2-Aminoadipic acid (2-AAA) as a potential biomarker for insulin resistance in childhood obesity

Sci Rep. 2019 Sep 20;9(1):13610. doi: 10.1038/s41598-019-49578-z.

Abstract

Insulin resistance is an important clinical feature of metabolic syndrome, which includes obesity and type 2 diabetes. Increased adipose energy storage in obesity promote insulin resistance and other metabolic adverse effects. To identify a new link between adipocyte and insulin resistance, we performed targeted metabolite profiling of differentiated adipocytes and studied the association between adipogenic metabolites and insulin resistance. We found a correlation between 2-aminoadipic acid (2-AAA) and adipogenic differentiation. Also, circulatory 2-AAA was positively associated with obesity-related factors (fat mass, fat percent, waist circumference, BMI, BMI z-score, triglycerides, insulin, and HOMA-IR) at baseline and after 2 years in the children cohort study. Of these factors, increased BMI z-score and HOMA-IR were the primary independent factors associated with higher 2-AAA levels, and the baseline 2-AAA level was an indicator of the BMI z-score after 2 years. To validate the relationship between 2-AAA and obesity-related factors, we analyzed changes in 2-AAA levels following obesity intervention programs in two independent studies. In both studies, changes in 2-AAA levels during the intervention period were positively correlated with changes in the BMI z-score and HOMA-IR after adjusting for confounders. Moreover, the 2-AAA levels were increased in cell and mouse models of obesity-related insulin resistance. Excess 2-AAA levels led to impaired insulin signaling in insulin-sensitive cells (liver, skeletal muscle and adipose cells) and caused abnormal gluconeogenesis. Our results demonstrate that 2-AAA is associated with adipogenesis and insulin resistance. In this regard, 2-AAA could be a potential biomarker of obesity and obesity-related metabolic disorders.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 2-Aminoadipic Acid / analysis*
  • 2-Aminoadipic Acid / blood
  • 2-Aminoadipic Acid / metabolism
  • Adipocytes / metabolism
  • Adipogenesis / physiology
  • Adipose Tissue / metabolism
  • Adiposity
  • Adolescent
  • Animals
  • Biomarkers / blood
  • Blood Glucose / metabolism
  • Body Mass Index
  • Cell Differentiation / physiology
  • Child
  • Cohort Studies
  • Diabetes Mellitus, Type 2 / metabolism
  • Female
  • Follow-Up Studies
  • Humans
  • Insulin / metabolism
  • Insulin Resistance / physiology*
  • Leptin / metabolism
  • Male
  • Metabolic Syndrome / metabolism
  • Mice
  • Mice, Inbred C57BL
  • Pediatric Obesity / metabolism*
  • Pediatric Obesity / physiopathology
  • Republic of Korea
  • Triglycerides / metabolism
  • Waist Circumference

Substances

  • Biomarkers
  • Blood Glucose
  • Insulin
  • Leptin
  • Triglycerides
  • 2-Aminoadipic Acid