Implicación de las células mesenquimales multipotenciales derivadas del tejido adiposo humano en la patogénesis del síndrome metabólico

Introducción: La diminución de la capacidad de expansión del tejido adiposo juega un papel crucial en el origen y desarrollo de los trastornos asociados al síndrome metabólico. Hipótesis y Objetivos: Considerando que la expansión del tejido adiposo depende del estado de sus células mesenquimales multipotenciales (ASCs), es probable que las condiciones tisulares asociadas a los períodos de balance energético positivo generen alteraciones en los patrones heredables de transcripción génica mediante los que las ASCs quedan predispuestas a favor del fenotipo fibrótico e inflamatorio, en detrimento de su función adipogénica y neovascular. Para corroborar ésta hipótesis nos propusimos revelar la implicación de las ASCs en la remodelación tisular adiposa; su contribución a la disminución de la capacidad angiogénica del tejido adiposo; y evaluar su respuesta neovascular, migratoria e inflamatoria ante la hipoxia. Metodología: Aplicamos técnicas de cultivo celular, citometría de flujo, qPCR, western blot y ELISA a las ASCs aisladas del tejido adiposo visceral y subcutáneo de 69 sujetos agrupados en normopesos, y obesos con (SM) y sin síndrome metabólico (NoSM). Resultados: Los adipocitos generados a partir de las ASC visceral y subcutáneo evidenciaronn una disminución en los niveles intrínsecos de expresión del transportador de glucosa GLUT4 conforme aumenta la expresión de proteínas fibróticas, el BMI y el HOMA-IR de los pacientes. El empeoramiento del perfil metabólico de los sujetos estuvo acompañado por la disminución de la tasa proliferativa, el potencial clonogénico y la exportación del FGF2 hacia la superficie celular de las ASC derivadas de ambos tejidos. Las ASC visceral y subcutáneo de los sujetos SM también mostraron una disminución en la capacidad de formación de túbulos respecto a las ASCs de los sujetos obesos NoSM así como alteraciones en los niveles de expresión de proteínas implicadas en el balance redox celular y vinculadas al fenotipo secretor asociado a senescencia. El deterioro de las propiedades neovasculares de las ASC subcutáneo de los sujetos SM se evidenció además en los niveles de secreción del VEGF durante la adipogénesis y en los efectos del medio condicionado adipogénico sobre la formación de túbulos por células endoteliales. Aunque las ASC visceral de los sujetos SM cultivadas bajo hipoxia mostraron mayor porcentaje de células CD140b+/CD44+ y CD140b+/CD184+ así como mayor capacidad migratoria que las ASC visceral de los sujetos NoSM, también evidenciaron menor capacidad de formación de túbulos, transcribieron más RNAm NOX5 y su medio condicionado disminuyó la supervivencia de las células endoteliales. Conclusiones: El funcionamiento del tejido adiposo parece condicionar el deterioro de sus propias células precursoras y ante el cual las ASCs de los sujetos que desarrollan síndrome metabólico son más vulnerables

Myocardial ischemic subject's thymus fat: A novel source of multipotent stromal cells

Objective Adipose Tissue Stromal Cells (ASCs) have important clinical applications in the regenerative medicine, cell replacement and gene therapies. Subcutaneous Adipose Tissue (SAT) is the most common source of these cells. The adult human thymus degenerates into adipose tissue (TAT). However, it has never been studied before as a source of stem cells. Material and Methods We performed a comparative characterization of TAT-ASCs and SAT-ASCs from myocardial ischemic subjects (n = 32) according to the age of the subjects. Results TAT-ASCs and SAT-ASCs showed similar features regarding their adherence, morphology and in their capacity to form CFU-F. Moreover, they have the capacity to differentiate into osteocyte and adipocyte lineages; and they present a surface marker profile corresponding with stem cells derived from AT; CD73+CD90+CD105+CD14-CD19-CD45-HLA-DR. Interestingly, and in opposition to SAT-ASCs, TAT-ASCs have CD14+CD34+CD133+CD45- cells. Moreover, TAT-ASCs from elderly subjects showed higher adipogenic and osteogenic capacities compared to middle aged subjects, indicating that, rather than impairing; aging seems to increase adipogenic and osteogenic capacities of TAT-ASCs. Conclusions This study describes the human TAT as a source of mesenchymal stem cells, which may have an enormous potential for regenerative medicine.Instituto de Salud Carlos III/FEDER, EU (PI10/01947, PI13/02628), CTS-7895 from the Consejer?a de Econom?a e Innovaci?n, Ciencia y Empleo, Junta de Andaluc?a/FEDER, EU. R. El Bekay is supported by fellowships from the ISCIII/FEDER, EU "Miguel Servet II" (CPII13/00041). AV-R is under a contract Proyectos de I+D+i para j?venes investigadores from the Ministerio de Econom?a y Competitividad (SAF2014-60649-JIN) and co-funded by Fondo Europeo de Desarrollo Regional-FEDER.Scopu

RPL13A and EEF1A1 Are Suitable Reference Genes for qPCR during Adipocyte Differentiation of Vascular Stromal Cells from Patients with Different BMI and HOMA-IR

Real-time or quantitative PCR (qPCR) is a useful technique that requires reliable reference genes for data normalization in gene expression analysis. Adipogenesis is among the biological processes suitable for this technique. The selection of adequate reference genes is essential for qPCR gene expression analysis of human Vascular Stromal Cells (hVSCs) during their differentiation into adipocytes. To the best of our knowledge, there are no studies validating reference genes for the analyses of visceral and subcutaneous adipose tissue hVSCs from subjects with different Body Mass Index (BMI) and Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) index. The present study was undertaken to analyze this question. We first analyzed the stability of expression of five potential reference genes: CYC, GAPDH, RPL13A, EEF1A1, and 18S ribosomal RNA, during in vitro adipogenic differentiation, in samples from these types of patients. The expression of RPL13A and EEF1A1 was not affected by differentiation, thus being these genes the most stable candidates, while CYC, GAPDH, and 18S were not suitable for this sort of analysis. This work highlights that RPL13A and EEF1A1 are good candidates as reference genes for qPCR analysis of hVSCs differentiation into adipocytes from subjects with different BMI and HOMA-IR.Instituto de Salud Carlos III (PI10/01947, PI13/02628) with Fondos FEDER and the Consejería de Economía e Innovación, Ciencia y Empleo, Junta de Andalucía (CTS-7895) with Fondos FEDER. R. El Bekay is under a contract Miguel Servet type II (CPII13/00041) from the Instituto de Salud Carlos III. F-JB-S is a recipient of a "Miguel Servet II" research contract (CPII13/00042) and also belongs to the regional "Nicolás Monardes" research program of the Consejería de Salud (C-0070-2012; Junta de Andalucía, Spain). This work was supported by the FIS-Thematic Networks and Co-Operative Research Centres RIRAAF (RD07-0064). JM is under the Programa de Intensificación de la Actividad Investigadora del Sistema Nacional de Salud. AV-R is under a contract Proyectos de I+D+i para jóvenes investigadores from the Ministerio de Economía y Competitividad (SAF2014-60649-JIN). S-YR-Z is recipient of a post-doctoral contract from Consejería de Salud de la Junta de Andalucía (RH-0070-2013)

The Relationship between Depressive Symptoms, Quality of Life and miRNAs 8 Years after Bariatric Surgery

Altres ajuts: Universidad de Málaga, UMA20-FEDERJA-144; Junta de Andalucia, PI-0194-2017, C-0028-2018, RC-005-2020, DOC_00288 and DOC_01095Background: There are conflicting results on whether weight loss after bariatric surgery (BS) might be associated with quality of life (QoL)/depressive symptomatology. We aim to determine whether BS outcomes are associated with QoL/depressive symptomatology in studied patients at the 8-year follow-up after BS, as well as their relationship with different serum proteins and miRNAs. Methods: A total of 53 patients with class III obesity who underwent BS, and then classified into "good responders" and "non-responders" depending on the percentage of excess weight lost (%EWL) 8 years after BS (%EWL ≥ 50% and %EWL < 50%, respectively), were included. Basal serum miRNAs and different proteins were analysed, and patients completed tests to evaluate QoL/depressive symptomatology at 8 years after BS. Results: The good responders group showed higher scores on SF-36 scales of physical functioning, role functioning-physical, role functioning-emotional, body pain and global general health compared with the non-responders. The expression of hsa-miR-101-3p, hsa-miR-15a-5p, hsa-miR-29c-3p, hsa-miR-144-3p and hsa-miR-19b-3p were lower in non-responders. Hsa-miR-19b-3p was the variable associated with the response to BS in a logistic regression model. Conclusions: The mental health of patients after BS is limited by the success of the intervention. In addition, the expression of basal serum miRNAs related to depression/anxiety could predict the success of BS

Survivin, a key player in cancer progression, increases in obesity and protects adipose tissue stem cells from apoptosis

