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Pathological Alteration of Human Adipose Tissue in Obesity

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Book cover Novel Insights into Adipose Cell Functions

Part of the book series: Research and Perspectives in Endocrine Interactions ((RPEI))

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Abstract

Obesity, a disease of Western and developing societies, is spreading at an epidemic pace throughout the world. According to the World Health Organization, obesity is defined as an increase or abnormal accumulation of body fat mass to the extent that an individual’s health will be negatively affected. Being overweight (i.e., Body Mass Index > 25 kg/m2) is considered as a significant risk factor for the development of many chronic diseases. Environmental, behavioral, genetic and biological factors interact to cause obesity. Human obesity can be viewed as a set of phenotypes that evolve over time in a sequence of stages that need to be precisely measured. This presentation provides a clinical viewpoint on some biological processes that may explain some of the stages in the development of human obesity, its chronic maintenance and occurrence of complications, with a main focus on the profound alterations in the biology of white adipose tissue.

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References

  • Ailhaud G (2006) Adipose tissue as a secretory organ: from adipogenesis to the metabolic syndrome. C R Biol 329:570–577; discussion 653–575

    Article  PubMed  CAS  Google Scholar 

  • Arner P, Langin D (2007) The role of neutral lipases in human adipose tissue lipolysis. Curr Opin Lipidol 18:246–250

    Article  PubMed  CAS  Google Scholar 

  • Boden G, Duan X, Homko C, Molina EJ, Song W, Perez O, Cheung P, Merali S (2008) Increase in endoplasmic reticulum stress-related proteins and genes in adipose tissue of obese, insulin-resistant individuals. Diabetes 57:2438–2444

    Article  PubMed  CAS  Google Scholar 

  • Cancello R, Henegar C, Viguerie N, Taleb S, Poitou C, Rouault C, Coupaye M, Pelloux V, Hugol D, Bouillot JL, Bouloumié A, Barbatelli G, Cinti S, Svensson PA, Barsh GS, Zucker JD, Basdevant A, Langin D, Clément K (2005) Reduction of macrophage infiltration and chemoattractant gene expression changes in white adipose tissue of morbidly obese subjects after surgery-induced weight loss. Diabetes 54:2277–2286

    Article  PubMed  CAS  Google Scholar 

  • Cancello R, Tordjman J, Poitou C, Guilhem G, Bouillot JL, Hugol D, Coussieu C, Basdevant A, Bar Hen A, Bedossa P, Guerre-Millo M, Clément K (2006) Increased infiltration of macrophages in omental adipose tissue is associated with marked hepatic lesions in morbid human obesity. Diabetes 55:1554–1561

    Article  PubMed  CAS  Google Scholar 

  • Cao H, Gerhold K, Mayers JR, Wiest MM, Watkins SM, Hotamisligil GS (2008) Identification of a lipokine, a lipid hormone linking adipose tissue to systemic metabolism. Cell 134:933–944

    Article  PubMed  CAS  Google Scholar 

  • Caspar-Bauguil S, Cousin B, Andre M, Nibbelink M, Galinier A, Periquet B, Casteilla L, Penicaud L (2006) Weight-dependent changes of immune system in adipose tissue: importance of leptin. Exp Cell Res 312:2195–2202

    Article  PubMed  CAS  Google Scholar 

  • Chun TH, Hotary KB, Sabeh F, Saltiel AR, Allen ED, Weiss SJ (2006) A pericellular collagenase directs the 3-dimensional development of white adipose tissue. Cell 125:577–591

    Article  PubMed  CAS  Google Scholar 

  • Cinti S (2005) The adipose organ. Prostaglandins Leukot Essent Fatty Acids 73:9–15

    Article  PubMed  CAS  Google Scholar 

  • Cinti S, Mitchell G, Barbatelli G, Murano I, Ceresi E, Faloia E, Wang S, Fortier M, Greenberg AS, Obin MS (2005) Adipocyte death defines macrophage localization and function in adipose tissue of obese mice and humans. J Lipid Res 46:2347–2355

