Perivascular adipose tissue: a central player in the triad of diabetes, obesity, and cardiovascular health

Abstract Perivascular adipose tissue (PVAT) is a dynamic tissue that affects vascular function and cardiovascular health. The connection between PVAT, the immune system, obesity, and vascular disease is complex and plays a pivotal role in the pathogenesis of vascular diseases such as atherosclerosis...

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Main Authors: Marcelo Queiroz, Cristina M. Sena
Format: Article
Language:English
Published: BMC 2024-12-01
Series:Cardiovascular Diabetology
Subjects:
Online Access:https://doi.org/10.1186/s12933-024-02549-9
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author Marcelo Queiroz
Cristina M. Sena
author_facet Marcelo Queiroz
Cristina M. Sena
author_sort Marcelo Queiroz
collection DOAJ
description Abstract Perivascular adipose tissue (PVAT) is a dynamic tissue that affects vascular function and cardiovascular health. The connection between PVAT, the immune system, obesity, and vascular disease is complex and plays a pivotal role in the pathogenesis of vascular diseases such as atherosclerosis, hypertension, and vascular inflammation. In cardiometabolic diseases, PVAT becomes a significant source of proflammatory adipokines, leading to increased infiltration of immune cells, in cardiometabolic diseases, PVAT becomes a significant source of proinflammatory adipokines, leading to increased infiltration of immune cells, promoting vascular smooth muscle cell proliferation and migrationpromoting vascular smooth muscle cell proliferation and migration. This exacerbates vascular dysfunction by impairing endothelial cell function and promoting endothelial activation. Dysregulated PVAT also contributes to hemodynamic alterations and hypertension through enhanced sympathetic nervous system activity and impaired vasodilatory capacity of PVAT-derived factors. Therapeutic interventions targeting key components of this interaction, such as modulating PVAT inflammation, restoring adipokine balance, and attenuating immune cell activation, hold promise for mitigating obesity-related vascular complications. Lifestyle interventions, pharmacological agents targeting inflammatory pathways, and surgical approaches aimed at reducing PVAT mass or improving adipose tissue function are potential therapeutic avenues for managing vascular diseases associated with obesity and PVAT dysfunction.
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spelling doaj-art-c58a852787d84a7c8c4429fe5dfaada82024-12-29T12:09:31ZengBMCCardiovascular Diabetology1475-28402024-12-0123112210.1186/s12933-024-02549-9Perivascular adipose tissue: a central player in the triad of diabetes, obesity, and cardiovascular healthMarcelo Queiroz0Cristina M. Sena1Institute of Physiology, iCBR, Faculty of Medicine, University of CoimbraInstitute of Physiology, iCBR, Faculty of Medicine, University of CoimbraAbstract Perivascular adipose tissue (PVAT) is a dynamic tissue that affects vascular function and cardiovascular health. The connection between PVAT, the immune system, obesity, and vascular disease is complex and plays a pivotal role in the pathogenesis of vascular diseases such as atherosclerosis, hypertension, and vascular inflammation. In cardiometabolic diseases, PVAT becomes a significant source of proflammatory adipokines, leading to increased infiltration of immune cells, in cardiometabolic diseases, PVAT becomes a significant source of proinflammatory adipokines, leading to increased infiltration of immune cells, promoting vascular smooth muscle cell proliferation and migrationpromoting vascular smooth muscle cell proliferation and migration. This exacerbates vascular dysfunction by impairing endothelial cell function and promoting endothelial activation. Dysregulated PVAT also contributes to hemodynamic alterations and hypertension through enhanced sympathetic nervous system activity and impaired vasodilatory capacity of PVAT-derived factors. Therapeutic interventions targeting key components of this interaction, such as modulating PVAT inflammation, restoring adipokine balance, and attenuating immune cell activation, hold promise for mitigating obesity-related vascular complications. Lifestyle interventions, pharmacological agents targeting inflammatory pathways, and surgical approaches aimed at reducing PVAT mass or improving adipose tissue function are potential therapeutic avenues for managing vascular diseases associated with obesity and PVAT dysfunction.https://doi.org/10.1186/s12933-024-02549-9Cardiovascular diseaseType 2 diabetesObesityInflammationPerivascular adipose tissueTherapeutic interventions
spellingShingle Marcelo Queiroz
Cristina M. Sena
Perivascular adipose tissue: a central player in the triad of diabetes, obesity, and cardiovascular health
Cardiovascular Diabetology
Cardiovascular disease
Type 2 diabetes
Obesity
Inflammation
Perivascular adipose tissue
Therapeutic interventions
title Perivascular adipose tissue: a central player in the triad of diabetes, obesity, and cardiovascular health
title_full Perivascular adipose tissue: a central player in the triad of diabetes, obesity, and cardiovascular health
title_fullStr Perivascular adipose tissue: a central player in the triad of diabetes, obesity, and cardiovascular health
title_full_unstemmed Perivascular adipose tissue: a central player in the triad of diabetes, obesity, and cardiovascular health
title_short Perivascular adipose tissue: a central player in the triad of diabetes, obesity, and cardiovascular health
title_sort perivascular adipose tissue a central player in the triad of diabetes obesity and cardiovascular health
topic Cardiovascular disease
Type 2 diabetes
Obesity
Inflammation
Perivascular adipose tissue
Therapeutic interventions
url https://doi.org/10.1186/s12933-024-02549-9
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AT cristinamsena perivascularadiposetissueacentralplayerinthetriadofdiabetesobesityandcardiovascularhealth