2013
DOI: 10.1016/j.cmet.2013.06.016
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Fibrosis and Adipose Tissue Dysfunction

Abstract: Fibrosis is increasingly appreciated as a major player in adipose tissue dysfunction. In rapidly expanding adipose tissue, pervasive hypoxia leads to an induction of HIF1α that in turn leads to a potent pro-fibrotic transcriptional program. The pathophysiological impact of adipose tissue fibrosis is likely to play an equally important role on systemic metabolic alterations as fibrotic conditions play in the liver, heart and kidney. Here, we discuss recent advances in our understanding of the genesis, modulatio… Show more

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Cited by 720 publications
(685 citation statements)
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“…Similar alterations have also been described in adipose tissue (Sun, Tordjman, Clement, & Scherer, 2013). Interestingly, undifferentiated adipogenic progenitor cells are a major source of ECM components in AT (Kubo, Kaidzu, Nakajima, Takenouchi, & Nakamura, 2000; Nakajima, Yamaguchi, Ozutsumi, & Aso, 1998), suggesting that alterations in progenitor cell function with increased age may contribute to homeostatic changes in the tissue matrix (Tchkonia et al, 2010).…”
Section: Discussionsupporting
confidence: 76%
“…Similar alterations have also been described in adipose tissue (Sun, Tordjman, Clement, & Scherer, 2013). Interestingly, undifferentiated adipogenic progenitor cells are a major source of ECM components in AT (Kubo, Kaidzu, Nakajima, Takenouchi, & Nakamura, 2000; Nakajima, Yamaguchi, Ozutsumi, & Aso, 1998), suggesting that alterations in progenitor cell function with increased age may contribute to homeostatic changes in the tissue matrix (Tchkonia et al, 2010).…”
Section: Discussionsupporting
confidence: 76%
“…The excessive accumulation of ECM components (tenascins, collagens, or fibrin, among others) damages AT homeostasis and reduces tissue plasticity leading to adipocyte dysfunction, ectopic lipid deposition in peripheral tissues, tissue inflammation, and metabolic disorders 15,16 . One important feature of AT expansion and the subsequent accumulation of ECM components is AT hypoxia, which ultimately leads to fibrosis 17 .…”
Section: Introductionmentioning
confidence: 99%
“…In the context of obesity, the AT ECM undergoes considerable pathological and dynamic remodeling associated with fibrotic deposition, infiltration of proinflammatory macrophages, and increased angiogenesis 14,15 . The excessive accumulation of ECM components (tenascins, collagens, or fibrin, among others) damages AT homeostasis and reduces tissue plasticity leading to adipocyte dysfunction, ectopic lipid deposition in peripheral tissues, tissue inflammation, and metabolic disorders 15,16 .…”
Section: Introductionmentioning
confidence: 99%
“…In obese patients, the expression and secretion of ECM components are highly upregulated, suggesting that the altered microenvironment may play an important role in obesity and metabolic disease. 15,22 Thus, it's becoming clear that the ECM, which orchestrates mechanical signals, cell morphology and cytoskeleton dynamics, can affect the fate of white and beige adipocytes.…”
Section: Extracellular Matrixmentioning
confidence: 99%