Combating Pathogens: Unraveling the Role of Immune System in Individuals with Obesity

Authors

  • Marriam Saleem Department of Biotechnology, University of Central Punjab (UCP ), Lahore, Pakistan
  • Tazmeen Shahid Department of Biotechnology, University of Central Punjab (UCP ), Lahore, Pakistan https://orcid.org/0009-0004-1551-8846
  • Aqsa Batool Department of Biotechnology, University of Central Punjab (UCP ), Lahore, Pakistan
  • Iqra Kaneez Department of Biotechnology, University of Central Punjab (UCP ), Lahore, Pakistan
  • Hafiz Asif Muhammad Ali Department of Biological Sciences, Lahore Garrison University, Lahore, Pakistan
  • Muhammad Tahir Latif Rashid Latif Institute of Allied Health Sciences, Rashid Latif Khan University, Lahore, Pakistan

DOI:

https://doi.org/10.31580/pjmls.v7i3.3118

Keywords:

Adiponectin, Immune dysfunction, Leptin, Low-grade inflammation, Obesity, Pro-inflammatory cytokines, Th1 Cells, TNF-α, Treg Cells, Visceral adipose tissue

Abstract

Overweight and obesity are conditions that increase in prevalence as a result of the population’s vulnerability to communicable diseases. Because obesity is characterized by immune dysfunction, this review looks at how this federacy comes about to promote intricate understanding of the factors involved. In normal physiology of an individual, the immune system develops a well-coordinated network to combat invading pathogens. However, in obesity, there is an alteration in immune regulation and the body acquires a constant low-grade inflammation. It has been identified that visceral adipose tissue, being an endocrine tissue, releases pro-inflammatory cytokines including TNF-α, adiponectin and leptin, which negatively affect immune cell function and homoeostasis. These alterations of immune cell populations lead to accumulation of pro-inflammatory Th1 cells and macrophages at the expense of anti-inflammatory Treg cells and M2 macrophages pushing the inflammatory process to chronicity. It also compromises the immune system and consequently the body’s ability to protect itself against pathogens. The relationship between obesity and immunity is poorly comprehended; thus, assessing the interaction is critical when treating an increased risk of infections, dysregulated immunity and abnormal metabolism in obese persons. To identify new sigma-pharm treatments such as, TNF-α inhibitors, leptin modulators and adiponectin-based therapies, for this population to boost the immune system and improve overall clients’ health, more studies are required. 

References

Pérez-Pérez A, Sánchez-Jiménez F, Maymó J, Dueñas JL, Varone C. Role of leptin in inflammation and vice versa. International Journal of Molecular Sciences. 2020;21(16):5887.

Ray A, Bonorden MJ, Greenfield SM, Morimoto I, McGuire TF. Infections and immunity: associations with obesity and related metabolic disorders. Journal of Pathology and Translational Medicine. 2023;57(1):28-42.

Shafiee A, Nakhaee Z, Fard NR, Jafari F, Jamil G. Global prevalence of obesity and overweight among medical students: a systematic review and meta-analysis. BMC Public Health. 2024;24(1):1673.

Wong MC, Huang J, Fang Y, Wong SH, Tang JL. Global, regional and time-trend prevalence of central obesity: a systematic review and meta-analysis of 13.2 million subjects. European Journal of Epidemiology. 2020;35:673-83.

Kawai T, Autieri MV, Simon DR, Bonventre JV, Wilcox CS. Adipose tissue inflammation and metabolic dysfunction in obesity. American Journal of Physiology-Cell Physiology. 2021;320(3).

Muscogiuri G, Pugliese G, Barrea L, Savastano S, Colao A. The impact of obesity on immune response to infection: plausible mechanisms and outcomes. Obesity Reviews. 2021;22(6).

SantaCruz-Calvo S, Bharath L, Carmona-Gutierrez D, Zimmermann A, Madeo F. Adaptive immune cells shape obesity-associated type 2 diabetes mellitus and less prominent comorbidities. Nature Reviews Endocrinology. 2022;18(1):23-42.

Khan S, Luck H, Zhu Z, Khan RA, Levings MK. Emerging concepts in intestinal immune control of obesity-related metabolic disease. Nature Communications. 2021;12(1):2598.

Cancro MP, Tomayko MM, Tarlinton DM, Brodeur SR, Laufer TM. Memory B cells and plasma cells: The differentiative continuum of humoral immunity. Immunological Reviews. 2021;303(1):72-82.

