WAT Inflammation Flashcards

1
Q

What determines the mass of WAT?

A
  • Hypertrophy: swelling of existing adipocytes to accommodate excess nutrients such as triglycerides
  • Hyperplasia/Adipogenesis: an increase in adipose stem cell proliferation with subsequent adipogenesis
  • It can also change from both
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2
Q

Why is adipocyte hypertrophy bad?

A
  • Increasing the size of an adipocyte
  • desensitizes it to insulin
  • Promotes lipid storage/biogenesis problems
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3
Q

How does having less oxygen at the cellular level a problem?

A
  • ER stress
  • Mitochondria dysfunction
  • Adipocyte death
  • Lack of oxygen for cellular process
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4
Q

Two types of Hypoxia

A
  • Acute hypertrophy hypoxic response:
  • Chronic hypertrophy response:
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5
Q

Acute hypertrophy hypoxic response:

A
  • Adipocytes quickly expand in size and reach the diffusional limit of oxygen
  • It is mild but induces a stress signal that drives new blood vessel formation to facilitate further expansion of WAT and reduce hypoxia. (It can be seen as healthy)
  • Angiogenesis: blood vessel forming
  • If it continues it will become chronic
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6
Q

Chronic hypertrophy response:

A
  • Adipocytes keep expanding in size and exhaust the ability of WAT to produce new blood vessels
  • Hypoxia is greater and induces stress signals resulting in adipocyte cell death
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7
Q

How does hypoxia alter WAT:

A
  • Tissue stress: nutrient deprivation
  • Stimulate inflammatory signals
  • Force adipocyte cell death and necrosis: stimulating lipid release
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8
Q

Could we target hypoxia be a potential for obesity:

A
  • No, because you might grow vascularization in areas you don’t want
  • Increases vascularity(growing blood vessels ) in all tissues
  • Increase the risk of cancer
  • Only promotes healthier WAT expansion short-term
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9
Q

Fibrotic Tissue Is Made:

A
  • Fibroblasts within the tissue/organ control the amount of collagen fiber and other extracellular matrix deposition
  • Normal process but if not regenerated properly it can cause healing effects like scar
  • Severe fibrosis for Obese
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10
Q

4 Phases of fibrogenesis:

A
  1. Initiation of the response (poor diet, adipocyte hypertrophy, hypoxia)
  2. Activation of effector cells (fibroblast)
  3. Elaboration of extracellular matrix( production of collagen and fiber in between adipocytes)
  4. Full progression of fibrosis and organ failure
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11
Q

Initiation of WAT Fibrosis:

A

Hypoxic conditions and adipocyte hypertrophy stimulate the secretion of pro-fibrotic that stimulate cells within WAT to expand themselves and to produce collagen and other matrix materials

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12
Q

What does fibrosis mean for adipose tissue?

A

-Increase tissue stiffness
- Disruption of tissue organization and architecture
- Interfere with cell-cell communication
- adipocyte -blood vessel communication
- Activated fibroblast will secret hormones and factors that disrupt WAT biology

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13
Q

Adipocytes signal to the immune system:

A
  • Hypertrophy adipocytes secret cytokines that attract
  • immune cells to the WAT
  • Immune cells and macrophages elicit/mount a pro-inflammatory response
  • Encircle and engulf adipocyte
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14
Q

Macrophages

A
  • phagocytic cells. Sentinels of the immune system that fight off infections
  • Largest pop of immune cells in visceral AT
    -First line defense
    -10% of lean states but 50% of Obese state
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15
Q

Crown-like structure:

A

formed from macrophage engulfment, signals cell death

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16
Q

How does hypertrophy induce adipocyte death:

A
  • Secretes TNFalpha
  • TNFalpha: proinflammatory adipokine
  • Lowly expressed in adipose tissue but increases due to obesity
  • Changes in the immune cell composition in adipose tissues
  • Serves as macrophage attractant to the dysfunctional adipocyte
  • Impairs insulin signaling in adipose tissue and muscle and for pancreas
  • TNFalpha correlates with fat mass and adipocyte hypertrophy
  • Macrophages also secrete TNF alpha
17
Q

Alternative Macrophages:

A
  • M2 lean state
  • Stimulates extracellular matrix
  • Cellular proliferation
  • Angiogenesis
  • Subcutaneous fat tends to have more M2 macrophages
18
Q
A