Changes in mechanical properties of adipose tissue after bariatric surgery driven by extracellular matrix remodelling and neovascularization are associated with metabolic improvements

Biomechanical properties of adipose tissue (AT) are closely involved in the development of obesity-associated comorbidities. Bariatric surgery (BS) constitutes the most effective option for a sustained weight loss in addition to improving obesity-associated metabolic diseases including type 2 diabet...

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Veröffentlicht in:Acta biomaterialia 2022-03, Vol.141, p.264-279
Hauptverfasser: Unamuno, Xabier, Gómez-Ambrosi, Javier, Becerril, Sara, Álvarez-Cienfuegos, Francisco Javier, Ramírez, Beatriz, Rodríguez, Amaia, Ezquerro, Silvia, Valentí, Víctor, Moncada, Rafael, Mentxaka, Amaia, Llorente, Marcos, Silva, Camilo, Elizalde, María de los Reyes, Catalán, Victoria, Frühbeck, Gema
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container_title Acta biomaterialia
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creator Unamuno, Xabier
Gómez-Ambrosi, Javier
Becerril, Sara
Álvarez-Cienfuegos, Francisco Javier
Ramírez, Beatriz
Rodríguez, Amaia
Ezquerro, Silvia
Valentí, Víctor
Moncada, Rafael
Mentxaka, Amaia
Llorente, Marcos
Silva, Camilo
Elizalde, María de los Reyes
Catalán, Victoria
Frühbeck, Gema
description Biomechanical properties of adipose tissue (AT) are closely involved in the development of obesity-associated comorbidities. Bariatric surgery (BS) constitutes the most effective option for a sustained weight loss in addition to improving obesity-associated metabolic diseases including type 2 diabetes (T2D). We aimed to determine the impact of weight loss achieved by BS and caloric restriction (CR) on the biomechanical properties of AT. BS but not CR changed the biomechanical properties of epididymal white AT (EWAT) from a diet-induced obesity rat model, which were associated with metabolic improvements. We found decreased gene expression levels of collagens and Lox together with increased elastin and Mmps mRNA levels in EWAT after BS, which were also associated with the biomechanical properties. Moreover, an increased blood vessel density was observed in EWAT after surgery, confirmed by an upregulation of Acta2 and Antxr1 gene expression levels, which was also correlated with the biomechanical properties. Visceral AT from patients with obesity showed increased stiffness after tensile tests compared to the EWAT from the animal model. This study uncovers new insights into EWAT adaptation after BS with decreased collagen crosslink and synthesis as well as an increased degradation together with enhanced blood vessel density providing, simultaneously, higher stiffness and more ductility. Biomechanical properties of the adipose tissue (AT) are closely involved in the development of obesity-associated comorbidities. In this study, we show for the first time that biomechanical properties of AT determined by E, UTS and strain at UTS are decreased in obesity, being increased after bariatric surgery by the promotion of ECM remodelling and neovascularization. Moreover, these changes in biomechanical properties are associated with improvements in metabolic homeostasis. Consistently, a better characterization of the plasticity and biomechanical properties of the AT after bariatric surgery opens up a new field for the development of innovative strategies for the reduction of fibrosis and inflammation in AT as well as to better understand obesity and its associated comorbidities. [Display omitted]
doi_str_mv 10.1016/j.actbio.2022.01.007
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Bariatric surgery (BS) constitutes the most effective option for a sustained weight loss in addition to improving obesity-associated metabolic diseases including type 2 diabetes (T2D). We aimed to determine the impact of weight loss achieved by BS and caloric restriction (CR) on the biomechanical properties of AT. BS but not CR changed the biomechanical properties of epididymal white AT (EWAT) from a diet-induced obesity rat model, which were associated with metabolic improvements. We found decreased gene expression levels of collagens and Lox together with increased elastin and Mmps mRNA levels in EWAT after BS, which were also associated with the biomechanical properties. Moreover, an increased blood vessel density was observed in EWAT after surgery, confirmed by an upregulation of Acta2 and Antxr1 gene expression levels, which was also correlated with the biomechanical properties. Visceral AT from patients with obesity showed increased stiffness after tensile tests compared to the EWAT from the animal model. This study uncovers new insights into EWAT adaptation after BS with decreased collagen crosslink and synthesis as well as an increased degradation together with enhanced blood vessel density providing, simultaneously, higher stiffness and more ductility. Biomechanical properties of the adipose tissue (AT) are closely involved in the development of obesity-associated comorbidities. In this study, we show for the first time that biomechanical properties of AT determined by E, UTS and strain at UTS are decreased in obesity, being increased after bariatric surgery by the promotion of ECM remodelling and neovascularization. Moreover, these changes in biomechanical properties are associated with improvements in metabolic homeostasis. Consistently, a better characterization of the plasticity and biomechanical properties of the AT after bariatric surgery opens up a new field for the development of innovative strategies for the reduction of fibrosis and inflammation in AT as well as to better understand obesity and its associated comorbidities. 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Bariatric surgery (BS) constitutes the most effective option for a sustained weight loss in addition to improving obesity-associated metabolic diseases including type 2 diabetes (T2D). We aimed to determine the impact of weight loss achieved by BS and caloric restriction (CR) on the biomechanical properties of AT. BS but not CR changed the biomechanical properties of epididymal white AT (EWAT) from a diet-induced obesity rat model, which were associated with metabolic improvements. We found decreased gene expression levels of collagens and Lox together with increased elastin and Mmps mRNA levels in EWAT after BS, which were also associated with the biomechanical properties. Moreover, an increased blood vessel density was observed in EWAT after surgery, confirmed by an upregulation of Acta2 and Antxr1 gene expression levels, which was also correlated with the biomechanical properties. Visceral AT from patients with obesity showed increased stiffness after tensile tests compared to the EWAT from the animal model. This study uncovers new insights into EWAT adaptation after BS with decreased collagen crosslink and synthesis as well as an increased degradation together with enhanced blood vessel density providing, simultaneously, higher stiffness and more ductility. Biomechanical properties of the adipose tissue (AT) are closely involved in the development of obesity-associated comorbidities. In this study, we show for the first time that biomechanical properties of AT determined by E, UTS and strain at UTS are decreased in obesity, being increased after bariatric surgery by the promotion of ECM remodelling and neovascularization. Moreover, these changes in biomechanical properties are associated with improvements in metabolic homeostasis. Consistently, a better characterization of the plasticity and biomechanical properties of the AT after bariatric surgery opens up a new field for the development of innovative strategies for the reduction of fibrosis and inflammation in AT as well as to better understand obesity and its associated comorbidities. [Display omitted]</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>35007786</pmid><doi>10.1016/j.actbio.2022.01.007</doi><tpages>16</tpages><orcidid>https://orcid.org/0000-0002-3441-1970</orcidid><orcidid>https://orcid.org/0000-0002-6409-7513</orcidid><orcidid>https://orcid.org/0000-0002-2180-461X</orcidid><orcidid>https://orcid.org/0000-0001-6536-1286</orcidid><orcidid>https://orcid.org/0000-0003-4260-1325</orcidid><orcidid>https://orcid.org/0000-0001-5601-1604</orcidid><orcidid>https://orcid.org/0000-0001-7373-9912</orcidid><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1742-7061
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adipose tissue
Adipose Tissue - metabolism
Animal models
Animals
Bariatric Surgery
Biomechanical properties
Biomechanics
Blood vessels
Body fat
Body weight loss
Collagen
Collagen - metabolism
Cross-linking
Density
Diabetes mellitus (non-insulin dependent)
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - metabolism
Diabetes Mellitus, Type 2 - surgery
Dietary restrictions
Ductility
Elastin
Extracellular matrix
Extracellular Matrix - metabolism
Extracellular matrix remodelling
Gastrointestinal surgery
Gene expression
Humans
Liquid oxygen
Mechanical properties
Metabolic disorders
Metabolism
Microfilament Proteins - metabolism
Obesity
Obesity - surgery
Rats
Receptors, Cell Surface - metabolism
Stiffness
Surgery
Tensile tests
Vascularization
Weight control
Weight Loss
title Changes in mechanical properties of adipose tissue after bariatric surgery driven by extracellular matrix remodelling and neovascularization are associated with metabolic improvements
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