Novel insights in SHBG regulation and clinical implications
Abstract
Sex hormone-binding globulin (SHBG) is produced and secreted by the liver into the bloodstream where it binds sex steroids and regulates their bioavailability. Traditionally, body mass index (BMI) was thought to be the major determinant of SHBG concentrations and hyperinsulinemia the main cause for low SHBG levels found in obesity. However, no mechanisms have ever been described. Emerging evidence now shows that liver fat content rather than BMI is a strong determinant of circulating SHBG. In this review we discuss evidence demonstrating that insulin might not regulate SHBG production, describe putative molecular mechanisms by which proinflammatory cytokines downregulate SHBG, and comment on recent findings suggesting dietary SHBG regulation. Finally, clinical implications of all of these findings and future perspectives are discussed.
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The direct inverse link between insulin and SHBG has proven to be invalid.
“This direct inverse link between insulin and SHBG has proven to be invalid [130].”
From Role of sex hormone-binding globulin in the free hormone hypothesis and the relevance of free testosterone in androgen physiology (2022) · cites this paper as [130]
Adiponectin increases the production of SHBG by activating AMPK and reducing the activity of enzymes involved in liver lipogenesis.
“It was recently found that adiponectin increases the production of SHBG by activating AMPK and reducing the activity of enzymes involved in liver lipogenesis.”
From Adipokines, Myokines, and Hepatokines: Crosstalk and Metabolic Repercussions (2021) · cites this paper as [71]
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Adipokines, Myokines, and Hepatokines: Crosstalk and Metabolic Repercussions
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- Authors
- Simó, R., Sáez-López, C., Barbosa-Desongles, A., Hernández, C., & Selva, D. M.
- Affiliations
- Universitat Autònoma de Barcelona (ES)
- Corresponding author
- Simó, Rafael
- Selva, David M.
- Venue
- Trends in Endocrinology & Metabolism
- Publisher
- Elsevier BV
- Published
- 2015-07
- Volume
- 26
- Issue
- 7
- Pages
- 376-383
- ISSN
- 1043-2760 (ISSN-L)
- OpenAlex
- W1764086527
- Cited by
- 335
- References
- 81
- Citations by year
- 2026: 24 · 2025: 37 · 2024: 55 · 2023: 42 · 2022: 45 · 2021: 37 · 2020: 17 · 2019: 22 · 2018: 19 · 2017: 17 · 2016: 16 · 2015: 3
- FWCI
- 2.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Trends in Endocrinology and Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Estrogen and related hormone effects
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
- Keywords
- sex hormone-binding globulin, liver fat, body mass index, hyperinsulinemia, obesity, insulin, inflammatory cytokines, dietary regulation, liver
- MeSH terms
- Humans, Insulin, Liver, Monosaccharides, Obesity, Palmitates, Sex Hormone-Binding Globulin, Biomarkers, Interleukin-1beta
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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