Abstract
Hepatic fibrosis is a dynamic process resulting from excessive deposition of extracellular matrix in the liver; uncontrolled progression of fibrosis can eventually lead to liver cirrhosis and/or hepatocellular carcinoma. The fibrogenic process is complex and modulated by a number of both hepatic and extra-hepatic biological factors. Growing evidence indicates that adipokines, a group of cytokines produced by adipose tissue, impart dynamic functions in liver and are involved in modulation of hepatic fibrosis. In particular, two key adipokines, adiponectin and leptin, directly regulate many biological responses closely associated with development and progression of hepatic fibrosis. Leptin acts as a pro-fibrogenic cytokine, while adiponectin possesses anti-fibrogenic and anti-inflammatory properties. Adiponectin, acting via its cognate receptors, adiponectin receptors 1 and 2, potently suppresses fibrosis and inflammation in liver via multiple mechanisms. This review summarizes recent findings concerning the role of adiponectin in fibrogenic process in liver and addresses the underlying molecular mechanisms in modulation of fibrosis.
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References
Papers of particular interest, published recently, have been highlighted as: • Of importance
Trautwein C, Friedman SL, Schuppan D, Pinzani M (2015) Hepatic fibrosis: concept to treatment. J Hepatol 62:S15–S24
Hernandez-Gea V, Friedman SL (2011) Pathogenesis of liver fibrosis. Annu Rev Pathol 6:425–456
Friedman SL (2008) Hepatic stellate cells: protean, multifunctional, and enigmatic cells of the liver. Physiol Rev 88:125–172
Shen C, Zhao CY, Wang W, Wang YD, Sun H et al (2014) The relationship between hepatic resistin overexpression and inflammation in patients with nonalcoholic steatohepatitis. BMC Gastroenterol 14:39
Yoshida K, Matsuzaki K (2012) Differential regulation of TGF-beta/Smad signaling in hepatic stellate cells between acute and chronic liver injuries. Front Physiol 3:53
Wozniak SE, Gee LL, Wachtel MS, Frezza EE (2009) Adipose tissue: the new endocrine organ? A review article. Dig Dis Sci 54:1847–1856
Kamada Y, Tamura S, Kiso S, Matsumoto H, Saji Y et al (2003) Enhanced carbon tetrachloride-induced liver fibrosis in mice lacking adiponectin. Gastroenterology 125:1796–1807
Koehler E, Swain J, Sanderson S, Krishnan A, Watt K et al (2012) Growth hormone, dehydroepiandrosterone and adiponectin levels in non-alcoholic steatohepatitis: an endocrine signature for advanced fibrosis in obese patients. Liver Int 32:279–286
Latif HA, Assal HS, Mahmoud M, Rasheed WI (2011) Role of serum adiponectin level in the development of liver cirrhosis in patients with hepatitis C virus. Clin Exp Med 11:123–129
Correnti JM, Cook D, Aksamitiene E, Swarup A, Ogunnaike B et al (2015) Adiponectin fine-tuning of liver regeneration dynamics revealed through cellular network modelling. J Physiol 593:365–383
• Trujillo ME, Scherer PE (2006) Adipose tissue-derived factors: impact on health and disease. Endocr Rev 27:762–778. Thorough review of adipokine physiology
Giannessi D, Maltinti M, Del Ry S (2007) Adiponectin circulating levels: a new emerging biomarker of cardiovascular risk. Pharmacol Res 56:459–467
Kershaw EE, Flier JS (2004) Adipose tissue as an endocrine organ. J Clin Endocrinol Metab 89:2548–2556
Potter JJ, Mezey E (2007) Acetaldehyde increases endogenous adiponectin and fibrogenesis in hepatic stellate cells but exogenous adiponectin inhibits fibrogenesis. Alcohol Clin Exp Res 31:2092–2100
