RT Journal Article T1 Mesenteric adipose tissue in Crohn’s disease alters the immune response of the ileal mucosa and increases angiogenesis and fibrosis. A1 Reyes Martín, Flores A1 Kentaoui-Bousellam, Imane A1 Ruíz-Malagón, Antonio Jesús A1 Ho-Plágaro, Ailec A1 López-Gómez, Carlos A1 Herraiz-Vilela, Marina A1 Alcaín-Martínez, Guillermo A1 Camargo-Camero, Raquel A1 Martos-VanDussen, Juan Víctor A1 Camacho-Martel, Laura A1 Gutiérrez-Martínez, Fernando A1 Arranz-Salas, Isabel A1 Ortega-Jiménez, María Victoria A1 Escamilla Sánchez, Alejandro A1 Daza-González, Juan José A1 Sanchiz-Cárdenas, Elena A1 Rivas-Becerra, José A1 García Fuentes, Eduardo A1 Rodríguez Pacheco, Francisca A1 Rodríguez-Díaz, Cristina K1 Inmunopatología K1 Respuesta inmune K1 Neovascularización K1 Enteritis regional K1 Enfermedad inflamatoria intestinal K1 Tejido adiposo AB Mesenteric adipose tissue (MAT) may be involved in the pathogenesis of Crohn's disease (CD). However, its precise role remains uncertain. We analize the profile of molecules secreted by the MAT (secretome) in CD, differentiating between 'creeping fat' (CD-CrF) and the MAT obtained from a non-affected area (CD-NA), and to characterise its impact on the healthy ileum. The immune cell infiltration was higher in MAT from CD, particularly in CrF, compared to control-MAT. CD-NA and CD-CrF secretomes exhibited an increase of cytokines, immuno-checkpoints and other serum markers. A second profile included an increase in growth factors only in CD-CrF secretome. CD-NA and CD-CrF secretomes demonstrated enhanced myofibroblast wound healing and endothelial cell tube formation. On healthy human ileum, CD-NA and CD-CrF secretomes led to a down-regulation of genes related to antigen presentation to T cells, the major histocompatibility complex class II and the Th2 and Th17 cell differentiation. In conclusion, the profile of MAT secretome is different in CD patients, and their effects on the ileum, specially those of CrF, suggest a modification of the adaptive immune response, and a more pro-angiogenic and pro-fibrotic profile. MAT seems to have a significant role in the pathogenesis of CD. PB Springer Nature YR 2025 FD 2025-07-02 LK https://hdl.handle.net/10630/39635 UL https://hdl.handle.net/10630/39635 LA eng NO Martín-Reyes, F., Kentaoui-Bousellam, I., Ruiz-Malagón, A. J., Ho-Plágaro, A., López-Gómez, C., Herraiz-Vilela, M., Alcaín-Martínez, G., Camargo-Camero, R., Martos-VanDussen, J. V., Camacho-Martel, L., Gutiérrrez-Martínez, F., Arranz-Salas, I., Ortega-Jimenez, M. V., Escamilla-Sánchez, A., Daza-González, J. J., Sanchiz-Cardenas, E., Rivas-Becerra, J., García-Fuentes, E., Rodríguez-Pacheco, F., & Rodriguez-Diaz, C. (2025). Mesenteric adipose tissue in Crohn's disease alters the immune response of the ileal mucosa and increases angiogenesis and fibrosis. Scientific reports, 15(1), 22591. https://doi.org/10.1038/s41598-025-07147-7 DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 22 ene 2026