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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">BR</journal-id>
<journal-title-group>
<journal-title>Biomedical Reports</journal-title>
</journal-title-group>
<issn pub-type="ppub">2049-9434</issn>
<issn pub-type="epub">2049-9442</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/br.2015.514</article-id>
<article-id pub-id-type="publisher-id">BR-0-0-514</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Topiramate effects lipolysis in 3T3-L1 adipocytes</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>MARTINS</surname><given-names>GABRIELA POLTRONIERI CAMPAGNARO</given-names></name>
<xref rid="af1-br-0-0-514" ref-type="aff">1</xref>
<xref rid="fn1-br-0-0-514" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>SOUZA</surname><given-names>CAMILA OLIVEIRA</given-names></name>
<xref rid="af2-br-0-0-514" ref-type="aff">2</xref>
<xref rid="fn1-br-0-0-514" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>MARQUES</surname><given-names>SCHEROLIN</given-names></name>
<xref rid="af1-br-0-0-514" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>LUCIANO</surname><given-names>THAIS FERNANDES</given-names></name>
<xref rid="af1-br-0-0-514" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>DA SILVA PIERI</surname><given-names>BRUNO LUIZ</given-names></name>
<xref rid="af1-br-0-0-514" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>ROSA</surname><given-names>JOS&#x00C9; C&#x00C9;SAR</given-names></name>
<xref rid="af2-br-0-0-514" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>DA SILVA</surname><given-names>ADELINO SANCHEZ RAMOS</given-names></name>
<xref rid="af3-br-0-0-514" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>PAULI</surname><given-names>JOS&#x00C9; RODRIGO</given-names></name>
<xref rid="af4-br-0-0-514" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author"><name><surname>CINTRA</surname><given-names>DENNYS ESPER</given-names></name>
<xref rid="af4-br-0-0-514" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author"><name><surname>ROPELLE</surname><given-names>EDUARDO ROCHETE</given-names></name>
<xref rid="af4-br-0-0-514" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author"><name><surname>RODRIGUES</surname><given-names>BRUNO</given-names></name>
<xref rid="af5-br-0-0-514" ref-type="aff">5</xref></contrib>
<contrib contrib-type="author"><name><surname>DE LIRA</surname><given-names>FABIO SANTOS</given-names></name>
<xref rid="af6-br-0-0-514" ref-type="aff">6</xref></contrib>
<contrib contrib-type="author"><name><surname>DE SOUZA</surname><given-names>CLAUDIO TEODORO</given-names></name>
<xref rid="af1-br-0-0-514" ref-type="aff">1</xref>
<xref ref-type="corresp" rid="c1-br-0-0-514"/></contrib>
</contrib-group>
<aff id="af1-br-0-0-514"><label>1</label>Laboratory of Exercise Biochemistry and Physiology, Health Sciences Unit, University of Extremo Sul Catarinense, Crici&#x00FA;ma, SC 88806-000, Brazil</aff>
<aff id="af2-br-0-0-514"><label>2</label>Immunometabolism Research Group, Institute of Biomedical Sciences, University of Sao Paulo, S&#x00E3;o Paulo, SP 05508-900, Brazil</aff>
<aff id="af3-br-0-0-514"><label>3</label>School of Physical Education and Sport of Ribeir&#x00E3;o Preto, University of S&#x00E3;o Paulo (USP), Ribeir&#x00E3;o Preto, SP 14040-907, Brazil</aff>
<aff id="af4-br-0-0-514"><label>4</label>School of Applied Sciences, University of Campinas (UNICAMP), Limeira, SP 13484-350, Brazil</aff>
<aff id="af5-br-0-0-514"><label>5</label>Laboratory of Human Movement, S&#x00E3;o Judas Tadeu University, S&#x00E3;o Paulo, SP 03166-000, Brazil</aff>
<aff id="af6-br-0-0-514"><label>6</label>Immunometabolism Research Group, Department of Physical Education, University Estadual Paulista (UNESP), Presidente Prudente, SP 19060-900, Brazil</aff>
<author-notes>
