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Published in: Current Obesity Reports 4/2014

01-12-2014 | Metabolism (R Pasquali, Section Editor)

Predictors of Ectopic Fat in Humans

Authors: Mauro Zamboni, Andrea P Rossi, Francesco Fantin, Simona L Budui, Elena Zoico, Giulia A Zamboni, Gloria Mazzali

Published in: Current Obesity Reports | Issue 4/2014

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Abstract

In the last decade there has been increasing focus on body fat distribution, rather than on the degree of obesity. More recently, great interest has also been dedicated to ectopic fat deposition in overnourished individuals that reflects a failure of the system of intracellular lipid homeostasis, which, in normal conditions, prevents lipotoxicity in the organs, by confining lipid overload to cells specifically designed to store large quantities of surplus calories, the white adipocytes. Consequently, excess body weight leads to fat infiltration of multiple organs including liver, pancreas, skeletal muscle, and heart thus forming “ectopic fat”. Although overfeeding is considered the main predictor of ectopic fat deposition, other factors may be also involved. The purpose of this review is to evaluate the current available data on the predictors of ectopic fat deposition in humans.
Literature
1.
2.
go back to reference Bjorntorp P, Bengtsson C, Blohmé G, et al. Adipose tissue fat cell size and number in relation to metabolism in randomly selected middle-aged men and women. Metabolism. 1971;20:927–35.PubMed Bjorntorp P, Bengtsson C, Blohmé G, et al. Adipose tissue fat cell size and number in relation to metabolism in randomly selected middle-aged men and women. Metabolism. 1971;20:927–35.PubMed
3.
go back to reference Despres JP, Lemieux I. Abdominal obesity and metabolic syndrome. Nature. 2006;444:881–7.PubMed Despres JP, Lemieux I. Abdominal obesity and metabolic syndrome. Nature. 2006;444:881–7.PubMed
4.
go back to reference Araki S, Okazaki M, Goto S. Impaired lipid metabolism in aged mice as revealed by fasting-induced expression of apolipoprotein mRNAs in the liver and changes in serum lipids. Gerontology. 2004;50:206–15.PubMed Araki S, Okazaki M, Goto S. Impaired lipid metabolism in aged mice as revealed by fasting-induced expression of apolipoprotein mRNAs in the liver and changes in serum lipids. Gerontology. 2004;50:206–15.PubMed
5.
go back to reference Ferland M, Després J-P, Tremblay A, et al. Assessment of adipose tissue distribution by computer axial tomography in obese women: association with body density and anthropometric measurements. Brit J Nutr. 1989;61:139–48.PubMed Ferland M, Després J-P, Tremblay A, et al. Assessment of adipose tissue distribution by computer axial tomography in obese women: association with body density and anthropometric measurements. Brit J Nutr. 1989;61:139–48.PubMed
6.•
go back to reference Alligier M, Meugnier E, Deebard S, et al. Subcutaneous adipose tissue remodelling during the initial phase of weight gain induced by overfeeding in humans. J Clin Endocrinol Metab. 2012;97:E183–92. Using bioptic samples of subcutaneous abdominal AT from forty-four healthy men on lipid-enriched diet (+760kcal/day for 2months), this study demonstrated a reorganization of gene expression occurred in AT with an up-regulation of numerous genes involved in lipid metabolism and storage, followed by clusters of genes related to angiogenesis and extracellular matrix remodelling. Moreover, biopsies’ histological examination showed increased microvascular density and connective tissue deposition after 56 days of overfeeding, with no changes in the number of inflammatory cells. Additionally, it had been suggested that the inhibition of the WNT/beta-catenin signalling pathway and the induction of the rennin-angiotensin system might be implicated in the remodelling of the subcutaneous AT.PubMed Alligier M, Meugnier E, Deebard S, et al. Subcutaneous adipose tissue remodelling during the initial phase of weight gain induced by overfeeding in humans. J Clin Endocrinol Metab. 2012;97:E183–92. Using bioptic samples of subcutaneous abdominal AT from forty-four healthy men on lipid-enriched diet (+760kcal/day for 2months), this study demonstrated a reorganization of gene expression occurred in AT with an up-regulation of numerous genes involved in lipid metabolism and storage, followed by clusters of genes related to angiogenesis and extracellular matrix remodelling. Moreover, biopsies’ histological examination showed increased microvascular density and connective tissue deposition after 56 days of overfeeding, with no changes in the number of inflammatory cells. Additionally, it had been suggested that the inhibition of the WNT/beta-catenin signalling pathway and the induction of the rennin-angiotensin system might be implicated in the remodelling of the subcutaneous AT.PubMed
7.
go back to reference Ross R, Fortier L, Hudson R. Separate associations between visceral and subcutaneous adipose tissue distribution, insulin and glucose levels in obese women. Diabetes Care. 1996;19:1404–11.PubMed Ross R, Fortier L, Hudson R. Separate associations between visceral and subcutaneous adipose tissue distribution, insulin and glucose levels in obese women. Diabetes Care. 1996;19:1404–11.PubMed
8.
go back to reference Oral EA, Simha V, Ruiz E, et al. Leptin-replacement therapy for lipodystrophy. N Engl J Med. 2002;346:570–8.PubMed Oral EA, Simha V, Ruiz E, et al. Leptin-replacement therapy for lipodystrophy. N Engl J Med. 2002;346:570–8.PubMed
9.
go back to reference McQuaid SE, Hodson L, Neville MJ, et al. Downregulation of adipose tissue fatty acid trafficking in obesity: a driver for ectopic fat deposition? Diabetes. 2011;60(1):47–55.PubMedCentralPubMed McQuaid SE, Hodson L, Neville MJ, et al. Downregulation of adipose tissue fatty acid trafficking in obesity: a driver for ectopic fat deposition? Diabetes. 2011;60(1):47–55.PubMedCentralPubMed
10.•
go back to reference Ichimura A, Hirasawa A, Poulain-Godefroy O, et al. Dysfunction of lipid sensor GPR120 leads to obesity in both mouse and human. Nature. 2012;483:350–4. This study investigated the role of GPR120 (G-protein-coupled receptors 120), a receptor for unsaturated long-chain FFA, in various physiological mechanism such as adipogensis, regulation of appetite and food preference. It was demonstrated that GPR120-deficient mice fed with a high-fat diet developed obesity, glucose intolerance and fatty liver, decreased adipocyte differentiation and lipogenesis, and enhanced hepatic lipogenesis. In human subjects, GPR120 expression in AT was significantly higher in obese individuals than in lean controls, while GPR120 exon sequencing in obese subjects revealed a deleterious non-synonymous mutation (p.R270H) that inhibits GPR120 signalling activity. Moreover, it seems that p.R270H variant increases obesity risk in European population.PubMed Ichimura A, Hirasawa A, Poulain-Godefroy O, et al. Dysfunction of lipid sensor GPR120 leads to obesity in both mouse and human. Nature. 2012;483:350–4. This study investigated the role of GPR120 (G-protein-coupled receptors 120), a receptor for unsaturated long-chain FFA, in various physiological mechanism such as adipogensis, regulation of appetite and food preference. It was demonstrated that GPR120-deficient mice fed with a high-fat diet developed obesity, glucose intolerance and fatty liver, decreased adipocyte differentiation and lipogenesis, and enhanced hepatic lipogenesis. In human subjects, GPR120 expression in AT was significantly higher in obese individuals than in lean controls, while GPR120 exon sequencing in obese subjects revealed a deleterious non-synonymous mutation (p.R270H) that inhibits GPR120 signalling activity. Moreover, it seems that p.R270H variant increases obesity risk in European population.PubMed
11.
