2019
DOI: 10.1136/bmjdrc-2019-000751
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Peritoneal macrophages have an impaired immune response in obesity which can be reversed by subsequent weight loss

Abstract: IntroductionObesity is recognized as a risk factor for various microbial infections. The immune system, which is affected by obesity, plays an important role in the pathophysiology of these infections and other obesity-related comorbidities. Weight loss is considered the most obvious treatment for obesity. However, multiple studies suggest that the comorbidities of obesity may persist after weight loss. Deregulation of immune cells including adipose tissue macrophages of obese individuals has been extensively … Show more

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Cited by 10 publications
(5 citation statements)
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“…Peritoneal macrophages from the diet-induced obesity model do not display foam cell characteristics, although they exhibit downregulation of several enzymes of the cholesterol biosynthesis pathway, including Dhcr24 [122]. Accumulation of desmosterol in macrophages from diet-induced obesity mice is also associated with upregulation of LXR and SREPB target genes and downregulation of inflammatory genes [122].…”
Section: Metabolic Changes In Peripheral Macrophages In the Context Of Obesitymentioning
confidence: 97%
See 1 more Smart Citation
“…Peritoneal macrophages from the diet-induced obesity model do not display foam cell characteristics, although they exhibit downregulation of several enzymes of the cholesterol biosynthesis pathway, including Dhcr24 [122]. Accumulation of desmosterol in macrophages from diet-induced obesity mice is also associated with upregulation of LXR and SREPB target genes and downregulation of inflammatory genes [122].…”
Section: Metabolic Changes In Peripheral Macrophages In the Context Of Obesitymentioning
confidence: 97%
“…Downregulation of Dhcr24 results in accumulation of desmosterol that activates LXR and SREBP target genes, interferes with FA metabolism, and contributes to impaired inflammatory responses in macrophages from hypercholesterolemic mice [121]. Peritoneal macrophages from the diet-induced obesity model do not display foam cell characteristics, although they exhibit downregulation of several enzymes of the cholesterol biosynthesis pathway, including Dhcr24 [122]. Accumulation of desmosterol in macrophages from diet-induced obesity mice is also associated with upregulation of LXR and SREPB target genes and downregulation of inflammatory genes [122].…”
Section: Metabolic Changes In Peripheral Macrophages In the Context Of Obesitymentioning
confidence: 99%
“…Finally, preclinical evaluation of novel biomaterials must take into account that the inflammatory response is affected by patient-specific factors that may not be adequately represented by animal models. For example, at least 40% of the U.S. population is obese or diabetic, with major effects on immune cell behavior, but the efficacy of biomaterials is not typically evaluated in obese or diabetic animals. As examples of how heterogeneity in the human immune response can influence the failure of biomaterials, 28% of breast implants require revision, and successful biomaterials in diabetic wound healing are successful in only around 55% of cases. , Similarly, total joint replacements fail after a wide range of implant duration, ranging from 15 to 25 years on average .…”
Section: Challenges and Future Directionsmentioning
confidence: 99%
“…On the level of the adipose tissue, weight loss has been shown to reduce the chronic inflammatory state of the adipose tissue. 105 However, weight loss does not completely normalize the inflammatory state since several immune markers remain elevated after weight loss. 106 , 107 This so-called ‘obesogenic memory’ is characterized by an increase in pro-inflammatory macrophages that fail to normalize in number and phenotype after weight loss.…”
Section: Trained Immunity In Ascvdmentioning
confidence: 99%