2020
DOI: 10.3389/fendo.2020.00062
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Mechanisms of Macrophage Polarization in Insulin Signaling and Sensitivity

Abstract: Type-2 diabetes (T2D) is a disease of two etiologies: metabolic and inflammatory. At the cross-section of these etiologies lays the phenomenon of metabolic inflammation. Whilst metabolic inflammation is characterized as systemic, a common starting point is the tissue-resident macrophage, who's successful physiological or aberrant pathological adaptation to its microenvironment determines disease course and severity. This review will highlight the key mechanisms in macrophage polarization, inflammatory and non-… Show more

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Cited by 93 publications
(79 citation statements)
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“…Besides LPS and leptin, other factors that are elevated in the obese condition, such as saturated fatty acids and glucose, have been discussed as capable of polarizing macrophages towards an inflammatory phenotype but will not be discussed in this review. Instead, the reader is directed to several comprehensive reviews on this topic [38,76,[119][120][121][122][123][124][125][126].…”
Section: Pancreatic Stromal Macrophages In the Obese Statementioning
confidence: 99%
“…Besides LPS and leptin, other factors that are elevated in the obese condition, such as saturated fatty acids and glucose, have been discussed as capable of polarizing macrophages towards an inflammatory phenotype but will not be discussed in this review. Instead, the reader is directed to several comprehensive reviews on this topic [38,76,[119][120][121][122][123][124][125][126].…”
Section: Pancreatic Stromal Macrophages In the Obese Statementioning
confidence: 99%
“…We have also previously shown in vivo that macrophages that infiltrate into an injured liver during the recovery phase are crucial for the attenuation of inflammation and tissue repair ( 9 ). Macrophage polarization states are mainly divided into two types, the pro-inflammatory or classically activated M1 phenotype and the anti-inflammatory or alternatively activated M2 phenotype ( 10 ). LPS and/or IFN-γ can induce polarization to M1 macrophages that are capable of pro-inflammatory responses and produce pro-inflammatory molecules such as TNF-α and IL-6 ( 11 ).…”
Section: Introductionmentioning
confidence: 99%
“…These receptors span cell surface and intracellular membranes and they are ligated by damage-or pathogen-associated molecular patterns (DAMPs or PAMPs). In the case of metabolic diseases, stimulation is by DAMPs generated by dysmetabolism, such as fatty acids, hyperglycaemia, cellular senescence or other stress signals (30).…”
Section: Inflammatory Pathways In Adipose Tissuementioning
confidence: 99%
“…Macrophages play a key role in amplifying inflammation in the adipose microenvironment. Once activated, secreted cytokines act both locally and peripherally to increase inflammation and insulin resistance (30). Two main pathways are important actors of inflammation: the NLRP3 inflammasome and Interferon signalling.…”
Section: Inflammatory Pathways In Adipose Tissuementioning
confidence: 99%