go back to reference Gallagher D, Kuznia P, Heshka S, et al. Adipose tissue in muscle: a novel depot similar in size to visceral adipose tissue. Am J Clin Nutr. 2005;81(4):903–10.PubMedCentralPubMed Gallagher D, Kuznia P, Heshka S, et al. Adipose tissue in muscle: a novel depot similar in size to visceral adipose tissue. Am J Clin Nutr. 2005;81(4):903–10.PubMedCentralPubMed
12.
go back to reference Rossi A, Zoico E, Goodpaster BH, et al. Quantification of intermuscular adipose tissue in the erector spinae muscle by MRI: agreement with histological evaluation. Obesity. 2010;18:2379–84.PubMed Rossi A, Zoico E, Goodpaster BH, et al. Quantification of intermuscular adipose tissue in the erector spinae muscle by MRI: agreement with histological evaluation. Obesity. 2010;18:2379–84.PubMed
13.
go back to reference Korach-André M, Guo J, Gounarides JS, Deacon R, Islam A, Laurent D. Relationship between visceral adiposity and intramyocellular lipid content in two rat models of insulin resistance. Am J Physiol Endocrinoil Metab. 2005;288:E106–16. Korach-André M, Guo J, Gounarides JS, Deacon R, Islam A, Laurent D. Relationship between visceral adiposity and intramyocellular lipid content in two rat models of insulin resistance. Am J Physiol Endocrinoil Metab. 2005;288:E106–16.
14.
go back to reference Kleiner DE, Brunt EM. Nonalcoholic Fatty Liver Disease: Pathologic Patterns and Biopsy Evaluation in Clinical Research. Semin Liver Dis. 2012;32:3–13.PubMed Kleiner DE, Brunt EM. Nonalcoholic Fatty Liver Disease: Pathologic Patterns and Biopsy Evaluation in Clinical Research. Semin Liver Dis. 2012;32:3–13.PubMed
16.
go back to reference Rossi AP, Fantin F, Zamboni G, et al. Predictors of ectopic fat deposition in liver and pancreas in obese men and women. Obesity. 2011;19:1747–54.PubMed Rossi AP, Fantin F, Zamboni G, et al. Predictors of ectopic fat deposition in liver and pancreas in obese men and women. Obesity. 2011;19:1747–54.PubMed
17.
go back to reference Machann J, Thamer C, Schnoedt B, et al. Age and gender related effects on adipose tissue compartments of subjects with increased risk for type 2 diabetes: a whole body MRI/MRS study. Magma. 2005;18:128–37.PubMed Machann J, Thamer C, Schnoedt B, et al. Age and gender related effects on adipose tissue compartments of subjects with increased risk for type 2 diabetes: a whole body MRI/MRS study. Magma. 2005;18:128–37.PubMed
18.
go back to reference Nielsen S, Guo Z, Johnson M, Hensrud DD, Jensen MD. Splanchnic lipolysis in human obesity. J Clin Invest. 2004;11:1582–8. Nielsen S, Guo Z, Johnson M, Hensrud DD, Jensen MD. Splanchnic lipolysis in human obesity. J Clin Invest. 2004;11:1582–8.
19.
go back to reference Donnelly KL, Smith CI, Schwarzenberg SJ, et al. Sources of fatty acids stored in liver and secreted via lipoproteins in patients with nonalcoholic fatty liver disease. J Clin Invest. 2005;115:1343–51.PubMedCentralPubMed Donnelly KL, Smith CI, Schwarzenberg SJ, et al. Sources of fatty acids stored in liver and secreted via lipoproteins in patients with nonalcoholic fatty liver disease. J Clin Invest. 2005;115:1343–51.PubMedCentralPubMed
20.
go back to reference Pinnick KE, Collins SC, Londos C, et al. Pancreatic ectopic fat is characterized by adipocyte infiltration and altered lipid composition. Obesity. 2008;16:522–30.PubMed Pinnick KE, Collins SC, Londos C, et al. Pancreatic ectopic fat is characterized by adipocyte infiltration and altered lipid composition. Obesity. 2008;16:522–30.PubMed
22.
go back to reference Toledo-Corral CM. Ectopic fat deposition in prediabetic overweight and obese minority adolescents. J Clin Endocrinol Metab. 2013;98:1115–21.PubMedCentralPubMed Toledo-Corral CM. Ectopic fat deposition in prediabetic overweight and obese minority adolescents. J Clin Endocrinol Metab. 2013;98:1115–21.PubMedCentralPubMed
23.
go back to reference Sharma S, Adrogue JV, Golfman L, et al. Intramyocellular lipid accumulation in the failing human heart resembles the lipotoxic rat heart. FASEB J. 2004;18:1692–700.PubMed Sharma S, Adrogue JV, Golfman L, et al. Intramyocellular lipid accumulation in the failing human heart resembles the lipotoxic rat heart. FASEB J. 2004;18:1692–700.PubMed
24.
go back to reference Szczepaniak LS, Babcock EE, Schick F, et al. Measurement of intracellular triglyceride stores by H spectroscopy. Am J Physiol. 2003;276:E977–89. Szczepaniak LS, Babcock EE, Schick F, et al. Measurement of intracellular triglyceride stores by H spectroscopy. Am J Physiol. 2003;276:E977–89.
