Chronic Inflammation in Obesity and the Metabolic Syndrome
Open accessAbstract
The increasing incidence of obesity and the metabolic syndrome is disturbing. The activation of inflammatory pathways, used normally as host defence, reminds the seriousness of this condition. There is probably more than one cause for activation of inflammation. Apparently, metabolic overload evokes stress reactions, such as oxidative, inflammatory, organelle and cell hypertrophy, generating vicious cycles. Adipocyte hypertrophy, through physical reasons, facilitates cell rupture, what will evoke an inflammatory reaction. Inability of adipose tissue development to engulf incoming fat leads to deposition in other organs, mainly in the liver, with consequences on insulin resistance. The oxidative stress which accompanies feeding, particularly when there is excessive ingestion of fat and/or other macronutrients without concomitant ingestion of antioxidant-rich foods/beverages, may contribute to inflammation attributed to obesity. Moreover, data on the interaction of microbiota with food and obesity brought new hypothesis for the obesity/fat diet relationship with inflammation. Beyond these, other phenomena, for instance psychological and/or circadian rhythm disturbances, may likewise contribute to oxidative/inflammatory status. The difficulty in the management of obesity/metabolic syndrome is linked to their multifactorial nature where environmental, genetic and psychosocial factors interact through complex networks.
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Continuous low-level translocation of LPS into circulation can induce chronic low-level inflammatory states associated with development of obesity and other metabolic syndromes.
“Continuous low-level translocation of LPS into circulation can induce chronic low-level inflammatory states associated with development of obesity and other metabolic syndromes [92].”
From The athletic gut microbiota (2020) · cites this paper as [92]
Systemic inflammatory markers and metabolites such as those derived from the gut microbiota have been associated with obesity and food addiction.
“As systemic inflammatory markers 123 and metabolites such as those derived from the gut microbiota have been associated with obesity and food addiction, future mechanistic studies that integrate these mediators are also of value.”
From History of early life adversity is associated with increased food addiction and sex-specific alterations in reward network connectivity in obesity (2019) · cites this paper as [123]
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ResultMetabolic syndrome pathophysiology: The role of adipose tissue
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“susceptible to lipolysis than subcutaneous adipose tissue [64] and is associated with higher production of TNF-α [64, 65],”
BackgroundInfluentialIL-33, a recently identified interleukin-1 gene family member, is expressed in human adipocytes
Wood, I. S., Wang, B., & Trayhurn, P. (2009) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2009.04.081 · Cited by 183 · cited 1× · see citing works
“As already stated, adipocytes behave as immune cells [72– 75] and are able to synthesize and release a huge amount of proinflammatory adipokines and cytokines including leptin, resistin, PAI-1, IL-6, TNFα, retinol-binding protein 4 (see [16]), IL-1β, monocyte chemoattractant protein-1 (MCP1), CRP, macrophage migration…”
BackgroundTumor Necrosis Factor- in Sera of Obese Patients: Fall with Weight Loss
Dandona, P. (1998) · Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.83.8.2907 · Cited by 176 · cited 2× · see citing works
“In good agreement with this interpretation of things, weight loss of obese patients is repeatedly verified to be associated with a decrease of inflammation biomarkers [17–21] accompanied by improvement of metabolic parameters, namely, insulin sensitivity [22–26].”
ResultSantos, A. C., Lopes, C. M. M., Guimarães, J. T., & Barros, H. (2005) · International Journal of Obesity · doi:10.1038/sj.ijo.0803035 · Cited by 171 · see citing works
Kingston, R. (2004) · Journal of Hypertension · doi:10.1097/00004872-200410000-00006 · Cited by 166 · see citing works
The role of interleukin-18 in the metabolic syndrome
Trøseid, M., Seljeflot, I., & Arnesen, H. (2010) · Cardiovascular Diabetology · doi:10.1186/1475-2840-9-11 · Cited by 155 · cited 1× · see citing works
“As already stated, adipocytes behave as immune cells [72– 75] and are able to synthesize and release a huge amount of proinflammatory adipokines and cytokines including leptin, resistin, PAI-1, IL-6, TNFα, retinol-binding protein 4 (see [16]), IL-1β, monocyte chemoattractant protein-1 (MCP1), CRP, macrophage migration…”
BackgroundLifestyle factors and incident metabolic syndrome
Wilsgaard, T., & Jacobsen, B. K. (2007) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2007.03.006 · Cited by 153 · cited 1× · see citing works
“Increasing incidence of the metabolic syndrome all over the world accompanies adoption of the so-called modern Western lifestyle [37, 38].”
