Implications of Pericardial, Visceral and Subcutaneous Adipose Tissue on Vascular Inflammation Measured Using
Ho Cheol Hong1, Soon Young Hwang2, Soyeon Park3
1Division of Endocrinology and Metabolism, Department of Internal Medicine, College of Medicine, Korea University, Seoul, Korea.
Insights
Pericardial adipose tissue (PAT) and abdominal visceral fat (VFA) are similarly linked to vascular inflammation and cardiometabolic risks. Subcutaneous fat (SFA) shows a weaker association, highlighting PAT and VFA as key indicators.
Area of Science:
- Cardiovascular Disease Research
- Metabolic Syndrome Studies
- Adipose Tissue Biology
Background:
- Pericardial adipose tissue (PAT) is linked to adverse cardiometabolic risk factors and cardiovascular disease (CVD).
- The comparative impact of PAT, abdominal visceral adipose tissue (VFA), and subcutaneous adipose tissue (SFA) on vascular inflammation remains underexplored.
Purpose of the Study:
- To investigate the distinct associations of PAT, VFA, and SFA with vascular inflammation.
- To compare the relationship between different adipose depots and cardiometabolic risk profiles.
Main Methods:
- Utilized 18F-Fluorodeoxyglucose Positron Emission Tomography (18FDG-PET) to measure vascular inflammation via target-to-background ratio (TBR).
- Assessed PAT, VFA, and SFA in 93 individuals without diabetes or CVD.
- Performed age- and sex-adjusted correlation analyses.
Main Results:
- PAT, VFA, and SFA correlated positively with most cardiometabolic risk factors (e.g., blood pressure, LDL-cholesterol, glucose, hsCRP) and negatively with HDL-cholesterol.
- Maximum TBR (maxTBR) showed significant positive correlations with PAT (r=0.48) and VFA (r=0.45).
- SFA exhibited a weaker positive association with maxTBR (r=0.31).
Conclusions:
- Both PAT and VFA are significantly associated with vascular inflammation.
- PAT and VFA demonstrate similar associations with vascular inflammation and cardiometabolic risk profiles.
- These findings underscore the importance of pericardial and visceral fat in cardiovascular health.
Objective:
Pericardial adipose tissue (PAT) is associated with adverse cardiometabolic risk factors and cardiovascular disease (CVD). However, the relative implications of PAT, abdominal visceral and subcutaneous adipose tissue on vascular inflammation have not been explored.
Method And Results:
We compared the association of PAT, abdominal visceral fat area (VFA), and subcutaneous fat area (SFA) with vascular inflammation, represented as the target-to-background ratio (TBR), the blood-normalized standardized uptake value measured using 18F-Fluorodeoxyglucose Positron Emission Tomography (18FDG-PET) in 93 men and women without diabetes or CVD. Age- and sex-adjusted correlation analysis showed that PAT, VFA, and SFA were positively associated with most cardiometabolic risk factors, including systolic blood pressure, LDL-cholesterol, triglycerides, glucose, insulin resistance and high sensitive C-reactive proteins (hsCRP), whereas they were negatively associated with HDL-cholesterol. In particular, the maximum TBR (maxTBR) values were positively correlated with PAT and VFA (r = 0.48 and r = 0.45, respectively; both P <0.001), whereas SFA showed a relatively weak positive relationship with maxTBR level (r = 0.31, P = 0.003).
Conclusion:
This study demonstrated that both PAT and VFA are significantly and similarly associated with vascular inflammation and various cardiometabolic risk profiles.
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