Kamada Y, Matsumoto H, Tamura S, Fukushima J, Kiso S et al (2007) Hypoadiponectinemia accelerates hepatic tumor formation in a nonalcoholic steatohepatitis mouse model. J Hepatol 47:556–564
Asano T, Watanabe K, Kubota N, Gunji T, Omata M et al (2009) Adiponectin knockout mice on high fat diet develop fibrosing steatohepatitis. J Gastroenterol Hepatol 24:1669–1676
Shafiei MS, Shetty S, Scherer PE, Rockey DC (2011) Adiponectin regulation of stellate cell activation via PPARgamma-dependent and -independent mechanisms. Am J Pathol 178:2690–2699
Ramezani-Moghadam M, Wang J, Ho V, Iseli TJ, Alzahrani B et al (2015) Adiponectin reduces hepatic stellate cell migration by promoting tissue inhibitor of metalloproteinase-1 (TIMP-1) secretion. J Biol Chem 290:5533–5542
Handy JA, Saxena NK, Fu P, Lin S, Mells JE et al (2010) Adiponectin activation of AMPK disrupts leptin-mediated hepatic fibrosis via suppressors of cytokine signaling (SOCS-3). J Cell Biochem 110:1195–1207
Ding X, Saxena NK, Lin S, Xu A, Srinivasan S et al (2005) The roles of leptin and adiponectin: a novel paradigm in adipocytokine regulation of liver fibrosis and stellate cell biology. Am J Pathol 166:1655–1669
Yoneda M, Iwasaki T, Fujita K, Kirikoshi H, Inamori M et al (2007) Hypoadiponectinemia plays a crucial role in the development of nonalcoholic fatty liver disease in patients with type 2 diabetes mellitus independent of visceral adipose tissue. Alcohol Clin Exp Res 31:S15–S21
Savvidou S, Hytiroglou P, Orfanou-Koumerkeridou H, Panderis A, Frantzoulis P et al (2009) Low serum adiponectin levels are predictive of advanced hepatic fibrosis in patients with NAFLD. J Clin Gastroenterol 43:765–772
Sumie S, Kawaguchi T, Kuromatsu R, Takata A, Nakano M et al (2011) Total and high molecular weight adiponectin and hepatocellular carcinoma with HCV infection. Plos One 6:e26840
Musso G, Gambino R, Biroli G, Carello M, Faga E et al (2005) Hypoadiponectinemia predicts the severity of hepatic fibrosis and pancreatic Beta-cell dysfunction in nondiabetic nonobese patients with nonalcoholic steatohepatitis. Am J Gastroenterol 100:2438–2446
Park PH, Thakur V, Pritchard MT, McMullen MR, Nagy LE (2006) Regulation of Kupffer cell activity during chronic ethanol exposure: role of adiponectin. J Gastroenterol Hepatol 21(Suppl 3):S30–S33
Hui CK, Zhang HY, Lee NP, Chan W, Yueng YH et al (2007) Serum adiponectin is increased in advancing liver fibrosis and declines with reduction in fibrosis in chronic hepatitis B. J Hepatol 47:191–202
Liu CJ, Chen PJ, Lai MY, Liu CH, Chen CL et al (2009) High serum adiponectin correlates with advanced liver disease in patients with chronic hepatitis B virus infection. Hepatol Int 3:364–370
Zhang W, Wu R, Zhang F, Xu Y, Liu B et al (2012) Thiazolidinediones improve hepatic fibrosis in rats with non-alcoholic steatohepatitis by activating the adenosine monophosphate-activated protein kinase signalling pathway. Clin Exp Pharmacol Physiol 39:1026–1033
Gastaldelli A, Harrison S, Belfort-Aguiar R, Hardies J, Balas B et al (2010) Pioglitazone in the treatment of NASH: the role of adiponectin. Aliment Pharmacol Ther 32:769–775
Kumar P, Smith T, Rahman K, Thorn NE, Anania FA (2014) Adiponectin agonist ADP355 attenuates CCl4-induced liver fibrosis in mice. Plos One 9:e110405
DePaoli AM (2014) 20 years of leptin: leptin in common obesity and associated disorders of metabolism. J Endocrinol 223:T71–T81
