2013
DOI: 10.3389/fendo.2013.00052
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Mechanisms of Obesity-Induced Inflammation and Insulin Resistance: Insights into the Emerging Role of Nutritional Strategies

Abstract: Obesity and associated chronic inflammation initiate a state of insulin resistance (IR). The secretion of chemoattractants such as MCP-1 and MIF and of cytokines IL-6, TNF-α, and IL-1β, draw immune cells including dendritic cells, T cells, and macrophages into adipose tissue (AT). Dysfunctional AT lipid metabolism leads to increased circulating free fatty acids, initiating inflammatory signaling cascades in the population of infiltrating cells. A feedback loop of pro-inflammatory cytokines exacerbates this pat… Show more

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Cited by 418 publications
(336 citation statements)
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References 355 publications
(408 reference statements)
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“…It is well known that reduced adiposity could contribute to the preservation of insulin sensitivity because the adipose tissue has a considerable influence on systemic glucose homeostasis through secretion of adipocytokines (McArdle et al 2013). Interestingly, Glp2r mRNA expression has been detected in mouse mesenteric adipose tissue (El-Jamal et al 2014); however, its functional significance is still unknown.…”
Section: Mechanistic Insightmentioning
confidence: 99%
“…It is well known that reduced adiposity could contribute to the preservation of insulin sensitivity because the adipose tissue has a considerable influence on systemic glucose homeostasis through secretion of adipocytokines (McArdle et al 2013). Interestingly, Glp2r mRNA expression has been detected in mouse mesenteric adipose tissue (El-Jamal et al 2014); however, its functional significance is still unknown.…”
Section: Mechanistic Insightmentioning
confidence: 99%
“…As a result, macrophages, T-cells and dendritic cells are recruited to VAT via various signals, including chemokines synthesised by adipocytes (87)(88)(89) . This favours a pro-inflammatory insulindesensitising milieu, contributing to local and systemic IR (90) . Importantly, many of these pro-inflammatory mediators initially identified in adults have also been confirmed in the circulation of obese children, including elevated leptin, IL-6, C-reactive protein, TNFα, fibrinogen and vascular adhesion molecules (91)(92)(93)(94) .…”
Section: Adipose Tissue Dysfunctionmentioning
confidence: 99%
“…Tanto a obesidade como o diabetes estão associados a hiperglicemia e resistência à insulina; altas concentrações de lipídios nos tecidos; produção endotelial de espécies reativas 20 de oxigênio; defesas antioxidantes inadequadas e inflamação crônica (LAY et al, 2014;MCARDLE et al, 2013;VAN GREEVENBROEK;SCHALKWIJK;STEHOUWER, 2013).…”
Section: Efeito Dos Compostos Fenólicos Do Cupuaçu No Desenvolvimentounclassified
“…Isso promove a secreção de proteínas quimiotáticas para monócitos (MCP-1) e de citocinas pró-inflamatórias, ocasionando então a infiltração de células do sistema imune como monócitos, que em seguida diferenciam-se em macrófagos. A expansão dos adipócitos também diminuí o número de células T regulatórias e aumenta o número de células TH1, que por sua vez levam à polarização de macrófagos do tipo M2 "alternativamente ativados" para um fenótipo pró-inflamatório chamado de "classicamente ativados" ou M1, aumentando assim a secreção de citocinas inflamatórias como TNF-α, IL-1b e IL-6 (PATEL, BURAS, BALASUBRAMANYAM, 2013;MCARDLE et al, 2013).…”
Section: Obesidade Associada Ao Diabetes Tipounclassified
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