Molecular Medicine

, Volume 10, Issue 7–12, pp 72–79 | Cite as

ICAM-1 and β2 Integrin Deficiency Impairs Fat Oxidation and Insulin Metabolism during Fasting

  • Aleksandar M Babic
  • Hong-Wei Wang
  • Margaret J Lai
  • Thomas G Daniels
  • Thomas W Felbinger
  • Peter C Burger
  • Alain Stricker-Krongrad
  • Denisa D Wagner


Intercellular adhesion molecule 1 (ICAM-1) and β2 integrins play critical roles in immune responses. ICAM-1 may also participate in regulation of energy balance because ICAM-1-deficient mice become obese on a high-fat diet. We show that mice deficient in these adhesion receptors are unable to respond to fasting by up-regulation of fatty acid oxidation. Normal mice, when fasted, exhibit reduced circulating neutrophil counts and increased ICAM-1 expression and neutrophil recruitment in liver. Mice lacking ICAM-1 or β2 integrins fail to show these responses—instead they become hypoglycemic with steatotic livers. Fasting ICAM-1-deficient mice reduce insulin more slowly than wild-type mice. This produces fasting hyperinsulinemia that prevents activation of adenosine mono-phosphate (AMP)-activated protein kinase in muscles and liver, which results in decreased import of long chain fatty acids into mitochondria. Thus, we show a new role for immune cells and their adhesion receptors in regulating metabolic response to fasting.



We thank Barbara Corkey, Jeffrey Friedman, Ronald Kahn, and Harvey Lodish for helpful discussions and the many scientists who patiently listened to our story and gave us advice. We thank Leonardo Ganem for PPAR analysis. The work was supported by National Heart, Lung, and Blood Institute/NIH grant RO1-HL53756 to DDW.TWF was supported by a research stipend from the Deutsche Forschungsgemeinschaft (FE 537/1-1).


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Copyright information

© Feinstein Institute for Medical Research 2004

Authors and Affiliations

  • Aleksandar M Babic
    • 1
    • 2
    • 3
  • Hong-Wei Wang
    • 1
    • 2
  • Margaret J Lai
    • 1
  • Thomas G Daniels
    • 4
  • Thomas W Felbinger
    • 1
    • 5
  • Peter C Burger
    • 1
    • 2
  • Alain Stricker-Krongrad
    • 4
  • Denisa D Wagner
    • 1
    • 2
  1. 1.The CBR Institute for Biomedical ResearchBostonUSA
  2. 2.Department of PathologyHarvard Medical SchoolBostonUSA
  3. 3.Division of Clinical Pathology/Department of PathologyBrigham and Women’s HospitalBostonUSA
  4. 4.Metabolic Diseases Physiology and Pharmacology, Millennium PharmaceuticalsCambridgeUSA
  5. 5.Department of Anesthesiology, Perioperative and Pain MedicineBrigham and Women’s HospitalBostonUSA

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