• Bertolani C, Marra F (2008) The role of adipokines in liver fibrosis. Pathophysiology 15:91–101. Interesting review of the overall contributions of adipokines to hepatic fibrosis
Ikejima K, Takei Y, Honda H, Hirose M, Yoshikawa M et al (2002) Leptin receptor-mediated signaling regulates hepatic fibrogenesis and remodeling of extracellular matrix in the rat. Gastroenterology 122:1399–1410
Yang YY, Huang YT, Tsai TH, Hou MC, Lee FY et al (2012) Kupffer cell depletion attenuates leptin-mediated methoxamine-stimulated portal perfusion pressure and thromboxane A2 release in a rodent model of NASH-cirrhosis. Clin Sci (Lond) 123:669–680
Ikejima K, Okumura K, Lang T, Honda H, Abe W et al (2005) The role of leptin in progression of non-alcoholic fatty liver disease. Hepatol Res 33:151–154
Li Z, Lin H, Yang S, Diehl AM (2002) Murine leptin deficiency alters Kupffer cell production of cytokines that regulate the innate immune system. Gastroenterology 123:1304–1310
Bethanis SK, Theocharis SE (2006) Leptin in the field of hepatic fibrosis: a pivotal or an incidental player? Dig Dis Sci 51:1685–1696
Marra F, Navari N, Vivoli E, Galastri S, Provenzano A (2011) Modulation of liver fibrosis by adipokines. Dig Dis 29:371–376
Fei H, Okano HJ, Li C, Lee GH, Zhao C et al (1997) Anatomic localization of alternatively spliced leptin receptors (Ob-R) in mouse brain and other tissues. Proc Natl Acad Sci USA 94:7001–7005
Choi SS, Syn WK, Karaca GF, Omenetti A, Moylan CA et al (2010) Leptin promotes the myofibroblastic phenotype in hepatic stellate cells by activating the hedgehog pathway. J Biol Chem 285:36551–36560
Al-Suhaimi EA, Shehzad A (2013) Leptin, resistin and visfatin: the missing link between endocrine metabolic disorders and immunity. Eur J Med Res 18:12
Lin SY, Sheu WH, Chen WY, Lee FY, Huang CJ (2005) Stimulated resistin expression in white adipose of rats with bile duct ligation-induced liver cirrhosis: relationship to cirrhotic hyperinsulinemia and increased tumor necrosis factor-alpha. Mol Cell Endocrinol 232:1–8
Yagmur E, Trautwein C, Gressner AM, Tacke F (2006) Resistin serum levels are associated with insulin resistance, disease severity, clinical complications, and prognosis in patients with chronic liver diseases. Am J Gastroenterol 101:1244–1252
Bertolani C, Sancho-Bru P, Failli P, Bataller R, Aleffi S et al (2006) Resistin as an intrahepatic cytokine: overexpression during chronic injury and induction of proinflammatory actions in hepatic stellate cells. Am J Pathol 169:2042–2053
Dong ZX, Su L, Brymora J, Bird C, Xie Q et al (2013) Resistin mediates the hepatic stellate cell phenotype. World J Gastroenterol 19:4475–4485
Falcao-Pires I, Castro-Chaves P, Miranda-Silva D, Lourenco AP, Leite-Moreira AF (2012) Physiological, pathological and potential therapeutic roles of adipokines. Drug Discov Today 17:880–889
Zhang LP, Takahara T, Yata Y, Furui K, Jin B et al (1999) Increased expression of plasminogen activator and plasminogen activator inhibitor during liver fibrogenesis of rats: role of stellate cells. J Hepatol 31:703–711
Hu PF, Chen H, Zhong W, Lin Y, Zhang X et al (2009) Adenovirus-mediated transfer of siRNA against PAI-1 mRNA ameliorates hepatic fibrosis in rats. J Hepatol 51:102–113
Friedman SL (2008) Mechanisms of hepatic fibrogenesis. Gastroenterology 134:1655–1669
Czaja AJ (2014) Hepatic inflammation and progressive liver fibrosis in chronic liver disease. World J Gastroenterol 20:2515–2532
Czaja AJ (2012) Drug choices in autoimmune hepatitis: part A-steroids. Expert Rev Gastroenterol Hepatol 6:603–615
