Evolving role of adiponectin in cancer-controversies and update

(整期优先)网络出版时间:2016-01-11
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Adiponectin(APN),anadipokineproducedbyadipocytes,hasbeenshowntohaveacriticalroleinthepathogenesisofobesityassociatedmalignancies.Throughitsreceptorinteractions,APNmayexertitsanti-carcinogeniceffectsincludingregulatingcellsurvival,apoptosisandmetastasisviaaplethoraofsignallingpathways.Despitethestrongevidencesupportingthisnotion,someworkmayindicateotherwise.Ourreviewaddressesallcontroversiescritically.Onthewhole,hypoadiponectinaemiaisassociatedwithincreasedriskofseveralmalignanciesandpoorprognosis.Inaddition,variousgeneticpolymorphismsmaypredisposeinpidualstoincreasedriskofobesity-associatedmalignancies.WealsoprovideanupdatedsummaryontherapeuticinterventionstoincreaseAPNlevelsthatareofkeyinterestinthisfield.TodateeffortstomanipulateAPNlevelshavebeenpromising,butmuchworkremainstobedone.