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American Heart Association

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Final ID: Wed039

Pcpe2 As a Regulator of Obesity Through Adipose Tissue Remodeling and Beiging

Abstract Body: Obesity and its associated metabolic dysfunction are characterized by impaired adipose tissue remodeling and systemic dyslipidemia. Procollagen Endopeptidase Enhancer Protein 2 (Pcpe2), a secreted ECM-associated protein, has been implicated in both collagen processing and lipid metabolism, though its function in adipose biology is largely uncharacterized. This study investigates the systemic and cellular role of Pcpe2 in metabolic health using adipose-specific knockout mice (Adip+pcpe2KO). Compared to control littermates, Adip+Pcpe2KO mice exhibited a significantly leaner phenotype, marked by reduced body weight (25% reduction, p<0.001, n=11), a collective decline in adipose tissue mass (~29% reduction, p<0.001, n=12) with decreased visceral (VAT), subcutaneous (SAT), and brown (BAT) adipose tissue mass. Metabolically, Adip+Pcpe2KO mice displayed improved systemic health including reduced plasma LDL (27% reduction, p<0.01, n=8) and glucose levels (23% decline, p<0.01, n=6). This lean phenotype was attributed to increased energy expenditure both, at whole body (p<0.03, n=8) as determined using Promethion metabolic cage system, as well as cellular level (increased basal respiration and proton leakage), driven by enhanced adipocyte differentiation (p<0.01, n=6) and notable browning/beiging of white adipose tissue (WAT). Interestingly, VLDL/LDL uptake was significantly upregulated (p<0.05, n=5) in the Adip+Pcpe2KO mice, providing a metabolic substrate that may explain the marked increase in WAT beiging. Collectively, these findings suggest that Pcpe2 acts as a negative regulator of systemic energy balance including adipogenesis and beiging. By limiting the internalization of lipids crucial for adipocyte differentiation and the thermogenic program, Pcpe2 facilitates metabolic dysfunction. The targeted removal of Pcpe2 overcomes this metabolic barrier, resulting in a healthier, hyperplasic, and more metabolically active adipose phenotype. Pcpe2 thus emerges as a novel and compelling therapeutic target for treating obesity and metabolic disease.
  • Beg, Mirza  ( Medical College of Wisconsin , Milwaukee , Wisconsin , United States )
  • Rocksvold, Alexander  ( Medical College of Wisconsin , Wauwatosa , Wisconsin , United States )
  • Ahmad, Bilal  ( Medical College of Wisconsin , Milwaukee , Wisconsin , United States )
  • Xu, Hao  ( Medical College of Wisconsin , Milwaukee , Wisconsin , United States )
  • Zheng, Ze  ( Medical College of Wisconsin , Milwaukee , Wisconsin , United States )
  • Grobe, Justin  ( Medical College of Wisconsin , Milwaukee , Wisconsin , United States )
  • Reho, John  ( Medical College of Wisconsin , Milwaukee , Wisconsin , United States )
  • Sorci Thomas, Mary  ( Medical College of Wisconsin , Milwaukee , Wisconsin , United States )
  • Author Disclosures:
    Mirza Beg: DO NOT have relevant financial relationships | Alexander Rocksvold: No Answer | Bilal Ahmad: DO NOT have relevant financial relationships | Hao Xu: DO NOT have relevant financial relationships | Ze Zheng: DO NOT have relevant financial relationships | Justin Grobe: DO NOT have relevant financial relationships | John Reho: DO NOT have relevant financial relationships | Mary Sorci Thomas: DO NOT have relevant financial relationships
Meeting Info:
Session Info:

01. Poster Session 1 & Reception

Wednesday, 05/13/2026 , 06:00PM - 08:00PM

Poster

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