Fibronectin type III domain-containing 5 in cardiovascular and metabolic diseases: a promising biomarker and therapeutic target

Acta Pharmacol Sin. 2021 Sep;42(9):1390-1400. doi: 10.1038/s41401-020-00557-5. Epub 2020 Nov 19.

Abstract

Cardiovascular and metabolic diseases are the leading causes of death and disability worldwide and impose a tremendous socioeconomic burden on individuals as well as the healthcare system. Fibronectin type III domain-containing 5 (FNDC5) is a widely distributed transmembrane glycoprotein that can be proteolytically cleaved and secreted as irisin to regulate glycolipid metabolism and cardiovascular homeostasis. In this review, we present the current knowledge on the predictive and therapeutic role of FNDC5 in a variety of cardiovascular and metabolic diseases, such as hypertension, atherosclerosis, ischemic heart disease, arrhythmia, metabolic cardiomyopathy, cardiac remodeling, heart failure, diabetes mellitus, and obesity.

Keywords: FNDC5; biomarker; cardiovascular and metabolic diseases; therapeutic target.

MeSH terms

  • Biomarkers*
  • Cardiovascular Diseases / physiopathology*
  • Cardiovascular System / physiopathology
  • Diabetes Mellitus
  • Fibronectin Type III Domain / physiology*
  • Fibronectins
  • Heart / physiopathology
  • Humans
  • Metabolic Diseases / physiopathology*
  • Obesity

Substances

  • Biomarkers
  • FNDC5 protein, human
  • Fibronectins