The reported low activity of lipogenic enzymes (especially adenosine tripho
sphate [ATP]-citrate lyase) in human adipose tissue led to the general conc
lusion that in humans lipogenesis occurs primarily in the liver. However, r
ecent studies indicate that the liver plays a minor role in de novo lipogen
esis and suggest that adipose tissue may be the principal lipogenic human t
issue. In an attempt to resolve these contradictions we reinvestigated the
lipogenic potential of human adipose tissue and compared with adipose tissu
e of rats fed a high-fat diet for 2 weeks and fasted overnight before death
. These conditions mimic the nutritional state of patients at the moment of
tissue sampling. We found that overnight fasting of the rats maintained pr
eviously for 12 days on a high-fat diet caused a decrease of ATP-citrate ly
ase of about 7-fold. Thus, in human adipose tissue, the mean activity of AT
P-citrate lyase was approximately 8 times lower than in rats fed a high-fat
diet and fasted overnight, and about 50 times lower than in rats maintaine
d on normal laboratory diet. Unlike ATP-citrate lyase, fatty acid synthase
(FAS) activity was only slightly lower in human adipose tissue than in rats
maintained on a normal laboratory diet. Comparable FAS activity was found
when rats were fed a high-fat diet and fasted overnight. The average activi
ties of human adipose tissue acetyl-coenzyme A carboxylase, malic enzyme, a
nd glucose-6-phosphate dehydrogenase were approximately 3-, 4-, and 6-fold
lower than in adipose tissue from rats fed a high-fat diet and fasted overn
ight before tissue sampling, while the activity of 6-phosphogluconate dehyd
rogenase in humans was higher than in rat adipose tissue. No significant di
fferences in lipogenic enzyme activities were found between male and female
and between lean and obese patients. The rate of fatty acid synthesis in i
ntact pieces of human adipose tissue was approximately 5 times lower than i
n adipose tissue pieces of rats fed a high-fat diet and fasted overnight be
fore tissue samples were taken. The comparison of the lipogenic potential o
f humans and rats (maintained on the diet to mimic the nutritional state of
patients at the time of tissue sampling) suggests that human adipose tissu
e is an important site of fatty acid synthesis. Copyright (C) 2000 by W.B.
Saunders Company.