Perirenal Adipose Tissue-Current Knowledge and Future Opportunities.
Adriana GrigorașRaluca Anca BalanIrina-Draga CăruntuSimona Eliza GiușcăLudmila LozneanuRoxana Elena AvadaneiAndreea RusuLaura Adriana RiscanuCornelia AmalineiPublished in: Journal of clinical medicine (2021)
The perirenal adipose tissue (PRAT), a component of visceral adipose tissue, has been recently recognized as an important factor that contributes to the maintenance of the cardiovascular system and kidney homeostasis. PRAT is a complex microenvironment consisting of a mixture of white adipocytes and dormant and active brown adipocytes, associated with predipocytes, sympathetic nerve endings, vascular structures, and different types of inflammatory cells. In this review, we summarize the current knowledge about PRAT and discuss its role as a major contributing factor in the pathogenesis of hypertension, obesity, chronic renal diseases, and involvement in tumor progression. The new perspectives of PRAT as an endocrine organ and recent knowledge regarding the possible activation of dormant brown adipocytes are nowadays considered as new areas of research in obesity, in close correlation with renal and cardiovascular pathology. Supplementary PRAT complex intervention in tumor progression may reveal new pathways involved in carcinogenesis and, implicitly, may identify additional targets for tailored cancer therapy.
Keyphrases
- adipose tissue
- insulin resistance
- high fat diet induced
- high fat diet
- healthcare
- cancer therapy
- poor prognosis
- metabolic syndrome
- blood pressure
- induced apoptosis
- randomized controlled trial
- weight loss
- type diabetes
- oxidative stress
- stem cells
- weight gain
- drug delivery
- high resolution
- genome wide
- dna methylation
- single cell
- gene expression
- body mass index