Hypoxia increases adipogenesis and affects adipocytokine production in orbital fibroblasts-a possible explanation of the link between smoking and Graves' ophthalmopathy.

Research paper by Chiaw Ling CL Chng, Oi Fah OF Lai, Charmaine Sze-Min CS Chew, Yu Pei YP Peh, Stephanie Man-Chung SM Fook-Chong, Lay Leng LL Seah, Daphne Hsu-Chin DH Khoo

Indexed on: 27 Jun '14Published on: 27 Jun '14Published in: International journal of ophthalmology


To assess the effects of hypoxia on human orbital fibroblasts (OF) on adipogenesis and adipocytokine production.Human OF were derived from tissues obtained from patients with Graves' ophthalmopathy (GO) and from patients without known thyroid diseases undergoing blepharoplasty. The OF were cultured separately under normoxic and hypoxic conditions. Comparisons of adipocytokine concentrations using multiplex ELISA and lipid accumulation in the cells using Oil Red O staining were subsequently performed.There was increased adipogenesis in OF from GO subject when exposed to hypoxic culture conditions. This was not observed in OF from normal controls. Hypoxia led to an increase in leptin and a decrease in MCP-1 secretion in OF cultures.Hypoxia induces adipogenesis in OF and may represent a mechanism by which smoking contributes to deterioration of GO. We also found novel changes to leptin and MCP-1 production in OF cultures exposed to hypoxia suggesting important roles of these cytokines in the disease process.