journal article Open Access Mar 30, 2018

Obesity, Inflammation, Toll-Like Receptor 4 and Fatty Acids

Nutrients Vol. 10 No. 4 pp. 432 · MDPI AG
View at Publisher Save 10.3390/nu10040432
Abstract
Obesity leads to an inflammatory condition that is directly involved in the etiology of cardiovascular diseases, type 2 diabetes mellitus, and certain types of cancer. The classic inflammatory response is an acute reaction to infections or to tissue injuries, and it tends to move towards resolution and homeostasis. However, the inflammatory process that was observed in individuals affected by obesity and metabolic syndrome differs from the classical inflammatory response in certain respects. This inflammatory process manifests itself systemically and it is characterized by a chronic low-intensity reaction. The toll-like receptor 4 (TLR4) signaling pathway is acknowledged as one of the main triggers of the obesity-induced inflammatory response. The aim of the present review is to describe the role that is played by the TLR4 signaling pathway in the inflammatory response and its modulation by saturated and omega-3 polyunsaturated fatty acids. Studies indicate that saturated fatty acids can induce inflammation by activating the TLR4 signaling pathway. Conversely, omega-3 polyunsaturated fatty acids, such as eicosapentaenoic acid and docosahexaenoic acid, exert anti-inflammatory actions through the attenuation of the activation of the TLR4 signaling pathway by either lipopolysaccharides or saturated fatty acids.
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References
141
[1]
Flegal "Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999–2010" JAMA (2012) 10.1001/jama.2012.39
[2]
Obesity as a medical problem

Peter G. Kopelman

Nature 2000 10.1038/35007508
[3]
Yach "Epidemiologic and economic consequences of the global epidemics of obesity and diabetes" Nat. Med. (2006) 10.1038/nm0106-62
[4]
WHO—World Health Organization (2018, January 30). World Health Organization Obesity and overweight Fact Sheet (2016). Available online: http://www.who.int/mediacentre/factsheets/fs311/en/.
[6]
Alexandratos, N., and Bruinsma, J. (2012). World Agriculture Towards 2030/2050: The 2012 Revision, FAO.
[7]
(2018, January 17). United Nations News Centre, 2015. Available online: http://www.un.org/sustainabledevelopment/blog/2015/07/un-projects-world-population-to-reach-8-5-billion-by-2030-driven-by-growth-in-developing-countries/.
[8]
Ogden "Prevalence of high body mass index in US children and adolescents, 2007–2008" JAMA (2010) 10.1001/jama.2009.2012
[9]
Mokdad "Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001" JAMA (2003) 10.1001/jama.289.1.76
[10]
Daousi "Prevalence of obesity in type 2 diabetes in secondary care: Association with cardiovascular risk factors" Postgrad. Med. J. (2006) 10.1136/pmj.2005.039032
[11]
Calle "Body-mass index and mortality in a prospective cohort of U.S. adults" N. Engl. J. Med. (1999) 10.1056/nejm199910073411501
[12]
Prospective Studies Collaboration, Whitlock, G., Lewington, S., Sherliker, P., Clarke, R., Emberson, J., Halsey, J., Qizilbash, N., Collins, R., and Peto, R. (2009). Body-mass index and cause-specific mortality in 900 000 adults: Collaborative analyses of 57 prospective studies. Lancet, 373, 1083–1096. 10.1016/s0140-6736(09)60318-4
[13]
Amuna "Epidemiological and nutrition transition in developing countries: Impact on human health and development" Proc. Nutr. Soc. (2008) 10.1017/s0029665108006058
[14]
Vandevijvere "Increased food energy supply as a major driver of the obesity epidemic: A global analysis" Bull. World Health Organ. (2015) 10.2471/blt.14.150565
[15]
Roberts "Effects of exercise and diet on chronic disease" J. Appl. Physiol. (1985) (2005) 10.1152/japplphysiol.00852.2004
[16]
Simopoulos "The importance of a balanced ω-6 to ω-3 ratio in the prevention and management of obesity" Open Heart (2016) 10.1136/openhrt-2015-000385
[17]
Galli "Effects of fat and fatty acid intake on inflammatory and immune responses: A critical review" Ann. Nutr. Metab. (2009) 10.1159/000228999
[18]
Calder "Polyunsaturated fatty acids and inflammatory processes: New twists in an old tale" Biochimie (2009) 10.1016/j.biochi.2009.01.008
[19]
Calder "A consideration of biomarkers to be used for evaluation of inflammation in human nutritional studies" Br. J. Nutr. (2013) 10.1017/s0007114512005119
[20]
Molfino "Omega-3 Polyunsaturated Fatty Acids in Critical Illness: Anti-Inflammatory, Proresolving, or Both?" Oxid. Med. Cell. Longev. (2017) 10.1155/2017/5987082
[21]
Serhan, C.N., Chiang, N., and Dalli, J. (2017). New pro-resolving n-3 mediators bridge resolution of infectious inflammation to tissue regeneration. Mol. Asp. Med. 10.1016/j.mam.2017.08.002
[22]
Calder "Omega-3 fatty acids and inflammatory processes" Nutrients (2010) 10.3390/nu2030355
[23]
Dietary factors and low-grade inflammation in relation to overweight and obesity

Philip C. Calder, Namanjeet Ahluwalia, Fred Brouns et al.