    Article  PubMed  CAS  Google Scholar 

  • Clément K, Sorensen TIe (2007) Obesity: genomics and postgenomics. Informa Healthcare, pp 221–228

    Google Scholar 

  • Clement K, Viguerie N, Poitou C, Carette C, Pelloux V, Curat CA, Sicard A, Rome S, Benis A, Zucker JD, Vidal H, Laville M, Barsh GS, Basdevant A, Stich V, Cancello R, Langin D (2004) Weight loss regulates inflammation-related genes in white adipose tissue of obese subjects. Faseb J 18:1657–1669

    Article  PubMed  CAS  Google Scholar 

  • Clement K, Basdevant A, Dutour A (2009) Weight of pericardial fat on coronaropathy. Arterioscler Thromb Vasc Biol 29:615–616

    Article  PubMed  CAS  Google Scholar 

  • Constant VA, Gagnon A, Landry A, Sorisky A (2006) Macrophage-conditioned medium inhibits the differentiation of 3T3-L1 and human abdominal preadipocytes. Diabetologia 49:1402–1411

    Article  PubMed  CAS  Google Scholar 

  • Curat CA, Miranville A, Sengenes C, Diehl M, Tonus C, Busse R, Bouloumie A (2004) From blood monocytes to adipose tissue-resident macrophages: induction of diapedesis by human mature adipocytes. Diabetes 53:1285–1292

    Article  PubMed  CAS  Google Scholar 

  • Dahlman I, Forsgren M, Sjogren A, Nordstrom EA, Kaaman M, Naslund E, Attersand A, Arner P (2006) Downregulation of electron transport chain genes in visceral adipose tissue in Type 2 diabetes independent of obesity and possibly involving Tumor Necrosis Factor-α. Diabetes 55:1792–1799

    Article  PubMed  CAS  Google Scholar 

  • Despres JP, Lemieux I (2006) Abdominal obesity and metabolic syndrome. Nature 444:881–887

    Article  PubMed  CAS  Google Scholar 

  • Fontana L, Eagon JC, Trujillo ME, Scherer PE, Klein S (2007) Visceral fat adipokine secretion is associated with systemic inflammation in obese humans. Diabetes 56:1010–1013

    Article  PubMed  CAS  Google Scholar 

  • Frayn KN, Langin D, Karpe F (2008) Fatty acid-induced mitochondrial uncoupling in adipocytes is not a promising target for treatment of insulin resistance unless adipocyte oxidative capacity is increased. Diabetologia 51:394–397

    Article  PubMed  CAS  Google Scholar 

  • Fruhbeck G, Gomez-Ambrosi J, Muruzabal FJ, Burrell MA (2001) The adipocyte: a model for integration of endocrine and metabolic signaling in energy metabolism regulation. Am J Physiol Endocrinol Metab 280:E827–847

    PubMed  CAS  Google Scholar 

  • Furukawa S, Fujita T, Shimabukuro M, Iwaki M, Yamada Y, Nakajima Y, Nakayama O, Makishima M, Matsuda M, Shimomura I (2004) Increased oxidative stress in obesity and its impact on metabolic syndrome. J Clin Invest 114:1752–1761

    PubMed  CAS  Google Scholar 

  • Guerre-Millo M (2004) Adipose tissue and adipokines: for better or worse. Diabetes Metab 30:13–19

    Article  PubMed  CAS  Google Scholar 

  • Henegar JR, Bigler SA, Henegar LK, Tyagi SC, Hall JE (2001) Functional and structural changes in the kidney in the early stages of obesity. J Am Soc Nephrol 12:1211–1217

    PubMed  CAS  Google Scholar 

  • Henegar C, Tordjman J, Achard V, Lacasa D, Cremer I, Guerre-Millo M, Poitou C, Basdevant A, Stich V, Viguerie N, Langin D, Bedossa P, Zucker JD, Clement K (2008) Adipose tissue transcriptomic signature highlights the pathological relevance of extracellular matrix in human obesity. Genome Biol 9:R14

    Article  PubMed  Google Scholar 

  • Hill JO, Wyatt HR, Reed GW, Peters JC (2003) Obesity and the environment: where do we go from here? Science 299:853–855

