PMID- 28594137 OWN - NLM STAT- MEDLINE DCOM- 20180206 LR - 20220311 IS - 1930-739X (Electronic) IS - 1930-7381 (Linking) VI - 25 IP - 8 DP - 2017 Aug TI - Increased Adipocyte Size, Macrophage Infiltration, and Adverse Local Adipokine Profile in Perirenal Fat in Cushing's Syndrome. PG - 1369-1374 LID - 10.1002/oby.21887 [doi] AB - OBJECTIVE: To analyze changes in fat cell size, macrophage infiltration, and local adipose tissue adipokine profiles in different fat depots in patients with active Cushing's syndrome. METHODS: Subcutaneous (SC) and perirenal (PR) adipose tissue of 10 patients with Cushing's syndrome was compared to adipose tissue of 10 gender-, age-, and BMI-matched controls with regard to adipocyte size determined by digital image analysis on hematoxylin and eosin stainings, macrophage infiltration determined by digital image analysis on CD68 stainings, and adipose tissue leptin and adiponectin levels using fluorescent bead immunoassays and ELISA techniques. RESULTS: Compared to the controls, mean adipocyte size was larger in PR adipose tissue in patients. The percentage of macrophage infiltration of the PR adipose tissue and PR adipose tissue lysate leptin levels were higher and adiponectin levels were lower in SC and PR adipose tissue lysates in patients. The adiponectin levels were also lower in the SC adipose tissue supernatants of patients. Associations were found between the severity of hypercortisolism and PR adipocyte size. CONCLUSIONS: Cushing's syndrome is associated with hypertrophy of PR adipocytes and a higher percentage of macrophage infiltration in PR adipose tissue. These changes are associated with an adverse local adipokine profile. CI - (c) 2017 The Obesity Society. FAU - Roerink, Sean H P P AU - Roerink SHPP AD - Department of Medicine, Division of Endocrinology, Radboud University Medical Center, Nijmegen, the Netherlands. FAU - Wagenmakers, Margreet A E M AU - Wagenmakers MAEM AD - Department of Medicine, Division of Endocrinology, Radboud University Medical Center, Nijmegen, the Netherlands. FAU - Langenhuijsen, Johan F AU - Langenhuijsen JF AD - Department of Urology, Radboud University Medical Center, Nijmegen, the Netherlands. FAU - Ballak, Dov B AU - Ballak DB AD - Department of Medicine, Division of Endocrinology, Radboud University Medical Center, Nijmegen, the Netherlands. FAU - Rooijackers, Hanne M M AU - Rooijackers HMM AD - Department of Medicine, Division of Endocrinology, Radboud University Medical Center, Nijmegen, the Netherlands. FAU - d'Ancona, Frank C AU - d'Ancona FC AD - Department of Urology, Radboud University Medical Center, Nijmegen, the Netherlands. FAU - van Dielen, Francois M AU - van Dielen FM AD - Department of General Surgery, Maxima Medical Center Eindhoven, Eindhoven, the Netherlands. FAU - Smit, Jan W A AU - Smit JWA AD - Department of Medicine, Division of Endocrinology, Radboud University Medical Center, Nijmegen, the Netherlands. FAU - Plantinga, Theo S AU - Plantinga TS AD - Department of Medicine, Division of Endocrinology, Radboud University Medical Center, Nijmegen, the Netherlands. FAU - Netea-Maier, Romana T AU - Netea-Maier RT AD - Department of Medicine, Division of Endocrinology, Radboud University Medical Center, Nijmegen, the Netherlands. FAU - Hermus, Ad R M M AU - Hermus ARMM AD - Department of Medicine, Division of Endocrinology, Radboud University Medical Center, Nijmegen, the Netherlands. LA - eng PT - Journal Article DEP - 20170608 PL - United States TA - Obesity (Silver Spring) JT - Obesity (Silver Spring, Md.) JID - 101264860 RN - 0 (Adipokines) RN - 0 (Leptin) SB - IM MH - Adipocytes/*cytology MH - Adipokines/*blood MH - Adult MH - Aged MH - Body Mass Index MH - *Cell Size MH - Cross-Sectional Studies MH - Cushing Syndrome/*blood/complications MH - Female MH - Humans MH - Hypertrophy/blood/complications MH - Intra-Abdominal Fat/*metabolism MH - Leptin/metabolism MH - Macrophages/*cytology MH - Male MH - Middle Aged MH - Young Adult EDAT- 2017/06/09 06:00 MHDA- 2018/02/07 06:00 CRDT- 2017/06/09 06:00 PHST- 2017/03/23 00:00 [received] PHST- 2017/04/19 00:00 [revised] PHST- 2017/04/27 00:00 [accepted] PHST- 2017/06/09 06:00 [pubmed] PHST- 2018/02/07 06:00 [medline] PHST- 2017/06/09 06:00 [entrez] AID - 10.1002/oby.21887 [doi] PST - ppublish SO - Obesity (Silver Spring). 2017 Aug;25(8):1369-1374. doi: 10.1002/oby.21887. Epub 2017 Jun 8.