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The Emerging Roles of Adiponectin in Female Reproductive System-Associated Disorders and Pregnancy

Abstract

Adiponectin, the most abundant adipose-released cytokine, has an important role in metabolism, primarily through reducing insulin resistance. Reproductive functions are known to be influenced by energy balance and adiponectin may be involved in the underlying mechanisms connecting reproduction and metabolism. Interestingly, adiponectin has been shown to exert actions in the female reproductive system, including the hypothalamic—pituitary—ovarian axis and the endometrium. The peripheral effects of this adipocytokine are mediated mainly via 2 receptors, AdipoR1 and AdipoR2. The expression of these receptors has been reported in the brain, ovaries, endometrium, and the placenta. Thus, adiponectin may influence fertility and pregnancy. Furthermore, adiponectin concentrations and effects have been assessed in some pregnancy-associated disorders and gynecological conditions. The findings may lead to the use of adiponectin or its receptors as therapeutic targets in novel treatment strategies of these disorders.

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References

  1. Michalakis KG, Segars JH. The role of adiponectin in reproduction: from polycystic ovary syndrome to assisted reproduction. Fertil Steril. 2010;94(6):1949–1957.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Budak E, Fernández Sánchez M, Bellver J, Cerveró A, Simón C, Pellicer A. Interactions of the hormones leptin, ghrelin, adiponectin, resistin and PYY3-36 with the reproductive system. Fertil Steril. 2006;85(6):1563–1581.

    Article  CAS  PubMed  Google Scholar 

  3. Kadowaki T, Yamauchi T. Adiponectin and adiponectin receptors. Endocr Rev. 2005;26(3):439–451.

    Article  CAS  PubMed  Google Scholar 

  4. Berg AH, Combs TP, Scherer PE. ACRP30/adiponectin: an adipokine regulating glucose and lipid metabolism. Trends Endocrinol Metab. 2002;13(2):84–89.

    Article  CAS  PubMed  Google Scholar 

  5. Combs TP, Berg AH, Rajala MW, et al. Sexual differentiation, pregnancy, calorie restriction, and aging affect the adipocyte-specific secretory protein adiponectin. Diabetes. 2003;52(2):268–276.

    Article  CAS  PubMed  Google Scholar 

  6. Xu A, Chan KW, Hoo RL, et al. Testosterone selectively reduces the high molecular weight form of adiponectin by inhibiting its secretion from adipocytes. J Biol Chem. 2005;280(18):18073–18080.

    Article  CAS  PubMed  Google Scholar 

  7. Arita Y, Kihara S, Ouchi N, et al. Paradoxical decrease of an adipose-specific protein, adiponectin, in obesity. Biochem Biophys Res Commun. 1999;257(1):79–83.

    Article  CAS  PubMed  Google Scholar 

  8. Hu E, Liang P, Spiegelman BM. AdipoQ is a novel adipose-specific gene dysregulated in obesity. J Biol Chem. 1996; 271(18):10697–10703.

    Article  CAS  PubMed  Google Scholar 

  9. Yamauchi T, Kamon J, Waki H, et al. The fat-derived hormone adiponectin reverses insulin resistance associated with both lipoatrophy and obesity. Nat Med. 2001;7(8):941–946.

    Article  CAS  PubMed  Google Scholar 

  10. Qi Y, Takahashi N, Hileman SM, et al. Adiponectin acts in the brain to decrease body weight. Nat Med. 2004;10(5):524–529.

    Article  CAS  PubMed  Google Scholar 

  11. Yamauchi T, Kamon J, Minokoshi Y, et al. Adiponectin stimulates glucose utilisation and fatty acid oxidation by activating AMP-activated protein kinase. Nat Med. 2002;8(11):1288–1295.

    Article  CAS  PubMed  Google Scholar 

  12. Yamauchi T, Kamon J, Ito Y, et al. Cloning of adiponectin receptors that mediate antidiabetic metabolic effects. Nature. 2003; 423(6941):762–769.

    Article  CAS  PubMed  Google Scholar 

  13. Ledoux S, Campos DB, Lopes FL, Dobias-Goff M, Palin MF, Murphy BD. Adiponectin induces periovulatory changes in ovarian follicular cells. Endocrinology. 2006;147(11):5178–5186.

