PMID- 27610390 OWN - NLM STAT- MEDLINE DCOM- 20170606 LR - 20190723 IS - 2314-6753 (Electronic) IS - 2314-6745 (Print) VI - 2016 DP - 2016 TI - Metainflammation in Diabetic Coronary Artery Disease: Emerging Role of Innate and Adaptive Immune Responses. PG - 6264149 LID - 10.1155/2016/6264149 [doi] LID - 6264149 AB - Globally, noncommunicable chronic diseases such as Type-2 Diabetes Mellitus (T2DM) and Coronary Artery Disease (CAD) are posing a major threat to the world. T2DM is known to potentiate CAD which had led to the coining of a new clinical entity named diabetic CAD (DM-CAD), leading to excessive morbidity and mortality. The synergistic interaction between these two comorbidities is through sterile inflammation which is now being addressed as metabolic inflammation or metainflammation, which plays a pivotal role during both early and late stages of T2DM and also serves as a link between T2DM and CAD. This review summarises the current concepts on the role played by both innate and adaptive immune responses in setting up metainflammation in DM-CAD. More specifically, the role played by innate pattern recognition receptors (PRRs) like Toll-like receptors (TLRs), NOD1-like receptors (NLRs), Rig-1-like receptors (RLRs), and C-type lectin like receptors (CLRs) and metabolic endotoxemia in fuelling metainflammation in DM-CAD would be discussed. Further, the role played by adaptive immune cells (Th1, Th2, Th17, and Th9 cells) in fuelling metainflammation in DM-CAD will also be discussed. FAU - Aravindhan, Vivekanandhan AU - Aravindhan V AUID- ORCID: 0000-0002-5639-4948 AD - Department of Genetics, Dr. ALM. PG. IBMS, University of Madras, Chennai 600113, India. FAU - Madhumitha, Haridoss AU - Madhumitha H AD - AU-KBC Research Centre, MIT Campus of Anna University, Chennai 600044, India. LA - eng PT - Journal Article PT - Review DEP - 20160816 PL - England TA - J Diabetes Res JT - Journal of diabetes research JID - 101605237 RN - 0 (Lectins, C-Type) RN - 0 (NLR Proteins) RN - 0 (Receptors, Pattern Recognition) RN - 0 (Toll-Like Receptors) RN - EC 3.6.4.13 (DEAD Box Protein 58) SB - IM MH - Adaptive Immunity/*immunology MH - Coronary Artery Disease/etiology/*immunology MH - DEAD Box Protein 58/immunology MH - Diabetes Mellitus, Type 2/complications/*immunology MH - Humans MH - Immunity, Innate/*immunology MH - Inflammation/*immunology MH - Lectins, C-Type/immunology MH - NLR Proteins/immunology MH - Receptors, Pattern Recognition/immunology MH - T-Lymphocytes/*immunology MH - Th1 Cells/immunology MH - Th17 Cells/immunology MH - Th2 Cells/immunology MH - Toll-Like Receptors/immunology PMC - PMC5004008 EDAT- 2016/09/10 06:00 MHDA- 2017/06/07 06:00 PMCR- 2016/08/16 CRDT- 2016/09/10 06:00 PHST- 2016/05/19 00:00 [received] PHST- 2016/07/19 00:00 [accepted] PHST- 2016/09/10 06:00 [entrez] PHST- 2016/09/10 06:00 [pubmed] PHST- 2017/06/07 06:00 [medline] PHST- 2016/08/16 00:00 [pmc-release] AID - 10.1155/2016/6264149 [doi] PST - ppublish SO - J Diabetes Res. 2016;2016:6264149. doi: 10.1155/2016/6264149. Epub 2016 Aug 16.