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. Author manuscript; available in PMC: 2025 Jul 1.
Published in final edited form as: Trends Endocrinol Metab. 2024 Jun 26;35(7):674–675. doi: 10.1016/j.tem.2024.05.004

Adiponectin

Yan LI 1, Toshiharu Onodera 1,2, Philipp E Scherer 1
PMCID: PMC11374108  NIHMSID: NIHMS1995028  PMID: 38981443

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Adiponectin (APN), also referred to as ACRP30, AdipoQ, GBP28 and APM1, is one of the most important adipokines. It is secreted from adipocytes in multimeric forms and binds to its receptors, which are widely expressed in many tissues. Cellular APN expression can be regulated by PPARγ activity and insulin levels, while its circulating level is affected by sex, BMI, age and many other factors.

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Adiponectin is a multifaceted protein fundamentally enhancing insulin sensitivity, fatty acid oxidation, and lowering glucose and ceramide levels in an endocrine and paracrine manner, dependent on the cell type targeted and the local microenvironment within the organs. In addition, intracellular adiponectin alters lipid metabolism. AdipoR agonists improve diabetic symptoms and muscle dysfunction, suggesting the adiponectin pathway may serve as a potential therapeutic target for obesity, diabetes, and vascular dysfunction.

SIGNALING FACTS:

  • APN forms three oligomeric complexes, trimers, hexamers, and high-molecular weight (HMW) multimers. Some forms may exert functions intracellularly.

  • Adiponectin receptors (AdipoR1 and AdipoR2) exert metabolic effects through the activation of downstream PPARα,γ and AMPK pathways.

  • Adiponectin and its receptors exert potent anti-lipotoxic effects through a receptor-inherent ceramidase activity.

  • T-cadherin also binds to hexamers and HMW forms of adiponectin, but does not exert any signaling function.

  • Adiponectin is rapidly cleared by hepatocytes and other cell types, with a short half-life of around 75 minutes.

PHYSIOLOGICAL ROLE:

  • Mainly produced in adipocytes. It remains the most adipocytespecific marker.

  • However, recent reports indicate that adiponectin may also be expressed in the kidney, in hepatic stellate cells and in cardiomyocytes under specific conditions.

  • Anti-diabetic by enhancing insulin production, secretion and sensitization, promoting glucose uptake and fatty acid oxidation.

  • Alleviating apoptosis by reducing oxidative stress and attenuating inflammatory responses.

  • Anti-fibrotic through PPARγ, such as the inhibition of stellate cell activation in the liver.

  • Cardiovascular and pancreatic β-cell protective effects mediated through multiple pathways.

  • Plasma adiponectin levels decreased with obesity and diabetes.

  • Controlling brain function including food intake, energy homeostasis, neurogenesis and synaptic plasticity.

Acknowledgment

The figures were created with BioRender.com.

Footnotes

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