25.
go back to reference Baroldi G, Silver MD, De Maria R, Parodi O, Pellegrini A. Lipomatous metaplasia in left ventricular scar. Can J Cardiol. 1997;13:65–71.PubMed Baroldi G, Silver MD, De Maria R, Parodi O, Pellegrini A. Lipomatous metaplasia in left ventricular scar. Can J Cardiol. 1997;13:65–71.PubMed
26.
go back to reference Su L, Siegel JE, Fishbein MC. Adipose tissue in myocardial infarction. Cardiovasc Pathol. 2004;13:98–102.PubMed Su L, Siegel JE, Fishbein MC. Adipose tissue in myocardial infarction. Cardiovasc Pathol. 2004;13:98–102.PubMed
27.
go back to reference Unger RH, Clark GO, Scherer PE, Orci L. Lipid homeostasis, lipotoxicity and the metabolic syndrome. Biochim Biophys Acta. 1801;2010:209–14. Unger RH, Clark GO, Scherer PE, Orci L. Lipid homeostasis, lipotoxicity and the metabolic syndrome. Biochim Biophys Acta. 1801;2010:209–14.
28.
go back to reference Gambarino J, Sturley SL. Saturated with fat: new perspectives on lipotoxicity. Curr Opin Clin Nutr Metab Care. 2009;12:110–6. Gambarino J, Sturley SL. Saturated with fat: new perspectives on lipotoxicity. Curr Opin Clin Nutr Metab Care. 2009;12:110–6.
29.
go back to reference Tovar AR, Torres N. The role of dietary protein on lipotoxicity. Biochim Biophys Acta. 1801;2010:367–71. Tovar AR, Torres N. The role of dietary protein on lipotoxicity. Biochim Biophys Acta. 1801;2010:367–71.
30.
go back to reference Corcoran MP, Lamon-Fava S, Fielding RA. Skeletal muscle lipid deposition and insulin resistance: effect of dietary fatty acids and exercise. Am J Clin Nutr. 2007;85:662–77.PubMed Corcoran MP, Lamon-Fava S, Fielding RA. Skeletal muscle lipid deposition and insulin resistance: effect of dietary fatty acids and exercise. Am J Clin Nutr. 2007;85:662–77.PubMed
31.
go back to reference Delarue J, LeFoll C, Corporeau C, Lucas D. N-3 long chain polyunsaturated fatty acids: a nutritional tool to prevent insulin resistance associated to type 2 diabetes and obesity? Reprod Nutr Dev. 2004;44:289–99.PubMed Delarue J, LeFoll C, Corporeau C, Lucas D. N-3 long chain polyunsaturated fatty acids: a nutritional tool to prevent insulin resistance associated to type 2 diabetes and obesity? Reprod Nutr Dev. 2004;44:289–99.PubMed
32.
go back to reference D'Alessandro ME, Chicco A, Lombardo YB. Fish oil reverses the altered glucose transporter, phosphorylation, insulin receptor substrate-1 protein level and lipid contents in the skeletal muscle of sucrose-rich diet fed rats. Prostaglandins Leukot Essent Fat Acids. 2013;88:171–7. D'Alessandro ME, Chicco A, Lombardo YB. Fish oil reverses the altered glucose transporter, phosphorylation, insulin receptor substrate-1 protein level and lipid contents in the skeletal muscle of sucrose-rich diet fed rats. Prostaglandins Leukot Essent Fat Acids. 2013;88:171–7.
33.
go back to reference Lê KA, Faeh D, Stettler R, et al. A 4-wk high-fructose diet alters lipid metabolism without affecting insulin sensitivity or ectopic lipids in healthy humans. Am J Clin Nutr. 2006;84:1374–9.PubMed Lê KA, Faeh D, Stettler R, et al. A 4-wk high-fructose diet alters lipid metabolism without affecting insulin sensitivity or ectopic lipids in healthy humans. Am J Clin Nutr. 2006;84:1374–9.PubMed
34.
go back to reference Westerbacka J, Lammi K, Häkkinen AM, et al. Dietary fat content modifies liver fat in overweight nondiabetic subjects. J Clin Endocrinol Metab. 2005;90:2804–9.PubMed Westerbacka J, Lammi K, Häkkinen AM, et al. Dietary fat content modifies liver fat in overweight nondiabetic subjects. J Clin Endocrinol Metab. 2005;90:2804–9.PubMed
35.
go back to reference Rosqvist F, Iggman D, Kullberg J, et al. Overfeeding Polyunsaturated and Saturated Fat Causes Distinct Effects on Liver and Visceral Fat Accumulation in Humans. Diabetes. 2014. doi:10.2337/db13-1622.PubMed Rosqvist F, Iggman D, Kullberg J, et al. Overfeeding Polyunsaturated and Saturated Fat Causes Distinct Effects on Liver and Visceral Fat Accumulation in Humans. Diabetes. 2014. doi:10.​2337/​db13-1622.PubMed
36.
go back to reference Mollard RC, Sénéchal M, Macintosh AC, et al. Dietary determinants of hepatic steatosis and visceral adiposity in overweight and obese youth at risk of type 2 diabetes. Am J Clin Nutr. 2014;99:804–12.PubMed Mollard RC, Sénéchal M, Macintosh AC, et al. Dietary determinants of hepatic steatosis and visceral adiposity in overweight and obese youth at risk of type 2 diabetes. Am J Clin Nutr. 2014;99:804–12.PubMed
37.
go back to reference Clarke SD, Gasperikova D, Nelson C, Lapillonne A, Heird WC. Fatty acid regulation of gene expression: a genomic explanation for the benefits of the mediterranean diet. Ann N Y Acad Sci. 2002;967:283–98.PubMed Clarke SD, Gasperikova D, Nelson C, Lapillonne A, Heird WC. Fatty acid regulation of gene expression: a genomic explanation for the benefits of the mediterranean diet. Ann N Y Acad Sci. 2002;967:283–98.PubMed
38.
go back to reference Tappy L, Lê KA. Does fructose consumption contribute to non-alcoholic fatty liver disease? Clin Res Hepatol Gastroenterol. 2012;36:554–60.PubMed Tappy L, Lê KA. Does fructose consumption contribute to non-alcoholic fatty liver disease? Clin Res Hepatol Gastroenterol. 2012;36:554–60.PubMed
39.
go back to reference Lê KA, Ith M, Kreis R, et al. Fructose overconsumption causes dyslipidemia and ectopic lipid deposition in healthy subjects with and without a family history of type 2 diabetes. Am J Clin Nutr. 2009;89:1760–5.PubMed Lê KA, Ith M, Kreis R, et al. Fructose overconsumption causes dyslipidemia and ectopic lipid deposition in healthy subjects with and without a family history of type 2 diabetes. Am J Clin Nutr. 2009;89:1760–5.PubMed
40.
