Adipose Tissue and Adrenal Glands: Novel Pathophysiological Mechanisms and Clinical Applications

Hormones produced by the adrenal glands and adipose tissues have important roles in normal physiology and are altered in many disease states. Obesity is associated with changes in adrenal function, including increase in adrenal medullary catecholamine output, alterations of the hypothalamic-pituitar...

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Main Authors: Atil Y. Kargi, Gianluca Iacobellis
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2014/614074
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author Atil Y. Kargi
Gianluca Iacobellis
author_facet Atil Y. Kargi
Gianluca Iacobellis
author_sort Atil Y. Kargi
collection DOAJ
description Hormones produced by the adrenal glands and adipose tissues have important roles in normal physiology and are altered in many disease states. Obesity is associated with changes in adrenal function, including increase in adrenal medullary catecholamine output, alterations of the hypothalamic-pituitary-adrenal (HPA) axis, elevations in circulating aldosterone together with changes in adipose tissue glucocorticoid metabolism, and enhanced adipocyte mineralocorticoid receptor activity. It is unknown whether these changes in adrenal endocrine function are in part responsible for the pathogenesis of obesity and related comorbidities or represent an adaptive response. In turn, adipose tissue hormones or “adipokines” have direct effects on the adrenal glands and interact with adrenal hormones at several levels. Here we review the emerging evidence supporting the existence of “cross talk” between the adrenal gland and adipose tissue, focusing on the relevance and roles of their respective hormones in health and disease states including obesity, metabolic syndrome, and primary disorders of the adrenals.
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issn 1687-8337
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publishDate 2014-01-01
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spelling doaj-art-5b4905507ee248ccade652b375c537ac2025-08-20T03:35:01ZengWileyInternational Journal of Endocrinology1687-83371687-83452014-01-01201410.1155/2014/614074614074Adipose Tissue and Adrenal Glands: Novel Pathophysiological Mechanisms and Clinical ApplicationsAtil Y. Kargi0Gianluca Iacobellis1Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL 33136, USADivision of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL 33136, USAHormones produced by the adrenal glands and adipose tissues have important roles in normal physiology and are altered in many disease states. Obesity is associated with changes in adrenal function, including increase in adrenal medullary catecholamine output, alterations of the hypothalamic-pituitary-adrenal (HPA) axis, elevations in circulating aldosterone together with changes in adipose tissue glucocorticoid metabolism, and enhanced adipocyte mineralocorticoid receptor activity. It is unknown whether these changes in adrenal endocrine function are in part responsible for the pathogenesis of obesity and related comorbidities or represent an adaptive response. In turn, adipose tissue hormones or “adipokines” have direct effects on the adrenal glands and interact with adrenal hormones at several levels. Here we review the emerging evidence supporting the existence of “cross talk” between the adrenal gland and adipose tissue, focusing on the relevance and roles of their respective hormones in health and disease states including obesity, metabolic syndrome, and primary disorders of the adrenals.http://dx.doi.org/10.1155/2014/614074
spellingShingle Atil Y. Kargi
Gianluca Iacobellis
Adipose Tissue and Adrenal Glands: Novel Pathophysiological Mechanisms and Clinical Applications
International Journal of Endocrinology
title Adipose Tissue and Adrenal Glands: Novel Pathophysiological Mechanisms and Clinical Applications
title_full Adipose Tissue and Adrenal Glands: Novel Pathophysiological Mechanisms and Clinical Applications
title_fullStr Adipose Tissue and Adrenal Glands: Novel Pathophysiological Mechanisms and Clinical Applications
title_full_unstemmed Adipose Tissue and Adrenal Glands: Novel Pathophysiological Mechanisms and Clinical Applications
title_short Adipose Tissue and Adrenal Glands: Novel Pathophysiological Mechanisms and Clinical Applications
title_sort adipose tissue and adrenal glands novel pathophysiological mechanisms and clinical applications
url http://dx.doi.org/10.1155/2014/614074
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AT gianlucaiacobellis adiposetissueandadrenalglandsnovelpathophysiologicalmechanismsandclinicalapplications