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. 2021 Sep 23;178(21):4270–4290. doi: 10.1111/bph.15634

TABLE 1.

Summary of the effects of inside‐to‐outside signals on adipose tissue

Systemic signals
Signal Effect on adipose tissue Study
Cardiometabolic disease

• Hyperplasia

• Hypertrophy

(Fuster et al., 2016)
• Adipocytes acquire a dysfunctional, lipid‐laden phenotype (Ketelhuth et al., 2019)

• Inflammatory cell infiltration

• Macrophage polarisation towards the M1 pro‐inflammatory phenotype

(Rutkowski et al., 2015)

• Pericyte activation

• Secretion of PDGF‐β

• Localised neoangiogenesis

(Onogi et al., 2017)

• Vasomotor dysfunction

• Capillary rarefaction

(Chadderdon et al., 2014)

• Hypoxia

• Increased expression of hypoxia‐inducible factor‐1α

• Fibrosis

(Pasarica et al., 2009)
• Brown adipose tissue depletion (Franssens et al., 2017)
Regional signals
Signal Model Effect on perivascular adipose tissue Study
Endovascular injury Rodent

• Up‐regulation of MCP‐1, TNF‐α and IL‐6 and down‐regulation of adiponectin in periadventitial fat 1 day after the injury

• Accumulation of F4/80‐positive macrophages and CD3‐positive T‐cells in periadventitial fat

(Takaoka et al., 2010)
Oxidative stress and release of peroxidation products Human • Up‐regulation of PPAR‐γ and adiponectin in perivascular adipose tissue around saphenous veins and internal mammary arteries (Margaritis et al., 2013)
Angiotensin II‐induced up‐regulation of IL‐6, TNF‐α and IFN‐γ Human

• Inhibition of preadipocyte differentiation

• Proliferation of preadipocytes

• Lower intracellular accumulation of lipid droplets

• Attenuation shifts in CT imaging

(Antonopoulos et al., 2017)
Drug‐eluting stent‐induced hyperconstriction Porcine

• Reduced adipocyte diameter

• Increased CD68‐positive and IL‐1β‐positive cells

• Increased 18F‐FDG uptake in in vivo PET‐CT imaging

(Ohyama et al., 2017)