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Cited by 242

The DOI matches its Crossref record; 7 of the 7 references it cites were found in a registry or an index.

Maladaptive immune and inflammatory pathways lead to cardiovascular insulin resistance

Open access
Aroor, Annayya R., McKarns, Susan, DeMarco, Vincent G., Jia, Guanghong, Sowers, James R.·2013·Metabolism

Abstract

Insulin resistance is a hallmark of obesity, the cardiorenal metabolic syndrome and type 2 diabetes mellitus (T2DM). The progression of insulin resistance increases the risk for cardiovascular disease (CVD). The significance of insulin resistance is underscored by the alarming rise in the prevalence of obesity and its associated comorbidities in the Unites States and worldwide over the last 40-50 years. The incidence of obesity is also on the rise in adolescents. Furthermore, premenopausal women have lower CVD risk compared to men, but this protection is lost in the setting of obesity and insulin resistance. Although systemic and cardiovascular insulin resistance are associated with impaired insulin metabolic signaling and cardiovascular dysfunction, the mechanisms underlying insulin resistance and cardiovascular dysfunction remain poorly understood. Recent studies show that insulin resistance in obesity and diabetes is linked to a metabolic inflammatory response, a state of systemic and tissue specific chronic low grade inflammation. Evidence is also emerging that there is polarization of macrophages and lymphocytes towards a pro-inflammatory phenotype that contribute to progression of insulin resistance in obesity, cardiorenal metabolic syndrome and diabetes. In this review, we provide new insights into factors, such as, the renin-angiotensin-aldosterone system, sympathetic activation and incretin modulators (e.g., DPP-4) and immune responses that mediate this inflammatory state in obesity and other conditions characterized by insulin resistance.

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Metadata

Authors
Aroor, A. R., McKarns, S., DeMarco, V. G., Jia, G., & Sowers, J. R.
Venue
Metabolism
Publisher
Elsevier BV
Published
2013-11
Volume
62
Issue
11
Pages
1543-1552
ISSN
0026-0495 (ISSN-L)
OpenAlex
W2079784333
Cited by
242
References
7
FWCI
14.92
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Maladaptive immune and inflammatory pathways lead to cardiovascular insulin resistance. https://app.cochat.ai/papers/10.1016/j.metabol.2013.07.001
The paper
Aroor, A. R., McKarns, S., DeMarco, V. G., Jia, G., & Sowers, J. R. (2013). Maladaptive immune and inflammatory pathways lead to cardiovascular insulin resistance. Metabolism. https://doi.org/10.1016/j.metabol.2013.07.001

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