Obesity, inflammation, and the gut microbiota.

Autor: Cox AJ; Molecular Basis of Disease, Griffith University, Southport, Brisbane, QLD, Australia; Heart Foundation Research Centre, Griffith University, Southport, Brisbane, QLD, Australia; Griffith Health Institute, and School of Medical Science, Griffith University, Southport, Brisbane, QLD, Australia. Electronic address: a.cox@griffith.edu.au., West NP; Molecular Basis of Disease, Griffith University, Southport, Brisbane, QLD, Australia; Griffith Health Institute, and School of Medical Science, Griffith University, Southport, Brisbane, QLD, Australia., Cripps AW; Molecular Basis of Disease, Griffith University, Southport, Brisbane, QLD, Australia; Griffith Health Institute, and School of Medical Science, Griffith University, Southport, Brisbane, QLD, Australia.
Jazyk: angličtina
Zdroj: The lancet. Diabetes & endocrinology [Lancet Diabetes Endocrinol] 2015 Mar; Vol. 3 (3), pp. 207-15. Date of Electronic Publication: 2014 Jul 22.
DOI: 10.1016/S2213-8587(14)70134-2
Abstrakt: As the prevalence of obesity and associated disease continues to rise and concerns for the spiralling economic and social costs also escalate, innovative management strategies beyond primary prevention and traditional lifestyle interventions are urgently needed. The biological basis of disease is one avenue for further exploration in this context. Several key inflammatory markers have been consistently associated with both obesity and risk of adverse outcomes in obesity-associated diseases, which suggests that a persistent, low-grade, inflammatory response is a potentially modifiable risk factor. In this Review, we provide evidence supporting perturbation of the intestinal microbiota and changes in intestinal permeability as potential triggers of inflammation in obesity. Further characterisation of the mechanisms underpinning the triggers of such inflammatory responses in overweight and obese individuals could offer unique opportunities for intervention strategies to help ameliorate the risk of obesity-associated disease.
(Copyright © 2015 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE