Cited by 200Adipokines, Inflammation, and Metabolic DiseasesCardiovascular Disease and AdiposityAdipose Tissue and Metabolism

Immunologic and endocrine functions of adipose tissue: implications for kidney disease

Zhu, Qingzhang, Scherer, Philipp E.·2018·Nature Reviews Nephrology

Abstract

Excess adiposity can induce adverse sequelae in multiple cell types and organ systems. The transition from the lean to the obese state is characterized by fundamental cellular changes at the level of the adipocyte. These changes affect the local microenvironment within the respective adipose tissue but can also affect nonadipose systems. Adipocytes within fat pads respond to chronic nutrient excess through hyperplasia or hypertrophy, which can differentially affect interorgan crosstalk between various adipose depots and other organs. This crosstalk is dependent on the unique ability of the adipocyte to coordinate metabolic adjustments throughout the body and to integrate responses to maintain metabolic homeostasis. These actions occur through the release of free fatty acids and metabolites during times of energy need - a process that is altered in the obese state. In addition, adipocytes release a wide array of signalling molecules, such as sphingolipids, as well as inflammatory and hormonal factors (adipokines) that are critical for interorgan crosstalk. The interactions of adipose tissue with the kidney - referred to as the adipo-renal axis - are important for normal kidney function as well as the response of the kidney to injury. Here, we discuss the mechanistic basis of this interorgan crosstalk, which clearly has great therapeutic potential given the increasing rates of chronic kidney disease secondary to obesity and type 2 diabetes mellitus.

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Crossref · 10.1038/nrneph.2017.157

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  • Adipocytes secrete many bioactive substances that influence metabolic and cardiovascular functions, including blood pressure.

    “Adipocytes are much more than just energy-storage depots — they secrete many bioactive substances that influence metabolic and cardiovascular functions, including BP110.”

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Authors
Zhu, Q., & Scherer, P. E.
Affiliations
The University of Texas Southwestern Medical Center (US)
Corresponding author
Scherer, Philipp E.
Venue
Nature Reviews Nephrology
Published
2017-12-04
Volume
14
Issue
2
Pages
105-120
ISSN
  • 1745-8323 (ISSN-L)
  • 1759-5061
  • 1759-507X
OpenAlex
W2775650155
Cited by
200
References
222
Citations by year
2026: 14 · 2025: 26 · 2024: 30 · 2023: 32 · 2022: 27 · 2021: 24 · 2020: 22 · 2019: 16 · 2018: 9
FWCI
1.70
Type
journal article
Language
en
Open access
closed
Locations
  • Nature Reviews Nephrology (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institutes of Health
Topics
  • Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Disease and Adiposity
  • Health Sciences › Medicine › Physiology › Adipose Tissue and Metabolism
Keywords
adipose tissue, adipokines, chronic kidney disease, obesity, type 2 diabetes, organ crosstalk, free fatty acids, sphingolipids, kidney injury, metabolic homeostasis
MeSH terms
Adipose Tissue, Angiotensin II, Angiotensinogen, Diabetes Mellitus, Type 2, Humans, Inflammation, Kidney Diseases, Macrophages, Obesity, Signal Transduction, Leptin, Adiponectin, Adipokines, Receptors, Adiponectin, AMP-Activated Protein Kinases, Ceramidases

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