国际麻醉学与复苏杂志   2015, Issue (5): 11-11
    
1-磷酸神经鞘氨醇与肥胖相关性炎症的研究进展
刘灿, 方向明, 舒强1()
1.浙江大学医学院
Sphingosine-1-phosphate and obesity-induced inflammation
 全文:
摘要:

背景 肥胖是一种病理状态,系能量代谢失衡导致脂肪组织在体内过度或异常的积聚所致。脂肪组织可以合成并分泌炎性介质,趋化炎性细胞的浸润,促进机体的炎症反应,参与代谢性疾病的发生发展。近年来的研究发现,肥胖相关性炎症将导致1-磷酸神经鞘氨醇(sphingosine-1-phosphate, S1P)代谢紊乱,增加代谢性疾病,如动脉粥样硬化、2型糖尿病、非酒精性脂肪肝病(non-alcoholic fatty liver disease, NAFLD)的发生风险。 目的 探讨肥胖相关性炎症与S1P代谢的相互作用。 内容 肥胖相关性炎症的病理过程、S1P代谢的调控以及S1P在代谢性疾病中的作用。 趋向 S1P在肥胖相关性炎症中作用机制的阐述将为代谢性疾病及其后续并发症的防治提供分子靶标。

关键词: 肥胖; 炎症; 鞘磷脂; 代谢性疾病
Abstract:

Background Obesity is a pathological state due to over or abnormal accumulation of adipose tissue generated by nutrition metabolism imbalance. Adipose tissue can secrete inflammatory cytokines, termed "adipokines", which will bring about inflammatory cells infiltration and inflammation status up-regulation, which is presumed to take part in pathogenesis of metabolic diseases. Recent researches show that obesity-induced inflammation will cause metabolic disturbances of sphingosine-1-phosphate(S1P), which will increase the risk for metabolic diseases including atherosclerosis, type 2 diabetes and non-alcoholic fatty liver disease(NAFLD). Objective To discuss the interaction between obesity-induced inflammation and S1P metabolism. Content Pathological process of obesity-induced inflammation, regulation of S1P metabolism, and functions of S1P in the pathogenesis of metabolic diseases. Trend To clarify the specific role of S1P in the pathogenesis of obesity-induced inflammation will provide us with molecular targets for preventing and treating metabolic diseases in the future.

Key words: Obesity; Inflammation; Sphingolipid; Metabolic diseases