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[The Metabolic Syndrome (MetS) represents the association of common pathologies such as obesity, diabetes, insulin resistance, dyslipidaemia, fatty liver and associated cardiovascular complications. The MetS is important because of its prevalence, potential severity and costs. The MetS is a challenge due to its undefined pathogenesis, clinical heterogeneity and complexity, lack of good risk predictors and therapeutic options. Here we propose an adipocentric pathogenic model supported by the concepts of adipose tissue expandability and peripheral lipotoxicity. We also put forward the need for an allostatic perspective and a systems biology approach to understand its pathogenesis, natural history, subphenotypes, potential diagnostic and prognostic biomarkers and new therapeutic targets.]
Published: Sep 25, 2013
Keywords: Obesity; Insulin resistance; Lipotoxicity; Inflammation; Adipose tissue expandability; Allostasis
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