Therapeutic Strategies for Obesity–Metabolic Syndrome–Diabetes Continuum
A Special Issue of Journal of Clinical Medicine (ISSN 2077-0383) belonging to the section "Endocrinology & Metabolism".
Deadline for manuscript submissions: 30 October 2026 | Viewed by 866
Editors
2. Topolšica Hospital, Topolšica 64, 3326 Topolšica, Slovenia
3. Faculty of Medicine, University of Ljubljana, Vrazov trg 2, 1000 Ljubljana, Slovenia
Interests: metabolic syndrome; obesity; diabetes
2. Faculty of Medicine, University of Ljubljana, Vrazov trg 2, 1000 Ljubljana, Slovenia
Interests: type 2 diabetes; type 1 diabetes; inflammatory diseases
Special Issues, Collections and Topics in MDPI journals
Special Issue Information
Dear Colleagues,
The pathophysiological trajectory extending from obesity to insulin resistance, metabolic syndrome (MetS), and ultimately Type 2 Diabetes Mellitus (T2DM) constitutes one of the most pressing global health crises. This "continuum" is not a linear progression, but a complex, reciprocal network of dysfunctions driven by chronic low-grade inflammation, lipotoxicity, gut microbiome dysbiosis, and epigenetic susceptibility. Despite the proliferation of pharmacologic agents, the increasing prevalence of these interconnected conditions requires a fundamental reappraisal of diagnostic frameworks and therapeutic paradigms.
This Special Issue aims to bridge the translational gap between basic science and clinical practice by interrogating cutting-edge therapeutic strategies that target the shared molecular substrates of the Obesity–Metabolic Syndrome–Diabetes continuum. We seek to highlight disease-modifying interventions that transcend symptomatic management—specifically strategies capable of disrupting the pathogenic loop, restoring metabolic flexibility, and mitigating target organ damage (cardiovascular, renal, and hepatic).
We invite original research, systematic reviews, and clinical perspectives focusing on the following:
- Next-generation pharmacotherapeutics (e.g., dual/triple agonists, novel molecular targets);
- Molecular mechanisms of adipose tissue dysfunction and insulin signaling;
- Metabolic surgery and endoscopic interventions as disease-modifying therapies;
- Clinical management and therapeutic barriers;
- Bio-behavioral and nutritional interventions, including chrononutrition;
- Modulation of the gut–metabolism axis;
- Precision medicine: Biomarkers for risk stratification and phenotypic clustering;
- Management of sequelae, with specific emphasis on MASLD/MASH and atherosclerotic cardiovascular disease (ASCVD).
By synthesizing insights from endocrinology, cardiology, gastroenterology, this issue aspires to delineate a roadmap for attenuating the metabolic continuum and optimizing patient outcomes.
Dr. Jana Makuc
Dr. Miodrag Janić
Guest Editors
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Keywords
- obesity
- metabolic syndrome
- type 2 diabetes mellitus
- multi-receptor agonists
- adipose tissue dysfunction
- metabolic surgery
- chrononutrition
- gut-metabolism axis
- metabolic phenotyping
- MASLD
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