MHO or MUO? White adipose tissue remodeling

© 2024 World Obesity Federation..

In this review, we delve into the intricate relationship between white adipose tissue (WAT) remodeling and metabolic aspects in obesity, with a specific focus on individuals with metabolically healthy obesity (MHO) and metabolically unhealthy obesity (MUO). WAT is a highly heterogeneous, plastic, and dynamically secreting endocrine and immune organ. WAT remodeling plays a crucial role in metabolic health, involving expansion mode, microenvironment, phenotype, and distribution. In individuals with MHO, WAT remodeling is beneficial, reducing ectopic fat deposition and insulin resistance (IR) through mechanisms like increased adipocyte hyperplasia, anti-inflammatory microenvironment, appropriate extracellular matrix (ECM) remodeling, appropriate vascularization, enhanced WAT browning, and subcutaneous adipose tissue (SWAT) deposition. Conversely, for those with MUO, WAT remodeling leads to ectopic fat deposition and IR, causing metabolic dysregulation. This process involves adipocyte hypertrophy, disrupted vascularization, heightened pro-inflammatory microenvironment, enhanced brown adipose tissue (BAT) whitening, and accumulation of visceral adipose tissue (VWAT) deposition. The review underscores the pivotal importance of intervening in WAT remodeling to hinder the transition from MHO to MUO. This insight is valuable for tailoring personalized and effective management strategies for patients with obesity in clinical practice.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:25

Enthalten in:

Obesity reviews : an official journal of the International Association for the Study of Obesity - 25(2024), 4 vom: 17. März, Seite e13691

Sprache:

Englisch

Beteiligte Personen:

Zhao, Jing Yi [VerfasserIn]
Zhou, Li Juan [VerfasserIn]
Ma, Kai Le [VerfasserIn]
Hao, Rui [VerfasserIn]
Li, Min [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
MHO
MUO
Obesity
Review
WAT remodeling

Anmerkungen:

Date Completed 19.03.2024

Date Revised 19.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/obr.13691

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM366768166