Evidence mapPaperPMID 42364121Full record

ReviewObesity facts2026

Targeting Inflammation in Obesity and the Cardiovascular-Kidney-Metabolic Syndrome Spectrum: A Narrative Review.

Afsaneh Noormandi, Heiko Bugger, Faisal Aziz, Zvonko Milicevic, Dirk von Lewinski, Bernhard Ludvik, Verena Parzer, Andreas Zirlik, Thomas R Pieber, Hans Peter Dimai and 1 more

Abstract readReview
In one paragraph

Review in Obesity facts, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

11 authors.

Afsaneh NoormandiCardiometabolic Trials Unit, Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Heiko BuggerUniversity Heart Center Graz, Division of Cardiology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Faisal AzizCardiometabolic Trials Unit, Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Zvonko MilicevicDepartment for science and research, Clinical Hospital "Sveti Duh", Zagreb, Croatia.
Dirk von LewinskiUniversity Heart Center Graz, Division of Cardiology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Bernhard Ludvik1st Medical Department and Karl Landsteiner Institute of Obesity and Metabolic Disorders, Landstrasse Clinic, Vienna, Austria.
Verena Parzer1st Medical Department and Karl Landsteiner Institute of Obesity and Metabolic Disorders, Landstrasse Clinic, Vienna, Austria.
Andreas ZirlikUniversity Heart Center Graz, Division of Cardiology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Thomas R PieberDivision of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Hans Peter DimaiDivision of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Harald SourijCardiometabolic Trials Unit, Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria, ha.sourij@medunigraz.at.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiovascular-kidney-metabolic (CKM) syndrome refers to a multi-systemic condition with established pathophysiological connections between obesity, diabetes mellitus, chronic kidney disease, and cardiovascular disease. Chronic low-grade inflammation has been recognized as a common pathophysiological theme linking metabolic dysfunction to multisystem damage of the heart, kidneys, and vasculature. The aim of this narrative review was to summarize the major pharmacologic strategies that target inflammatory pathways in obesity and across the CKM disease spectrum, including metabolic therapies with indirect anti-inflammatory effects and targeted immunomodulatory agents. SUMMARY: New therapies have markedly changed the obesity and the CKM treatment paradigms, with evidence that currently available metabolic medications confer cardiovascular and renal benefits in addition to glycemic control or weight improvement. Nutrient-stimulated hormone therapies and sodium-glucose cotransporter-2 inhibitors (SGLT2i) work synergistically to positively modulate systemic inflammation while maintaining cardiovascular health and cardiometabolic function throughout therapy. Additionally, emerging clinical data for direct anti-inflammatory treatments, such as interleukin-1β/interleukin-6 inhibition and low-dose colchicine, have established inflammation as a modifiable cardiovascular risk factor. Furthermore, therapies that target the liver, such as resmetirom, fibroblast growth factor-21 (FGF21) analogs, and peroxisome proliferator-activated receptors agonists, have highlighted the role of the liver-adipose axis in metabolic inflammation and CKM progression. KEY MESSAGES: Together, both metabolic and direct anti-inflammatory therapies represent the most recent evolution of a combined approach to treating metabolic dysfunction and inflammation. This type of approach has the potential to revolutionize the prevention and treatment of CKM across the spectrum of diseases and usher in personalized medicine for obesity-related cardiometabolic diseases. However, further studies are needed to determine when these therapies should be initiated, which patients are most likely to benefit, and whether combination approaches can alter disease progression beyond the current standard of care.

Indexed as

Anti-inflammatoryCardiovascular-Kidney-Metabolic syndromeObesityPharmacotherapyStrategies

Identifiers

PMID42364121
PMCPMC13452086

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.