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Review
. 2024 Jul:225:116324.
doi: 10.1016/j.bcp.2024.116324. Epub 2024 May 28.

Interrelation of adipose tissue macrophages and fibrosis in obesity

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Free article
Review

Interrelation of adipose tissue macrophages and fibrosis in obesity

Norma Dahdah et al. Biochem Pharmacol. 2024 Jul.
Free article

Abstract

Obesity is characterized by adipose tissue expansion, extracellular matrix remodelling and unresolved inflammation that contribute to insulin resistance and fibrosis. Adipose tissue macrophages represent the most abundant class of immune cells in adipose tissue inflammation and could be key mediators of adipocyte dysfunction and fibrosis in obesity. Although macrophage activation states are classically defined by the M1/M2 polarization nomenclature, novel studies have revealed a more complex range of macrophage phenotypes in response to external condition or the surrounding microenvironment. Here, we discuss the plasticity of adipose tissue macrophages (ATMs) in response to their microenvironment in obesity, with special focus on macrophage infiltration and polarization, and their contribution to adipose tissue fibrosis. A better understanding of the role of ATMs as regulators of adipose tissue remodelling may provide novel therapeutic strategies against obesity and associated metabolic diseases.

Keywords: Fibrosis; Inflammation; Macrophage polarization; Obesity; White adipose tissue.

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Conflict of interest statement

Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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