Clément K, Vignes S
Service de nutrition, pôle d'endocrinologie, hôpital de la Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, U872 (équipe 7), Inserm, centre de recherche des Cordeliers, université Pierre-et-Marie-Curie Paris-6, 75006 Paris, France.
Rev Med Interne. 2009 Sep;30(9):824-32. doi: 10.1016/j.revmed.2009.03.363. Epub 2009 Apr 25.
In obese subjects, there is a "low grade" inflammatory state characterized by the moderate but chronic systemic rise of a panel of molecules (adipokines), which carry out, in addition to pro- or anti-inflammatory actions, several immune or metabolic functions, associated with a macrophagic infiltration in adipose tissue. These two factors provide a better understanding of the pathophysiology of obesity and its potential metabolic, cardiovascular or hepatic complications. A small or even moderate reduction of weight significantly reduces circulating inflammatory markers, modulates adipose tissue profile of inflammatory genes and the risks associated with obesity.
在肥胖受试者中,存在一种“低度”炎症状态,其特征是一组分子(脂肪因子)出现中度但慢性的全身性升高,这些分子除了具有促炎或抗炎作用外,还发挥多种免疫或代谢功能,同时伴有脂肪组织中的巨噬细胞浸润。这两个因素有助于更好地理解肥胖的病理生理学及其潜在的代谢、心血管或肝脏并发症。体重即使小幅甚至适度减轻也能显著降低循环炎症标志物水平,调节脂肪组织中炎症基因的表达谱以及与肥胖相关的风险。