Ukr.Biochem.J. 2025; Volume 97, Issue 4, Jul-Aug, pp. 22-33

doi: https://doi.org/10.15407/ubj97.04.022

Chemerin-adiponectin axis in hypothyroidism

M. K. Najim1*, A. F. Al-Shukri2

1Department of Medical Laboratory Technology, College of Health and Medical Technology,
Al-Furat Al-Awsat Technical University, Kufa, Iraq;
Thi-Qar Health Directorate, Al-Rifae Teaching Hospital;
*e-mail: murtadha.najeem.chm@student.atu.edu.iq;
2Department of Medical Laboratory Technology, College of Health and Medical Technology,
Al-Furat Al-Awsat Technical University, Kufa, Iraq;
e-mail: kin.ebt@atu.edu.iq

Received: 09 April 2025; Revised: 30 June 2025;
Accepted: 12 September 2025; Available on-line: 17 September 2025

Hypothyroidism disrupts energy and metabolism due to insufficient thyroid hormones production, leading to metabolic disorders such as insulin resistance and dyslipidemia. Recent studies have demonstrated the impact of adipokines, chemerin and adiponectin on thyroid function. This review analyzes the involvement of these hormones in the metabolic and inflammatory complications of hypothyroidism, their effects and interactions through complex signaling pathways, as well as their possible contribution to the etiology and treatment of hypothyroidism, considering the importance of integrating biomarker data.

Keywords: , , , ,


References:

