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Domains and structure of adiponectin. The primary structure of adiponectin, which consist of 244 amino acids, has an N-terminal signal sequence, a variable region with attached O-glycoside side chains, a collagenous domain, and a C-terminal sequence of a globular domain.

Domains and structure of adiponectin. The primary structure of adiponectin, which consist of 244 amino acids, has an N-terminal signal sequence, a variable region with attached O-glycoside side chains, a collagenous domain, and a C-terminal sequence of a globular domain.

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Adiponectin is the richest adipokine in human plasma, and it is mainly secreted from white adipose tissue. Adiponectin circulates in blood as high-molecular, middle-molecular, and low-molecular weight isoforms. Numerous studies have demonstrated its insulin-sensitizing, anti-atherogenic, and anti-inflammatory effects. Additionally, decreased serum...

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... human adiponectin gene contains three exons with the start codon in exon 2 and stop codon in exon 3 [7]. As shown in Figure 1, full length human adiponectin, has 244 amino acids, and consists of four regions including signal sequence at the N-terminus of 18 amino acids, a variable region of 24 amino acids, a collagenous domain of 65 amino acids, and a C-terminal globular domain of 137 amino acids [8,11]. After synthesis, it undergoes post-translational modification by glycosylation and hydroxylation. ...

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... [42,44,45] These changes are particularly relevant as adiponectin is associated with improved insulin sensitivity and reduced inflammation, while elevated C-reactive protein levels are linked to metabolic dysfunction. [63,64] The underlying mechanism for the observed improvements in metabolic markers could be attributed to the distinct neuromuscular necessities of BGT. [52] The higher motor unit recruitment and metabolic demand may lead to the mobilization of fat reserves. ...
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Walking is a fundamental physical activity with significant health implications. Backward gait training (BGT) has emerged as a novel approach with potential benefits, yet its effects in comparison to traditional forward gait training (FGT) remain uncertain. This systematic review and meta-analysis aimed to evaluate the effects of BGT on body composition, cardiopulmonary fitness, and inflammatory and metabolic markers in adults. A comprehensive search across electronic databases was conducted following the Preferred Publishing Items for Systematic Reviews and Meta-Analyses guidelines. Randomized clinical trials (RCTs) comparing BGT with FGT in adults were included. Methodological quality was assessed using the Cochrane risk-of-bias tool. The certainty of evidence was evaluated using the Grading of Recommendation, Assessment, Development, and Evaluation approach. The analysis included a total of 379 male participants across the studies. The meta-analysis demonstrated significant changes in body composition and inflammatory marker outcomes, which included waist-to-height ratio (standardized mean difference [SMD]-1.18, 95% confidence interval [CI]-1.89–0.48, I2 = 83%, P < 0.01), body mass index (SMD-0.55, 95% CI-0.77–0.32, I2= 0%, P < 0.01), and C-reactive protein (SMD-0.98, 95% CI–1.28-0.70, I2= 0%, P < 0.01). In addition, the qualitative review revealed potential enhancements in cardiopulmonary fitness and metabolic markers following BGT. While the results suggest potential benefits of BGT on body composition and inflammatory markers, the evidence remains limited and heterogeneous. Further robust research with diverse populations, longer intervention periods, and comprehensive outcome assessments is essential to elucidate the true impact of BGT and its utility for promoting overall health and well-being in adults.
... Larger adipocytes show reduced insulin sensitivity, as indicated by impaired insulin-stimulated glucose uptake, which can result in diabetes [48]. Additionally, high serum levels of adiponectin, MCP-1, TNF-α, TBARS, and BUN are primary contributors to obesity-related inflammation in db/db mice [18,49]. The current study suggests that 42 days of MLP treatment can reduce pro-inflammatory cytokines, improve adipocyte insulin sensitivity, and decrease body weight. ...
... The results showed an increased protein expression of the lipogenic transcription factor SREBP1 in db/db CON mice ( Figure 5), stimulating FAS and ACC, thereby enhancing lipogenesis and adipogenesis, leading to increased liver TG and TC levels [58,59]. Elevated SREBP-1 expression can disrupt lipid metabolism in the liver by influencing the glucose/lipid balance [49]. According to Fang et al. [22], SREBP-1 activity is regulated by AMPK expression, and its inhibition may have an anti-hepatic steatosis effect in obese mice. ...
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Obesity is acknowledged as a significant risk factor for cardiovascular disease, often accompanied by increased inflammation and diabetes. Bioactive peptides derived from marine animal proteins show promise as safe and effective anti-obesity agents by regulating adipocyte differentiation through the AMPK signaling pathway. Therefore, this study aims to investigate the anti-obesity and anti-diabetic effects of bioactive compounds derived from a Meretrix lusoria Protamex enzymatic hydrolysate (MLP) fraction (≤1 kDa) through a 6-week treatment (150 mg/kg or 300 mg/kg, administered once daily) in leptin receptor-deficient db/db mice. The MLP treatment significantly decreased the body weight, serum total cholesterol, triglycerides, and LDL-cholesterol levels while also exhibiting a beneficial effect on hepatic and serum marker parameters in db/db mice. A histological analysis revealed a reduction in hepatic steatosis and epididymal fat following MLP treatment. Furthermore, poor glucose tolerance was improved, and hepatic antioxidant enzyme activities were elevated in MLP-treated mice compared to db/db control mice. Western blot analysis showed an increased expression of the AMPK protein after MLP treatment. In addition, the expression of lipogenic genes decreased in db/db mice. These findings indicate that bioactive peptides, which are known to regulate blood glucose levels, lipid metabolism, and adipogenesis, could be beneficial functional food additives and pharmaceuticals.
