2017
DOI: 10.1016/j.metabol.2017.04.005
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Macrophage functions in lean and obese adipose tissue

Abstract: Summary Interactions between macrophages and adipocytes influence both metabolism and inflammation. Obesity-induced changes to macrophages and adipocytes lead to chronic inflammation and insulin resistance. This paper reviews the various functions of macrophages in lean and obese adipose tissue and how obesity alters adipose tissue macrophage phenotypes. Metabolic disease and insulin resistance shift the balance between numerous pro- and anti-inflammatory regulators of macrophages and create a feed-forward loo… Show more

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Cited by 239 publications
(194 citation statements)
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References 258 publications
(252 reference statements)
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“…69 Other effects on the immune response include decreased phagocytic activity and impaired antigen presentation. 67 Study findings also show that obesity increases susceptibility to bacterial and viral infections, and recent meta-analyses consistently support an epidemiological association between obesity and periodontitis, suggesting a 50% to 80% higher likelihood of periodontitis in individuals who are obese compared with individuals who are not. 70,71 It has been estimated in longitudinal follow-up studies that individuals who are obese have a 35% increased risk of developing periodontitis compared with normal-weight individuals, 72…”
Section: Diabetes Mellitus (Dm) and Chronic Hyperglycemiasupporting
confidence: 53%
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“…69 Other effects on the immune response include decreased phagocytic activity and impaired antigen presentation. 67 Study findings also show that obesity increases susceptibility to bacterial and viral infections, and recent meta-analyses consistently support an epidemiological association between obesity and periodontitis, suggesting a 50% to 80% higher likelihood of periodontitis in individuals who are obese compared with individuals who are not. 70,71 It has been estimated in longitudinal follow-up studies that individuals who are obese have a 35% increased risk of developing periodontitis compared with normal-weight individuals, 72…”
Section: Diabetes Mellitus (Dm) and Chronic Hyperglycemiasupporting
confidence: 53%
“…Studies show that cross‐talk between T cells and adipose tissue shapes the inflammatory environment in obesity‐associated metabolic diseases . Likewise, obesity‐induced changes to macrophages and adipocytes may lead to chronic inflammation and insulin resistance . Adipose tissue dysfunction has been associated with an increased number of M1 macrophages, B cells, regulatory B cells, T helper (Th) 1 cells, Th17 cells, eosinophils, neutrophils, and mast cells .…”
Section: Systemic Disorders That Have a Major Impact On The Loss Of Pmentioning
confidence: 99%
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“…The M2-like phenotype of WAT macrophages is sustained through transcriptional activators such as PPARs, microRNAs such as miR-330-5p [69], adipose-derived stem cells [70], and cytokines such as IL-4 and IL-13 [32,[71][72][73][74]. Due to their proximity, M2-like macrophages are thought to interact with adipocytes, and may play roles in apoptotic clearance, angiogenesis, WAT development, antigen presentation, and inflammatory resolution [reviewed in [26,75]]. …”
Section: Counterpoint To the Proinflammatory Adipose Tissue Macrophagmentioning
confidence: 99%