Cardiomyopathy Associated with Diabetes: The Central Role of the Cardiomyocyte DOI Open Access
Tiziana Filardi, Barbara Ghinassi, Angela Di Baldassarre

et al.

International Journal of Molecular Sciences, Journal Year: 2019, Volume and Issue: 20(13), P. 3299 - 3299

Published: July 5, 2019

The term diabetic cardiomyopathy (DCM) labels an abnormal cardiac structure and performance due to intrinsic heart muscle malfunction, independently of other vascular co-morbidity. DCM, accounting for 50%-80% deaths in patients, represents a worldwide problem human health related economics. Optimal glycemic control is not sufficient prevent which derives from remodeling geometrical changes, with both consequences critical events initially occurring at the cardiomyocyte level. Cardiac cells, under hyperglycemia, very early undergo metabolic abnormalities contribute T helper (Th)-driven inflammatory perturbation, behaving as immunoactive units capable releasing biomediators, such cytokines chemokines. This paper aims focus onto role cardiomyocytes, no longer considered "passive" targets but "active" participating dialogue between local systemic counterparts underlying DCM development maintenance. Some main biomolecular/metabolic/inflammatory processes triggered within cells by high glucose are overviewed; particular attention addressed chemokines, representing potential therapeutic prompt intervention when signs or symptoms manifesting yet. clinical management still challenge further translational investigations, including studies female/male cell level, warranted.

Language: Английский

Obesity and diabetes as high‐risk factors for severe coronavirus disease 2019 (Covid‐19) DOI Open Access
Yue Zhou, Jingwei Chi, Wenshan Lv

et al.

Diabetes/Metabolism Research and Reviews, Journal Year: 2020, Volume and Issue: 37(2)

Published: June 27, 2020

The outbreak of the coronavirus disease 2019 (Covid-19) has become an evolving worldwide health crisis. With rising prevalence obesity and diabetes come increasing awareness their impacts on infectious diseases, including increased risk for various infections, post-infection complications mortality from critical infections. Although epidemiological clinical characteristics Covid-19 have been constantly reported, no article systematically illustrated role in Covid-19, or how affects diabetes, special treatment these at-risk populations. Here, we present a synthesis recent advances our understanding relationships between obesity, along with underlying mechanisms, provide guidance

Language: Английский

Citations

470

Role of innate and adaptive immunity in obesity-associated metabolic disease DOI Open Access
Tracey McLaughlin,

Shelley E. Ackerman,

Lei Shen

et al.

Journal of Clinical Investigation, Journal Year: 2017, Volume and Issue: 127(1), P. 5 - 13

Published: Jan. 2, 2017

Chronic inflammation in adipose tissue, possibly related to cell hypertrophy, hypoxia, and/or intestinal leakage of bacteria and their metabolic products, likely plays a critical role the development obesity-associated insulin resistance (IR). Cells both innate adaptive immune system residing tissues, as well intestine, participate this process. Thus, M1 macrophages, IFN-γ-secreting Th1 cells, CD8+ T B cells promote IR, part through secretion proinflammatory cytokines. Conversely, eosinophils, Th2 type 2 lymphoid Foxp3+ Tregs protect against IR local control inflammation.

Language: Английский

Citations

400

Obesity and type 2 diabetes mellitus drive immune dysfunction, infection development, and sepsis mortality DOI

Lynn M. Frydrych,

Guowu Bian,

David E O’Lone

et al.

Journal of Leukocyte Biology, Journal Year: 2018, Volume and Issue: 104(3), P. 525 - 534

Published: Aug. 1, 2018

Abstract Obesity and type 2 diabetes mellitus (T2D) are global pandemics. Worldwide, the prevalence of obesity has nearly tripled since 1975 T2D almost doubled 1980. Both indolent chronic diseases that develop gradually, with cellular physiologic changes occurring before clinical signs symptoms become apparent. Individuals physiologically frail have an increased risk infections mortality from sepsis. Improvement in morbidity these at-risk populations would provide a great societal benefit. We believe worsened outcomes observed patient is due to immune system dysfunction triggered by low-grade inflammation present both diseases. As modulatory therapies been utilized other inflammatory diseases, there emerging role for target chronically affected pathways obese patients. Additionally, bariatric surgery currently most successful treatment only weight loss method also causes sustained, substantial improvement T2D. Consequently, may improving immunity populations. Review on how impact lead poor after loss.

Language: Английский

Citations

256

The Role of the Microbial Metabolites Including Tryptophan Catabolites and Short Chain Fatty Acids in the Pathophysiology of Immune-Inflammatory and Neuroimmune Disease DOI
Gerwyn Morris, Michael Berk, André F. Carvalho

et al.

Molecular Neurobiology, Journal Year: 2016, Volume and Issue: 54(6), P. 4432 - 4451

Published: June 27, 2016

Language: Английский

Citations

248

Immunity and inflammation in diabetic kidney disease: translating mechanisms to biomarkers and treatment targets DOI Open Access
Raimund Pichler, Maryam Afkarian, Brad P. Dieter

et al.

