Schematic illustration of the suggested mechanism of Pref-1-mediated inhibition of adipogenesis involving the MEK/ERK pathway. (1) TACE-mediated cleavage of membrane bound Pref-1. (2) 50 kDA soluble Pref-1 binds to the C-terminus of fibronectin. (3) Fibronectin binds to the α5β1 integrin receptor and the fibronectin/sPref-1 complex (4) activates the MEK/ERK pathway, which in turn (5) activates SOX9. (6) SOX9 binds to the C/EBPβ promoter, preventing up-regulation of C/EBPβ and (7) consequently up-regulation of C/EBPα and PPARγ. Figure adapted by C.D. from Hudak and Sul (2013) [100]. C/EBPα, CAAT-enhancer binding protein alpha; C/EBPβ, CAAT-enhancer binding protein beta; ERK, Extracellular signal-regulated kinases; MEK, Mitogen-activated protein kinase kinase; mPref-1, membrane-bound preadipocyte factor-1; sPref-1, soluble preadipocyte factor-1; PPARγ, Peroxisome proliferator-activated receptor gamma; TACE, Tumor necrosis factor alpha converting enzyme.