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Regulation of visceral and epicardial adipose tissue for preventing cardiovascular injuries associated to obesity and diabetes

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APA

González, N. & Moreno Villegas, Z. & González Bris, A. & Egido, J. & Lorenzo, Ó. (2017 ) .Regulation of visceral and epicardial adipose tissue for preventing cardiovascular injuries associated to obesity and diabetes.

ISO 690

González, N. & Moreno Villegas, Z. & González Bris, A. & Egido, J. & Lorenzo, Ó.. 2017 .Regulation of visceral and epicardial adipose tissue for preventing cardiovascular injuries associated to obesity and diabetes.

https://hdl.handle.net/20.500.12080/39464
dc.contributor.author González, N.
dc.contributor.author Moreno Villegas, Z.
dc.contributor.author González Bris, A.
dc.contributor.author Egido, J.
dc.contributor.author Lorenzo, Ó.
dc.date.accessioned 2024-02-01T18:18:43Z
dc.date.available 2024-02-01T18:18:43Z
dc.date.created 2017
dc.date.issued 2017
dc.identifier.uri https://hdl.handle.net/20.500.12080/39464
dc.description.abstract Nowadays, obesity is seriously increasing in most of the populations all over the world, and is associated with the development and progression of high-mortality diseases such as type-2 diabetes mellitus (T2DM) and its subsequent cardiovascular pathologies. Recent data suggest that both body fat distribution and adipocyte phenotype, can be more determinant for fatal outcomes in obese patients than increased general adiposity. In particular, visceral adipos¿ ity is significantly linked to long term alterations on different cardiac structures, and in developed forms of myocardial diseases such as hypertensive and ischaemic heart diseases, and diabetic cardiomyopathy. Interestingly, this depot may be also related to epicardial fat accumulation through secretion of lipids, adipokines, and pro-inflammatory and oxidative factors from adipocytes. Thus, visceral adiposity and its white single-lipid-like adipocytes, are risk factors for different forms of heart disease and heart failure, mainly in higher degree obese subjects. However, under specific stimuli, some of these adipocytes can transdifferentiate to brown multi-mitochondrial-like adipocytes with anti inflammatory and anti-apoptotic proprieties. Accordingly, in order to improve potential cardiovascular abnormalities in obese and T2DM patients, several therapeutic strategies have been addressed to modulate the visceral and epicar¿ dial fat volume and phenotypes. In addition to lifestyle modifications, specific genetic manipulations in adipose tissue and administration of PPAR¿ agonists or statins, have improved fat volume and phenotype, and cardiovascular failures. Furthermore, incretin stimulation reduced visceral and epicardial fat thickness whereas increased formation of brown adipocytes, alleviating insulin resistance and associated cardiovascular pathologies. Keywords: Visceral adipose tissue, Epicardial adipose tissue, WAT, BAT, PPAR¿, Statin, Incretin es_ES
dc.format application/pdf es_ES
dc.language eng es_ES
dc.rights CC-BY es_ES
dc.rights.uri http://creativecommons.org/licenses/by/4.0/deed.es es_ES
dc.title Regulation of visceral and epicardial adipose tissue for preventing cardiovascular injuries associated to obesity and diabetes es_ES
dc.type info:eu-repo/semantics/article es_ES
dc.rights.accessrights info:eu-repo/semantics/openAccess es_ES
dc.identifier.location N/A es_ES


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