go back to reference Bortolotti M, Kreis R, Debard C, et al. High protein intake reduces intrahepatocellular lipid deposition in humans. Am J Clin Nutr. 2009;90:1002–10.PubMed Bortolotti M, Kreis R, Debard C, et al. High protein intake reduces intrahepatocellular lipid deposition in humans. Am J Clin Nutr. 2009;90:1002–10.PubMed
41.•
go back to reference Drosatos K, Schulze PC. Cardiac lipotoxicity: molecular pathways and therapeutic implications. Curr Heart Fail Rep. 2013;10:109–21. An overview of the current literature that synthesised the deleterious effect of lipotoxicity on cardiac diseases’ pathogenesis. Lipotoxicity may be the result of a toxic metabolic shift to more FA and less glucose oxidation with concomitant accumulation of toxic lipids, as fatty acyl coenzyme A, DAG, and ceramide, which could directly alter cellular structures and may cause apoptosis, defective insulin signalling, endoplasmatic stress, activation of protein kinase C, MAPK activation, or modulation of PPARs. All these aspects confirm the fact that lipotoxicity have become a public health concern and is responsible for a significant portion of clinical cardiac disease.PubMedCentralPubMed Drosatos K, Schulze PC. Cardiac lipotoxicity: molecular pathways and therapeutic implications. Curr Heart Fail Rep. 2013;10:109–21. An overview of the current literature that synthesised the deleterious effect of lipotoxicity on cardiac diseases’ pathogenesis. Lipotoxicity may be the result of a toxic metabolic shift to more FA and less glucose oxidation with concomitant accumulation of toxic lipids, as fatty acyl coenzyme A, DAG, and ceramide, which could directly alter cellular structures and may cause apoptosis, defective insulin signalling, endoplasmatic stress, activation of protein kinase C, MAPK activation, or modulation of PPARs. All these aspects confirm the fact that lipotoxicity have become a public health concern and is responsible for a significant portion of clinical cardiac disease.PubMedCentralPubMed
42.
go back to reference Wende AR, Abel ED. Lipotoxicity in the heart. Biochim Biophys Acta. 1801;2010:311–9. Wende AR, Abel ED. Lipotoxicity in the heart. Biochim Biophys Acta. 1801;2010:311–9.
43.
go back to reference Torre-Villalvazo I, Gonzalez F, Aguilar-Salinas CA, Tovar AR, Torres N. Dietary soy protein reduces cardiac lipid accumulation and the ceramide concentration in high-fat diet-fed rats and ob/ob mice. J Nutr. 2009;139:2237–43.PubMed Torre-Villalvazo I, Gonzalez F, Aguilar-Salinas CA, Tovar AR, Torres N. Dietary soy protein reduces cardiac lipid accumulation and the ceramide concentration in high-fat diet-fed rats and ob/ob mice. J Nutr. 2009;139:2237–43.PubMed
44.
go back to reference Estruch R, Ros E, Salas-Salvadó J, et al. PREDIMED Study Investigators. Primary prevention of cardiovascular disease with a Mediterranean diet. N Engl J Med. 2013;368:1279–90.PubMed Estruch R, Ros E, Salas-Salvadó J, et al. PREDIMED Study Investigators. Primary prevention of cardiovascular disease with a Mediterranean diet. N Engl J Med. 2013;368:1279–90.PubMed
45.
go back to reference Ryan MC, Itsiopoulos C, Thodis T, et al. The Mediterranean diet improves hepatic steatosis and insulin sensitivity in individuals with non-alcoholic fatty liver disease. J Hepatol. 2013;59:138–43.PubMed Ryan MC, Itsiopoulos C, Thodis T, et al. The Mediterranean diet improves hepatic steatosis and insulin sensitivity in individuals with non-alcoholic fatty liver disease. J Hepatol. 2013;59:138–43.PubMed
46.•
go back to reference Trovato FM, Catalano D, Martines GF, Pace P, Trovato GM. Mediterranean diet and non-alcoholic fatty liver disease.: The need of extended and comprehensive interventions. Clin Nutr. 2014. doi:10.1016/j.clnu.2014.01.018. This study proves that the adherence to the Mediterranean Diet is a significant predictor of changes in liver’s fat content in overweight patients with NAFLD. The effect of the diet was gradual and was registered after 6 months of intervention, independently of other lifestyle changes.PubMed Trovato FM, Catalano D, Martines GF, Pace P, Trovato GM. Mediterranean diet and non-alcoholic fatty liver disease.: The need of extended and comprehensive interventions. Clin Nutr. 2014. doi:10.​1016/​j.​clnu.​2014.​01.​018. This study proves that the adherence to the Mediterranean Diet is a significant predictor of changes in liver’s fat content in overweight patients with NAFLD. The effect of the diet was gradual and was registered after 6 months of intervention, independently of other lifestyle changes.PubMed
47.
go back to reference Corella D, Ordovás JM. How does the Mediterranean diet promote cardiovascular health? Current progress toward molecular mechanisms: Gene-diet interactions at the genomic, transcriptomic, and epigenomic levels provide novel insights into new mechanisms. Bioessays. 2014;36:526–37.PubMed Corella D, Ordovás JM. How does the Mediterranean diet promote cardiovascular health? Current progress toward molecular mechanisms: Gene-diet interactions at the genomic, transcriptomic, and epigenomic levels provide novel insights into new mechanisms. Bioessays. 2014;36:526–37.PubMed
48.
go back to reference Schrauwen-Hinderling VB, Hesselink MK, Schrauwen P, Kooi ME. Intramyocellular lipid content in human skeletal muscle. Obesity. 2006;14:357–67.PubMed Schrauwen-Hinderling VB, Hesselink MK, Schrauwen P, Kooi ME. Intramyocellular lipid content in human skeletal muscle. Obesity. 2006;14:357–67.PubMed
49.
go back to reference Leskinen T, Sipilä S, Alen M, et al. Leisure-time physical activity and high-risk fat: a longitudinal population-based twin study. Int J Obes. 2009;33:1211–8. Leskinen T, Sipilä S, Alen M, et al. Leisure-time physical activity and high-risk fat: a longitudinal population-based twin study. Int J Obes. 2009;33:1211–8.
