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Chronic diseases and inflammation. There is a close relationship between the accumulation of adipose tissue and chronic diseases such as obesity, hypertension, diabetes, coronary artery disease, stroke, and metabolic syndrome. Adipokines such as resistin, visfatin, and TNF- are secreted by WAT in obese individuals, and these molecules may promote insulin resistance, affect the lipolytic activity of the adipose tissue, and promote the secretion of other inflammatory mediators (such as IL-6, interferon (IFN-), and c-reactive protein (CRP)) that contribute to the low-grade systemic inflammation (SLE) observed in patients with obesity and metabolic syndrome.
The main function of white adipose tissue (WAT) is the storage of energy as triglycerides, but the WAT secretes many other bioactive molecules, which have important functions in the regulation of immune and neuroendocrine responses.
Adipose tissue and inflammatory bowel disease (IBD). Obesity is very common in patients with inflammatory bowel disease (IBD), and it is associated with poor clinical outcomes. The expansion of the WAT is an important player in the pathogenesis of colonic inflammation in these patients. The release of adipokines such as adiponectin, IL-6, leptin, and TNF- in patients with IBD is higher than in healthy controls; the secretion of these molecules may contribute to the progressive loss of colonic epithelium and colonic inflammation. Moreover, adiponectin receptors are downregulated in the colon of patients with IBD, which might contribute to the pathogenesis of this disease.
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