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Fat and Fibrosis

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Fibrostenotic Inflammatory Bowel Disease
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Abstract

Wrapping of the mesenteric fat (creeping fat) represents a characteristic feature of Crohn’s disease (CD). As a powerful producer of fatty acids, cytokines and adipokines, creeping fat plays an important role in regulation of immunity and inflammation. Increasing evidence points towards a link between creeping fat and intestinal inflammation in CD. Early data from macroscopic findings showed a significant relationship between creeping fat and connective tissue changes including fibrosis and muscular hypertrophy. Emerging mechanistic data indicate a link between creeping fat and intestinal fibrosis in CD. Data on fibrosis in other organs could provide clues to address the mechanistic role of distinct components of creeping fat in the pathogenesis of intestinal fibrosis. Future studies will provide essential new information and could lead to novel therapeutic agents for the prevention or treatment of IBD-associated fibrosis.

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References

  1. Coffey JC, et al. The mesentery in Crohn’s disease: friend or foe? Curr Opin Gastroenterol. 2016;32(4):267–73.

    Article  PubMed  Google Scholar 

  2. Burke JP, et al. National trends in intestinal resection for Crohn’s disease in the post-biologic era. Int J Color Dis. 2013;28(10):1401–6.

    Article  Google Scholar 

  3. de Buck van Overstraeten A, et al. Short- and medium-term outcomes following primary ileocaecal resection for Crohn’s disease in two specialist centres. Br J Surg. 2017;104:1713.

    Article  PubMed  Google Scholar 

  4. Crohn BB, Ginzburg L, Oppenheimer GD. Landmark article Oct 15, 1932. Regional ileitis. A pathological and clinical entity. By Burril B. Crohn, Leon Ginzburg, and Gordon D. Oppenheimer. JAMA. 1984;251(1):73–9.

    Article  CAS  PubMed  Google Scholar 

  5. Galeone C, et al. Crohn’s disease in Italy: a critical review of the literature using different data sources. Dig Liver Dis. 2017;49(5):459–66.

    Article  PubMed  Google Scholar 

  6. Bernstein CN, et al. Epidemiology of Crohn’s disease and ulcerative colitis in a central Canadian province: a population-based study. Am J Epidemiol. 1999;149(10):916–24.

    Article  CAS  PubMed  Google Scholar 

  7. Bernstein CN, et al. A review of mortality and surgery in ulcerative colitis: milestones of the seriousness of the disease. Inflamm Bowel Dis. 2013;19(9):2001–10.

    PubMed  Google Scholar 

  8. Jeuring SF, et al. Disease outcome of ulcerative colitis in an era of changing treatment strategies: results from the Dutch population-based IBDSL cohort. J Crohns Colitis. 2015;9(10):837–45.

    Article  PubMed  Google Scholar 

  9. Abou Khalil M, et al. Incidence rates and predictors of colectomy for ulcerative colitis in the era of biologics: results from a provincial database. J Gastrointest Surg. 2017;22:124.

    Article  PubMed  Google Scholar 

  10. Coffey JC, Sehgal R, Jarrar A, Soop M. Mesenteric physiology. In: Coffey JC, editor. Mesenteric principles of gastrointestinal surgery: basic and applied science. Boca Raton: CRC Press, Taylor & Francis Group; 2017. p. 69–84.

    Chapter  Google Scholar 

  11. Coffey JC, Roddy J, Kiernan M, Sahebally S. Pathology of the mesentery. In: Coffey JC, editor. Mesenteric principles of gastrointestinal surgery: basic and applied science. Boca Raton: CRC Press, Taylor & Francis Group; 2017. p. 85–108.

    Chapter  Google Scholar 

  12. Karlis J, et al. Characterization of colonic and mesenteric lymph node dendritic cell subpopulations in a murine adoptive transfer model of inflammatory bowel disease. Inflamm Bowel Dis. 2004;10(6):834–47.

    Article  PubMed  Google Scholar 

  13. Sakuraba A, et al. Th1/Th17 immune response is induced by mesenteric lymph node dendritic cells in Crohn’s disease. Gastroenterology. 2009;137(5):1736–45.

    Article  CAS  PubMed  Google Scholar 

  14. Coffey JC, Dockery P, Moran BJ, Heald B. Mesenteric and peritoneal anatomy. In: Coffey JC, editor. Mesenteric principles of gastrointestinal surgery: basic and applied science. Boca Raton: CRC Press, Taylor & Francis Group; 2017. p. 11–40.