50.
go back to reference Leskinen T, Sipilä S, Kaprio J, et al. Physically active vs. inactive lifestyle, muscle properties, and glucose homeostasis in middle-aged and older twins. Age. 2013;35:1917–26.PubMedCentralPubMed Leskinen T, Sipilä S, Kaprio J, et al. Physically active vs. inactive lifestyle, muscle properties, and glucose homeostasis in middle-aged and older twins. Age. 2013;35:1917–26.PubMedCentralPubMed
51.
go back to reference Perseghin G, Lattuada G, De Cobelli F, et al. Habitual physical activity level is associated with intrahepatic fat content. Diabetes Care. 2007;30:683–8.PubMed Perseghin G, Lattuada G, De Cobelli F, et al. Habitual physical activity level is associated with intrahepatic fat content. Diabetes Care. 2007;30:683–8.PubMed
52.
go back to reference Viljanen AP, Iozzo P, Borra R, et al. Effect of weight loss on liver free fatty acid uptake and hepatic insulin resistance. J CLin Endocrinol Metab. 2009;94:50–5.PubMed Viljanen AP, Iozzo P, Borra R, et al. Effect of weight loss on liver free fatty acid uptake and hepatic insulin resistance. J CLin Endocrinol Metab. 2009;94:50–5.PubMed
53.
go back to reference Hannukainen JC, Borra R, Lindeborg K, et al. Liver and pancreatic fat content and metabolism in healthy monozygotic twins discordant for physical activity. J Hepatol. 2011;54:545–52.PubMed Hannukainen JC, Borra R, Lindeborg K, et al. Liver and pancreatic fat content and metabolism in healthy monozygotic twins discordant for physical activity. J Hepatol. 2011;54:545–52.PubMed
54.
go back to reference Bacchi E, Negri C, Targher G, et al. Both resistance training and aerobic training reduce hepatic fat content in type 2 diabetic subjects with nonalcoholic fatty liver disease. Hepatology. 2013;58:1287–95.PubMed Bacchi E, Negri C, Targher G, et al. Both resistance training and aerobic training reduce hepatic fat content in type 2 diabetic subjects with nonalcoholic fatty liver disease. Hepatology. 2013;58:1287–95.PubMed
55.
go back to reference Sarma S, Carrick-Ranson G, Fujimoto N, et al. Effects of age and aerobic fitness on myocardial lipid content. Circ Cardiovasc Imaging. 2013;6:1048–55.PubMedCentralPubMed Sarma S, Carrick-Ranson G, Fujimoto N, et al. Effects of age and aerobic fitness on myocardial lipid content. Circ Cardiovasc Imaging. 2013;6:1048–55.PubMedCentralPubMed
56.
go back to reference Jonker JT, de Mol P, de Vries ST, et al. Exercise and type 2 diabetes mellitus: changes in tissue-specific fat distribution and cardiac function. Radiology. 2013;269(2):434–42.PubMed Jonker JT, de Mol P, de Vries ST, et al. Exercise and type 2 diabetes mellitus: changes in tissue-specific fat distribution and cardiac function. Radiology. 2013;269(2):434–42.PubMed
57.
go back to reference Sai E, Shimada K, Yokoyama T, et al. Association between myocardial triglyceride content and cardiac function in healthy subjects and endurance athletes. PLoS ONE. 2013;16(8):e61604. Sai E, Shimada K, Yokoyama T, et al. Association between myocardial triglyceride content and cardiac function in healthy subjects and endurance athletes. PLoS ONE. 2013;16(8):e61604.
58.
go back to reference Bucher J, Krüsi M, Zueger T, et al. The effect of a single 2 h bout of aerobic exercise on ectopic lipids in skeletal muscle, liver and the myocardium. Diabetologia. 2014;57:1001–5.PubMed Bucher J, Krüsi M, Zueger T, et al. The effect of a single 2 h bout of aerobic exercise on ectopic lipids in skeletal muscle, liver and the myocardium. Diabetologia. 2014;57:1001–5.PubMed
59.
go back to reference Stanley TL, Grinspoon SK. Body composition and metabolic changes in HIV-infected patients. JID. 2012;205(suppl3):s383–90.PubMedCentralPubMed Stanley TL, Grinspoon SK. Body composition and metabolic changes in HIV-infected patients. JID. 2012;205(suppl3):s383–90.PubMedCentralPubMed
60.
go back to reference Guaraldi G, Stentarelli C, Zona S, Santoro A. HIV-associated lipodystrophy: impact of anti-retroviral therapy. Drugs. 2013;73(13):1431–50.PubMed Guaraldi G, Stentarelli C, Zona S, Santoro A. HIV-associated lipodystrophy: impact of anti-retroviral therapy. Drugs. 2013;73(13):1431–50.PubMed
61.
go back to reference Torriani M, Hadigan C, Jensen ME, Grinspoon S. Psoas muscle attenuation measurement with computed tomography indicates intramuscular fat accumulation in patients with HIV-lipidystrophy syndrome. J Appl Physiol. 2003;95(3):1005–10.PubMed Torriani M, Hadigan C, Jensen ME, Grinspoon S. Psoas muscle attenuation measurement with computed tomography indicates intramuscular fat accumulation in patients with HIV-lipidystrophy syndrome. J Appl Physiol. 2003;95(3):1005–10.PubMed
62.
go back to reference Hadigan C, Liebau J, Andersen R, Holalkere NS, Sahani DV. Magnetic resonance spectroscopy of hepatic lipid content and associated risk factors in HIV infection. J Acquir Immune Defic Syndr. 2007;46(3):312–7.PubMed Hadigan C, Liebau J, Andersen R, Holalkere NS, Sahani DV. Magnetic resonance spectroscopy of hepatic lipid content and associated risk factors in HIV infection. J Acquir Immune Defic Syndr. 2007;46(3):312–7.PubMed
63.
go back to reference Kim RJ, Wilson CG, Wabitsch M, Lazar MA, Steppan CM. HIV protease-inhibitor-specific alterations in human adipocytes differentiation and metabolism. Obes (Silver Spring). 2006;14(6):994–1002. Kim RJ, Wilson CG, Wabitsch M, Lazar MA, Steppan CM. HIV protease-inhibitor-specific alterations in human adipocytes differentiation and metabolism. Obes (Silver Spring). 2006;14(6):994–1002.
64.
go back to reference Nolan D, Hammond E, Martin A, et al. Mitochondrial DNA depletion and morphological changes in adipocytes associated with nucleoside reverse trascriptase inhibitor therapy. AIDS. 2003;17(9):1329–38.PubMed Nolan D, Hammond E, Martin A, et al. Mitochondrial DNA depletion and morphological changes in adipocytes associated with nucleoside reverse trascriptase inhibitor therapy. AIDS. 2003;17(9):1329–38.PubMed
65.
go back to reference Andersen O, Pedersen SB, Svenstrup B, et al. Circulating sex hormones and genes expression of subcutaneous adipose tissue oestrogen and plasma alpha-adrenergic receptors in HIV-lipodystroph: implications for fat distribution. Clin Endocrinol. 2007;67(2):250–8. Andersen O, Pedersen SB, Svenstrup B, et al. Circulating sex hormones and genes expression of subcutaneous adipose tissue oestrogen and plasma alpha-adrenergic receptors in HIV-lipodystroph: implications for fat distribution. Clin Endocrinol. 2007;67(2):250–8.