    Article  CAS  PubMed  Google Scholar 

  14. Hug C, Wang J, Ahmad NS, Bogan JS, Tsao TS, Lodish HF. t-Cadherin is a receptor for hexameric and high-molecular-weight forms of Acrp30/adiponectin. Proc Natl Acad Sci U S A. 2004; 101(28):10308–10313.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Yamauchi T, Kadowaki T. Physiological and pathophysiological roles of adiponectin and adiponectin receptors in the integrated regulation of metabolic and cardiovascular diseases. Int J Obes. 2008;32(suppl 7):13–18.

    Article  CAS  Google Scholar 

  16. Jones H, Jansson T, Powell TL. Full-length adiponectin attenuates insulin signaling and inhibits insulin-stimulated amino acid transport in human primary trophoblast cells. Diabetes. 2010;59(5):1161–1170.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Thundyil J, Pavlovski D, Sobey CG, Arumugam TV. Adiponectin receptor signalling in the brain. Br J Pharmacol. 2012; 165(2):313–327.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Wen JP, Lv WS, Yang J, et al. Globular adiponectin inhibits GnRH secretion from GT1-7 hypothalamic GnRH neurons by induction of hyperpolarization of membrane potential. Biochem Biophys Res Commun. 2008;371(4):756–761.

    Article  CAS  PubMed  Google Scholar 

  19. Lu M, Tang Q, Olefsky JM, Mellon PL, Webster NJ. Adiponectin activates adenosine monophosphate-activated protein kinase and decreases luteinizing hormone secretion in LbetaT2 gonadotropes. Mol Endocrinol. 2008;22(3):760–771.

    Article  CAS  PubMed  Google Scholar 

  20. Psilopanagioti A, Papadaki H, Kranioti EF, Alexandrides TK, Varakis JN. Expression of adiponectin and adiponectin receptors in human pituitary gland and brain. Neuroendocrinology 2009; 89(1):38–47.

    Article  CAS  PubMed  Google Scholar 

  21. Pan W, Tu H, Kastin AJ. Differential BBB interactions of three ingestive peptides: obestatin, ghrelin, and adiponectin. Peptides 2006;27(4):911–916.

    Article  CAS  PubMed  Google Scholar 

  22. Spranger J, Verma S, Gohring I, et al. Adiponectin does not cross the blood-brain barrier but modifies cytokine expression of brain endothelial cells. Diabetes 2006;55(1):141–147.

    Article  CAS  PubMed  Google Scholar 

  23. Waki H, Yamauchi T, Kamon J, et al. Impaired multimerization of human adiponectin mutans associated with diabetes. Molecular structure and multimer formation of adiponectin. J Biol Chem. 2003;278(41):40352–40363.

    Article  CAS  PubMed  Google Scholar 

  24. Kusminski CM, McTernan PG, Schraw T, et al. Adiponectin complexes in human cerebrospinal fluid: distinct complex distribution from serum. Diabetologia. 2007;50(3):634–642.

    Article  CAS  PubMed  Google Scholar 

  25. Maddineni S, Metzger S, Ocon O, Hendricks G III, Ramachandran R. Adiponectin gene is expressed in multiple tissues in the chicken: food deprivation influences adiponectin messenger ribonucleic acid expression. Endocrinology. 2005;146(10):4250–4256.

    Article  CAS  PubMed  Google Scholar 

  26. Wen J, Liu CE, Bi W, et al. Adiponectin inhibits KiSS1 gene transcription through AMPK and specificity protein-1 in the hypothalamic GT1-7 neurons. J Endocrinol. 2012;214:177–189.

    Article  CAS  PubMed  Google Scholar 

  27. Cheng XB, Wen JP, Yang J, Yang Y, Ning G, Li XY. GnRH secretion is inhibited by adiponectin through activation of AMP-activated protein kinase and extracellular signal-regulated kinase. Endocrine. 2011;39(1):6–12.