BackgroundFuruhashi, M., Ura, N., Takizawa, H., Yoshida, D., Moniwa, N., Murakami, H., Higashiura, K., & Shimamoto, K. (2004) · Journal of Hypertension · doi:10.1097/00004872-200410000-00021 · Cited by 149 · see citing works
Wang, B., Wood, I. S., & Trayhurn, P. (2008) · Journal of Endocrinology · doi:10.1677/joe-08-0156 · Cited by 147 · cited 1× · see citing works
“This high vascularisation is most probably due to the action of angiogenic/proinflammatory factors, of which leptin constitutes an example [94, 95].”
BackgroundHegele, R. A., JOY, T. R., Al-Attar, S. A., & Rutt, B. K. (2007) · Journal of Lipid Research · doi:10.1194/jlr.r700004-jlr200 · Cited by 141 · cited 1× · see citing works
“It is well known that the lack of adipose tissue, as evident in lipodystrophy [41], may equally lead to the development of metabolic syndrome.”
BackgroundPostprandial Variations of Plasma Inflammatory Markers in Abdominally Obese Men
Blackburn, P., Després, J., Lamarche, B., Tremblay, A., Bergeron, J., Lemieux, I., & Couillard, C. (2006) · Obesity · doi:10.1038/oby.2006.201 · Cited by 140 · cited 1× · see citing works
“An immediate postprandial increase in plasma inflammatory markers after a high-fat meal had been shown in abdominally obese men [98].”
BackgroundWelsh, P., Polisecki, E., Robertson, M., Jahn, S., Buckley, B. M., de Craen, A. J. M., Ford, I., Jukema, J. W., Macfarlane, P. W., Packard, C. J., et al. (2010) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2009-1064 · Cited by 140 · see citing works
Committed subcutaneous preadipocytes are reduced in human obesity
Tchoukalova, Y. D., Koutsari, C., & Jensen, M. D. (2006) · Diabetologia · doi:10.1007/s00125-006-0496-9 · Cited by 135 · see citing works
The proatherogenic cytokine interleukin-18 is secreted by human adipocytes
Skurk, T., Kolb, H., Müller-Scholze, S., Röhrig, K., Hauner, H., & Herder, C. (2005) · European Journal of Endocrinology · doi:10.1530/eje.1.01897 · Cited by 135 · cited 1× · see citing works
“As already stated, adipocytes behave as immune cells [72– 75] and are able to synthesize and release a huge amount of proinflammatory adipokines and cytokines including leptin, resistin, PAI-1, IL-6, TNFα, retinol-binding protein 4 (see [16]), IL-1β, monocyte chemoattractant protein-1 (MCP1), CRP, macrophage migration…”
BackgroundBellingan, G. J., Xu, P., Cooksley, H., Cauldwell, H., Shock, A., Bottoms, S. E., Haslett, C., Mutsaers, S. E., & Laurent, G. J. (2002) · The Journal of Experimental Medicine · doi:10.1084/jem.20011794 · Cited by 131 · see citing works
Herter‐Aeberli, I., Molinari, L., Spinas, G. A., Lehmann, R., l’Allemand, D., & Zimmermann, M. B. (2006) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/84.4.748 · Cited by 129 · cited 1× · see citing works
“Intakes of total fat and antioxidant vitamins have been shown to be determinants of subclinical inflammation in the same children [102].”
BackgroundHoppmann, J., Perwitz, N., Meier, B., Faßhauer, M., Hadaschik, D., Lehnert, H., & Klein, J. C. (2009) · Journal of Endocrinology · doi:10.1677/joe-09-0292 · Cited by 122 · cited 1× · see citing works
“in determining adipocyte responses implicated in obesityassociated inflammation and cardiovascular complications has recently been demonstrated [93].”
BackgroundCalprotectin — A Novel Marker of Obesity
Mortensen, O. H., Nielsen, A. R., Erikstrup, C., Plomgaard, P., Fischer, C. P., Krogh‐Madsen, R., Lindegaard, B., Petersen, A. M. W., Taudorf, S., & Pedersen, B. K. (2009) · PLoS ONE · doi:10.1371/journal.pone.0007419 · Cited by 118 · cited 1× · see citing works
“Recent studies have been confirming the positive association between obesity indices and inflammatory markers, mainly CRP protein in women [34, 35], but also other inflammatory markers, both in women and men [31, 36].”
