Mechanisms of metabolic syndrome (MS) pathophysiology. MS is a result of a metabolic imbalance which involves alterations in different tissues and a variety of molecules. (1) Insulin resistance is accompanied by (2) a low-grade inflammation in the adipose tissue characterized by reduction of adipokines such as adiponectin, enhanced levels of leptin and resistin, accumulation of inflammatory cells in the adipose tissue, paralleled with high levels of cytokines/chemokines and reactive oxygen species. Alterations of the central (hypothalamus and the brainstem) and peripheral mechanisms of hunger and satiety occur (3). All these events contribute towards (4) decreased energy expenditure, hyperglycaemia and dyslipidaemia, increasing the risk for type 2 diabetes and cardiovascular diseases. Nutrient absorption (5) and the gut microbiota play key roles in the modulation of MS, aiding the connection between the brain and metabolic tissues. TG-triglycerides; VLDL-very low-density lipoprotein; CCK-cholecystokinin; Ecs-estrogens; GLP-1-glucagon-like peptide-1; GIP-gastric inhibitor peptide; TNFα-tumour necrosis factor α; IL-6-interleukin-6; MCP-1-macrophage chemotatic protein-1.

Mechanisms of metabolic syndrome (MS) pathophysiology. MS is a result of a metabolic imbalance which involves alterations in different tissues and a variety of molecules. (1) Insulin resistance is accompanied by (2) a low-grade inflammation in the adipose tissue characterized by reduction of adipokines such as adiponectin, enhanced levels of leptin and resistin, accumulation of inflammatory cells in the adipose tissue, paralleled with high levels of cytokines/chemokines and reactive oxygen species. Alterations of the central (hypothalamus and the brainstem) and peripheral mechanisms of hunger and satiety occur (3). All these events contribute towards (4) decreased energy expenditure, hyperglycaemia and dyslipidaemia, increasing the risk for type 2 diabetes and cardiovascular diseases. Nutrient absorption (5) and the gut microbiota play key roles in the modulation of MS, aiding the connection between the brain and metabolic tissues. TG-triglycerides; VLDL-very low-density lipoprotein; CCK-cholecystokinin; Ecs-estrogens; GLP-1-glucagon-like peptide-1; GIP-gastric inhibitor peptide; TNFα-tumour necrosis factor α; IL-6-interleukin-6; MCP-1-macrophage chemotatic protein-1.

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Metabolic syndrome (MS) is a complex pathology characterized by visceral adiposity, insulin resistance, arterial hypertension, and dyslipidaemia. It has become a global epidemic associated with increased consumption of high-calorie, low-fibre food and sedentary habits. Some of its underlying mechanisms have been identified, with hypoadiponectinemia...

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... metabolism is influenced by an intricate network of molecules released and receptors expressed within metabolic organs such as the pancreas, liver, adipose tissue and skeletal muscle, connecting the periphery to the brain (Figure 1). Hypoadiponectinemia, inflammation and oxidative stress [8][9][10][11][12] account for some of the mechanisms involved in MS establishment and progression, with a clear interplay between them. ...

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