  1. Ratziu V, Bellentani S, Cortez-Pinto H, Day C, Marchesini G. A position statement on NAFLD/NASH based on the EASL 2009 special conference. J Hepatol. 2010;53(2):372-384. PubMed, CrossRef
  2. Kumar V, Mathur SL, Tuteja RK. Effects of thyroid dysfunction on lipid profile. Int J Med Biomed Stud. 2019;3(6):76-80. CrossRef
  3. Hage M, Zantout MS, Azar ST. Thyroid disorders and diabetes mellitus. J Thyroid Res. 2011;2011:439463. PubMed, PubMed, CrossRef
  4. Ozdemir D, Dagdelen S, Usman A. Serum Adiponectin Levels and Changes in Glucose Metabolism before and after Treatment for Thyroid Dysfunction. Intern Med. 2015;54(15):1849-1857. PubMed, CrossRef
  5. Barbe A, Bongrani A, Mellouk N, Estienne A, Kurowska P, Grandhaye J, Elfassy Y, Levy R, Rak A, Froment P, Dupont J. Mechanisms of Adiponectin Action in Fertility: An Overview from Gametogenesis to Gestation in Humans and Animal Models in Normal and Pathological Conditions. Int J Mol Sci. 2019;20(7):1526. PubMed, PubMed, CrossRef
  6. Solsona-Vilarrasa E, Vousden KH. Obesity, white adipose tissue and cancer. FEBS J. 2025;292(9):2189-2207. PubMed, PubMed, CrossRef
  7. Kiezun M, Dobrzyn K, Kiezun J, Kaminski T, Smolinska N. Chemerin affects the expression of angiogenesis-related factors in the porcine endometrium during early pregnancy and the oestrous cycle: an in vitro study. Reprod Fertil Dev. 2023;35(16):692-707. PubMed, CrossRef
  8. Kiezun M, Dobrzyn K, Kaminski T, Smolinska N. Chemerin affects the cytokine production and the expression of their receptors in the porcine endometrium during early pregnancy and the estrous cycle: an in vitro study. Biol Reprod. 2024;111(5):1030-1044. PubMed, CrossRef
  9. Yang S, Wang Q, Huang W, Song Y, Feng G, Zhou L, Tan J. Are serum chemerin levels different between obese and non-obese polycystic ovary syndrome women? Gynecol Endocrinol. 2016;32(1):38-41. PubMed, CrossRef
  10. Liu Y, Ma X, Le Y, Feng J, Xu M, Wang W, Wang C. Organophosphorus Flame Retardants and Metabolic Disruption: An in Silico, in Vitro, and in Vivo Study Focusing on Adiponectin Receptors. Environ Health Perspect. 2024;132(11):117003. PubMed, PubMed, CrossRef
  11. Helfer G, Wu QF. Chemerin: a multifaceted adipokine involved in metabolic disorders. J Endocrinol. 2018;238(2):R79-R94. PubMed, PubMed, CrossRef
  12. Chyra A, Gawel K, Cichy J. Chemerin – a new regulator of metabolic and immune processes. Postep Biol Komorki. 2011;38(3):407-421.
  13. Stojek M. The role of chemerin in human disease. Postepy Hig Med Dosw (Online). 2017;71(0):110-117. PubMed, CrossRef
  14. Rourke JL, Dranse HJ, Sinal CJ. Towards an integrative approach to understanding the role of chemerin in human health and disease. Obes Rev. 2013;14(3):245-262. PubMed, PubMed, CrossRef
  15. Mattern A, Zellmann T, Beck-Sickinger AG. Processing, signaling, and physiological function of chemerin. IUBMB Life. 2014;66(1):19-26. PubMed, CrossRef
  16. Liu Y, Liu A, Ye RD. Structural Basis for Chemerin Recognition and Signaling Through Its Receptors. Biomedicines. 2024;12(11):2470. PubMed, PubMed, CrossRef
  17. Fischer TF, Beck-Sickinger AG. Chemerin – exploring a versatile adipokine. Biol Chem. 2022;403(7):625-642. PubMed, CrossRef
  18. Laffranchi M, Schioppa T, Sozio F, Piserà A, Tiberio L, Salvi V, Bosisio D, Musso T, Sozzani S, Del Prete A. Chemerin in immunity. J Leukoc Biol. 2025;117(3):qiae181. PubMed, CrossRef
  19. Wittamer V, Franssen JD, Vulcano M, Mirjolet JF, Le Poul E, Migeotte I, Brézillon S, Tyldesley R, Blanpain C, Detheux M, Mantovani A, Sozzani S, Vassart G, Parmentier M, Communi D. Specific recruitment of antigen-presenting cells by chemerin, a novel processed ligand from human inflammatory fluids. J Exp Med. 2003;198(7):977-985. PubMed, PubMed, CrossRef
  20. Hu S, Shao Z, Zhang C, Chen L, Mamun AA, Zhao N, Cai J, Lou Z, Wang X, Chen J. Chemerin facilitates intervertebral disc degeneration via TLR4 and CMKLR1 and activation of NF-kB signaling pathway. Aging (Albany NY). 2020;12(12):11732-11753. PubMed, PubMed, CrossRef
