Human epicardial fat: what is new and what is missing?

被引:100
作者
Sacks, Harold S. [1 ]
Fain, John N. [2 ]
机构
[1] VA Greater Los Angeles Healthcare Syst, Endocrinol & Diabet Div 111D, Los Angeles, CA 90073 USA
[2] Univ Tennessee, Dept Mol Sci, Hlth Sci Ctr, Memphis, TN USA
关键词
adipokines; coronary atherosclerosis; epicardial fat; genes; inflammation; PERIVASCULAR ADIPOSE-TISSUE; CORONARY-ARTERY-DISEASE; PERICARDIAL FAT; NONDIABETIC PATIENTS; COMPUTED-TOMOGRAPHY; METABOLIC SYNDROME; BARIATRIC SURGERY; GENE-EXPRESSION; SAPHENOUS-VEIN; WEIGHT-LOSS;
D O I
10.1111/j.1440-1681.2011.05601.x
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
1. Putative physiological functions of human epicardial adipose tissue (EAT) include: (i) lipid storage for the energy needs of the myocardium; (ii) thermoregulation, whereby brown fat components of EAT generate heat by non-shivering thermogenesis in response to core cooling; (iii) neuroprotection of the cardiac autonomic ganglia and nerves; and (iv) regulation of vasomotion and luminal size of the coronary arteries. Under pathophysiological circumstances, EAT may play an adverse paracrine role in cardiac arrhythmias and in lipotoxic cardiomyopathy, but of major current interest is its hypothetical role as an immunological organ contributing to inflammation around coronary artery disease (CAD).
引用
收藏
页码:879 / 887
页数:9
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