    Article  CAS  PubMed  Google Scholar 

  28. Hoyda TD, Fry M, Ahima RS, Ferguson AV. Adiponectin selectively inhibits oxytocin neurons of the paraventricular nucleus of the hypothalamus. J Physiol. 2007;585(Pt 3):805–816.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Dupont J, Chabrolle C, Ramé C, Tosca L, Coyral-Castel S. Role of the peroxisome proliferator-activated receptors, adenosine monophosphate-activated kinase, and adiponectin in the ovary. PPAR Res. 2008;2008:176275.

    Article  CAS  Google Scholar 

  30. Maillard V, Uzbekova S, Guignot F, et al. Effect of adiponectin on bovine granulosa cell steroidogenesis, oocyte maturation, and embryodevelopment. Reprod Biol Endocrinol. 2010;8:23.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  31. Chabrolle C, Tosca L, Crochet S, Tesseraud S, Dupont J. Expression of adiponectin and its receptors (AdipoR1 and AdipoR2) in chicken ovary: potential role in ovarian steroidogenesis. Domest Anim Endocrinol. 2007;33(4):480–487.

    Article  CAS  PubMed  Google Scholar 

  32. Chabrolle C, Tosca L, Dupont J. Regulation of adiponectin and its receptors in rat ovary by human chorionic gonadotropin treatment and potential involvement of adiponectin in granulosa cell steroidogenesis. Reproduction. 2007;133(4):719–731.

    Article  CAS  PubMed  Google Scholar 

  33. Chappaz E, Albornoz MS, Campos D, et al. Adiponectin enhances in vitro development of swine embryos. Domest Anim Endocrinol. 2008;35(2):198–207.

    Article  CAS  PubMed  Google Scholar 

  34. Lagaly DV, Aad PY, Grado-Ahuir JA, Hulsey LB, Spicer LJ. Role of adiponectin in regulating ovarian theca and granulose cell function. Mol Cell Endocrinol. 2008;284(1–2):38–45.

    Article  CAS  PubMed  Google Scholar 

  35. Gutman G, Barak V, Maslovitz S, Amit A, Lessing JB, Geva E. Recombinant luteinizing hormone induces increased production of ovarian follicular adiponectin in vivo: implications for enhanced insulin sensitivity. Fertil Steril. 2009;91(5):1837–1841.

    Article  CAS  PubMed  Google Scholar 

  36. Dafopoulos K, Sourlas D, Kallitsaris A, Pournaras S, Messinis IE. Blood ghrelin, resistin, and adiponectin concentrations during the normal menstrual cycle. Fertil Steril. 2009;92(4):1389–1394.

    Article  CAS  PubMed  Google Scholar 

  37. Chalvatzas N, Dafopoulos K, Kosmas G, Kallitsaris A, Pournaras S, Messinis IE. Effect of ovarian hormones on serum adiponectin and resistin concentrations. Fertil Steril. 2009;91(4):1189–1194.

    Article  CAS  PubMed  Google Scholar 

  38. Toth MJ, Cooper BC, Pratley RE, Mari A, Matthews DE, Casson PR. Effect of ovarian suppression with gonadotropin-releasing hormone agonist on glucose disposal and insulin secretion. Am J Physiol Endocrinol Metab. 2008;294(6):E1035–1045.

    Article  CAS  PubMed  Google Scholar 

  39. Liu YH, Tsai EM, Chen YL, et al. Serum adiponectin levels increase after human chorionic gonadotropin treatment during in vitro fertilization. Gynecol Obstet Invest. 2006;62(2):61–65.

    Article  CAS  PubMed  Google Scholar 

  40. Bersinger NA, Birkhauser MH, Wunder DM. Adiponectin as a marker of success in inracytoplasmic sperm injection/embryo transfer cycles. Gynecol Endocrinol. 2006;22(9):479–483.

    Article  CAS  PubMed  Google Scholar 

  41. Liu YH, Tsai EM, Wu LC, et al. Higher basal adiponectin levels are associated with better ovarian response to gonadotropin stimulation during in vitro fertilization. Gynecol Obstet Invest. 2005; 60(3):167–170.

    Article  CAS  PubMed  Google Scholar 

  42. Lord E, Ledoux S, Murphy BD, Beaudry D, Palin MF. Expression of adiponectins and its receptors in swine. J Anim Sci. 2005;83(3):565–578.

