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Dietary intervention-induced weight loss decreases macrophage content in adipose tissue of obese women

International Journal of Obesity volume 35, pages 91–98 (2011)Cite this article

Subjects

Abstract

Objective:

Accumulation of adipose tissue macrophages (ATMs) is observed in obesity and may participate in the development of insulin resistance and obesity-related complications. The aim of our study was to investigate the effect of long-term dietary intervention on ATM content in human adipose tissue.

Design:

We performed a multi-phase longitudinal study.

Subjects and measurements:

A total of 27 obese pre-menopausal women (age 39±2 years, body mass index 33.7±0.5 kg m–2) underwent a 6-month dietary intervention consisting of two periods: 4 weeks of very low-calorie diet (VLCD) followed by weight stabilization composed of 2 months of low-calorie diet and 3to 4 months of weight maintenance diet. At baseline and at the end of each dietary period, samples of subcutaneous adipose tissue (SAT) were obtained by needle biopsy and blood samples were drawn. ATMs were determined by flow cytometry using combinations of cell surface markers. Selected cytokine and chemokine plasma levels were measured using enzyme-linked immunosorbent assay. In addition, in a subgroup of 16 subjects, gene expression profiling of macrophage markers in SAT was performed using real-time PCR.

Results:

Dietary intervention led to a significant decrease in body weight, plasma insulin and C-reactive protein levels. After VLCD, ATM content defined by CD45+/14+/206+ did not change, whereas it decreased at the end of the intervention. This decrease was associated with a downregulation of macrophage marker mRNA levels (CD14, CD163, CD68 and LYVE-1 (lymphatic vessel endothelial hyaluronan receptor-1)) and plasma levels of monocyte-chemoattractant protein-1 (MCP-1) and CXCL5 (chemokine (C-X-C motif) ligand 5). During the whole dietary intervention, the proportion of two ATM subpopulations distinguished by the CD16 marker was not changed.

Conclusion:

A 6-month weight-reducing dietary intervention, but not VLCD, promotes a decrease in the number of the whole ATM population with no change in the relative distribution of ATM subsets.

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Acknowledgements

We thank Zuzana Parizkova for her excellent technical assistance and Dr Zdenka Prochazkova for laboratory analysis. This work was supported by Grant IGA NS 10519-3-2009 of Ministry of Health of the Czech Republic, by research project of MSMT of the Czech Republic MSM 0021620814, by INSERM and by the Commission of the European Communities (Integrated Project HEPADIP (http://www.hepadip.org), Contract LSHM-CT-2005-018734, and Collaborative Project ADAPT (http://www.adapt-eu.net), Contract HEALTH F2-2008-2011 00).

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Authors and Affiliations

  1. Franco-Czech Laboratory for Clinical Research on Obesity, Third Faculty of Medicine, Prague, Czech Republic and INSERM, Toulouse, France

    M Kováčiková, Z Kováčová, M Šiklová-Vítková, E Klimčáková, L Rossmeislová, M Bajzová, J Hejnová, Z Hněvkovská, D Langin & V Štich

  2. Department of Sports Medicine, Third Faculty of Medicine, Charles University, Prague, Czech Republic

    M Kováčiková, Z Kováčová, M Šiklová-Vítková, E Klimčáková, J Polák, L Rossmeislová, M Bajzová, J Hejnová, Z Hněvkovská & V Štich

  3. Inserm, U858, Obesity Research Laboratory, Rangueil Institute of Molecular Medicine, Toulouse, France

    C Sengenes, L Rossmeislová, A Bouloumié & D Langin

  4. Université de Toulouse, UPS, IFR150, Toulouse, France

    C Sengenes, A Bouloumié & D Langin

  5. Second Internal Medicine Department, Vinohrady Teaching Hospital, Prague, Czech Republic

    J Polák & Z Hněvkovská

  6. CHU de Toulouse, Laboratory of Biochemistry, IFB, Toulouse, France

    D Langin

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  1. M Kováčiková
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Correspondence to M Kováčiková.

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Kováčiková, M., Sengenes, C., Kováčová, Z. et al. Dietary intervention-induced weight loss decreases macrophage content in adipose tissue of obese women. Int J Obes 35, 91–98 (2011). https://doi.org/10.1038/ijo.2010.112

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