Division of Endocrinology, Diabetes and Hypertension, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States; Department of Molecular Metabolism and Sabri Ülker Center, Harvard T.H. Chan School of Public Health, Boston, MA, United States.
Metabolism Unit, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States; Division of Pediatric Endocrinology, Massachusetts General Hospital for Children and Harvard Medical School, Boston, MA, United States.
Am J Clin Nutr. 2024 Jul;120(1):257-268. doi: 10.1016/j.ajcnut.2024.04.029. Epub 2024 May 3.
The rapidly evolving field of immunometabolism explores how changes in local immune environments may affect key metabolic and cellular processes, including that of adipose tissue. Importantly, these changes may contribute to low-grade systemic inflammation. In turn, chronic low-grade inflammation affecting adipose tissue may exacerbate the outcome of metabolic diseases. Novel advances in our understanding of immunometabolic processes may critically lead to interventions to reduce disease severity and progression. An important example in this regard relates to obesity, which has a multifaceted effect on immunity, activating the proinflammatory pathways such as the inflammasome and disrupting cellular homeostasis. This multifaceted effect of obesity can be investigated through study of downstream conditions using cellular and systemic investigative techniques. To further explore this field, the National Institutes of Health P30 Nutrition Obesity Research Center at Harvard, in partnership with Harvard Medical School, assembled experts to present at its 24th Annual Symposium entitled "Adiposity, Immunity, and Inflammation: Interrelationships in Health and Disease" on 7 June, 2023. This manuscript seeks to synthesize and present key findings from the symposium, highlighting new research and novel disease-specific advances in the field. Better understanding the interaction between metabolism and immunity offers promising preventative and treatment therapies for obesity-related immunometabolic diseases.
免疫代谢领域的快速发展探索了局部免疫环境的变化如何影响关键的代谢和细胞过程,包括脂肪组织。重要的是,这些变化可能导致低度全身炎症。反过来,影响脂肪组织的慢性低度炎症可能会使代谢疾病的预后恶化。我们对免疫代谢过程的理解的新进展可能会极大地促使人们采取干预措施来降低疾病的严重程度和进展。在这方面的一个重要例子与肥胖有关,肥胖对免疫有多种影响,会激活炎症小体等促炎途径,并破坏细胞内稳态。可以通过使用细胞和系统研究技术研究肥胖的下游情况来研究这种多方面的影响。为了进一步探索这一领域,哈佛的美国国立卫生研究院 P30 营养肥胖研究中心与哈佛医学院合作,召集专家于 2023 年 6 月 7 日举办了第 24 届年度研讨会,题为“肥胖、免疫与炎症:健康与疾病中的相互关系”。本文旨在综合和呈现研讨会的关键发现,重点介绍该领域的新研究和针对特定疾病的新进展。更好地理解代谢和免疫之间的相互作用为肥胖相关免疫代谢疾病提供了有前途的预防和治疗疗法。