Obesity:: an endocrine tumor?

被引:36
作者
Dizdar, Ö
Alyamaç, E
机构
[1] Hacettepe Univ, Sch Med, Dept Internal Med, Ankara, Turkey
[2] Hacettepe Univ, Sch Med, Dept Pediat, Ankara, Turkey
关键词
D O I
10.1016/j.mehy.2004.01.046
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Obesity is one of the most common disorders in clinical practice. The prevalance of obesity has increased by more than 60% since 1990. Adipose tissue acts as an endocrine organ secreting many factors into the blood, known as adipokines, including leptin, adipsin, acytation-stimulating protein, adiponectin, etc. This article examines the hypothesis that obesity may be evaluated as an endocrine tumor, regarding its genetic basis, hyperplasia and hypertrophy of adipocytes, neovascularisation within the adipose tissue associated with growth, and beneficisal metabolic effects of surgical removal of excess adipose tissue by liposuction. Assuming obesity as an endocrine tumor may bring out new treatment modalities. Liposuction as "cytoreductive surgery", antiangiogenic teraphy or antineoplastic drugs may be important components of obesity treatment in future. (C) 2004 Elsevier Ltd. All rights reserved.
引用
收藏
页码:790 / 792
页数:3
相关论文
共 11 条
[1]   Annual deaths attributable to obesity in the United States [J].
Allison, DB ;
Fontaine, KR ;
Manson, JE ;
Stevens, J ;
VanItallie, TB .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 282 (16) :1530-1538
[2]   Large-volume circumferential liposuction with tumescent technique:: A sure and viable procedure [J].
Cárdenas-Camarena, L ;
Tobar-Losada, A ;
Lacouture, AM .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1999, 104 (06) :1887-1899
[3]   Improvements in cardiovascular risk profile with large-volume liposuction: A pilot study [J].
Giese, SY ;
Bulan, EJ ;
Commons, GW ;
Spear, SL ;
Yanovski, JA .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2001, 108 (02) :510-519
[4]   The effects of surgically removing subcutaneous fat on the metabolic profile and insulin sensitivity in obese women after large-volume liposuction treatment [J].
González-Ortiz, M ;
Robles-Cervantes, JA ;
Cárdenas-Camarena, L ;
Bustos-Saldaña, R ;
Martínez-Abundis, E .
HORMONE AND METABOLIC RESEARCH, 2002, 34 (08) :446-449
[5]   Adipocyte differentiation: From fibroblast to endocrine cell [J].
Gregoire, FM .
EXPERIMENTAL BIOLOGY AND MEDICINE, 2001, 226 (11) :997-1002
[6]  
Hausman D B, 2001, Obes Rev, V2, P239, DOI 10.1046/j.1467-789X.2001.00042.x
[7]   Obesity - is it a genetic disorder? [J].
Loos, RJF ;
Bouchard, C .
JOURNAL OF INTERNAL MEDICINE, 2003, 254 (05) :401-425
[8]   The continuing epidemics of obesity and diabetes in the United States [J].
Mokdad, AH ;
Bowman, BA ;
Ford, ES ;
Vinicor, F ;
Marks, JS ;
Koplan, JP .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2001, 286 (10) :1195-1200
[9]   MEDICAL HAZARDS OF OBESITY [J].
PISUNYER, FX .
ANNALS OF INTERNAL MEDICINE, 1993, 119 (07) :655-660
[10]   Minireview: The adipocyte - At the crossroads of energy homeostasis, inflammation, and atherosclerosis [J].
Rajala, MW ;
Scherer, PE .
ENDOCRINOLOGY, 2003, 144 (09) :3765-3773