Zangger N, Oderbolz J, Mak TW, Butticaz C, Booth A. CD4 T cell-mediated immune control of cytomegalovirus infection in murine salivary glands. Pathogens. 2021;10(12):1531.

Mayassi T, Barreiro LB, Qin Z, Mooney JP, McCarl C. A multilayered immune system through the lens of unconventional T cells. Nature. 2021;595(7868):501-10.

Hornung F, Rogal J, Steinmann T, Wehr C, Forcheron F. The inflammatory profile of obesity and the role on pulmonary bacterial and viral infections. International Journal of Molecular Sciences. 2021;22(7):3456.

Ruggiero AD, Key CC, Su C, Seabury T, Ball LL. Adipose tissue macrophage polarization in healthy and unhealthy obesity. Frontiers in Nutrition. 2021;8:625331.

Rohm TV, Fuchs R, Koeberle F, Rebholz CM, Schaible UE. Obesity in humans is characterized by gut inflammation as shown by pro-inflammatory intestinal macrophage accumulation. Frontiers in Immunology. 2021;12:668654.

Elaraby E, Malek AI, Keilholz U, Almasri J, Perrotti D. Natural killer cell dysfunction in obese patients with breast cancer: a review of a triad and its implications. Journal of Immunology Research. 2021;2021:9972927.

Ahmad HI, Jabbar A, Ahmad N, Ullah M, Saleemi MK. Immune tolerance vs. immune resistance: the interaction between host and pathogens in infectious diseases. Frontiers in Veterinary Science. 2022;9:827407.

Kiernan K, MacIver NJ, Koeberle F, Gonzalez T, Morris DL. The role of the adipokine leptin in immune cell function in health and disease. Frontiers in Immunology. 2021;11:622468.

Pérez-Pérez A, Sánchez-Jiménez F, Maymó J, Dueñas JL, Varone C. Role of leptin in inflammation and vice versa. International Journal of Molecular Sciences. 2020;21(16):5887.

Nedunchezhiyan U, Varughese I, Nandakumar J, Maheswari M, Radha PA. Obesity, inflammation, and immune system in osteoarthritis. Frontiers in Immunology. 2022;13:907750.

Ferreira C, Viana SD, Reis F, Rocha-Pereira P, Teixeira M. Gut microbiota dysbiosis–immune hyperresponse–inflammation triad in coronavirus disease 2019 (COVID-19): impact of pharmacological and nutraceutical approaches. Microorganisms. 2020;8(10):1514.

Du L, Lei X, Li L, Chen J, Yang J. Lipopolysaccharides derived from gram-negative bacterial pool of human gut microbiota promote inflammation and obesity development. International Reviews of Immunology. 2022;41(1):45-56.

Gómez-Hurtado I, Gallego-Durán R, Ampuero J, Romero-Gómez M. Bacterial antigen translocation and age as BMI-independent contributing factors on systemic inflammation in NAFLD patients. Liver International. 2020;40(9):2182-93.

Marnell CS, Bick A, Natarajan P, Kathiresan S, Jaiswal S. Clonal hematopoiesis of indeterminate potential (CHIP): Linking somatic mutations, hematopoiesis, chronic inflammation, and cardiovascular disease. Journal of Molecular and Cellular Cardiology. 2021;161:98-105.

Frasca D, Strbo N, Wahle M, Blomberg BB. Effects of obesity on infections with emphasis on skin infections and wound healing. Journal of Dermatology and Skin Science. 2022;4(3):5.

Ma L, Zhang H, Zhao Y, Sun Z, Wei X. Facial physiological characteristics and skin microbiomes changes are associated with body mass index (BMI). Clinical, Cosmetic and Investigational Dermatology. 2024:513-28.

Amabebe E, Robert FO, Olayemi OO, Anumba DO. Microbial dysbiosis-induced obesity: role of gut microbiota in homoeostasis of energy metabolism. British Journal of Nutrition. 2020;123(10):1127-37.

Zhang LJ, Guerrero-Juarez CF, Hata T, Egawa G, Kobayashi T. Diet-induced obesity promotes infection by impairment of the innate antimicrobial defense function of dermal adipocyte progenitors. Science Translational Medicine. 2021;13(577).

Sun S, Sun L, Xie Z, Zhu Z, Du R. The gut commensal fungus, Candida parapsilosis, promotes high fat-diet induced obesity in mice. Communications Biology. 2021;4(1):1220.

Peroumal D, Sahu SR, Pramanik N, Singh P, Mohanty S. Commensal fungi Candida albicans modulates dietary high-fat induced alterations in metabolism, immunity, and gut microbiota. bioRxiv. 2022:2022-03.

