Obesity-Induced Senescent Macrophages Activate a Fibrotic Transcriptional Program Through Osteopontin Secretion

Adipose tissue fibrosis is regulated by the chronic and progressive metabolic imbalance caused by differences in caloric intake and energy expenditure. By exploring the cellular heterogeneity within fibrotic adipose tissue, we demonstrate that early adipocyte progenitor cells expressing both platelet derived growth factor receptor (PDGFR) α and β are the major contributors to extracellular matrix deposition. We show that the fibrotic program is promoted by senescent macrophages. These macrophages are highly enriched in the fibrotic stroma and exhibit a distinct expression profile . Furthermore, we demonstrate that these cells display a blunted phagocytotic capacity and acquire a senescence associated secretory phenotype. Finally, we determined that senescent macrophage-derived osteopontin in the fibrotic environment promoted progenitor cell proliferation, fibrotic gene expression, and inhibited adipogenesis. Our work reveals that obesity promotes macrophage senescence and provides a conceptual framework for the discovery of rational therapeutic targets for metabolic and inflammatory disease associated with obesity.