Multi-Level Analysis of Adipose Tissue Reveals the Relevance of Perivascular Subpopulations and an Increased Endothelial Permeability in Early-Stage Lipedema

Lipedema is a chronic, progressive disease of adipose tissue with unknown etiology. Based on the relevance of the stromal vascular fraction (SVF) cell population in lipedema, we performed a thorough characterization of subcutaneous adipose tissue, SVF isolated thereof and the sorted populations of e...

Full description

Bibliographic Details
Main Authors: Karin Strohmeier, Martina Hofmann, Jaroslaw Jacak, Marie-Sophie Narzt, Marlene Wahlmueller, Mario Mairhofer, Barbara Schaedl, Wolfgang Holnthoner, Martin Barsch, Matthias Sandhofer, Susanne Wolbank, Eleni Priglinger
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/10/5/1163
_version_ 1797501311203147776
author Karin Strohmeier
Martina Hofmann
Jaroslaw Jacak
Marie-Sophie Narzt
Marlene Wahlmueller
Mario Mairhofer
Barbara Schaedl
Wolfgang Holnthoner
Martin Barsch
Matthias Sandhofer
Susanne Wolbank
Eleni Priglinger
author_facet Karin Strohmeier
Martina Hofmann
Jaroslaw Jacak
Marie-Sophie Narzt
Marlene Wahlmueller
Mario Mairhofer
Barbara Schaedl
Wolfgang Holnthoner
Martin Barsch
Matthias Sandhofer
Susanne Wolbank
Eleni Priglinger
author_sort Karin Strohmeier
collection DOAJ
description Lipedema is a chronic, progressive disease of adipose tissue with unknown etiology. Based on the relevance of the stromal vascular fraction (SVF) cell population in lipedema, we performed a thorough characterization of subcutaneous adipose tissue, SVF isolated thereof and the sorted populations of endothelial cells (EC), pericytes and cultured adipose-derived stromal/stem cells (ASC) of early-stage lipedema patients. We employed histological and gene expression analysis and investigated the endothelial barrier by immunofluorescence and analysis of endothelial permeability in vitro. Although there were no significant differences in histological stainings, we found altered gene expression of factors relevant for local estrogen metabolism (aromatase), preadipocyte commitment (ZNF423) and immune cell infiltration (CD11c) in lipedema on the tissue level, as well as in distinct cellular subpopulations. Machine learning analysis of immunofluorescence images of CD31 and ZO-1 revealed a morphological difference in the cellular junctions of EC cultures derived from healthy and lipedema individuals. Furthermore, the secretome of lipedema-derived SVF cells was sufficient to significantly increase leakiness of healthy human primary EC, which was also reflected by decreased mRNA expression of VE-cadherin. Here, we showed for the first time that the secretome of SVF cells creates an environment that triggers endothelial barrier dysfunction in early-stage lipedema. Moreover, since alterations in gene expression were detected on the cellular and/or tissue level, the choice of sample material is of high importance in elucidating this complex disease.
first_indexed 2024-03-10T03:16:34Z
format Article
id doaj.art-708005f6c1444639a328aadefc183929
institution Directory Open Access Journal
issn 2227-9059
language English
last_indexed 2024-03-10T03:16:34Z
publishDate 2022-05-01
publisher MDPI AG
record_format Article
series Biomedicines
spelling doaj.art-708005f6c1444639a328aadefc1839292023-11-23T10:11:58ZengMDPI AGBiomedicines2227-90592022-05-01105116310.3390/biomedicines10051163Multi-Level Analysis of Adipose Tissue Reveals the Relevance of Perivascular Subpopulations and an Increased Endothelial Permeability in Early-Stage LipedemaKarin Strohmeier0Martina Hofmann1Jaroslaw Jacak2Marie-Sophie Narzt3Marlene Wahlmueller4Mario Mairhofer5Barbara Schaedl6Wolfgang Holnthoner7Martin Barsch8Matthias Sandhofer9Susanne Wolbank10Eleni Priglinger11Ludwig Boltzmann Institute for Traumatology in Cooperation with the AUVA, 1200 Vienna, AustriaAustrian Cluster for Tissue Regeneration, 1200 Vienna, AustriaAustrian Cluster for Tissue Regeneration, 1200 Vienna, AustriaLudwig Boltzmann Institute for Traumatology in Cooperation with the AUVA, 1200 Vienna, AustriaLudwig Boltzmann Institute for Traumatology in Cooperation with the AUVA, 1200 Vienna, AustriaDepartment of Hematology and Internal Oncology, Johannes Kepler University, 4020 Linz, AustriaLudwig Boltzmann Institute for Traumatology in Cooperation with the AUVA, 1200 Vienna, AustriaLudwig Boltzmann Institute for Traumatology in Cooperation with the AUVA, 1200 Vienna, AustriaAustrian Center for Lipedema, Skin Aesthetic Vein Laser Practice, 4020 Linz, AustriaAustrian Center for Lipedema, Skin Aesthetic Vein Laser Practice, 4020 Linz, AustriaLudwig Boltzmann Institute for Traumatology in Cooperation with the AUVA, 1200 Vienna, AustriaLudwig Boltzmann Institute for Traumatology in Cooperation with the AUVA, 1200 Vienna, AustriaLipedema is a chronic, progressive disease of adipose tissue with unknown etiology. Based on the relevance of the stromal vascular fraction (SVF) cell population in lipedema, we performed a thorough characterization of subcutaneous adipose tissue, SVF isolated thereof and the sorted populations of endothelial cells (EC), pericytes and cultured adipose-derived stromal/stem cells (ASC) of early-stage lipedema patients. We employed histological and gene expression analysis and investigated the endothelial barrier by immunofluorescence and analysis of endothelial permeability in vitro. Although there were no significant differences in histological stainings, we found altered gene expression of factors relevant for local estrogen metabolism (aromatase), preadipocyte commitment (ZNF423) and immune cell infiltration (CD11c) in lipedema on the tissue level, as well as in distinct cellular subpopulations. Machine learning analysis of immunofluorescence images of CD31 and ZO-1 revealed a morphological difference in the cellular junctions of EC cultures derived from healthy and lipedema individuals. Furthermore, the secretome of lipedema-derived SVF cells was sufficient to significantly increase leakiness of healthy human primary EC, which was also reflected by decreased mRNA expression of VE-cadherin. Here, we showed for the first time that the secretome of SVF cells creates an environment that triggers endothelial barrier dysfunction in early-stage lipedema. Moreover, since alterations in gene expression were detected on the cellular and/or tissue level, the choice of sample material is of high importance in elucidating this complex disease.https://www.mdpi.com/2227-9059/10/5/1163lipedemaendothelial permeabilityendothelial cellspericytesstromal vascular fraction (SVF)adipose-derived stromal/stem cells (ASC)
spellingShingle Karin Strohmeier
Martina Hofmann
Jaroslaw Jacak
Marie-Sophie Narzt
Marlene Wahlmueller
Mario Mairhofer
Barbara Schaedl
Wolfgang Holnthoner
Martin Barsch
Matthias Sandhofer
Susanne Wolbank
Eleni Priglinger
Multi-Level Analysis of Adipose Tissue Reveals the Relevance of Perivascular Subpopulations and an Increased Endothelial Permeability in Early-Stage Lipedema
Biomedicines
lipedema
endothelial permeability
endothelial cells
pericytes
stromal vascular fraction (SVF)
adipose-derived stromal/stem cells (ASC)
title Multi-Level Analysis of Adipose Tissue Reveals the Relevance of Perivascular Subpopulations and an Increased Endothelial Permeability in Early-Stage Lipedema
title_full Multi-Level Analysis of Adipose Tissue Reveals the Relevance of Perivascular Subpopulations and an Increased Endothelial Permeability in Early-Stage Lipedema
title_fullStr Multi-Level Analysis of Adipose Tissue Reveals the Relevance of Perivascular Subpopulations and an Increased Endothelial Permeability in Early-Stage Lipedema
title_full_unstemmed Multi-Level Analysis of Adipose Tissue Reveals the Relevance of Perivascular Subpopulations and an Increased Endothelial Permeability in Early-Stage Lipedema
title_short Multi-Level Analysis of Adipose Tissue Reveals the Relevance of Perivascular Subpopulations and an Increased Endothelial Permeability in Early-Stage Lipedema
title_sort multi level analysis of adipose tissue reveals the relevance of perivascular subpopulations and an increased endothelial permeability in early stage lipedema
topic lipedema
endothelial permeability
endothelial cells
pericytes
stromal vascular fraction (SVF)
adipose-derived stromal/stem cells (ASC)
url https://www.mdpi.com/2227-9059/10/5/1163
work_keys_str_mv AT karinstrohmeier multilevelanalysisofadiposetissuerevealstherelevanceofperivascularsubpopulationsandanincreasedendothelialpermeabilityinearlystagelipedema
AT martinahofmann multilevelanalysisofadiposetissuerevealstherelevanceofperivascularsubpopulationsandanincreasedendothelialpermeabilityinearlystagelipedema
AT jaroslawjacak multilevelanalysisofadiposetissuerevealstherelevanceofperivascularsubpopulationsandanincreasedendothelialpermeabilityinearlystagelipedema
AT mariesophienarzt multilevelanalysisofadiposetissuerevealstherelevanceofperivascularsubpopulationsandanincreasedendothelialpermeabilityinearlystagelipedema
AT marlenewahlmueller multilevelanalysisofadiposetissuerevealstherelevanceofperivascularsubpopulationsandanincreasedendothelialpermeabilityinearlystagelipedema
AT mariomairhofer multilevelanalysisofadiposetissuerevealstherelevanceofperivascularsubpopulationsandanincreasedendothelialpermeabilityinearlystagelipedema
AT barbaraschaedl multilevelanalysisofadiposetissuerevealstherelevanceofperivascularsubpopulationsandanincreasedendothelialpermeabilityinearlystagelipedema
AT wolfgangholnthoner multilevelanalysisofadiposetissuerevealstherelevanceofperivascularsubpopulationsandanincreasedendothelialpermeabilityinearlystagelipedema
AT martinbarsch multilevelanalysisofadiposetissuerevealstherelevanceofperivascularsubpopulationsandanincreasedendothelialpermeabilityinearlystagelipedema
AT matthiassandhofer multilevelanalysisofadiposetissuerevealstherelevanceofperivascularsubpopulationsandanincreasedendothelialpermeabilityinearlystagelipedema
AT susannewolbank multilevelanalysisofadiposetissuerevealstherelevanceofperivascularsubpopulationsandanincreasedendothelialpermeabilityinearlystagelipedema
AT elenipriglinger multilevelanalysisofadiposetissuerevealstherelevanceofperivascularsubpopulationsandanincreasedendothelialpermeabilityinearlystagelipedema