Human epicardial fat has a beige profile and contains higher type 2 innate lymphoid cells than subcutaneous fat

Obesity (Silver Spring)Published Mechanistic study

Authors' conclusion

This is the first study, to our knowledge, to provide a comparison between innate and adaptive lymphoid cells in human EAT. Further studies are ongoing to decipher whether these cells could be involved in EAT beiging.

Study context

Population
Paired human epicardial adipose tissue (EAT) and thoracic subcutaneous AT (thSAT) from the EPICAR study; paired AT from human multiorgan donors (n = 18; INTERFACE study)EPICAR n = 31 · EPICAR study 31
Comparison
Epicardial adipose tissue vs subcutaneous adipose tissue
Outcome
Immune signature and browning genes in EAT vs subcutaneous AT
Methodological detailspaired tissue samples, pan-genomic microarray analysis, immunophenotyping
  • Paired tissue samples
  • Pan-genomic microarray analysis
  • Immunophenotyping

Main finding

As reported in the abstract

EPICAR: positive correlation between Th2 immune pathway and browning genes in EAT vs thSAT
r = 0.82; p < 0.0001
INTERFACE: correlation between Th2 pathway and browning genes also observed
r = 0.31; p = 0.017
Preponderance of CD4+T cells, CD8+T cells and a few B cells in all ATs
p < 0.0001
ILCs per gram of AT, visceral AT (EAT + visceral AT (VAT)) vs subcutaneous (thSAT + abdominal SAT): 30 ± 5 vs 8 ± 2; Innate lymphoid cell (ILC1) most frequent (ILC1 > ILC3 > ILC2)
p = 0.001
Specific increase in EAT-ILC2 vs other ATs; proportion expressing CD69 and/or CD25 activation markers 97.9% ± 1.2%
p < 0.0001
More natural killer cells in EAT + VAT than in thSAT + abdominal SAT
p = 0.01

Further findings

Sensitivity analysis excluding patients with coronary artery disease

Exclusion of patients with coronary artery disease did not modify the main findings

Original publication

Human epicardial fat has a beige profile and contains higher type 2 innate lymphoid cells than subcutaneous fat. Obesity (Silver Spring). Published 15 May 2024. doi:10.1002/oby.24023

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