The Potential of Leptin Hormone in the Treatment of Diabetes Mellitus
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Date
2018-06-30
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faculty of Basic Medical Science - Libyan International Medical University
Abstract
Leptin is a hormone secreted by adipose tissue and regulates energy homeostasis,
neuroendocrine function, metabolism, immune function and other systems through its effects
on the central nervous system and peripheral tissues. Although its award-winning discovery
transformed the study of obesity more than 20 years ago, leptin's mechanisms have remained
a mystery. Secreted by white fat cells, leptin acts in the brains of humans and many other
animals as a satiety signal to reduce appetite and maintain stable weight and blood sugar
levels. Dysregulation of leptin or its receptors results in ravenous appetite and extreme
overeating (hyperphagia), obesity, and type 2 diabetes (which accounts for approximately
91% of diabetes diagnosed in adults in the U.S., affecting about 21 million people). Leptin
supplements are generally ineffective for these disorders because, for unknown reasons, most
obese individuals are leptin-resistant, and leptin's clinical applications remain limited despite
extensive study. Due to its connection with insulin levels, Leptin has been a subject of
particular interest with diabetes and cardiovascular pathology research. This review discusses
the different theories on how leptin hormone can be a potential anti-diabetic treatment in both
types of Diabetes Mellitus
Description
Leptin is a 167-amino-acid peptide that is mainly expressed in white adipose tissue (WAT),
but is also found in a variety of tissues including placenta, mammary gland, ovary, skeletal
muscle, stomach, pituitary gland, and lymphoid tissue. Circulating leptin levels are directly in
proportion to the amount of body fat, thereby reflecting the status of long-term energy stores.
In addition, leptin levels fluctuate according to changes in calorie intake with a marked
decrease during starvation. Leptin is secreted in a pulsatile manner, displaying a circadian
rhythm with lowest levels at mid-afternoon and highest levels at midnight.
Leptin plays an important role in regulating energy homeostasis, neuroendocrine and immune
functions, and glucose, lipid and bone metabolism
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