Evidence map›Paper›PMID 41862764›Full record

ReviewCurrent obesity reports2026

Unraveling the Potential Role of Spexin in Exercise-Induced Improvement of Cardiometabolic Health in Obesity and Diabetes.

Mei Yu, Xueshen Qian, Liang Wang, Chenhao Gu, Zhenwen Zhang, Wenbin Shang, Penghua Fang

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current obesity reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Mei YuDepartment of Pharmacy, Taizhou Affiliated Hospital of Nanjing University of Chinese Medicine, Taizhou, 225300, China.
Xueshen QianDepartment of Pharmacy, Taizhou Affiliated Hospital of Nanjing University of Chinese Medicine, Taizhou, 225300, China.
Liang WangKey Laboratory for Metabolic Diseases in Chinese Medicine, First College of Clinical Medicine, Nanjing University of Chinese Medicine, Nanjing, 210023, China.
Chenhao GuDepartment of Cardiovascular, Northern Jiangsu People's Hospital, Yangzhou University, Yangzhou, 225001, China.
Zhenwen ZhangDepartment of Endocrinology, Northern Jiangsu People's Hospital Affiliated to Yangzhou University, Yangzhou, 225001, China. zwzhang@yzu.edu.cn.
Wenbin ShangKey Laboratory for Metabolic Diseases in Chinese Medicine, First College of Clinical Medicine, Nanjing University of Chinese Medicine, Nanjing, 210023, China. wbshang@njucm.edu.cn.
Penghua FangKey Laboratory for Metabolic Diseases in Chinese Medicine, First College of Clinical Medicine, Nanjing University of Chinese Medicine, Nanjing, 210023, China. fphlcollegesci@njucm.edu.cn.

Funding

National Natural Scientific Fund of China 82374100National Natural Scientific Fund of China 82404945
6 · The paper itself

Abstract

purpose of reviewThis review aims to summarize current knowledge of the intrinsic relationship between exercise, spexin, and cardiovascular diseases associated with obesity and diabetes and provide mechanistic insights into the beneficial effect of exercise on obesity, diabetes and cardiovascular diseases. RECENT

findingsEmerging evidence indicates that spexin has been shown to be beneficial for diabetes and cardiometabolic health in preclinical models. In obese or diabetic states, circulating levels of spexin are significantly reduced, leading to skeletal muscle, the liver, and cardiac muscle becoming more susceptible to insulin resistance. Conversely, exercise triggers the release of spexin under obese or diabetic states, which may improve insulin resistance and cardiometabolic disorders. The mechanisms underlying the improvement of insulin resistance and cardiovascular disorders due to spexin involve increasing glucose uptake, fatty acid oxidation, and mitochondrial biogenesis, as well as reducing the mitochondrial oxidative stress in cardiac tissues. This review summarizes our recent studies and those of others to highlight the underlying molecular mechanisms of the effects of exercise induced spexin on diabetes and cardiovascular diseases. These insights shed new light on the pathophysiology of diabetes and cardiovascular disease based on preclinical studies and may provide useful clues for developing a combination of spexin and exercise as an effective therapeutic strategy for preventing or treating cardiometabolic disorders of obesity and diabetes.

Indexed as

Cardiovascular DiseasesDiabetes Mellitus, Type 2ExerciseObesityPeptide HormonesAnimalsHumansInsulin ResistanceMuscle, SkeletalOxidative StressPeptide HormonesSPX protein, humanCardiovascularExerciseObesitySpexinT2DM

Identifiers

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.