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Neutrophil Infiltration and Systemic Vascular Inflammation in Obese Women

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Abstract

Obesity has become epidemic worldwide and is especially pronounced in women of reproductive age, which is important because obesity is a major risk factor for preeclampsia and chronic hypertension. We hypothesized that vascular inflammation is critical to the pathophysiology of hypertension in obese individuals because obesity and hypertensive disorders share common features related to inflammation. To study this, we collected subcutaneous fat biopsies from normal weight, overweight, and obese women and stained the tissues for CD66b, a neutrophil marker, and for activated nuclear factor-?B (NF-?B) and cyclooxygenase-2 (COX-2) as markers of inflammation. We found that the number of neutrophils per vessel and the percentage and intensity of vessel staining for CD66b, NF-?B and COX-2 were greatest in obese women and least in normal weight women, and that neutrophil infiltration and vascular inflammation significantly correlated with body mass index (BMI) and blood pressure. These data may help explain the relationship between obesity and hypertensive disorders.

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References

  1. Flegal KM, Carroll MD, Ogden CL, Johnson CL. Prevalence and trends in obesity among US adults, 1999–2000. JAMA. 2002;288(14):1723–1727.

    Article  Google Scholar 

  2. Mokdad AH, Ford ES, Bowman BA, et al. Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA. 2003;289(1):76–79.

    Article  Google Scholar 

  3. Srinivasan SR, Myers L, Berenson GS. Changes in metabolic syndrome variables since childhood in prehypertensive and hypertensive subjects: the Bogalusa Heart Study. Hypertension. 2006;48(1):33–39.

    Article  CAS  Google Scholar 

  4. Thomas F, Bean K, Pannier B, Oppert JM, Guize L, Benetos A. Cardiovascular mortality in overweight subjects: the key role of associated risk factors. Hypertension. 2005;46(4):654–659.

    Article  CAS  Google Scholar 

  5. Bodnar LM, Ness RB, Markovic N, Roberts JM. The risk of preeclampsia rises with increasing prepregnancy body mass index. Ann Epidemiol. 2005;15(7):475–482.

    Article  Google Scholar 

  6. O’Brien TE, Ray JG, Chan WS. Maternal body mass index and the risk of preeclampsia: a systematic overview. Epidemiology. 2003;14(3):368–374.

    Article  Google Scholar 

  7. Hansel B, Giral P, Nobecourt E, et al. Metabolic syndrome is associated with elevated oxidative stress and dysfunctional dense high-density lipoprotein particles displaying impaired antioxidative activity. J Clin Endocrinol Metab. 2004;89(10):4963–4971.

    Article  CAS  Google Scholar 

  8. Keaney JF Jr. Larson MG, Vasan RS, et al. Obesity and systemic oxidative stress: clinical correlates of oxidative stress in the Framingham Study. Arterioscler Thromb Vasc Biol. 2003;23(3):434–439.

    Article  CAS  Google Scholar 

  9. Bray GA. Medical consequences of obesity. J Clin Endocrinol Metab. 2004;89(6):2583–2589.

    Article  CAS  Google Scholar 

  10. Esposito K, Nicoletti G, Giugliano D. Obesity, cytokines and endothelial dysfunction: a link for the raised cardiovascular risk associated with visceral obesity. J Endocrinol Invest. 2002;25(7):646–649.

    Article  CAS  Google Scholar 

  11. Straczkowski M, Dzienis-Straczkowska S, Stepien A, Kowalska I, Szelachowska M, Kinalska I. Plasma interleukin-8 concentrations are increased in obese subjects and related to fat mass and tumor necrosis factor-alpha system. J Clin Endocrinol Metab. 2002;87(10):4602–4606.

    Article  CAS  Google Scholar 

  12. Zhou L, Xiang W, Potts J, et al. Reduction in extracellular super-oxide dismutase activity in African-American patients with hypertension. Free Radic Biol Med. 2006;41(9):1384–1391.

    Article  CAS  Google Scholar 

  13. Touyz RM. Reactive oxygen species, vascular oxidative stress, and redox signaling in hypertension: what is the clinical significance? Hypertension. 2004;44(3):248–252.

