2021
DOI: 10.1101/gad.346312.120
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Chronic tissue inflammation and metabolic disease

Abstract: Obesity is the most common cause of insulin resistance, and the current obesity epidemic is driving a parallel rise in the incidence of T2DM. It is now widely recognized that chronic, subacute tissue inflammation is a major etiologic component of the pathogenesis of insulin resistance and metabolic dysfunction in obesity. Here, we summarize recent advances in our understanding of immunometabolism. We discuss the characteristics of chronic inflammation in the major metabolic tissues and how obesity triggers the… Show more

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Cited by 179 publications
(118 citation statements)
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References 260 publications
(335 reference statements)
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“…The innate immune system is largely responsible for this subclinical state of inflammation. In the adipose tissue of obese subjects, fatty acids may activate toll-like receptors (TLRs) present on adipocytes, triggering the production of inflammatory mediators and promoting the infiltration of inflammatory macrophages, thus enhancing the chronic state of low-grade inflammation [56,57].…”
Section: Obesity-associated Inflammatory Diseasesmentioning
confidence: 99%
“…The innate immune system is largely responsible for this subclinical state of inflammation. In the adipose tissue of obese subjects, fatty acids may activate toll-like receptors (TLRs) present on adipocytes, triggering the production of inflammatory mediators and promoting the infiltration of inflammatory macrophages, thus enhancing the chronic state of low-grade inflammation [56,57].…”
Section: Obesity-associated Inflammatory Diseasesmentioning
confidence: 99%
“…Obesity is associated with an increased risk of metabolic syndrome and CVE within most westernized populations, but it also seems that fat distribution, lean mass, and cardio fitness, i.e., adiposity and cachexia, could play an essential role in determining morbidity. Abundant data indicate the presence of increased pro-inflammatory adipose tissue macrophages, as well as other immune cells, and decreased number, or proportion, of adipose tissue Treg cells, in obesity [ 39 ], which, in turn, could cause inflammation and contributes critically to atherothrombosis. Innate immunity may play an additional role in modulating metabolic and pro-inflammatory consequences in obesity, i.e., immunometabolism.…”
Section: Discussionmentioning
confidence: 99%
“…Increased adipose tissue mass is a hallmark of obesity and is present in the great majority of individuals with type 2 diabetes mellitus (T2DM) (Kusminski et al, 2016;Ghaben and Scherer, 2019). In obesity, both in the presence and absence of diabetes, chronic tissue inflammation, particularly in adipose tissue and liver, is an important contributor to insulin resistance (Hotamisligil and Erbay, 2008;Lackey and Olefsky, 2016;Lee and Olefsky, 2021;Saltiel, 2021;Ferrante, 2013). Obesityinduced chronic inflammation is not confined to adipose and liver since there are reports of proinflammatory pathway activation in the CNS, the gastrointestinal tract, muscle, and pancreatic islets, consistent with an intra-and interorgan network of crosstalk in these complex heterogeneous disorders (Lee and Olefsky, 2021).…”
Section: Adipose Tissue Exosome Biologymentioning
confidence: 99%