BackgroundBertin, É., Nguyên, P., Guenounou, M., Durlach, V., Potron, G., & Leuténegger, M. (2000) · PubMed · Cited by 109 · see citing works
Relationship and Interaction between Sodium and Potassium
Morris, R. C., Schmidlin, O., Frassetto, L. A., & Sebastián, A. (2006) · Journal of the American College of Nutrition · doi:10.1080/07315724.2006.10719576 · Cited by 101 · cited 1× · see citing works
“Some associations between dietary patterns and resistance to obesity, namely, the importance of the diet acid load [113], nondigestible plant material [114], or the richness in certain minerals [115] may indeed include effects of those elements on the microbiota.”
BackgroundYou, T., Nicklas, B. J., Ding, J., Penninx, B. W. J. H., Goodpaster, B. H., Bauer, D. C., Tylavsky, F. A., Harris, T. B., Kritchevsky, S. B., & for the Health, A. A. B. C. S. (2008) · The Journals of Gerontology Series A · doi:10.1093/gerona/63.4.414 · Cited by 101 · cited 7× · see citing works
“It is apparently more susceptible to lipolysis than subcutaneous adipose tissue [64] and is associated with higher production of TNF-α [64, 65], plasminogen activator inhibitor-1 (PAI-1) [66], IL-6, and CRP [67].”
BackgroundInfluentialAlexaki, V. I., Notas, G., Pelekanou, V., Kampa, M., Valkanou, M., Theodoropoulos, P. A., Stathopoulos, E. N., Tsapis, A., & Castanas, E. (2009) · The Journal of Immunology · doi:10.4049/jimmunol.0901186 · Cited by 99 · see citing works
Adrenocortical dysregulation as a major player in insulin resistance and onset of obesity
Roberge, C., Carpentier, A. C., Langlois, M., Baillargeon, J., Ardilouze, J., Maheux, P., & Gallo‐Payet, N. (2007) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00516.2007 · Cited by 87 · cited 1× · see citing works
“Functional relationships between adipocytes and the renin-angiotensin-aldosterone system [91] or between adipocytes and adrenocortex/aldosterone [92] do probably deserve more attention.”
BackgroundWildman, R. P. (2009) · Current Opinion in Clinical Nutrition & Metabolic Care · doi:10.1097/mco.0b013e32832c6db7 · Cited by 83 · see citing works
Serum C-Reactive Protein and White Blood Cell Count in Morbidly Obese Surgical Patients
Chen, S.-B., Lee, Y.-C., Ser, K., Chen, J., Chen, S. C., Hsieh, H., & Lee, W. (2008) · Obesity Surgery · doi:10.1007/s11695-008-9619-3 · Cited by 82 · cited 2× · see citing works
“In good agreement with this interpretation of things, weight loss of obese patients is repeatedly verified to be associated with a decrease of inflammation biomarkers [17–21] accompanied by improvement of metabolic parameters, namely, insulin sensitivity [22–26].”
ResultAdipocyte Size and Liability to Cell Death
Monteiro, R., de Castro, P. M. S. T., Calhau, C., & Azevedo, I. (2006) · Obesity Surgery · doi:10.1381/096089206777346600 · Cited by 81 · cited 1× · see citing works
“We have shown that big adipocytes are more prone to rupture [45], and cell rupture will obviously constitute a focus of inflammation.”
BackgroundSelf-citationLow Carbohydrate, High Fat Diet Increases C-Reactive Protein during Weight Loss
Rankin, J. W., & Turpyn, A. D. (2007) · Journal of the American College of Nutrition · doi:10.1080/07315724.2007.10719598 · Cited by 79 · cited 1× · see citing works
“They also showed that the proinflammatory effect of the high-fat diet was not dependent on oxidative stress [104, 105].”