<corresp id="c1-br-0-0-514"><italic>Correspondence to</italic>: Dr Claudio Teodoro de Souza, Laboratory of Exercise Biochemistry and Physiology, Health Sciences Unit, University of Extremo Sul Catarinense, Crici&#x00FA;ma, SC 88806-000, Brazil, E-mail: <email>ctsouza@unesc.net</email></corresp>
<fn id="fn1-br-0-0-514"><label>&#x002A;</label><p>Contributed equally</p></fn>
</author-notes>
<pub-date pub-type="ppub">
<month>11</month>
<year>2015</year></pub-date>
<pub-date pub-type="epub">
<day>28</day>
<month>08</month>
<year>2015</year></pub-date>
<volume>3</volume>
<issue>6</issue>
<fpage>827</fpage>
<lpage>830</lpage>
<history>
<date date-type="received"><day>15</day><month>07</month><year>2015</year></date>
<date date-type="accepted"><day>04</day><month>08</month><year>2015</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2015, Spandidos Publications</copyright-statement>
<copyright-year>2015</copyright-year>
</permissions>
<abstract>
<p>Studies have shown that topiramate (TPM)-induced weight loss can be dependent on the central nervous system (CNS). However, the direct action of TPM on adipose tissue has not been tested previously. Thus, the present study aimed to examine whether TPM modulates lipolysis in 3T3-L1. The 3T3-L1 cells were incubated in 50 &#x00B5;M TPM for 30 min. The &#x03B2;-adrenergic stimulator, isoproterenol, was used as a positive control. The release of lactate dehydrogenase, non-esterified fatty acid, glycerol and incorporation of <sup>14</sup>C-palmitate to lipid were analyzed. The phosphorylation of protein kinase A (PKA), hormone-sensitive lipase (HSL), adipocyte triglyceride lipase (ATGL) and perilipin A, as well as the protein levels of comparative genetic identification 58 (CGI-58) were assessed. The levels of glycerol and non-esterified fatty acid increased markedly when the cells were treated with TPM. The TPM effects were similar to the isoproterenol positive control. Additionally, TPM reduced lipogenesis. These results were observed without any change in cell viability. Finally, the phosphorylation of PKA, HSL, ATGL and perilipin A, as well as the protein levels of CGI-58 were increased compared to the control cells. These results were similar to those observed in the cells treated with isoproterenol. The present results show that TPM increased the phosphorylation of pivotal lipolytic enzymes, which induced lipolysis in 3T3-L1 adipocytes, suggesting that this drug may act directly in the adipose tissue independent from its effect on the CNS.</p>
</abstract>
<kwd-group>
<kwd>obesity</kwd>
<kwd>topiramate</kwd>
<kwd>3T3-L1 adipocytes</kwd>
<kwd>lipolysis</kwd>
<kwd>weight loss</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Obesity is associated with several chronic diseases. Environmental changes are not sufficient to control obesity; however, there is overwhelming evidence that certain pharmacological agents may act as therapeutic targets for obesity. One such agent is topiramate (TPM), initially used for epilepsy treatment and migraine prophylaxis. TPM is a glutamate &#x03B1;-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid/kainate receptor agonist and enhances the inhibitory effects mediated by &#x03B3;-aminobutyric acid (<xref rid="b1-br-0-0-514" ref-type="bibr">1</xref>). One of the side effects of TPM is weight loss, which makes this drug a possible option for obesity treatment. The central mechanisms suggested for TPM-induced weight loss include a reduction in energy efficiency, influence on the hypothalamus and alteration of neuropeptides (<xref rid="b1-br-0-0-514" ref-type="bibr">1</xref>). However, the direct action of TPM on adipose tissue, particularly on lipolysis, has not been observed.</p>
