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.

Nutrients
|November 26, 2022
PubMed

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.

Related Concept Videos

Insulin: The Receptor and Signaling Pathways01:28

Insulin: The Receptor and Signaling Pathways

Insulin action is mediated through a receptor tyrosine kinase, akin to the IGF-1 receptor. The number of receptors per cell varies significantly, from 40 on erythrocytes to 300,000 on adipocytes and hepatocytes. The insulin receptor consists of linked α/β subunit dimers, forming a heterotetramer glycoprotein with two extracellular α subunits and two β subunits spanning the membrane. The α subunits inhibit the inherent tyrosine kinase activity of the β subunits, but...
1.4K
Obesity01:24

Obesity

The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
579
Adrenergic Receptors: β Subtype01:26

Adrenergic Receptors: β Subtype

β-adrenoceptors have varied sensitivities towards adrenaline, noradrenaline, and isoprenaline. The order of agonist potency is as follows:
Isoprenaline > Adrenaline > Noradrenaline
Neurotransmitter binding to these receptors causes activation of adenylyl cyclase resulting in increased concentrations of cAMP and modulation of calcium ion channels within the cell. They are further classified into β1, β2, and β3 subtypes.
β1-adrenoceptors: β1-adrenoceptors...
1.8K
Hormones of the Adrenal Glands01:31

Hormones of the Adrenal Glands

Adrenal hormones play a pivotal role in maintaining the body's electrolyte balance and orchestrating responses to stress, showcasing the intricate functions of the adrenal cortex and medulla.
The adrenal cortex, a powerhouse of hormone synthesis, generates over two dozen corticosteroid hormones. The zona glomerulosa produces mineralocorticoids, exemplified by aldosterone, influencing the electrolyte composition of body fluids. The synthesis of glucocorticoids such as cortisol and...
2.7K
cAMP-dependent Protein Kinase Pathways01:25

cAMP-dependent Protein Kinase Pathways

Cyclic Adenosine Monophosphate (cAMP) is an essential second messenger that activates protein kinase A (PKA) and regulates various biological processes. A single epinephrine molecule binds to GPCR and activates several heterotrimeric G proteins, each stimulating multiple adenylyl cyclase, amplifying the signal, and synthesizing large numbers of cAMP molecules. Small changes in cAMP concentration affect PKA activity. The binding of four cAMP molecules induces a conformational change in PKA,...
6.5K
Transducer Mechanism: Nuclear Receptors01:31

Transducer Mechanism: Nuclear Receptors

Nuclear receptors, or NRs, are unique transcription factors that regulate gene transcription and affect the cellular pathways involved in reproduction, development, or metabolism. Their ability to be stimulated by small lipophilic ligands and control vital cellular processes makes them ideal drug targets. Nearly 10-15% of currently prescribed drugs target these receptors.
About 48 different soluble family members of nuclear receptors are identified that can be divided into two main classes:
1.5K