Innate immunity, insulin resistance and type 2 diabetes

被引:152
作者
Fernandez-Real, Jose Manuel [1 ,2 ]
Pickup, John C. [3 ,4 ]
机构
[1] Univ Hosp Girona Dr Josep Trueta, Girona 17007, Spain
[2] CIBER Fisiopatol Obesidad, Girona 17007, Spain
[3] Kings Coll London, London Sch Med, Guys Hosp, Metab Unit, London SE1 9RT, England
[4] Kings Coll London, London Sch Med, Guys Hosp, Dept Diabet Endocrinol & Nutr, London SE1 9RT, England
关键词
D O I
10.1016/j.tem.2007.10.004
中图分类号
R5 [内科学];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
Recent evidence has disclosed previously unrecognized links among insulin resistance, obesity, circulating immune markers, immunogenetic susceptibility, macrophage function and chronic infection.. Genetic variations leading to altered production or function of circulating innate immune proteins, cellular pattern-recognition receptors and inflammatory cytokines have been linked with insulin resistance, type 2 diabetes, obesity and atherosclerosis. Cellular innate immune associations with obesity and insulin resistance include increased white blood cell count and adipose tissue macrophage numbers. The innate immune response is modulated possibly by both predisposition (genetic or fetal programming), perhaps owing to evolutionary pressures caused by acute infections at the population level (pandemics), and chronic low exposure to environmental products or infectious agents. The common characteristics shared among innate immunity activation, obesity and insulin resistance are summarized.
引用
收藏
页码:10 / 16
页数:7
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