Piernas C, Patone M, Kotwica K, Razieh C, Alwan NA. Associations of BMI with COVID-19 vaccine uptake, vaccine effectiveness, and risk of severe COVID-19 outcomes after vaccination in England: a population-based cohort study. The Lancet Diabetes & Endocrinology. 2022;10(8):571-80.

Salem DA, Salem NA, Marghalani AM, Ibrahim AO, Abbas WA. Association between Toxoplasma gondii infection and metabolic syndrome in obese adolescents: A possible immune-metabolic link. Parasitology International. 2021;83:102343.

Wang J, Chen WD, Wang YD. The relationship between gut microbiota and inflammatory diseases: the role of macrophages. Frontiers in Microbiology. 2020;11:1065.

Behl T, Kumar K, Brisc C, Codita A, Buhas C. Exploring the multifocal role of phytochemicals as immunomodulators. Biomedicine & Pharmacotherapy. 2021;133:110959.

Stroe AC, Oancea S, Rusu M, Munteanu M. Immunostimulatory potential of natural compounds and extracts: A review. Current Nutrition & Food Science. 2020;16(4):444-54.

Soujanya KV, Jayadeep AP, Bhanuprakash G, Sudhakar Rao DV. Obesity-associated biochemical markers of inflammation and the role of grain phytochemicals. Journal of Food Biochemistry. 2022;46(9).

Crovesy L, El-Bacha T, Valente FX, Lobo AR, Rosado EL. Modulation of the gut microbiota by probiotics and symbiotics is associated with changes in serum metabolite profile related to a decrease in inflammation and overall benefits to metabolic health: a double-blind randomized controlled clinical trial in women with obesity. Food & Function. 2021;12(5):2161-70.

Shibabaw T, Mengistu T, Abraha A, Ambachew S, Asnake S. Omega-3 polyunsaturated fatty acids: anti-inflammatory and anti-hypertriglyceridemia mechanisms in cardiovascular disease. Molecular and Cellular Biochemistry. 2021;476(2):993-1003.

Muscogiuri G, Pugliese G, Barrea L, Savastano S, Colao A. The impact of obesity on immune response to infection: plausible mechanisms and outcomes. Obesity Reviews. 2021;22(6).

De Frel DL, Atsma DE, Pijl H, Seidell JC, Sauerwein HP. The impact of obesity and lifestyle on the immune system and susceptibility to infections such as COVID-19. Frontiers in Nutrition. 2020;7:597600.

Frasca D, Blomberg BB. The impact of obesity and metabolic syndrome on vaccination success. Vaccines for Older Adults: Current Practices and Future Opportunities. 2020;43:86-97.

Geng J, Ni Q, Sun W, Li L, Feng X. The links between gut microbiota and obesity and obesity-related diseases. Biomedicine & Pharmacotherapy. 2022;147:112678.

Mousa A, Naderpoor N, de Courten MP, Scragg R, de Courten B. Vitamin D supplementation increases adipokine concentrations in overweight or obese adults. European Journal of Nutrition. 2020;59:195-204.

Song EJ, Han K, Lim TJ, Lim S, Chung MJ. Effect of probiotics on obesity-related markers per enterotype: a double-blind, placebo-controlled, randomized clinical trial. EPMA Journal. 2020;11:31-51.

Sandner G, König A, Stuppner H, Pahlke G, Kiemer AK. Functional foods-dietary or herbal products on obesity: application of selected bioactive compounds to target lipid metabolism. Current Opinion in Food Science. 2020;34:9-20.

Wotherspoon A, Elshahat S, Samman S, Jung ME, Piers LS. Effect of moderate red wine versus vodka consumption on inflammatory markers related to cardiovascular disease risk: a randomized crossover study. Journal of the American College of Nutrition. 2020;39(6):495-500.

Cano A, Ventura L, Jaacks LM, Toth MJ, Sidossis LS. Analysis of sex-based differences in energy substrate utilization during moderate-intensity aerobic exercise. European Journal of Applied Physiology. 2022:1-42.

Martin A, Fox D, Arner P, Cannon B, Nedergaard J. Tissue losses and metabolic adaptations both contribute to the reduction in resting metabolic rate following weight loss. International Journal of Obesity. 2022;46(6):1168-75.

Antinori A, Bausch-Jurken M, Weiner LP, Rizzardini G. The burden of COVID-19 in the immunocompromised patient: implications for vaccination and needs for the future. The Journal of Infectious Diseases. 2023;228(Supplement_1).

Downloads

Published

2024-09-30

Issue

Section

Research Article