Abergel A, Darcha C, Chevallier M, Ughetto S, Henquell C et al (2004) Histological response in patients treated by interferon plus ribavirin for hepatitis C virus-related severe fibrosis. Eur J Gastroenterol Hepatol 16:1219–1227
Poynard T, McHutchison J, Davis GL, Esteban-Mur R, Goodman Z et al (2000) Impact of interferon alfa-2b and ribavirin on progression of liver fibrosis in patients with chronic hepatitis C. Hepatology 32:1131–1137
Kern PA, Di Gregorio GB, Lu T, Rassouli N, Ranganathan G (2003) Adiponectin expression from human adipose tissue: relation to obesity, insulin resistance, and tumor necrosis factor-alpha expression. Diabetes 52:1779–1785
An L, Wang X, Cederbaum AI (2012) Cytokines in alcoholic liver disease. Arch Toxicol 86:1337–1348
Morris AM, Sennello JA, Fayad RA, Eckel RH, Dinarello CA et al (2006) T cell-mediated hepatic inflammation modulates adiponectin levels in mice: role of tumor necrosis factor alpha. Metabolism 55:555–559
Hector J, Schwarzloh B, Goehring J, Strate TG, Hess UF et al (2007) TNF-alpha alters visfatin and adiponectin levels in human fat. Horm Metab Res 39:250–255
Zhang B, Berger J, Hu E, Szalkowski D, White-Carrington S et al (1996) Negative regulation of peroxisome proliferator-activated receptor-gamma gene expression contributes to the antiadipogenic effects of tumor necrosis factor-alpha. Mol Endocrinol 10:1457–1466
Ron D, Brasier AR, McGehee RE Jr, Habener JF (1992) Tumor necrosis factor-induced reversal of adipocytic phenotype of 3T3-L1 cells is preceded by a loss of nuclear CCAAT/enhancer binding protein (C/EBP). J Clin Invest 89:223–233
Kim KY, Kim JK, Jeon JH, Yoon SR, Choi I et al (2005) c-Jun N-terminal kinase is involved in the suppression of adiponectin expression by TNF-alpha in 3T3-L1 adipocytes. Biochem Biophys Res Commun 327:460–467
Ikejima K, Honda H, Yoshikawa M, Hirose M, Kitamura T et al (2001) Leptin augments inflammatory and profibrogenic responses in the murine liver induced by hepatotoxic chemicals. Hepatology 34:288–297
Gove ME, Rhodes DH, Pini M, van Baal JW, Sennello JA et al (2009) Role of leptin receptor-induced STAT3 signaling in modulation of intestinal and hepatic inflammation in mice. J Leukoc Biol 85:491–496
Chiang DJ, Pritchard MT, Nagy LE (2011) Obesity, diabetes mellitus, and liver fibrosis. Am J Physiol Gastrointest Liver Physiol 300:G697–G702
• Yamauchi T, Kamon J, Ito Y, Tsuchida A, Yokomizo T, et al. (2003) Cloning of adiponectin receptors that mediate antidiabetic metabolic effects. Nature 423:762–769. Important paper that first identified adiponectin receptors
Thakur V, Pritchard MT, McMullen MR, Nagy LE (2006) Adiponectin normalizes LPS-stimulated TNF-alpha production by rat Kupffer cells after chronic ethanol feeding. Am J Physiol Gastrointest Liver Physiol 290:G998–1007
Yamauchi T, Nio Y, Maki T, Kobayashi M, Takazawa T et al (2007) Targeted disruption of AdipoR1 and AdipoR2 causes abrogation of adiponectin binding and metabolic actions. Nat Med 13:332–339
Tomita K, Oike Y, Teratani T, Taguchi T, Noguchi M et al (2008) Hepatic AdipoR2 signaling plays a protective role against progression of nonalcoholic steatohepatitis in mice. Hepatology 48:458–473
Matsunami T, Sato Y, Ariga S, Sato T, Kashimura H et al (2010) Regulation of oxidative stress and inflammation by hepatic adiponectin receptor 2 in an animal model of nonalcoholic steatohepatitis. Int J Clin Exp Pathol 3:472–481
