Visceral Fat Toxicity is the clinically significant pathological state resulting from the excessive accumulation of visceral fat tissue, which actively secretes a high volume of pro-inflammatory cytokines and detrimental free fatty acids into the circulation. This toxicity creates a highly adverse metabolic environment that profoundly impairs insulin signaling in the liver and muscle, significantly drives systemic inflammation, and dramatically increases the risk for all cardiometabolic diseases. It is the primary underlying reason this specific fat depot is considered metabolically hazardous.
Origin
The term is a clinical descriptor emphasizing the profound detrimental endocrine and metabolic activity of visceral fat, contrasting its harmful nature with the relatively more benign, protective role of subcutaneous fat. ‘Toxicity’ refers to the systemic damage caused by the chronic release of its inflammatory and lipotoxic products.
Mechanism
Visceral adipocytes possess a unique propensity to release their products directly into the portal vein, leading to the liver being exposed to high concentrations of free fatty acids, which directly induces hepatic insulin resistance and dyslipidemia. Furthermore, this fat is highly immunogenic, attracting macrophages that drive the excessive production of inflammatory adipokines like TNF-alpha and Interleukin-6. This inflammatory cascade contributes significantly to the overall state of inflammaging and systemic metabolic dysfunction.
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