66.
go back to reference Barzon L, Zamboni M, Pacenti M, et al. Do estrogens receptors play a role in the pathogenesis of HIV-associated lipodystrophy. AIDS. 2005;19:531–3.PubMed Barzon L, Zamboni M, Pacenti M, et al. Do estrogens receptors play a role in the pathogenesis of HIV-associated lipodystrophy. AIDS. 2005;19:531–3.PubMed
67.
go back to reference Anderson LA, McTernan PG, Barnett AH, Kumar S. The effects of androgens and estrogens on pre-adipocytes proliferation in human adipose tissue: influence of gender and site. J Clin Endocrinol Metab. 2001;86(10):5045–51.PubMed Anderson LA, McTernan PG, Barnett AH, Kumar S. The effects of androgens and estrogens on pre-adipocytes proliferation in human adipose tissue: influence of gender and site. J Clin Endocrinol Metab. 2001;86(10):5045–51.PubMed
68.
go back to reference Hazlehurst JM, Tomlinson JW. Non-alcoholic fatty liver disease in common endocrine disorders. Eur J Endocrinol. 2013;169(2):R27–37.PubMed Hazlehurst JM, Tomlinson JW. Non-alcoholic fatty liver disease in common endocrine disorders. Eur J Endocrinol. 2013;169(2):R27–37.PubMed
69.•
go back to reference Camporez JP, Jornayvaz FR, Lee HY, et al. Cellular mechanism by which estradiol protects female ovariectomized mice from high-fat diet induced hepatic and muscle insulin resistance. Endocrinology. 2013;154(3):1021–8. These study demonstrated that estradiol plays a pivotal role in the regulation of whole-body energy homeostasis, increasing O2 consumption and energy expenditure in ovariectomized mice, and in turn preventing diet-induced ectopic lipid deposition and hepatic and muscle insulin resistance.PubMedCentralPubMed Camporez JP, Jornayvaz FR, Lee HY, et al. Cellular mechanism by which estradiol protects female ovariectomized mice from high-fat diet induced hepatic and muscle insulin resistance. Endocrinology. 2013;154(3):1021–8. These study demonstrated that estradiol plays a pivotal role in the regulation of whole-body energy homeostasis, increasing O2 consumption and energy expenditure in ovariectomized mice, and in turn preventing diet-induced ectopic lipid deposition and hepatic and muscle insulin resistance.PubMedCentralPubMed
70.
go back to reference Koutkia P, Eaton K, You SM, Breu J, Grinspoon S. Growth hormone secretion among HIV infected patients: effects of gender, race and fat distribution. AIDS. 2006;20(6):855–62.PubMed Koutkia P, Eaton K, You SM, Breu J, Grinspoon S. Growth hormone secretion among HIV infected patients: effects of gender, race and fat distribution. AIDS. 2006;20(6):855–62.PubMed
71.
go back to reference Chaves VE, Junior FM, Bertolini GL. The metabolic effects of growth hormone in adipose tissue. Endocrine. 2013;44(2):293–302.PubMed Chaves VE, Junior FM, Bertolini GL. The metabolic effects of growth hormone in adipose tissue. Endocrine. 2013;44(2):293–302.PubMed
72.
go back to reference Sprung VS, Jones H, Pugh CJ, et al. Endothelial dysfunction in hyperandrogenic polycyctic ovary syndrome is not explained by either obesity or ectopic fat deposition. Clin Sci. 2014;126(1):67–74.PubMed Sprung VS, Jones H, Pugh CJ, et al. Endothelial dysfunction in hyperandrogenic polycyctic ovary syndrome is not explained by either obesity or ectopic fat deposition. Clin Sci. 2014;126(1):67–74.PubMed
73.•
go back to reference Jones H, Sprung VS, Pugh CJ, et al. Polysystic ovary syndrome with hyperandrogenism is characterized by an increased risk of hepatic steatosis compared to non-hyperandrogenic PCOS phenotypers and healthy controls, independent of obesity and insulin resistance. J Clin Endocrinol Metab. 2012;97(10):3709–16. This cross-section case control study investigated the differences in ectopic fat accumulations between hyperandrogenic PCOS, PCOS with normal androgens and healthy controls. The results suggested that hyperandrogenic PCOS is associated with hepatic steatosis, independent of obesity and insulin resistance presence.PubMed Jones H, Sprung VS, Pugh CJ, et al. Polysystic ovary syndrome with hyperandrogenism is characterized by an increased risk of hepatic steatosis compared to non-hyperandrogenic PCOS phenotypers and healthy controls, independent of obesity and insulin resistance. J Clin Endocrinol Metab. 2012;97(10):3709–16. This cross-section case control study investigated the differences in ectopic fat accumulations between hyperandrogenic PCOS, PCOS with normal androgens and healthy controls. The results suggested that hyperandrogenic PCOS is associated with hepatic steatosis, independent of obesity and insulin resistance presence.PubMed
74.
go back to reference Valassi E, Crespo I, Santos A, Webb SM. Clinical consequences of Cushing’s syndrome. Pituitary. 2012;15(3):319–29.PubMed Valassi E, Crespo I, Santos A, Webb SM. Clinical consequences of Cushing’s syndrome. Pituitary. 2012;15(3):319–29.PubMed
75.
