Review Article

Role of Adiponectin in Central Nervous System Disorders

Table 1

Major animal and in vitro studies regarding neuroprotective effects of adiponectin in various CNS disorders.

Related pathologyModelTreatmentKey effect(s) and mechanism(s)Reference

StrokeMale apoE−/− mice (12–14 weeks)Ad-APN (i.v.) 14 days prior to measurementsEffects: Ad-APN treatment reduced atherosclerotic lesion size, reduced the diameter of lipid droplets, and reduced VCAM-1 mRNAOkamoto [66]

StrokeMale AdipoKO, eNOS KO, and WT mice (10–12 weeks)Ad-APN (i.v.) 5 days prior to ischemia (1 hour of middle cerebral artery occlusion followed by 23 hours of reperfusion)Effects: larger infarct size in AdipoKO mice compared to WT; reduced infarct size in AdipoKO and WT mice when pretreated with Ad-APNNishimura [69]
Mechanism: adiponectin reduces infarct size through eNOS; there was no alteration in infarct size in eNOS KO mice pretreated with Ad-APN

StrokeMale CD-1 mice (young: 3 months; age: 22–24 months)AAV-APN (striatal injection) 7 days prior to transient middle cerebral artery occlusionEffects: AAV-APN treatment improved motor function (neurological score, beam walk test, rotarod test, and corner test) and increased angiogenesis in young and aged miceMiao [68]

Alzheimer’s diseaseSH-SY5YswAPP cell lineAdiponectin (10 μg/ml) for 2 h followed by hydrogen peroxide (200–800 μM)Effect: improved neuronal survival with adiponectin incubation prior to insultChan [115]
Mechanisms: adiponectin is neuroprotective against oxidative stress via AdipoR1, AdipoR2, and APPL1; improved neuronal survival was prevented by knockdown of AdipoR1, AdipoR2, or APPL1

Alzheimer’s diseaseMale C57BL/6J mice (8–14 weeks)Osmotin (15 mg/kg, i.p.) at 3 or 40 days following administration of Aβ1–42 ( i.c.v.)Effects: osmotin treatment improved Y-maze spontaneous alternations performance, reduced Aβ1–42 accumulation, and reduced tau hyperphosphorylationAli [118]

Alzheimer’s diseaseMale AdipoKO and WT mice (9 and 18 months)Effects: AdipoKO mice had impaired performance on MWM and increased expression of Aβ1–42, hyperphosphorylated tau, and pIRS-1S616 at 18 monthsNg [103]

Alzheimer’s diseaseSH-SY5YswAPP cell lineAdiponectin (10 μg/ml, trimeric)Effects: adiponectin reduced Aβ1–42 expression and increased insulin sensitivityNg [103]
Mechanisms: adiponectin reduces Aβ1–42 through AdipoR1 and increases insulin sensitivity through AdipoR1 and AMPK; effects blocked by knockdown of AdipoR1 or inhibition of AMPK

Alzheimer’s diseaseMale APP/PS1 mice (5–12 months)Osmotin (12 mg/kg/day i.p.) for 2 days or osmotin (5 mg/kg/day, i.p.) twice a week for 2–4 weeksEffects: osmotin treatment increased NMDAR expression, improved hippocampal CA1 LTP, and improved performance on MWMShah [119]

Alzheimer’s diseaseSH-SY5YswAPP cell lineOsmotin (0.2 μM) for 24 hoursEffects: osmotin reduced expression of Aβ and increased expression of AMPK and SIRT1Shah [119]
Mechanism: osmotin alters expression of these proteins via AdipoR1; knockdown of AdipoR1 prevented these effects

Alzheimer’s diseaseMale C57BL/6J mice (5–11 weeks)AdipoR1 knockdown (shRNA, i.v., weekly injection)Effects: AdipoR1 knockdown mice displayed impaired performance on MWM, increased body weight, increased Aβ, and reduced pAMPKT172Kim [104]

DepressionMale Adipo+/− and WT mice (9–12 weeks)Globular (0.3 μg, i.c.v.) or full length (1 μg, i.c.v.) adiponectinEffects: adiponectin deficient mice displayed increased susceptibility to depressive behaviors (social interaction, sucrose preference test, and learned helplessness following a social defeat paradigm); globular or full length adiponectin had antidepressant effect in WT mice (forced swim test)Liu [132]

DepressionMale AdipoKO and WT mice (8-9 weeks)Effects: running enhanced hippocampal neurogenesis and increased hippocampal adiponectin in WT but not AdipoKO miceYau [26]

DepressionNeuro2a cell lineTrimeric adiponectin (3 μg/ml)Effect: adiponectin incubation promoted cell proliferationYau [26]
Mechanism: adiponectin promotes cell proliferation through AdipoR1 in the Neuro2a cell line; siRNA knockdown of AdipoR1 but not AdipoR2 abolished adiponectin induced proliferation

AnxietyMale AdipoKO and WT mice (9 and 18 months)Effect: increased anxiety behavior in 9- and 18-month AdipoKO mice (open-field test)Ng [103]

PTSDMale AdipoKO, AdipoR1 conditional KO, AdipoR2 KO, and WT mice (8–2 weeks)Adiponectin (0.25 μg, intra-DG infusion) daily 3 days prior to fear extinction and 30 min prior to each extinction sessionEffects: AdipoKO and AdipoR2 KO mice, but not AdipoR1 conditional KO mice, displayed slower contextual fear extinction learning; adiponectin infusion to DG of hippocampus facilitated extinction learning in WT miceZhang [27]
Mechanism: adiponectin facilitations extinction learning via AdipoR2; adiponectin infusion failed to facilitate extinction learning in AdipoR2 KO mice

Misc.Primary hippocampal neurons from Sprague-Dawley ratsAdiponectin (5 or 20 μg/ml) for 48 h followed by kainic acid (100 μM) for 12 hEffects: adiponectin incubation improved neuronal survival, reduced expression of reactive oxygen species, and reduced caspase-3 activityQiu [114]
Mechanism: adiponectin promotes neuronal survival through AMPK; adiponectin enhancement of survival was prevented by an AMPK inhibitor

Misc.Primary neuronal stem cells from ICR miceAdiponectin (30 μg/ml) for 4 days prior to high glucose (120 mM)Effects: adiponectin incubation enhanced neurogenesis, increased AdipoR1 expression, and increased TLX expressionSong [28]

Aβ: amyloid beta; AAV-APN: adeno-associated virus expressing adiponectin; Ad-APN: adenovirus expressing adiponectin; AdipoKO: adiponectin knockout; AdipoR1: adiponectin receptor 1; AdipoR2: adiponectin receptor 2; AMPK: 5 AMP-activated protein kinase; apoE: apolipoprotein E; APPL1: adaptor protein, phosphotyrosine interacting with PH domain, and leucine zipper 1; CA1: cornu ammonis 1; DG: dentate gyrus; eNOS: endothelial nitric oxide synthase; i.c.v.: intracerebroventricular; i.p.: intraperitoneal; i.v.: intravenous; IRS-1: insulin receptor substrate 1; KO: knockout; LTP: long-term potentiation; Misc.: miscellaneous; MWM: Morris water maze; NMDAR: N-methyl-D-aspartate receptor; SIRT1: sirtuin 1; TLX: tailless; VCAM-1: vascular cell adhesion molecule 1; WT: wild type.