PMID- 23653857 OWN - NLM STAT- MEDLINE DCOM- 20130726 LR - 20220317 IS - 2090-0716 (Electronic) IS - 2090-0708 (Print) IS - 2090-0708 (Linking) VI - 2013 DP - 2013 TI - Adipose tissue dysfunction in nascent metabolic syndrome. PG - 393192 LID - 10.1155/2013/393192 [doi] LID - 393192 AB - The metabolic syndrome (MetS) confers an increased risk for both type 2 diabetes mellitus (T2DM) and cardiovascular disease (CVD). Moreover, studies on adipose tissue biology in nascent MetS uncomplicated by T2DM and/or CVD are scanty. Recently, we demonstrated that adipose tissue dysregulation and aberrant adipokine secretion contribute towards the syndrome's low-grade chronic proinflammatory state and insulin resistance. Specifically, we have made the novel observation that subcutaneous adipose tissue (SAT) in subjects with nascent MetS has increased macrophage recruitment with cardinal crown-like structures. We have also shown that subjects with nascent MetS have increased the levels of SAT-secreted adipokines (IL-1, IL-6, IL-8, leptin, RBP-4, CRP, SAA, PAI-1, MCP-1, and chemerin) and plasma adipokines (IL-1, IL-6, leptin, RBP-4, CRP, SAA, and chemerin), as well as decreased levels of plasma adiponectin and both plasma and SAT omentin-1. The majority of these abnormalities persisted following correction for increased adiposity. Our data, as well as data from other investigators, thus, highlight the importance of subcutaneous adipose tissue dysfunction in subjects with MetS and its contribution to the proinflammatory state and insulin resistance. This adipokine profile may contribute to increased insulin resistance and low-grade inflammation, promoting the increased risk of T2DM and CVD. FAU - Bremer, Andrew A AU - Bremer AA AD - Department of Pediatrics, Vanderbilt University, Nashville, TN 37232-9170, USA. FAU - Jialal, Ishwarlal AU - Jialal I LA - eng GR - KL2 RR024144/RR/NCRR NIH HHS/United States GR - UL1 RR024146/RR/NCRR NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20130404 PL - United States TA - J Obes JT - Journal of obesity JID - 101526295 RN - 0 (Adipokines) SB - IM MH - Adipokines/blood/metabolism MH - Adipose Tissue/*physiopathology MH - Cardiovascular Diseases MH - Diabetes Mellitus, Type 2 MH - Humans MH - Inflammation MH - Insulin Resistance MH - Metabolic Syndrome/*physiopathology MH - Subcutaneous Fat/physiopathology PMC - PMC3638696 EDAT- 2013/05/09 06:00 MHDA- 2013/07/28 06:00 PMCR- 2013/04/04 CRDT- 2013/05/09 06:00 PHST- 2013/01/26 00:00 [received] PHST- 2013/02/14 00:00 [accepted] PHST- 2013/05/09 06:00 [entrez] PHST- 2013/05/09 06:00 [pubmed] PHST- 2013/07/28 06:00 [medline] PHST- 2013/04/04 00:00 [pmc-release] AID - 10.1155/2013/393192 [doi] PST - ppublish SO - J Obes. 2013;2013:393192. doi: 10.1155/2013/393192. Epub 2013 Apr 4.