<p>Two essential enzymes for lipid hydrolysis are adipocyte triglyceride lipase (ATGL) and hormone-sensitive lipase (HSL). ATGL hydrolyzes triacylglycerols into a fatty acid and a diacylglycerol (<xref rid="b2-br-0-0-514" ref-type="bibr">2</xref>). To fully activate, ATGL must interact with its cofactor, comparative genetic identification 58 (CGI-58) (<xref rid="b3-br-0-0-514" ref-type="bibr">3</xref>). In adipocytes without lipolytic stimuli, CGI-58 is strongly bound to lipid droplets, interacting with perilipin A (<xref rid="b2-br-0-0-514" ref-type="bibr">2</xref>). However, perilipin A and CGI-58 dissociate when lipolytic activity is stimulated by the activation of &#x03B2;-adrenergic receptors, which causes an increase in the cyclic adenosine monophosphate and consequent activation of protein kinase A (PKA). This process releases CGI-58 to associate with ATGL. Perilipin A is a structural protein that coats lipid droplets and protects triglycerides (TAG) molecules from basal enzymatic hydrolysis (<xref rid="b4-br-0-0-514" ref-type="bibr">4</xref>). Additionally, in stimulated cells, perilipin A is phosphorylated and facilitates the HSL translocation from the fat vesicles surface with consequent access to its diacylglycerol substrate (<xref rid="b5-br-0-0-514" ref-type="bibr">5</xref>). Together, the phosphorylation of HSL and its translocation to the lipid droplets surface, coupled with the activation of ATGL by CGI-58, results in the hydrolysis of 90&#x0025; of TAG.</p>
<p>TPM treatment has been shown to reduce adiposity in humans and rodents (<xref rid="b6-br-0-0-514" ref-type="bibr">6</xref>,<xref rid="b7-br-0-0-514" ref-type="bibr">7</xref>). TPM is assumed to act directly on lipolysis, however, this has not been explicitly described <italic>in vivo</italic>, once TPM acts on the central nervous system (CNS). Thus, in the present study, 3T3-L1 adipocytes were used and TPM was demonstrated to have a direct effect on lipolysis.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Cell culture and measurement of lipolysis</title>
<p>3T3-L1 cells were obtained from the American Type Culture Collection and cultured at 37&#x00B0;C in 5&#x0025; CO<sub>2</sub> in Dulbecco&#x0027;s modified Eagle&#x0027;s medium supplemented with 25 mmol/l glucose, 1.0 mmol/l pyruvate, 4.02 mmol/l L-alanyl-glutamine and 10&#x0025; fetal bovine serum (Gibco, New York, NY, USA). Cell differentiation began 24 h after confluency and occurred over 4 days in a medium containing 0.25 &#x00B5;M dexamethasone, 0.5 mmol/l 3-isobutyl-1-methylxanthine and 5 &#x00B5;g/ml insulin (Sigma, St. Louis, MO, USA). Following differentiation, the cells were cultured for 10 days in growth medium containing 5 &#x00B5;g/ml of insulin. Each parameter was evaluated using a 6-well aliquot from this culture. On day 10 after differentiation, the cells were incubated for 24 h in a medium containing 0.5&#x0025; fetal bovine serum. Cells were treated with 10 &#x00B5;l of TPM (50 &#x00B5;M) or isoproterenol (20 &#x00B5;M) for 30 min. At the end of the incubation, the glycerol and non-esterified fatty acid (NEFA) contents (Wako Chemical, Richmond, Inc., VA, USA) of the incubation medium were used as an index of lipolysis and were measured using enzymatic-colorimetric kits. In addition, the release of lactate dehydrogenase (LDH) induced by plasma membrane disruption in culture medium was used as a cellular viability index.</p>
</sec>
<sec>
<title>Incorporation of [1-<sup>14</sup>C]-palmitate into lipids</title>
<p>Cells were incubated in Krebs/Ringer/phosphate buffer (pH 7.4), supplemented with 1&#x0025; bovine serum albumin and 1 mmol/l palmitate, at 37&#x00B0;C under a CO<sub>2</sub> (5&#x0025;)/O<sub>2</sub> (95&#x0025;) gas mixture. Aliquots (450 &#x00B5;l) were transferred to polypropylene test tubes containing 5 &#x00B5;l of [1-<sup>14</sup>C]-palmitate, in the presence or absence of insulin (10 nmol/l), and in the presence or absence of TPM (50 &#x00B5;M). These samples were subsequently incubated for 1 h at 37&#x00B0;C in a water bath. Following incubation, the mixture was acidi&#xFB01;ed with 0.2 ml H<sub>2</sub>SO<sub>4</sub> (8 N) and incubated for an additional 30 min. At the end of the incubation, the reaction mixture was treated with 2.5 ml of Dole&#x0027;s reagent (isopropanol:<italic>n</italic>-heptane:H<sub>2</sub>SO<sub>4</sub>, 4:1:0.25, v/v/v) for lipid extraction.</p>
