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Resistin

Drugs and Chemicals · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 4 min read

A 12-kDa cysteine-rich polypeptide hormone secreted by fat cells in the adipose tissue.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (727 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

A 12-kDa cysteine-rich polypeptide hormone secreted by fat cells in the adipose tissue. It is the founding member of the resistin-like molecule (RELM) hormone family. Resistin suppresses the ability of insulin to stimulate cellular glucose uptake.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Adipocyte Cysteine-Rich Secreted Protein FIZZ3; Adipocyte Cysteine Rich Secreted Protein FIZZ3.

Where it fits in the MeSH classification

Broader topics
Adipokines

Related concepts

  • Fat Cells
  • Adipose Tissue
  • Insulin
  • Glucose

Research landscape

PubMed indexes 2,875 records tagged with the MeSH heading “Resistin” (counts retrieved 2026-10-31). 567 of them (19.7%) were published from 2020 onward, and the busiest period so far is 2010-2019 with 1,400 records.

Reviews account for 306 records (10.6%) and meta-analyses for 52. Randomized controlled trials number 104 (3.6%) as a share of all records on the topic.

PubMed records by publication periodthrough 1999: 0 records; 2000-2009: 950 records; 2010-2019: 1,400 records; 2020 onward: 567 records0through 19999502000-20091,4002010-20195672020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 19990
2000-2009950
2010-20191,400
2020 onward567
Share of records by publication typeReviews: 10.6 percent; Meta-analyses: 1.8 percent; Randomized controlled trials: 3.6 percentReviews10.6% (306)Meta-analyses1.8% (52)Randomized controlled trials3.6% (104)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 2,875 PubMed records
TypeRecordsShare
Reviews30610.6%
Meta-analyses521.8%
Randomized controlled trials1043.6%

Method: PubMed query "Resistin"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in drugs and chemicals

Studies of a chemical or drug can answer very different questions: what it is and how it behaves in cells and animals, how the body handles it, and whether it changes outcomes in people. Laboratory and animal findings often do not carry over to patients, and observational studies of exposures are confounded by who uses a substance and why. Nothing on this page is a recommendation to use, avoid, start or stop any substance or medicine; talk to a qualified clinician or pharmacist about your own situation. Check the dose, the species, the comparison group and whether a patient-relevant outcome was measured.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Resistin, a Novel Host Defense Peptide of Innate Immunity
Li Y, Yang Q, Cai D, Guo H, Fang J, Cui H, et al.
2021Review article
Design not recorded in structured metadata
82cc by
PMID 34220862 · DOI · PMC8253364
An Overview of the Role of Adipokines in Cardiometabolic Diseases
Farkhondeh T, Llorens S, Pourbagher-Shahri AM, Ashrafizadeh M, Talebi M, Shakibaei M, et al.
2020Review article
Design not recorded in structured metadata
80cc by
PMID 33182462 · DOI · PMC7665135
High insulin and leptin increase resistin and inflammatory cytokine production from human mononuclear cells
Tsiotra PC, Boutati E, Dimitriadis G, Raptis SA
2013Clinical trial
Design not recorded in structured metadata
74cc by
PMID 23484124 · DOI · PMC3591160
Exosome-Mediated Lectin Pathway and Resistin-MIF-AA Metabolism Axis Drive Immune Dysfunction in Immune Thrombocytopenia
Li J, Wang X, Chen Y, Sun X, Fu L, Xin Q, et al.
2025Research article
Design not recorded in structured metadata
14cc by
PMID 39792656 · DOI · PMC11905005

Resistin, a Novel Host Defense Peptide of Innate Immunity [1]

Review article Li Y, Yang Q, Cai D, Guo H, Fang J, Cui H, et al. · · 2021 · cited 82 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Resistin, a cysteine-rich protein, expressed in adipocytes, was initially proposed as a link between obesity and diabetes in mice.
Closing excerpt
The review aims to summarize current knowledge about the biological properties, functions, and related mechanisms of resistin in host defense, which provides new insights into the pleiotropic biological function of resistin and yields promising strategies for developing new antimicrobial therapeutic agents.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (135 words)

Resistin, a cysteine-rich protein, expressed in adipocytes, was initially proposed as a link between obesity and diabetes in mice. In humans, resistin is considered to be a pro-inflammatory molecule expressed in immune cells, which plays a regulatory role in many chronic inflammatory diseases, metabolic diseases, infectious diseases, and cancers. However, increasing evidence shows that resistin functions as a host defense peptide of innate immunity, in terms of its wide-spectrum anti-microbial activity, modulation of immunity, and limitation of microbial product-induced inflammation. To date, the understanding of resistin participating in host defense mechanism is still limited. The review aims to summarize current knowledge about the biological properties, functions, and related mechanisms of resistin in host defense, which provides new insights into the pleiotropic biological function of resistin and yields promising strategies for developing new antimicrobial therapeutic agents.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 34220862 · DOI · PMC8253364

