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Adapting to obesity with adipose tissue inflammation
Adapting to obesity with adipose tissue inflammation
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Adapting to obesity with adipose tissue inflammation
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Adapting to obesity with adipose tissue inflammation
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Adapting to obesity with adipose tissue inflammation
Adapting to obesity with adipose tissue inflammation
Journal Article

Adapting to obesity with adipose tissue inflammation

2017
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Overview
Key Points Adipocytes have an important role in sensing and managing energy status Adipose tissue responds to overnutrition by mounting an immune response; however, the initial inflammatory trigger in adipose tissue is unknown Inflammation induces insulin resistance through a variety of molecular mechanisms The maladaptive responses that occur in long-term obesity are a result of chronic inflammation, particularly catecholamine resistance Inflammatory pathways are intriguing therapeutic targets for metabolic disease; however, the clinical efficacy of drugs targeting these pathways has been disappointing Adipose tissue inflammation is an adaptive response to overnutrition in the early stages of obesity, but later becomes maladaptive. Here, Reilly and Saltiel review the cellular and molecular mechanisms of obesity-induced inflammation in adipose tissue and discuss potential therapeutic approaches. Adipose tissue not only has an important role in the storage of excess nutrients but also senses nutrient status and regulates energy mobilization. An overall positive energy balance is associated with overnutrition and leads to excessive accumulation of fat in adipocytes. These cells respond by initiating an inflammatory response that, although maladaptive in the long run, might initially be a physiological response to the stresses obesity places on adipose tissue. In this Review, we characterize adipose tissue inflammation and review the current knowledge of what triggers obesity-associated inflammation in adipose tissue. We examine the connection between adipose tissue inflammation and the development of insulin resistance and catecholamine resistance and discuss the ensuing state of metabolic inflexibility. Finally, we review the current and potential new anti-inflammatory treatments for obesity-associated metabolic disease.