Abstract

Obesity is a fast growing epidemic event worldwide. Fatness is associated with a number of comorbidities, including cardiovascular diseases (CVDs). Although obesity can be heredity in 30–70% cases, the environmental contributions also play an important role in the increasing prevalence of obesity. The relationship between development of obesity and CVD is poorly characterized. Obesity and CVD can also be resulted from a common mechanism such as metabolic, inflammatory, and neurohormonal changes. Prokineticins are defined as cytokines (immunoregulatory proteins), adipokines (adipocyte-secreted hormone), angiogenic (increasing vessel formation), or aneroxic (lowering food intake) hormones. Prokineticin-mediated signaling plays a key role in the development of obesity and CVD. Two forms of prokineticins exist in circulation and in various tissues including the brain, heart, kidney, and adipose. Prokineticins act on the two G protein-coupled receptors, namely, PKR1 and PKR2. Prokineticin-2 (PK2) via PKR1 receptor controls food intake and prevents adipose tissue expansion. The anti-adipocyte effect of PKR1 signaling is due to suppression of preadipocyte proliferation and differentiation capacity into adipocytes. PK2/PKR1 signaling promotes transcapillary passages of insulin and increases insulin sensitivity. It also plays an important role in the heart and kidney development and functions. Here, we discuss PK2 as a new adipocytokine in the association between obesity and CVD. We also highlight targeting PKR1 can be a new approach to treat obesity and CVD.

Highlights

  • Obesity is a major health problem in worldwide regardless of sex and age [1]

  • We outlined the current information on the role of anorexic and angiogenic peptide prokineticin signaling in obesity and CV-renal diseases

  • Obesity can be resulted from adipocyte hypoplasia/hyperthrophy accompanied with inflammation of AT, defective of extracellular matrix remodeling, fibrosis, and an altered secretion or expression of adipokines [15]

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Summary

Prokineticin is a new Linker between Obesity and Cardiovascular Diseases

Specialty section: This article was submitted to Cardiovascular Metabolism, a section of the journal Frontiers in Cardiovascular Medicine. Obesity and CVD can be resulted from a common mechanism such as metabolic, inflammatory, and neurohormonal changes. Prokineticin-mediated signaling plays a key role in the development of obesity and CVD. Two forms of prokineticins exist in circulation and in various tissues including the brain, heart, kidney, and adipose. Prokineticin-2 (PK2) via PKR1 receptor controls food intake and prevents adipose tissue expansion. PK2/PKR1 signaling promotes transcapillary passages of insulin and increases insulin sensitivity. It plays an important role in the heart and kidney development and functions. We discuss PK2 as a new adipocytokine in the association between obesity and CVD. We highlight targeting PKR1 can be a new approach to treat obesity and CVD

INTRODUCTION
PROKINETICINS AND THEIR RECEPTORS
PROKINETICIN IN OBESITY
PROKINETICIN IN INSULIN RESISTANCE
PROKINETICIN IN HEART DEVELOPMENT AND FUNCTION
PROKINETICIN IN RENAL DEVELOPMENT AND FUNCTION
CONCLUSION
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