An Overview of the Role of Adipokines in Cardiometabolic Diseases [2]

Review article Farkhondeh T, Llorens S, Pourbagher-Shahri AM, Ashrafizadeh M, Talebi M, Shakibaei M, et al. · · 2020 · cited 80 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Obesity as an independent risk factor for cardiovascular diseases (CVDs) leads to an increase in morbidity, mortality, and a shortening of life span.
Closing excerpt
However, more studies should be designed to clarify the association between obesity, adipokine changes, and the occurrence of CVDs.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (177 words)

Obesity as an independent risk factor for cardiovascular diseases (CVDs) leads to an increase in morbidity, mortality, and a shortening of life span. The changes in heart structure and function as well as metabolic profile are caused by obese people, including those free of metabolic disorders. Obesity alters heart function structure and affects lipid and glucose metabolism, blood pressure, and increase inflammatory cytokines. Adipokines, specific cytokines of adipocytes, are involved in the progression of obesity and the associated co-morbidities. In the current study, we review the scientific evidence on the effects of obesity on CVDs, focusing on the changes in adipokines. Several adipokines have anti-inflammatory and cardioprotective effects comprising omentin, apelin, adiponectin, and secreted frizzled-related protein (Sfrp-5). Other adipokines have pro-inflammatory impacts on the cardiovascular system and obesity including leptin, tumor necrosis factor (TNF), retinol-binding protein4 (RBP-4), visfatin, resistin, and osteopontin. We found that obesity is associated with multiple CVDs, but can only occur in unhealthy metabolic patients. However, more studies should be designed to clarify the association between obesity, adipokine changes, and the occurrence of CVDs.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 33182462 · DOI · PMC7665135

High insulin and leptin increase resistin and inflammatory cytokine production from human mononuclear cells [3]

Clinical trial Tsiotra PC, Boutati E, Dimitriadis G, Raptis SA · · 2013 · cited 74 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Resistin and the proinflammatory cytokines, such as TNF- α , IL-6, and IL-1 β , produced by adipocytes, and macrophages, are considered to be important modulators of chronic inflammation contributing to the development of obesity and atherosclerosis.
Closing excerpt
Therefore, the above increased production may contribute to detrimental effects of their increased adipocyte-derived circulating levels on systemic inflammation, insulin sensitivity, and endothelial function of these patients.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (215 words)

Resistin and the proinflammatory cytokines, such as TNF- α , IL-6, and IL-1 β , produced by adipocytes, and macrophages, are considered to be important modulators of chronic inflammation contributing to the development of obesity and atherosclerosis. Human monocyte-enriched mononuclear cells, from ten healthy individuals, were exposed to high concentrations of insulin, leptin, and glucose (alone or in combination) for 24 hours in vitro. Resistin, TNF- α , IL-6, and IL-1 β production was examined and compared to that in untreated cells. High insulin and leptin concentrations significantly upregulated resistin and the cytokines. The subsequent addition of high glucose significantly upregulated resistin and TNF- α mRNA and protein secretion, while it did not have any effect on IL-6 or IL-1 β production. By comparison, exposure to dexamethasone reduced TNF- α , IL-6, and IL-1 β production, while at this time point it increased resistin protein secretion. These data suggest that the expression of resistin, TNF- α , IL-6, and IL-1 β from human mononuclear cells, might be enhanced by the hyperinsulinemia and hyperleptinemia and possibly by the hyperglycemia in metabolic diseases as obesity, type 2 diabetes, and atherosclerosis. Therefore, the above increased production may contribute to detrimental effects of their increased adipocyte-derived circulating levels on systemic inflammation, insulin sensitivity, and endothelial function of these patients.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 23484124 · DOI · PMC3591160

Exosome-Mediated Lectin Pathway and Resistin-MIF-AA Metabolism Axis Drive Immune Dysfunction in Immune Thrombocytopenia [4]

Research article Li J, Wang X, Chen Y, Sun X, Fu L, Xin Q, et al. · · 2025 · cited 14 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Immune thrombocytopenia (ITP) is an autoimmune disorder characterized by reduced platelet levels and heightened susceptibility to bleeding resulting from augmented autologous platelet destruction and diminished thrombopoiesis.
Closing excerpt
Taken together, the findings indicate that the lectin pathway of the complement system, resistin, MIF, and AA metabolism may serve as promising targets for ITP treatment, offering novel perspectives on potential therapeutic interventions.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (200 words)