    Article  PubMed  CAS  Google Scholar 

  • Hosogai N, Fukuhara A, Oshima K, Miyata Y, Tanaka S, Segawa K, Furukawa S, Tochino Y, Komuro R, Matsuda M, Shimomura I (2007) Adipose tissue hypoxia in obesity and its impact on adipocytokine dysregulation. Diabetes 56:901–911

    Article  PubMed  CAS  Google Scholar 

  • Hotamisligil GS, Arner P, Caro JF, Atkinson RL, Spiegelman BM (1995) Increased adipose tissue expression of tumor necrosis factor-alpha in human obesity and insulin resistance. J Clin Invest 95:2409–2415

    Article  PubMed  CAS  Google Scholar 

  • Kamei N, Tobe K, Suzuki R, Ohsugi M, Watanabe T, Kubota N, Ohtsuka-Kowatari N, Kumagai K, Sakamoto K, Kobayashi M, Yamauchi T, Ueki K, Oishi Y, Nishimura S, Manabe I, Hashimoto H, Ohnishi Y, Ogata H, Tokuyama K, Tsunoda M, Ide T, Murakami K, Nagai R, Kadowaki T (2006) Overexpression of monocyte chemoattractant protein-1 in adipose tissues causes macrophage recruitment and insulin resistance. J Biol Chem 281:26602–26614

    Article  PubMed  CAS  Google Scholar 

  • Kanda H, Tateya S, Tamori Y, Kotani K, Hiasa K, Kitazawa R, Kitazawa S, Miyachi H, Maeda S, Egashira K, Kasuga M (2006) MCP-1 contributes to macrophage infiltration into adipose tissue, insulin resistance, and hepatic steatosis in obesity. J Clin Invest 116:1494–1505

    Article  PubMed  CAS  Google Scholar 

  • Keophiphath M, Achard V, Henegar C, Rouault C, Clement K, Lacasa D (2009a) Macrophage-secreted factors promote a profibrotic phenotype in human preadipocytes. Mol Endocrinol 23:11–24

    Article  PubMed  CAS  Google Scholar 

  • Keophiphath M, Rouault C, Divoux A, Clement K, Lacasa D (2009b) CCL5 promotes macrophage recruitment and survival in human adipose tissue. Arterioscler Thromb Vasc Biol 30:39–45

    Article  PubMed  Google Scholar 

  • Kintscher U, Hartge M, Hess K, Foryst-Ludwig A, Clemenz M, Wabitsch M, Fischer-Posovszky P, Barth TF, Dragun D, Skurk T, Hauner H, Blüher M, Unger T, Wolf AM, Knippschild U, Hombach V, Marx N (2008) T-lymphocyte infiltration in visceral adipose tissue: a primary event in adipose tissue inflammation and the development of obesity-mediated insulin resistance. Arterioscler Thromb Vasc Biol 28:1304–1310

    Article  PubMed  CAS  Google Scholar 

  • Kuo LE, Kitlinska JB, Tilan JU, Li L, Baker SB, Johnson MD, Lee EW, Burnett MS, Fricke ST, Kvetnansky R, Herzog H, Zukowska Z (2007) Neuropeptide Y acts directly in the periphery on fat tissue and mediates stress-induced obesity and metabolic syndrome. Nature Med 13:803–811

    Article  PubMed  CAS  Google Scholar 

  • Lacasa D, Taleb S, Keophiphath M, Miranville A, Clement K (2007) Macrophage-secreted factors impair human adipogenesis: involvement of proinflammatory state in preadipocytes. Endocrinology 148:868–877

    Article  PubMed  CAS  Google Scholar 

  • Lafontan M, Berlan M (2003) Do regional differences in adipocyte biology provide new pathophysiological insights? Trends Pharmacol Sci 24:276–283

    Article  PubMed  CAS  Google Scholar 

  • Liu J, Divoux A, Sun J, Zhang J, Clement K, Glickman JN, Sukhova GK, Wolters PJ, Du J, Gorgun CZ, Doria A, Libby P, Blumberg RS, Kahn BB, Hotamisligil GS, Shi GP (2009) Genetic deficiency and pharmacological stabilization of mast cells reduce diet-induced obesity and diabetes in mice. Nature Med 15:940–945