BackgroundAdipose stress-sensing kinases: linking obesity to malfunction
Rudich, A., Kanety, H., & Bashan, N. (2007) · Trends in Endocrinology and Metabolism · doi:10.1016/j.tem.2007.08.006 · Cited by 73 · see citing works
Association between C-Reactive Protein and Adiposity in Women
Bochud, M., Marquant, F., Marques-Vidal, P. M., Vollenweider, P., Beckmann, J. S., Mooser, V., Paccaud, F. M., & Rousson, V. (2009) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2008-2428 · Cited by 71 · cited 1× · see citing works
“Recent studies have been confirming the positive association between obesity indices and inflammatory markers, mainly CRP protein in women [34, 35], but also other inflammatory markers, both in women and men [31, 36].”
BackgroundLee, I. S., Shin, G., & Choue, R. (2010) · Endocrine Journal · doi:10.1507/endocrj.k09e-046 · Cited by 70 · cited 1× · see citing works
“These results are corroborated in a recently published experimental research work in mice, where it has been shown that a shift from a high-fat to a high-carbohydrate diet improved levels of adipokines and proinflammatory cytokines [106].”
ResultHassanali, Z., Ametaj, B. N., Field, C. J., Proctor, S. D., & Vine, D. F. (2009) · Diabetes Obesity and Metabolism · doi:10.1111/j.1463-1326.2009.01130.x · Cited by 67 · cited 1× · see citing works
“Moreover, acute dietary n-3 PUFA dietary supplementation has been shown to improve fasting as well as postprandial lipid metabolism and components of the associated inflammatory response in the JCR:LA-cp rat [100].”
BackgroundZimmermann, M. B., & Herter‐Aeberli, I. (2008) · International Journal of Obesity · doi:10.1038/ijo.2008.202 · Cited by 67 · cited 1× · see citing works
“Total dietary fat and saturated fat are associated with insulin resistance and high blood pressure as well as obesityrelated inflammation [97].”
BackgroundHuynh, M.-L. N., Fadok, V. A., & Henson, P. M. (2002) · Journal of Clinical Investigation · doi:10.1172/jci200211638 · Cited by 59 · see citing works
Parhofer, K. G., & Barrett, P. H. R. (2006) · Journal of Lipid Research · doi:10.1194/jlr.r600013-jlr200 · Cited by 56 · see citing works
The gut microbiota ecology: a new opportunity for the treatment of metabolic diseases ?
Burcelin, R. (2009) · Frontiers in Bioscience · doi:10.2741/3589 · Cited by 55 · cited 2× · see citing works
“[107] R.”
ResultRattarasarn, C., Leelawattana, R., Soonthornpun, S., Setasuban, W., Thamprasit, A., Lim, A., Chayanunnukul, W., Thamkumpee, N., & Daendumrongsub, T. (2003) · Metabolism · doi:10.1016/s0026-0495(03)00257-9 · Cited by 45 · cited 1× · see citing works
“glucose tolerance [60], elevated blood pressure [61, 62], and dyslipidemia [58, 63].”
BackgroundShemesh, T., Rowley, K., Jenkins, A. J., Brimblecombe, J. K., Best, J. D., & O’Dea, K. (2006) · International Journal of Obesity · doi:10.1038/sj.ijo.0803350 · Cited by 44 · see citing works
Inflammatory Response to a High‐fat, Low‐carbohydrate Weight Loss Diet: Effect of Antioxidants
Peairs, A., & Rankin, J. W. (2008) · Obesity · doi:10.1038/oby.2008.252 · Cited by 39 · cited 1× · see citing works
“They also showed that the proinflammatory effect of the high-fat diet was not dependent on oxidative stress [104, 105].”
BackgroundFasting and postprandial markers of inflammation in lean and overweight children
Alvarez, J. A., Higgins, P. B., Oster, R. A., Fernández, J. R., Darnell, B. E., & Gower, B. A. (2009) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.2008.26926 · Cited by 38 · cited 1× · see citing works
“It must, however, be taken into account that inflammatory markers increase even after a mixed meal, more so in children with central obesity [103].”
BackgroundMartos, R., Valle, M., Morales, R. M., Cañete, R., Gascón, F., & Urbano, M. M. (2009) · Metabolism · doi:10.1016/j.metabol.2009.03.017 · Cited by 34 · cited 2× · see citing works
“In good agreement with this interpretation of things, weight loss of obese patients is repeatedly verified to be associated with a decrease of inflammation biomarkers [17–21] accompanied by improvement of metabolic parameters, namely, insulin sensitivity [22–26].”
