Receptor-mediated activation of ceramidase activity initiates the pleiotropic actions of adiponectin
Open accessAbstract
The adipocyte-derived secretory factor adiponectin promotes insulin sensitivity, decreases inflammation and promotes cell survival. No unifying mechanism has yet explained how adiponectin can exert such a variety of beneficial systemic effects. Here, we show that adiponectin potently stimulates a ceramidase activity associated with its two receptors, AdipoR1 and AdipoR2, and enhances ceramide catabolism and formation of its antiapoptotic metabolite--sphingosine-1-phosphate (S1P)--independently of AMP-dependent kinase (AMPK). Using models of inducible apoptosis in pancreatic beta cells and cardiomyocytes, we show that transgenic overproduction of adiponectin decreases caspase-8-mediated death, whereas genetic ablation of adiponectin enhances apoptosis in vivo through a sphingolipid-mediated pathway. Ceramidase activity is impaired in cells lacking both adiponectin receptor isoforms, leading to elevated ceramide levels and enhanced susceptibility to palmitate-induced cell death. Combined, our observations suggest a unifying mechanism of action for the beneficial systemic effects exerted by adiponectin, with sphingolipid metabolism as its core upstream signaling component.
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Adiponectin has antidiabetic effects and antagonizes the progression of DCM by exhibiting potent anti-hypertrophic activity in cardiomyocytes and diminishing cardiac cell death by inhibiting inflammation.
“Adiponectin has antidiabetic effects and antagonizes the progression of DCM by exhibiting potent anti-hypertrophic activity in cardiomyocytes and diminishing cardiac cell death by inhibiting inflammation [36-38].”
From Role of Serum Biomarkers in Early Detection of Diabetic Cardiomyopathy in the West Virginian Population (2016) · cites this paper as [37]
The Results section ('Anti-apoptotic effects of adiponectin on cardiac myocytes'; page unavailable) reports improved cardiomyocyte survival with adiponectin, and the Discussion links adiponectin to improved metabolic health. But the paper does not establish that it slows diabetic cardiomyopathy or prevents cardiac cell death by inhibiting inflammation. Contrary to the claimed anti-hypertrophic activity, the Results report cardiac hypertrophy in 20- and 30-week-old adiponectin-transgenic mice. (LLM, conf=0.90)
Experimental — accuracy not yet measuredIn peripheral tissues, adiponectin promotes liver insulin sensitivity via several independent mechanisms: an AMPK-dependent mechanism involving increased ACC phosphorylation, an AMPK-independent mechanism involving reduction in liver ceramide levels, and an IL-6-dependent mechanism involving upregulation of IRS-2 through STAT3 activation.
“In the peripheral tissues, adiponectin promotes liver insulin sensitivity via several independent mechanisms: an AMPK‐dependent mechanism involving increased ACC phosphorylation, an AMPK‐independent mechanism that involves a reduction in liver ceramide levels 57, and an IL‐6‐dependent mechanism that involves the upregulation of insulin receptor substrate 2 (IRS‐2) through the activation of STAT3 5”
From Inter‐organ communication: a gatekeeper for metabolic health (2019) · cites this paper as [57]
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- Authors
- Holland, W. L., Miller, R. A., Wang, Z. V., Sun, K., Barth, B. M., Bui, H. H., Davis, K. E., Bikman, B. T., Halberg, N., Rutkowski, J. M., Wade, M. R., Tenorio, V. M., Kuo, M.-S., Brozinick, J. T., Zhang, B. B., Birnbaum, M. J., Summers, S. A., & Scherer, P. E.
- Affiliations
- The University of Texas Southwestern Medical Center (US)
- University of Pennsylvania (US)
- Colorado State University (US)
- Eli Lilly (United States) (US)
- National University of Singapore (SG)
- University of Copenhagen (DK)
- Merck & Co., Inc., Rahway, NJ, USA (United States) (US)
- Corresponding author
- Scherer, Philipp E
- ORCID
- Venue
- Nature Medicine
- Published
- 2010-12-26
- Volume
- 17
- Issue
- 1
- Pages
- 55-63
- ISSN
- 1078-8956 (ISSN-L)
- 1546-170X
- PMC
- PMC3134999
- OpenAlex
- W2032919119
- Cited by
- 892
- References
- 61
- Citations by year
- 2026: 25 · 2025: 27 · 2024: 50 · 2023: 50 · 2022: 55 · 2021: 60 · 2020: 56 · 2019: 69 · 2018: 59 · 2017: 57 · 2016: 70 · 2015: 53 · 2014: 64 · 2013: 83 · 2012: 71
- FWCI
- 25.65
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- National University of Singapore (submittedVersion)
- Funders
- University of Texas Southwestern Medical Center
- National Institutes of Health (1tl1dk081181-01, 5f32dk085935-02)
- National Heart, Lung, and Blood Institute (T32HL007360)
- National Cancer Institute (R01CA112023)
- National Institute of Diabetes and Digestive and Kidney Diseases (TL1-DK081181, R01 DK 55758, P01-DK49210, R01-DK56886, F32-DK085935, R01DK056886, R01DK055758, P01DK049210, RC1DK086629, R01DK081456, F32DK081279, P01DK088761, R21DK073181, F32DK083866)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Sphingolipid Metabolism and Signaling
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Health Sciences › Medicine › Physiology › Adipose Tissue and Metabolism
- Keywords
- adiponectin, AdipoR1, AdipoR2, sphingosine-1-phosphate, sphingolipid metabolism, apoptosis, caspase-8, insulin sensitivity, anti-inflammatory activity, cardiomyocytes, pancreatic beta cells, AMPK, cell survival
- MeSH terms
- Adenylate Kinase, Animals, Ceramides, Enzyme Activation, Gene Expression Regulation, Humans, Insulin, Kinetics, Mice, Obese, Myocardial Infarction, Apoptosis, Leptin, Myocytes, Cardiac, Mice, Adiponectin, Receptors, Adiponectin, Calcium-Calmodulin-Dependent Protein Kinase Kinase, Ceramidases
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