</sec>
<sec>
<title>Immunoblotting</title>
<p>The whole cell extracts were prepared by lysis of the cells in extraction buffer [1&#x0025; Triton X-100, 100 mmol/l Tris (pH 7.4), containing 100 mmol/l sodium pyrophosphate, 100 mmol/l sodium fluoride, 10 mmol/l EDTA, 10 mmol/l sodium vanadate, 2 mmol/l phenylmethylsulphonyl fluoride and 0.1 mg of aprotinin/ml] at 4&#x00B0;C. The extracts were centrifuged at 9,000 &#x00D7; g at 4&#x00B0;C (5804R; Eppendorf AG, Hamburg, Germany) for 40 min to remove insoluble material, and the supernatants of these tissues were used for protein quantification, according to the Bradford method. Proteins were denatured by boiling in Laemmli sample buffer containing 100 mM dithiothreitol, run on SDS-PAGE and transferred to nitrocellulose membranes. Membranes were blocked, probed and blotted with primary antibodies. Antibodies used for immunoblotting were phospho HSL<sup>ser660</sup>, phospho HSL<sup>ser563</sup>, HSL total (Cell Signaling Technology, Beverly, MA, USA), and phospho PKA<sup>Thr198</sup>, PKA total, CGI-58, perilipin A (Santa Cruz Biotechnology, Inc., Dallas, TX, USA), phospho ATGL<sup>Ser406</sup>, ATGL total, &#x03B2;-actin (Abcam, Eugene, OR, USA), and phospho perilipin A (Vala Sciences, Inc., San Diego, CA, USA). Chemiluminescent detection was performed with horseradish peroxidase-conjugated secondary antibodies (Thermo Scientific, Rockford, IL, USA). Autoradiographs of membranes were obtained for visualization of protein bands. The results of the blots are presented as direct comparisons of the area of the apparent bands in autoradiographs and quantified by densitometry using the Scion Image software (Scion Image software; Scion Corp., Frederick, MD, USA).</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>Bars represent 6 different experiments. Differences between the groups were evaluated using one-way analysis of variance followed by the Bonferroni post hoc test. P&#x003C;0.05 was considered to indicate a statistically significant difference. The software used for data analysis was the Statistical Package for the Social Sciences (SPSS) version 17.0 for Windows (SPSS, Inc., Chicago, IL, USA).</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Effects of TPM on lipolysis in 3T3-L1 adipocytes</title>
<p>To evaluate TPM-induced physiological alterations in lipolysis, the glycerol and NEFA contents were assayed in the incubation medium. The contents of glycerol and NEFA in isoproterenol-treated cells were higher compared with the control group. Similar results were observed for the isoproterenol group (<xref rid="f1-br-0-0-514" ref-type="fig">Fig. 1A and B</xref>). To analyze lipogenesis, insulin-induced [1-<sup>14</sup>C]-palmitate incorporation into lipids was assayed. These results show that the use of TPM decreased palmitate incorporation into lipids compared to the control group regardless of insulin stimulus (<xref rid="f1-br-0-0-514" ref-type="fig">Fig. 1C</xref>). To evaluate whether TPM exposure effects cellular viability, the cytosolic enzyme LDH release was quantified. The analyzed groups did not demonstrate significant differences, suggesting that TPM was not cytotoxic for the times and dosages used (<xref rid="f1-br-0-0-514" ref-type="fig">Fig. 1D</xref>).</p>
