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Adipokines and the cardiovascular system: mechanisms mediating health and disease
Josette M Northcott1, Azadeh Yeganeh, Carla G Taylor
1Department of Biochemistry and Medical Genetics, University of Manitoba, Winnipeg, Canada.
Insights
Adipokines, signaling molecules from fat cells, play a dual role in cardiovascular health. Obesity alters adipokine profiles, promoting inflammation and detrimental blood vessel growth, thus contributing to cardiovascular disease.
Area of Science:
- Cardiovascular Biology
- Endocrinology
- Obesity Research
Background:
- Adipose tissue functions as an endocrine organ, secreting adipokines like adiponectin and leptin.
- Obesity alters adipose tissue depots and their distinct adipokine secretion profiles.
- Adipokines are implicated in both maintaining cardiovascular health and mediating disease development.
Purpose of the Study:
- To review the role of key adipokines in cardiovascular system maintenance.
- To elucidate mechanisms by which adipokines mediate cardiovascular disease in obesity.
- To examine adipokine interactions with specific cardiovascular cell types.
Main Methods:
- Literature review focusing on adipokines secreted by adipocytes.
- Analysis of adipokine effects on endothelial progenitor cells, endothelial cells, vascular smooth muscle cells, pericytes, cardiomyocytes, and cardiac fibroblasts.
- Discussion of adipokine-induced angiogenesis and inflammation in cardiovascular disease.
Main Results:
- Seven specific adipokines (adiponectin, leptin, resistin, chemerin, omentin, vaspin, visfatin) were analyzed.
- Adipokines exhibit diverse effects on cardiovascular cells, influencing angiogenesis and inflammation.
- Obesity-associated changes in adipokine profiles contribute to cardiovascular pathology.
Conclusions:
- Adipokines significantly impact cardiovascular health, with obesity exacerbating negative effects.
- Understanding adipokine actions is crucial for developing strategies against obesity-related cardiovascular disease.
- Targeting specific adipokines may offer therapeutic potential for cardiovascular conditions.
Abstract:
This review focuses on the role of adipokines in the maintenance of a healthy cardiovascular system, and the mechanisms by which these factors mediate the development of cardiovascular disease in obesity. Adipocytes are the major cell type comprising the adipose tissue. These cells secrete numerous factors, termed adipokines, into the blood, including adiponectin, leptin, resistin, chemerin, omentin, vaspin, and visfatin. Adipose tissue is a highly vascularised endocrine organ, and different adipose depots have distinct adipokine secretion profiles, which are altered with obesity. The ability of many adipokines to stimulate angiogenesis is crucial for adipose tissue expansion; however, excessive blood vessel growth is deleterious. As well, some adipokines induce inflammation, which promotes cardiovascular disease progression. We discuss how these 7 aforementioned adipokines act upon the various cardiovascular cell types (endothelial progenitor cells, endothelial cells, vascular smooth muscle cells, pericytes, cardiomyocytes, and cardiac fibroblasts), the direct effects of these actions, and their overall impact on the cardiovascular system. These were chosen, as these adipokines are secreted predominantly from adipocytes and have known effects on cardiovascular cells.
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