Metabolic Syndrome: Updates on Pathophysiology and Management in 2021

Metabolic syndrome (MetS) forms a cluster of metabolic dysregulations including insulin resistance, atherogenic dyslipidemia, central obesity, and hypertension. The pathogenesis of MetS encompasses multiple genetic and acquired entities that fall under the umbrella of insulin resistance and chronic...

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Published inInternational journal of molecular sciences Vol. 23; no. 2; p. 786
Main Authors Fahed, Gracia, Aoun, Laurence, Bou Zerdan, Morgan, Allam, Sabine, Bou Zerdan, Maroun, Bouferraa, Youssef, Assi, Hazem I.
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 12.01.2022
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Abstract Metabolic syndrome (MetS) forms a cluster of metabolic dysregulations including insulin resistance, atherogenic dyslipidemia, central obesity, and hypertension. The pathogenesis of MetS encompasses multiple genetic and acquired entities that fall under the umbrella of insulin resistance and chronic low-grade inflammation. If left untreated, MetS is significantly associated with an increased risk of developing diabetes and cardiovascular diseases (CVDs). Given that CVDs constitute by far the leading cause of morbidity and mortality worldwide, it has become essential to investigate the role played by MetS in this context to reduce the heavy burden of the disease. As such, and while MetS relatively constitutes a novel clinical entity, the extent of research about the disease has been exponentially growing in the past few decades. However, many aspects of this clinical entity are still not completely understood, and many questions remain unanswered to date. In this review, we provide a historical background and highlight the epidemiology of MetS. We also discuss the current and latest knowledge about the histopathology and pathophysiology of the disease. Finally, we summarize the most recent updates about the management and the prevention of this clinical syndrome.
AbstractList Metabolic syndrome (MetS) forms a cluster of metabolic dysregulations including insulin resistance, atherogenic dyslipidemia, central obesity, and hypertension. The pathogenesis of MetS encompasses multiple genetic and acquired entities that fall under the umbrella of insulin resistance and chronic low-grade inflammation. If left untreated, MetS is significantly associated with an increased risk of developing diabetes and cardiovascular diseases (CVDs). Given that CVDs constitute by far the leading cause of morbidity and mortality worldwide, it has become essential to investigate the role played by MetS in this context to reduce the heavy burden of the disease. As such, and while MetS relatively constitutes a novel clinical entity, the extent of research about the disease has been exponentially growing in the past few decades. However, many aspects of this clinical entity are still not completely understood, and many questions remain unanswered to date. In this review, we provide a historical background and highlight the epidemiology of MetS. We also discuss the current and latest knowledge about the histopathology and pathophysiology of the disease. Finally, we summarize the most recent updates about the management and the prevention of this clinical syndrome.
Metabolic syndrome (MetS) forms a cluster of metabolic dysregulations including insulin resistance, atherogenic dyslipidemia, central obesity, and hypertension. The pathogenesis of MetS encompasses multiple genetic and acquired entities that fall under the umbrella of insulin resistance and chronic low-grade inflammation. If left untreated, MetS is significantly associated with an increased risk of developing diabetes and cardiovascular diseases (CVDs). Given that CVDs constitute by far the leading cause of morbidity and mortality worldwide, it has become essential to investigate the role played by MetS in this context to reduce the heavy burden of the disease. As such, and while MetS relatively constitutes a novel clinical entity, the extent of research about the disease has been exponentially growing in the past few decades. However, many aspects of this clinical entity are still not completely understood, and many questions remain unanswered to date. In this review, we provide a historical background and highlight the epidemiology of MetS. We also discuss the current and latest knowledge about the histopathology and pathophysiology of the disease. Finally, we summarize the most recent updates about the management and the prevention of this clinical syndrome.Metabolic syndrome (MetS) forms a cluster of metabolic dysregulations including insulin resistance, atherogenic dyslipidemia, central obesity, and hypertension. The pathogenesis of MetS encompasses multiple genetic and acquired entities that fall under the umbrella of insulin resistance and chronic low-grade inflammation. If left untreated, MetS is significantly associated with an increased risk of developing diabetes and cardiovascular diseases (CVDs). Given that CVDs constitute by far the leading cause of morbidity and mortality worldwide, it has become essential to investigate the role played by MetS in this context to reduce the heavy burden of the disease. As such, and while MetS relatively constitutes a novel clinical entity, the extent of research about the disease has been exponentially growing in the past few decades. However, many aspects of this clinical entity are still not completely understood, and many questions remain unanswered to date. In this review, we provide a historical background and highlight the epidemiology of MetS. We also discuss the current and latest knowledge about the histopathology and pathophysiology of the disease. Finally, we summarize the most recent updates about the management and the prevention of this clinical syndrome.
