Carcinoembryonic Antigen-Related Cell Adhesion Molecule 2 Controls Energy Balance and Peripheral Insulin Action in Mice
Background & Aims
The carcinoembryonic antigen-related cell adhesion molecule 1 (CEACAM1) is a transmembrane glycoprotein with pleotropic functions, including clearance of hepatic insulin. We investigated the functions of the related protein CEACAM2, which has tissue-specific distribution (kidney, uterus, and crypt epithelia of intestinal tissues), in genetically modified mice.
Methods
Ceacam2-null mice (Cc2−/−) were generated from a 129/Sv × C57BL/6J background. Female mice were assessed by hyperinsulinemic-euglycemic clamp analysis and indirect calorimetry and body fat composition was measured. Cc2−/− mice and controls were fed as pairs, given insulin tolerance tests, and phenotypically characterized.
Results
Female, but not male Cc2−/− mice exhibited obesity that resulted from hyperphagia and reduced energy expenditure. Pair feeding experiments showed that hyperphagia led to peripheral insulin resistance. Insulin action was normal in liver but compromised in skeletal muscle of female Cc2−/− mice; the mice had incomplete fatty acid oxidation and impaired glucose uptake and disposal. The mechanism of hyperphagia in Cc2−/− mice is not clear, but appears to result partly from increased hyperinsulinemia-induced hypothalamic fatty acid synthase levels and activity. Hyperinsulinemia was caused by increased insulin secretion.
Conclusions
In mice, CEACAM2 is expressed by the hypothalamus. Cc2−/− mice develop obesity from hyperphagia and reduced energy expenditure, indicating its role in regulating energy balance and insulin sensitivity.
Keywords: Ventromedial Hypothalamus, Substrate Switching, Fasting-Refeeding Paradigm, Leptin Resistance
Abbreviations used in this paper: Cc2, Ceacam2 gene, Cc2+/+, wild-type mouse, Cc2−/−, Ceacam2 null mutant mouse, CEACAM2, the carcinoembryonic antigen-related cell adhesion molecule 2, FAS, fatty acid synthase, PCR, polymerase chain reaction, STAT3, the signal transducer and activator of transcription 3, Vco2, carbon dioxide production per unit time, Vo2, oxygen consumption per unit time, VMH, ventromedial nucleus of the hypothalamus
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Conflicts of interest The authors disclose no conflicts.
Funding This work was supported by grants from the National Institutes of Health (R01DK054254 and R01DK083850 to S.M.N., R37DK56731 to M.G.M., and R01-DK80756 and 5-P30-DK32520 [UMass Diabetes Endocrinology Research Center] to J.K.K.), United States Department of Agriculture (USDA 38903-19826 to S.M.N.), the American Diabetes Association (to J.K.K. and M.G.M.), and the American Heart Association (to M.G.M. and G.H.).
PII: S0016-5085(10)00513-5
doi:10.1053/j.gastro.2010.03.056
© 2010 AGA Institute. Published by Elsevier Inc. All rights reserved.

