Adiposopathy: Is “Sick Fat” a Cardiovascular Disease?

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    There are grounds for suspicion that sick abdominal fat tissue may produce factors that cause subcutaneous fat tissue to also become “sick” and further contribute to metabolic diseases.

  • Other potentially detrimental effects of enlarged subcutaneous fat tissue relate to free fatty acids. During fasting, the body can obtain energy through the release of free from the in fat cells. The fatty acids thus become available for release into the blood. If too high a concentration of certain accumulates in the blood because of sick fat tissue, and the body is unable to recruit more healthy fat cells, then existing healthy fat cells become engorged (and thus also sick). The result is that blood fatty acid concentrations increase to levels toxic to tissues such as , , and , and lead to a range of pathological metabolic conditions.

    Adiposopathy (or sick fat) refers to certain classes of dysfunction of fat cells. The dysfunctions in question may contribute to many of the adverse metabolic conditions associated with and the associated .

  • Adiposity is excessive adipose tissue. Those with adiposity are characterized as being overweight or obese. Obesity is described as an independent risk factor for cardiovascular disease (CVD) (). Adiposity is pathological to the cardiovascular system through excessive fat-mass mechanisms and through adipocyte and adipose tissue dysfunction () (,) Adiposopathy (or “sick fat”) is defined as pathologic adipose tissue anatomic/functional disturbances promoted by positive caloric balance in genetically and environmentally susceptible individuals that result in adverse endocrine and immune responses that may directly promote CVD, and may cause or worsen metabolic disease. Because many of these metabolic diseases are major CVD risk factors (e.g., type 2 diabetes mellitus [T2DM], high blood pressure, and dyslipidemia), adiposopathy also indirectly increases CVD risk (, , and ) (,) This review examines the relationship between pathogenic adipose tissue, CVD, and CVD risk factors.

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After a detailed molecular analysis of the compared to the fat of lean individuals it was discovered that the obese fat contained so many abnormalities relating to poor metabolic function that the researchers described it as “sick fat.”