Cao T, Gao Z, Gu L, Chen M, Yang B et al (2014) AdipoR1/APPL1 potentiates the protective effects of globular adiponectin on angiotensin II-induced cardiac hypertrophy and fibrosis in neonatal rat atrial myocytes and fibroblasts. Plos One 9:e103793
Zhang Z, Wang F, Wang BJ, Chu G, Cao Q et al (2014) Inhibition of leptin-induced vascular extracellular matrix remodelling by adiponectin. J Mol Endocrinol 53:145–154
Mandal P, Roychowdhury S, Park PH, Pratt BT, Roger T et al (2010) Adiponectin and heme oxygenase-1 suppress TLR4/MyD88-independent signaling in rat Kupffer cells and in mice after chronic ethanol exposure. J Immunol 185:4928–4937
Mandal P, Pratt BT, Barnes M, McMullen MR, Nagy LE (2011) Molecular mechanism for adiponectin-dependent M2 macrophage polarization: link between the metabolic and innate immune activity of full-length adiponectin. J Biol Chem 286:13460–13469
Ramachandran P, Pellicoro A, Vernon MA, Boulter L, Aucott RL et al (2012) Differential Ly-6C expression identifies the recruited macrophage phenotype, which orchestrates the regression of murine liver fibrosis. Proc Natl Acad Sci USA 109:E3186–E3195
Hug C, Wang J, Ahmad NS, Bogan JS, Tsao TS et al (2004) T-cadherin is a receptor for hexameric and high-molecular-weight forms of Acrp30/adiponectin. Proc Natl Acad Sci USA 101:10308–10313
Parker-Duffen JL, Nakamura K, Silver M, Kikuchi R, Tigges U et al (2013) T-cadherin is essential for adiponectin-mediated revascularization. J Biol Chem 288:24886–24897
Kasahara DI, Williams AS, Benedito LA, Ranscht B, Kobzik L et al (2013) Role of the adiponectin binding protein, T-cadherin (cdh13), in pulmonary responses to subacute ozone. Plos One 8:e65829
Denzel MS, Scimia MC, Zumstein PM, Walsh K, Ruiz-Lozano P et al (2010) T-cadherin is critical for adiponectin-mediated cardioprotection in mice. J Clin Invest 120:4342–4352
Hu D, Fukuhara A, Miyata Y, Yokoyama C, Otsuki M et al (2013) Adiponectin regulates vascular endothelial growth factor-C expression in macrophages via Syk-ERK pathway. Plos One 8:e56071
Sanz-Garcia C, Nagy LE, Lasuncion MA, Fernandez M, Alemany S (2014) Cot/tpl2 participates in the activation of macrophages by adiponectin. J Leukoc Biol 95:917–930
Lim CT, Kola B, Korbonits M (2010) AMPK as a mediator of hormonal signalling. J Mol Endocrinol 44:87–97
Li J, Pan Y, Kan M, Xiao X, Wang Y et al (2014) Hepatoprotective effects of berberine on liver fibrosis via activation of AMP-activated protein kinase. Life Sci 98:24–30
Zhai X, Qiao H, Guan W, Li Z, Cheng Y et al (2015) Curcumin regulates peroxisome proliferator-activated receptor-gamma coactivator-1alpha expression by AMPK pathway in hepatic stellate cells in vitro. Eur J Pharmacol 746:56–62
Caligiuri A, Bertolani C, Guerra CT, Aleffi S, Galastri S et al (2008) Adenosine monophosphate-activated protein kinase modulates the activated phenotype of hepatic stellate cells. Hepatology 47:668–676
Lim JY, Oh MA, Kim WH, Sohn HY, Park SI (2012) AMP-activated protein kinase inhibits TGF-beta-induced fibrogenic responses of hepatic stellate cells by targeting transcriptional coactivator p300. J Cell Physiol 227:1081–1089
Yang L, Chan CC, Kwon OS, Liu S, McGhee J et al (2006) Regulation of peroxisome proliferator-activated receptor-gamma in liver fibrosis. Am J Physiol Gastrointest Liver Physiol 291:G902–G911
Anty R, Lemoine M (2011) Liver fibrogenesis and metabolic factors. Clin Res Hepatol Gastroenterol 35(Suppl 1):S10–S20
Adachi M, Brenner DA (2008) High molecular weight adiponectin inhibits proliferation of hepatic stellate cells via activation of adenosine monophosphate-activated protein kinase. Hepatology 47:677–685