    Article  PubMed  CAS  Google Scholar 

  • Lumeng CN, Bodzin JL, Saltiel AR (2007a) Obesity induces a phenotypic switch in adipose tissue macrophage polarization. J Clin Invest 117:175–184

    Article  PubMed  CAS  Google Scholar 

  • Lumeng CN, Deyoung SM, Bodzin JL, Saltiel AR (2007b) Increased inflammatory properties of adipose tissue macrophages recruited during diet-induced obesity. Diabetes 56:16–23

    Article  PubMed  CAS  Google Scholar 

  • Masuzaki H, Paterson J, Shinyama H, Morton NM, Mullins JJ, Seckl JR, Flier JS (2001) A transgenic model of visceral obesity and the metabolic syndrome. Science 294:2166–2170

    Article  PubMed  CAS  Google Scholar 

  • Matsuzawa Y (2006) Therapy insight: adipocytokines in metabolic syndrome and related cardiovascular disease. Nature Clin Pract Cardiovasc Med 3:35–42

    Article  CAS  Google Scholar 

  • Ozcan U, Cao Q, Yilmaz E, Lee AH, Iwakoshi NN, Ozdelen E, Tuncman G, Gorgun C, Glimcher LH, Hotamisligil GS (2004) Endoplasmic reticulum stress links obesity, insulin action, and type 2 diabetes. Science 306:457–461

    Article  PubMed  Google Scholar 

  • Permana PA, Menge C, Reaven PD (2006) Macrophage-secreted factors induce adipocyte inflammation and insulin resistance. Biochem Biophys Res Commun 341:507–514

    Article  PubMed  CAS  Google Scholar 

  • Pietilainen KH, Naukkarinen J, Rissanen A, Saharinen J, Ellonen P, Keranen H, Suomalainen A, Gotz A, Suortti T, Yki-Jarvinen H, Oresic M, Kaprio J, Peltonen L (2008) Global transcript profiles of fat in monozygotic twins discordant for BMI: pathways behind acquired obesity. PLoS Med 5:e51

    Article  PubMed  Google Scholar 

  • Prentice AM, Hennig BJ, Fulford AJ (2008) Evolutionary origins of the obesity epidemic: natural selection of thrifty genes or genetic drift following predation release? Int J Obes (Lond) 32:1607–1610

    Article  CAS  Google Scholar 

  • Rosen ED, MacDougald OA (2006) Adipocyte differentiation from the inside out. Nature Rev Mol Cell Biol 7:885–896

    Article  CAS  Google Scholar 

  • Rosen ED, Spiegelman BM (2006) Adipocytes as regulators of energy balance and glucose homeostasis. Nature 444:847–853

    Article  PubMed  CAS  Google Scholar 

  • Savage DB, Petersen KF, Shulman GI (2007) Disordered lipid metabolism and the pathogenesis of insulin resistance. Physiol Rev 87:507–520

    Article  PubMed  CAS  Google Scholar 

  • Sethi JK, Vidal-Puig AJ (2007) Thematic review series: adipocyte biology. Adipose tissue function and plasticity orchestrate nutritional adaptation. J Lipid Res 48:1253–1262

    Article  PubMed  CAS  Google Scholar 

  • Shi H, Kokoeva MV, Inouye K, Tzameli I, Yin H, Flier JS (2006) TLR4 links innate immunity and fatty acid-induced insulin resistance. J Clin Invest 116:3015–3025

    Article  PubMed  CAS  Google Scholar 

  • Skurk T, Alberti-Huber C, Herder C, Hauner H (2007) Relationship between adipocyte size and adipokine expression and secretion. J Clin Endocrinol Metab 92:1023–1033

    Article  PubMed  CAS  Google Scholar 

  • Sorensen TI (2009) Conference on “Multidisciplinary approaches to nutritional problems.” Symposium on “Diabetes and health.” Challenges in the study of causation of obesity. Proc Nutr Soc 68:43–54

