Distinctive Features of Orbital Adipose Tissue (OAT) in Graves’ Orbitopathy

oleh: Lei Zhang, Anna Evans, Chris von Ruhland, Mohd Shazli Draman, Sarah Edkins, Amy E. Vincent, Rolando Berlinguer-Palmini, D. Aled Rees, Anjana S Haridas, Dan Morris, Andrew R. Tee, Marian Ludgate, Doug M. Turnbull, Fredrik Karpe, Colin M. Dayan

Format: Article
Diterbitkan: MDPI AG 2020-11-01

Deskripsi

Depot specific expansion of orbital-adipose-tissue (OAT) in Graves’ Orbitopathy (GO) is associated with lipid metabolism signaling defects. We hypothesize that the unique adipocyte biology of OAT facilitates its expansion in GO. A comprehensive comparison of OAT and white-adipose-tissue (WAT) was performed by light/electron-microscopy, lipidomic and transcriptional analysis using ex vivo WAT, healthy OAT (OAT-H) and OAT from GO (OAT-GO). OAT-H/OAT-GO have a single lipid-vacuole and low mitochondrial number. Lower lipolytic activity and smaller adipocytes of OAT-H/OAT-GO, accompanied by similar essential linoleic fatty acid (FA) and (low) FA synthesis to WAT, revealed a hyperplastic OAT expansion through external FA-uptake via abundant <i>SLC27A6</i> (FA-transporter) expression. Mitochondrial dysfunction of OAT in GO was apparent, as evidenced by the increased mRNA expression of uncoupling protein 1 (<i>UCP1</i>) and mitofusin-2 (<i>MFN2</i>) in OAT-GO compared to OAT-H. Transcriptional profiles of OAT-H revealed high expression of Iroquois homeobox-family (<i>IRX-3&5</i>), and low expression in <i>HOX</i>-family/<i>TBX5</i> (essential for WAT/BAT (brown-adipose-tissue)/BRITE (BRown-in-whITE) development). We demonstrated unique features of OAT not presented in either WAT or BAT/BRITE. This study reveals that the pathologically enhanced FA-uptake driven hyperplastic expansion of OAT in GO is associated with a depot specific mechanism (the <i>SLC27A6</i> FA-transporter) and mitochondrial dysfunction. We uncovered that OAT functions as a distinctive fat depot, providing novel insights into adipocyte biology and the pathological development of OAT expansion in GO.