Inflammation in obesity, diabetes, and related disorders.

Inflammation in obesity, diabetes, and related disorders.
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肥胖、糖尿病和相关疾病的炎症。

DOI:
10.1016/j.immuni.2021.12.013
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发表时间:
2022-01-11
期刊:
影响因子:
32.4
通讯作者:
Donath MY
Donath MY
中科院分区:
医学1区
文献类型:
--
作者:
Rohm TV;Meier DT;Olefsky JM;Donath MY

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肥胖会导致慢性全身炎症,并可能导致胰岛素抵抗(IR)、β细胞功能障碍,最终导致2型糖尿病(T2D)。这种慢性炎症状态会导致糖尿病的长期并发症,包括非酒精性脂肪性肝病(NAFLD)、视网膜病变、心血管疾病和肾病,并可能导致2型糖尿病与阿尔茨海默病、多囊卵巢综合征、痛风和类风湿性关节炎等其他疾病的联系。在这里,我们回顾了目前对肥胖、T2D和相关疾病中潜在炎症机制的理解。我们讨论了慢性组织炎症是如何导致IR、胰岛素分泌受损、糖耐量异常和T2D的,并综述了炎症对糖尿病并发症的影响以及T2D与其他病理的关系。在此背景下,我们讨论了目前治疗代谢性疾病的选择,临床上的进展和免疫调节方法的潜力。
Obesity leads to chronic, systemic inflammation and can lead to insulin resistance (IR), β-cell dysfunction and ultimately type 2 diabetes (T2D). This chronic inflammatory state contributes to long-term complications of diabetes, including non-alcoholic fatty liver disease (NAFLD), retinopathy, cardiovascular disease and nephropathy, and may underlie the association of type 2 diabetes with other conditions such as Alzheimer’s disease, polycystic ovarian syndrome, gout, and rheumatoid arthritis. Here we review the current understanding of the mechanisms underlying inflammation in obesity, T2D and related disorders. We discuss how chronic tissue inflammation results in IR, impaired insulin secretion, glucose intolerance and T2D, and review the effect of inflammation on diabetic complications and on the relationship between T2D and other pathologies. In this context we discuss current therapeutic options for the treatment of metabolic disease, advances in the clinic and the potential of immune-modulatory approaches.
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