Kim MJ, Nagy LE, Park PH (2014) Globular adiponectin inhibits ethanol-induced reactive oxygen species production through modulation of NADPH oxidase in macrophages: involvement of liver kinase B1/AMP-activated protein kinase pathway. Mol Pharmacol 86:284–296
Akifusa S, Kamio N, Shimazaki Y, Yamaguchi N, Nishihara T et al (2009) Globular adiponectin-induced RAW 264 apoptosis is regulated by a reactive oxygen species-dependent pathway involving Bcl-2. Free Radic Biol Med 46:1308–1316
Carloni V, Romanelli RG, Pinzani M, Laffi G, Gentilini P (1997) Focal adhesion kinase and phospholipase C gamma involvement in adhesion and migration of human hepatic stellate cells. Gastroenterology 112:522–531
Jiang HQ, Zhang XL, Liu L, Yang CC (2004) Relationship between focal adhesion kinase and hepatic stellate cell proliferation during rat hepatic fibrogenesis. World J Gastroenterol 10:3001–3005
Reif S, Lang A, Lindquist JN, Yata Y, Gabele E et al (2003) The role of focal adhesion kinase-phosphatidylinositol 3-kinase-akt signaling in hepatic stellate cell proliferation and type I collagen expression. J Biol Chem 278:8083–8090
van Nimwegen MJ, van de Water B (2007) Focal adhesion kinase: a potential target in cancer therapy. Biochem Pharmacol 73:597–609
Liu XJ, Yang L, Wu HB, Qiang O, Huang MH et al (2002) Apoptosis of rat hepatic stellate cells induced by anti-focal adhesion kinase antibody. World J Gastroenterol 8:734–738
Dun ZN, Zhang XL, An JY, Zheng LB, Barrett R et al (2010) Specific shRNA targeting of FAK influenced collagen metabolism in rat hepatic stellate cells. World J Gastroenterol 16:4100–4106
Alisi A, Arciello M, Petrini S, Conti B, Missale G et al (2012) Focal adhesion kinase (FAK) mediates the induction of pro-oncogenic and fibrogenic phenotypes in hepatitis C virus (HCV)-infected cells. Plos One 7:e44147
Kumar P, Smith T, Rahman K, Mells JE, Thorn NE et al (2014) Adiponectin modulates focal adhesion disassembly in activated hepatic stellate cells: implication for reversing hepatic fibrosis. FASEB J 28:5172–5183
Arthur MJ (2000) Fibrogenesis II. Metalloproteinases and their inhibitors in liver fibrosis. Am J Physiol Gastrointest Liver Physiol 279:G245–G249
Handy JA, Fu PP, Kumar P, Mells JE, Sharma S et al (2011) Adiponectin inhibits leptin signalling via multiple mechanisms to exert protective effects against hepatic fibrosis. Biochem J 440:385–395
Nakasone H, Terasako-Saito K, Yamazaki R, Sato M, Tanaka Y et al (2014) Impact of high-/middle-molecular-weight adiponectin on the synthesis and regulation of extracellular matrix in dermal fibroblasts. Exp Hematol 42:261–273
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This work was supported in part by Grants to LEN: 1U01AA021890, 5R37 AA011876, R01 AA011975 and PP: Basic Science Research Program through the National Research Foundation of Korea funded by the Ministry of Education (2013R1A1A4A01011110).
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This article is part of the Topical Collection on Cytokines That Affect Liver Fibrosis and Activation of Hepatic Myofibroblasts.
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Park, PH., Sanz-Garcia, C. & Nagy, L.E. Adiponectin as an Anti-fibrotic and Anti-inflammatory Adipokine in the Liver. Curr Pathobiol Rep 3, 243–252 (2015). https://doi.org/10.1007/s40139-015-0094-y
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DOI: https://doi.org/10.1007/s40139-015-0094-y