The Role of Irisin throughout Women’s Life Span

Since its discovery, much attention has been drawn to irisin’s potential role in metabolic and reproductive diseases. This narrative review summarizes and updates the possible role played by this fascinating molecule in different physiological (puberty and menopause) and pathological (polycystic ova...

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Main Authors: Federica Barbagallo, Rossella Cannarella, Vincenzo Garofalo, Marta Marino, Sandro La Vignera, Rosita A. Condorelli, Lara Tiranini, Rossella E. Nappi, Aldo E. Calogero
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/11/12/3260
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author Federica Barbagallo
Rossella Cannarella
Vincenzo Garofalo
Marta Marino
Sandro La Vignera
Rosita A. Condorelli
Lara Tiranini
Rossella E. Nappi
Aldo E. Calogero
author_facet Federica Barbagallo
Rossella Cannarella
Vincenzo Garofalo
Marta Marino
Sandro La Vignera
Rosita A. Condorelli
Lara Tiranini
Rossella E. Nappi
Aldo E. Calogero
author_sort Federica Barbagallo
collection DOAJ
description Since its discovery, much attention has been drawn to irisin’s potential role in metabolic and reproductive diseases. This narrative review summarizes and updates the possible role played by this fascinating molecule in different physiological (puberty and menopause) and pathological (polycystic ovary syndrome (PCOS), functional hypothalamic amenorrhea (FHA), endometriosis, and gestational diabetes) conditions that can affect women throughout their entire lives. Irisin appears to be an important factor for the hypothalamic–pituitary–gonadal axis activation, and appears to play a role in the timing of puberty onset. Serum irisin levels have been proposed as a biomarker for predicting the future development of gestational diabetes (GDM). Its role in PCOS is still controversial, although an “irisin resistance” mechanism has been hypothesized. In addition to its impact on metabolism, irisin also appears to influence bone health. Irisin levels are inversely correlated with the prevalence of fractures in postmenopausal women. Similar mechanisms have also been postulated in young women with FHA. In clinical settings, further controlled, prospective and randomized clinical trials are needed to investigate the casual relationship between irisin levels and the conditions described and, in turn, to establish the role of irisin as a prognostic/diagnostic biomarker or a therapeutic target.
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spelling doaj.art-d1723de2245545c7b07c0ef7d9a1eefa2023-12-22T13:55:07ZengMDPI AGBiomedicines2227-90592023-12-011112326010.3390/biomedicines11123260The Role of Irisin throughout Women’s Life SpanFederica Barbagallo0Rossella Cannarella1Vincenzo Garofalo2Marta Marino3Sandro La Vignera4Rosita A. Condorelli5Lara Tiranini6Rossella E. Nappi7Aldo E. Calogero8Department of Clinical and Experimental Medicine, University of Catania, 95124 Catania, ItalyDepartment of Clinical and Experimental Medicine, University of Catania, 95124 Catania, ItalyDepartment of Clinical and Experimental Medicine, University of Catania, 95124 Catania, ItalyDepartment of Clinical and Experimental Medicine, University of Catania, 95124 Catania, ItalyDepartment of Clinical and Experimental Medicine, University of Catania, 95124 Catania, ItalyDepartment of Clinical and Experimental Medicine, University of Catania, 95124 Catania, ItalyDepartment of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, ItalyDepartment of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, ItalyDepartment of Clinical and Experimental Medicine, University of Catania, 95124 Catania, ItalySince its discovery, much attention has been drawn to irisin’s potential role in metabolic and reproductive diseases. This narrative review summarizes and updates the possible role played by this fascinating molecule in different physiological (puberty and menopause) and pathological (polycystic ovary syndrome (PCOS), functional hypothalamic amenorrhea (FHA), endometriosis, and gestational diabetes) conditions that can affect women throughout their entire lives. Irisin appears to be an important factor for the hypothalamic–pituitary–gonadal axis activation, and appears to play a role in the timing of puberty onset. Serum irisin levels have been proposed as a biomarker for predicting the future development of gestational diabetes (GDM). Its role in PCOS is still controversial, although an “irisin resistance” mechanism has been hypothesized. In addition to its impact on metabolism, irisin also appears to influence bone health. Irisin levels are inversely correlated with the prevalence of fractures in postmenopausal women. Similar mechanisms have also been postulated in young women with FHA. In clinical settings, further controlled, prospective and randomized clinical trials are needed to investigate the casual relationship between irisin levels and the conditions described and, in turn, to establish the role of irisin as a prognostic/diagnostic biomarker or a therapeutic target.https://www.mdpi.com/2227-9059/11/12/3260irisinbone healthmetabolismreproductionHPG axispolycystic ovary syndrome (PCOS)
spellingShingle Federica Barbagallo
Rossella Cannarella
Vincenzo Garofalo
Marta Marino
Sandro La Vignera
Rosita A. Condorelli
Lara Tiranini
Rossella E. Nappi
Aldo E. Calogero
The Role of Irisin throughout Women’s Life Span
Biomedicines
irisin
bone health
metabolism
reproduction
HPG axis
polycystic ovary syndrome (PCOS)
title The Role of Irisin throughout Women’s Life Span
title_full The Role of Irisin throughout Women’s Life Span
title_fullStr The Role of Irisin throughout Women’s Life Span
title_full_unstemmed The Role of Irisin throughout Women’s Life Span
title_short The Role of Irisin throughout Women’s Life Span
title_sort role of irisin throughout women s life span
topic irisin
bone health
metabolism
reproduction
HPG axis
polycystic ovary syndrome (PCOS)
url https://www.mdpi.com/2227-9059/11/12/3260
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