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代谢综合征的最新进展:代谢风险标志物与脂肪因子在代谢综合征发展中的作用

An update on metabolic syndrome: Metabolic risk markers and adipokines in the development of metabolic syndrome.

作者信息

Kumari Reena, Kumar Sandeep, Kant Ravi

机构信息

Department of Biochemistry, King George's Medical University, Lucknow, India.

Department of Molecular Biology AIIMS, Rishikesh, India.

出版信息

Diabetes Metab Syndr. 2019 Jul-Aug;13(4):2409-2417. doi: 10.1016/j.dsx.2019.06.005. Epub 2019 Jun 8.

Abstract

Metabolic syndrome is a collection of physiological and biochemical abnormalities about 20-25% of adult population in developing countries is suffering from metabolic syndrome. Previous research demonstrated that adipose tissue plays an important role in energy regulation via endocrine, paracrine and autocrine signals as results of obesity due to accumulation of adipose tissue to excess that by time affects negatively both physical and psychological health and well being, it has been found that adipose tissues produces a variety of factors known as "adipokines" which play a key role in the development and progression of the disease and also hypothesized that adipokines are a possible link between obesity and the other risk components of the Metabolic syndrome. Many of the adipokines exert multiple actions in a variety of cellular processes leading to a complex array of abnormal characteristic of Metabolic syndrome. Abnormal production of these adipokines by expanded visceral fat during Adiposity contributes to a pro-inflammatory state. Increasing evidence suggests that aberrant production/release of adipokine from adipocyte i.e. adiponectin, leptin and resistin etc, may contribute to the health problems associated with Adiposity such as dyslipidemia, insulin resistance and atherosclerosis. This study conclusively have shown a significant role of adipokines secreted by adipose tissue and various metabolic risk markers play a important role in the development of Metabolic syndrome.

摘要

代谢综合征是一系列生理和生化异常情况,在发展中国家,约20%-25%的成年人口患有代谢综合征。先前的研究表明,脂肪组织通过内分泌、旁分泌和自分泌信号在能量调节中发挥重要作用,由于脂肪组织过度积累导致肥胖,随着时间的推移,这会对身心健康产生负面影响,人们发现脂肪组织会产生多种被称为“脂肪因子”的因子,这些因子在该疾病的发生和发展中起关键作用,并且还推测脂肪因子可能是肥胖与代谢综合征其他风险因素之间的一个联系。许多脂肪因子在多种细胞过程中发挥多种作用,导致代谢综合征出现一系列复杂的异常特征。肥胖期间内脏脂肪增多导致这些脂肪因子产生异常,会促成一种促炎状态。越来越多的证据表明,脂肪细胞中脂肪因子(即脂联素、瘦素和抵抗素等)的异常产生/释放,可能导致与肥胖相关的健康问题,如血脂异常、胰岛素抵抗和动脉粥样硬化。这项研究最终表明,脂肪组织分泌的脂肪因子以及各种代谢风险标志物在代谢综合征的发生中起着重要作用。

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