrombosis, and Vascular Biology, vol. 18, pp. 1–6, 1998.
- J. Ahn, H. Lee, S. Kim, and T. Ha, “Resveratrol inhibits TNF--induced changes of adipokines in 3T3-L1 adipocytes,” Biochemical and Biophysical Research Communications, vol. 364, no. 4, pp. 972–977, 2007.
- J. Olholm, S. K. Paulsen, K. B. Cullberg, B. Richelsen, and S. B. Pedersen, “Anti-inflammatory effect of resveratrol on adipokine expression and secretion in human adipose tissue explants,” International Journal of Obesity, vol. 34, pp. 1546–1553, 2010.
- G. C. Yen, Y. C. Chen, W. T. Chang, and C. L. Hsu, “Effects of polyphenolic compounds on tumor necrosis factor- (TNF-)-induced changes of adipokines and oxidative stress in 3T3-L1 adipocytes,” Journal of Agricultural and Food Chemistry, vol. 59, no. 2, pp. 546–551, 2011.
- A. Rosenow, J. P. Noben, J. Jocken et al., “Resveratrol-induced changes of the human adipocyte secretion profile,” Journal of Proteome Research, vol. 11, no. 9, pp. 4733–4743, 2012.
- V. W. Dolinsky and J. R. B. Dyck, “Calorie restriction and resveratrol in cardiovascular health and disease,” Biochimica et Biophysica Acta, vol. 1812, no. 11, pp. 1477–1489, 2011.
- J. R. Speakman and S. E. Mitchell, “Caloric restriction,” Molecular Aspects of Medicine, vol. 32, no. 3, pp. 159–221, 2011.
- K. Szkudelska and T. Szkudelski, “Resveratrol, obesity and diabetes,” European Journal of Pharmacology, vol. 635, no. 1–3, pp. 1–8, 2010.
- K. T. Howitz, K. J. Bitterman, H. Y. Cohen et al., “Small molecule activators of sirtuins extend Saccharomyces cerevisiae lifespan,” Nature, vol. 425, no. 6954, pp. 191–196, 2003.
- X. Zhu, Q. Liu, M. Wang et al., “Activation of Sirt1 by resveratrol inhibits TNF-α induced inflammation in Fibroblasts,” PLoS ONE, vol. 6, no. 10, Article ID e27081, 2011.
- Q. Q. Lin, C. F. Yan, R. Lin et al., “SIRT1 regulates TNF--induced expression of CD40 in 3T3-L1 adipocytes via NF-κB pathway,” Cytokine, vol. 60, no. 2, pp. 447–455, 2012.
- X. Hou, S. Xu, K. A. Maitland-Toolan et al., “SIRT1 regulates hepatocyte lipid metabolism through activating AMP-activated protein kinase,” Journal of Biological Chemistry, vol. 283, no. 29, pp. 20015–20026, 2008.
- M. Zang, S. Xu, K. A. Maitland-Toolan et al., “Polyphenols stimulate AMP-activated protein kinase, lower lipids, and inhibit accelerated atherosclerosis in diabetic LDL receptor-deficient mice,” Diabetes, vol. 55, no. 8, pp. 2180–2191, 2006.
- I. P. Salt and T. M. Palmer, “Exploiting the anti-inflammatory effects of AMP-activated protein kinase activation,” Expert Opinion on Investigational Drugs, vol. 21, no. 8, pp. 1155–1167, 2012.
- S. Bijland, S. J. Mancini, and I. P. Salt, “Role of AMP-activated protein kinase in adipose tissue metabolism and inflammation,” Clinical Science, vol. 124, pp. 491–507, 2013.
- A. Görlach, I. Diebold, V. B. Schini-Kerth et al., “Thrombin activates the hypoxia-inducible factor-1 signaling pathway in vascular smooth muscle cells role of the p22phox-containing NADPH oxidase,” Circulation Research, vol. 89, no. 1, pp. 47–54, 2001.
- K. W. Kang, S. J. Lee, and S. G. Kim, “Molecular mechanism of Nrf2 activation by oxidative stress,” Antioxidants and Redox Signaling, vol. 7, no. 11-12, pp. 1664–1673, 2005.
- H. Ghanim, C. L. Sia, K. Korzeniewski et al., “A resveratrol and polyphenol preparation suppresses oxidative and inflammatory stress response to a high-fat, high-carbohydrate meal,” Journal of Clinical Endocrinology and Metabolism, vol. 96, no. 5, pp. 1409–1414, 2011.
