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Adenoviruses and Obesity

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Controversies in Obesity
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Abstract

The etiology of obesity is generally attributed to a lack of willpower on the part of obese people plus a contribution from epigenetic and genetic factors. This chapter postulates that a major portion of the worldwide epidemic of obesity since 1980 is due to infection with human adenovirus 36 (Adv36). Adv36 causes obesity in multiple animal species and is strongly associated with obesity in humans. The prevalence of Adv36 infection averages about 30 % in obese adults and children and about 18 % in nonobese individuals. Adv36 infection correlates with body weight or body fat, especially in children. The mechanisms of Adv36-induced obesity are alteration of multiple molecular and biochemical pathways by the E4orf1 gene of Adv36. The main alterations are an increase of glucose transport into cells and increased production of fatty acids from the glucose under the influence of fatty acid synthase. An infectious cause of obesity demands changes in governmental and insurance company policies that heretofore have not considered obesity a disease. The production of a vaccine against Adv36 holds promise to lower the prevalence of obesity and result in improved health and large economic savings across the world.

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References

  1. Allison DB, Downey M, Atkinson RL, Billington CJ, Bray GA, Eckel RH, et al. Obesity as a disease: a white paper on evidence and arguments commissioned by the Council of the Obesity Society. Obesity. 2008;16(6):1161–77.

    Article  PubMed  Google Scholar 

  2. WHO. Preventing and managing the global epidemic of obesity: report of a WHO Consultation on Obesity. Geneva, 3–5 June 1997. Geneva: WHO/NUT/NCD98.1; 1998.

    Google Scholar 

  3. Ogden CL, Flegal KM, Carroll MD, Johnson CL. Prevalence and trends in overweight among US children and adolescents, 1999–2000. JAMA. 2002;288:1728–32.

    Article  PubMed  Google Scholar 

  4. Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of obesity and trends in body mass index among US children and adolescents, 1999–2010. JAMA. 2012;307(5):483–90; Epub 2012 Jan 17.

    Article  PubMed  Google Scholar 

  5. Flegal KM, Carroll MD, Ogden CL, Johnson CL. Prevalence and trends in obesity among US adults, 1999–2000. JAMA. 2002;288(14):1723–7.

    Article  PubMed  Google Scholar 

  6. Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of obesity in the United States, 2009–2010. NCHS Data Brief. 2012;82:1–8.

    PubMed  Google Scholar 

  7. Lobstein T, Baur L, Uauy R, IOTF Childhood Obesity Working Group. Obesity in children and young people: a crisis in public health. Obes Rev. 2004;5 Suppl 1:4–85.

    Article  PubMed  Google Scholar 

  8. James PT. Obesity: the worldwide epidemic. Clin Dermatol. 2004;22(4):276–80.

    Article  PubMed  Google Scholar 

  9. Luo J, Hu FB. Time trends of obesity in pre-school children in China from 1989 to 1997. Int J Obes. 2002;26:553–8.

    Article  CAS  Google Scholar 

  10. Likitmaskul S, Kiattisathavee P, Chaichanwatanakul K, Punnakanta L, Angsusingha K, Tuchinda C. Increasing prevalence of type 2 diabetes mellitus in Thai children and adolescents associated with increasing prevalence of obesity. J Pediatr Endocrinol Metab. 2003;16(1):71–7.

    PubMed  CAS  Google Scholar 

  11. Yoo S, Lee SY, Kim KN, Sung E. Obesity in Korean pre-adolescent school children: comparison of various anthropometric measurements based on bioelectrical impedance analysis. Int J Obes (Lond). 2006;30(7):1086–90.

    Article  CAS  Google Scholar 

  12. Kim HM, Park J, Kim HS, Kim DH, Park SH. Obesity and cardiovascular risk factors in Korean children and adolescents aged 10–18 years from the Korean National Health and Nutrition Examination Survey, 1998 and 2001. Am J Epidemiol. 2006;164(8):787–93.

    Article  PubMed  Google Scholar 

  13. Wigand R, Gelderblom H, Wadell G. New human adenovirus (candidate adenovirus 36), a novel member of subgroup D. Arch Virol. 1980;64:225–33.

    Article  PubMed  CAS  Google Scholar 

  14. Dhurandhar NV, Kulkarni PR, Ajinkya SM, Sherikar AA. Effect of adenovirus infection on adiposity in chickens. Vet Microbiol. 1992;31:101–7.

    Article  PubMed  CAS  Google Scholar 

  15. Dhurandhar NV, Kulkarni PR, Ajinkya SM, Sherikar AA, Atkinson RL. Association of adenovirus infection with human obesity. Obes Res. 1997;5(5):464–9.

    Article  PubMed  CAS  Google Scholar 

  16. Dhurandhar NV, Israel BA, Kolesar JM, Cook ME, Atkinson RL. Increased adiposity in animals due to a human virus. Int J Obes. 2000;24:989–96.

