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Updated: Mar 17, 2026

Author Spotlight: Exploring the Relationship Between Lipotoxicity and HFpEF
Published on: March 29, 2024
The evolving role of adiponectin as an additive biomarker in HFrEF
Tahnee Sente1,2, Andreas Gevaert3,4, An Van Berendoncks4
1Laboratory for Cellular and Molecular Cardiology, Department of Cardiology, Antwerp University Hospital, Edegem, Belgium. tahnee.sente@uantwerpen.be.
Insights
Adiponectin has beneficial cardiovascular effects but also plays a role in heart failure (HF). This review examines adiponectin
Area of Science:
- Cardiology
- Biochemistry
- Pathophysiology
Background:
- Heart failure (HF) is a significant and increasing global health concern.
- Despite advancements in management, HF prevalence is projected to rise.
- Adiponectin, a protein hormone, exhibits complex roles in cardiovascular health and disease.
Purpose of the Study:
- To review current knowledge on adiponectin's role in heart failure with reduced ejection fraction (HFrEF).
- To explore adiponectin's cardioprotective and anti-inflammatory actions in HFrEF.
- To assess adiponectin's potential as a biomarker for HF diagnosis and prognosis.
Main Methods:
- Literature review of existing research on adiponectin and heart failure.
- Analysis of studies investigating adiponectin's cardiovascular and inflammatory effects.
- Synthesis of data regarding adiponectin's involvement in HFrEF pathogenesis.
Main Results:
- Adiponectin demonstrates both protective and detrimental effects in the context of HF.
- Evidence suggests adiponectin influences cardiac function and inflammation in HFrEF.
- The protein's dual role necessitates careful consideration in therapeutic strategies.
Conclusions:
- Adiponectin's complex role in heart failure requires further investigation.
- Understanding adiponectin's mechanisms may offer new diagnostic and prognostic insights for HFrEF.
- Targeting adiponectin pathways could represent a future therapeutic avenue for cardiovascular conditions.
Abstract:
Heart failure (HF) is a growing health problem. Despite improved management and outcome, the number of patients with HF is expected to keep rising in the following years. In recent research, adiponectin was shown to exert beneficial effects in the cardiovascular system, but the protein was also implicated in the development and progression of HF. The objective of this review is to provide an overview of current knowledge on the role of adiponectin in HF with reduced ejection fraction. We discuss the cardioprotective and (anti-) inflammatory actions of adiponectin and its potential use in clinical diagnosis and prognosis.
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