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Updated: Feb 7, 2026

Evaluation of the Interplay Between the Complement Protein C1q and Hyaluronic Acid in Promoting Cell Adhesion
Published on: June 15, 2019
C1q tumor necrosis factor-related protein 9 in atherosclerosis: Mechanistic insights and therapeutic potential
Xiao-Hua Yu1, Da-Wei Zhang2, Xi-Long Zheng3
1Institute of Cardiovascular Research, Key Laboratory for Atherosclerology of Hunan Province, Medical Research Experiment Center, Hunan Province Cooperative Innovation Center for Molecular Target New Drug Study, University of South China, Hengyang, Hunan, 421001, China.
Insights
C1q tumor necrosis factor-related protein 9 (CTRP9) may protect against atherosclerosis. Lower CTRP9 levels are linked to coronary artery disease, suggesting its therapeutic potential for cardiovascular conditions.
Area of Science:
- Biochemistry
- Cardiovascular Biology
- Metabolic Research
Background:
- C1q tumor necrosis factor-related protein 9 (CTRP9) is a newly identified adipokine and the closest paralog of adiponectin.
- The active form, globular CTRP9 (gCTRP9), is released via proteolytic cleavage and circulates as the primary isoform.
- CTRP9 interacts with AdipoR1 and N-cadherin, modulating key signaling pathways involved in metabolic and vascular functions.
Purpose of the Study:
- To review the current understanding of CTRP9's role in atherosclerosis.
- To highlight CTRP9's atheroprotective mechanisms and potential as a therapeutic target for cardiovascular disease.
Main Methods:
- Review of in vitro and animal model studies investigating CTRP9's functions.
- Analysis of circulating CTRP9 levels in patients with coronary atherosclerosis disease.
Main Results:
- CTRP9 levels are significantly reduced in patients with coronary atherosclerosis disease.
- CTRP9 demonstrates atheroprotective effects by mitigating inflammation, foam cell formation, endothelial dysfunction, and insulin resistance.
- CTRP9 influences vascular smooth muscle cell behavior, including differentiation, proliferation, and migration.
Conclusions:
- CTRP9 plays a significant role in protecting against atherosclerosis through multiple mechanisms.
- CTRP9 represents a promising novel therapeutic target for cardiovascular diseases, particularly atherosclerosis.
Abstract:
C1q tumor necrosis factor-related protein 9 (CTRP9), a newly discovered adipokine, is the closest paralog of adiponectin. After proteolytic cleavage, it can release the globular domain (gCTRP9) that serves as the major circulatory isoform. Upon binding to adiponectin receptor 1 (AdipoR1) and N-cadherin, CTRP9 can activate a variety of signaling pathways to regulate glucose and lipid metabolism, vascular relaxation and cell differentiation. Circulating CTRP9 levels are significantly decreased in patients with coronary atherosclerosis disease. Data obtained from in vitro experiments and animal models suggest that CTRP9 exerts an atheroprotective effect by altering multiple pathological processes involved in atherosclerosis, including inflammation, foam cell formation, endothelial dysfunction, insulin resistance, and vascular smooth muscle cell dedifferentiation, proliferation and migration. In this review, we summarize the latest advances regarding the roles of CTRP9 in atherosclerosis with an emphasis on its potential as a novel therapeutic target in cardiovascular disease.
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