Translocation of Viable Gut Microbiota to Mesenteric Adipose Drives Formation of Creeping Fat in Humans
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Translocation of Viable Gut Microbiota to Mesenteric Adipose Drives Formation of Creeping Fat in Humans.
Abstract
A mysterious feature of Crohn's disease (CD) is the extra-intestinal manifestation of "creeping fat" (CrF), defined as expansion of mesenteric adipose tissue around the inflamed and fibrotic intestine. In the current study, we explore whether microbial translocation in CD serves as a central cue for CrF development. We discovered a subset of mucosal-associated gut bacteria that consistently translocated and remained viable in CrF in CD ileal surgical resections, and identified Clostridium innocuum as a signature of this consortium with strain variation between mucosal and adipose isolates, suggesting preference for lipid-rich environments. Single-cell RNA sequencing characterized CrF as both pro-fibrotic and pro-adipogenic with a rich milieu of activated immune cells responding to microbial stimuli, which we confirm in gnotobiotic mice colonized with C. innocuum. Ex vivo validation of expression patterns suggests C. innocuum stimulates tissue remodeling via M2 macrophages, leading to an adipose tissue barrier that serves to prevent systemic dissemination of bacteria.
doi:10.1016/j.cell.2020.09.009 ↗ PMID 32991841 ↗ PMC7521382 ↗
Study facts
- Organism
- Homo sapiens
- Platform
- SureCell and Chromium
- Age group
- adult
- Disease groups
- —
- Anatomical sites
- —
Data availability
- Analysis code
Strengths & limitations for reuse
Strengths
- Raw reads are advertised
- Feature/OTU tables are advertised
- Analysis code is available
Limitations
- Not documented: taxonomic tables are advertised
- Not documented: participant counts are documented
Extraction evidence & provenance
Each extracted field is shown with the source excerpt and location used to resolve it.
Assay
| Field | Value | Evidence |
|---|---|---|
assay.platform |
SureCell and Chromium |
SureCell samples: healthy and inflamed tissue from 3 Crohn's disease patients, 2 ulcerative colitis patients Chromium samples: 2 Crohn's disease patients, 2 non-IBD controls. Section |
assay.read_depth_reported |
175000 |
sequenced on the Illumina NextSeq platform at an average read depth of 175,000 reads/sample Section |
Cohort
| Field | Value | Evidence |
|---|---|---|
cohort.age_group |
adult |
Exclusion criteria included patients under 18 Section |
cohort.study_design |
cross_sectional inferred |
were obtained from 11 patients undergoing surgical resections Section |
cohort.treatment_exposure_documented |
True |
Patient metadata including clinical characteristics, medication use, family history, social history, and demographic information ... are detailed in Table S1. Section |
Data_Assets
| Field | Value | Evidence |
|---|---|---|
data_assets.analysis_code |
True |
scRNA-seq codes are available on Github (https://github.com/DevkotaLab/ha-et-al-2020-cell). Section |
data_assets.feature_or_otu_table |
True |
The filtered count matrices generated by Cell Ranger were used as input. Section |
data_assets.open_access |
True from source |
"isOpenAccess": "Y" Section |
data_assets.pipeline_or_tool_versions |
True |
Cell counts were generated using the 10X Genomics Cell Ranger v3.1.0 pipeline Section |
data_assets.raw_reads |
True |
All of the DNA and RNA sequencing datasets generated in this study have been deposited to NCBI. Section |
Specimens
| Field | Value | Evidence |
|---|---|---|
specimens.body_site |
mesenteric adipose tissue inferred |
Single-cell RNA-seq analysis of stromal vascular cells (SVCs) isolated from primary adipose tissue. Section |