    Chapter  Google Scholar 

  15. Coffey JC. 7 billion and counting - the Msentery. In: TEDx – Ha’Penny Bridge. Dublin: TEDx. 2017.

    Google Scholar 

  16. Li Y, et al. Letter: Is visceral adiposity index a predictor of liver histology in patients with non-alcoholic fatty liver disease? Aliment Pharmacol Ther. 2013;37(5):583.

    Article  CAS  PubMed  Google Scholar 

  17. Li Y, et al. The role of the mesentery in Crohn’s disease. Lancet Gastroenterol Hepatol. 2017;2(4):244–5.

    Article  PubMed  Google Scholar 

  18. Nakahigashi M, Yamamoto T. Anti-inflammatory effects of enteral nutrition on mesentery fat in patients with Crohn’s disease. Clin Nutr. 2015;34(1):165.

    Article  PubMed  Google Scholar 

  19. Schaffler A, Herfath H. Creepiong fat in Crohn’s disease: travelling in a creeper lane of research? Gut. 2005;54:742–3.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Desmreumaux P, Ernst O, Geboes K, et al. Inflammatory alterations in mesenteric adipose tissue in Crohn’s disease. Gastroenterology. 1999;117:73–81.

    Article  Google Scholar 

  21. Kredel LI, Siegmund B. Adipose-tissue and intestinal inflammation - visceral obesity and creeping fat. Front Immunol. 2014;5:1–12.

    Article  CAS  Google Scholar 

  22. Coffey JC, Sehgal R, Knol J. Embryological development of the mesentery, peritoneal reflection and Toldt’s fascia. In: Coffey JC, editor. Mesenteric principles of gastrointestinal surgery: basic and applied sciences. Boca Raton: CRC Press, Taylor & Francis Group; 2017. p. 41–6.

    Chapter  Google Scholar 

  23. Coffey JC, Kiernan M, Walsh LG. Histology of the mesentery. In: Coffey JC, editor. Mesenteric principles of gastrointestinal surgery: basic and applied science. Boca Raton: CRC Press, Taylor & Francis Group; 2017. p. 47–56.

    Chapter  Google Scholar 

  24. Culligan K, et al. A detailed appraisal of mesocolic lymphangiology—an immunohistochemical and stereological analysis. J Anat. 2014;225(4):463–72.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Culligan K, et al. The mesocolon: a histological and electron microscopic characterization of the mesenteric attachment of the colon prior to and after surgical mobilization. Ann Surg. 2014;260(6):1048–56.

    Article  PubMed  Google Scholar 

  26. Coffey JC, et al. Terminology and nomenclature in colonic surgery: universal application of a rule-based approach derived from updates on mesenteric anatomy. Tech Coloproctol. 2014;18(9):789–94.

    Article  CAS  PubMed  Google Scholar 

  27. Kruis T, Batra A, Siegmund B. Bacterial translocation - impact on the adipocyte compartment. Front Immunol. 2014;4(1):510.

    PubMed  PubMed Central  Google Scholar 

  28. Li Y, et al. The role of the mesentery in Crohn’s disease: the contributions of nerves, vessels, lymphatics, and fat to the pathogenesis and disease course. Inflamm Bowel Dis. 2016;22(6):1483–95.

    Article  PubMed  Google Scholar 

  29. Takahashi Y, et al. Reciprocal inflammatory signaling between intestinal epithelial cells and adipocytes in the absence of immune cells. EBioMedicine. 2017;23:34.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Sahebally SM, et al. Circulating fibrocytes and Crohn’s disease. Br J Surg. 2013;100(12):1549–56.

    Article  CAS  PubMed  Google Scholar 

  31. Borley NR, et al. The relationship between inflammatory and serosal connective tissue changes in ileal Crohn’s disease: evidence for a possible causative link. J Pathol. 2000;190(2):196–202.

    Article  CAS  PubMed  Google Scholar 

  32. Sheehan AL, et al. Fat-wrapping in Crohn’s disease: pathological basis and relevance to surgical practice. Br J Surg. 1992;79(9):955–8.

    Article  CAS  PubMed  Google Scholar 

  33. Huby AC, et al. Adipocyte-derived hormone leptin is a direct regulator of aldosterone secretion, which promotes endothelial dysfunction and cardiac fibrosis. Circulation. 2015;132(22):2134–45.

    Article  CAS  PubMed  Google Scholar 

  34. Hatem SN, Redheuil A, Gandjbakhch E. Cardiac adipose tissue and atrial fibrillation: the perils of adiposity. Cardiovasc Res. 2016;109(4):502–9.

