Adipose tissue macrophages induce hepatic neutrophil recruitment and macrophage accumulation in mice

• Published in: Gut Vol. 67; no. 7; pp. 1317 - 1327
• Main Authors: Bijnen, Mitchell, Josefs, Tatjana, Cuijpers, Ilona, Maalsen, Constantijn J, van de Gaar, José, Vroomen, Maria, Wijnands, Erwin, Rensen, Sander S, Greve, Jan Willem M, Hofker, Marten H, Biessen, Erik A L, Stehouwer, Coen D A, Schalkwijk, Casper G, Wouters, Kristiaan
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group LTD 01.07.2018
• Subjects: Adipose tissue; Biopsy; Bisphosphonates; Body fat; Bone marrow; CD11c antigen; Chemokines; Chemotaxis; Cholesterol; Clodronic acid; CXCL16 protein; Diet; Fatty liver; Flow cytometry; Gene expression; High cholesterol diet; Histopathology; Inflammation; Liposomes; Liver cancer; Macrophages; Neutrophils; Obesity; Proteins; Recruitment; Rodents; macrophages; immunology in hepatology; obesity; non-alcoholic steatohepatitis
• ISSN: 0017-5749; 1468-3288; 1468-3288
• DOI: 10.1136/gutjnl-2016-313654

ObjectiveObesity is a risk factor for non-alcoholic steatohepatitis (NASH). This risk has been attributed to visceral adipose tissue (vAT) expansion associated with increased proinflammatory mediators. Accumulation of CD11c+ proinflammatory adipose tissue macrophages (ATM) is an important driver of vAT inflammation. We investigated the role of ATMs in hepatic inflammation during NASH development.DesignvAT isolated from lean, obese or ATM-depleted (using clodronate liposomes) obese mice was transplanted to lean ldlr-/- acceptor mice. Systemic and hepatic inflammation was assessed either after 2 weeks on standard chow or after 8 weeks on high cholesterol diet (HCD) to induce NASH.ResultsTransplanting donor vAT from obese mice increased HCD-induced hepatic macrophage content compared with lean-transplanted mice, worsening liver damage. ATM depletion prior to vAT transplantation reduced this increased hepatic macrophage accumulation. On chow, vAT transplantation induced a more pronounced increase in circulating and hepatic neutrophil numbers in obese-transplanted than lean-transplanted mice, while ATM depletion prior to vAT transplantation reversed this effect. Microarray analysis of fluorescence-activated cell sorting of CD11c+ and CD11c− macrophages isolated from donor adipose tissue showed that obesity resulted in enhanced expression of neutrophil chemotaxis genes specifically in CD11c+ ATMs. Involvement of the neutrophil chemotaxis proteins, CXCL14 and CXCL16, was confirmed by culturing vAT. In humans, CD11c expression in vAT of obese individuals correlated with vAT expression of neutrophil chemotactic genes and with hepatic expression of neutrophil and macrophage marker genes.ConclusionATMs from obese vAT induce hepatic macrophage accumulation during NASH development, possibly by enhancing neutrophil recruitment.