Mechanisms of endothelial dysfunction in obesity.
Abstract
Obesity is a chronic disease, whose incidence is alarmingly growing, affecting not only adults but also children and adolescents. It is associated with severe metabolic abnormalities and increased cardiovascular morbidity and mortality. Adipose tissue secretes a great number of hormones and cytokines that not only regulate substrate metabolism but may deeply and negatively influence endothelial physiology, a condition which may lead to the formation of the atherosclerotic plaque. In this review, the physiology of the endothelium is summarised and the mechanisms by which obesity, through the secretory products of adipose tissue, influences endothelial function are explained. A short description of methodological approaches to diagnose endothelial dysfunction is presented. The possible pathogenetic links between obesity and cardiovascular disease, mediated by oxidative stress, inflammation and endothelial dysfunction are described as well.
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Lower nitric oxide availability has been linked to impaired endothelial function and higher risk of hypertension and cardiovascular disease.
“Reduced NO bioavailability has been associated with impairment of endothelial function and increased risk of hypertension and cardiovascular diseases (17)(18)(19)(20).”
From Inorganic Nitrate and Beetroot Juice Supplementation Reduces Blood Pressure in Adults: A Systematic Review and Meta-Analysis (2013) · cites this paper as [17]
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- Authors
- Avogaro, A., & de Kreutzenberg, S. V.
- Affiliations
- University of Padua (IT)
- Corresponding author
- Avogaro, Angelo
- ORCID
- Avogaro, Angelo
- Venue
- Clinica Chimica Acta
- Publisher
- Elsevier BV
- Published
- 2005-10
- Volume
- 360
- Issue
- 1-2
- Pages
- 9-26
- ISSN
- 0009-8981 (ISSN-L)
- OpenAlex
- W2015806050
- Cited by
- 188
- References
- 158
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 6 · 2023: 3 · 2022: 9 · 2021: 9 · 2020: 10 · 2019: 7 · 2018: 11 · 2017: 6 · 2016: 10 · 2015: 10 · 2014: 14 · 2013: 13 · 2012: 7
- FWCI
- 1.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinica Chimica Acta (publishedVersion)
- PubMed (publishedVersion)
- Padua Research Archive (University of Padova) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Disease and Adiposity
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Keywords
- endothelial dysfunction, obesity, adipose tissue hormones, adipokines, cytokines, endothelial physiology, atherosclerosis, cardiovascular disease, oxidative stress, inflammation
- MeSH terms
- Adipose Tissue, Endothelium, Vascular, Humans, Inflammation, Obesity, Oxidative Stress
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