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Inflammation and endoplasmic reticulum stress in obesity and diabetes

Abstract

Obesity is associated with chronic low-grade inflammation. Inflammatory signals interfere with insulin action and disrupt metabolic homeostasis. The c-Jun N-terminal kinase (JNK) has been identified as a central mediator of insulin resistance. Recent studies showed that in obesity compromising endoplasmic reticulum (ER) function results in insulin resistance and type 2 diabetes that are dependent on JNK activation. In contrast, enhancing ER function in transgenic mice or by the use of chemical chaperones protects against diet-induced insulin resistance. Hence, ER stress and the related signaling networks present a critical mechanism underlying obesity-induced JNK activity, inflammatory response and insulin resistance.

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References

  1. Hotamisligil GS . Inflammation and metabolic disorders. Nature 2006; 444: 860–867.

    Article  CAS  Google Scholar 

  2. Wellen KE, Hotamisligil GS . Inflammation, stress, and diabetes. J Clin Invest 2005; 115: 1111–1119.

    Article  CAS  Google Scholar 

  3. Wellen K, Fucho R, Gregor MF, Furuhashi M, Morgan C, Lindstad T et al. Coordinated regulation of nutrient and inflammatory responses by STAMP2 is essential for metabolic homeostasis. Cell 2007; 129: 537–548.

    Article  CAS  Google Scholar 

  4. Hirosumi J, Tuncman G, Chang L, Gorgun CZ, Uysal KT, Maeda K et al. A central role for JNK in obesity and insulin resistance. Nature 2002; 420: 333–336.

    Article  CAS  Google Scholar 

  5. Tuncman G, Hirosumi J, Solinas G, Chang L, Karin M, Hotamisligil GS . Functional in vivo interactions between JNK1 and JNK2 isoforms in obesity and insulin resistance. Proc Natl Acad Sci USA 2006; 103: 10741–10746.

    Article  CAS  Google Scholar 

  6. Furuhashi M, Tuncman G, Görgün CZ, Makowski L, Atsumi G, Vaillancourt E et al. Treatment of diabetes and atherosclerosis by inhibiting fatty-acid-binding protein aP2. Nature 2007; 447: 959–965.

    Article  CAS  Google Scholar 

  7. Furuhashi M, Fucho R, Gorgun CZ, Tuncman G, Cao H, Hotamisligil GS . Adipocyte/macrophage fatty acid-binding proteins contribute to metabolic deterioration through actions in both macrophages and adipocytes in mice. J Clin Invest 2008; 118: 2640–2650.

    CAS  PubMed  PubMed Central  Google Scholar 

  8. Vallerie SN, Furuhashi M, Fucho R, Hotamisligil GS . A predominant role for parenchymal c-Jun amino terminal kinase (JNK) in the regulation of systemic insulin sensitivity. PLoS 2008; 3: e3151.

    Article  Google Scholar 

  9. Hotamisligil GS . Role of endoplasmic reticulum stress and c-Jun NH2-terminal kinase pathways in inflammation and origin of obesity and diabetes. Diabetes 2005; 54 (Suppl 2): S73–S78.

    Article  CAS  Google Scholar 

  10. Gregor MF, Hotamisligil GS . Thematic review series: adipocyte biology. Adipocyte stress: the endoplasmic reticulum and metabolic disease. J Lipid Res 2007; 48: 1905–1914.

    Article  CAS  Google Scholar 

  11. Ozcan U, Cao Q, Yilmaz E, Lee AH, Iwakoshi NN, Ozdelen E et al. Endoplasmic reticulum stress links obesity, insulin action, and type 2 diabetes. Science 2004; 306: 457–461.

    Article  Google Scholar 

  12. Ozcan U, Yilmaz E, Ozcan L, Furuhashi M, Vaillancourt E, Smith RO et al. Chemical chaperones reduce ER stress and restore glucose homeostasis in a mouse model of type 2 diabetes. Science 2006; 313: 1137–1140.

    Article  Google Scholar 

Download references

Acknowledgements

I am grateful for the contribution of fellows and students to the studies presented here. The research programs in Hotamisligil laboratory are supported by grants from the National Institutes of Health USA, American Diabetes Association and Juvenile Diabetes Research Foundation.

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Correspondence to G S Hotamisligil.

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Gokhan S Hotamisligil has received lecture fees from Merck, Schering Plough, Pfizer and Glaxo Smith Kline and is a member of the SAB of Lipomics Technologies Inc. and Syndexa Pharmaceuticals. In addition, Gokhan S Hotamisligil owns stock options with Lipomics Technologies Inc. and Syndexa Pharmaceuticals and has received grant support from Syndexa.

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Hotamisligil, G. Inflammation and endoplasmic reticulum stress in obesity and diabetes. Int J Obes 32 (Suppl 7), S52–S54 (2008). https://doi.org/10.1038/ijo.2008.238

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