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[白色、米色和棕色脂肪组织的生理学及临床重要性]

[Physiology and clinical importance of white, beige and brown adipose tissue].

作者信息

Merkel M, Schmid S M, Iwen K A

机构信息

Endokrinologikum Hamburg, Lornsenstr. 4-6, 22767, Hamburg, Deutschland.

Medizinische Klinik I, Universitätsklinikum Schleswig-Holstein, Ratzeburger Allee 160, 23538, Lübeck, Deutschland.

出版信息

Internist (Berl). 2019 Feb;60(2):115-121. doi: 10.1007/s00108-018-0540-0.

Abstract

The metabolic functions of different kinds of adipose tissue are of growing scientific and clinical interest. White adipose tissue is not only an energy store but as a highly active endocrine organ it also plays an essential role in the development of diabetes mellitus, dyslipidemia, arterial hypertension and cardiovascular diseases. Brown adipose tissue, on the other hand, can convert chemical energy into heat and could therefore have an opposing, protective effect. The activation of brown adipose tissue and the induction of the development of adipocytes with the characteristics of brown fat cells could make a significant contribution to the treatment of these civilization diseases. This article provides an overview of the current understanding of the physiology and pathophysiology of different adipose tissue types and the resulting therapeutic potential.

摘要

不同类型脂肪组织的代谢功能在科学和临床方面的关注度日益增加。白色脂肪组织不仅是一个能量储存库,作为一个高度活跃的内分泌器官,它在糖尿病、血脂异常、动脉高血压和心血管疾病的发展中也起着至关重要的作用。另一方面,棕色脂肪组织可以将化学能转化为热量,因此可能具有相反的保护作用。激活棕色脂肪组织以及诱导具有棕色脂肪细胞特征的脂肪细胞发育,可能对这些文明病的治疗做出重大贡献。本文概述了目前对不同类型脂肪组织的生理学和病理生理学的理解以及由此产生的治疗潜力。

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