<p>Based on the current findings, we hypothesize that TPM treatment could increase the phosphorylation of the main lipolytic enzymes. Subsequently, the phosphorylation of PKA<sup>Thr198</sup>, HSL<sup>Ser660</sup>, HSL<sup>Ser563</sup>, ATGL<sup>Ser406</sup> and perilipin A, as well as the protein levels of CGI-58, PKA<sup>Thr198</sup>, HSL<sup>Ser660</sup>, HSL<sup>Ser563</sup>, ATGL<sup>Ser406</sup> and perilipin A were analyzed (<xref rid="f1-br-0-0-514" ref-type="fig">Fig. 1E&#x2013;J</xref>). TPM treatment led to a higher enzymatic phosphorylation compared to the control group. Therefore, this result may explain, at least in part, why the glycerol and NEFA levels were increased. Notably, the analyzed protein phosphorylation and the CGI-58 protein levels were similar for cells treated with TPM or isoproterenol (<xref rid="f1-br-0-0-514" ref-type="fig">Fig. 1E&#x2013;J</xref>).</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>As increased lipolysis and decreased lipogenesis cause fat loss in obese individuals, the present study tested whether the use of TPM increases lipolysis in 3T3-L1 cells. The 3T3-L1 cells treated with TPM presented high phosphorylation of lipolytic enzymes and subsequent lipolysis, without alteration of cell viability. In addition, the data showed that TPM modulated lipogenesis. A previous 6-month randomized human study indicated that TPM led to marked weight loss compared to the placebo (<xref rid="b8-br-0-0-514" ref-type="bibr">8</xref>). Another recent study showed that co-treatment with phentermine and TPM also induced weight loss in obese patients (<xref rid="b9-br-0-0-514" ref-type="bibr">9</xref>). A study in which animals were fed with a high fat diet showed that the concurrent TPM use at 50 mg/kg led to body weight reduction and insulin sensitivity improvement (<xref rid="b10-br-0-0-514" ref-type="bibr">10</xref>). Caricilli <italic>et al</italic> (<xref rid="b11-br-0-0-514" ref-type="bibr">11</xref>) observed that TPM improved insulin and leptin sensitivity in the hypothalamus of obese mice, which can contribute to the reduction of food intake and adiposity. However, these <italic>in vivo</italic> studies did not exclude the TPM effects on CNS.</p>
<p>In the present study, TPM treatment increased the release of NEFA and glycerol in the culture medium. In addition, decreased [<sup>14</sup>C]-palmitate incorporation was observed in adipocytes exposed to TPM. One of the proposed mechanisms for lipogenesis reduction can be the carbonic anhydrase enzyme inhibition, which performs the first step of <italic>de novo</italic> lipogenesis. Although this enzyme was not analyzed in the present study, a previous study suggested that TPM can inhibit the cytosolic and mitochondrial levels of this enzyme, leading to weight loss (<xref rid="b12-br-0-0-514" ref-type="bibr">12</xref>).</p>
<p>Subsequent to observing that NEFA and glycerol levels were changed, five molecules that have a crucial role in the triacylglycerol hydrolysis were analyzed. TPM treatment increased the phosphorylation of PKA, HSL, ATGL and perilipin A, as well as the protein levels of CGI-58 compared to control cells. However, the TPM-induced phosphorylation degrees were similar to those using isoproterenol. The present data did not allow the proposition of the mechanism responsible by the increase of these molecules induced by TPM. Taken together, these results demonstrate that TPM treatment led to lipolysis independently of its action on the CNS. These data increase the understanding of the processes involved on the TPM-induced weight loss and suggest a direct action of this drug on the adipose tissue.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The present study was supported by grants from Conselho Nacional de Desenvolvimento Cient&#x00ED;fico e Tecnol&#x00F3;gico (CNPq) and University of Extremo Sul Catarinense (UNESC).</p>
</ack>
<glossary>
<def-list>
<title>Abbreviations</title>
<def-item><term>ATGL</term><def><p>adipocyte triglyceride lipase</p></def></def-item>
<def-item><term>CGI-58</term><def><p>cofactor comparative genetic identification 58</p></def></def-item>
<def-item><term>CNS</term><def><p>central nervous system</p></def></def-item>
<def-item><term>HSL</term><def><p>hormone-sensitive lipase</p></def></def-item>
<def-item><term>LDH</term><def><p>lactate dehydrogenase</p></def></def-item>
<def-item><term>NEFA</term><def><p>non-esterified fatty acid</p></def></def-item>
