Converted Macrophage Polarization and Expression of COL6α3-Early Predictors of Remodeling Processes in Adipose Tissue

Robert Mujkić1, Darija Šnajder Mujkić2,3, Karla Rožac1

  • 1Department of Anatomy, Histology, Embryology, Pathological Anatomy and Pathological Histology, Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Crkvena 21, 31000 Osijek, Croatia.

Biomedicines
|April 29, 2025
PubMed

Insights

Childhood obesity triggers extracellular matrix (ECM) remodeling in adipose tissue, increasing collagen VI alpha 3 (COL6α3) gene expression and macrophage activation. This compromises ECM integrity, potentially driving inflammation.

Area of Science:

  • Pediatric Endocrinology
  • Adipose Tissue Biology
  • Public Health

Background:

  • Childhood obesity is a persistent public health issue with long-term quality of life impacts.
  • Understanding adipose tissue remodeling mechanisms in pediatric obesity is crucial.

Purpose of the Study:

  • To investigate extracellular matrix (ECM) remodeling mechanisms in subcutaneous (SAT) and visceral (VAT) adipose tissue of male children.
  • To correlate these mechanisms with body weight status.

Main Methods:

  • Acquisition of SAT and VAT from 75 male subjects during elective abdominal surgery.
  • Histological staining (H&E), immunohistochemistry (CD163+ cells, crown-like structures - CLSs), and RT-qPCR for COL6α3 gene expression.
  • Subjects categorized into overweight/obese and normal weight groups based on Z-score.

Main Results:

  • Obese/overweight children exhibited increased CD163+ cells and CLSs in both VAT and SAT.
  • Higher COL6α3 gene expression was observed in both adipose tissue compartments of overweight/obese children.
  • Correlation between increased CD163+ cells, CLSs, and COL6α3 expression with higher body weight.

Conclusions:

  • Childhood obesity is associated with elevated COL6α3 gene expression and activated macrophage polarization.
  • These changes compromise ECM structural integrity in adipose tissue.
  • This remodeling may contribute to the development of inflammatory processes in pediatric obesity.

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