Regular physical activity is essential for overall health, including beneficial effects to improve whole-body metabolic homeostasis and insulin sensitivity: adaptations that are critical for people with diabetes. While these benefits of exercise training are well described, the underlying cellular and molecular mechanisms are not well understood. The concept that exercise stimulates tissue-to-tissue communication to improve overall metabolic health has emerged as an important area of scientific investigation. Exercise is a complex physiological stimulus that regulates numerous molecules, signaling networks and tissues, and we hypothesize that all of these adaptations contribute to mediating the beneficial effects of physical exercise on health. Studies supported by this award have shown that exercise-induced adaptations to subcutaneous adipose tissue (scWAT) play a fundamental role in this process. In the next phase of this project we propose to use mouse models to investigate three critical areas of exercise and adipose tissue biology, all of which are based on our compelling preliminary or published studies.
Specific Aim 1 is based on our findings suggesting that the mechanism for the beneficial role of exercise-trained scWAT on metabolism involves the secretion and biological actions of multiple exercise-induced adipokines. We discovered that TGF-?2 is one such exercise- specific adipokine, and demonstrated that TGF-?2 is regulated by lactate and has profound effects on tissue and systemic metabolism. One goal of Specific Aim 1 is to elucidate the cellular signaling mechanisms regulating this novel exercise-induced lactate-TGF-?2 axis. Given the potential clinical significance of exercise-regulated adipokines, another goal of Aim 1 is to elucidate the complete exercise-regulated scWAT secretome.
In Specific Aim 2, we will investigate CRISP1, another newly identified exercise-regulated adipokine. Importantly, our preliminary data show that CRISP1 is regulated by a lactate-independent mechanism and has beneficial effects on tissue and systemic metabolism. In addition, CRISP1 appears to be sex-specific, only increasing with exercise in male mice, and in Aim 2 we will investigate underlying mechanisms for sex-specific adaptations to scWAT.
Specific Aim 3 will investigate exercise regulation of ?lipokines?, signaling lipids that are a new class of molecules shown to have metabolic effects. We discovered that 12,13-diHOME is a novel lipokine increased by both exercise and exercise training, released from brown adipose tissue, and functions to increase skeletal muscle fatty acid metabolism.
Specific Aim 3 will study the metabolic consequences of exercise-regulated 12,13-diHOME. This innovative project should lead to a new paradigm in which exercise-stimulated circulating factors derived from adipose tissues function to regulate the beneficial effects of exercise on health. These studies have the potential to define novel biologics to aid in the treatment of obesity, type 2 diabetes, and other metabolic diseases.

Public Health Relevance

Diabetes is a major public health problem and exercise has an undisputed role in the treatment and prevention of this disease. The goal of this research is to discover how exercise training causes fundamental changes to adipose tissue that signal the body to improve overall metabolism, including lowering blood sugar and lipid levels and improving function of tissues such as muscle. This will lead to a better basic understanding of the beneficial effects of exercise on health and could help to identify novel therapies for diabetes.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Project (R01)
Project #
2R01DK099511-06A1
Application #
9972544
Study Section
Skeletal Muscle and Exercise Physiology Study Section (SMEP)
Program Officer
Haft, Carol R
Project Start
2014-04-10
Project End
2023-12-31
Budget Start
2020-03-02
Budget End
2020-12-31
Support Year
6
Fiscal Year
2020
Total Cost
Indirect Cost
Name
Joslin Diabetes Center
Department
Type
DUNS #
071723084
City
Boston
State
MA
Country
United States
Zip Code
02215
Stanford, Kristin I; Goodyear, Laurie J (2018) Muscle-Adipose Tissue Cross Talk. Cold Spring Harb Perspect Med 8:
Stanford, Kristin I; Lynes, Matthew D; Takahashi, Hirokazu et al. (2018) 12,13-diHOME: An Exercise-Induced Lipokine that Increases Skeletal Muscle Fatty Acid Uptake. Cell Metab 27:1111-1120.e3
Stanford, Kristin I; Lynes, Matthew D; Takahashi, Hirokazu et al. (2018) 12,13-diHOME: An Exercise-Induced Lipokine that Increases Skeletal Muscle Fatty Acid Uptake. Cell Metab 27:1357
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