Adipose tissue (AT) has a central role in obesity-related metabolic imbalance through the dysregulated production of cytokines and adipokines. In addition to its known risk for cardiovascular disease and diabetes, obesity is also a major risk for cancer. We investigated the impact of obesity for the expression of survivin, an antiapoptotic protein upregulated by adipokines and a diagnostic biomarker of tumor onset and recurrence. In a cross-sectional study of 111 subjects classified by body mass index, circulating levels of survivin and gene expression in subcutaneous ATwere significantly higher in obese patients and positively correlated with leptin. Within AT, survivin was primarily detected in human adipocyte-derived stem cells (hASCs), the adipocyte precursors that determine AT expansion. Remarkably, survivin expression was significantly higher in hASCs isolated from obese patients that fromlean controls and was increased by proinflammatory M1 macrophage soluble factors including IL-1β. Analysis of survivin expression in hASCs revealed a complex regulation including epigenetic modifications and protein stability. Surprisingly, obese hASCs showed survivin promoter hypermethylation that correlated with a significant decrease in its mRA levels. Nonetheless, a lower level ofmir-203, which inhibits survivin protein translation, and higher protein stability, was found in obese hASCs compared with their lean counterparts. We discovered that survivin levels determine the susceptibility of hASCs to apoptotic stimuli (including leptin and hypoxia). Accordingly, hASCs from an obese setting were protected from apoptosis. Collectively, these data shed new light on the molecular mechanisms governing AT expansion in obesity through promotion of hASCs that are resistant to apoptosis, and point to survivin as a potential new molecular player in the communication between AT and tumor cells. Thus, inhibition of apoptosis targeting survivin might represent an effective strategy for both obesity and cancer therapy

Moluscos terrestres de las elevaciones cársticas de Viñales, Pinar del Río, Cuba

De acuerdo a los muestreos efectuados en localidades representativas de las elevaciones cársticas de Viñales (Cuba), la consulta de catálogos no automatizados de colecciones malacológicas y la revisión de la literatura, se dan a conocer 136 especies, agrupadas en 49 géneros y 19 familias, de moluscos terrestres procedentes de la región. El 90% de las especies identificadas son endémicas de Cuba y sólo cinco especies no son autóctonas del archipiélago cubano. Las familias mejor representadas son Annulariidae y Urocoptidae. Los géneros con mayor número de especies son Chondrothyra y Liocallonia. Cuarenta y cuatro especies detectadas en Viñales no estaban representadas en las colecciones consultadas, y 23 de ellas han sido recolectadas en este trabajo y aportadas a las colecciones del Instituto de Ecología y Sistemática de Cuba. Se dan a conocer 16 nuevos registros de especies en localidades de la región, mientras que 12 especies parecen haberse extinguido localmente.Land snails from the Viñales limestone highlands, Pinar del Río, Cuba. The land snails inhabiting the limestone highlands in Cuba are poorly known. From field surveys, traditional collection catalogues, and the literature, we list 136 species, 49 genera and 19 families, 90 % of the species endemic to Cuba; only five species are non-indigenous of the Cuban archipelago. Annulariidae and Urocoptidae are the most represented families, and Chondrothyra and Liocallonia are the genera with the highest number of species. Forty-four species of this list were absent from the consulted collections. We provide 16 new records of species in localities of the region; and 12 species seem to have become locally extinct. Rev. Biol. Trop. 57 (3): 589-604. Epub 2009 September 30

Moluscos terrestres de las elevaciones cársticas de Viñales, Pinar del Río, Cuba

De acuerdo a los muestreos efectuados en localidades representativas de las elevaciones cársticas de Viñales (Cuba), la consulta de catálogos no automatizados de colecciones malacológicas y la revisión de la literatura, se dan a conocer 136 especies, agrupadas en 49 géneros y 19 familias, de moluscos terrestres procedentes de la región. El 90% de las especies identificadas son endémicas de Cuba y sólo cinco especies no son autóctonas del archipiélago cubano. Las familias mejor representadas son Annulariidae y Urocoptidae. Los géneros con mayor número de especies son Chondrothyra y Liocallonia. Cuarenta y cuatro especies detectadas en Viñales no estaban representadas en las colecciones consultadas, y 23 de ellas han sido recolectadas en este trabajo y aportadas a las colecciones del Instituto de Ecología y Sistemática de Cuba. Se dan a conocer 16 nuevos registros de especies en localidades de la región, mientras que 12 especies parecen haberse extinguido localmente

Genome Profiling of H3k4me3 Histone Modification in Human Adipose Tissue during Obesity and Insulin Resistance

