Evidence mapPaperPMID 37576108Full record

ReviewFrontiers in cardiovascular medicine2023

Visceral adipose tissue and residual cardiovascular risk: a pathological link and new therapeutic options.

Arturo Cesaro, Gianantonio De Michele, Fabio Fimiani, Vincenzo Acerbo, Gianmaria Scherillo, Giovanni Signore, Francesco Paolo Rotolo, Francesco Scialla, Giuseppe Raucci, Domenico Panico and 5 more

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in cardiovascular medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed
28.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

94 citing papers in PubMed, 116 citations in OpenAlex.

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34 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 5 institutions in 1 country.

Arturo CesaroDepartment of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Gianantonio De MicheleDepartment of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Fabio FimianiUnit of Inherited and Rare Cardiovascular Diseases, A.O.R.N. Dei Colli "V. Monaldi", Naples, Italy.
Vincenzo AcerboDepartment of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Gianmaria ScherilloDepartment of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Giovanni SignoreDepartment of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Francesco Paolo RotoloDepartment of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Francesco SciallaDepartment of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Giuseppe RaucciDepartment of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Domenico PanicoDepartment of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Felice GragnanoDepartment of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Elisabetta MoscarellaDepartment of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Olga ScudieroDepartment of Molecular Medicine and Medical Biotechnology, University of Naples Federico II, Naples, Italy.
Cristina MennittiDepartment of Molecular Medicine and Medical Biotechnology, University of Naples Federico II, Naples, Italy.
Paolo CalabròDepartment of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Ospedale Sant'Anna · ITUniversity of Campania "Luigi Vanvitelli" · ITCeinge Biotecnologie Avanzate (Italy) · ITOspedale Monaldi · ITUniversity of Naples Federico II · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obesity is a heterogeneous disease that affects almost one-third of the global population. A clear association has been established between obesity and cardiovascular disease (CVD). However, CVD risk is known to be related more to the local distribution of fat than to total body fat. Visceral adipose tissue (VAT) in particular has a high impact on CVD risk. This manuscript reviews the role of VAT in residual CV risk and the available therapeutic strategies for decreasing residual CV risk related to VAT accumulation. Among the many pathways involved in residual CV risk, obesity and particularly VAT accumulation play a major role by generating low-grade systemic inflammation, which in turn has a high prognostic impact on all-cause mortality and myocardial infarction. In recent years, many therapeutic approaches have been developed to reduce body weight. Orlistat was shown to reduce both weight and VAT but has low tolerability and many drug-drug interactions. Naltrexone-bupropion combination lowers body weight but has frequent side effects and is contraindicated in patients with uncontrolled hypertension. Liraglutide and semaglutide, glucagon-like peptide 1 (GLP-1) agonists, are the latest drugs approved for the treatment of obesity, and both have been shown to induce significant body weight loss. Liraglutide, semaglutide and other GLP-1 agonists also showed a positive effect on CV outcomes in diabetic patients. In addition, liraglutide showed to specifically reduce VAT and inflammatory biomarkers in obese patients without diabetes. GLP-1 agonists are promising compounds to limit inflammation in human visceral adipocytes.

Indexed as

GLP-1 agonistsliraglutideobesityresidual cardiovascular risksemaglutidevisceral adipose tissue

Identifiers

PMID37576108
PMCPMC10421666
OpenAlexW4385297076

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.