Obesity Prolongs the Inflammatory Response in Mice After Severe Trauma and Attenuates the Splenic Response to the Inflammatory Reflex


Gärtner F. Gihring A. Roth A. Bischof J. Xu P. Elad L. Wabitsch M. Burster T. Knippschild U.
15 November 2021Frontiers Media S.A.

Frontiers in Immunology
2021#12

Thoracic traumas with extra-thoracic injuries result in an immediate, complex host response. The immune response requires tight regulation and can be influenced by additional risk factors such as obesity, which is considered a state of chronic inflammation. Utilizing high-dimensional mass and regular flow cytometry, we define key signatures of obesity-related alterations of the immune system during the response to the trauma. In this context, we report a modification in important components of the splenic response to the inflammatory reflex in obese mice. Furthermore, during the response to trauma, obese mice exhibit a prolonged increase of neutrophils and an early accumulation of inflammation associated CCR2+CD62L+Ly6Chi monocytes in the blood, contributing to a persistent inflammatory phase. Moreover, these mice exhibit differences in migration patterns of monocytes to the traumatized lung, resulting in decreased numbers of regenerative macrophages and an impaired M1/M2 switch in traumatized lungs. The findings presented in this study reveal an attenuation of the inflammatory reflex in obese mice, as well as a disturbance of the monocytic compartment contributing to a prolonged inflammation phase resulting in fewer phenotypically regenerative macrophages in the lung of obese mice. Copyright

immune response , inflammatory reflex , mass cytometry (CyTOF) , monocyte compartment , obesity , severe trauma

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Department of General and Visceral Surgery, Surgery Center, Ulm University Medical Center, Ulm, Germany
Division of Pediatric Endocrinology and Diabetes, Department of Pediatrics and Adolescent Medicine, Ulm University Medical Center, Ulm, Germany
Department of Biology, School of Sciences and Humanities, Nazarbayev University, Nur-Sultan, Kazakhstan

Department of General and Visceral Surgery
Division of Pediatric Endocrinology and Diabetes
Department of Biology

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