Synthesis and turnover of acute-phase reactants. In: Energy metabolism in trauma

Obesity and inflammation in children

Systemic inflammation is present in children and adults with obesity. Inflammation associated with obesity appears to be central to the development of insulin resistance and atherosclerosis and may be important in the pathogenesis of other comorbid conditions. Although generally considered an inert energy storage tissue, white adipose tissue is a metabolically active organ. It produces a number of inflammatory cytokines and acute-phase reactants. Inflammation associated with obesity declines after weight loss and with exercise. It may also be possible to modify obesity-associated inflammation with medications, reducing comorbidities without weight loss. The study of inflammation in the context of excessive adipose tissue is central to understanding obesity and modifying its impact on patients.

Inflammation-associated events in liver nuclei during acute-phase reaction

Isolated liver nucleoli from rats undergoing turpentine-induced inflammation (acute-phase reaction) synthesize rRNA at a rate significantly higher than normal. This increase is associated with, and possibly preceded by, an enhanced methylation of RNA, which further increases when rRNA synthesis has reached a plateau level. Five hours after turpentine treatment, before clear activation of RNA synthesis and methylations, the nucleocytoplasmic transport of rRNA (largely 40S and 60S subunits) and the related ATPase activity of isolated nuclei are significantly increased. Apparently, posttranscriptional control is affected before transcription of rRNA during the onset of the acute-phase reaction: both kinds of events eventually contribute to the expansion of the ribosome population which occurs in the liver cells from rats undergoing an inflammatory process. All these processes are activated before the liver starts the synthesis of acute-phase proteins.