Characterization and Treatment of Inflammation and Insulin Resistance in Obese Adipose Tissue

Zhenhua Lu, Yao Li, Jinghai Song Department of General Surgery, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, People’s Republic of ChinaCorrespondence: Jinghai SongDepartment of General Surgery, Beijing Hosp...

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Autores principales: Lu Z, Li Y, Song J
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Lenguaje:EN
Publicado: Dove Medical Press 2020
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spelling oai:doaj.org-article:bf14bd24544e4b89a95cfd9aedec54422021-12-02T08:28:08ZCharacterization and Treatment of Inflammation and Insulin Resistance in Obese Adipose Tissue1178-7007https://doaj.org/article/bf14bd24544e4b89a95cfd9aedec54422020-10-01T00:00:00Zhttps://www.dovepress.com/characterization-and-treatment-of-inflammation-and-insulin-resistance--peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Zhenhua Lu, Yao Li, Jinghai Song Department of General Surgery, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, People’s Republic of ChinaCorrespondence: Jinghai SongDepartment of General Surgery, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, No. 1 DaHua Road, Dong Dan, Beijing 100730, People’s Republic of ChinaTel +8619800315020Email jhaisong2003@163.comAbstract: Adipose tissue is the largest energy storage and protection organ. It is distributed subcutaneously and around the internal organs. It regulates metabolism by storing and releasing fatty acids and secreting adipokines. Excessive nutritional intake results in adipocyte hypertrophy and proliferation, leading to local hypoxia in adipose tissue and changes in the release of adipokines. These lead to recruit of more immune cells into adipose tissue and release of inflammatory signaling factors. Excess free fatty acids and inflammatory factors interfere with intracellular insulin signaling. In this review, we summarize the characteristics of obese adipose tissue and analyze how its inflammation causes insulin resistance. We further discuss the latest clinical research progress on the control of insulin resistance and inflammation resulting from obesity through anti-inflammatory therapy and bariatric surgery. Our review shows that targeted anti-inflammatory therapy is of great significance for obese patients with insulin resistance.Keywords: obesity, adipose tissue, inflammation, insulin resistance, anti-inflammatory therapyLu ZLi YSong JDove Medical Pressarticleobesityadipose tissueinflammationinsulin resistanceanti-inflammatory therapySpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 13, Pp 3449-3460 (2020)
institution DOAJ
collection DOAJ
language EN
topic obesity
adipose tissue
inflammation
insulin resistance
anti-inflammatory therapy
Specialties of internal medicine
RC581-951
spellingShingle obesity
adipose tissue
inflammation
insulin resistance
anti-inflammatory therapy
Specialties of internal medicine
RC581-951
Lu Z
Li Y
Song J
Characterization and Treatment of Inflammation and Insulin Resistance in Obese Adipose Tissue
description Zhenhua Lu, Yao Li, Jinghai Song Department of General Surgery, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, People’s Republic of ChinaCorrespondence: Jinghai SongDepartment of General Surgery, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, No. 1 DaHua Road, Dong Dan, Beijing 100730, People’s Republic of ChinaTel +8619800315020Email jhaisong2003@163.comAbstract: Adipose tissue is the largest energy storage and protection organ. It is distributed subcutaneously and around the internal organs. It regulates metabolism by storing and releasing fatty acids and secreting adipokines. Excessive nutritional intake results in adipocyte hypertrophy and proliferation, leading to local hypoxia in adipose tissue and changes in the release of adipokines. These lead to recruit of more immune cells into adipose tissue and release of inflammatory signaling factors. Excess free fatty acids and inflammatory factors interfere with intracellular insulin signaling. In this review, we summarize the characteristics of obese adipose tissue and analyze how its inflammation causes insulin resistance. We further discuss the latest clinical research progress on the control of insulin resistance and inflammation resulting from obesity through anti-inflammatory therapy and bariatric surgery. Our review shows that targeted anti-inflammatory therapy is of great significance for obese patients with insulin resistance.Keywords: obesity, adipose tissue, inflammation, insulin resistance, anti-inflammatory therapy
format article
author Lu Z
Li Y
Song J
author_facet Lu Z
Li Y
Song J
author_sort Lu Z
title Characterization and Treatment of Inflammation and Insulin Resistance in Obese Adipose Tissue
title_short Characterization and Treatment of Inflammation and Insulin Resistance in Obese Adipose Tissue
title_full Characterization and Treatment of Inflammation and Insulin Resistance in Obese Adipose Tissue
title_fullStr Characterization and Treatment of Inflammation and Insulin Resistance in Obese Adipose Tissue
title_full_unstemmed Characterization and Treatment of Inflammation and Insulin Resistance in Obese Adipose Tissue
title_sort characterization and treatment of inflammation and insulin resistance in obese adipose tissue
publisher Dove Medical Press
publishDate 2020
url https://doaj.org/article/bf14bd24544e4b89a95cfd9aedec5442
work_keys_str_mv AT luz characterizationandtreatmentofinflammationandinsulinresistanceinobeseadiposetissue
AT liy characterizationandtreatmentofinflammationandinsulinresistanceinobeseadiposetissue
AT songj characterizationandtreatmentofinflammationandinsulinresistanceinobeseadiposetissue
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