ResultHerter‐Aeberli, I., Beljean, N., Lehmann, R., et al. (2008) · International Journal of Obesity · doi:10.1038/ijo.2008.128 · Cited by 28 · cited 1× · see citing works
“Increased central and overall adiposity in children is associated with higher circulating adipocyte protein 2 (aP2) concentrations, high dietary intakes of total fat and saturated fat influencing aP2 association with insulin resistance and inflammation [101].”
BackgroundTejido adiposo como diana terapéutica en la obesidad
Medina‐Gómez, G., & Vidal‐Puig, A. (2009) · Endocrinología y Nutrición · doi:10.1016/s1575-0922(09)72710-x · Cited by 13 · see citing works
Monteiro, R., Calhau, C., & Azevedo, I. (2007) · Diabetologia · doi:10.1007/s00125-007-0636-x · Cited by 11 · cited 1× · see citing works
“The factors involved in this preadipocyte behaviour deserve investigation [88].”
BackgroundSelf-citationChronic Inflammation in the Metabolic Syndrome: Emphasis on Adipose Tissue
Monteiro, R. (2009) · Springer eBooks · doi:10.1007/978-1-4020-9701-0_4 · Cited by 11 · cited 2× · see citing works
“Although this interesting finding needs to be confirmed and extended to other inflammatory markers, it supports the emphasis we are giving to adipose tissue in metabolic syndrome-associated chronic inflammation [15].”
BackgroundSelf-citationMoléculas solubles de adhesión intercelular tipo 1 y proteína C reactiva tras cirugía bariátrica
Soler, I. O., Gómez, F. I., Ortega, M. G., Tafalla, M. S. A., Paredes, M. P., Almela, M. L. L., Saura, M. H. P., & Díaz, M. P. (2010) · Endocrinología y Nutrición · doi:10.1016/j.endonu.2010.01.008 · Cited by 10 · see citing works
Azevedo, A., Santos, A. C., Ribeiro, L. V. P. T., & Azevedo, I. (2009) · Springer eBooks · doi:10.1007/978-1-4020-9701-0_1 · Cited by 9 · see citing works
Self-citationObstructive Sleep Apnoea and Adipocyte Death
Monteiro, R., Calhau, C., & Azevedo, I. (2006) · European Journal of Heart Failure · doi:10.1016/j.ejheart.2006.10.010 · Cited by 6 · cited 2× · see citing works
“Whereas subcutaneous adipocytes can also become hypertrophic, and most probably do also rupture, visceral adipocytes, besides being supported by much less dense connective tissue in comparison with subcutaneous adipose tissue, are frequently subject to sudden pressure variations associated with cough, physical exercis…”
BackgroundSelf-citationAbdominal Cavity Compliance: A Participant More in the Building Up of Visceral Obesity
Monteiro, R., Keating, E., Castro, P. T., et al. (2009) · Obesity · doi:10.1038/oby.2009.34 · Cited by 3 · cited 1× · see citing works
“A state of positive energetic balance, with fat accrual along time, demands plasticity of the adipose tissue, which includes formation of new adipocytes and also physical compliance of the anatomical spaces for adipose tissue expansion [39].”
BackgroundSelf-citationObstructive Sleep Apnoea and aDipocyte Death: Authors Reply
Ferreira, S., Winck, J. C., Bettencourt, P., & Rocha‐Gonçalves, F. (2006) · European Journal of Heart Failure · doi:10.1016/j.ejheart.2006.10.004 · Cited by 1 · cited 1× · see citing works
“Whereas subcutaneous adipocytes can also become hypertrophic, and most probably do also rupture, visceral adipocytes, besides being supported by much less dense connective tissue in comparison with subcutaneous adipose tissue, are frequently subject to sudden pressure variations associated with cough, physical exercis…”
BackgroundAlberti (1998) · doi:10.1002/(sici)1096-9136(199807)15:7
Flagged first, then by citations
2 of the 124 references couldn’t be matched to a known paper.