<def-item><term>PKA</term><def><p>protein kinase A</p></def></def-item>
<def-item><term>TAG</term><def><p>triglycerides</p></def></def-item>
<def-item><term>TPM</term><def><p>topiramate</p></def></def-item>
</def-list>
</glossary>
<ref-list>
<title>References</title>
<ref id="b1-br-0-0-514"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Verrotti</surname><given-names>A</given-names></name><name><surname>Scaparrotta</surname><given-names>A</given-names></name><name><surname>Agostinelli</surname><given-names>S</given-names></name><name><surname>Di Pillo</surname><given-names>S</given-names></name><name><surname>Chiarelli</surname><given-names>F</given-names></name><name><surname>Grosso</surname><given-names>S</given-names></name></person-group><article-title>Topiramate-induced weight loss: A review</article-title><source>Epilepsy Res</source><volume>95</volume><fpage>189</fpage><lpage>199</lpage><year>2011</year><pub-id pub-id-type="doi">10.1016/j.eplepsyres.2011.05.014</pub-id><pub-id pub-id-type="pmid">21684121</pub-id></element-citation></ref>
<ref id="b2-br-0-0-514"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zechner</surname><given-names>R</given-names></name><name><surname>Kienesberger</surname><given-names>PC</given-names></name><name><surname>Haemmerle</surname><given-names>G</given-names></name><name><surname>Zimmermann</surname><given-names>R</given-names></name><name><surname>Lass</surname><given-names>A</given-names></name></person-group><article-title>Adipose triglyceride lipase and the lipolytic catabolism of cellular fat stores</article-title><source>J Lipid Res</source><volume>50</volume><fpage>3</fpage><lpage>21</lpage><year>2009</year><pub-id pub-id-type="doi">10.1194/jlr.R800031-JLR200</pub-id><pub-id pub-id-type="pmid">18952573</pub-id></element-citation></ref>
<ref id="b3-br-0-0-514"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lass</surname><given-names>A</given-names></name><name><surname>Zimmermann</surname><given-names>R</given-names></name><name><surname>Haemmerle</surname><given-names>G</given-names></name><name><surname>Riederer</surname><given-names>M</given-names></name><name><surname>Schoiswohl</surname><given-names>G</given-names></name><name><surname>Schweiger</surname><given-names>M</given-names></name><name><surname>Kienesberger</surname><given-names>P</given-names></name><name><surname>Strauss</surname><given-names>JG</given-names></name><name><surname>Gorkiewicz</surname><given-names>G</given-names></name><name><surname>Zechner</surname><given-names>R</given-names></name></person-group><article-title>Adipose triglyceride lipase-mediated lipolysis of cellular fat stores is activated by CGI-58 and defective in Chanarin-Dorfman Syndrome</article-title><source>Cell Metab</source><volume>3</volume><fpage>309</fpage><lpage>319</lpage><year>2006</year><pub-id pub-id-type="doi">10.1016/j.cmet.2006.03.005</pub-id><pub-id pub-id-type="pmid">16679289</pub-id></element-citation></ref>
<ref id="b4-br-0-0-514"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sztalryd</surname><given-names>C</given-names></name><name><surname>Xu</surname><given-names>G</given-names></name><name><surname>Dorward</surname><given-names>H</given-names></name><name><surname>Tansey</surname><given-names>JT</given-names></name><name><surname>Contreras</surname><given-names>JA</given-names></name><name><surname>Kimmel</surname><given-names>AR</given-names></name><name><surname>Londos</surname><given-names>C</given-names></name></person-group><article-title>Perilipin A is essential for the translocation of hormone-sensitive lipase during lipolytic activation</article-title><source>J Cell Biol</source><volume>161</volume><fpage>1093</fpage><lpage>1103</lpage><year>2003</year><pub-id pub-id-type="doi">10.1083/jcb.200210169</pub-id><pub-id pub-id-type="pmid">12810697</pub-id></element-citation></ref>
<ref id="b5-br-0-0-514"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Brasaemle</surname><given-names>DL</given-names></name></person-group><article-title>Thematic review series: Adipocyte biology. The perilipin family of structural lipid droplet proteins: Stabilization of lipid droplets and control of lipolysis</article-title><source>J Lipid Res</source><volume>48</volume><fpage>2547</fpage><lpage>2559</lpage><year>2007</year><pub-id pub-id-type="doi">10.1194/jlr.R700014-JLR200</pub-id><pub-id pub-id-type="pmid">17878492</pub-id></element-citation></ref>
<ref id="b6-br-0-0-514"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ben</surname><given-names>Menachem</given-names></name><name><surname>Axelsen</surname><given-names>M</given-names></name><name><surname>Johanson</surname><given-names>EH</given-names></name><name><surname>Stagge</surname><given-names>A</given-names></name><name><surname>Smith</surname><given-names>U</given-names></name></person-group><article-title>Predictors of weight loss in adults with topiramate-treated epilepsy</article-title><source>Obes Res</source><volume>11</volume><fpage>556</fpage><lpage>562</lpage><year>2003</year><pub-id pub-id-type="doi">10.1038/oby.2003.78</pub-id><pub-id pub-id-type="pmid">12690085</pub-id></element-citation></ref>
<ref id="b7-br-0-0-514"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Picard</surname><given-names>F</given-names></name><name><surname>Deshaies</surname><given-names>Y</given-names></name><name><surname>Lalonde</surname><given-names>J</given-names></name><name><surname>Samson</surname><given-names>P</given-names></name><name><surname>Richard</surname><given-names>D</given-names></name></person-group><article-title>Topiramate reduces energy and fat gains in lean (Fa/?) and obese (fa/fa) Zucker rats</article-title><source>Obes Res</source><volume>8</volume><fpage>656</fpage><lpage>663</lpage><year>2000</year><pub-id pub-id-type="doi">10.1038/oby.2000.84</pub-id><pub-id pub-id-type="pmid">11225714</pub-id></element-citation></ref>
<ref id="b8-br-0-0-514"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wilding</surname><given-names>J</given-names></name><name><surname>Van Gaal</surname><given-names>L</given-names></name><name><surname>Rissanen</surname><given-names>A</given-names></name><name><surname>Vercruysse</surname><given-names>F</given-names></name><name><surname>Fitchet</surname><given-names>M</given-names></name></person-group><article-title>OBES-002 Study Group: A randomized double-blind placebo-controlled study of the long-term efficacy and safety of topiramate in the treatment of obese subjects</article-title><source>Int J Obes Relat Metab Disord</source><volume>28</volume><fpage>1399</fpage><lpage>1410</lpage><year>2004</year><pub-id pub-id-type="doi">10.1038/sj.ijo.0802783</pub-id><pub-id pub-id-type="pmid">15486569</pub-id></element-citation></ref>
<ref id="b9-br-0-0-514"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gadde</surname><given-names>KM</given-names></name><name><surname>Allison</surname><given-names>DB</given-names></name><name><surname>Ryan</surname><given-names>DH</given-names></name><name><surname>Peterson</surname><given-names>CA</given-names></name><name><surname>Troupin</surname><given-names>B</given-names></name><name><surname>Schwiers</surname><given-names>ML</given-names></name><name><surname>Day</surname><given-names>WW</given-names></name></person-group><article-title>Effects of low-dose, controlled-release, phentermine plus topiramate combination on weight and associated comorbidities in overweight and obese adults (CONQUER): A randomised, placebo-controlled, phase 3 trial</article-title><source>Lancet</source><volume>377</volume><fpage>1341</fpage><lpage>1352</lpage><year>2011</year><pub-id pub-id-type="doi">10.1016/S0140-6736(11)60205-5</pub-id><pub-id pub-id-type="pmid">21481449</pub-id></element-citation></ref>
