PEP-0004Investigational

ADIPONECTIN

Also known as

Endogenous adipose-derived hormone that regulates energy homeostasis and has anti-inflammatory properties. Studied as a biomarker and drug target for metabolic and cognitive conditions; preliminary evidence grade for administered use.


Evidence

Preliminary· 3.0

Animal or in-vitro only

Risk band

Moderate

Known AEs, monitoring advised

Summary

Adiponectin is an endogenous adipose-derived hormone that regulates whole-body energy homeostasis by stimulating fatty acid oxidation in skeletal muscle and inhibiting hepatic glucose production [1]. It is a classic anti-inflammatory and anti-apoptotic agent acting through AdipoR1 and AdipoR2 receptors, with protective effects described for the vasculature, heart, lung, colon, and retina, and its production can be raised systemically by exercise [1,2]. Low or dysregulated levels are implicated in insulin resistance, inflammation, atherosclerosis, and cardiac and kidney disease, which is why much of its literature treats it as a biomarker and prospective drug target rather than a delivered therapeutic [3,4]. Authors note that adiponectin measurement is hampered by isoform complexity and the lack of a gold standard, and that adiponectin-based therapeutics remain in development [3,4]. The provided papers are all reviews of endogenous physiology with no interventional trials of administering adiponectin, so evidence for it as an administered therapeutic is preliminary.

Sources

  1. 1. Adiponectin Regulation and Function Comprehensive Physiology, 2018.
  2. 2. Adiponectin, exercise and eye diseases International review of neurobiology, 2019.
  3. 3. Adiponectin and Its Isoforms in Pathophysiology Advances in clinical chemistry, 2018.
  4. 4. Adiponectin Synthesis, Secretion and Extravasation from Circulation to Interstitial Space Physiology (Bethesda, Md.), 2021.

For educational purposes only.