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Abstract

Purpose

To elucidate the possible role of adiponectin, an adipokine secreted by white adipose tissue that plays an important role in the neuromodulation of food intake, in the pathogenesis of eating disorders.

Methods

A comprehensive review of the available literature via MedLine is done using the term “adiponectin” in association with one of the following terms: “anorexia nervosa”, “bulimia nervosa”, “binge eating disorder” or “eating disorders”.

Results

The majority of studies evaluating serum adiponectin levels in patients with eating disorders show that serum adiponectin levels are increased in patients with anorexia nervosa. After refeeding, adiponectin levels tend to rejoin the levels of healthy individuals. Data concerning serum adiponectin levels in patients with bulimia nervosa show that these levels can be equal, higher or lower than those found in healthy controls and lower than those found in anorexia nervosa patients. Binge eating disorder is accompanied with lower serum adiponectin levels than normal. Adiponectin receptor type 1 seems to be more related to the central pathological effect of adiponectin on eating behavior.

Conclusion

The potential role that plays adiponectin in the pathogenesis of eating disorders needs to be elucidated by further studies.

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References

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

    Article  CAS  PubMed  Google Scholar 

  2. Scherer PE, Williams S, Fogliano M et al (1995) A novel serum protein similar to C1q, produced exclusively in adipocytes. J Biol Chem 270:26746–26749

    Article  CAS  PubMed  Google Scholar 

  3. Shapiro L, Scherer PE (1998) The crystal structure of a complement-1q family protein suggests an evolutionary link to tumor necrosis factor. Curr Biol 8:335–338

    Article  CAS  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  6. Nishida M, Funahashi T, Shimomura I (2007) Pathophysiological significance of adiponectin. Med Mol Morphol 40:55–67

    Article  CAS  PubMed  Google Scholar 

  7. Matsubara M, Maruoka S, Katayose S (2002) Inverse relationship between plasma adiponectin and leptin concentrations in normal-weight and obese women. Eur J Endocrinol 147:173–180

    Article  CAS  PubMed  Google Scholar 

  8. Cnop M, Havel PJ, Utzschneider KM et al (2003) Relationship of adiponectin to body fat distribution, insulin sensitivity and plasma lipoproteins: evidence for independent roles of age and sex. Diabetologia 46:459–469

    CAS  PubMed  Google Scholar 

  9. Lara-Castro C, Luo N, Wallace P et al (2006) Adiponectin multimeric complexes and the metabolic syndrome trait cluster. Diabetes 55:249–259

    Article  CAS  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  11. Deepa SS, Dong LQ (2009) APPL1: role in adiponectin signaling and beyond. Am J Physiol Endocrinol Metab 296:E22–E36

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  12. Lindsay RS, Funahashi T, Hanson RL et al (2002) Adiponectin and development of type 2 diabetes in the Pima Indian population. Lancet 360:57–58

    Article  CAS  PubMed  Google Scholar 

  13. Brochu-Gaudreau K, Rehfeldt C, Blouin R et al (2010) Adiponectin action from head to toe. Endocrine 37:11–32

    Article  CAS  PubMed  Google Scholar 

  14. Bosy-Westphal A, Brabant G, Haas V et al (2005) Determinants of plasma adiponectin levels in patients with anorexia nervosa examined before and after weight gain. Eur J Nutr 44:355–359

    Article  CAS  PubMed  Google Scholar 

  15. Delporte ML, Brichard SM, Hermans MP et al (2003) Hyperadiponectinaemia in anorexia nervosa. Clin Endocrinol (Oxf) 58:22–29

    Article  CAS  Google Scholar 

  16. Dolezalova R, Lacinova Z, Dolinkova M et al (2007) Changes of endocrine function of adipose tissue in anorexia nervosa: comparison of circulating levels versus subcutaneous mRNA expression. Clin Endocrinol (Oxf) 67:674–678

    Article  CAS  Google Scholar 

  17. Dostálová I, Smitka K, Papezová H et al (2006) The role of adiponectin in increased insulin sensitivity of patients with anorexia nervosa. Vnitr Lek 52:887–890

    PubMed  Google Scholar 

  18. Dostálová I, Smitka K, Papezová H et al (2007) Increased insulin sensitivity in patients with anorexia nervosa: the role of adipocytokines. Physiol Res 56:587–594

    PubMed  Google Scholar 

  19. Haluzíková D, Dostálová I, Kaválková P et al (2009) Serum concentrations of adipocyte fatty acid binding protein in patients with anorexia nervosa. Physiol Res 58:577–581

    PubMed  Google Scholar 

  20. Housova J, Anderlova K, Krizová J et al (2005) Serum adiponectin and resistin concentrations in patients with restrictive and binge/purge form of anorexia nervosa and bulimia nervosa. J Clin Endocrinol Metab 90:1366–1370

