2021
DOI: 10.3389/fendo.2021.618434
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Role of Adipokines and Perivascular Adipose Tissue in Abdominal Aortic Aneurysm: A Systematic Review and Meta-Analysis of Animal and Human Observational Studies

Abstract: Improved understanding of abdominal aortic aneurysms (AAA) pathogenesis is required to identify treatment targets. This systematic review summarized evidence from animal studies and clinical research examining the role of adipokines and perivascular adipose tissue (PVAT) in AAA pathogenesis. Meta-analyses suggested that leptin (Standardized mean difference [SMD]: 0.50 [95% confidence interval (CI): −1.62, 2.61]) and adiponectin (SMD: −3.16 [95% CI: −7.59, 1.28]) upregulation did not significantly affect AAA se… Show more

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Cited by 10 publications
(7 citation statements)
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“…These changes were accompanied by a decrease in the accumulation of macrophages, a decrease in the expression of pro-inflammatory cytokines as well as MMP-2 and MMP-9 in the aortic wall [34]. Clinical studies revealed that plasma leptin and resistin concentration as well as greater amounts of PVAT were significantly higher in people with AAA compared to healthy counterparts [20].…”
Section: Obesity As a Risk Factor Of Aaamentioning
confidence: 98%
See 1 more Smart Citation
“…These changes were accompanied by a decrease in the accumulation of macrophages, a decrease in the expression of pro-inflammatory cytokines as well as MMP-2 and MMP-9 in the aortic wall [34]. Clinical studies revealed that plasma leptin and resistin concentration as well as greater amounts of PVAT were significantly higher in people with AAA compared to healthy counterparts [20].…”
Section: Obesity As a Risk Factor Of Aaamentioning
confidence: 98%
“…Obesity-related inflammation is associated with increased macrophage infiltration, increased cytokine expression in adipose tissue and increased angiotensin II levels, which may contribute to AAA formation [19]. Since aneurysms are an inflammatory disease, therefore, PVAT is of particular interest as it is perivascular adipose tissue, and the adipocytokines released from it may play a direct role in aortic pathology [6,20]. It has been shown that the amount of PVAT is higher in the aortas of AAA patients than in the control group [6,21].…”
Section: Obesity As a Risk Factor Of Aaamentioning
confidence: 99%
“…Interestingly, experimental AAA models have shown that adiponectin infusion reduces vascular inflammation, prevents vascular infiltration of macrophage and attenuates AAA development ( 82 , 83 ). A recent systematic review and meta-analysis of animal and human observational studies, concluded that, although leptin and adiponectin upregulation do not affect AAA in animal models, studies in humans showed that resistin and leptin serum levels together with the amount of PVAT were higher in patients with AAA compared to control ( 84 ).…”
Section: Aaa and Dmmentioning
confidence: 99%
“…A metaanalysis including 10 animal experiments and 8 human studies showed that AAA is correlated with a high concentration of plasma adipokines. Although several studies have examined the relationship between adipokines and AAA, this relationship remains poorly understood (Thanigaimani and Golledge, 2021). We need conduct more basic experiments to explore the role of PVAT in AAA formation and progression.…”
Section: Introductionmentioning
confidence: 99%