PMID- 26650242 OWN - NLM STAT- Publisher LR - 20191120 IS - 1475-2700 (Electronic) IS - 0954-4224 (Linking) VI - 28 IP - 2 DP - 2015 Dec TI - Obesity and diabetes: the link between adipose tissue dysfunction and glucose homeostasis. PG - 121-132 AB - Obesity and type 2 diabetes mellitus (T2DM) epidemics, which have already spread, imply the possibility of both conditions being closely related. Thus, the goal of the present review was to draw a parallel between obesity, adipose tissue (AT) changes, and T2DM development. To this end, a search was conducted in PubMed, MEDLINE and SciELO databases, using the following key words and their combinations: obesity; diabetes; insulin resistance; diet; weight loss; adipocin; inflammation markers; and interleukins. Based on a literature review, AT dysfunction observed in obesity is characterised by adipocyte hypertrophy, macrophage infiltration, impaired insulin signalling and insulin resistance. In addition, there is release of inflammatory adipokines and an excessive amount of NEFA promoting ectopic fat deposition and lipotoxicity in muscle, liver and pancreas. Recent evidence supports the hypothesis that the conception of AT as a passive energy storage organ should be replaced by a dynamic endocrine organ, which regulates metabolism through a complex adipocyte communication with the surrounding microenvironment. The present review demonstrates how glucose homeostasis is changed by AT dysfunction. A better understanding of this relationship enables performing nutritional intervention strategies with the goal of preventing T2DM. FAU - Abranches, Monise Viana AU - Abranches MV AD - 1Instituto de Ciencias Biologicas e da Saude,Universidade Federal de Vicosa Campus de Rio Paranaiba,Rodovia MG-230 - Km 7,Rio Paranaiba,MG, 38810-000,Brazil. FAU - Oliveira, Fernanda Cristina Esteves de AU - Oliveira FC AD - 2Departamento de Enfermagem, Faculdade de Ciencias Sociais Aplicadas de Sinop,Sinop,MT, 78550-000,Brazil. FAU - Conceicao, Lisiane Lopes da AU - Conceicao LL AD - 3Departamento de Nutricao e Saude,Universidade Federal de Vicosa,Campus Universitario,Edificio Centro de Ciencias Biologicas II,s/n,Vicosa,MG, 36571-900,Brazil. FAU - Peluzio, Maria do Carmo Gouveia AU - Peluzio MD AD - 3Departamento de Nutricao e Saude,Universidade Federal de Vicosa,Campus Universitario,Edificio Centro de Ciencias Biologicas II,s/n,Vicosa,MG, 36571-900,Brazil. LA - eng PT - Journal Article PL - England TA - Nutr Res Rev JT - Nutrition research reviews JID - 9113797 OTO - NOTNLM OT - AT adipose tissue OT - LPL lipoprotein lipase OT - MCP-1 monocyte chemotactic protein-1 OT - PAI-1 plasminogen activator inhibitor-1 OT - T2DM type 2 diabetes mellitus OT - TZD thiazolidinediones OT - Fat deposition OT - Inflammation OT - Obesity OT - Type 2 diabetes mellitus EDAT- 2015/12/10 06:00 MHDA- 2015/12/10 06:00 CRDT- 2015/12/10 06:00 PHST- 2015/12/10 06:00 [entrez] PHST- 2015/12/10 06:00 [pubmed] PHST- 2015/12/10 06:00 [medline] AID - S0954422415000098 [pii] AID - 10.1017/S0954422415000098 [doi] PST - ppublish SO - Nutr Res Rev. 2015 Dec;28(2):121-132. doi: 10.1017/S0954422415000098.