肥胖症和2型糖尿病中与炎症相关的生理病理机制。
Physiopathological mechanisms related to inflammation in obesity and type 2 diabetes mellitus.
作者信息
Lempesis Ioannis G, Georgakopoulou Vasiliki E
机构信息
Department of Infectious Diseases-COVID-19 Unit, Laiko General Hospital, Athens 11527, Greece.
出版信息
World J Exp Med. 2023 Jun 20;13(3):7-16. doi: 10.5493/wjem.v13.i3.7.
Overweight, obesity, and type 2 diabetes mellitus pose global health problems that are ever-increasing. A chronic low-grade inflammatory status and the presence of various pro-inflammatory markers either in circulation or within dysfunctional metabolic tissues are well established. The presence of these factors can, to some extent, predict disease development and progression. A central role is played by the presence of dysfunctional adipose tissue, liver dysfunction, and skeletal muscle dysfunction, which collectively contribute to the increased circulatory levels of proinflammatory factors. Weight loss and classical metabolic interventions achieve a decrease in many of these factors' circulating levels, implying that a better understanding of the processes or even the modulation of inflammation may alleviate these diseases. This review suggests that inflammation plays a significant role in the development and progression of these conditions and that measuring inflammatory markers may be useful for assessing disease risk and development of future treatment methods.
超重、肥胖和2型糖尿病构成了日益严重的全球健康问题。慢性低度炎症状态以及循环系统或功能失调的代谢组织中各种促炎标志物的存在已得到充分证实。这些因素的存在在一定程度上可以预测疾病的发展和进展。功能失调的脂肪组织、肝功能障碍和骨骼肌功能障碍起着核心作用,它们共同导致促炎因子循环水平升高。体重减轻和经典的代谢干预措施可使许多这些因素的循环水平降低,这意味着更好地理解炎症过程甚至对炎症进行调节可能会缓解这些疾病。本综述表明,炎症在这些疾病的发生和发展中起重要作用,测量炎症标志物可能有助于评估疾病风险和未来治疗方法的开发。