    Article  CAS  Google Scholar 

  17. Dhurandhar NV, Israel BA, Kolesar JM, Mayhew G, Cook ME, Atkinson RL. Transmissibility of adenovirus-induced adiposity in a chicken model. Int J Obes Relat Metab Disord. 2001;25:990–6.

    Article  PubMed  CAS  Google Scholar 

  18. Dhurandhar NV, Whigham LD, Abbott DH, Schultz-Darken NJ, Israel BA, Bradley SM, et al. Human adenovirus Ad-36 promotes weight gain in male rhesus and marmoset monkeys. J Nutr. 2002;132(10):3155–60.

    PubMed  CAS  Google Scholar 

  19. Whigham LD, Israel BA, Atkinson RL. Adipogenic potential of multiple human adenoviruses in vivo and in vitro in animals. Am J Physiol Regul Integr Comp Physiol. 2006;290:R190–4.

    Article  PubMed  CAS  Google Scholar 

  20. Pasarica M, Shin AC, Yu M, Ou Yang HM, Rathod M, Jen KL, et al. Human adenovirus 36 induces adiposity, increases insulin sensitivity, and alters hypothalamic monoamines in rats. Obesity (Silver Spring). 2006;14(11):1905–13.

    Article  CAS  Google Scholar 

  21. Na HN, Nam JH. Adenovirus 36 as an obesity agent maintains the obesity state by increasing MCP-1 and inducing inflammation. J Infect Dis. 2012;205(6):914–22; Epub 2012 Jan 24.

    Article  PubMed  CAS  Google Scholar 

  22. Atkinson RL, Dhurandhar NV, Allison DB, Bowen RL, Israel BA, Albu JB, et al. Human adenovirus-36 is associated with increased body weight and paradoxical reduction of serum lipids. Int J Obes (Lond). 2005;29(3):281–6.

    Article  CAS  Google Scholar 

  23. Trovato GM, Castro A, Tonzuso A, Garozzo A, Martines GF, Pirri C, et al. Human obesity relationship with Ad36 adenovirus and insulin resistance. Int J Obes (Lond). 2009;33(12):1402–9.

    Article  CAS  Google Scholar 

  24. Trovato GM, Martines GF, Garozzo A, Tonzuso A, Timpanaro R, Pirri C, et al. Ad36 adipogenic adenovirus in human non-alcoholic fatty liver disease. Liver Int. 2010;30(2):184–90; Epub 2009 Oct 13.

    Article  PubMed  CAS  Google Scholar 

  25. Broderick MP, Hansen CJ, Irvine M, Metzgar D, Campbell K, Baker C, et al. Adenovirus 36 seropositivity is strongly associated with race and gender, but not obesity, among US military personnel. Int J Obes (Lond). 2010;34(2):302–8; Epub 2009 Nov 10.

    Article  CAS  Google Scholar 

  26. Goossens VJ, deJager SA, Grauls GE, Gielen M, Vlietinck RF, Derom CA, et al. Lack of evidence for the role of human adenovirus-36 in obesity in a European cohort. Obesity (Silver Spring). 2011;19(1):220–1; Epub 2009 Dec 10.

    Article  Google Scholar 

  27. Rubicz R, Leach CT, Kraig E, Dhurandhar NV, Grubbs B, Blangero J, et al. Seroprevalence of 13 common pathogens in a rapidly growing U.S. minority population: Mexican Americans from San Antonio, TX. BMC Res Notes. 2011;4(1):433.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Atkinson RL, Lee I, Shin HJ, He J. Human adenovirus-36 antibody status is associated with obesity in children. Int J Pediatr Obes. 2010;5(2):157–60; Epub 2009 Jul 1.

    Article  PubMed  Google Scholar 

  29. Na HN, Hong YM, Kim J, Kim HK, Jo I, Nam JH. Association between human adenovirus-36 and lipid disorders in Korean schoolchildren. Int J Obes. 2010;34(1):89–93; Epub 2009 Oct 13.

    Article  Google Scholar 

  30. Gabbert C, Donohue M, Arnold J, Schwimmer JB. Adenovirus 36 and obesity in children and adolescents. Pediatrics. 2010;126(4):721–6.

    Article  PubMed  Google Scholar 

  31. McAllister EJ, Sothern M, Laramie ELM, et al. In children, infection with adenovirus Ad36 is associated with better metabolic profile. Obesity. 2009;17(S2):S239.

