Role of gremlin-1 in the pathophysiology of the adipose tissues

Cytokine Growth Factor Rev. 2023 Feb:69:51-60. doi: 10.1016/j.cytogfr.2022.09.004. Epub 2022 Sep 14.

Abstract

Gremlin-1 is a secreted bone morphogenetic protein (BMP) antagonist playing a pivotal role in the regulation of tissue formation and embryonic development. Since its first identification in 1997, gremlin-1 has been shown to be a multifunctional factor involved in wound healing, inflammation, cancer and tissue fibrosis. Among others, the activity of gremlin-1 is mediated by its interaction with BMPs or with membrane receptors such as the vascular endothelial growth factor receptor 2 (VEGFR2) or heparan sulfate proteoglycans (HSPGs). Growing evidence has highlighted a central role of gremlin-1 in the homeostasis of the adipose tissue (AT). Of note, gremlin-1 is involved in AT dysfunction during type 2 diabetes, obesity and non-alcoholic fatty liver disease (NAFLD) metabolic disorders. In this review we discuss recent findings on gremlin-1 involvement in AT biology, with particular attention to its role in metabolic diseases, to highlight its potential as a prognostic marker and therapeutic target.

Keywords: Adipose tissue; Gremlin-1; Metabolic disorders; Obesity.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bone Morphogenetic Proteins
  • Diabetes Mellitus, Type 2*
  • Humans
  • Vascular Endothelial Growth Factor A*

Substances

  • Vascular Endothelial Growth Factor A
  • Bone Morphogenetic Proteins