Evidence mapPaperPMID 42193485Full record

ReviewBiomedicines2026

From Metabolically Healthy to Unhealthy Obesity Through Low-Grade Inflammation.

Anastasia Voznesenskaya, Alyona Sorokina, Marina Shestakova, Ekaterina Shestakova, Ildar Minniakhmetov, Anna Ivanova, Sergey Rumyantsev, Natalia Mokrysheva, Vladimir Chekhonin, Marina Loguinova

Abstract readReview
In one paragraph

Review in Biomedicines, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Anastasia VoznesenskayaEndocrinology Research Centre, 117292 Moscow, Russia.ORCID 0000-0001-8838-8908
Alyona SorokinaEndocrinology Research Centre, 117292 Moscow, Russia.
Marina ShestakovaEndocrinology Research Centre, 117292 Moscow, Russia.ORCID 0000-0002-5057-127X
Ekaterina ShestakovaEndocrinology Research Centre, 117292 Moscow, Russia.ORCID 0000-0001-6612-6851
Ildar MinniakhmetovEndocrinology Research Centre, 117292 Moscow, Russia.ORCID 0000-0002-7045-8215
Anna IvanovaEndocrinology Research Centre, 117292 Moscow, Russia.
Sergey RumyantsevEndocrinology Research Centre, 117292 Moscow, Russia.
Natalia MokryshevaEndocrinology Research Centre, 117292 Moscow, Russia.
Vladimir ChekhoninEndocrinology Research Centre, 117292 Moscow, Russia.
Marina LoguinovaEndocrinology Research Centre, 117292 Moscow, Russia.

Funding

Russian Foundation for Basic Research 22-15-00365-P (prolongation) dated 10.06.2025
6 · The paper itself

Abstract

Of the many clinical phenotypes of obesity, the most prevalent are metabolically "healthy" (MHO) and metabolically "unhealthy" (MUO) obesities, the latter being associated with a range of comorbidities, including type 2 diabetes mellitus (T2DM). The underlying causes of different obesity phenotypes and the mechanisms of conversion of one phenotype into another have yet to be fully elucidated. However, increasing evidence suggests the key role of low-grade metabolic inflammation (metaflammation) in the pathogenesis of obesity and metabolic dysfunction. The review presents a comprehensive description of changes in immune cell populations and pro-inflammatory mediators, as well as a detailed comparative mapping of the adipose tissue immune landscape during MHO/MUO transition. Based upon a conceptual model for the intensification of metaflammation during MHO progression and conversion to MUO, a pattern of dynamical changes that accompany MHO/MUO transition is described. Though many parameters demonstrate significant differences in multiple cross-sectional and some longitudinal studies, only a few of them (CRP, IL-6, IL-17A, absolute counts of leukocytes and neutrophils) meet the criteria of a validated biomarker in clinical setting. A lack of standardization in MHO definition and heterogeneity in the severity of MUO make the search for predictive biomarkers a challenge. The review also discusses the mechanisms underlying metabolic memory and the incomplete reversibility of metabolic disturbances after bariatric surgery.

Indexed as

bariatric surgeryCRPIL-17AIL-6metaflammationmorbid obesityobesogenic memorysenescent immune cellstype 2 diabetes mellitus (T2DM)

Identifiers

PMID42193485
PMCPMC13204051

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.