2017
DOI: 10.1002/oby.21964
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Macrophage Area Content and Phenotype in Hepatic and Adipose Tissue in Patients with Obesity Undergoing Roux‐en‐Y Gastric Bypass

Abstract: The results indicate that decreased SAT macrophage content is not a primary driver for weight loss-induced IS improvements, but a better hepatic CD163 and CD206 macrophage profile may contribute to improved glycemic control. SAT macrophage markers were not predictive for VAT macrophage markers.

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Cited by 8 publications
(16 citation statements)
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References 39 publications
(64 reference statements)
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“…Conversely, our data confirm that Hep-IR in humans is mainly driven by liver steatosis, as repeatedly reported. 36 The discrepancy with previously published data 26 is likely explained by the different study population. At early stages of metabolic alterations and in the absence of morbid obesity and diabetes, there is no association between derangements of glucose metabolism and macrophage activation in NAFLD patients.…”
Section: Discussionmentioning
confidence: 68%
See 1 more Smart Citation
“…Conversely, our data confirm that Hep-IR in humans is mainly driven by liver steatosis, as repeatedly reported. 36 The discrepancy with previously published data 26 is likely explained by the different study population. At early stages of metabolic alterations and in the absence of morbid obesity and diabetes, there is no association between derangements of glucose metabolism and macrophage activation in NAFLD patients.…”
Section: Discussionmentioning
confidence: 68%
“…However, it is well known that obesity is characterized by accumulation of pro-inflammatory M1 macrophages in adipose tissue. 26 Hypertrophy and hyperplasia of a dysfunctional adipose tissue evoke cellular stress and necrotic adipocyte cell death, activation of innate immune cells, among which (tissue) macrophages, and production of chemokines such as the chemokine (C-C motif) ligand 2 (CCL2) to recruit monocytes from the bloodstream boosting the release of pro-inflammatory cytokines such as tumor necrosis factor-alpha (TNF-α) and interleukin-6 (IL-6). The final result is an obesity-driven chronic state of low-grade adipose tissue inflammation.…”
Section: Discussionmentioning
confidence: 99%
“…The question arises, whether or not CD206 is expressed by cells other than macrophages or that possibly our staining was weak. However, Kristensen et al reported similar results in hepatic and adipose tissue …”
Section: Discussionmentioning
confidence: 68%
“…However, Kristensen et al reported similar results in hepatic and adipose tissue. 53 There are a few further proteins described in patients with high-grade OA, of which elevated levels in the synovial fluid and serum are connected to the proinflammatory reaction characteristic for OA. Here, members of the MMP-family, especially MMP-3, have to be listed.…”
Section: Discussionmentioning
confidence: 99%
“…In accordance with the role of crosstalk among resident liver cells, previous evidence indicated that the hepatic macrophage profile, but not subcutaneous AT macrophage content, is associated with hepatic histology improvement in adult patients who underwent bariatric surgery. 46 Furthermore, hepatic macrophage subsets are main drivers of necroinflammation and fibrosis in human NASH. 32,37,47 The present study showed that the number of TLR4 + macrophages in liver and VAT biopsy results is decreased after LSG and correlates with the improvement in the inflammation of the corresponding tissue.…”
Section: Original Articlesmentioning
confidence: 99%