Cathelicidin: Insights into Its Impact on Metabolic Syndrome and Chronic Inflammation

<b>Background/Objectives</b>: LL-37 is associated with metabolic syndrome (MetS), a constellation of risk factors comprising obesity, insulin resistance (IR), dyslipidemia, and hypertension, which elevates the risk of cardiovascular disease and type 2 diabetes. <b>Methods</b>...

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Main Authors: Alina Delia Popa, Andreea Gherasim, Lavinia Caba, Otilia Niță, Mariana Graur, Laura Mihalache, Lidia Iuliana Arhire
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Metabolites
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Online Access:https://www.mdpi.com/2218-1989/14/12/672
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author Alina Delia Popa
Andreea Gherasim
Lavinia Caba
Otilia Niță
Mariana Graur
Laura Mihalache
Lidia Iuliana Arhire
author_facet Alina Delia Popa
Andreea Gherasim
Lavinia Caba
Otilia Niță
Mariana Graur
Laura Mihalache
Lidia Iuliana Arhire
author_sort Alina Delia Popa
collection DOAJ
description <b>Background/Objectives</b>: LL-37 is associated with metabolic syndrome (MetS), a constellation of risk factors comprising obesity, insulin resistance (IR), dyslipidemia, and hypertension, which elevates the risk of cardiovascular disease and type 2 diabetes. <b>Methods</b>: In this narrative review, we analyzed the literature focusing on recent developments in the relationship between cathelicidin and various components of MetS to provide a comprehensive overview. <b>Results</b>: Studies have shown that LL-37 is linked to inflammation in adipose tissue (AT) and the development of IR in obesity. Cathelicidin can enhance inflammation by activating pro-inflammatory genes, as well as modulate the inflammatory response. The mechanisms of IR include the activation of complex signaling pathways that induce inflammation and reduce insulin signaling in adipocytes. The activation of Toll-like receptors (TLRs) by cathelicidin stimulates the secretion of pro-inflammatory cytokines, contributing to the disruption of insulin function in adipose cells. Cathelicidin also influences lipid metabolism, with recent research showing a negative relationship between LL-37 levels and HDL cholesterol. Therefore, LL-37 is involved not only in the regulation of inflammation but also in lipid metabolism, potentially aggravating the cardiovascular complications associated with MetS. <b>Conclusions</b>: Cathelicidin plays a crucial role in regulating the balance between inflammatory and anti-inflammatory responses in MetS. Understanding the impact of LL-37 on these mechanisms may unveil novel approaches for addressing MetS and its associated complications.
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spelling doaj-art-2435667afef243bfb40b625977139b192025-08-20T02:50:41ZengMDPI AGMetabolites2218-19892024-12-01141267210.3390/metabo14120672Cathelicidin: Insights into Its Impact on Metabolic Syndrome and Chronic InflammationAlina Delia Popa0Andreea Gherasim1Lavinia Caba2Otilia Niță3Mariana Graur4Laura Mihalache5Lidia Iuliana Arhire6Internal Medicine II Department, Faculty of Medicine, University of Medicine, and Pharmacy “Grigore T. Popa”, 700115 Iasi, RomaniaInternal Medicine II Department, Faculty of Medicine, University of Medicine, and Pharmacy “Grigore T. Popa”, 700115 Iasi, RomaniaDepartment of Medical Genetics, Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 16 University Street, 700115 Iasi, RomaniaInternal Medicine II Department, Faculty of Medicine, University of Medicine, and Pharmacy “Grigore T. Popa”, 700115 Iasi, RomaniaFaculty of Medicine and Biological Sciences, University “Ștefan cel Mare” of Suceava, 720229 Suceava, RomaniaInternal Medicine II Department, Faculty of Medicine, University of Medicine, and Pharmacy “Grigore T. Popa”, 700115 Iasi, RomaniaInternal Medicine II Department, Faculty of Medicine, University of Medicine, and Pharmacy “Grigore T. Popa”, 700115 Iasi, Romania<b>Background/Objectives</b>: LL-37 is associated with metabolic syndrome (MetS), a constellation of risk factors comprising obesity, insulin resistance (IR), dyslipidemia, and hypertension, which elevates the risk of cardiovascular disease and type 2 diabetes. <b>Methods</b>: In this narrative review, we analyzed the literature focusing on recent developments in the relationship between cathelicidin and various components of MetS to provide a comprehensive overview. <b>Results</b>: Studies have shown that LL-37 is linked to inflammation in adipose tissue (AT) and the development of IR in obesity. Cathelicidin can enhance inflammation by activating pro-inflammatory genes, as well as modulate the inflammatory response. The mechanisms of IR include the activation of complex signaling pathways that induce inflammation and reduce insulin signaling in adipocytes. The activation of Toll-like receptors (TLRs) by cathelicidin stimulates the secretion of pro-inflammatory cytokines, contributing to the disruption of insulin function in adipose cells. Cathelicidin also influences lipid metabolism, with recent research showing a negative relationship between LL-37 levels and HDL cholesterol. Therefore, LL-37 is involved not only in the regulation of inflammation but also in lipid metabolism, potentially aggravating the cardiovascular complications associated with MetS. <b>Conclusions</b>: Cathelicidin plays a crucial role in regulating the balance between inflammatory and anti-inflammatory responses in MetS. Understanding the impact of LL-37 on these mechanisms may unveil novel approaches for addressing MetS and its associated complications.https://www.mdpi.com/2218-1989/14/12/672metabolic syndromeinsulin resistancecathelicidinLL-37
spellingShingle Alina Delia Popa
Andreea Gherasim
Lavinia Caba
Otilia Niță
Mariana Graur
Laura Mihalache
Lidia Iuliana Arhire
Cathelicidin: Insights into Its Impact on Metabolic Syndrome and Chronic Inflammation
Metabolites
metabolic syndrome
insulin resistance
cathelicidin
LL-37
title Cathelicidin: Insights into Its Impact on Metabolic Syndrome and Chronic Inflammation
title_full Cathelicidin: Insights into Its Impact on Metabolic Syndrome and Chronic Inflammation
title_fullStr Cathelicidin: Insights into Its Impact on Metabolic Syndrome and Chronic Inflammation
title_full_unstemmed Cathelicidin: Insights into Its Impact on Metabolic Syndrome and Chronic Inflammation
title_short Cathelicidin: Insights into Its Impact on Metabolic Syndrome and Chronic Inflammation
title_sort cathelicidin insights into its impact on metabolic syndrome and chronic inflammation
topic metabolic syndrome
insulin resistance
cathelicidin
LL-37
url https://www.mdpi.com/2218-1989/14/12/672
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