British Journal of Nutrition 2011 10.1017/s0007114511005460
[24]
Calder "The role of marine omega-3 (n-3) fatty acids in inflammatory processes, atherosclerosis and plaque stability" Mol. Nutr. Food Res. (2012) 10.1002/mnfr.201100710
[25]
Calder "Marine omega-3 fatty acids and inflammatory processes: Effects, mechanisms and clinical relevance" Biochim. Biophys. Acta (2015) 10.1016/j.bbalip.2014.08.010
[26]
Calder "Fatty acids and inflammation: The cutting edge between food and pharma" Eur. J. Pharmacol. (2011) 10.1016/j.ejphar.2011.05.085
[27]
Calder "Marine omega-3 fatty acids and coronary heart disease" Curr. Opin. Cardiol. (2012) 10.1097/hco.0b013e328353febd
[28]
Emilsson "Genetics of gene expression and its effect on disease" Nature (2008) 10.1038/nature06758
[29]
Hotamisligil "Adipose expression of tumor necrosis factor-alpha: Direct role in obesity-linked insulin resistance" Science (1993) 10.1126/science.7678183
[30]
Inflammation and metabolic disorders

Gökhan S. Hotamisligil

Nature 2006 10.1038/nature05485
[31]
Wellen "Inflammation, stress, and diabetes" J. Clin. Investig. (2005) 10.1172/jci25102
[32]
Zeyda "Adipose tissue macrophages" Immunol. Lett. (2007) 10.1016/j.imlet.2007.07.003
[33]
Lumeng "Obesity induces a phenotypic switch in adipose tissue macrophage polarization" J. Clin. Investig. (2007) 10.1172/jci29881
[34]
Cancello "Is obesity an inflammatory illness? Role of low-grade inflammation and macrophage infiltration in human white adipose tissue" BJOG (2006) 10.1111/j.1471-0528.2006.01004.x
[35]
Cave "Obesity, inflammation, and the potential application of pharmaconutrition" Nutr. Clin. Pract. (2008) 10.1177/011542650802300116
[36]
Ferrante "Obesity-induced inflammation: A metabolic dialogue in the language of inflammation" J. Intern. Med. (2007) 10.1111/j.1365-2796.2007.01852.x
[37]
Cannon "Brown adipose tissue: Function and physiological significance" Physiol. Rev. (2004) 10.1152/physrev.00015.2003
[38]
Nedergaard "Unexpected evidence for active brown adipose tissue in adult humans" Am. J. Physiol. Endocrinol. Metab. (2007) 10.1152/ajpendo.00691.2006
[39]
Cinti "The adipose organ" Prostaglandins Leukot. Essent. Fatty Acids (2005) 10.1016/j.plefa.2005.04.010
[40]
Cao "White to brown fat phenotypic switch induced by genetic and environmental activation of a hypothalamic-adipocyte axis" Cell Metab. (2011) 10.1016/j.cmet.2011.06.020
[41]
Lowell "Development of obesity in transgenic mice after genetic ablation of brown adipose tissue" Nature (1993) 10.1038/366740a0
[42]
Connolly "The effect of interscapular brown adipose tissue removal on body-weight and cold response in the mouse" Br. J. Nutr. (1982) 10.1079/bjn19820077
[43]
Vanhommerig "Cold-activated brown adipose tissue in healthy men" N. Engl. J. Med. (2009) 10.1056/nejmoa0808718
[44]
Nisoli "Tumor necrosis factor alpha mediates apoptosis of brown adipocytes and defective brown adipocyte function in obesity" Proc. Natl. Acad. Sci. USA (2000) 10.1073/pnas.97.14.8033
[45]
Samuel "Mechanisms for insulin resistance: Common threads and missing links" Cell (2012) 10.1016/j.cell.2012.02.017
[46]
Guo "Insulin signaling, resistance, and the metabolic syndrome: Insights from mouse models into disease mechanisms" J. Endocrinol. (2014) 10.1530/joe-13-0584
[47]
Hotamisligil, G.S., and Davis, R.J. (2016). Cell Signaling and Stress Responses. Cold Spring Harb. Perspect. Biol., 8. 10.1101/cshperspect.a006072
[48]
Han "JNK expression by macrophages promotes obesity-induced insulin resistance and inflammation" Science (2013) 10.1126/science.1227568
[49]
Insulin resistance, inflammation, and non-alcoholic fatty liver disease

Herbert Tilg, Alexander R. Moschen

Trends in Endocrinology & Metabolism 2008 10.1016/j.tem.2008.08.005
[50]
Kirwan "Nutritional modulation of metabolic inflammation" Biochem. Soc. Trans. (2017) 10.1042/bst20160465

Showing 50 of 141 references

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