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Childhood Adiposity Associated With Expanded Effector Memory CD8+ and Vδ2+Vγ9+ T Cells
Kirsten I M Looman1,2, Susana Santos1,2, Henriette A Moll2
1Generation R Study Group, Erasmus MC, University Medical Center, GD, Rotterdam,the Netherlands.
Insights
Childhood obesity may be linked to inflammation, as higher visceral fat in children correlated with increased Vδ2+Vγ9+ and CD8+TEMRO T cells. This suggests early signs of adiposity-related inflammation in the general pediatric population.
Area of Science:
- Immunology
- Pediatrics
- Obesity Research
Background:
- Adult obesity is linked to chronic low-grade inflammation and increased risk of chronic diseases.
- It remains unclear if inflammation associated with adiposity is present in childhood.
Purpose of the Study:
- To investigate associations between child adiposity measures and circulating immune cells.
- Specifically examining monocytes and T cell subsets (CD4, CD8, γδ T cells).
Main Methods:
- Utilized data from 890 ten-year-old children in the Generation R Cohort.
- Assessed body composition using dual-energy x-ray absorptiometry and MRI (BMI, FMI, visceral fat index, liver fat).
- Performed detailed immunophenotyping of leukocytes via 11-color flow cytometry.
Main Results:
- Increased fat mass index (FMI) and visceral fat index were associated with higher Vδ2+Vγ9+ and CD8+TEMRO T cells.
- Higher android-to-gynoid fat ratio correlated with increased Vδ2+Vγ9+ T cells.
- Liver fat was linked to more CD8+TEMRO cells and fewer Th17 cells; BMI showed no immune cell associations.
Conclusions:
- Elevated Vδ2+Vγ9+ and CD8+TEMRO T cells in children with higher visceral fat may indicate adiposity-related inflammation.
- These findings suggest inflammation associated with adiposity is detectable in childhood within a general population.
Context:
Adult obesity is associated with chronic low-grade inflammation and may give rise to future chronic disease. However, it is unclear whether adiposity-related inflammation is already apparent in childhood.
Objective:
To study associations between child adiposity measures with circulating monocytes and naive and memory subsets in CD4, CD8, and γδ T cell lineages.
Methods:
Ten-year-old children (n = 890) from the Generation R Cohort underwent dual-energy x-ray absorptiometry and magnetic resonance imaging for body composition (body mass index [BMI], fat mass index [FMI], android-to-gynoid fat mass ratio, visceral fat index, liver fat fraction). Blood samples were taken for detailed immunophenotyping of leukocytes by 11-color flow cytometry.
Results:
Several statistically significant associations were observed. A 1-SD increase in total FMI was associated with +8.4% (95% CI 2.0, 15.2) Vδ2+Vγ9+ and +7.4% (95% CI 2.4, 12.5) CD8+TEMRO cell numbers. A 1-SD increase in visceral fat index was associated with +10.7% (95% CI 3.3, 18.7) Vδ2+Vγ9+ and +8.3% (95% CI 2.6, 14.4) CD8+TEMRO cell numbers. Higher android-to-gynoid fat mass ratio was only associated with higher Vδ2+Vγ9+ T cells. Liver fat was associated with higher CD8+TEMRO cells but not with Vδ2+Vγ9+ T cells. Only liver fat was associated with lower Th17 cell numbers: a 1-SD increase was associated with -8.9% (95% CI -13.7, -3.7) Th17 cells. No associations for total CD8+, CD4+ T cells, or monocytes were observed. BMI was not associated with immune cells.
Conclusion:
Higher Vδ2+Vγ9+ and CD8+TEMRO cell numbers in children with higher visceral fat index could reflect presence of adiposity-related inflammation in children with adiposity of a general population.
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