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Adiponectin receptor 1 and 2 are seven-transmembrane domain receptors unrelated to classical GPCRs, mainly expressed on skeletal muscle (AdipoR1) and liver (AdipoR2) cells. They mediate the metabolic actions of adiponectin, especially enhancing insulin sensitivity, fatty acid oxidation, and glucose uptake, mainly via AMPK and PPAR-α pathways. They play critical roles in metabolic, inflammatory, and fibrotic diseases, and are considered important pharmacological targets for the treatment of type 2 diabetes, NASH, and obesity-related complications. Various peptide and small-molecule agonists have been developed to target these receptors with the goal of restoring metabolic balance and protecting tissues from inflammation and apoptosis.
Direct agonism of AdipoR1/AdipoR2 stimulates downstream signaling pathways: AMPK (AdipoR1), PPAR-α (AdipoR2), PI3K-Akt (AdipoR1). Ceramidase activity reduces intracellular ceramide, mitigating apoptosis and inflammation. Modulation of mitochondrial function (via AMPK and PPAR-α regulation).
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