Research works printed but not linked: 5
- 2003, Endocrine Practice, 9, 237
- 2000, Journal of Clinical Endocrinology and Metabolism, 85, 3338
- 2000, Diabetes and Metabolism, 26, 178
- 2008, International Journal of Obesity, 32, S11
- 2006, Journal of the American College of Nutrition, 25, 262S
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Inflammation and tumor progression: signaling pathways and targeted intervention
Zhao, H., Wu, L., Yan, G., Chen, Y., Zhou, M., Wu, Y., & Li, Y. (2021) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-021-00658-5 · Cited by 2,907 · see citing works
Chlorogenic acid (CGA): A pharmacological review and call for further research
Naveed, M., Hejazi, V., Abbas, M., Kamboh, A. A., Khan, G. J., Shumzaid, M., Ahmad, F., Babazadeh, D., FangFang, X., Modarresi-Ghazani, F., et al. (2018) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2017.10.064 · Cited by 1,586 · see citing works
Inflammation, Oxidative Stress, and Obesity
Fernández-Sánchez, A., Madrigal‐Santillán, E., Bautista, M., Esquivel-Soto, J., Morales‐González, Á., Esquivel-Chirino, C., Durante-Montiel, I., Sánchez-Rivera, G., Valadez-Vega, M. D. C., & Morales‐González, J. A. (2011) · International Journal of Molecular Sciences · doi:10.3390/ijms12053117 · Cited by 1,536 · see citing works
“The amount of internalized FFA in liver is not regulated; thus, it is proportional to the plasma, in addition it also increases lipogenesis in the body and enhances intracellular accumulation of TG [34].”
BackgroundInfluentialKim, K., Gu, W., Lee, I., Joh, E., & Kim, D. (2012) · PLoS ONE · doi:10.1371/journal.pone.0047713 · Cited by 1,184 · see citing works
“However, recent studies have demonstrated that a variety of cytokines and inflammatory mediators, as well as increased oxidative stress as reflected in increased reactive oxygen species, could accelerate the development of metabolic syndrome [4,5].”
BackgroundOxidative stress and metabolic disorders: Pathogenesis and therapeutic strategies
Rani, V., Deep, G., Singh, R. K., Palle, K., & Yadav, U. C. S. (2016) · Life Sciences · doi:10.1016/j.lfs.2016.02.002 · Cited by 1,151 · see citing works
“of oxygen, accumulation of cellular damage, diet and mitochondrial activity [65-69].”
BackgroundBaumeister, D., Akhtar, R., Ciufolini, S., Pariante, C. M., & Mondelli, V (2016) · Molecular Psychiatry · doi:10.1038/mp.2015.67 · Cited by 1,084 · see citing works
“…to several psychiatric disorders, including depression 3 , anxiety 4 , psychosis 5 and post-traumatic stress disorder (PTSD) 4 , as well as several chronic physical health problems, including rheumatoid arthritis, cardiovascular disease, lung disease, metabolic syndrome and cancer 6,2,7 .”
Obesity and Cancer Mechanisms: Tumor Microenvironment and Inflammation
Iyengar, N. M., Gucalp, A., Dannenberg, A. J., & Hudis, C. A. (2016) · Journal of Clinical Oncology · doi:10.1200/jco.2016.67.4283 · Cited by 1,004 · see citing works
“This is paralleled by the increased production ofMCP-1 and several other cytokines that are traditionally involved in wound healing.(26) In addition to recruitment, MCP-1may also stimulate proliferation of macrophages within adipose tissue.”
BackgroundSantana‐Gálvez, J., Cisneros‐Zevallos, L., & Jacobo‐Velázquez, D. A. (2017) · Molecules · doi:10.3390/molecules22030358 · Cited by 725 · see citing works
“A so, chronic inflammation has bee associated with metabolic syndrome [57].”
BackgroundChronic Low Grade Inflammation in Pathogenesis of PCOS
Rudnicka, E., Suchta, K., Grymowicz, M., Calik-Ksepka, A., Smolarczyk, K., Duszewska, A. M., Smolarczyk, R., & Meczekalski, B. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22073789 · Cited by 680 · see citing works
“Obesity is a metabolic condition characterized by chronic inflammation state with higher pro-inflammatory cytokines, chemokines, and oxidative stress (OS) markers levels [5,6].”
BackgroundLong COVID: post-acute sequelae of COVID-19 with a cardiovascular focus
Raman, B., Bluemke, D. A., Lüscher, T. F., & Neubauer, S. (2022) · European Heart Journal · doi:10.1093/eurheartj/ehac031 · Cited by 673 · see citing works
The Potential Benefits of Red Beetroot Supplementation in Health and Disease
Clifford, T., Howatson, G., West, D., & Stevenson, E. (2015) · Nutrients · doi:10.3390/nu7042801 · Cited by 635 · see citing works
“Chronic inflammation is often implicated in the onset and progression of several clinical disorders such as obesity, liver disease, cancer and heart disease [69,74,75].”