    Article  CAS  PubMed  Google Scholar 

  43. Takemura Y, Osuga Y, Yamauchi T, et al. Expression of adiponectin receptors and its possible implication in the human endometrium. Endocrinology. 2006;147(7):3203–3210.

    Article  CAS  PubMed  Google Scholar 

  44. Dos Santos E, Serazin V, Morvan C, et al. Adiponectin and leptin systems in human endometrium during window of implantation. Fertil Steril. 2012;97(3):771–778.

    Article  PubMed  CAS  Google Scholar 

  45. Benaitreau D, Dieudonné MN, Dos Santos E, Leneveu MC, de Mazancourt P, Pecquery R. Antiproliferative effects of adiponectin on human trophoblastic cell lines JEG-3 and BeWo. Biol Reprod. 2009;80(6):1107–1114.

    Article  CAS  PubMed  Google Scholar 

  46. Chen J, Tan B, Karteris E, et al. Secretion of adiponectin by human placenta: differential modulation of adiponectin and its receptors by cytokines. Diabetologia. 2006;49:1292–1302.

    Article  CAS  PubMed  Google Scholar 

  47. Caminos JE, Nogueiras R, Gallego R, et al. Expression and regulation of adiponectin and receptor in human and rat placenta. J Clin Endocrinol Metab. 2005;90(7):4276–4286.

    Article  CAS  PubMed  Google Scholar 

  48. Pinar H, Basu S, Hotmire K, et al. High molecular mass multimer complexes and vascular expression contribute to high adiponectin in the fetus. J Clin Endocrinol Metab. 2008;93(7):2885–2890.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  49. Corbetta S, Bulfamante G, Cortelazzi D, et al. Adiponectin expression in human fetal tissues during mid- and late gestation. J Clin Endocrinol Metab. 2005;90(4):2397–2402.

    Article  CAS  PubMed  Google Scholar 

  50. McDonald EA, Wolfe MW. Adiponectin attenuation of endocrine function within human term trophoblast cells. Endocrinology. 2009;150(9):4358–4365.

    Article  CAS  PubMed  Google Scholar 

  51. Tie W, Yu H, Chen J, Wang X, Chen W, Zhou R. Expressions of adiponectin receptors in placenta and their correlation with preeclampsia. Reprod Sci. 2009;16(7):676–684.

    Article  CAS  Google Scholar 

  52. Mazaki-Tovi S, Kanety H, Pariente C, et al. Determining the source of fetal adiponectin. J Reprod Med. 2007;52(9):774–778.

    CAS  PubMed  Google Scholar 

  53. Kadowaki K, Waguri M, Nakanishi I, et al. Adiponectin concentration in umbilical cord serum is positively associated with the weight ratio of fetus to placenta. J Clin Endocrinol Metab. 2006;91(12):5090–5094.

    Article  CAS  PubMed  Google Scholar 

  54. Sivan E, Mazaki-Tovi S, Pariente C, et al. Adiponectin in human cord blood: relation to fetal birth weight and gender. J Clin Endocrinol Metab. 2003;88(12):5656–5660.

    Article  CAS  PubMed  Google Scholar 

  55. Kotani Y, Yokota I, Kitamura S, Matsuda J, Naito E, Kuroda Y. Plasma adiponectin levels in newborns are higher than those in adults and positively correlated with birth weight. Clin Endocrinol (Oxf). 2004;61(4):418–423.

    Article  CAS  Google Scholar 

  56. Mazaki-Tovi S, Kanety H, Pariente C, Hemi R, Schiff E, Sivan E. Cord blood adiponectin in large-for-gestational age newborns. Am J Obstet Gynecol. 2005;193(3 Pt 2):1238–1242.

    Article  CAS  PubMed  Google Scholar 

  57. Mantzoros CS, Rifas-Shiman SL, Williams CJ, Fargnoli JL, Kelesidis T, Gillman MW. Cord blood leptin and adiponectin as predictors of adiposity in children at 3 years of age: a prospective cohort study. Pediatrics. 2009;123(2):682–689.