- P. E. Morange, H. R. Lijnen, M. C. Alessi, F. Kopp, D. Collen, and I. Juhan-Vague, “Influence of PAI-1 on adipose tissue growth and metabolic parameters in a murine model of diet-induced obesity,” Arteriosclerosis, Thrombosis, and Vascular Biology, vol. 20, no. 4, pp. 1150–1154, 2000.
- D. J. Loskutoff, K. Fujisawa, and F. Samad, “The fat mouse: a powerful genetic model to study hemostatic gene expression in obesity/NIDDM,” Annals of the New York Academy of Sciences, vol. 902, pp. 272–281, 2000.
- M. Pandey, D. J. Loskutoff, and F. Samad, “Molecular mechanisms of tumor necrosis factor-α-mediated plasminogen activator inhibitor-1 expression in adipocytes,” FASEB Journal, vol. 19, no. 10, pp. 1317–1319, 2005.
- A. M. Gonzales and R. A. Orlando, “Curcumin and resveratrol inhibit nuclear factor-κB-mediated cytokine expression in adipocytes,” Nutrition and Metabolism, vol. 5, article 17, 2008.
- J. K. Kundu and Y. Surh, “Molecular basis of chemoprevention by resveratrol: NF-κB and AP-1 as potential targets,” Mutation Research, vol. 555, no. 1-2, pp. 65–80, 2004.
- P. T. Pfluger, D. Herranz, S. Velasco-Miguel, M. Serrano, and M. H. Tschop, “Sirt1 protects against high-fat diet-induced metabolic damage,” Proceedings of the National Academy of Sciences of the United States of America PNAS, vol. 105, no. 28, pp. 9793–9798, 2008.
- T. Yoshizaki, J. C. Milne, T. Imamura et al., “SIRT1 exerts anti-inflammatory effects and improves insulin sensitivity in adipocytes,” Molecular and Cellular Biology, vol. 29, no. 5, pp. 1363–1374, 2009.
- A. Salminen, J. M. T. Hyttinen, and K. Kaarniranta, “AMP-activated protein kinase inhibits NF-κB signaling and inflammation: impact on healthspan and lifespan,” Journal of Molecular Medicine, vol. 89, no. 7, pp. 667–676, 2011.
- O. N. Ozes, L. D. Mayo, J. A. Gustin, S. R. Pfeffer, L. M. Pfeffer, and D. B. Donner, “NF-κB activation by tumour necrosis factor requires tie Akt serine-threonine kinase,” Nature, vol. 401, no. 6748, pp. 82–85, 1999.
- L. V. Madrid, M. W. Mayo, J. Y. Reuther, and A. S. Baldwin Jr., “Akt stimulates the transactivation potential of the RelA/p65 subunit of NF-κB through utilization of the IκB kinase and activation of the mitogen-activated protein kinase p38,” Journal of Biological Chemistry, vol. 276, no. 22, pp. 18934–18940, 2001.
- S. K. Manna, A. Mukhopadhyay, and B. B. Aggarwal, “Resveratrol suppresses TNF-induced activation of nuclear transcription factors NF-κB, activator protein-1, and apoptosis: potential role of reactive oxygen intermediates and lipid peroxidation,” Journal of Immunology, vol. 164, no. 12, pp. 6509–6519, 2000.
- J. J. Heynekamp, W. M. Weber, L. A. Hunsaker et al., “Substituted trans-stilbenes, including analogues of the natural product resveratrol, inhibit the human tumor necrosis factor alpha-induced activation of transcription factor nuclear factor κB,” Journal of Medicinal Chemistry, vol. 49, no. 24, pp. 7182–7189, 2006.
- N. H. Nam, “Naturally occurring NF-κB inhibitors,” in Mini-Reviews in Medicinal Chemistry, vol. 6, pp. 945–951, 2006.
- J. Zhu, W. Yong, X. Wu et al., “Anti-inflammatory effect of resveratrol on TNF--induced MCP-1 expression in adipocytes,” Biochemical and Biophysical Research Communications, vol. 369, no. 2, pp. 471–477, 2010.
- A. Kumar and S. S. Sharma, “NF-κB inhibitory action of resveratrol: a probable mechanism of neuroprotection in experimental diabetic neuropathy,” Biochemical and Biophysical Research Communications, vol. 394, no. 2, pp. 360–365, 2010.
- S. Kim, Y. Jin, Y. Choi, and T. Park, “Resveratrol exerts anti-obesity effects via mechanisms involving down-regulation of adipogenic and inflammatory processes in mice,” Biochemical Pharmacology, vol. 81, no. 11, pp. 1343–1351, 2011.