  21. Li J, Lu Y, Li N, Li P, Wang Z, Ting W, Liu X, Wu W. Chemerin: A Potential Regulator of Inflammation and Metabolism for Chronic Obstructive Pulmonary Disease and Pulmonary Rehabilitation. Biomed Res Int. 2020;2020:4574509. PubMed, PubMed, CrossRef
  22. Zhao L, Yamaguchi Y, Sharif S, Du XY, Song JJ, Lee DM, Recht LD, Robinson WH, Morser J, Leung LL. Chemerin158K protein is the dominant chemerin isoform in synovial and cerebrospinal fluids but not in plasma. J Biol Chem. 2011;286(45):39520-39527. PubMed, PubMed, CrossRef
  23. Zabel BA, Allen SJ, Kulig P, Allen JA, Cichy J, Handel TM, Butcher EC. Chemerin activation by serine proteases of the coagulation, fibrinolytic, and inflammatory cascades. J Biol Chem. 2005;280(41):34661-34666. PubMed, CrossRef
  24. Monnier J, Lewén S, O’Hara E, Huang K, Tu H, Butcher EC, Zabel BA. Expression, regulation, and function of atypical chemerin receptor CCRL2 on endothelial cells. J Immunol. 2012;189(2):956-967. PubMed, PubMed, CrossRef
  25. Ha YJ, Kang EJ, Song JS, Park YB, Lee SK, Choi ST. Plasma chemerin levels in rheumatoid arthritis are correlated with disease activity rather than obesity. Joint Bone Spine. 2014;81(2):189-190. PubMed, CrossRef
  26. Herenius MM, Oliveira AS, Wijbrandts CA, Gerlag DM, Tak PP, Lebre MC. Anti-TNF therapy reduces serum levels of chemerin in rheumatoid arthritis: a new mechanism by which anti-TNF might reduce inflammation. PLoS One. 2013;8(2):e57802. PubMed, PubMed, CrossRef
  27. Askin L, Duman H, Özyıldız AG, Tanriverdi O. Association of serum chemerin levels with coronary artery disease: pathogenesis and clinical research. Cardiovasc Innov Appl. 2020;4(4):251. CrossRef
  28. Cinar N, Gurlek A. Association between novel adipocytokines adiponectin, vaspin, visfatin, and thyroid: An experimental and clinical update. Endocr Connect. 2013;2(4):R30-R38. PubMed, PubMed, CrossRef
  29. Khatiwada S, Sah SK, Kc R, Baral N, Lamsal M. Thyroid dysfunction in metabolic syndrome patients and its relationship with components of metabolic syndrome. Clin Diabetes Endocrinol. 2016;2:3. PubMed, PubMed, CrossRef
  30. Edrees HM, Fahmy EK, Esmaeel SE. A Study on Serum Level of Chemerin in Experimentaly – Induced Thyroid Dysfunctions. Basic Sie Med. 2018;7(2):21-26. CrossRef
  31. Walczak K, Siemińska L. The relationships between selected serum adipokines and thyroid function in patients with obesity. Endokrynol Pol. 2022;73(2):353-360. PubMed, CrossRef
  32. Al Doghaither HA, Alshaikh EM, Omar UM, Alsufiani HM, Mansouri RA, Tarbiah NI, Alshaikh AA, Alshaikh AM. Insulin resistance and its correlation with chemerin and visfatin in Saudi patients with hyperthyroidism. Int J Health Sci (Qassim). 2019;13(5):18-21. PubMed, PubMed, CrossRef
  33. Gong N, Gao C, Chen X, Wang Y, Tian L. Effect of levothyroxine replacement therapy on adipocyte expression in subclinical hypothyroidism rats. Chinese J Endem. 2018;(7):541-546.
  34. Tamer S, Turan T, Taşkan T, Karakoç MA, Arslan İE, Gönenç A. Serum Chemerin, Vaspin, Oxidative Stress and Inflammation Markers in Subclinical Hypothyroidism/Hyperthyroidism. J Basic Clin Heal Sci. 2024;8(2):296-307. CrossRef
  35. Hu S, Shao Z, Zhang C, Chen L, Mamun AA, Zhao N, Cai J, Lou Z, Wang X, Chen J. Chemerin facilitates intervertebral disc degeneration via TLR4 and CMKLR1 and activation of NF-kB signaling pathway. Aging (Albany NY). 2020;12(12):11732-11753. PubMed, PubMed, CrossRef
  36. Goralski KB, Jackson AE, McKeown BT, Sinal CJ. More than an adipokine: the complex roles of chemerin signaling in cancer. Int J Mol Sci. 2019;20(19):4778. PubMed, PubMed, CrossRef
  37. Gao Y, Sheng M, Zhao Y, Jiang H, Zhang Y. Serum Chemerin and thyrotropin expression levels in patients with thyroid cancer and roles in predicting survival. Int J Clin Exp Med. 2019;12(6):7561-7568.
  38. Lee B, Shao J. Adiponectin and energy homeostasis. Rev Endocr Metab Disord. 2014;15(2):149-156. PubMed, PubMed, CrossRef
