2003
DOI: 10.1677/joe.0.1770351
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Tumour necrosis factor alpha: a key regulator of adipose tissue mass

Abstract: In addition to its established role in the immune system, tumour necrosis factor (TNF ) exerts complex regulatory actions on adipose tissue. TNF is produced in and secreted by the adipocyte and thus is in a position to exert a paracrine and/or autocrine role within adipose tissue. TNF affects many aspects of adipocyte function, from adipocyte development to lipid metabolism. Bringing together all of these diverse actions, TNF appears to play a general role in reducing adipose tissue mass. Dysregulation of TNF … Show more

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Cited by 157 publications
(115 citation statements)
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“…Prediabetes and type 2 diabetes mellitus are characterized by sub-acute chronic inflammation where individuals show elevated serum levels of acute phase proteins such as C-reactive protein and fibrinogen (70) and cytokines such as TNF-␣ (71) and IL-6 (70,72). Although TNF-␣ is produced mainly by adipose tissue in obese prediabetic and diabetic individuals (71,73), a critical source for the proinflammatory cytokines IL-6 and IL-1␤ is activated macrophages (74). Furthermore, these macrophagegenerated cytokines are potent inducers of liver-produced C-reactive protein and fibrinogen.…”
Section: Discussionmentioning
confidence: 99%
“…Prediabetes and type 2 diabetes mellitus are characterized by sub-acute chronic inflammation where individuals show elevated serum levels of acute phase proteins such as C-reactive protein and fibrinogen (70) and cytokines such as TNF-␣ (71) and IL-6 (70,72). Although TNF-␣ is produced mainly by adipose tissue in obese prediabetic and diabetic individuals (71,73), a critical source for the proinflammatory cytokines IL-6 and IL-1␤ is activated macrophages (74). Furthermore, these macrophagegenerated cytokines are potent inducers of liver-produced C-reactive protein and fibrinogen.…”
Section: Discussionmentioning
confidence: 99%
“…21 In addition, it is also possible that insulin resistance per se might involve the development of obesity. 22,23 Aberrant production of TNF-a in adipose tissue may inhibit insulin from promoting adipocyte triglyceride stores or adipocyte differentiation. Indeed, gene polymorphisms of TNF have been associated with obesity by many investigators.…”
Section: Discussionmentioning
confidence: 99%
“…Indivíduos obesos têm excesso de tecido adiposo, o qual é metabolicamente ativo, secretando citocinas e adiponectinas capazes de modular reações imunes (22)(23)(24)(25)(26)(27).…”
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“…A expressão e a secreção de TNF-alfa encontram--se elevadas no tecido adiposo e a neutralização de sua secreção melhora a resistência à insulina (25,26). Vá-rios estudos sugerem um papel para o TNF-alfa com resistência à insulina encontrada na obesidade (25)(26)(27).…”
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