PMID- 37255816 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240423 IS - 2251-6581 (Print) IS - 2251-6581 (Electronic) IS - 2251-6581 (Linking) VI - 22 IP - 1 DP - 2023 Jun TI - Role of obesity related inflammation in pathogenesis of peripheral artery disease in patients of type 2 diabetes mellitus. PG - 175-188 LID - 10.1007/s40200-023-01221-5 [doi] AB - OBJECTIVE: Type 2 diabetes mellitus (T2DM) has emerged as one of the greatest global health challenges of twenty-first century. Visceral obesity is one of the most important determinant of insulin resistance (IR) as well as T2DM complications. Therefore this review focuses on the molecular mechanism of obesity induced inflammation, signaling pathways contributing to diabetes, as well as role of lifestyle interventions and medical therapies in the prevention and management of T2DM. METHOD: Articles were searched on digital data base PubMed, Cochrane Library, and Web of Science. The key words used for search included Type 2 diabetes mellitus, obesity, insulin resistance, vascular inflammation and peripheral arterial disease. RESULT: Visceral obesity is associated with chronic low grade inflammation and activation of immune systems which are involved in pathogenesis of obesity related IR and T2DM. CONCLUSION: Metabolic dysregulation of adipose tissue leads to local hypoxia, misfolded/unfolded protein response and increased circulating free fatty acids, which in turn initiate inflammatory signaling cascades in the population of infiltrating cells. Mechanism that relates the role of adipocytokines with insulin sensitivity and glucose homeostasis might throw a light on the development of therapeutic interventions and subsequently might result in the reduction of vascular complications. CI - (c) The Author(s), under exclusive licence to Tehran University of Medical Sciences 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. FAU - Yadav, Umashree AU - Yadav U AD - Department of Physiology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh 221005 India. GRID: grid.411507.6. ISNI: 0000 0001 2287 8816 FAU - Kumar, Nilesh AU - Kumar N AD - Department of General Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, 221005 India. GRID: grid.411507.6. ISNI: 0000 0001 2287 8816 FAU - Sarvottam, Kumar AU - Sarvottam K AUID- ORCID: 0000-0003-1511-2120 AD - Department of Physiology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh 221005 India. GRID: grid.411507.6. ISNI: 0000 0001 2287 8816 LA - eng PT - Journal Article PT - Review DEP - 20230422 PL - Switzerland TA - J Diabetes Metab Disord JT - Journal of diabetes and metabolic disorders JID - 101590741 PMC - PMC10225462 OTO - NOTNLM OT - Insulin resistance OT - Obesity OT - Peripheral arterial disease OT - Type 2 diabetes mellitus OT - Vascular inflammation COIS- Conflict of InterestThere is no conflict of Interest. EDAT- 2023/05/31 13:12 MHDA- 2023/05/31 13:13 PMCR- 2024/04/22 CRDT- 2023/05/31 10:29 PHST- 2023/01/09 00:00 [received] PHST- 2023/03/29 00:00 [accepted] PHST- 2023/05/31 13:13 [medline] PHST- 2023/05/31 13:12 [pubmed] PHST- 2023/05/31 10:29 [entrez] PHST- 2024/04/22 00:00 [pmc-release] AID - 1221 [pii] AID - 10.1007/s40200-023-01221-5 [doi] PST - epublish SO - J Diabetes Metab Disord. 2023 Apr 22;22(1):175-188. doi: 10.1007/s40200-023-01221-5. eCollection 2023 Jun.