LEPTIN AND OBESITY – NEUROENDOCRINE , METABOLIC AND ATHEROGENIC EFFECTS OF LEPTIN
<p>Background. Leptin is an adipocyte-derived hormone that was recently discovered. Leptin and leptin resistance play an important role in the pathogenesis of obesity. Leptin acts by binding to specific receptors in the hypothalamus to alter the expression of several neuropeptides that regulat...
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Format: | Article |
Language: | English |
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Slovenian Medical Association
2003-01-01
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Series: | Zdravniški Vestnik |
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Online Access: | http://vestnik.szd.si/index.php/ZdravVest/article/view/1779 |
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author | Mišo Šabovič Alenka Mavri |
author_facet | Mišo Šabovič Alenka Mavri |
author_sort | Mišo Šabovič |
collection | DOAJ |
description | <p>Background. Leptin is an adipocyte-derived hormone that was recently discovered. Leptin and leptin resistance play an important role in the pathogenesis of obesity. Leptin acts by binding to specific receptors in the hypothalamus to alter the expression of several neuropeptides that regulate food intake and energy expenditure. As commonly found, obese persons have leptin resistance and consequently attenuated effects of leptin. Mechanism underlying leptin resistance has not been explained yet: it might be the result of a receptor or post receptor defect, impaired transport of leptin through cerebrovascular barrier or inactivation of leptin by binding proteins. Phase I and II clinical trials proved that recombinant leptin administration to humans is safe. First results of the current phase III clinical trials demonstrated that leptin is moderately effective in the treatment of obesity.</p><p>Conclusions. Beside anti-obesity effect, leptin can have important metabolic and neuroendocrine effects. It is involved in glucose metabolism and insulin secretion, pathogenesis of polymetabolic syndrome, diabetes and arterial hypertension. In addition it affects some processes of atherothrombosis. It interacts with and significantly influences hypothalamic-pituitaryadrenal, thyroid, sexual glands and growth hormone axes. Explaining the mechanism of leptin resistance could be important for understanding the pathogenesis of obesity and associated pathologic states as polymetabolic syndrom, diabetes, arterial hipertension and atherothrombosis.</p> |
first_indexed | 2024-12-19T08:12:26Z |
format | Article |
id | doaj.art-f08684f992cf44ca8bb36f019d20fec4 |
institution | Directory Open Access Journal |
issn | 1318-0347 1581-0224 |
language | English |
last_indexed | 2024-12-19T08:12:26Z |
publishDate | 2003-01-01 |
publisher | Slovenian Medical Association |
record_format | Article |
series | Zdravniški Vestnik |
spelling | doaj.art-f08684f992cf44ca8bb36f019d20fec42022-12-21T20:29:35ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242003-01-017211287LEPTIN AND OBESITY – NEUROENDOCRINE , METABOLIC AND ATHEROGENIC EFFECTS OF LEPTINMišo Šabovič0Alenka Mavri1Klinični oddelek za žilne bolezni Interna klinika Klinični center Riharjeva 24 1000 LjubljanaKlinični oddelek za žilne bolezni Interna klinika Klinični center Riharjeva 24 1000 Ljubljana<p>Background. Leptin is an adipocyte-derived hormone that was recently discovered. Leptin and leptin resistance play an important role in the pathogenesis of obesity. Leptin acts by binding to specific receptors in the hypothalamus to alter the expression of several neuropeptides that regulate food intake and energy expenditure. As commonly found, obese persons have leptin resistance and consequently attenuated effects of leptin. Mechanism underlying leptin resistance has not been explained yet: it might be the result of a receptor or post receptor defect, impaired transport of leptin through cerebrovascular barrier or inactivation of leptin by binding proteins. Phase I and II clinical trials proved that recombinant leptin administration to humans is safe. First results of the current phase III clinical trials demonstrated that leptin is moderately effective in the treatment of obesity.</p><p>Conclusions. Beside anti-obesity effect, leptin can have important metabolic and neuroendocrine effects. It is involved in glucose metabolism and insulin secretion, pathogenesis of polymetabolic syndrome, diabetes and arterial hypertension. In addition it affects some processes of atherothrombosis. It interacts with and significantly influences hypothalamic-pituitaryadrenal, thyroid, sexual glands and growth hormone axes. Explaining the mechanism of leptin resistance could be important for understanding the pathogenesis of obesity and associated pathologic states as polymetabolic syndrom, diabetes, arterial hipertension and atherothrombosis.</p>http://vestnik.szd.si/index.php/ZdravVest/article/view/1779leptinbody weightobesityatherosclerosistreatment |
spellingShingle | Mišo Šabovič Alenka Mavri LEPTIN AND OBESITY – NEUROENDOCRINE , METABOLIC AND ATHEROGENIC EFFECTS OF LEPTIN Zdravniški Vestnik leptin body weight obesity atherosclerosis treatment |
title | LEPTIN AND OBESITY – NEUROENDOCRINE , METABOLIC AND ATHEROGENIC EFFECTS OF LEPTIN |
title_full | LEPTIN AND OBESITY – NEUROENDOCRINE , METABOLIC AND ATHEROGENIC EFFECTS OF LEPTIN |
title_fullStr | LEPTIN AND OBESITY – NEUROENDOCRINE , METABOLIC AND ATHEROGENIC EFFECTS OF LEPTIN |
title_full_unstemmed | LEPTIN AND OBESITY – NEUROENDOCRINE , METABOLIC AND ATHEROGENIC EFFECTS OF LEPTIN |
title_short | LEPTIN AND OBESITY – NEUROENDOCRINE , METABOLIC AND ATHEROGENIC EFFECTS OF LEPTIN |
title_sort | leptin and obesity neuroendocrine metabolic and atherogenic effects of leptin |
topic | leptin body weight obesity atherosclerosis treatment |
url | http://vestnik.szd.si/index.php/ZdravVest/article/view/1779 |
work_keys_str_mv | AT misosabovic leptinandobesityneuroendocrinemetabolicandatherogeniceffectsofleptin AT alenkamavri leptinandobesityneuroendocrinemetabolicandatherogeniceffectsofleptin |