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Energy homeostasis-associated protein (adropin) (ENHO)

Target
ENHO
Molecular classification
Secreted peptide, Membrane-bound protein, Peptide hormone (hepatokine), Other
01

Overview

Energy homeostasis-associated protein (adropin) is a highly conserved 76-amino acid secreted peptide encoded by the ENHO gene on chromosome 9p13.3[1][2][3]. Initially characterized as a hepatokine (liver-secreted hormone), adropin is now known to be expressed in the liver, brain, heart, kidneys, intestine, endothelial cells, and more[2][5]. The ENHO gene produces a precursor protein, cleaved to yield active adropin—which is tasked with maintaining metabolic homeostasis, chiefly by regulating glucose and lipid metabolism, influencing insulin resistance, vascular endothelial function, and participating in anti-inflammatory activities[2][3][4]. As a membrane-bound and secreted protein, adropin orchestrates complex signaling networks essential to metabolism and inflammation, and is linked to several diseases, most notably those related to metabolic and cardiovascular health, and emerging evidence connects it to neurological and immune function[2][3][5][4].

Other names
AdropinC9orf165UNQ470/PRO830UNQ470GAAI470Energy homeostasis-associated protein
02

Mechanism of action

Exogenous adropin modulates multiple metabolic and cell signaling pathways, including activation of GLUT4, phosphorylation of Akt, PPARγ activation, PI3K/AKT, ERK1/2, VEGFR2, suppression of inflammation, and nitric oxide (NO) production[2][3][4]. Effects may be mediated through the orphan G protein-coupled receptor GPR19, which is a proposed but not universally established receptor for adropin[2][5].

03

Biological functions

Regulation of glucose metabolismRegulation of lipid metabolismInsulin sensitivity and resistance modulationCell signaling (notably PI3K-Akt, ERK1/2, VEGFR2, PPARγ, AMPK, Notch, Nrf2, JAK2/STAT3, and others)Immune cell homeostasisInflammation regulationEndothelial function controlNervous system (cerebellar development, memory modulation)
04

Disease associations

Cardiovascular disease (including atherosclerosis)Diabetes and insulin resistanceObesity and metabolic syndromeFatty liver and non-alcoholic steatohepatitis (NASH)Neurodegenerative disease (e.g., roles in brain aging, cognitive decline)Inflammatory disease (e.g., inflammatory bowel disease)
05

Safety considerations

No major direct safety concerns are reported for endogenous or research use in animal models, but as it affects multiple core physiological pathways (e.g., glucose homeostasis, endothelial function), potential unintended systemic effects are a consideration for future therapeutics
06

Interacting drugs

None currently identified as direct pharmacological agents; some mechanistic studies mention exogenous adropin peptide administration in animal models
07

Biomarkers

Serum/plasma adropin levels are investigated as biomarkers for metabolic syndrome, obesity, diabetes, cardiovascular, and neurodegenerative diseases

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