    Google Scholar 

  32. Almgren M, Atkinson R, He J, Hilding A, Hagman E, Wolk A, et al. Adenovirus-36 is associated with obesity in children and adults in Sweden as determined by rapid ELISA. PLoS One. 2012;7(7):e41652.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  33. Salehian B, Forman SJ, Kandeel FR, Bruner DE, He J, Atkinson RL. Adenovirus 36 DNA in adipose tissue of patient with unusual visceral obesity. Emerg Infect Dis. 2010;16(5):850–2.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Rogers PM, Fusinski KA, Rathod MA, Loiler SA, Pasarica M, Shaw MK, et al. Human adenovirus Ad-36 induces adipogenesis via its E4 orf-1 gene. Int J Obes. 2008;32(3):397–406; Epub 2007 Nov 6.

    Article  CAS  Google Scholar 

  35. Dhurandhar EJ, Dubuisson O, Mashtalir N, Krishnapuram R, Hegde V, Dhurandhar NV. E4orf1: a novel ligand that improves glucose disposal in cell culture. PLoS One. 2011;6(8):e23394. doi:10.1371/journal.pone.0023394.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  36. Vangipuram SD, Sheele J, Atkinson RL, Holland TC, Dhurandhar NV. A human adenovirus enhances preadipocyte differentiation. Obes Res. 2004;12(5):770–7.

    Article  PubMed  CAS  Google Scholar 

  37. Pasarica M, Mashtalir N, McAllister EJ, Kilroy GE, Koska J, Permana P, et al. Adipogenic human adenovirus Ad-36 induces commitment, differentiation, and lipid accumulation in human adipose-derived stem cells. Stem Cells. 2008;26(4):969–78; Epub 2008 Jan 17.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  38. Rogers PM, Mashtalir N, Rathod MA, Dubuisson O, Wang Z, Dasuri K, et al. Metabolically favorable remodeling of human adipose tissue by human adenovirus type 36. Diabetes. 2008;57(9):2321–31; Epub 2008 Jul 3.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  39. Wang ZQ, Cefalu WT, Zhang XH, Yu Y, Qin J, Son L, et al. Human adenovirus type 36 enhances glucose uptake in diabetic and nondiabetic human skeletal muscle cells independent of insulin signaling. Diabetes. 2008;57(7):1805–13; Epub 2008 Apr 16.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  40. Rathod MA, Rogers PM, Vangipuram SD, McAllister EJ, Dhurandhar NV. Adipogenic cascade can be induced without adipogenic media by a human adenovirus. Obesity (Silver Spring). 2009;17(4):657–64.

    Article  CAS  Google Scholar 

  41. Wang ZQ, Yu Y, Zhang XH, Floyd EZ, Cefalu WT. Human adenovirus 36 decreases fatty acid oxidation and increases de novo lipogenesis in primary cultured human skeletal muscle cells by promoting Cidec/FSP27 expression. Int J Obes (Lond). 2010;34(9):1355–64; Epub 2010 May 4.

    Article  CAS  Google Scholar 

  42. Dubuisson O, Dhurandhar EJ, Krishnapuram R, Kirk-Ballard H, Gupta AK, Hegde V, et al. PPAR{gamma}-independent increase in glucose uptake and adiponectin abundance in fat cells. Endocrinology. 2011;152(10):3648–60.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  43. Na HN, Kim H, Nam JH. Novel genes and cellular pathways related to infection with adenovirus-36 as an obesity agent in human mesenchymal stem cells. Int J Obes (Lond). 2011;36(2):195–200.

    Article  Google Scholar 

  44. Krishnapuram R, Dhurandhar EJ, Dubuisson O, Kirk-Ballard H, Bajpeyi S, Butte N, et al. Template to improve glycemic control without reducing adiposity or dietary fat. Am J Physiol Endocrinol Metab. 2011;300(5):E779–89; Epub 2011 Jan 25.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  45. Wang ZQ, Yu Y, Zhang XH, Qin J, Floyd E. Gene expression profile in human skeletal muscle cells infected with human adenovirus type 36. J Med Virol. 2012;84(8):1254–66.

    Article  PubMed  CAS  Google Scholar 

  46. Krishnapuram R, Kirk-Ballard H, Dhurandhar EJ, Dubuisson O, Messier V, Rabasa-Lhoret R, et al. Insulin receptor-independent upregulation of cellular glucose uptake. Int J Obes (Lond). 2013;37(1):146–53.

    Article  CAS  Google Scholar 

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Conflict of Interest

The author is the owner of Obetech, LLC. This small business provides assays for adenoviruses that produce obesity and has multiple patents in the area of virus-induced obesity, diagnostic assays, and vaccines.

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Correspondence to Richard L. Atkinson MD .

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Atkinson, R.L. (2014). Adenoviruses and Obesity. In: Haslam, D., Sharma, A., le Roux, C. (eds) Controversies in Obesity. Springer, London. https://doi.org/10.1007/978-1-4471-2834-2_9

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  • DOI: https://doi.org/10.1007/978-1-4471-2834-2_9

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