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* Department of Physiology, Louisiana State University Health Sciences Center, New Orleans, Louisiana 70112; and
Department of Cellular and Integrative Physiology, Indiana University School of Medicine, Indianapolis, Indiana 46202
To whom requests for reprints should be addressed at 1 Department of Cellular and Integrative Physiology, Indiana University School of Medicine, 635 Barnhill Drive, Indianapolis, IN 46202. E-mail: jtune{at}iupui.edu
Research in the last 1015 years has shown that fat cells (adipocytes) produce and release proteins with specific biologic activities. These proteins, termed adipokines, include the hormones leptin, adiponectin, and resistin. Adipose tissue is now recognized as an active endocrine organ. With the obesity pandemic swelling in the Western world, ongoing research is aimed at determining the biologic links between obesity and cardiovascular disease. This review presents basic historical background information on the major adipokines, introduces findings from clinical studies associating adipokines with cardiovascular disease, and summarizes results from recent basic science research studies of mechanisms of adipokine-induced cardiovascular dysfunction. Particular emphasis is placed on the action of adipokines in the coronary circulationespecially effects of adipokines on endothelial function, as endothelial damage is likely a critical event initiating atherosclerotic coronary artery disease.
Key Words: coronary blood flow adipokine leptin resistin adiponectin tumor necrosis factor-
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