    Article  CAS  PubMed  Google Scholar 

  21. Housová J, Kiziová J, Anderlova K et al (2005) Serum concentrations of adiponectin in patients with restrictive and purgative subtype of mental anorexia. Cas Lek Cesk 144:278–281

    PubMed  Google Scholar 

  22. Karczewska-Kupczewska M, Straczkowski M, Adamska A et al (2010) Insulin sensitivity, metabolic flexibility, and serum adiponectin concentration in women with anorexia nervosa. Metabolism 59:473–477

    Article  CAS  PubMed  Google Scholar 

  23. Krízová J, Dolinková M, Lacinová Z et al (2008) Adiponectin and resistin gene polymorphisms in patients with anorexia nervosa and obesity and its influence on metabolic phenotype. Physiol Res 57:539–546

    PubMed  Google Scholar 

  24. Modan-Moses D, Stein D, Pariente C et al (2007) Modulation of adiponectin and leptin during refeeding of female anorexia nervosa patients. J Clin Endocrinol Metab 92:1843–1847

    Article  CAS  PubMed  Google Scholar 

  25. Pannacciulli N, Vettor R, Milan G et al (2003) Anorexia nervosa is characterized by increased adiponectin plasma levels and reduced nonoxidative glucose metabolism. J Clin Endocrinol Metab 88:1748–1752

    Article  CAS  PubMed  Google Scholar 

  26. Støving RK, Chen JW, Glintborg D et al (2007) Bioactive insulin-like growth factor (IGF) I and IGF-binding protein-1 in anorexia nervosa. J Clin Endocrinol Metab 92:2323–2329

    Article  PubMed  Google Scholar 

  27. Terra X, Auguet T, Aguera Z et al (2013) Adipocytokine levels in women with anorexia nervosa. Relationship with weight restoration and disease duration. Int J Eat Disord. doi:10.1002/eat.22166

    PubMed  Google Scholar 

  28. Alberti L, Gilardini L, Girola A et al (2007) Adiponectin receptors gene expression in lymphocytes of obese and anorexic patients. Diabetes Obes Metab 9:344–349

    Article  CAS  PubMed  Google Scholar 

  29. Nogueira JP, Maraninchi M, Lorec AM et al (2010) Specific adipocytokines profiles in patients with hyperactive and/or binge/purge form of anorexia nervosa. Eur J Clin Nutr 64:840–844

    Article  PubMed  Google Scholar 

  30. Iwahashi H, Funahashi T, Kurokawa N et al (2003) Plasma adiponectin levels in women with anorexia nervosa. Horm Metab Res 35:537–540

    Article  CAS  PubMed  Google Scholar 

  31. Miljic D, Djurovic M, Pekic S et al (2007) Glucose metabolism during ghrelin infusion in patients with anorexia nervosa. J Endocrinol Invest 30:771–775

    CAS  PubMed  Google Scholar 

  32. Misra M, Miller KK, Almazan C et al (2004) Hormonal and body composition predictors of soluble leptin receptor, leptin, and free leptin index in adolescent girls with anorexia nervosa and controls and relation to insulin sensitivity. J Clin Endocrinol Metab 89:3486–3495

    Article  CAS  PubMed  Google Scholar 

  33. Misra M, Miller KK, Cord J et al (2007) Relationships between serum adipokines, insulin levels, and bone density in girls with anorexia nervosa. J Clin Endocrinol Metab 92:2046–2052

    Article  CAS  PubMed  Google Scholar 

  34. Amitani M, Asakawa A, Amitani H et al (2013) Plasma klotho levels decrease in both anorexia nervosa and obesity. Nutrition 29(9):1106–1109

    Article  CAS  PubMed  Google Scholar 

  35. Amitani H, Asakawa A, Ogiso K et al (2013) The role of adiponectin multimers in anorexia nervosa. Nutrition 29(1):203–206

    Article  CAS  PubMed  Google Scholar 

  36. Tagami T, Satoh N, Usui T et al (2004) Adiponectin in anorexia nervosa and bulimia nervosa. J Clin Endocrinol Metab 89:1833–1837

    Article  CAS  PubMed  Google Scholar 

  37. Monteleone P, Fabrazzo M, Martiadis V et al (2003) Opposite changes in circulating adiponectin in women with bulimia nervosa or binge eating disorder. J Clin Endocrinol Metab 88:5387–5391

    Article  CAS  PubMed  Google Scholar 

  38. Carnier J, Sanches PD, da Silva PL et al (2011) Obese adolescents with eating disorders: analysis of metabolic and inflammatory states. Physiol Behav 105:175–180

    Article  PubMed  Google Scholar 

  39. Woods S, D’Alessio D (2008) Central control of body weight and appetite. J Clin Endocrinol Metab 93(11 (Suppl 1)):S37–S50

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  40. Gale SM, Castracane VD, Mantzoros CS (2004) Energy homeostasis, obesity and eating disorders: recent advances in endocrinology. J Nutr 134:295–298