    Article  CAS  Google Scholar 

  14. Walsh SW. Maternal-placental interactions of oxidative stress and antioxidants in preeclampsia. Semin Reprod Endocrinol. 1998;16(1):93–104.

    Article  CAS  Google Scholar 

  15. Walsh SW, Vaughan JE, Wang Y, Roberts LJ II. Placental isoprostane is significantly increased in preeclampsia. FASEB J. 2000;14(10):1289–1296.

    Article  CAS  Google Scholar 

  16. Pitsavos C, Chrysohoou C, Panagiotakos DB, Lentzas Y, Stefanadis C. Abdominal obesity and inflammation predicts hypertension among prehypertensive men and women: the ATTICA Study. Heart Vessels. 2008;23(2):96–103.

    Article  Google Scholar 

  17. Bautista LE, Vera LM, Arenas IA, Gamarra G. Independent association between inflammatory markers (C-reactive protein, interleukin-6, and TNF-alpha) and essential hypertension. J Hum Hypertens. 2005;19(2):149–154.

    Article  CAS  Google Scholar 

  18. Kupferminc MJ, Peaceman AM, Aderka D, Wallach D, Socol ML. Soluble tumor necrosis factor receptors and interleukin-6 levels in patients with severe preeclampsia. Obstet Gynecol. 1996;88(3):420–427.

    Article  CAS  Google Scholar 

  19. Qiu C, Luthy DA, Zhang C, Walsh SW, Leisenring WM, Williams MA. A prospective study of maternal serum C-reactive protein concentrations and risk of preeclampsia. Am J Hypertens. 2004;17(2):154–160.

    Article  CAS  Google Scholar 

  20. Ferrannini E, Balkau B, Coppack SW, et al. Insulin resistance, insulin response, and obesity as indicators of metabolic risk. J Clin Endocrinol Metab. 2007;92(8):2885–2892.

    Article  CAS  Google Scholar 

  21. Freeman DJ, McManus F, Brown EA, et al. Short- and long-term changes in plasma inflammatory markers associated with preeclampsia. Hypertension. 2004;44(5):708–714.

    Article  CAS  Google Scholar 

  22. Kaaja R. Insulin resistance syndrome in preeclampsia. Semin Reprod Endocrinol. 1998;16(1):41–46.

    Article  CAS  Google Scholar 

  23. Mishra NV, Walsh SW. Reactive oxygen species enhance vascular reactivity to angiotensin II via the rho A kinase pathway. Reprod Sci. 2009;16(suppl):71A.

    Google Scholar 

  24. Uehata M, Ishizaki T, Satoh H, et al. Calcium sensitization of smooth muscle mediated by a Rho-associated protein kinase in hypertension. Nature. 1997;389(6654):990–994.

    Article  CAS  Google Scholar 

  25. Asano M, Nomura Y. Comparison of inhibitory effects of Y-27632, a Rho kinase inhibitor, in strips of small and large mesenteric arteries from spontaneously hypertensive and normotensive Wistar-Kyoto rats. Hypertens Res. 2003; 26(1):97–106.

    Article  CAS  Google Scholar 

  26. Eiserich JP, Baldus S, Brennan ML, et al. Myeloperoxidase, a leukocyte-derived vascular NO oxidase. Science. 2002; 296(5577):2391–2394.

    Article  CAS  Google Scholar 

  27. Leik CE, Walsh SW. Neutrophils infiltrate resistance-sized vessels of subcutaneous fat in women with preeclampsia. Hypertension. 2004;44(1):72–77.

    Article  CAS  Google Scholar 

  28. Shah TJ, Walsh SW. Activation of NF-kappaB and expression of COX-2 in association with neutrophil infiltration in systemic vascular tissue of women with preeclampsia. Am J Obstet Gynecol. 2007;196(1):48.e41–48.e48.

    Article  Google Scholar 

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Correspondence to Scott W. Walsh PhD.

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Presented at the 53rd Annual Meeting of the Society for Gynecologic Investigation, March 22–25, 2006, Toronto, Canada.

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Shah, T.J., Leik, C.E. & Walsh, S.W. Neutrophil Infiltration and Systemic Vascular Inflammation in Obese Women. Reprod. Sci. 17, 116–124 (2010). https://doi.org/10.1177/1933719109348252

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