Review Article

Adipose Tissue in Obesity-Related Inflammation and Insulin Resistance: Cells, Cytokines, and Chemokines

Table 1

Adipokines increased in obesity and/or diabetes (adapted and updated from [85]).

AdipokineDistributionFunctionIncreased in obesity

LeptinSecreted predominantly by WAT, to a lesser degree, in hypothalamus, gastric epithelium, placenta, and gonadsRegulates energy intake, expenditure and feeding behavior. Also regulates storage of fat and insulin signalingIncreased in mouse models of obesity. Increased in human obesity and correlated with BMI and decreased with weight loss

ResistinIn rodents, secreted by adipocytes. In humans, secreted predominantly by circulating macrophages and monocytes, to a lesser degree, by WATImplicated in glucose metabolism, in the regulation of neoglucogenesis and insulin resistance in rodents. More proinflammatory role in humansIncreased circulating concentrations in mouse models of obesity. Increased in human obesity and correlated with insulin resistance in diabetic patients

TNF-αExpressed by macrophages and adipocytes (visceral WAT > subcutaneous WAT)Affects insulin and glucose metabolism. Provokes insulin resistance and stimulates lipolysisIncreased in mouse models of obesity. Increased in human obesity and correlated with BMI

IL-6One-third of total circulating levels are expressed predominantly by adipocytes. Also expressed in macrophages, skeletal muscle, endothelial cells, and fibroblastsControversial role in the development of insulin resistance. Affects glucose metabolismIncreased circulating levels in human obese subjects and correlated with adiposity and reduced with weight loss. Increased in plasma of T2D patients

IL-7Secreted by stromal and vascular endothelial cellsHomeostatic immune cytokine. Also regulates body weight, adipose tissue mass and function, and insulin signalingIncreased in morbidly obese subjects

IL-8Secreted by adipocytes (visceral WAT > subcutaneous WAT) and macrophagesNeutrophil chemotaxisIncreased in obese subjects and related to fat mass and TNF-α levels

IL-1Secreted mainly by adipocytes and macrophagesRole in macrophages chemotaxis and thermogenesis Increased in obese mice. Increased in human obesity and predictive of T2D

RBP4Secreted by adipocytes, macrophages, and hepatocytesAffects insulin sensitivity, hepatic glucose output, and muscle insulin signalingIncreased circulating levels in obese subjects and correlated with BMI and insulin resistance

MCP-1Secreted by adipose tissue Affects insulin sensitivity and increases macrophage recruitment in adipose tissue and inflammationIncreased in mouse models of obesity. Increased in T2D subjects

PAI-1Expressed by WATPotent inhibitor of fibrinolytic pathwayIncreased in human obesity and T2D subjects

CXCL5Secreted by macrophages within the stromal vascular fractionInterferes with insulin signaling in muscleCirculating levels are higher in obese insulin-resistant individuals than in obese insulin-sensitive and decreased after a 4-week period on low-calorie diet

VisfatinExpressed in liver, muscle, WAT, bone marrow, and lymphocytesRole in insulin sensitivity, insulin secretion and inflammatory propertiesIncreased in obesity and correlates with visceral adiposity in humans

ChemerinIn rodents and humans, expressed in placenta and WATRegulates adipocyte development and metabolic functionIncreased circulating levels in obese and T2D patients and correlated with body fat, glucose, and lipid metabolism

VaspinSecreted by WAT, hypothalamus, pancreatic islets, and skinImproves insulin sensitivityIncreased in obesity and T2D patients