    Article  PubMed  Google Scholar 

  58. Chen L, Nyomba BLG. Glucose intolerance and resistin expression in rat offspring exposed to ethanol in utero: modulation by postnatal high fat diet. Endocrinology. 2003;144(2):500–508.

    Article  CAS  PubMed  Google Scholar 

  59. Chen L, Zhang T, Nyomba BLG. Insulin resistance of gluconeogenic pathways in neonatal rats after prenatal ethanol exposure. Am J Physiol Regul Integr Comp Physiol. 2004;286(3):554–559.

    Article  Google Scholar 

  60. Kalampokas E, Vrachnis N, Samoli E, et al. Association of adiponectin and placental growth factor in amniotic fluid with second trimester fetal growth. In Vivo. 2012;26(2):327–333.

    CAS  PubMed  Google Scholar 

  61. Hersoug LG, Linneberg A. The link between the epidemics of obesity and allergic diseases: does obesity induce decreased immune tolerance? Allergy. 2007;62(10):1205–1213.

    Article  CAS  PubMed  Google Scholar 

  62. Mantzoros CS, Petridou E, Alexe DM, et al. Serum adiponectin concentrations in relation to maternal and perinatal characteristics in newborns. Eur J Endocrinol. 2004;151(6):741–746.

    Article  CAS  PubMed  Google Scholar 

  63. Mazaki-Tovi S, Kanety H, Pariente C, et al. Maternal serum adiponectin levels during human pregnancy. J Perinatol. 2007;27(2):77–81.

    Article  CAS  PubMed  Google Scholar 

  64. Catalano PM, Hoegh M, Minium J, et al. Adiponectin in human pregnancy: implications for regulation of glucose and lipid metabolism. Diabetologia. 2006;49(7):1677–1685.

    Article  CAS  PubMed  Google Scholar 

  65. López-Bermejo A, Fernández-Real JM, Garrido, et al. Maternal soluble tumour necrosis factor receptor type 2 (sTNFR2) and adiponectin are both related to blood pressure during gestation and infant’s birthweight. Clin Endocrinol (Oxf). 2004;61(5):544–552.

    Article  CAS  Google Scholar 

  66. Cheng MH, Wang PH. Placentation abnormalities in the pathophysiology of preeclampsia. Expert Rev Mol Diagn. 2009;9(1):37–49.

    Article  PubMed  Google Scholar 

  67. Jarvenpaa J, Vuoristo JT, Santaniemi M, et al. Adiponectin induced placental cell apoptosis could be mediated via the AdipoR1-receptor in preeclampsia with IUGR. J Perinat Med. 2009;37(3):257–262.

    Article  CAS  PubMed  Google Scholar 

  68. Nanda S, Yu CK, Giurcaneanu L, Akolekar R, Nicolaides KH. Maternal serum adiponectin at 11–13 weeks of gestation in preeclampsia. Fetal Diagn Ther. 2011;29(3):208–215.

    Article  PubMed  Google Scholar 

  69. Fasshauer M, Waldeyer T, Seeger J, et al. Circulating high-molecular-weight adiponectin is upregulated in preeclampsia and is related to insulin sensitivity and renal function. Eur J Endocrinol. 2008;158(2):197–201.

    Article  CAS  PubMed  Google Scholar 

  70. D’Anna R, Baviera G, Corrado F, et al. Adiponectin and insulin resistance in early - and late-onset pre-eclampsia. BJOG. 2006; 113(11):1264–1269.

    Article  PubMed  CAS  Google Scholar 

  71. Suwaki N, Masuyama H, Nakatsukasa H, et al. Hypoadiponectinemia and circulating angiogenic factors in overweight patients complicated with pre-eclampsia. Am J Obstet Gynecol. 2006; 195(6):1687–1692.

    Article  CAS  PubMed  Google Scholar 

  72. Abd-Alaleem DI, Attiaa KI, Khalefa AA, Ahmad RA. Adiponectin levels in serum of women with preeclampsia. East Mediterr Health J. 2011;17(7):575–581.

