De Fano · International journal of molecular sciences 2022 · narrative review · n=?

Adipose Tissue Plasticity in Response to Pathophysiological Cues: A Connecting Link between Obesity and Its Associated Comorbidities.

Cited 37 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review of biological mechanisms without systematic methodology or primary human data

PubMed 35628322 · doi:10.3390/ijms23105511 · record verified 2026-08-29

What was done

This is a narrative review synthesizing literature on adipose tissue plasticity and remodeling in response to energy balance variations. The authors examine the mechanistic processes linking adipose organ dysfunction to metabolic and cardiovascular complications, focusing on adipocyte precursor failure, hypertrophy, impaired redox homeostasis, low-grade inflammation, and cellular senescence.

What was found

The abstract provides a conceptual synthesis without quantitative data or statistical measurements. It describes a mechanistic model where limited adipose expandability triggers a triad of lipoxidation, inflammation, and cellular senescence, promoting ectopic lipid overspill (lipotoxicity) and altered adipokine and lipokine secretion.

Why it matters

It emphasizes that impaired adipose tissue plasticity and functional remodeling—rather than fat mass enlargement alone—drive obesity-associated cardiometabolic disease, presenting adipose plasticity as a potential therapeutic target.

Limits

As a non-systematic narrative review, the paper presents no original empirical data, quantitative meta-analysis, or predefined search criteria. The mechanistic frameworks described in the abstract are not supported by reported clinical sample sizes or statistical effect estimates.

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