  39. Ramakrishnan N, Auger K, Rahimi N, Jialal I. Biochemistry, adiponectin. In: StatPearls. StatPearls Publishing; 2023. PubMed
  40. Yamauchi T, Kadowaki T. Physiological and pathophysiological roles of adiponectin and adiponectin receptors in the integrated regulation of metabolic and cardiovascular diseases. Int J Obes (Lond). 2008;32(Suppl 7):S13-S18. PubMed, CrossRef
  41. Takemura Y, Ouchi N, Shibata R, Aprahamian T, Kirber MT, Summer RS, Kihara S, Walsh K. Adiponectin modulates inflammatory reactions via calreticulin receptor-dependent clearance of early apoptotic bodies. J Clin Invest. 2007;117(2):375-386. PubMed, PubMed, CrossRef
  42. van Stijn CM, Kim J, Barish GD, Tietge UJ, Tangirala RK. Adiponectin expression protects against angiotensin II-mediated inflammation and accelerated atherosclerosis. PLoS One. 2014;9(1):e86404. PubMed, PubMed, CrossRef
  43. Wang Y, Wang X, Lau WB, Yuan Y, Booth D, Li JJ, Scalia R, Preston K, Gao E, Koch W, Ma XL. Adiponectin inhibits tumor necrosis factor-α-induced vascular inflammatory response via caveolin-mediated ceramidase recruitment and activation. Circ Res. 2014;114(5):792-805. PubMed, PubMed, CrossRef
  44. Wolf AM, Wolf D, Rumpold H, Enrich B, Tilg H. Adiponectin induces the anti-inflammatory cytokines IL-10 and IL-1RA in human leukocytes. Biochem Biophys Res Commun. 2004;323(2):630-635. PubMed, CrossRef
  45. Ohashi K, Parker JL, Ouchi N, Higuchi A, Vita JA, Gokce N, Pedersen AA, Kalthoff C, Tullin S, Sams A, Summer R, Walsh K. Adiponectin promotes macrophage polarization toward an anti-inflammatory phenotype. J Biol Chem. 2010;285(9):6153-6160. PubMed, PubMed, CrossRef
  46. Huang H, Park PH, McMullen MR, Nagy LE. Mechanisms for the anti-inflammatory effects of adiponectin in macrophages. J Gastroenterol Hepatol. 2008;23(Suppl 1):S50-S53. PubMed, CrossRef
  47. Antoniades C, Antonopoulos AS, Tousoulis D, Stefanadis C. Adiponectin: from obesity to cardiovascular disease. Obes Rev. 2009;10(3):269-279. PubMed, CrossRef
  48. Khoramipour K, Chamari K, Hekmatikar AA, Ziyaiyan A, Taherkhani S, Elguindy NM, Bragazzi NL. Adiponectin: Structure, Physiological Functions, Role in Diseases, and Effects of Nutrition. Nutrients. 2021;13(4):1180. PubMed, PubMed, CrossRef
  49. Monks M, Irakleidis F, Tan PH. Complex interaction of adiponectin-mediated pathways on cancer treatment: a novel therapeutic target. J Cancer Metastasis Treat. 2019;5:24. CrossRef
  50. Balsan GA, Vieira JL, Oliveira AM, Portal VL. Relationship between adiponectin, obesity and insulin resistance. Rev Assoc Med Bras. 2015;61(1):72-80. PubMed, CrossRef
  51. Shehzad A, Iqbal W, Shehzad O, Lee YS. Adiponectin: regulation of its production and its role in human diseases. Hormones (Athens). 2012;11(1):8-20. PubMed, CrossRef
  52. Fasshauer M, Blüher M. Adipokines in health and disease. Trends Pharmacol Sci. 2015;36(7):461-470. PubMed, CrossRef
  53. Li S, Han X, Song J, Dong M, Xie T. Mechanism of Action and Risk Prediction of Adiponectin in Cardiovascular Diseases. Front Biosci (Landmark Ed). 2024;29(8):286. PubMed, CrossRef
  54. Begum M, Choubey M, Tirumalasetty MB, Arbee S, Mohib MM, Wahiduzzaman M, Mamun MA, Uddin MB, Mohiuddin MS. Adiponectin: A Promising Target for the Treatment of Diabetes and Its Complications. Life (Basel). 2023;13(11):2213. PubMed, PubMed, CrossRef
  55. Lozanov LB, Gorcheva D, Lozanov BS, Argirova R, Koleva V, Kostova B, Borisov RP, Nedeva M. Role of Thyroid Deficiency on Adiponectin, Leptin, and Metabolic Status in Visceral Obesity: A Cross-Sectional Study. Horm Metab Res. 2017;49(9):667-672. PubMed, CrossRef
  56. Altinova AE, Törüner FB, Aktürk M, Bukan N, Cakir N, Ayvaz G, Arslan M. Adiponectin levels and cardiovascular risk factors in hypothyroidism and hyperthyroidism. Clin Endocrinol (Oxf). 2006;65(4):530-535. PubMed, CrossRef
  57. Ozdemir D, Dagdelen S, Usman A. Thyroid dysfunction related abnormalities in adiponectin and glucose metabolism before and after treatment. In: Endocrine Abstracts. Bioscientifica; 2010;22:ea0022oc2.5.