... Studies have shown that adiponectin levels tend to be greater in male and female UC patients compared to healthy controls, and elevated levels of adiponectin are observed in the serum of patients with CD (37,38). Adiponectin levels vary in autoimmune and chronic inflammatory diseases such as rheumatoid arthritis (RA), chronic kidney disease (CKD), and IBD, exhibiting both pro-and anti-inflammatory properties relying on the specific tissue and signaling pathways involved (39). ...
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    ... Some of these adipokines, such as leptin, resistin (RES), and adiponectin, seem to be altered in IBD patients and are related to disease severity [11]. Remarkably, IBD patients usually show lower levels of leptin and higher levels of adiponectin and RES in their blood [13]. In particular, RES is a cysteinerich adipokine produced in humans by adipocytes as well as by immune cells and macrophages and can be considered a promising inflammatory marker due to the significant connections between adipose tissues and inflammatory response. ...
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    ... Unexpectedly, there were more patients with hypertension and cardiovascular disease in the moderate COVID-19 cohort than in the severe COVID-19 cohort for an unknown reason, and this is a limitation of our study. Serum adiponectin is low in patients with obesity, hypertension, diabetes, and cardiovascular disease [5,8,14,63]. Such differences were not observed in our patient cohorts. ...
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    ... 62,63 Macrophages have two phenotypes, M1 and M2, with M1 having pro-inflammatory and M2 anti-inflammatory effects. 64,65 Obesity can contribute to the conversion of M2 to M1 phenotype, 65,66 which causes an increase in pro-inflammatory factors (eg, TNF-α, IL-6, etc.) and leads to an increased production of intracellular reactive oxygen species (ROS). It in turn causes cellular injury and oxidative stress. ...
    ... 93,94 Adiponectin has both anti-inflammatory and pro-inflammatory effects, which is one of the mechanisms that cause the development of various diseases. 64,95 The reduced secretion of adiponectin in people with obesity may be related to the suppression of adiponectin transcription due to the persistent chronic inflammatory state of the body caused by obesity. 64,96 Adiponectin exerts its function by interacting with adiponectin receptors (Figure 3). ...
    ... 64,95 The reduced secretion of adiponectin in people with obesity may be related to the suppression of adiponectin transcription due to the persistent chronic inflammatory state of the body caused by obesity. 64,96 Adiponectin exerts its function by interacting with adiponectin receptors (Figure 3). ...
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    ... It is also an insulinsensitizing hormone, which plays a pivotal role in the regulation of energy homeostasis, inflammation, and cell proliferation [2,3]. Previous investigations have suggested that the low serum adiponectin concentration was associated with the incidence of various chronic diseases such as cardiovascular diseases (CVDs), diabetes, cancers, and chronic kidney disease [3][4][5]. Adiponectin levels in humans can be increased through indirect methods such as weight loss or physical activity [6,7]. Therefore, improving the level of adiponectin is one of the important goals of health systems. ...
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    ... Adiponectin and angiopoietin-like protein 2 (ANGPTL2) are two proteins secreted by adipocytes, and both take part in inflammation. While large quantities of (ANGPTL2) are produced in response to inflammation, adiponectin ameliorates inflammatory response by modulating different signaling pathways [157,158]. BBR significantly downregulated the synthesis of pro-inflammatory proteins and cytokines by decreasing the expression of adipocyte macrophage-derived Angptl2 signaling pathway NAFLD-induced rats [95]. ...
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    ... AdipoQ is initially produced in monomeric form, and once circulating, undergoes a multimerization process, that Francesca Simoncelli and Francesca Mercati have contributed equally to the work. is essential for the biological actions of the molecule. The monomeric form is modified into multiple isoforms: lowmolecular weight (LMW) (trimer), middle-molecular weight (MMW) (hexamer), and high-molecular weight (HMW) (multimer); the latter is the most biologically active form (Caminos et al. 2008;Choi et al. 2020). To perform its functions, AdipoQ needs the bind with its two receptors, AdipoR1 and AdipoR2, first characterized by Yamauchi et al. (2003). ...
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    In all vertebrates, reproductive strategies are achieved by modulation of the neuroendocrine system in a similar manner and with minor variations among the different classes. Most of the available information on amphibian testicular cycles derive from anurans, and among these, water frogs have been extensively studied in terms of reproductive mechanisms and sex steroid correlation. Adiponectin (AdipoQ) and its receptors—AdipoR1 and AdipoR2—are essential for most of the normal testicular and sperm functions. In this study, the identification of AdipoQ and its two receptors was carried out by immunohistochemistry in the testis of adult males of Pelophylax bergeri. The AdipoQ system was observed in the frog spermatogenic cysts, in both germinal and Sertoli cells, as well as in the rete testis. AdipoQ and AdipoR1 were localized in germ-line cells, from spermatogonia to round spermatids, while AdipoR2 was detected in the elongated spermatids, spermatozoa, and Sertoli cells. AdipoR1 was also observed in the intratesticular canals of the rete testis. This preliminary study shows the AdipoQ system’s presence in the anurans’ testis. The results obtained could be a starting point for future functional studies aimed at defining the physiological role of the AdipoQ system in frog testicular functions.