📚 Wiki Weight Loss & Metabolic Asprosin

Asprosin

○ Preclinical / entering Phase I (anti-asprosin antibodies)
Asprosin (Fibrillin-1 C-terminal fragment)
Also known as: Fibrillin-1 C-terminal fragment, Glucose-stimulating adipokine
Page last reviewed

Quick Summary

Asprosin is a 30 kDa protein hormone discovered in 2016 as the C-terminal cleavage product of fibrillin-1, encoded by the FBN1 gene. It is secreted by white adipose tissue in response to fasting and acts on the hypothalamus and liver.

Metabolic Peptide Preclinical / Early Clinical
Asprosin is a 30 kDa protein hormone discovered in 2016 as the C-terminal cleavage product of fibrillin-1, encoded by the FBN1 gene. It is secreted by white adipose tissue in response to fasting and acts on the hypothalamus and liver. In the liver, asprosin activates a cAMP/PKA pathway to stimulate rapid hepatic glucose release, serving as a fasting hormone alongside glucagon. In the hypothalamus, asprosin activates orexigenic AgRP neurons and inhibits anorexigenic POMC neurons, amplifying hunger during energy deficit. Asprosin is elevated in obesity and type 2 diabetes, making it a potential therapeutic target. Monoclonal antibodies against asprosin are in early clinical development as anti-obesity/anti-diabetes agents.
Storage Stability
Lyophilized
1–2 years (-20°C)
Reconstituted
~30 days (2–8°C)
Room temp
Avoid

Mechanism of Action

Hepatic Glucose Release

Asprosin binds to a G-protein-coupled receptor (tentatively identified as OLFR734 in mice, with a human orthologue) on hepatocytes, activating adenylate cyclase and increasing intracellular cAMP. This activates PKA, which phosphorylates and activates CREB and glycogen phosphorylase, driving rapid glycogenolysis and hepatic glucose output. The effect is acute (within minutes) and concentration-dependent, mirroring the acute glucagon response.

Hypothalamic Appetite Activation

Asprosin crosses the blood-brain barrier and acts on arcuate nucleus neurons. It activates AgRP/NPY neurons (orexigenic) and inhibits POMC neurons (anorexigenic) through a KATP channel-dependent mechanism, shifting the hypothalamic energy sensor toward hunger. This dual action amplifies food-seeking behavior in fasted states. Central asprosin levels correlate with meal initiation in mouse models.

Adipose Tissue Origin and Feedback

Asprosin is produced and secreted by white adipose tissue (WAT) in response to low insulin/glucose and sympathetic stimulation. After eating, rising insulin suppresses asprosin secretion. Body fat mass positively correlates with fasting asprosin levels, creating a paradox where obese individuals have both high asprosin (high fat mass producing more) and impaired glucose regulation. This suggests asprosin resistance or dysregulation contributes to metabolic dysfunction in obesity.


Research Summary

Obesity and Type 2 Diabetes

Translational

Human studies confirm asprosin is elevated in obesity, insulin resistance, PCOS, gestational diabetes, and metabolic syndrome. Anti-asprosin monoclonal antibody treatment in obese mice reduced food intake, lowered blood glucose, decreased body weight, and improved insulin sensitivity, all without affecting lean body mass. These results prompted entry into early-phase clinical trials of anti-asprosin antibodies for obesity and T2D.

Neonatal Progeroid Syndrome

Clinical (rare disease)

Loss-of-function mutations in FBN1 that delete the asprosin-encoding C-terminal domain cause Neonatal Progeroid Syndrome (NPS), characterized by extreme leanness, insulin hypoglycemia, and food-seeking behavior. This rare disorder validates that asprosin is necessary for normal glucose regulation and appetite, confirming its physiological role in humans.

Cardiac and Vascular Effects

Emerging

Recent studies show asprosin is elevated in heart failure patients and correlates with disease severity. In cardiomyocytes, asprosin promotes oxidative stress and inflammatory signaling. Asprosin also promotes endothelial dysfunction. These findings suggest asprosin excess in obesity may contribute to cardiovascular risk independent of its metabolic effects.


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Research Protocols

GoalDoseFrequencyRoute
Hepatic glucose assay10-100 nM asprosinSingle exposure (in vitro/ex vivo)Medium supplement or IV
Hypothalamic appetite study1-5 mcg ICVAcute single doseICV (animal)
Glucose/insulin measurementBiomarker (blood draw)Fasting sampleSerum ELISA

No human therapeutic dosing established. Anti-asprosin antibodies are the therapeutic modality in development, not exogenous asprosin.


Interactions

Antagonistic
Insulin
Insulin suppresses asprosin release; asprosin opposes insulin-mediated glucose lowering
Synergistic
Glucagon
Both raise hepatic glucose during fasting; distinct but complementary mechanisms
Synergistic
AgRP
Asprosin activates AgRP neurons centrally; amplifies the same orexigenic circuit
Opposing
GLP-1 reduces appetite and glucose; asprosin increases both, metabolic opposition

Safety Profile

Asprosin as an exogenous therapeutic is not in clinical use. The safety profile derives from its endogenous function: excess asprosin promotes hyperglycemia, hyperphagia, and potentially cardiovascular stress. Anti-asprosin therapeutics aim to lower elevated endogenous levels. In NPS patients with absent asprosin, hypoglycemia and failure to thrive occur, establishing that physiological levels are required. For research applications, asprosin is a biomarker rather than an administered compound.


References

  • [1]Romere C, et al. Asprosin, a fasting-induced glucogenic protein hormone. Cell. 2016;165:566-579.
  • [2]Duerrschmid C, et al. Asprosin is a centrally acting orexigenic hormone. Nature Medicine. 2017.
  • [3]Wang M, et al. Asprosin in metabolic and cardiovascular disease. Front Endocrinol. 2021.
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Data Sources & External References
Source: peer-reviewed literature  ·  Domain: ascendpeptide.org

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