    CAS  PubMed  Google Scholar 

  41. Guyenet S, Schwartz M (2012) Regulation of food intake, energy balance, and body fat mass: implications for the pathogenesis and treatment of obesity. J Clin Endocrinol Metab 97(3):745–755

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  42. Figlewicz D, Sipols A (2010) Energy regulatory signals and food reward. Pharmacol Biochem Behav 97(1):15–24

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  43. Qiao L, Lee B, Kinney B, Yoo H, Shao J (2011) Energy intake and adiponectin gene expression. Am J Physiol Endocrinol Metab 300(5):E809–E816

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  44. Faulconbridge L, Hayes M (2011) Regulation of energy balance and body weight by the brain: a distributed system prone to disruption. Psychiatr Clin North Am 34(4):733–745

    Article  PubMed Central  PubMed  Google Scholar 

  45. Corwin RL, Hajnal A (2005) Too much of a good thing: neurobiology of non-homeostatic eating and drug abuse. Physiol Behav 86(1–2):5–8

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  46. Shin A, Zheng H, Berthoud H (2009) An expanded view of energy homeostasis: neural integration of metabolic, cognitive, and emotional drives to eat. Physiol Behav 97(5):572–580

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  47. Kos K, Harte AL, da Silva NF et al (2007) Adiponectin and resistin in human cerebrospinal fluid and expression of adiponectin receptors in the human hypothalamus. J Clin Endocrinol Metab 92:1129–1136

    Article  CAS  PubMed  Google Scholar 

  48. Maddineni S, Metzger S, Ocón O et al (2005) Adiponectin gene is expressed in multiple tissues in the chicken: food deprivation influences adiponectin messenger ribonucleic acid expression. Endocrinology 146:4250–4256

    Article  CAS  PubMed  Google Scholar 

  49. Wilkinson M, Brown R, Imran SA et al (2007) Adipokine gene expression in brain and pituitary gland. Neuroendocrinology 86:191–209

    Article  CAS  PubMed  Google Scholar 

  50. Fry M, Smith PM, Hoyda TD et al (2006) Area postrema neurons are modulated by the adipocyte hormone adiponectin. J Neurosci 26:9695–9702

    Article  CAS  PubMed  Google Scholar 

  51. Guillod-Maximin E, Roy AF, Vacher CM et al (2009) Adiponectin receptors are expressed in hypothalamus and colocalized with proopiomelanocortin and neuropeptide Y in rodent arcuate neurons. J Endocrinol 200:93–105

    Article  CAS  PubMed  Google Scholar 

  52. Kubota N, Yano W, Kubota T et al (2007) Adiponectin stimulates AMP-activated protein kinase in the hypothalamus and increases food intake. Cell Metab 6:55–68

    Article  CAS  PubMed  Google Scholar 

  53. Berg AH, Combs TP, Du X et al (2001) The adipocyte-secreted protein Acrp30 enhances hepatic insulin action. Nat Med 7:947–953

    Article  CAS  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  55. Shklyaev S, Aslanidi G, Tennant M et al (2003) Sustained peripheral expression of transgene adiponectin offsets the development of diet-induced obesity in rats. Proc Natl Acad Sci USA 100:14217–14222

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  56. Tomas E, Tsao TS, Saha AK et al (2002) Enhanced muscle fat oxidation and glucose transport by ACRP30 globular domain: acetyl-CoA carboxylase inhibition and AMP-activated protein kinase activation. Proc Natl Acad Sci USA 99:16309–16313

    Article  CAS  PubMed Central  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  58. Coope A, Milanski M, Araújo EP et al (2008) AdipoR1 mediates the anorexigenic and insulin/leptin-like actions of adiponectin in the hypothalamus. FEBS Lett 582:1471–1476

    Article  CAS  PubMed  Google Scholar 

  59. Brichard SM, Delporte ML, Lambert M (2003) Adipocytokines in anorexia nervosa: a review focusing on leptin and adiponectin. Horm Metab Res 35:337–342

    Article  CAS  PubMed  Google Scholar 

  60. Kern PA, Di Gregorio GB, Lu T et al (2003) Adiponectin expression from human adipose tissue: relation to obesity, insulin resistance, and tumor necrosis factor-alpha expression. Diabetes 52(7):1779–1785

    Article  CAS  PubMed  Google Scholar 

  61. Agnello E, Malfi G, Costantino AM (2012) Tumour necrosis factor alpha and oxidative stress as maintaining factors in the evolution of anorexia nervosa. Eat Weight Disord 17(3):e194–e199

    CAS  PubMed  Google Scholar 

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Correspondence to Rami Bou Khalil.

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Bou Khalil, R., El Hachem, C. Adiponectin in eating disorders. Eat Weight Disord 19, 3–10 (2014). https://doi.org/10.1007/s40519-013-0094-z

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