    Article  CAS  PubMed  Google Scholar 

  73. Liu Y, Zhu L, Pan Y, Sun L, Chen D, Li X. Adiponectin levels in circulation and breast milk and mRNA expression in adipose tissue of preeclampsia women. Hypertens Pregnancy. 2012;31(1):40–49.

    Article  PubMed  CAS  Google Scholar 

  74. Ogland B, Romundstad PR, Vefring H, Forman MR, Nilsen ST, Vatten LJ. Preeclampsia and adiponectin in cord blood. Horm Res Paediatr. 2010;74(2):92–97.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  75. Valdés ER, Lattes KA, Muñoz HS, Barja PY, Papapietro KV. First-trimester adiponectin and subsequent development of preeclampsia or fetal growth restriction. Gynecol Obstet Invest. 2011;72(3):152–156.

    Article  PubMed  CAS  Google Scholar 

  76. Dalamaga M, Srinivas SK, Elovitz MA, Chamberland J, Mantzoros CS. Serum adiponectin and leptin in relation to risk for preeclampsia: results from a large case-control study. Metabolism. 2011;60(11):1539–1544.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  77. Combs TP, Berg AH, Obici S, Scherer PE, Rossetti L. Endogenous glucose production is inhbited by the adipose-derived protein Acrp 30. J Clin Invest. 2001;108(12):1875–1881.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  78. Hara K, Yamauchi T, Kadowaki T. Adiponectin: an adipokine linking adipocytes and type 2 diabetes in humans. Curr Diab Rep. 2005;5(2):136–140.

    Article  CAS  PubMed  Google Scholar 

  79. Berg AH, Combs TP, Du X, Brownlee M, Scherer PE. The adipocyte-secreted protein Acrp30 enhances hepatic insulin action. Nat Med. 2001;7(8):947–953.

    Article  CAS  PubMed  Google Scholar 

  80. Lee YH, Magkos F, Mantzoros CS, Kang ES. Effects of leptin and adiponectin on pancreatic β-cell function. Metabolism. 2011; 60(12):1664–1672.

    Article  CAS  PubMed  Google Scholar 

  81. Zavalza-Gomez AB, Anaya-Prado R, Rincon-Sanches AR, Mora-Martinez JM. Adipokines and insulin resistance during pregnancy. Diab Res Clin Pract. 2008;80(1):8–15.

    Article  CAS  Google Scholar 

  82. Ramos MP, Crespo-Solans MD, del Campo S, Cacho J, Herera F. Fat accumulation in the rat during early pregnancy is modulated by enhanced insulin responsiveness. Am J Physiol Endocrinol Metab. 2003;285(2):E318–328.

    Article  CAS  PubMed  Google Scholar 

  83. Leiva A, Pardo F, Ramírez MA, Farías M, Casanello P, Sobrevia L. Fetoplacental vascular endothelial dysfunction as an early phenomenon in the programming of human adult diseases in subjects born from gestational diabetes mellitus or obesity in pregnancy. Exp Diabetes Res. 2011;2011:349286.

    Google Scholar 

  84. Catalano PM. Increasing maternal obesity and weight gain during pregnancy: the obstetric problems of plentitude. Obstet Gyneocol. 2007;110(4):743–744.

    Article  Google Scholar 

  85. Thyfault JP, Hedberg EM, Anchan RM, et al. Gestational diabetes is associated with depressed adiponectin levels. J Soc Gynecol Investig. 2005;12(1):41–45.

    Article  CAS  PubMed  Google Scholar 

  86. Vitoratos N, Deliveliotou A, Vlachos NF, Mastorakos G, Papadias K, Botsis D. Serum adiponectin during pregnancy and postpartum in women with gestational diabetes and normal controls. Gynecol Endocrinol. 2008;24(11):614–619.

    Article  CAS  PubMed  Google Scholar 

  87. Gueuvoghlanian-Silva BY, Torloni MR, Mattar R, et al. Profile of inflammatory mediators in gestational diabetes mellitus: phenotype and genotype. Am J Reprod Immunol. 2012;67(3):241–250.

