肥胖引起的组织变化抵制体重减轻:一个机理性审查
Lucio Della Guardia1, Andrew C Shin2
1Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milano, Italy.
Diabetes, obesity & metabolism
|May 9, 2024
概括
肥胖会导致脂肪,肌肉和大脑的组织功能障碍,通过损害脂肪燃烧和增加能量节约来阻碍减肥. 这些适应使持续减肥变得具有挑战性.
科学领域:
- 代谢和腹部手术 代谢和腹部手术
- 肥胖医学 肥胖医学
- 生理学 生理学 生理学
背景情况:
- 控制体重的干预措施往往在控制肥胖方面取得有限的成功.
- 肥胖导致关键代谢组织的功能障碍,包括脂肪组织,骨肌肉和大脑.
- 这些功能障碍有助于实现和维持减肥的困难.
研究的目的:
- 审查肥胖引起的组织功能障碍阻碍减肥的机制.
- 探索白色脂肪组织 (WAT),棕色脂肪组织 (BAT),骨肌肉和大脑功能的改变如何促进脂肪保留.
主要方法:
- 对与肥胖相关的生理变化现有文献的综述.
- 分析脂肪组织,骨肌肉和大脑中的分子和细胞适应.
- 检查参与能量平衡和新陈代谢的信号通路.
主要成果:
- 肥胖会损害上腺体信号传递,并促进WAT纤维化,减少脂解和热生成.
- 骨肌肉表现出氧化能力降低和基质利用能力受损,由肉症加剧.
- 肥胖的下丘脑和条纹信号干扰会使人感到腹,并促进过度饮食和久坐行为.
结论:
- 肥胖引起的WAT,BAT,骨肌肉和大脑功能障碍显著阻碍有效减肥.
- 脂肪溶解受损,发热减少,肌肉代谢受损,以及大脑信号发生变化,都会导致脂肪保留.
- 针对这些组织特异性适应可能为肥胖治疗提供新的策略.
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