go back to reference Bodelier AG, Groeneveld W, van der Linden A, Haak HR. Symptomatic epidural lipomatosis in ectopic Cushiung’s syndrome. Eur J Endocrinol. 2004;151(6):765–9.PubMed Bodelier AG, Groeneveld W, van der Linden A, Haak HR. Symptomatic epidural lipomatosis in ectopic Cushiung’s syndrome. Eur J Endocrinol. 2004;151(6):765–9.PubMed
76.•
go back to reference Wang XJ, Wei DI, Song ZG, Jiao HC, Lin H. Effects of fatty acid treatments on the dexamethasone-induced intramuscular lipid accumulation in chickens. Plos ONE. 2012;7(5):e36663. The dexamethasone-induced lipid uptake and oxidation imbalance, which was estimated by increased fatty acid transport protein 1(FAPT1) expression and decreased carnitine palmitoyl transferase 1 activity, contributed to skeletal muscle lipid accumulation. Moreover, dexamethasone-stimulated lipid deposition was augmentated by palmitic acid supplementation, but alleviated by oleic acid, in response to pathways that were regulated differently, including AMPK, mTOR and FAPT1.PubMedCentralPubMed Wang XJ, Wei DI, Song ZG, Jiao HC, Lin H. Effects of fatty acid treatments on the dexamethasone-induced intramuscular lipid accumulation in chickens. Plos ONE. 2012;7(5):e36663. The dexamethasone-induced lipid uptake and oxidation imbalance, which was estimated by increased fatty acid transport protein 1(FAPT1) expression and decreased carnitine palmitoyl transferase 1 activity, contributed to skeletal muscle lipid accumulation. Moreover, dexamethasone-stimulated lipid deposition was augmentated by palmitic acid supplementation, but alleviated by oleic acid, in response to pathways that were regulated differently, including AMPK, mTOR and FAPT1.PubMedCentralPubMed
77.
go back to reference Geer EB, Shen W, Strohmayer E, Post KD, Freda PU. Body composition and cardiovascular risk markers after remission of Cushing’s Disease: a prospective study using whole-body MRI. J Clin Endocrinol Metab. 2012;97(5):1702–11.PubMedCentralPubMed Geer EB, Shen W, Strohmayer E, Post KD, Freda PU. Body composition and cardiovascular risk markers after remission of Cushing’s Disease: a prospective study using whole-body MRI. J Clin Endocrinol Metab. 2012;97(5):1702–11.PubMedCentralPubMed
78.
go back to reference Rockall AG, Sohaib SA, Evans D, et al. Hepatic steatosis in Cushing’s syndrome: a radiological assessment using computer tomography. Eur J Endocrinol. 2003;149(6):543–8.PubMed Rockall AG, Sohaib SA, Evans D, et al. Hepatic steatosis in Cushing’s syndrome: a radiological assessment using computer tomography. Eur J Endocrinol. 2003;149(6):543–8.PubMed
79.•
go back to reference Tarantino G, Finelli C. Pathogenesis of hepatic steatosis: the link between hypercortisolism and non-alcoholoc fatty liver disease. World J Gastroenterol. 2013;19(40):6735–43. Overview of the literature related to hepatic steatosis, its prevalence, clinical consequences and, in particular, the pathogenesis of this disorder. The authors focus on the link between hypercorticolism and NAFLD, and try to explain the low prevalence of this complication in 50 newly diagnosed patients with Cushing’s syndrome by the anti-inflammatory effect of high circulating levels of glucocorticoids.PubMedCentralPubMed Tarantino G, Finelli C. Pathogenesis of hepatic steatosis: the link between hypercortisolism and non-alcoholoc fatty liver disease. World J Gastroenterol. 2013;19(40):6735–43. Overview of the literature related to hepatic steatosis, its prevalence, clinical consequences and, in particular, the pathogenesis of this disorder. The authors focus on the link between hypercorticolism and NAFLD, and try to explain the low prevalence of this complication in 50 newly diagnosed patients with Cushing’s syndrome by the anti-inflammatory effect of high circulating levels of glucocorticoids.PubMedCentralPubMed
80.
go back to reference Kotani K, Tokunaga K, Fujioka S, et al. Sexual dimorphism of age-related changes in whole-body fat distribution in the obese. Int J Obes. 1994;18:207–12. Kotani K, Tokunaga K, Fujioka S, et al. Sexual dimorphism of age-related changes in whole-body fat distribution in the obese. Int J Obes. 1994;18:207–12.
81.
go back to reference Fantin F, Di Francesco V, Fontana G, et al. Longitudinal body composition changes in old men and women: interrelationships with worsening disability. J Gerontol. 2007;62A:1375–81. Fantin F, Di Francesco V, Fontana G, et al. Longitudinal body composition changes in old men and women: interrelationships with worsening disability. J Gerontol. 2007;62A:1375–81.
82.
go back to reference Tchkonia T, Corkey BE, Kirkland JL. Current views of the fat cell as an endocrine cell: lipotoxicity. Endocrine Updates. 2003;26:105–18. Tchkonia T, Corkey BE, Kirkland JL. Current views of the fat cell as an endocrine cell: lipotoxicity. Endocrine Updates. 2003;26:105–18.
83.
go back to reference Goodpaster BH, Carlson CL, Visser M, et al. Attenuation of skeletal muscle and strength in the elderly: The Health ABC Study. J Appl Physiol. 2001;90:2157–65.PubMed Goodpaster BH, Carlson CL, Visser M, et al. Attenuation of skeletal muscle and strength in the elderly: The Health ABC Study. J Appl Physiol. 2001;90:2157–65.PubMed
84.
go back to reference Ryan AS, Nicklas BJ. Age-related changes in fat deposition in mid-thigh muscle in women: relationships with metabolic cardiovascular disease risk factors. Int J Obes Relat Metab Disord. 1999;23:126–32.PubMed Ryan AS, Nicklas BJ. Age-related changes in fat deposition in mid-thigh muscle in women: relationships with metabolic cardiovascular disease risk factors. Int J Obes Relat Metab Disord. 1999;23:126–32.PubMed
85.
go back to reference Silaghi A, Piercecchi-Marti MD, Grino M, et al. Epicardial adipose tissue extent: relationship with age, body fat distribution, and coronaropathy. Obesity. 2008;16:2424–30.PubMed Silaghi A, Piercecchi-Marti MD, Grino M, et al. Epicardial adipose tissue extent: relationship with age, body fat distribution, and coronaropathy. Obesity. 2008;16:2424–30.PubMed
86.
go back to reference Saisho Y, Butler AE, Meier JJ, et al. Pancreas volumes in humans from birth to age on hundred taking into account sex, obesity, and presence of type 2 diabetes. Clin Anat. 2007;20:933–42.PubMedCentralPubMed Saisho Y, Butler AE, Meier JJ, et al. Pancreas volumes in humans from birth to age on hundred taking into account sex, obesity, and presence of type 2 diabetes. Clin Anat. 2007;20:933–42.PubMedCentralPubMed
87.
go back to reference Cree MG, Newcomer BR, Katsanos CS, et al. Intramuscular and liver triglycerides are increased in the elderly. J Clin Endocrinol Metab. 2004;89:3864–71.PubMed Cree MG, Newcomer BR, Katsanos CS, et al. Intramuscular and liver triglycerides are increased in the elderly. J Clin Endocrinol Metab. 2004;89:3864–71.PubMed
88.
