Low circulating levels of neuregulin 4 as a potential biomarker associated with the severity and prognosis of obesity-related metabolic diseases: a systematic review

Bibliographic Details
Title: Low circulating levels of neuregulin 4 as a potential biomarker associated with the severity and prognosis of obesity-related metabolic diseases: a systematic review
Authors: Khanyisani Ziqubu, Phiwayinkosi V. Dludla, Sinenhlanhla X.H. Mthembu, Bongani Nkambule, Sithandiwe E. Mazibuko-Mbeje
Source: Adipocyte, Vol 13, Iss 1 (2024)
Publisher Information: Taylor & Francis Group, 2024.
Publication Year: 2024
Collection: LCC:Diseases of the endocrine glands. Clinical endocrinology
LCC:Cytology
LCC:Physiology
Subject Terms: Neuregulin 4, brown adipose tissue, obesity, diabetes mellitus, cardiovascular diseases, non-alcoholic fatty liver disease, Diseases of the endocrine glands. Clinical endocrinology, RC648-665, Cytology, QH573-671, Physiology, QP1-981
More Details: Background Neuregulin 4 (Nrg4) is a brown adipose tissue-derived adipokine that greatly affects systemic metabolism and improves metabolic derangements. Although abnormal circulating levels of Nrg4 are common in obesity, it remains elusive whether low or elevated levels of this batokine are associated with the onset of metabolic diseases.Aim To assess Nrg4 levels and its role as a feasible biomarker to predict the severity of obesity, gestational diabetes mellitus (GDM), type 2 diabetes mellitus (T2DM), non-alcoholic fatty liver disease (NAFLD), and cardiovascular diseases (CVD).Methods A search for relevant studies was performed systematically using prominent search engines, including PubMed, Google Scholar, and Embase, by following PRISMA guidelines.Results Ample clinical evidence reported low serum/plasma levels of Nrg4 in obesity and these were inversely proportional to the indices of metabolic syndrome, including body mass index, waist circumference, triglycerides, fasting plasma glucose, and homoeostatic model assessment for insulin resistance as well as high-sensitivity C-reactive protein. Low circulating Nrg4 levels may aid in the prediction of morbid obesity, and subsequent GDM, T2DM, NAFLD, and CVD.Conclusion Current clinical evidence emphasizes that the circulating levels of Nrg4 are decreased in morbid obesity, and it also highlights that Nrg4 May serve as a potential prognostic biomarker for obesity-related metabolic diseases.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 21623945
2162-397X
2162-3945
Relation: https://doaj.org/toc/2162-3945; https://doaj.org/toc/2162-397X
DOI: 10.1080/21623945.2024.2390833
Access URL: https://doaj.org/article/d8c959f40aed48db946d7ec3931f840f
Accession Number: edsdoj.8c959f40aed48db946d7ec3931f840f
Database: Directory of Open Access Journals
More Details
ISSN:21623945
2162397X
DOI:10.1080/21623945.2024.2390833
Published in:Adipocyte
Language:English