    Article  CAS  PubMed  Google Scholar 

  88. Ballesteros M, Simón I, Vendrell J, et al. Maternal and cord blood adiponectin multimeric forms in gestational diabetes mellitus: a prospective analysis. Diabetes Care. 2011;34(11):2418–2423.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  89. Kinalski M, Telejko B, Kuźmicki M, Kretowski A, Kinalska I. Tumor necrosis factor alpha system and plasma adiponectin concentration in women with gestational diabetes. Horm Metab Res. 2005;37(7):450–454.

    Article  CAS  PubMed  Google Scholar 

  90. Stuebe AM, Mantzoros C, Kleinman K, et al. Gestational glucose tolerance and maternal metabolic profile at 3 years postpartum. Obstet Gynecol. 2011;118(5):1065–1073.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  91. Vrachnis N, Belitsos P, Sifakis S, et al. Role of adipokines and other inflammatory mediators in gestational diabetes mellitus and previous gestational diabetes mellitus. Int J Endocrinol. 2012; 2012:549748.

    PubMed  PubMed Central  Google Scholar 

  92. Dunaif A. Insulin resistance and the polycystic ovary syndrome: mechanisms and implications for pathogenesis. Endocrine Reviews. 1997;18(6):774–800.

    CAS  PubMed  Google Scholar 

  93. Carmina E. Diagnosis of polycystic ovary syndrome: from NIH criteria to ESHRE-ASRM guidelines. Minerva Ginecol. 2004; 56(1):1–6.

    CAS  PubMed  Google Scholar 

  94. Tosca L, Chabrolle C, Dupont J. AMPK: a link between metabolism and reproduction? Med Sci (Paris). 2008;24(3):297–300.

    Article  Google Scholar 

  95. van Houten EL, Kramer P, McLuskey A, Karels B, Themmen AP, Visser JA. Reproductive and metabolic phenotype of a mouse model of PCOS. Endocrinology. 2012;153(6):2861–2869.

    Article  PubMed  CAS  Google Scholar 

  96. Aroda V, Ciaraldi TP, Chang SA, Dahan MH, Chang RJ, Henry RR. Circulating and cellular adiponectin in polycystic ovary syndrome: relationship to glucose tolerance and insulin action. Fertil Steril. 2008;89(5):1200–1208.

    Article  CAS  PubMed  Google Scholar 

  97. Yilmaz M, Bukan N, Demirci H, et al. Serum resistin and adiponectin levels in women with polycystic ovary syndrome. Gynecol Endocrinol. 2009;25(4):246–252.

    Article  CAS  PubMed  Google Scholar 

  98. Toulis KA, Goulis DG, Farmakiotis D, Georgopoulos NA, Katsikis I, Tarlatzis BC. Adiponectin levels in women with polycystic ovary syndrome: a systematic review and a meta-analysis. Hum Reprod Update. 2009;15(3):297–307.

    Article  CAS  PubMed  Google Scholar 

  99. Mazloomi S, Sharifi F, Hajihosseini R, Kalantari S, Mazloomzadeh S. Association between hypoadiponectinemia and low serum concentrations of calcium and vitamin D in women with polycystic ovary syndrome. ISRN Endocrinol. 2012;2012:949427.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  100. Bik W, Baranowska-Bik A, Wolinska-Witort E, Chmielowska M, Martynska L, Baranowska B. The relationship between metabolic status and levels of adiponectin and ghrelin in lean women with polycystic ovary syndrome. Gynecol Endocrinol. 2007; 23(6):325–331.

    Article  CAS  PubMed  Google Scholar 

  101. Villa J, Pratley RE. Adipose tissue dysfunction in polycystic ovary syndrome. Curr Diab Rep. 2011;11(3):179–184.

    Article  CAS  PubMed  Google Scholar 

  102. Ducluzeau PH, Cousin P, Malvoisin E, et al. Glucose-to-insulin ratio rather than sex hormone-binding globulin and adiponectin levels is the best predictor of insulin resistance in nonobese women with polycystic ovary syndrome. J Clin Endocrinol Metab. 2003;88(8):3626–3631.

    Article  CAS  PubMed  Google Scholar 

  103. Aydogdu A, Uckaya G, Tasci I, et al. The relationship of epicardial adipose tissue thickness to clinical and biochemical features in women with polycystic ovary syndrome. Endocr J. 2012; 59(6):509–516.

