PMID- 34371968 OWN - NLM STAT- MEDLINE DCOM- 20210903 LR - 20210903 IS - 2072-6643 (Electronic) IS - 2072-6643 (Linking) VI - 13 IP - 7 DP - 2021 Jul 19 TI - The Emerging Role of Sfrp5 and Wnt5a in the Pathogenesis of Obesity: Implications for a Healthy Diet and Lifestyle. LID - 10.3390/nu13072459 [doi] LID - 2459 AB - In recent decades, the prevalence of obesity has risen dramatically worldwide among all age groups. Obesity is characterized by excess fat accumulation and chronic low-grade inflammation. The adipose tissue functions as a metabolically active endocrine organ secreting adipokines. A novel duo of adipokines, the anti-inflammatory secreted frizzled-related protein 5 (Sfrp5) and the proinflammatory wingless type mouse mammary tumor virus (MMTV) integration site family member 5A (Wnt5a), signal via the non-canonical Wnt pathway. Recent evidence suggests that Sfpr5 and Wnt5a play a key role in the pathogenesis of obesity and its metabolic complications. This review summarizes the current knowledge on the novel regulatory system of anti-inflammatory Sfrp5 and pro-inflammatory Wnt5a, and their relation to obesity and obesity-related complications. Future studies are required to investigate the potential role of Sfrp5 and Wnt5a as biomarkers for monitoring the response to lifestyle interventions and for predicting the development of cardiometabolic risk factors. These adipokines may also serve as novel therapeutic targets for obesity-related disorders. FAU - Koutaki, Diamanto AU - Koutaki D AD - Division of Endocrinology, Metabolism and Diabetes, First Department of Pediatrics, National and Kapodistrian University of Athens Medical School, "Aghia Sophia" Children's Hospital, 11527 Athens, Greece. FAU - Michos, Athanasios AU - Michos A AUID- ORCID: 0000-0003-1745-1118 AD - Division of Infectious Diseases, First Department of Pediatrics, National and Kapodistrian University of Athens Medical School, "Aghia Sophia" Children's Hospital, 11527 Athens, Greece. FAU - Bacopoulou, Flora AU - Bacopoulou F AUID- ORCID: 0000-0003-1001-0926 AD - University Research Institute of Maternal and Child Health & Precision Medicine, and UNESCO Chair on Adolescent Health Care, National and Kapodistrian University of Athens, "Aghia Sophia" Children's Hospital, 11527 Athens, Greece. FAU - Charmandari, Evangelia AU - Charmandari E AUID- ORCID: 0000-0002-0851-6998 AD - Division of Endocrinology, Metabolism and Diabetes, First Department of Pediatrics, National and Kapodistrian University of Athens Medical School, "Aghia Sophia" Children's Hospital, 11527 Athens, Greece. AD - Division of Endocrinology and Metabolism, Center of Clinical, Experimental Surgery and Translational Research, Biomedical Research Foundation of the Academy of Athens, 11527 Athens, Greece. LA - eng GR - (project code: T1EDK-01386, MIS: 5030543, Acronym: PEDOBESITY)./This research has been co-financed by the European Regional Development Fund of the European Union and Greek national funds through the Operational Program Competitiveness, Entrepreneurship and Innovation, under the call RESEARCH - CREATE - INNOVATE/ PT - Journal Article PT - Review DEP - 20210719 PL - Switzerland TA - Nutrients JT - Nutrients JID - 101521595 RN - 0 (Adaptor Proteins, Signal Transducing) RN - 0 (SFRP5 protein, human) RN - 0 (WNT5A protein, human) RN - 0 (Wnt-5a Protein) SB - IM MH - Adaptor Proteins, Signal Transducing/*physiology MH - Adipose Tissue/physiopathology MH - Adolescent MH - Adult MH - Animals MH - Cardiometabolic Risk Factors MH - Child MH - Diet, Healthy MH - Humans MH - Inflammation/physiopathology MH - Insulin Resistance MH - Life Style MH - Non-alcoholic Fatty Liver Disease MH - Obesity/*etiology/physiopathology/therapy MH - Wnt-5a Protein/*physiology PMC - PMC8308727 OTO - NOTNLM OT - SFRP5 OT - Wnt5a OT - childhood OT - metabolic OT - obesity OT - overweight COIS- The authors declare no conflict of interest. EDAT- 2021/08/11 06:00 MHDA- 2021/09/04 06:00 PMCR- 2021/07/19 CRDT- 2021/08/10 01:03 PHST- 2021/05/06 00:00 [received] PHST- 2021/07/05 00:00 [revised] PHST- 2021/07/09 00:00 [accepted] PHST- 2021/08/10 01:03 [entrez] PHST- 2021/08/11 06:00 [pubmed] PHST- 2021/09/04 06:00 [medline] PHST- 2021/07/19 00:00 [pmc-release] AID - nu13072459 [pii] AID - nutrients-13-02459 [pii] AID - 10.3390/nu13072459 [doi] PST - epublish SO - Nutrients. 2021 Jul 19;13(7):2459. doi: 10.3390/nu13072459.