RT Journal Article T1 Role of the Gut Microbiome in Beta Cell and Adipose Tissue Crosstalk: A Review. A1 Martínez-Montoro, José Ignacio A1 Damas-Fuentes, Miguel A1 Fernández-García, José Carlos A1 Tinahones, Francisco J K1 adipokines K1 adipose tissue K1 beta cell K1 diabetes K1 gut microbiota K1 inflammation K1 insulin resistance AB In the last decades, obesity has reached epidemic proportions worldwide. Obesity is a chronic disease associated with a wide range of comorbidities, including insulin resistance and type 2 diabetes mellitus (T2D), which results in significant burden of disease and major consequences on health care systems. Of note, intricate interactions, including different signaling pathways, are necessary for the establishment and progression of these two closely related conditions. Altered cell-to-cell communication among the different players implicated in this equation leads to the perpetuation of a vicious circle associated with an increased risk for the development of obesity-related complications, such as T2D, which in turn contributes to the development of cardiovascular disease. In this regard, the dialogue between the adipocyte and pancreatic beta cells has been extensively studied, although some connections are yet to be fully elucidated. In this review, we explore the potential pathological mechanisms linking adipocyte dysfunction and pancreatic beta cell impairment/insulin resistance. In addition, we evaluate the role of emerging actors, such as the gut microbiome, in this complex crosstalk. SN 1664-2392 YR 2022 FD 2022-05-12 LK http://hdl.handle.net/10668/20565 UL http://hdl.handle.net/10668/20565 LA en DS RISalud RD Apr 7, 2025