Ota · Diabetes & metabolism journal 2013 · narrative review · n=?

Chemokine systems link obesity to insulin resistance.

Cited 112 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review of biological mechanisms and pathways without primary empirical data

PubMed 23807918 · doi:10.4093/dmj.2013.37.3.165 · record verified 2026-08-30

What was done

This narrative review synthesized literature on the role of chemokine systems and adipose tissue macrophages in mediating obesity-induced chronic low-grade inflammation and insulin resistance.

What was found

The abstract reports no empirical data or statistical findings. It notes that over 50 chemokines and 18 chemokine receptors have been identified, highlighting the role of C-C motif chemokine receptor 2 (CCR2) and monocyte chemoattractant protein-1 (MCP-1) in adipose tissue macrophage accumulation while emphasizing substantial functional redundancy across chemokine networks.

Why it matters

Understanding the chemokine pathways driving macrophage infiltration into adipose tissue helps map the molecular link between obesity, chronic inflammation, and type 2 diabetes.

Limits

The abstract describes a narrative review without primary clinical data, quantitative effect estimates, or systematic search methods; functional redundancy among chemokine pathways also limits clear delineation of individual receptor contributions.

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