<ref id="b10-br-0-0-514"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Abo-Elmatty</surname><given-names>DM</given-names></name><name><surname>Zaitone</surname><given-names>SA</given-names></name></person-group><article-title>Topiramate induces weight loss and improves insulin sensitivity in dietary obese rats: Comparison to sibutramine</article-title><source>Eur Rev Med Pharmacol Sci</source><volume>15</volume><fpage>1187</fpage><lpage>1195</lpage><year>2011</year><pub-id pub-id-type="pmid">22165681</pub-id></element-citation></ref>
<ref id="b11-br-0-0-514"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Caricilli</surname><given-names>AM</given-names></name><name><surname>Penteado</surname><given-names>E</given-names></name><name><surname>de Abreu</surname><given-names>LL</given-names></name><name><surname>Quaresma</surname><given-names>PG</given-names></name><name><surname>Santos</surname><given-names>AC</given-names></name><name><surname>Guadagnini</surname><given-names>D</given-names></name><name><surname>Razolli</surname><given-names>D</given-names></name><name><surname>Mittestainer</surname><given-names>FC</given-names></name><name><surname>Carvalheira</surname><given-names>JB</given-names></name><name><surname>Velloso</surname><given-names>LA</given-names></name><etal/></person-group><article-title>Topiramate treatment improves hypothalamic insulin and leptin signaling and action and reduces obesity in mice</article-title><source>Endocrinology</source><volume>153</volume><fpage>4401</fpage><lpage>4411</lpage><year>2012</year><pub-id pub-id-type="doi">10.1210/en.2012-1272</pub-id><pub-id pub-id-type="pmid">22822160</pub-id></element-citation></ref>
<ref id="b12-br-0-0-514"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Supuran</surname><given-names>CT</given-names></name><name><surname>Di Fiore</surname><given-names>A</given-names></name><name><surname>De Simone</surname><given-names>G</given-names></name></person-group><article-title>Carbonic anhydrase inhibitors as emerging drugs for the treatment of obesity</article-title><source>Expert Opin Emerg Drugs</source><volume>13</volume><fpage>383</fpage><lpage>392</lpage><year>2008</year><pub-id pub-id-type="doi">10.1517/14728214.13.2.383</pub-id><pub-id pub-id-type="pmid">18537527</pub-id></element-citation></ref>
</ref-list>
</back>
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<fig id="f1-br-0-0-514" position="float">
<label>Figure 1.</label>
<caption><p>Effects of topiramate on the lipolysis and lipogenesis in 3T3-L1 adipocytes. Adipocytes were incubated for 30 min at 37&#x00B0;C in the presence or absence of topiramate or isoproterenol. (A) Release of glycerol and (B) non-esterified fatty acid (NEFA) into culture medium was measured and expressed as mg/dl/&#x00B5;g of protein and nM/&#x00B5;l/&#x00B5;g of protein, respectively. Isoproterenol was the positive control. (C) The incorporation of [<sup>14</sup>C]-palmitate into lipids in the presence or absence of insulin (10 nmol/l) and presence or absence of topiramate (50 &#x00B5;M) was evaluated. The results are expressed as percentage of basal control. Cellular viability was evaluated by (D) monitoring lactate dehydrogenase (LDH) and expressed as mmol/l/dl/&#x00B5;g of protein. Phosphorylation of (E) protein kinase A (PKA), (F) hormone-sensitive lipase<sup>Ser660</sup> (HSL<sup>Ser660</sup>), (G) HSL<sup>Ser563</sup>, (H) perilipin, (I) ATGL<sup>Ser406</sup> and (J) cofactor comparative genetic identification 58 (CGI-58) protein levels, respectively. The lower panel shows bands representative of PKA, HSL, perilipin, adipocyte triglyceride lipase (ATGL) and protein levels &#x03B2;-actin. Bars represent the mean &#x00B1; standard error of the mean of 6 different experiments. &#x002A;P&#x003C;0.05, vs. control group. In Fig. 1C, &#x002A;P&#x003C;0.05 vs. control group without insulin (-) and <sup>#</sup>P&#x003C;0.05 for topiramate vs. control group with insulin (&#x002B;). CON, control; ISO, isoproterenol; TOP, topiramate.</p></caption>
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