BackgroundEssandoh, K., Li, Y., Huo, J., & Fan, G. (2016) · Shock · doi:10.1097/shk.0000000000000604 · Cited by 603 · see citing works
Sarcopenia: A Contemporary Health Problem among Older Adult Populations
Papadopoulou, S. Κ. (2020) · Nutrients · doi:10.3390/nu12051293 · Cited by 592 · see citing works
The macrophage switch in obesity development
Castoldi, A., Naffah de Souza, C., Câmara, N. O. S., & Moraes-Vieira, P. M. (2016) · Frontiers in Immunology · doi:10.3389/fimmu.2015.00637 · Cited by 575 · see citing works
Health benefits of resveratrol: Evidence from clinical studies
Singh, A. P., Singh, R., Verma, S. S., Rai, V., Kaschula, C. H., Maiti, P., & Gupta, S. C. (2019) · Medicinal Research Reviews · doi:10.1002/med.21565 · Cited by 523 · see citing works
“Chronic inflammation is at present widely accepted to be a pathophysiological trigger of many metabolic diseases including obesity, T2DM, impaired glucose tolerance (IGT), and impaired fasting glucose (IFG).(40,41) Chronic inflammation is also known to play a crucial role in the development of insulin resistance.”
BackgroundChung, H. Y., Kim, D. H., Lee, E. K., Chung, K. W., Chung, S., Lee, B., Seo, A. Y., Chung, J. H., Jung, Y. S., Im, E., et al. (2018) · Aging and Disease · doi:10.14336/ad.2018.0324 · Cited by 495 · see citing works
Bioactive compounds of beetroot and utilization in food processing industry: A critical review
Chhikara, N., Kushwaha, K., Sharma, P., Gat, Y., & Panghal, A. (2019) · Food Chemistry · doi:10.1016/j.foodchem.2018.08.022 · Cited by 488 · see citing works
Estaki, M., Pither, J., Baumeister, P., Little, J. P., Gill, S. K., Ghosh, S., Ahmadi-Vand, Z., Marsden, K. R., & Gibson, D. L. (2016) · Microbiome · doi:10.1186/s40168-016-0189-7 · Cited by 476 · see citing works
“Continuous low-level translocation of LPS into circulation can induce chronic low-level inflammatory states that are associated with development of obesity and other metabolic syndromes [47].”
BackgroundInvited review: Inflammation during the transition to lactation: New adventures with an old flame
Bradford, B. J., Yuan, K., Farney, J. K., Mamedova, L. K., & Carpenter, A. J. (2015) · Journal of Dairy Science · doi:10.3168/jds.2015-9683 · Cited by 480 · see citing works
“(Monteiro and Azevedo, 2010), and cancer (Coussens and Werb, 2002), and numerous reviews have been written on the problem of nonresolution and its corresponding mechanisms (Nathan and Ding, 2010; Serhan, 2011).”
BackgroundMohr, A. E., Jäger, R., Carpenter, K. C., Kerksick, C. M., Purpura, M., Townsend, J. R., West, N. P., Black, K., Gleeson, M., Pyne, D. B., et al. (2020) · Journal of the International Society of Sports Nutrition · doi:10.1186/s12970-020-00353-w · Cited by 378 · see citing works
“Continuous low-level translocation of LPS into circulation can induce chronic low-level inflammatory states associated with development of obesity and other metabolic syndromes [92].”
BackgroundFlavonoids and their role in oxidative stress, inflammation, and human diseases
Jomová, K., Alomar, S. Y., Valko, R., Líška, J., Nepovimová, E., Kuča, K., & Valko, M. (2025) · Chemico-Biological Interactions · doi:10.1016/j.cbi.2025.111489 · Cited by 413 · see citing works
Kwaifa, I. K., Bahari, H., Yong, Y. K., & Noor, S. M. (2020) · Biomolecules · doi:10.3390/biom10020291 · Cited by 369 · see citing works
“In addition, oxidative stress associated with excessive intake of fat and other macronutrients devoid of antioxidant-rich food results in inflammation attributed to obesity [13].”