    Article  PubMed  Google Scholar 

  • Spalding KL, Arner E, Westermark PO, Bernard S, Buchholz BA, Bergmann O, Blomqvist L, Hoffstedt J, Naslund E, Britton T, Concha H, Hassan M, Rydén M, Frisén J, Arner P (2008) Dynamics of fat cell turnover in humans. Nature 453:783–787

    Article  PubMed  CAS  Google Scholar 

  • Stump CS, Henriksen EJ, Wei Y, Sowers JR (2006) The metabolic syndrome: role of skeletal muscle metabolism. Ann Med 38:389–402

    Article  PubMed  CAS  Google Scholar 

  • Suganami T, Nishida J, Ogawa Y (2005) A paracrine loop between adipocytes and macrophages aggravates inflammatory changes: role of free fatty acids and tumor necrosis factor alpha. Arterioscler Thromb Vasc Biol 25:2062–2068

    Article  PubMed  CAS  Google Scholar 

  • Tilg H, Moschen AR (2006) Adipocytokines: mediators linking adipose tissue, inflammation and immunity. Nature Rev Immunol 6:772–783

    Article  CAS  Google Scholar 

  • Tordjman J, Poitou C, Hugol D, Bouillot JL, Basdevant A, Bedossa P, Guerre-Millo M, Clement K (2009) Association between omental adipose tissue macrophages and liver histopathology in morbid obesity: influence of glycemic status. J Hepatol 51:354–362

    Article  PubMed  CAS  Google Scholar 

  • Tsou CL, Peters W, Si Y, Slaymaker S, Aslanian AM, Weisberg SP, Mack M, Charo IF (2007) Critical roles for CCR2 and MCP-3 in monocyte mobilization from bone marrow and recruitment to inflammatory sites. J Clin Invest 117:902–909

    Article  PubMed  CAS  Google Scholar 

  • Tyner JW, Uchida O, Kajiwara N, Kim EY, Patel AC, O’Sullivan MP, Walter MJ, Schwendener RA, Cook DN, Danoff TM, Holtzman MJ (2005) CCL5-CCR5 interaction provides antiapoptotic signals for macrophage survival during viral infection. Nature Med 11:1180–1187

    Article  PubMed  CAS  Google Scholar 

  • Weisberg SP, McCann D, Desai M, Rosenbaum M, Leibel RL, Ferrante AW, Jr. (2003) Obesity is associated with macrophage accumulation in adipose tissue. J Clin Invest 112:1796–1808

    PubMed  CAS  Google Scholar 

  • Whitlock G, Lewington S, Sherliker P, Clarke R, Emberson J, Halsey J, Qizilbash N, Collins R, Peto R (2009) Body-mass index and cause-specific mortality in 900,000 adults: collaborative analyses of 57 prospective studies. Lancet 373:1083–1096

    Article  PubMed  Google Scholar 

  • Zernecke A, Shagdarsuren E, Weber C (2008) Chemokines in atherosclerosis: an update. Arterioscler Thromb Vasc Biol 28:1897–1908

    Article  PubMed  CAS  Google Scholar 

  • Zeyda M, Farmer D, Todoric J, Aszmann O, Speiser M, Gyori G, Zlabinger GJ, Stulnig TM (2007) Human adipose tissue macrophages are of an anti-inflammatory phenotype but capable of excessive pro-inflammatory mediator production. Int J Obes (Lond) 31:1420–1428

    Article  CAS  Google Scholar 

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Acknowledgments

The author warmly thanks Dr Joan Tordjman and Dr Raffaella Cancello for their contributions to the iconography and Dr Jean-Louis Nahon and Charmaine Tam for critical reading of the manuscript. Several works presented at this conference are granted by ADAPT, HEPADIP and DIOGENES networks supported by the European Community.

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Correspondence to Karine Clément .

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Clément, K. (2010). Pathological Alteration of Human Adipose Tissue in Obesity. In: Christen, Y., Clément, K., Spiegelman, B. (eds) Novel Insights into Adipose Cell Functions. Research and Perspectives in Endocrine Interactions. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-13517-0_1

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