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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 [92].”
From The athletic gut microbiota (2020) · cites this paper as [92]
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“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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Isatin ameliorates ovarian inflammation and apoptosis caused by hormonal imbalances in PCOS mice
Li, X., Ye, T., Zhu, W., Gu, J., Zheng, Z., Wang, C., Zhang, X., Geng, H., Zhou, W., Tan, X., et al. (2025) · Biochemical Pharmacology · doi:10.1016/j.bcp.2025.117083 · Cited by 8
Unraveling the metabolic pathways between atherosclerosis and sarcopenia
Yu, M., Ge, L., Fu, C., & Zhao, R. (2026) · Frontiers in Endocrinology · doi:10.3389/fendo.2025.1762825 · Cited by 9
Arriarán, S., Agnelli, S., Remesar, X., Alemany, M., & Fernández–Löpez, J. (2016) · Food & Function · doi:10.1039/c5fo01503k · Cited by 8
Nutritional status in rheumatoid arthritis
de Figueiredo, I. R., Taulaigo, A. V., de Carvalho, M. V., et al. (2022) · Nutrition Metabolism and Cardiovascular Diseases · doi:10.1016/j.numecd.2022.12.018 · Cited by 8
Mansour, B., Shaheen, N., Kmail, A., et al. (2023) · Immuno · doi:10.3390/immuno3020010 · Cited by 8
“This increase in cytokine production results in developing a low-grade chronic inflammation within the adipose tissue which promotes the development of the metabolic syndrome and increases obesity creating an infinite loop [13].”
BackgroundNarimatsu, Y., Kato, M., Ukena, K., Moriwaki, S., Ogasawara, A., Furumitsu, M., & Ukena, K. (2023) · Biomedicines · doi:10.3390/biomedicines11123230 · Cited by 8
Aljuraiban, G. S., Gibson, R., & Griep, L. M. O. (2024) · Journal of Inflammation Research · doi:10.2147/jir.s459238 · Cited by 11
Flori, L., Galgani, G., Bray, G., Ippolito, C., Segnani, C., Pellegrini, C., Citi, V., Bernardini, N., Martelli, A., & Calderone, V. (2025) · Frontiers in Pharmacology · doi:10.3389/fphar.2025.1546456 · Cited by 10
Chan, F., Cui, C., Peng, Y., & Liu, Z. (2025) · Frontiers in Nutrition · doi:10.3389/fnut.2025.1543925 · Cited by 10
Aksoy, D., Solmaz, V., Taşkıran, D., & Erbaş, O. (2014) · Neurological Sciences · doi:10.1007/s10072-014-1778-5 · Cited by 8
“has been demonstrated that elevated insulin levels secreted in the setting of insulin resistance cross the blood brain barrier triggering increased IL-1 b, IL-6 and TNF-a levels in the CNS [27–30].”
BackgroundAdipose Tissue Inflammation and Metabolic Disorders
Henriques, F. D. S., Bedard, A. H., & Júnior, M. L. B. (2019) · IntechOpen eBooks · doi:10.5772/intechopen.88631 · Cited by 8
Willis, S., Sunkara, R., Hester, F., et al. (2019) · Food and Nutrition Sciences · doi:10.4236/fns.2019.109083 · Cited by 8
“Acute inflammation only lasts for a short period of time, while chronic inflammation has been associated with the development of chronic diseases, such as obesity and cancer [30] [31].”
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Adiponectin is associated with insulin sensitivity in white European men but not black African men
Hakim, O., Bello, O., Ladwa, M., Shojaee‐Moradie, F., Jackson, N., Peacock, J. L., Umpleby, A. M., Charles‐Edwards, G., Amiel, S. A., & Goff, L. M. (2021) · Diabetic Medicine · doi:10.1111/dme.14571 · Cited by 8
“Prior to the visits, participants were instructed to refrain from (1) strenuous exercise and physical activity for 48 h, (2) alcohol consumption for 24 h and (3) food and drink after 22:00 on the evening before.”
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“Regarding the link between MetS and AAV, MetS is both a cause and a result of chronic inflammation and AAV is a representative inflammatory disease [7,8]; thus, MetS may influence the prognosis of AAV.”
BackgroundInflammaging and Vascular Function in Metabolic Syndrome: The Role of Hyperuricemia
Laučytė-Cibulskienė, A., Smaliukaitė, M., Dadonienė, J., Čypienė, A., Mikolaitytė, J., Ryliškytė, L., Laucevičius, A., & Badarienė, J. (2022) · Medicina · doi:10.3390/medicina58030373 · Cited by 8
“Since the median cfPWV in women was 8.6 m/s, reflecting rather low cardiovascular risk, we suggest that hyperuricemia in this certain population indicates an early proinflammatory phenotype that contributes to EVA.”
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KSK-74: Dual Histamine H3 and Sigma-2 Receptor Ligand with Anti-Obesity Potential
Mika, K., Szafarz, M., Zadrożna, M., Nowak, B., Bednarski, M., Szczepańska, K., Pociecha, K., Kubacka, M., Nicosia, N., Juda, I., et al. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms23137011 · Cited by 8
“As mentioned above, a diet rich in high-calorie fatty foods may be the cause of mild chronic inflammation [45,46].”
BackgroundZhou, Y., Han, L., Wang, Z., Fang, R., Wan, Y., Yang, Z., Guan, N., Li, J., & Ni, Q. (2023) · Inflammation · doi:10.1007/s10753-023-01815-4 · Cited by 8
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Double‐stranded RNA‐dependent protein kinase signalling and paradigms of cardiometabolic syndrome
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Choi, H., & Yim, J. (2017) · Journal of Cancer Prevention · doi:10.15430/jcp.2017.22.3.182 · Cited by 8
“Moreover, this condition causes increased levels of pro-inflammatory cytokines, such as TNF- and interleukin-6 (IL-6), that induce insulin resistance.(7) The level of leptin, an adipocytokine,”
BackgroundShivappa, N., Hébert, J. R., Mirsafa, F., et al. (2019) · Nutrition and Cancer · doi:10.1080/01635581.2019.1597902 · Cited by 8
“Overweight and obesity are again considered a pro-inflammatory state (40); hence, both these factors would have a combined effect on BC risk.”
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Zhao, Y., Sun, Y., Ye, J., Zhang, Y., Shi, X.-B., Wang, J., Wu, H., Zhang, W., & Yao, Y. (2020) · Advances in Therapy · doi:10.1007/s12325-020-01368-0 · Cited by 9
Miraghajani, M. S., Hadi, A., Hajishafiee, M., Arab, A., Ghaedi, E., & Moodi, V. (2020) · Journal of Herbal Medicine · doi:10.1016/j.hermed.2020.100379 · Cited by 9
Haija, M. A. E., Ye, Y., Chu, Y., Herz, H., Linden, B., Shahi, S. K., Zarei, K., Mangalam, A. K., McElroy, S. J., & Mokadem, M. (2021) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2021.07.019 · Cited by 10
Targeting the Gut in Obesity: Signals from the Inner Surface
Petersen, N., Greiner, T. U., Torz, L., Bookout, A. L., Gerstenberg, M. K., Castorena, C. M., & Kuhre, R. E. (2022) · Metabolites · doi:10.3390/metabo12010039 · Cited by 8
Metadata
- 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 › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Disease and Adiposity
- Health Sciences › Medicine › Physiology (medical) › 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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