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The immunometabolic network in obesity-associated insulin resistance: a systemic multi-organ and multi-cellular perspective - PubMed

5 hours ago
  • #Insulin Resistance
  • #Immunometabolism
  • #Obesity
  • Obesity is a global pandemic linked to chronic low-grade inflammation (meta-inflammation), leading to insulin resistance (IR), type 2 diabetes (T2DM), and cardiovascular issues.
  • The immunometabolic network involves multiple organs and immune cells (macrophages, T cells, B cells, neutrophils) in adipose tissue, liver, muscle, pancreatic islets, and the CNS.
  • Gut microbiota and metabolites influence systemic immune tone via the gut-liver and gut-brain axes.
  • Key molecular pathways include PI3K/AKT, MAPK, TLR4/NF-κB, NLRP3 inflammasome, and AMPK/mTOR signaling, along with extracellular vesicles (EVs) and chemokines.
  • Targeting the immunometabolic network offers therapeutic potential to restore metabolic homeostasis.