Editorial, Endocrinol Diabetes Res Vol: 11 Issue: 3
Role of Adipokines in the Regulation of Metabolic Homeostasis and Energy Balance
Dr. Hassan Al-Fayed*
Dept. of Metabolic Research, Cairo Institute of Medicine, Egypt
- *Corresponding Author:
- Dr. Hassan Al-Fayed
Dept. of Metabolic Research, Cairo Institute of Medicine, Egypt
E-mail: h.alfayed@cim.edu.eg
Received: 01-Jun-2025, Manuscript No. ecdr-26-182681; Editor assigned: 4-Jun-2025, Pre-QC No. ecdr-26-182681 (PQ); Reviewed: 19-Jun-2025, ecdr-26-182681; Revised: 26-Jun-2025, Manuscript No. ecdr-26-182681 (R); Published: 30-Jun-2025, DOI: 10.4172/2324-8777.1000436
Citation: Hassan A (2025) Role of Adipokines in the Regulation of Metabolic Homeostasis and Energy Balance. Endocrinol Diabetes Res 11:436
Introduction
Adipose tissue is no longer regarded as a passive fat storage site but is now recognized as an active endocrine organ that plays a critical role in metabolic regulation. It secretes a wide range of bioactive molecules known as adipokines, which influence appetite, insulin sensitivity, inflammation, lipid metabolism, and energy balance. Dysregulation of adipokine secretion is closely linked to obesity, insulin resistance, type 2 diabetes mellitus, and cardiovascular disease. Understanding the role of adipokines in metabolism provides important insights into the mechanisms underlying metabolic disorders [1,2].
Discussion
Adipokines are hormones and cytokines produced primarily by adipocytes, although immune cells within adipose tissue also contribute to their secretion. Key adipokines include leptin, adiponectin, resistin, visfatin, and pro-inflammatory cytokines such as tumor necrosis factor-α and interleukin-6. These molecules exert systemic effects by acting on the brain, liver, muscle, pancreas, and immune system [3,4].
Leptin is one of the most well-studied adipokines and plays a central role in appetite regulation and energy expenditure. It acts on the hypothalamus to suppress hunger and increase energy utilization. In obesity, circulating leptin levels are elevated, but leptin resistance develops, reducing its effectiveness and contributing to excess energy intake and weight gain. Adiponectin, in contrast, enhances insulin sensitivity, promotes fatty acid oxidation, and exhibits anti-inflammatory properties. Unlike other adipokines, adiponectin levels are reduced in obesity and type 2 diabetes, making it a protective factor in metabolic health [5].
Pro-inflammatory adipokines such as tumor necrosis factor-α and interleukin-6 contribute to metabolic dysfunction by impairing insulin signaling pathways. Chronic low-grade inflammation in expanded adipose tissue leads to increased secretion of these cytokines, which activate stress-related kinases and promote insulin resistance in peripheral tissues. Resistin has also been implicated in glucose intolerance and inflammation, although its role in human metabolism remains less clearly defined.
Adipokines also influence lipid metabolism by regulating lipolysis, fatty acid uptake, and triglyceride storage. Dysregulated adipokine profiles promote ectopic fat accumulation in the liver and muscle, further exacerbating insulin resistance. Additionally, adipokines interact with the immune system, linking metabolic regulation with inflammatory responses.
Conclusion
Adipokines play a pivotal role in coordinating metabolic processes and maintaining energy homeostasis. An imbalance in adipokine secretion contributes to the development of obesity-related metabolic disorders through effects on insulin sensitivity, inflammation, and lipid metabolism. Targeting adipokine pathways offers promising opportunities for therapeutic interventions aimed at improving metabolic health and preventing chronic metabolic diseases.
References
- Bilen O, Ballantyne CM (2016) Bempedoic Acid (ETC-1002) An Investigational Inhibitor of ATP Citrate Lyase. Curr Atheroscler Rep 18: 61.
- Zagelbaum NK, Yandrapalli S, Nabors C, Frishman WH (2019) Bempedoic Acid (ETC-1002): ATP Citrate Lyase Inhibitor: Review of a First-in-Class Medication with Potential Benefit in Statin-Refractory Cases. Cardiol Rev 27: 49-56.
- Benoit Viollet, Bruno Guigas, Nieves Sanz Garcia, Jocelyne Leclerc, Marc Foretz, et al. (2012) Cellular and molecular mechanisms of Bempedoic Acid. An overview, Clincal Science (London) 122: 253- 270.
- Phan BA, Dayspring TD, Toth PP (2012) Ezetimibe therapy: mechanism of action and clinical update. Vasc Health Risk Manag 8:415-27.
- Kosoglou T, Statkevich P, Johnson-Levonas AO, Paolini JF, Bergman AJ, et al. (2005) A review of its metabolism, pharmacokinetics and drug interactions. Clin Pharmacokinet 44: 467-94.
Spanish
Chinese
Russian
German
French
Japanese
Portuguese
Hindi 