Adipokine General effects Vascular effects References Leptin Satiating factor Physiological regulation of feeding behaviour through hypothalamic receptors Levels correlate with amount of body fat Endothelial dysfunction Endothelium-dependent and independent relaxation [67 , 85 , 160 –165 ] Resistin Relates obesity to diabetes by inducing insulin resistance Impairs endothelial function due to an increase in ET-1 production and a decrease in NO production [166 , 167 ] Adiponectin Levels inversely correlate with obesity NO-dependent vasorelaxation mediated by
channels [91 , 93 , 94 , 168 ] Visfatin Expression correlates with obesity degree Similar effects to insulin in cell culture NO-dependent vasorelaxation [169 –171 ] TNFα Links inflammation with obesity Increase in TNFα expression induces ROS production Reduces adiponectin production Endothelium-dependent and -independent vasodilatation Triggers ET-1 and Ang II-induced vasoconstriction Impairs endothelium-dependent vasodilatation due to increased ROS production or decreased NO production Less vasodilatory effect of PAT due to ROS production [94 , 99 , 172 –178 ] Interleukin-6 Contributes to systemic inflammation and insulin resistance Endothelium-independent vasodilatation Endothelial dysfunction due to an increase in ROS production and decreased NO production [94 , 179 –182 ] Prostanoids See vascular effects Hemostasis Numerous biological functions Vasoconstriction or vasodilatation depending on which prostanoid [183 , 184 ] Angiotensin II See vascular effects Na+ and water homeostasis Renal function Vasoconstriction [185 , 186 ] Endothelin-1 See vascular effects Vasoconstriction [187 ] Reactive oxygen species Numerous biological effects Ageing Vasoconstriction through Ca2+ sensitization Decrease in NO bioavailability [73 , 188 , 189 ] Adventitial derived relaxing factor See vascular effects Vasorelaxation through opening different K+ channels [75 , 76 , 78 –80 ]