Ikeoka Dimas, Mader Julia K, Pieber Thomas R
Division of Endocrinology and Nuclear Medicine, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Rev Assoc Med Bras (1992). 2010 Jan-Feb;56(1):116-21. doi: 10.1590/s0104-42302010000100026.
Obesity has become a very frequent condition with important consequences for the health of affected individuals. Current evidence shows that the excess of adipose tissue as observed in obesity is responsible for secreting inflammatory mediators in a deregulated manner, thus inducing a chronic state of systemic low-grade inflammation that underlies the metabolic and cardiovascular outcomes in these populations. This article reviews the state of the art regarding mediators produced in the adipose tissue, their roles in the pathophysiology of obesity-associated insulin resistance and diabetes, and finally, tries to build a bridge between these mechanistically oriented insights and clinical practice.
肥胖已成为一种非常常见的状况,对受影响个体的健康产生重要影响。目前的证据表明,肥胖中观察到的过多脂肪组织会以失调的方式分泌炎症介质,从而引发全身性低度炎症的慢性状态,而这种炎症状态是这些人群代谢和心血管疾病后果的基础。本文综述了脂肪组织中产生的介质的最新研究状况、它们在肥胖相关胰岛素抵抗和糖尿病病理生理学中的作用,最后尝试在这些基于机制的见解与临床实践之间架起一座桥梁。