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Update on the pathophysiological activities of the cardiac molecule cardiotrophin-1 in obesity
Mohamed Asrih1, François Mach, Alessandra Quercioli
1Division of Cardiology, Faculty of Medicine, University of Geneva and Geneva University Hospital, Foundation for Medical Researches, Geneva 4, Switzerland.
Insights
Cardiotrophin-1 (CT-1) plays a dual role in obesity, potentially improving metabolism but also causing adverse effects like cardiac hypertrophy. Further research is needed to clarify its therapeutic potential and role in obesity-related cardiovascular diseases.
Area of Science:
- Endocrinology
- Cardiovascular Biology
- Metabolic Research
Background:
- Cardiotrophin-1 (CT-1) is a cytokine primarily targeting the heart but also affecting liver, adipose tissue, and arteries.
- CT-1 signals through a receptor complex involving LIFRβ and gp130.
- Elevated CT-1 levels are linked to obesity and metabolic syndrome, possibly due to adipose tissue overexpression.
Purpose of the Study:
- To review and update evidence on the pathophysiological roles of CT-1 in obesity.
- To discuss the potential therapeutic applications of CT-1 in obesity and related conditions.
- To explore CT-1's role as a damage/danger-associated molecular pattern (DAMP) in obesity-related cardiovascular diseases.
Main Methods:
- Narrative review of existing basic research.
- Analysis of studies investigating CT-1 concentrations in obesity and metabolic syndrome.
- Examination of animal model data on exogenous CT-1 treatment effects.
Main Results:
- CT-1 concentrations are elevated in obesity and metabolic syndrome.
- Exogenous CT-1 improves lipid and glucose metabolism in animal models of obesity.
- CT-1 can induce adverse effects, including cardiac hypertrophy and adipose tissue inflammation.
Conclusions:
- CT-1 exhibits both beneficial metabolic effects and detrimental impacts in obesity.
- CT-1's dual nature suggests a complex role in obesity-related pathophysiology.
- Further investigation is required to establish CT-1's therapeutic potential and its role as a DAMP in cardiovascular disease.
Abstract:
Cardiotrophin-1 (CT-1) is a heart-targeting cytokine that has been reported to exert a variety of activities also in other organs such as the liver, adipose tissue, and atherosclerotic arteries. CT-1 has been shown to induce these effects via binding to a transmembrane receptor, comprising the leukaemia inhibitory factor receptor (LIFR β ) subunit and the glycoprotein 130 (gp130, a common signal transducer). Both local and systemic concentrations of CT-1 have been shown to potentially play a critical role in obesity. For instance, CT-1 plasma concentrations have been shown to be increased in metabolic syndrome (a cluster disease including obesity) probably due to adipose tissue overexpression. Interestingly, treatment with exogenous CT-1 has been shown to improve lipid and glucose metabolism in animal models of obesity. These benefits might suggest a potential therapeutic role for CT-1. However, beyond its beneficial properties, CT-1 has been also shown to induce some adverse effects, such as cardiac hypertrophy and adipose tissue inflammation. Although scientific evidence is still needed, CT-1 might be considered as a potential example of damage/danger-associated molecular pattern (DAMP) in obesity-related cardiovascular diseases. In this narrative review, we aimed at discussing and updating evidence from basic research on the pathophysiological and potential therapeutic roles of CT-1 in obesity.
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