Asprosin: A Novel Metabolic and Inflammatory Hormone
Molecular Structure and Origin
Asprosin is a C-terminal cleavage product of fibrillin-1, identified in 2016. This 140-amino acid protein is synthesized and secreted by white adipose tissue during fasting conditions. The protein’s structure includes:
- A C-terminal globular domain
- Multiple calcium-binding epidermal growth factor-like modules
- Specific proteolytic cleavage sites
Physiological Functions
Metabolic Regulation
Asprosin serves as a glucogenic hormone with several key functions:
Glucose Homeostasis: Stimulates hepatic glucose production, Activates G protein-cAMP-PKA pathway, Promotes glucose release from hepatocytes
Appetite Regulation: Crosses the blood-brain barrier, Activates orexigenic AgRP+ neurons, Stimulates appetite and food intake
Inflammatory Response
Asprosin demonstrates significant involvement in inflammatory processes:
- Promotes pro-inflammatory cytokine production
- Influences macrophage polarization
- Contributes to chronic inflammation in metabolic diseases
Clinical Significance and Disease Associations
Metabolic Disorders
Type 2 Diabetes: Elevated plasma asprosin levels, Correlation with insulin resistance, Potential therapeutic target
Obesity: Increased circulating levels, Association with body mass index, Impact on appetite regulation
Other Clinical Conditions
Cardiovascular Disease: Role in atherosclerosis development, Association with endothelial dysfunction, Potential biomarker for cardiac risk
Neonatal Progeroid Syndrome: Reduced asprosin levels, Growth retardation, Extreme leanness
Research Developments and Therapeutic Potential
Current Research Focus
Diagnostic Applications: Biomarker development, Disease progression monitoring, Risk assessment tools
Therapeutic Strategies: Anti-asprosin antibodies, Small molecule inhibitors, Receptor antagonists
Future Perspectives
Ongoing research explores:
- Novel drug development targeting asprosin
- Biomarker applications
- Role in other metabolic conditions
- Therapeutic potential in obesity treatment
- Impact on aging and longevity
Clinical Applications and Therapeutic Interventions
The therapeutic potential of asprosin modulation includes:
Metabolic Disease Treatment: Diabetes management, Obesity intervention, Appetite control
Anti-inflammatory Applications: Chronic inflammation reduction, Cardiovascular disease prevention, Metabolic syndrome management
Current clinical research focuses on developing:
- Asprosin antagonists
- Monoclonal antibodies
- Small molecule inhibitors
- Receptor modulators
Exploring the functions and control mechanisms of asprosin is essential, for crafting treatment approaches.
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