Inflammation of brown/beige adipose tissues in obesity and metabolic disease


Por: Villarroya, F, Cereijo, R, Gavalda-Navarro, A, Villarroya, J, Giralt, M

Publicada: 1 nov 2018
Resumen:
Many of the comorbidities of obesity, including type 2 diabetes and cardiovascular diseases, are related to the low-grade chronic inflammation of white adipose tissue. Under white adipocyte stress, local infiltration of immune cells and enhanced production of pro-inflammatory cytokines together reduce metabolic flexibility and lead to insulin resistance in obesity. Whereas white adipocytes act in energy storage, brown and beige adipocytes specialize in energy expenditure. Brown and beige activity protects against obesity and associated metabolic disorders, such as hyperglycaemia and hyperlipidaemia. Compared to white fat, brown adipose tissue depots are less susceptible to developing local inflammation in response to obesity; however, strong obesogenic insults ultimately induce a locally pro-inflammatory environment in brown fat. This condition directly alters the thermogenic activity of brown fat by impairing its energy expenditure mechanism and uptake of glucose for use as a fuel substrate. Pro-inflammatory cytokines also impair beige adipogenesis, which occurs mainly in subcutaneous adipose tissue. There is evidence that inflammatory processes occurring in perivascular adipose tissues alter their brown-versus-white plasticity, impair the extent of browning in these depots and favour the local release of vasculature damaging signals. In summary, the targeting of brown and beige adipose tissues by pro-inflammatory signals and the subsequent impairment of their thermogenic and metabolite draining activities appears to represent obesity-driven disturbances that contribute to metabolic syndrome and cardiovascular alterations in obesity.

Filiaciones:
Villarroya, F:
 Univ Barcelona, Inst Biomed, CIBER Fisiopatol Obesidad & Nutr, Dept Biochem & Mol Biomed, Barcelona, Spain

 Inst Recerca St Joan de Deu, Barcelona, Spain

Cereijo, R:
 Univ Barcelona, Inst Biomed, CIBER Fisiopatol Obesidad & Nutr, Dept Biochem & Mol Biomed, Barcelona, Spain

 Inst Recerca St Joan de Deu, Barcelona, Spain

Gavalda-Navarro, A:
 Univ Barcelona, Inst Biomed, CIBER Fisiopatol Obesidad & Nutr, Dept Biochem & Mol Biomed, Barcelona, Spain

 Inst Recerca St Joan de Deu, Barcelona, Spain

Villarroya, J:
 Univ Barcelona, Inst Biomed, CIBER Fisiopatol Obesidad & Nutr, Dept Biochem & Mol Biomed, Barcelona, Spain

 Inst Recerca St Joan de Deu, Barcelona, Spain

 Inst Recerca Hosp Santa Creu & St Pau, Barcelona, Spain

Giralt, M:
 Univ Barcelona, Inst Biomed, CIBER Fisiopatol Obesidad & Nutr, Dept Biochem & Mol Biomed, Barcelona, Spain

 Inst Recerca St Joan de Deu, Barcelona, Spain
ISSN: 09546820





JOURNAL OF INTERNAL MEDICINE
Editorial
WILEY, 111 RIVER ST, HOBOKEN 07030-5774, NJ USA, Reino Unido
Tipo de documento: Article
Volumen: 284 Número: 5
Páginas: 492-504
WOS Id: 000447772700005
ID de PubMed: 29923291
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