Document Type


Original Publication Date


Journal/Book/Conference Title

Genes Development





DOI of Original Publication



Originally published at

Date of Submission

December 2015


Fibrosis is a common disease process in which profibrotic cells disturb organ function by secreting disorganized extracellular matrix (ECM). Adipose tissue fibrosis occurs during obesity and is associated with metabolic dysfunction, but how profibrotic cells originate is still being elucidated. Here, we use a developmental model to investigate perivascular cells in white adipose tissue (WAT) and their potential to cause organ fibrosis. We show that a Nestin-Cre transgene targets perivascular cells (adventitial cells and pericyte-like cells) in WAT, and Nestin-GFP specifically labels pericyte-like cells. Activation of PDGFRα signaling in perivascular cells causes them to transition into ECM-synthesizing profibrotic cells. Before this transition occurs, PDGFRα signaling up-regulates mTOR signaling and ribosome biogenesis pathways and perturbs the expression of a network of epigenetically imprinted genes that have been implicated in cell growth and tissue homeostasis. Isolated Nestin-GFP+ cells differentiate into adipocytes ex vivo and form WAT when transplanted into recipient mice. However, PDGFRα signaling opposes adipogenesis and generates profibrotic cells instead, which leads to fibrotic WAT in transplant experiments. These results identify perivascular cells as fibro/adipogenic progenitors in WAT and show that PDGFRα targets progenitor cell plasticity as a profibrotic mechanism.


Copyright © 2015 Iwayama et al.; Published by Cold Spring Harbor Laboratory Press This article is distributed exclusively by Cold Spring Harbor Laboratory Press for the first six months after the fullissue publication date (see After six months, it is available under a Creative Commons License (Attribution-NonCommercial 4.0 International), as described at

Is Part Of

VCU Biostatistics Publications

Supplemental_Material.docx (7951 kB)
Supplemental Fig. 1 Reporter Activity in Pericytes and Other Cell Types in White Adipose Tissue. Supplemental Fig. 2 Nestin-Cre/Tomato and Nestin-GFP Reporter Activity in Isolated Microvascular Fractions.