AJP Renal Physiology, Journal Year: 2016, Volume and Issue: 312(4), P. F716 - F731

Published: Aug. 25, 2016

Increasing incidences of obesity and diabetes have made diabetic kidney disease (DKD) the leading cause chronic end-stage renal worldwide. Despite current pharmacological treatments, including strategies for optimizing glycemic control inhibitors renin-angiotensin system, DKD still makes up almost one-half all cases in United States. Compelling mounting evidence has clearly demonstrated that immunity inflammation play a paramount role pathogenesis DKD. This article reviews involvement immune system identifies important roles key inflammatory mediators. One most recently identified biomarkers is serum amyloid A, which appears to be relatively specific Novel evolving treatment approaches target protein kinases, transcription factors, chemokines, adhesion molecules, growth advanced glycation end-products, other molecules. beginning new era understanding DKD, we may finally reached tipping point our fight against growing burden

Language: Английский

Citations

226

High Glucose Intake Exacerbates Autoimmunity through Reactive-Oxygen-Species-Mediated TGF-β Cytokine Activation DOI Creative Commons
Dunfang Zhang, Wenwen Jin, Ruiqing Wu

et al.

Immunity, Journal Year: 2019, Volume and Issue: 51(4), P. 671 - 681.e5

Published: Aug. 23, 2019

Language: Английский

Citations

212

Role of T Lymphocytes in Type 2 Diabetes and Diabetes-Associated Inflammation DOI Creative Commons
Chang Xia, Xiaoquan Rao, Jixin Zhong

et al.

Journal of Diabetes Research, Journal Year: 2017, Volume and Issue: 2017, P. 1 - 6

Published: Jan. 1, 2017

Although a critical role of adaptive immune system has been confirmed in driving local and systemic inflammation type 2 diabetes promoting insulin resistance, the underlying mechanism is not completely understood. Inflammatory regulation focused on innate immunity especially macrophage for long time, while increasing evidence suggests T cells are crucial development metabolic resistance since 2009. There was growing supporting implication pathogenesis diabetes. We will discuss available effect subsets associated with procession T2DM, which may unveil several potential strategies that could provide successful therapies future.

Language: Английский

Citations

207

The Differential Roles of T Cells in Non-alcoholic Fatty Liver Disease and Obesity DOI Creative Commons

Mikhaïl A. Van Herck,

Jonas Weyler, Wilhelmus J. Kwanten

et al.

Frontiers in Immunology, Journal Year: 2019, Volume and Issue: 10

Published: Feb. 5, 2019

Non-alcoholic fatty liver disease (NAFLD) constitutes a spectrum of states characterized by hepatic steatosis and is closely associated to obesity the metabolic syndrome. In non-alcoholic steatohepatitis (NASH), additionally, inflammatory changes hepatocellular damage are present, representing more severe condition, for which treatment an unmet medical need. Pathophysiologically, immune system one main drivers NAFLD progression other obesity-related comorbidities, both innate adaptive involved. T cells form cellular component consist multiple differentially active subsets, i.e., helper (Th) cells, regulatory (Treg) cytotoxic (Tc) as well several T-cell subsets. This review focuses on role these subsets in pathogenesis NAFLD, association with type 2 diabetes mellitus, reviewing available evidence from animal human studies. Briefly, Th1, Th2, Th17, Th22 seem have attenuating effect adiposity. Th22, Treg decrease insulin resistance, whereas Tc aggravating effect. Concerning appear overall tempering effect, Th17 induce fibrosis progression. The regarding controversial warrants further exploration.

Language: Английский

Citations

207

The Alterations in and the Role of the Th17/Treg Balance in Metabolic Diseases DOI Creative Commons
Siwen Zhang, Xiaokun Gang, Shuo Yang

et al.

Frontiers in Immunology, Journal Year: 2021, Volume and Issue: 12

Published: July 12, 2021

Chronic inflammation plays an important role in the development of metabolic diseases. These include obesity, type 2 diabetes mellitus, and dysfunction-associated fatty liver disease. The proinflammatory environment maintained by innate immunity, including macrophages related cytokines, can be influenced adaptive immunity. function T helper 17 (Th17) regulatory (Treg) cells this process has attracted attention. Th17/Treg balance is regulated inflammatory cytokines various factors, those associated with cellular energy metabolism. possible underlying mechanisms metabolism-related signaling pathways epigenetic regulation. Several studies conducted on human animal models have shown marked differences roles chronic obesity Moreover, seems to a bridge linking gut microbiota host disorders. In review, we provided overview alterations functions diseases its regulating immune response-related glucose lipid

Language: Английский

Citations

135

Virus Infections and Host Metabolism—Can We Manage the Interactions? DOI Creative Commons
Deepak Sumbria, Engin Berber,

Manikannan Mathayan

et al.

Frontiers in Immunology, Journal Year: 2021, Volume and Issue: 11

Published: Feb. 3, 2021

When viruses infect cells, they almost invariably cause metabolic changes in the infected cell as well several host types that react to infection. Such provide potential targets for therapeutic approaches could reduce impact of Several examples are discussed this review, which include effects on energy metabolism, glutaminolysis and fatty acid metabolism. The response immune system also involves manipulating these may change outcome This changing status herpesviruses infections from productive latency. consequences viral coronavirus disease 2019 (COVID-19), differ patients with problems, such diabetes mellitus (DM), obesity, endocrine diseases. Nutrition affect pattern events following infection human experimental animal diseases mechanisms involved discussed. Finally, we discuss so far few published reports have manipulated in-vivo virus topic is expected expand relevance an approach used alone or combination other therapies shape nature induced

Language: Английский

Citations

116