go back to reference Foster MC, Hwang SJ, Porter SA, et al. Fatty Kidney, Hypertension, and Chronic Kidney Disease: The Framingham Heart Study. Hypertension. 2011;58:784–90.PubMedCentralPubMed Foster MC, Hwang SJ, Porter SA, et al. Fatty Kidney, Hypertension, and Chronic Kidney Disease: The Framingham Heart Study. Hypertension. 2011;58:784–90.PubMedCentralPubMed
89.
go back to reference Kugel H, Jung C, Shulte O, Heindel W. Age-and sex-specific differences in the 1H-spectrum of vertebral bone marrow. J Magn Reson Imaging. 2001;13:263–8.PubMed Kugel H, Jung C, Shulte O, Heindel W. Age-and sex-specific differences in the 1H-spectrum of vertebral bone marrow. J Magn Reson Imaging. 2001;13:263–8.PubMed
90.
go back to reference Gimble JM, Robinson CE, Wu X, Kelly KA. The function of adipocytes in the bone marrow stroma: an update. Bone. 1996;19:421–8.PubMed Gimble JM, Robinson CE, Wu X, Kelly KA. The function of adipocytes in the bone marrow stroma: an update. Bone. 1996;19:421–8.PubMed
91.
go back to reference Rosen CJ, Bouxsein ML. Mechanisms of disease: is osteoporosis the obesity of bone? Nat Clin Pract Rheumatol. 2006;2:35–43.PubMed Rosen CJ, Bouxsein ML. Mechanisms of disease: is osteoporosis the obesity of bone? Nat Clin Pract Rheumatol. 2006;2:35–43.PubMed
92.
go back to reference Snel M, Jonker JT, Schoones J, et al. Ectopic fat and insulin resistance: pathophysiology and effect of diet and lifestyle interventions. Int J Endocrinol. 2012;2012:983814.PubMedCentralPubMed Snel M, Jonker JT, Schoones J, et al. Ectopic fat and insulin resistance: pathophysiology and effect of diet and lifestyle interventions. Int J Endocrinol. 2012;2012:983814.PubMedCentralPubMed
93.
go back to reference Helibronn L, Smith SR, Ravussin E. Failure of fat cell proliferation, mitochondrial function and fat oxidation results in ectopic fat storage, insulin resistance and type II diabetes mellitus. Int J Obes Relat Metab Disord. 2004;28(S4):S12–21. Helibronn L, Smith SR, Ravussin E. Failure of fat cell proliferation, mitochondrial function and fat oxidation results in ectopic fat storage, insulin resistance and type II diabetes mellitus. Int J Obes Relat Metab Disord. 2004;28(S4):S12–21.
94.
go back to reference Trayhurn P. Hypoxia and adipose tissue function and dysfunction in obesity. Physiol Rev. 2013;93:1–21.PubMed Trayhurn P. Hypoxia and adipose tissue function and dysfunction in obesity. Physiol Rev. 2013;93:1–21.PubMed
95.
go back to reference Mazzatti D, Lim FL, O’Hara A, Wood IS, Trayhurn P. A microarray analysis of the hypoxia-induced modulation of gene expression in human adipocytes. Arch Physiol Biochem. 2012;118:112–20.PubMed Mazzatti D, Lim FL, O’Hara A, Wood IS, Trayhurn P. A microarray analysis of the hypoxia-induced modulation of gene expression in human adipocytes. Arch Physiol Biochem. 2012;118:112–20.PubMed
96.
go back to reference Unger RH. Longevity, lipotoxicity and leptin: the adipocyte defense against feasting and famine. Biochimie. 2005;87:57–64.PubMed Unger RH. Longevity, lipotoxicity and leptin: the adipocyte defense against feasting and famine. Biochimie. 2005;87:57–64.PubMed
97.
go back to reference Unger RH, Scherer PE, Holland WL. Dichotomous roles of leptin and adiponectin as enforces against lipotoxicity during feast and famine. Mol Biol Cell. 2013;24:3011–5.PubMedCentralPubMed Unger RH, Scherer PE, Holland WL. Dichotomous roles of leptin and adiponectin as enforces against lipotoxicity during feast and famine. Mol Biol Cell. 2013;24:3011–5.PubMedCentralPubMed
98.
go back to reference Simuzu H, Oh-I S, Okada S, Mori M. Leptin resistance and obesity. Endocrine J. 2007;54:17–26. Simuzu H, Oh-I S, Okada S, Mori M. Leptin resistance and obesity. Endocrine J. 2007;54:17–26.
99.
go back to reference Mantzoros CS, Magkos F, Brinkoetter M, et al. Leptin in human physiology and pathophysiology. Am J Endocrinol Metab. 2011;301(4):E567–84. Mantzoros CS, Magkos F, Brinkoetter M, et al. Leptin in human physiology and pathophysiology. Am J Endocrinol Metab. 2011;301(4):E567–84.
100.
go back to reference Choi SH, Hong ES, Lim S. Clinical implications of adipocytokines and newly emerging metabolic factors with relation to insulin resistance and cardiovascular health. Front Endocrinol. 2013;21:1–7. Choi SH, Hong ES, Lim S. Clinical implications of adipocytokines and newly emerging metabolic factors with relation to insulin resistance and cardiovascular health. Front Endocrinol. 2013;21:1–7.
101.
go back to reference Ortega FJ, Fernandez-Real JM. Inflammation in adipose tissue and fatty acid anabolism: when enough is enough! Horm Metab Res. 2013;45:1009–19.PubMed Ortega FJ, Fernandez-Real JM. Inflammation in adipose tissue and fatty acid anabolism: when enough is enough! Horm Metab Res. 2013;45:1009–19.PubMed
102.
go back to reference Sepe A, Tchkonia T, Thomou T, Zamboni M, Kirkland JL. Aging and regional differences in fat cell progenitors — a mini review. Gerontology. 2011;57:66.PubMed Sepe A, Tchkonia T, Thomou T, Zamboni M, Kirkland JL. Aging and regional differences in fat cell progenitors — a mini review. Gerontology. 2011;57:66.PubMed
Metadata
Title
Predictors of Ectopic Fat in Humans
Authors
Mauro Zamboni
Andrea P Rossi
Francesco Fantin
Simona L Budui
Elena Zoico
Giulia A Zamboni
Gloria Mazzali
Publication date
01-12-2014
Publisher
Springer US
Published in
Current Obesity Reports / Issue 4/2014
Electronic ISSN: 2162-4968
DOI
https://doi.org/10.1007/s13679-014-0126-7

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