An orally-active adiponectin receptor agonist mitigates cutaneous fibrosis, inflammation and microvascular pathology in a murine model of systemic sclerosis
Open accessAbstract
The hallmarks of systemic sclerosis (SSc) are autoimmunity, microangiopathy and fibrosis. Skin fibrosis is accompanied by attrition of the dermal white adipose tissue layer, and alterations in the levels and function of adiponectin. Since these findings potentially implicate adiponectin in the pathogenesis of SSc, we employed a novel pharmacological approach to augment adiponectin signaling using AdipoRon, an orally active adiponectin receptor agonist. Chronic treatment with AdipoRon significantly ameliorated bleomycin-induced dermal fibrosis in mice. AdipoRon attenuated fibroblast activation, adipocyte-to-myofibroblast transdifferentiation, Th2/Th17-skewed polarization of the immune response, vascular injury and endothelial-to-mesenchymal transition within the lesional skin. In vitro, AdipoRon abrogated profibrotic responses elicited by TGF-β in normal fibroblasts, and reversed the inherently-activated profibrotic phenotype of SSc fibroblasts. In view of these broadly beneficial effects on all three cardinal pathomechanisms underlying the clinical manifestations of SSc, pharmacological augmentation of adiponectin signaling might represent a novel strategy for the treatment of SSc.
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AdipoRon's beneficial effects have been demonstrated in other non-metabolic conditions such as cancer, systemic sclerosis, depression, anxiety, PTSD, and cerebral ischemia.
“Since then, its beneficial effects have also been demonstrated in other non-metabolic conditions such as cancer [139,140], systemic sclerosis [141], depression [107], anxiety [142], post-traumatic stress disorder [143], and cerebral ischemia [144,145].”
From Adiponectin and Its Mimics on Skeletal Muscle: Insulin Sensitizers, Fat Burners, Exercise Mimickers, Muscling Pills … or Everything Together? (2020) · cites this paper as [141]
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- Authors
- Yamashita, T., Lakota, K., Taniguchi, T., Yoshizaki, A., Sato, S., Hong, W., Zhou, X., Sodin-Semrl, S., Fang, F., Asano, Y., & Varga, J.
- Affiliations
- The University of Tokyo (JP)
- Northwestern University (US)
- Corresponding author
- Asano, Yoshihide
- Varga, John
- ORCID
- Venue
- Scientific Reports
- Published
- 2018-08-07
- Volume
- 8
- Issue
- 1
- Pages
- 11843-11843
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC6081386
- OpenAlex
- W2886938658
- Cited by
- 56
- References
- 71
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 3 · 2023: 5 · 2022: 8 · 2021: 11 · 2020: 11 · 2019: 6
- FWCI
- 5.32
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Scientific Reports (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Ministrstvo za visoko šolstvo, znanost in tehnologijo
- National Institutes of Health (AR- 42309, 42309)
- Japan Society for the Promotion of Science (16H05366)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Systemic Sclerosis and Related Diseases
- Health Sciences › Medicine › Rheumatology › Dupuytren's Contracture and Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Connective tissue disorders research
- Keywords
- systemic sclerosis, adiponectin receptor agonist, AdipoRon, skin fibrosis, bleomycin-induced fibrosis, microangiopathy, skin inflammation, endothelial-to-mesenchymal transition, TGF-beta signaling, Th17 polarization, fibroblast activation, oral therapy
- MeSH terms
- Administration, Oral, Animals, Bleomycin, Disease Models, Animal, Female, Fibrosis, Humans, Inflammation, Mice, Inbred C57BL, Piperidines, Scleroderma, Systemic, Skin, Signal Transduction, Receptors, Adiponectin, Vascular System Injuries
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