Cited by 394Adipokines, Inflammation, and Metabolic DiseasesAdipose Tissue and MetabolismDiabetes and associated disorders

An immune origin of type 2 diabetes?

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Kolb, H., Mandrup-Poulsen, T.·2005·Diabetologia

Abstract

Subclinical, low-grade systemic inflammation has been observed in patients with type 2 diabetes and in those at increased risk of the disease. This may be more than an epiphenomenon. Alleles of genes encoding immune/inflammatory mediators are associated with the disease, and the two major environmental factors the contribute to the risk of type 2 diabetes-diet and physical activity-have a direct impact on levels of systemic immune mediators. In animal models, targeting of immune genes enhanced or suppressed the development of obesity or diabetes. Obesity is associated with the infiltration and proinflammatory activity of macrophages in adipose tissue, and immune mediators may be important regulators of insulin resistance, mitochondrial function, ectopic lipid storage and beta cell dysfunction or death. Intervention studies targeting these pathways would help to determine the contribution of an activated innate immune system to the development of type 2 diabetes.

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  • Macrophages accumulate in adipose tissue in obesity and may be major contributors to adipokine production.

    “It is now recognised that macrophages accumulate in the adipose tissue in obesity (10,11) (Fig. 1) and that these may represent major contributors to the production of adipokines (12,13) .”

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Authors
Kolb, H., & Mandrup-Poulsen, T.
Affiliations
  • Deutsches Diabetes-Zentrum e.V. (DE)
  • Karolinska Institutet (SE)
Corresponding author
Kolb, H.
Venue
Diabetologia
Published
2005-04-30
Volume
48
Issue
6
Pages
1038-1050
ISSN
  • 0012-186X (ISSN-L)
  • 1432-0428
OpenAlex
W2078830150
Cited by
394
References
226
Citations by year
2026: 4 · 2025: 5 · 2024: 11 · 2023: 12 · 2022: 15 · 2021: 11 · 2020: 11 · 2019: 16 · 2018: 18 · 2017: 9 · 2016: 20 · 2015: 18 · 2014: 31 · 2013: 20 · 2012: 25
FWCI
4.01
Type
journal article
Language
en
Open access
Locations
  • Diabetologia (publishedVersion)
  • PubMed (publishedVersion)
  • Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
Funders
  • Bundesministerium für Gesundheit
  • Novo Nordisk
Topics
  • Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
  • Health Sciences › Medicine › Physiology › Adipose Tissue and Metabolism
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Diabetes and associated disorders
Keywords
type 2 diabetes, low-grade inflammation, innate immunity, immune mediators, genetic susceptibility, obesity, insulin resistance, beta-cell dysfunction, mitochondrial function, diet, physical activity
MeSH terms
Adipose Tissue, Animals, Diabetes Mellitus, Type 2, Disease Models, Animal, Humans, Inflammation, Macrophages, Obesity

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