Background: Adipose tissue (AT) dysfunction is involved in obesity-related comorbidities. Epigenetic alterations have been recently associated with AT deterioration in obesity conditions.In this work, we profiled the H3K4me3 histone mark in human AT, with special emphasis on the changes in the pattern of histone modification in obesity and insulin resistance (IR). Visceral AT (VAT) was collected and subjected to chromatin immunoprecipitation (ChIP) using anti-H3K4me3 antibody and then sequenced to obtain the H3K4me3 genome profile. Results: We found that most of the H3K4me3 enriched regions were located in gene promoters of pathways related to AT biology and function. H3K4me3 enrichment at gene promoters was strongly related to higher mRNA levels. Differentially expressed genes in AT of patients classified as non-obese, obese with low IR, and obese with high IR could be regulated by differentially enriched H3K4me3; these genes encoded for pathways that could in part explain AT functioning during obesity and insulin resistance (e.g., extracellular matrix organization, PPARG signaling or inflammation). Conclusions: In conclusion, we emphasize the importance of the epigenetic mark H3K4me3 in VAT dysfunction in obesity and IR. The understanding of such mechanisms could give rise to the development of new epigenetic-based pharmacological strategies to ameliorate obesity-related comorbiditiesThis study was supported by research grants from the Institute of Health Carlos III (ISCIII) (PI18/00453, PI17/01104) and co-financed by the European Regional Development Fund (ERDF). BRM was supported by the “Miguel Servet Type I” program (CP19/00098) from the ISCIII. FC was supported by the “Nicolas Monardes” program from the Andalusian Health Public System (C-0032-2016). MQO was supported by the “Miguel Servet Type II” program (CPII18/00003) from the ISCIII and by the “Nicolas Monardes” program from the Andalusian Health Public System (C-0030-2018).Ye

Progression from high insulin resistance to type 2 diabetes does not entail additional visceral adipose tissue inflammation.

Obesity is associated with a low-grade chronic inflammation state. As a consequence, adipose tissue expresses pro-inflammatory cytokines that propagate inflammatory responses systemically elsewhere, promoting whole-body insulin resistance and consequential islet β-cell exhaustation. Thus, insulin resistance is considered the early stage of type 2 diabetes. However, there is evidence of obese individuals that never develop diabetes indicating that the mechanisms governing the association between the increase of inflammatory factors and type 2 diabetes are much more complex and deserve further investigation. We studied for the first time the differences in insulin signalling and inflammatory pathways in blood and visceral adipose tissue (VAT) of 20 lean healthy donors and 40 equal morbidly obese (MO) patients classified in high insulin resistance (high IR) degree and diabetes state. We studied the changes in proinflammatory markers and lipid content from serum; macrophage infiltration, mRNA expression of inflammatory cytokines and transcription factors, activation of kinases involved in inflammation and expression of insulin signalling molecules in VAT. VAT comparison of these experimental groups revealed that type 2 diabetic-MO subjects exhibit the same pro-inflammatory profile than the high IR-MO patients, characterized by elevated levels of IL-1β, IL-6, TNFα, JNK1/2, ERK1/2, STAT3 and NFκB. Our work rules out the assumption that the inflammation should be increased in obese people with type 2 diabetes compared to high IR obese. These findings indicate that some mechanisms, other than systemic and VAT inflammation must be involved in the development of type 2 diabetes in obesity

Adipogenic Impairment of Adipose Tissue-Derived Mesenchymal Stem Cells in Subjects With Metabolic Syndrome: Possible Protective Role of FGF2.

The decreased expansion capacity of adipose tissue plays a crucial role in the onset of disorders associated with metabolic syndrome. The aim of this study was to examine the state of adipose tissue-derived mesenchymal stem cells (ASCs) from obese subjects with different metabolic profiles. This was a 2-year study to enroll subjects who underwent bariatric surgery or cholecystectomy. University Hospital. Patients who underwent either bariatric surgery (20 morbidly obese) or cholecystectomy (40 subjects) participated in the study. ASCs were obtained from both visceral and subcutaneous adipose tissue. Adipogenic, fibrotic gene expression was quantified by quantitative polymerase chain reaction; Smad7 and fibroblast growth factor 2 were quantified by western blotting and enzyme-linked immunosorbent assay, respectively. The susceptibility of ASCs to apoptosis, their population doubling time, and their clonogenic potential were evaluated. The worsening metabolic profile of the patients was accompanied by a decrease in the intrinsic levels of adipogenic gene expression, reduced proliferation rate, clonogenic potential, and exportation of fibroblast growth factor 2 to the cell surface of the ASCs derived from both tissues. In addition, the ASCs from patients without metabolic syndrome showed differences in susceptibility to apoptosis and expression of TGFβ-signaling inhibitory protein Smad7 with respect to the ASCs from patients with metabolic syndrome. Our results suggest that the decrease in adipogenic-gene mRNA and clonogenic potential, as well as the accumulation of fibrotic proteins with metabolic alterations, could be a relevant mechanism controlling the number and size of neogenerated adipocytes and involved in alteration of adipose-tissue expansion