Author Allam, Sabine
Bouferraa, Youssef
Fahed, Gracia
Aoun, Laurence
Assi, Hazem I.
Bou Zerdan, Morgan
Bou Zerdan, Maroun
AuthorAffiliation 4 Department of Internal Medicine, SUNY Upstate Medical University, New York, NY 13205, USA; marounzerdan@gmail.com
6 Department of Internal Medicine, Division of Hematology and Oncology, Naef K. Basile Cancer Institute, American University of Beirut Medical Center, Beirut 2020, Lebanon
2 Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh 1200, Lebanon; Laurenceaoun90@gmail.com
5 Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, OH 44195, USA; youssefbf95@gmail.com
1 Faculty of Medicine, American University of Beirut, Beirut 2020, Lebanon; gif04@mail.aub.edu (G.F.); morganzerdan@gmail.com (M.B.Z.)
3 Faculty of Medicine, University of Balamand, Beirut 1100, Lebanon; sabineallam@hotmail.com
AuthorAffiliation_xml – name: 2 Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh 1200, Lebanon; Laurenceaoun90@gmail.com
– name: 4 Department of Internal Medicine, SUNY Upstate Medical University, New York, NY 13205, USA; marounzerdan@gmail.com
– name: 1 Faculty of Medicine, American University of Beirut, Beirut 2020, Lebanon; gif04@mail.aub.edu (G.F.); morganzerdan@gmail.com (M.B.Z.)
– name: 3 Faculty of Medicine, University of Balamand, Beirut 1100, Lebanon; sabineallam@hotmail.com
– name: 6 Department of Internal Medicine, Division of Hematology and Oncology, Naef K. Basile Cancer Institute, American University of Beirut Medical Center, Beirut 2020, Lebanon
– name: 5 Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, OH 44195, USA; youssefbf95@gmail.com
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  givenname: Gracia
  surname: Fahed
  fullname: Fahed, Gracia
– sequence: 2
  givenname: Laurence
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  fullname: Aoun, Laurence
– sequence: 3
  givenname: Morgan
  surname: Bou Zerdan
  fullname: Bou Zerdan, Morgan
– sequence: 4
  givenname: Sabine
  surname: Allam
  fullname: Allam, Sabine
– sequence: 5
  givenname: Maroun
  orcidid: 0000-0002-9229-3079
  surname: Bou Zerdan
  fullname: Bou Zerdan, Maroun
– sequence: 6
  givenname: Youssef
  surname: Bouferraa
  fullname: Bouferraa, Youssef
– sequence: 7
  givenname: Hazem I.
  orcidid: 0000-0002-8483-0938
  surname: Assi
  fullname: Assi, Hazem I.
BackLink https://www.ncbi.nlm.nih.gov/pubmed/35054972$$D View this record in MEDLINE/PubMed
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Snippet Metabolic syndrome (MetS) forms a cluster of metabolic dysregulations including insulin resistance, atherogenic dyslipidemia, central obesity, and...
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SubjectTerms Abdomen
Biomarkers
Blood pressure
Body fat
Cholesterol
Chronic Disease
Diabetes
Disease
Disease Management
Disease Susceptibility
Epidemiology
Glucose
High density lipoprotein
Hormones
Humans
Hypertension
Inflammation - complications
Inflammation - etiology
Inflammation - metabolism
Insulin Resistance
Lipoproteins
Liver
Metabolic syndrome
Metabolic Syndrome - diagnosis
Metabolic Syndrome - etiology
Metabolic Syndrome - metabolism
Metabolic Syndrome - therapy
Mitochondria - genetics
Mitochondria - metabolism
Obesity
Organ Specificity
Pathophysiology
Prevalence
Public Health Surveillance
Review
Womens health
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Title Metabolic Syndrome: Updates on Pathophysiology and Management in 2021
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