    Article  CAS  PubMed  Google Scholar 

  35. Spach MS, Dolber PC. Relating extracellular potentials and their derivatives to anisotropic propagation at a microscopic level in human cardiac muscle. Evidence for electrical uncoupling of side-to-side fiber connections with increasing age. Circ Res. 1986;58(3):356–71.

    Article  CAS  PubMed  Google Scholar 

  36. Thanassoulis G, et al. Pericardial fat is associated with prevalent atrial fibrillation: the Framingham Heart Study. Circ Arrhythm Electrophysiol. 2010;3(4):345–50.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Venteclef N, et al. Human epicardial adipose tissue induces fibrosis of the atrial myocardium through the secretion of adipo-fibrokines. Eur Heart J. 2015;36(13):795–805.

    Article  CAS  PubMed  Google Scholar 

  38. Gaborit B, et al. Human epicardial adipose tissue has a specific transcriptomic signature depending on its anatomical peri-atrial, peri-ventricular, or peri-coronary location. Cardiovasc Res. 2015;108(1):62–73.

    Article  CAS  PubMed  Google Scholar 

  39. Eymard F, et al. Knee and hip intra-articular adipose tissues (IAATs) compared with autologous subcutaneous adipose tissue: a specific phenotype for a central player in osteoarthritis. Ann Rheum Dis. 2017;76(6):1142–8.

    Article  PubMed  Google Scholar 

  40. Barboza E, et al. Profibrotic infrapatellar fat pad remodeling without M1 macrophage polarization precedes knee osteoarthritis in mice with diet-induced obesity. Arthritis Rheumatol. 2017;69(6):1221–32.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. van Dam AD, et al. Targeting white, brown and perivascular adipose tissue in atherosclerosis development. Eur J Pharmacol. 2017;816:82.

    Article  CAS  PubMed  Google Scholar 

  42. Schafer K, Drosos I, Konstantinides S. Perivascular adipose tissue: epiphenomenon or local risk factor? Int J Obes. 2017;41:1311.

    Article  CAS  Google Scholar 

  43. Barandier C, Montani JP, Yang Z. Mature adipocytes and perivascular adipose tissue stimulate vascular smooth muscle cell proliferation: effects of aging and obesity. Am J Physiol Heart Circ Physiol. 2005;289(5):H1807–13.

    Article  CAS  PubMed  Google Scholar 

  44. Kredel LI, et al. Adipokines from local fat cells shape the macrophage compartment of the creeping fat in Crohn’s disease. Gut. 2013;62(6):852–62.

    Article  CAS  PubMed  Google Scholar 

  45. Vernon MA, Mylonas KJ, Hughes J. Macrophages and renal fibrosis. Semin Nephrol. 2010;30(3):302–17.

    Article  CAS  PubMed  Google Scholar 

  46. Rieder F, Doyon G, Ouyang Z, West G, Fiocchi C. Adipocyte and preadipocyte derived-mediators induce a pro-fibrogenic phenotype in human intestinal mesenchymal cells - a novel link between fat and intestinal fibrosis. AGA abstract 573. Gastroenterology. 2014;146:S-106.

    Article  Google Scholar 

  47. Coffey JC, O’Leary DP. The mesentery: structure, function, and role in disease. Lancet Gastroenterol Hepatol. 2016;1(3):238–47.

    Article  PubMed  Google Scholar 

  48. Coffey JC, O’Leary DP. Defining the mesentery as an organ and what this means for understanding its roles in digestive disorders. Expert Rev Gastroenterol Hepatol. 2017;11(8):703–5.

    Article  CAS  PubMed  Google Scholar 

  49. Coffey JC, Heald B, Moran BJ. Operative nomenclature. In: Coffey JC, editor. Mesenteric principles of gastrointestinal surgery: basic and applied science. Boca Raton: CRC Press, Taylor & Francis Group; 2017. p. 119–36.

    Chapter  Google Scholar 

  50. Coffey JC, Dockery P. Colorectal cancer: surgery for colorectal cancer - standardization required. Nat Rev Gastroenterol Hepatol. 2016;13(5):256–7.

    Article  PubMed  Google Scholar 

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Mao, R., Calvin Coffey, J. (2018). Fat and Fibrosis. In: Rieder, F. (eds) Fibrostenotic Inflammatory Bowel Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-90578-5_7

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  • DOI: https://doi.org/10.1007/978-3-319-90578-5_7

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