2003
DOI: 10.1210/en.2003-0580
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Minireview: The Adipocyte—At the Crossroads of Energy Homeostasis, Inflammation, and Atherosclerosis

Abstract: Adipose tissue evolved to efficiently store energy for times of caloric restriction. The large caloric excess common in many Western diets has negated the need for this thrifty function, leaving adipose tissue ill-equipped to handle this increased load. An excess of adipose tissue increases risk for a number of conditions including coronary artery disease, hypertension, dyslipidemias, type 2 diabetes, and even cancer. Indeed, the ability of the adipocyte to function properly when engorged with lipid can lead t… Show more

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Cited by 1,064 publications
(833 citation statements)
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“…This may have pathophysiological and clinical relevance. Recently, it has been suggested by Pickup and Crook 55 and Pickup et al 56 as well as others, 57,58 that insulin resistance, and ultimately type 2 diabetes, may in part be a manifestation of a chronic acute-phase response. This concept was largely developed from the observations that plasma concentrations of other inflammatory cytokines and acute-phase proteins such as TNF-a, IL-6, and/or CRP are increased in individuals with type 2 diabetes.…”
Section: Discussionmentioning
confidence: 97%
“…This may have pathophysiological and clinical relevance. Recently, it has been suggested by Pickup and Crook 55 and Pickup et al 56 as well as others, 57,58 that insulin resistance, and ultimately type 2 diabetes, may in part be a manifestation of a chronic acute-phase response. This concept was largely developed from the observations that plasma concentrations of other inflammatory cytokines and acute-phase proteins such as TNF-a, IL-6, and/or CRP are increased in individuals with type 2 diabetes.…”
Section: Discussionmentioning
confidence: 97%
“…40 Increased visceral adipose tissue due to the altered distribution pattern impairs adipose tissue function, leading to an increased CVD risk. 41 This is primarily due to altered adipose tissue secretions with auto, para and endocrine effects on multiple metabolic pathways, including those that modulate BP. 42 It is plausible that this altered secretory activity of adipose tissue [43][44][45] unhinges the anti-inflammatory and pro-inflammatory adipokine balance, producing endothelial dysfunction, which over time leads to CVD.…”
Section: Discussionmentioning
confidence: 99%
“…10,26 Increased abdominal adiposity leads to a state of chronic low-grade inflammation, insulin resistance and endothelial dysfunction. [27][28][29] Adipocytes in adipose tissues secrete adipokines such as leptin, adiponectin and acylation-stimulating protein (ASP) that regulate obesity. 30 Leptin suppresses appetite, while adiponectin increases insulin sensitivity.…”
Section: Discussionmentioning
confidence: 99%