  58. Rashad NM, Saad MSS, Ramadan BM, El Shabrawy SM. The association of adiponectin gene expression and serum levels with susceptibility to peripheral polyneuropathy in Egyptian patients by women with hypothyroidism. Egypt J Intern Med. 2019;31:302-313. CrossRef
  59. Yu H, Yang Y, Zhang M, Lu H, Zhang J, Wang H, Cianflone K. Thyroid status influence on adiponectin, acylation stimulating protein (ASP) and complement C3 in hyperthyroid and hypothyroid subjects. Nutr Metab (Lond). 2006;3:13. PubMed, PubMed, CrossRef
  60. Gómez-Zamudio JH, Mendoza-Zubieta V, Ferreira-Hermosillo A, Molina-Ayala MA, Valladares-Sálgado A, Suárez-Sánchez F, de Jesús Peralta-Romero J, Cruz M. High Thyroid-stimulating Hormone Levels Increase Proinflammatory and Cardiovascular Markers in Patients with Extreme Obesity. Arch Med Res. 2016;47(6):476-482. PubMed, CrossRef
  61. Hsieh CJ, Wang PW. Serum concentrations of adiponectin in patients with hyperthyroidism before and after control of thyroid function. Endocr J. 2008;55(3):489-494. PubMed, CrossRef
  62. Chu SH, Lee MK, Ahn KY, Im JA, Park MS, Lee DC, Jeon JY, Lee JW. Chemerin and adiponectin contribute reciprocally to metabolic syndrome. PLoS One. 2012;7(4):e34710. PubMed, PubMed, CrossRef
  63. Goralski KB, McCarthy TC, Hanniman EA, Zabel BA, Butcher EC, Parlee SD, Muruganandan S, Sinal CJ. Chemerin, a novel adipokine that regulates adipogenesis and adipocyte metabolism. J Biol Chem. 2007;282(38):28175-28188. PubMed, CrossRef
  64. Sell H, Laurencikiene J, Taube A, Eckardt K, Cramer A, Horrighs A, Arner P, Eckel J. Chemerin is a novel adipocyte-derived factor inducing insulin resistance in primary human skeletal muscle cells. Diabetes. 2009;58(12):2731-2740. PubMed, PubMed, CrossRef
  65. Sinha R, Yen PM. Cellular Action of Thyroid Hormone. 2018 Jun 20. In: Feingold KR, Ahmed SF, Anawalt B, Blackman MR, Boyce A, Chrousos G, Corpas E, de Herder WW, Dhatariya K, Dungan K, Hofland J, Kalra S, Kaltsas G, Kapoor N, Koch C, Kopp P, Korbonits M, Kovacs CS, Kuohung W, Laferrère B, Levy M, McGee EA, McLachlan R, Muzumdar R, Purnell J, Rey R, Sahay R, Shah AS, Singer F, Sperling MA, Stratakis CA, Trence DL, Wilson DP, editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000.  PubMed
  66. Pingitore A, Gaggini M, Mastorci F, Sabatino L, Cordiviola L, Vassalle C. Metabolic Syndrome, Thyroid Dysfunction, and Cardiovascular Risk: The Triptych of Evil. Int J Mol Sci. 2024;25(19):10628. PubMed, PubMed, CrossRef
  67. Teixeira PFDS, Dos Santos PB, Pazos-Moura CC. The role of thyroid hormone in metabolism and metabolic syndrome. Ther Adv Endocrinol Metab. 2020;11:2042018820917869. PubMed, PubMed, CrossRef
  68. Grygiel-Górniak B, Grzelak T, Czyżewska K, Puszczewicz M. Chemerin, Resistin, and Adiponectin in Patients with Connective Tissue Diseases. J Med Biochem. 2018;37(2):148-154. PubMed, PubMed, CrossRef
  69. Kalra S, Aggarwal S, Khandelwal D. Thyroid Dysfunction and Dysmetabolic Syndrome: The Need for Enhanced Thyrovigilance Strategies. Int J Endocrinol. 2021;2021:9641846. PubMed, PubMed, CrossRef
  70. Aydogan Bİ, Sahin M. Adipocytokines in thyroid dysfunction. ISRN Inflamm. 2013;2013:646271. PubMed, PubMed, CrossRef
  71. Tan L, Lu X, Danser AHJ, Verdonk K. The Role of Chemerin in Metabolic and Cardiovascular Disease: A Literature Review of Its Physiology and Pathology from a Nutritional Perspective. Nutrients. 2023;15(13):2878. PubMed, PubMed, CrossRef
  72. Bianco AC. Emerging Therapies in Hypothyroidism. Annu Rev Med. 2024;75:307-319. PubMed, PubMed, CrossRef
  73. Yazdaan HE, Jaya F, Sanjna F, Junaid M, Rasool S, Baig A, Natt MZ, Maurya N, Iqbal S, Yeldo BA, Khan AS, Varrassi G, Kumar S, Khatri M, Awan SK. Advances in Thyroid Function Tests: Precision Diagnostics and Clinical Implications. Cureus. 2023;15(11):e48961. PubMed, PubMed, CrossRef

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