Immune thrombocytopenia (ITP) is an autoimmune disorder characterized by reduced platelet levels and heightened susceptibility to bleeding resulting from augmented autologous platelet destruction and diminished thrombopoiesis. Although antibody-mediated autoimmune reactions are widely recognized as primary factors, the precise etiological agents that trigger ITP remain unidentified. The pathogenesis of ITP remains unclear owing to the absence of comprehensive high-throughput data, except for the belated emergence of autoreactive antibodies. In this study, using flow cytometry (FCM), proteomics, and single-cell RNA sequencing of samples from patients with ITP, it is shown that exosome-mediated lectin complement pathway is involved in the pathogenesis of ITP, which triggers and enlarges the complement activation cascade without effective regulation because of downregulated CD55. The activated complement system enhances the immune response and resistin and further Macrophage Migration Inhibitory Factor (MIF) triggers several proinflammatory signaling pathways, which contribute to the survival of hyperactivated immune cells and dysfunctional arachidonic acid (AA) metabolism. The resistin and MIF are also identified as potential contributors to resistance to glucocorticoid therapy. Taken together, the findings indicate that the lectin pathway of the complement system, resistin, MIF, and AA metabolism may serve as promising targets for ITP treatment, offering novel perspectives on potential therapeutic interventions.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 39792656 · DOI · PMC11905005

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Resistin: functional roles and therapeutic considerations for cardiovascular disease [5]
    Jamaluddin MS, Weakley SM, Yao Q, Chen C · Br J Pharmacol · 2012 · cited 358 times (Europe PMC)
  • Research article The role of resistin as a regulator of inflammation: Implications for various human pathologies [6]
    Filková M, Haluzík M, Gay S, Senolt L · Clin Immunol · 2009 · cited 312 times (Europe PMC)
  • Research article Adipocytokines: leptin--the classical, resistin--the controversical, adiponectin--the promising, and more to come [7]
    Koerner A, Kratzsch J, Kiess W · Best Pract Res Clin Endocrinol Metab · 2005 · cited 292 times (Europe PMC)
  • Research article Human resistin: found in translation from mouse to man [8]
    Schwartz DR, Lazar MA · Trends Endocrinol Metab · 2011 · cited 216 times (Europe PMC)
  • Research article Adipokines: implications for female fertility and obesity [9]
    Mitchell M, Armstrong DT, Robker RL, Norman RJ · Reproduction · 2005 · cited 175 times (Europe PMC)
  • Research article Resistin in metabolism, inflammation, and disease [10]
    Tripathi D, Kant S, Pandey S, Ehtesham NZ · FEBS J · 2020 · cited 157 times (Europe PMC)

References

  1. Li Y, Yang Q, Cai D, Guo H, Fang J, Cui H, et al.. Resistin, a Novel Host Defense Peptide of Innate Immunity. . 2021. PMID 34220862 · DOI · PMC8253364
  2. Farkhondeh T, Llorens S, Pourbagher-Shahri AM, Ashrafizadeh M, Talebi M, Shakibaei M, et al.. An Overview of the Role of Adipokines in Cardiometabolic Diseases. . 2020. PMID 33182462 · DOI · PMC7665135
  3. Tsiotra PC, Boutati E, Dimitriadis G, Raptis SA. High insulin and leptin increase resistin and inflammatory cytokine production from human mononuclear cells. . 2013. PMID 23484124 · DOI · PMC3591160
  4. Li J, Wang X, Chen Y, Sun X, Fu L, Xin Q, et al.. Exosome-Mediated Lectin Pathway and Resistin-MIF-AA Metabolism Axis Drive Immune Dysfunction in Immune Thrombocytopenia. . 2025. PMID 39792656 · DOI · PMC11905005
  5. Jamaluddin MS, Weakley SM, Yao Q, Chen C. Resistin: functional roles and therapeutic considerations for cardiovascular disease. Br J Pharmacol. 2012. PMID 21545576 · DOI · PMC3315035
  6. Filková M, Haluzík M, Gay S, Senolt L. The role of resistin as a regulator of inflammation: Implications for various human pathologies. Clin Immunol. 2009. PMID 19740705 · DOI
  7. Koerner A, Kratzsch J, Kiess W. Adipocytokines: leptin--the classical, resistin--the controversical, adiponectin--the promising, and more to come. Best Pract Res Clin Endocrinol Metab. 2005. PMID 16311215 · DOI
  8. Schwartz DR, Lazar MA. Human resistin: found in translation from mouse to man. Trends Endocrinol Metab. 2011. PMID 21497511 · DOI · PMC3130099
  9. Mitchell M, Armstrong DT, Robker RL, Norman RJ. Adipokines: implications for female fertility and obesity. Reproduction. 2005. PMID 16264089 · DOI
  10. Tripathi D, Kant S, Pandey S, Ehtesham NZ. Resistin in metabolism, inflammation, and disease. FEBS J. 2020. PMID 32255270 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

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At a glance

2,875
PubMed records on this heading
20%
published since 2020
306
review articles
104
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

Related topics See all →

  • AdiponectinDrugs and Chemicals
  • LeptinDrugs and Chemicals
  • AdipokinesDrugs and Chemicals
  • Parathyroid Hormone-Related ProteinDrugs and Chemicals
  • InsulinsDrugs and Chemicals

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