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肥胖引起的炎症对心血管疾病(CVD)的影响。

Impact of Obesity-Induced Inflammation on Cardiovascular Diseases (CVD).

机构信息

Telemedicine and Telepharmacy Centre, School of Medicinal and Health Products Sciences, University of Camerino, 62032 Camerino, Italy.

School of Medicinal Sciences and Health Products, University of Camerino, 62032 Camerino, Italy.

出版信息

Int J Mol Sci. 2021 Apr 30;22(9):4798. doi: 10.3390/ijms22094798.

Abstract

Overweight and obesity are key risk factors of cardiovascular disease (CVD). Obesity is currently presented as a pro-inflammatory state with an expansion in the outflow of inflammatory cytokines, such as interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-α), alongside the expanded emission of leptin. The present review aimed to evaluate the relationship between obesity and inflammation and their impacts on the development of cardiovascular disease. A literature search was conducted by employing three academic databases, namely PubMed (Medline), Scopus (EMBASE), and the Cumulative Index to Nursing and Allied Health Literature (CINAHL). The search presented 786 items, and by inclusion and exclusion filterers, 59 works were considered for final review. The Newcastle-Ottawa Scale (NOS) method was adopted to conduct quality assessment; 19 papers were further selected based on the quality score. Obesity-related inflammation leads to a low-grade inflammatory state in organisms by upregulating pro-inflammatory markers and downregulating anti-inflammatory cytokines, thereby contributing to cardiovascular disease pathogenesis. Because of inflammatory and infectious symptoms, adipocytes appear to instigate articulation and discharge a few intense stage reactants and carriers of inflammation. Obesity and inflammatory markers are strongly associated, and are important factors in the development of CVD. Hence, weight management can help prevent cardiovascular risks and poor outcomes by inhibiting inflammatory mechanisms.

摘要

超重和肥胖是心血管疾病(CVD)的主要危险因素。肥胖目前表现为一种炎症状态,伴随着炎症细胞因子(如白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α))的外流以及瘦素的扩张性排放。本综述旨在评估肥胖与炎症之间的关系及其对心血管疾病发展的影响。通过使用三个学术数据库,即 PubMed(Medline)、Scopus(EMBASE)和 Cumulative Index to Nursing and Allied Health Literature(CINAHL),进行了文献检索。搜索呈现了 786 项,通过纳入和排除筛选器,有 59 项工作被认为适合最终审查。采用纽卡斯尔-渥太华量表(NOS)方法进行质量评估;根据质量评分进一步选择了 19 篇论文。肥胖相关的炎症通过上调促炎标志物和下调抗炎细胞因子,导致机体处于低度炎症状态,从而导致心血管疾病的发病机制。由于炎症和感染症状,脂肪细胞似乎启动并释放一些强烈的炎症期反应物和载体。肥胖和炎症标志物密切相关,是 CVD 发展的重要因素。因此,通过抑制炎症机制,体重管理有助于预防心血管风险和不良结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba46/8125716/a169998e2597/ijms-22-04798-g001.jpg

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