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L’adiponectine : une adipokine aux multiples visages

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Physiologie et physiopathologie du tissu adipeux
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Résumé

Le tissu adipeux (TA) est maintenant reconnu comme un organe sécrétoire majeur capable de synthétiser une large variété de facteurs, les adipokines (molécules synthétisées et secrétées par le TA et agissant localement sur un mode autocrine-paracrine, ou endocrine au niveau systémique), dont certaines modulent la sensibilité à l’insuline et l’équilibre énergétique [1, 2]. Ces adipokines exercent des effets physiologiques pléiotropes, et il est de plus en plus clair que leur déséquilibre participe à la genèse de nombreuses affections métaboliques et de leurs complications telles que le diabète et les affections cardiovasculaires. Le TA est un tissu hétérogène composé d’adipocytes et de nombreux autres types cellulaires (préadipocytes, fibroblastes, cellules endothéliales, macrophages et d’autres cellules du système immunitaire) constituant la fraction stroma-vasculaire (FSV). Certaines adipokines sont majoritairement produites par les adipocytes, tandis que d’autres sont préférentiellement sécrétées par les cellules de la FSV, et en particulier par les macrophages. Dans la suite de ce chapitre nous présenterons les propriétés d’une adipokine majoritairement produite par les adipocytes: l’adiponectine.

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Bastard, JP., Vatier, C., Fève, B. (2013). L’adiponectine : une adipokine aux multiples visages. In: Physiologie et physiopathologie du tissu adipeux. Springer, Paris. https://doi.org/10.1007/978-2-8178-0332-6_13

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