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Background: Adipose tissue is a primary in vivo site of inflammation in obesity. Excess visceral adipose tissue (VAT), when compared to subcutaneous adipose tissue (SAT), imparts an increased risk of obesity-related comorbidities and mortality, and exhibits differences in inflammation. Defining depot-specific differences in inflammatory function may reveal underlying mechanisms of adipose-tissue-based inflammation. Methods: Stromovascular cell fractions (SVFs) from VAT and SAT from obese humans undergoing bariatric surgery were studied in an in vitro culture system with transcriptional profiling, flow cytometric phenotyping, enzyme-linked immunosorbent assay and intracellular cytokine staining. Results: Transcriptional profiling of SVF revealed differences in inflammatory transcript levels in VAT relative to SAT, including elevated interferon- (IFN-) transcript levels. VAT demonstrated a broad leukocytosis relative to SAT that included macrophages, T cells and natural killer (NK) cells. IFN- induced a proinflammatory cytokine expression pattern in SVF and adipose tissue macrophages (ATM). NK cells, which constitutively expressed IFN-, were present at higher frequency in VAT relative to SAT. Both T and NK cells from SVF expressed IFN- on activation, which was associated with tumor necrosis factor- expression in macrophages. Conclusion: These data suggest involvement of NK cells and IFN- in regulating ATM phenotype and function in human obesity and a potential mechanism for the adverse physiologic effects of VAT.

This year, a bill will be introduced into the Utah State Legislature to upgrade the current secondary safety belt law to a primary law. Sponsored by Rep. Karen Smith, the bill will represent the combined efforts of a number of safety groups, including the Coalition for Utah Traffic Safety (CUTS), the Utah Chapter of the American Academy of Pediatrics, the Utah State PTA, the Utah Auto Dealers Association, the Utah Nurses Association and the Utah Medical Association. Safety Savings