RT Journal Article T1 In Patients With Obesity, the Number of Adipose Tissue Mast Cells Is Significantly Lower in Subjects With Type 2 Diabetes A1 Lopez-Perez, David A1 Redruello-Romero, Anaïs A1 Garcia-Rubio, Jesús A1 Arana, Carlos A1 Garcia-Escudero, Luis A. A1 Tamayo, Francisco A1 Puentes-Pardo, Jose D. A1 Moreno-SanJuan, Sara A1 Salmeron, Javier A1 Blanco, Armando A1 Galvez, Julio A1 Leon, Josefa A1 Carazo, Ángel K1 Mast cell K1 T2D K1 Adipose tissue K1 Obesity K1 Flow cytometry K1 Angiogenesis K1 Inflammation K1 Adipogenesis K1 Mastocitos K1 Tejido adiposo K1 Obesidad K1 Citometría de flujo K1 Inflamación AB Type 2 diabetes (T2D) is a rising global health problem mainly caused by obesity and a sedentary lifestyle. In healthy individuals, white adipose tissue (WAT) has a relevant homeostatic role in glucose metabolism, energy storage, and endocrine signaling. Mast cells contribute to these functions promoting WAT angiogenesis and adipogenesis. In patients with T2D, inflammation dramatically impacts WAT functioning, which results in the recruitment of several leukocytes, including monocytes, that enhance this inflammation. Accordingly, the macrophages population rises as the WAT inflammation increases during the T2D status worsening. Since mast cell progenitors cannot arrive at WAT, the amount of WAT mast cells depends on how the new microenvironment affects progenitor and differentiated mast cells. Here, we employed a flow cytometry-based approach to analyze the number of mast cells from omental white adipose tissue (o-WAT) and subcutaneous white adipose tissue (s-WAT) in a cohort of 100 patients with obesity. Additionally, we measured the number of mast cell progenitors in a subcohort of 15 patients. The cohort was divided in three groups: non-T2D, pre-T2D, and T2D. Importantly, patients with T2D have a mild condition (HbA1c <7%). The number of mast cells and mast cell progenitors was lower in patients with T2D in both o-WAT and s-WAT in comparison to subjects from the pre-T2D and non-T2D groups. In the case of mast cells in o-WAT, there were statistically significant differences between non-T2D and T2D groups (p = 0.0031), together with pre-T2D and T2D groups (p=0.0097). However, in s-WAT, the differences are only between non-T2D and T2D groups (p=0.047). These differences have been obtained with patients with a mild T2D condition. Therefore, little changes in T2D status have a huge impact on the number of mast cells in WAT, especially in o-WAT. Due to the importance of mast cells in WAT physiology, their decrease can reduce the capacity of WAT, especially o-WAT, to store lipids and cause hypoxic cell deaths that will trigger inflammation. PB Frontiers YR 2021 FD 2021-05-21 LK http://hdl.handle.net/10668/3523 UL http://hdl.handle.net/10668/3523 LA en NO Lopez-Perez D, Redruello-Romero A, Garcia-Rubio J, Arana C, Garcia-Escudero LA, Tamayo F, et al. In Patients With Obesity, the Number of Adipose Tissue Mast Cells Is Significantly Lower in Subjects With Type 2 Diabetes. Front Immunol. 2021 May 21;12:664576. DS RISalud RD Apr 19, 2025