Review Article

Cigarette Smoking and Adipose Tissue: The Emerging Role in Progression of Atherosclerosis

Table 1

Adipokines and their bioactive functions associated with cardiovascular diseases.

AdipokineBioactive functions associated with cardiovascular diseasesReference

LeptinIncrease heart rate and elevate blood pressure level[82]
Increase lipolysis in skeletal muscle and adipocytes[83]
Increase reactive oxygen species secretion in endothelial cells, such as H2O2 and HO generation[84]
Facilitate cholesterol accumulation in macrophages[85, 86]
Promote the expression of matrix metallopeptidase-2 in VSMCs[87]
Act on various types of immune cells to promote the release of proinflammatory cytokines[81, 88]

AdiponectinReduce tissue triglyceride content and upregulate insulin sensitivity[89]
Suppress endothelial cell apoptosis[90]
Suppress TNF-α-induced NF-κB activation to decrease the recruitment of monocytes[91]
Inhibit the expression of scavenger receptors-A1 of macrophages and mediate polarization toward anti-inflammatory M2 phenotype[80, 92]
Attenuate proliferation and migration of VSMCs[93]

TNF-αDownregulate insulin resistance[94]
Increase expression of adhesion molecules[95]
Induce the migration and proliferation of VSMCs[96]

OmentinProangiogenic property and inhibition of vascular inflammation[97, 98]
Promote NO production and its vasodilating effect of vascular[99, 100]

ResistinSubsclinical marker of atherosclerosis[101]
Increase the levels of endothelin-1, VCAM-1, and CCL2[102]
Promote foam cell formation by the dysregulation of scavenger receptors in macrophages[103]

A-FEBPThe major mediator of vulnerable plaque formation[104]
Secrete more proinflammatory cytokines, such as TNF-α and CCL2[105]

ChemrinMagnify the functions of adhesion molecules[106]

VSMCs, vascular smooth muscle cells; TNF-α, tumor necrosis factor-alpha; NF-κB, nuclear factor-kappa B; NO, nitro oxide; VCAM-1, vascular cell adhesion molecule-1; CCL2, CC-chemokine ligand 2; A-FABP, adipocyte fatty acid binding protein.