Metaflammation in glucolipid metabolic disorders: Pathogenesis and treatment

Biomed Pharmacother. 2023 May:161:114545. doi: 10.1016/j.biopha.2023.114545. Epub 2023 Mar 20.

Abstract

The public health issue of glucolipid metabolic disorders (GLMD) has grown significantly, posing a grave threat to human wellness. Its prevalence is rising yearly and tends to affect younger people. Metaflammation is an important mechanism regulating body metabolism. Through a complicated multi-organ crosstalk network involving numerous signaling pathways such as NLRP3/caspase-1/IL-1, NF-B, p38 MAPK, IL-6/STAT3, and PI3K/AKT, it influences systemic metabolic regulation. Numerous inflammatory mediators are essential for preserving metabolic balance, but more research is needed to determine how they contribute to the co-morbidities of numerous metabolic diseases. Whether controlling the inflammatory response can influence the progression of GLMD determines the therapeutic strategy for such diseases. This review thoroughly examines the role of metaflammation in GLMD and combs the research progress of related therapeutic approaches, including inflammatory factor-targeting drugs, traditional Chinese medicine (TCM), and exercise therapy. Multiple metabolic diseases, including diabetes, non-alcoholic fatty liver disease (NAFLD), cardiovascular disease, and others, respond therapeutically to anti-inflammatory therapy on the whole. Moreover, we emphasize the value and open question of anti-inflammatory-based means for treating GLMD.

Keywords: Glucolipid metabolic disorders; Metaflammation; Signaling pathways; Traditional Chinese medicine; Treatment.

Publication types

  • Review

MeSH terms

  • Anti-Inflammatory Agents / therapeutic use
  • Humans
  • Inflammation Mediators
  • Metabolic Diseases* / drug therapy
  • Non-alcoholic Fatty Liver Disease* / drug therapy
  • Phosphatidylinositol 3-Kinases

Substances

  • Phosphatidylinositol 3-Kinases
  • Anti-Inflammatory Agents
  • Inflammation Mediators