Cited by 123Adipokines, Inflammation, and Metabolic DiseasesAdipose Tissue and MetabolismRegulation of Appetite and Obesity

Obesity: A neuroimmunometabolic perspective

Larabee, Chelsea M., Neely, Oliver C., Domingos, Ana I.·2020·Nature Reviews Endocrinology

Abstract

Neuroimmunology and immunometabolism are burgeoning topics of study, but the intersection of these two fields is scarcely considered. This interplay is particularly prevalent within adipose tissue, where immune cells and the sympathetic nervous system (SNS) have an important role in metabolic homeostasis and pathology, namely in obesity. In the present Review, we first outline the established reciprocal adipose-SNS relationship comprising the neuroendocrine loop facilitated primarily by adipose tissue-derived leptin and SNS-derived noradrenaline. Next, we review the extensive crosstalk between adipocytes and resident innate immune cells as well as the changes that occur in these secretory and signalling pathways in obesity. Finally, we discuss the effect of SNS adrenergic signalling in immune cells and conclude with exciting new research demonstrating an immutable role for SNS-resident macrophages in modulating SNS-adipose crosstalk. We posit that the latter point constitutes the existence of a new field - neuroimmunometabolism.

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Crossref · 10.1038/s41574-019-0283-6

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Authors
Larabee, C. M., Neely, O. C., & Domingos, A. I.
Affiliations
  • University of Oxford (GB)
  • Howard Hughes Medical Institute (US)
Corresponding author
Domingos, Ana I.
Venue
Nature Reviews Endocrinology
Published
2019-11-27
Volume
16
Issue
1
Pages
30-43
ISSN
  • 1759-5029 (ISSN-L)
  • 1759-5037
OpenAlex
W2989580600
Cited by
123
References
233
Citations by year
2026: 4 · 2025: 14 · 2024: 21 · 2023: 24 · 2022: 22 · 2021: 21 · 2020: 17
FWCI
2.19
Type
journal article
Language
en
Open access
closed
Locations
  • Nature Reviews Endocrinology (publishedVersion)
  • PubMed (publishedVersion)
Funders
Wellcome Trust (208576/Z/17/Z)
Topics
  • Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
  • Health Sciences › Medicine › Physiology › Adipose Tissue and Metabolism
  • Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
Keywords
obesity, neuroimmunology, immunometabolism, adipose tissue, sympathetic nervous system, leptin, norepinephrine, innate immune cells, adrenergic signaling, adipose tissue macrophages, metabolic homeostasis
MeSH terms
Animals, Energy Metabolism, Humans, Macrophages, Obesity, Neuroimmunomodulation, Adipocytes

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