Asan Medical Center, Department of Internal Medicine, University of Ulsan College of Medicine, Seoul 05505, Korea.
Asan Diabetes Center, Asan Medical Center, Seoul 05505, Korea.
Int J Mol Sci. 2021 Dec 16;22(24):13529. doi: 10.3390/ijms222413529.
The global burden of obesity has multiplied owing to its rapidly growing prevalence and obesity-related morbidity and mortality. In addition to the classic role of depositing extra energy, adipose tissue actively interferes with the metabolic balance by means of secreting bioactive compounds called adipokines. While most adipokines give rise to inflammatory conditions, the others with anti-inflammatory properties have been the novel focus of attention for the amelioration of cardiometabolic complications. This review compiles the current evidence on the roles of anti-inflammatory adipokines, namely, adiponectin, vaspin, the C1q/TNF-related protein (CTRP) family, secreted frizzled-related protein 5 (SFRP5), and omentin-1 on cardiometabolic health. Further investigations on the mechanism of action and prospective human trials may pave the way to their clinical application as innovative biomarkers and therapeutic targets for cardiovascular and metabolic disorders.
由于肥胖的患病率迅速增长以及肥胖相关的发病率和死亡率,全球肥胖负担已经倍增。除了储存多余能量的经典作用外,脂肪组织还通过分泌称为脂肪因子的生物活性化合物积极干扰代谢平衡。虽然大多数脂肪因子会引起炎症,但其他具有抗炎特性的脂肪因子已成为改善心血管代谢并发症的新关注点。本综述汇集了目前关于抗炎脂肪因子(即脂联素、vaspin、C1q/TNF 相关蛋白 (CTRP) 家族、分泌卷曲相关蛋白 5 (SFRP5) 和网膜素-1)在心血管代谢健康方面的作用的证据。对作用机制和前瞻性人体试验的进一步研究可能为它们作为心血管和代谢紊乱的创新生物标志物和治疗靶点的临床应用铺平道路。