BackgroundNani, A., Murtaza, B., Sayed Khan, A., Khan, N. A., & Hichami, A. (2021) · Molecules · doi:10.3390/molecules26040985 · Cited by 321 · see citing works
“After being activated, all of these kinases trigger pro-inflammatory cytokines, chiefly through the nuclear translocation of NF-κB and AP-1 transcription factors in adipose tissue cells [69,70].”
BackgroundThe role of leptin/adiponectin ratio in metabolic syndrome and diabetes
López-Jaramillo, P., Gómez-Arbeláez, D., López-López, J., López-López, C., Martínez-Ortega, J., Gómez-Rodríguez, A., & Triana-Cubillos, S. (2014) · Hormone Molecular Biology and Clinical Investigation · doi:10.1515/hmbci-2013-0053 · Cited by 405 · see citing works
“The relationship between inflammation and MetS is supported by several studies [1, 18, 22], as is the association between increased visceral fat mass and MetS [23].”
BackgroundVascular Cognitive Impairment (VCI)
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“In order to cope with it, the stressed ER engages the unfolded protein response which, if not relieved, may induce cell death via apoptosis (Mori, 2000; Zhao & Ackerman, 2006; Monteiro & Azevedo, 2010).”
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“This increases FFAs while reducing adiponectin release (Monteiro & Azevedo, 2010).”
BackgroundVisceral obesity relates to deep white matter hyperintensities via inflammation
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“…is now considered as a state of chronic low-grade inflammation which is characterized by the synthesis of proinflammatory cytokines such as tumour necrosis factor (TNF) and interleukin (IL)-6 from both adipocytes and immune cells (Hotamisligil, 2006; Monteiro & Azevedo, 2010; Xu et al., 2003).”
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“…diseases, including RA (Feldmann and Maini 2003 ), cardiovascular diseases (Libby et al. 2010), cancer (Grivennikov and Karin 2011), osteoporosis (Lencel and Magne 2011), metabolic syndrome (Monteiro and Azevedo 2010), frailty syndrome (Ershler 2007) and Alzheimer's disease (Morales et al. 2010).”
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“Confrontation with various stressors (oxidative stress, inflammatory cytokines, and elevated concentrations of fatty acids) activates stress kinases, including mitogen-activated protein kinases (MAPKs), c-Jun N-terminal kinase (JNK), extracellular signal regulated kinase, inhibitor of nuclear factor kappa B (NFκB)-kin…”
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Influence of Cardiometabolic Risk Factors on Platelet Function
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“Unlike in lower animals, which utilize stored fat for energy during starvation, poor food availability or during winter, storage of fat has been linked with reduced life expectancy [39] as a result of degenerative diseases and the development of metabolic syndrome(s) including conditions such as diabetes, hypertension…”
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“Moreover, human obesity is often accompanied by a low-grade chronic inflammation (95) and butyrate has been shown to be antiinflammatory.”
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Neuroinflammation: A Modifiable Pathway Linking Obesity, Alzheimer's disease, and Depression
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- Authors
- Monteiro, R., & Azevedo, I.
- Affiliations
- Universidade do Porto (PT)
- Corresponding author
- Monteiro, Rosário
- Venue
- Mediators of Inflammation
- Publisher
- Wiley
- Published
- 2010
- Volume
- 2010
- Pages
- 1-10
- ISSN
- 0962-9351 (ISSN-L)
- 1466-1861
- PMC
- PMC2913796
- OpenAlex
- W1997248937
- Cited by
- 1,186
- References
- 124
- Citations by year
- 2026: 40 · 2025: 93 · 2024: 104 · 2023: 99 · 2022: 126 · 2021: 102 · 2020: 120 · 2019: 113 · 2018: 95 · 2017: 68 · 2016: 47 · 2015: 33 · 2014: 29 · 2013: 45 · 2012: 34
- FWCI
- 4.15
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Mediators of Inflammation (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- 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
- obesity, metabolic syndrome, chronic inflammation, adipocyte hypertrophy, oxidative stress, insulin resistance, hepatic lipid accumulation, gut microbiota, dietary fat, circadian rhythm, psychological factors, adipose tissue
- MeSH terms
- Animals, Energy Metabolism, Humans, Inflammation, Obesity, Adipocytes, Metabolic Syndrome
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