Fat Virus
The
idea that there is a fat
virus
may seem absurd at first. However, there are some studies that support
the theory that a virus causes fat to accumulate in humans. There is
other research on obesity viruses that infect animals. Of the fat
viruses that have an effect on humans, only two have positive
scientific evidence. They are SMAM-1 and Adenovirus 36
(Ad-36). The term infectobesity
refers to the theory that infections cause people to be overweight.
SMAM-1
SMAM-1
is actually a bird adenovirus that can infect people. In chickens, it
causes an accumulation of body fat and increased levels of
triglycerides in their livers. This was noted even though the chickens
ate the same amount of food as those not infected. SMAM-1 was the first
obesity virus
discovered.
In a study on
humans,
people who had antibodies toward SMAM-1 were about 30 lbs heavier with
a BMI of 35.3 vs. 30.7 compared to those who did not have these
antibodies in their blood. The presence of antibodies indicated that
these people had been exposed to SMAM-1 at some point. It was also
noted that people with the antibodies had better cholesterol levels.
Human
Adenovirus 36
Adenoviruses
in general cause common colds, respiratory
infections, conjunctivitis (pink eye), and other infectious
diseases. Human Adenovirus 36 (Ad-36)
was the first human adenovirus to be tested for an association with
obesity, and there is more research on this fat virus than SMAM-1.
Chickens, mice, and rats infected with Ad-36 gain weight.
In
human studies, people who are antibody positive for Ad-36
weigh more that those who do not have the antibodies. There
are
several types of antibodies. Some are present during early and active
infections. Others are produced by our bodies when we no longer have
that
particular type of infection, helping to make us immune. In studies,
the long term type of antibodies for Ad-36 were detected.
This means that even a remote expose to the fat virus leaves its
obesity
effects in place for several years.
Just like in
SMAM-1, people and animals who had been exposed to Ad-36 had better
cholesterol levels.
Further
studies on the mechanisms of how Ad-36 may cause obesity have shown
that the virus likely acts in two ways: 1.) It causes certain genes to
be expressed which trigger a form of stem cells to develop into fat
cells, and 2.) It triggers certain cellular signaling pathways that
alter how cells behave.
This means,
the fat viruses can cause our bodies to produce more fat cells. There
is also research that shows the Ad-36 virus can tell cells to become
more sensitive to insulin. Further understanding of these
facts along with the alteration in cholesterol will
have a profound effect on our knowledge and treatment of diabetes and metabolic syndrome.
The
Paradox of Improved Cholesterol
It does seem a
little strange that a fat virus would cause a person to have better
cholesterol. There are a few ways this might happen. Ad-36 seems to
activate some specific cell signals that are also activated by diabetes
medicines like metformin.
These signals include PPARg2
(PPAR-gamma 2) and others. Simulating the effects of diabetes medicines
can improve cholesterol.
Also, by
producing more fat cells, the cholesterol and triglycerides in your
blood and liver now have a place to go. These new fat cells could
sequester cholesterol and keep it out of your blood. This would cause
lab tests on your blood to show lower cholesterol levels.
Additionally,
infection with Ad-36 seems to decrease MCP-1, a marker of
inflammation. Inflammation, high cholesterol, and insulin resistance
place people at greater risk for heart disease and strokes. Even though
there is an association with increased obesity, Ad-36 may have some
beneficial effects.
Theories
of Infectobesity
As mentioned
above, these obesity viruses can directly affect cells'
behaviors and how they develop. These viruses can activate cellular
signals that cause fat to accumulate in our bodies. Activating these
signaling pathways can also cause
changes in our cholesterol levels.
Another theory
is that certain infections have an effect on the brain. An area of the
brain called the hypothalamus
regulates hunger and several other body functions. By altering its
function, people may tend to eat more and their metabolisms could
change.
Other
Types of Infectobesity
In addition to
viruses, there is some research that suggests prion
infections and the make-up of intestinal bacteria may be related to
obesity. There is very little research on prion associated obesity. The
work done on intestinal bacteria seems to suggests there is a
pattern to the types of bacteria living in the gastrointestinal tracts
of overweight people. However, it may just be that this bacterial
pattern is present because those people eat less healthy foods.
It is important you
discuss any weight loss or exercise plan with your doctor. Only you and
your physician can decide what is best for you. Some people have
certain conditions that prevent them from doing all exercises, and goal
body weights may be different for different people. You need to discuss
all these things with your physician before starting any weight loss or
exercise program.
This
article was written by
John
Vickery, MD.
References
Mayo
Clin Proc. 2007;82(10):1192-1198
J Nutr. 131:2794S-2797S, 2001
Int J Obes (Lond). 2008 Mar;32(3):397-406.
Diabetes 2008 (57):2321-2331
Stem Cells. 2008 Apr;26(4):969-78
Nature. 2009 Jan 22;457(7228):480-4

Last updated: 6/24/09
|