    Article  CAS  PubMed  Google Scholar 

  104. Takemura Y, Osuga Y, Harada M, et al. Serum adiponectin concentrations are decreased in women with endometriosis. Hum Reprod. 2005;20(12):3510–3513.

    Article  CAS  PubMed  Google Scholar 

  105. Yi KW, Shin JH, Park HT, Kim T, Kim SH, Hur JY. Resistin concentration is increased in the peritoneal fluid of women with endometriosis. Am J Reprod Immunol. 2010;64(5):318–323.

    CAS  PubMed  Google Scholar 

  106. Pandey N, Kriplani A, Yadav RK, Lyngdoh BT, Mahapatra SC. Peritoneal fluid leptin levels are increased but adiponectin levels are not changed in infertile patients with pelvic endometriosis. Gynecol Endocrinol. 2010;26(11):843–849.

    Article  CAS  PubMed  Google Scholar 

  107. Takemura Y, Osuga Y, Harada M, et al. Concentration of adiponectin in peritoneal fluid is decreased in women with endometriosis. Am J Reprod Immunol. 2005;54(4):217–221.

    Article  CAS  PubMed  Google Scholar 

  108. Wakabayashi A, Takeda T, Tsuiji K, et al. Antiproliferative effect of adiponectin on rat uterine leiomyoma ELT-3 cells. Gynecol Endocrinol. 2011;27(1):33–38.

    Article  CAS  PubMed  Google Scholar 

  109. Chen HS, Chan TF, Chung YF, Su JH, Yuan SS. Aberrant serum adiponectin levels in women with uterine leiomyomas. Gynecol Obstet Invest. 2004;58(3):160–163.

    Article  CAS  PubMed  Google Scholar 

  110. Wu X, Yan Q, Zhang Z, Du G, Wan X. Acrp30 inhibits leptin-induced metastasis by downregulating the JAK/STAT3 pathway via AMPK activation in aggressive SPEC-2 endometrial cancer cells. Oncol Rep. 2012;27(5):1488–1496.

    CAS  PubMed  Google Scholar 

  111. Moon HS, Chamberland JP, Aronis K, Tseleni-Balafouta S, Mantzoros CS. Direct role of adiponectin and adiponectin receptors in endometrial cancer: in vitro and ex vivo studies in humans. Mol Cancer Ther. 2011;10(12):2234–2243.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  112. Barb D, Williams CJ, Neuwirth AK, Mantzoros CS. Adiponectin in relation to malignancies: a review of existing basic research and clinical evidence. Am J Clin Nutr. 2007;86(3):858–866.

    Article  Google Scholar 

  113. Mu N, Zhu Y, Wang Y, Zhang H, Xue F. Insulin resistance: a significant risk factor of endometrial cancer. Gynecol Oncol. 2012;125(3):751–757.

    Article  CAS  PubMed  Google Scholar 

  114. Chen X, Xiang YB, Long JR, et al. Genetic polymorphisms in obesity-related genes and endometrial cancer risk. Cancer. 2012;118(13):3356–3364.

    Article  CAS  PubMed  Google Scholar 

  115. Soliman PT, Cui X, Zhang Q, Hankinson SE, Lu KH. Circulating adiponectin levels and risk of endometrial cancer: the prospective Nurses’ Health Study. Am J Obstet Gynecol. 2011; 204(2):167.e1–5.

    Article  CAS  Google Scholar 

  116. Ashizawa N, Yahata T, Quan J, Adachi S, Yoshihara K, Tanaka K. Serum leptin-adiponectin ratio and endometrial cancer risk in postmenopausal female subjects. Gynecol Oncol. 2010;119(1):65–69.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to George Angelidis MD.

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Angelidis, G., Dafopoulos, K., Messini, C.I. et al. The Emerging Roles of Adiponectin in Female Reproductive System-Associated Disorders and Pregnancy. Reprod. Sci. 20, 872–881 (2013). https://doi.org/10.1177/1933719112468954

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Keywords

  • adiponectin
  • gonadotropins
  • pregnancy
  • fertility