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Adipose Tissue Dysfunction in Obesity: Role of Mineralocorticoid Receptor
Mirko Parasiliti-Caprino1, Martina Bollati1, Fabio Dario Merlo2
1Endocrinology, Diabetes and Metabolism, Department of Medical Sciences, University of Turin, 10126 Turin, Italy.
Abstract:
The mineralocorticoid receptor (MR) acts as an essential regulator of blood pressure, volume status, and electrolyte balance. However, in recent decades, a growing body of evidence has suggested that MR may also have a role in mediating pro-inflammatory, pro-oxidative, and pro-fibrotic changes in several target organs, including the adipose tissue. The finding that MR is overexpressed in the adipose tissue of patients with obesity has led to the hypothesis that this receptor can contribute to adipokine dysregulation and low-grade chronic inflammation, alterations that are linked to the development of obesity-related metabolic and cardiovascular complications. Moreover, several studies in animal models have investigated the role of MR antagonists (MRAs) in preventing the metabolic alterations observed in obesity. In the present review we will focus on the potential mechanisms by which MR activation can contribute to adipose tissue dysfunction in obesity and on the possible beneficial effects of MRAs in this setting.
Insights
The mineralocorticoid receptor (MR) in adipose tissue contributes to obesity-related inflammation and complications. MR antagonists may offer therapeutic benefits by counteracting these detrimental effects.
Area of Science:
- Endocrinology
- Metabolic Syndrome
- Cardiovascular Disease
Background:
- The mineralocorticoid receptor (MR) is crucial for blood pressure and electrolyte balance.
- Emerging evidence links MR to inflammation, oxidative stress, and fibrosis in organs like adipose tissue.
- Overexpressed MR in obesity suggests a role in adipokine dysregulation and chronic inflammation.
Purpose of the Study:
- To review mechanisms of MR activation in adipose tissue dysfunction in obesity.
- To explore the potential benefits of MR antagonists (MRAs) in this context.
Main Methods:
- Literature review of studies on MR, obesity, and adipose tissue.
- Analysis of animal models investigating MRAs for metabolic alterations.
- Focus on mechanistic insights into MR's role in obesity-related adipose tissue changes.
Main Results:
- MR activation in adipose tissue is implicated in pro-inflammatory, pro-oxidative, and pro-fibrotic changes.
- Obesity is associated with MR overexpression in adipose tissue, contributing to metabolic dysfunction.
- MRAs have shown promise in animal models for preventing obesity-related metabolic disturbances.
Conclusions:
- MR plays a significant role in adipose tissue dysfunction and associated complications in obesity.
- MR antagonists represent a potential therapeutic strategy for managing obesity-related metabolic and cardiovascular issues.
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