“…There is accumulating evidence showing that adiponectin exhibits insulin sensitizing effect through multiple signalling pathways downstream of adiponectin receptors, such as AMPK, Ca 2+ , PPARα, ceramide and S1P 231:3 , Zhou et al 2009, Iwabu et al 2010, Holland et al 2011. Moreover, as an AdipoR1 and AdipoR2 interactive protein, APPL1 (adaptor protein containing pleckstrin homology domain, phosphotyrosine-binding domain and leucine zipper motif) positively mediates adiponectin signalling and its insulin sensitizing effect in muscle cells (Mao et al 2006, Zhou et al 2009, Fang et al 2010, Cleasby et al 2011, Xin et al 2011. AMPK pathway, downstream of adiponectin receptor signalling, is critical for adiponectin action in the liver, muscle and other organs (Yamauchi et al 2002).…”