Regulation of leptin production: sympathetic nervous system interactions
Abstract
Leptin is secreted primarily from white adipose tissue and stimulates long-form OB-Rb receptors in the hypothalamus to decrease food intake and increase energy expenditure. A variety of neuropeptides are involved in these responses, including neuropeptide Y, agouti-related protein, the prepro-melanocortin system and cocaine- and amphetamine-regulated transcript. OB-Rb receptors (and other receptor isoforms) are also found in peripheral tissues. Leptin is now known to have a wide range of peripheral actions and is involved in activating the immune system, haematopoiesis, angiogenesis and as a growth factor, as well as being a regulator of many cellular functions. The identification of leptin has led to reappraisal of the role of white adipose tissue from being an organ concerned primarily with energy storage as fat to an understanding that it is also a major endocrine and secretory organ. While the importance of the sympathetic nervous system in mobilising fatty acids from adipose tissue has long been known, it has become apparent that the sympathetic system is a key regulator of leptin production in white adipose tissue as well. Sympathomimetic amines and cold exposure or fasting (which lead to sympathetic stimulation of white fat), decrease leptin gene expression in the tissue and leptin production. On the other hand, sympathetic blockade often increases circulating leptin and leptin gene expression, and it is possible that the sympathetic system has a tonic inhibitory action on leptin synthesis. Apart from the few instances where leptin is absent, leptin levels are increased in obesity, while the sympathetic sensitivity of adipose tissue is reduced, consistent with the high leptin levels that are seen. The dysregulation of energy balance leading to obesity may partly involve a decrease in leptin sensitivity, or the leptin system may be set to have maximal effects at low leptin levels.
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Data suggest that the release of leptin and ghrelin may be influenced by the autonomic nervous system, with cholinergic (vagal) activity suppressing ghrelin secretion and sympathetic activity decreasing leptin production.
“Data also exist suggesting that the release of these hormones may be influenced by the autonomic nervous system, with cholinergic (vagal) activity suppressing ghrelin secretion and sympathetic activity decreasing leptin production.62,63”
From The effects of sleep disruption on metabolism, hunger, and satiety, and the influence of psychosocial stress and exercise: A narrative review (2024) · cites this paper as [63]
Leptin secretion is inhibited by sympathetic activity and ghrelin secretion is inhibited by parasympathetic activity.
“Since leptin secretion is inhibited by sympathetic activity [65] and ghrelin secretion is inhibited by parasympathetic activity [66], the changes in the activity of autonomic nervous system observed with sleep loss may be involved in the simultaneous reduction of leptin and increase of ghrelin.”
From Role of sleep duration in the regulation of glucose metabolism and appetite (2010) · cites this paper as [65]
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Spiegel, K., Tasali, E., Penev, P., & Cauter, E. V. (2004) · Annals of Internal Medicine · doi:10.7326/0003-4819-141-11-200412070-00008 · Cited by 2,459 · see citing works
Adipokines: inflammation and the pleiotropic role of white adipose tissue
Trayhurn, P., & Wood, I. S. (2004) · British Journal of Nutrition · doi:10.1079/bjn20041213 · Cited by 2,210 · see citing works
Self-citationSpiegel, K., Leproult, R., L’Hermite-Balériaux, M., Copinschi, G., Penev, P. D., & Van Cauter, E. (2004) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2004-1003 · Cited by 1,006 · see citing works
Elaborate interactions between the immune and nervous systems
Steinman, L. (2004) · Nature Immunology · doi:10.1038/ni1078 · Cited by 556 · see citing works
Transdifferentiation properties of adipocytes in the adipose organ
Cinti, S. (2009) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00183.2009 · Cited by 379 · see citing works
Role of sleep duration in the regulation of glucose metabolism and appetite
Morselli, L., Leproult, R., Balbo, M., & Spiegel, K. (2010) · Best Practice & Research Clinical Endocrinology & Metabolism · doi:10.1016/j.beem.2010.07.005 · Cited by 283 · see citing works
Influence of Partial Sleep Deprivation on Energy Balance and Insulin Sensitivity in Healthy Women
Bosy-Westphal, A., Hinrichs, S., Jauch-Chara, K., Hitze, B., Later, W., Wilms, B., Settler, U., Peters, A., Kiosz, D., & Müller, M. J. (2008) · Obesity Facts · doi:10.1159/000158874 · Cited by 221 · see citing works
PEJOVIC, S., VGONTZAS, A. N., BASTA, M., TSAOUSSOGLOU, M., ZOUMAKIS, E., VGONTZAS, A., BIXLER, E. O., & CHROUSOS, G. P. (2010) · Journal of Sleep Research · doi:10.1111/j.1365-2869.2010.00844.x · Cited by 127 · see citing works
Beta-Aminoisobutyric Acid as a Novel Regulator of Carbohydrate and Lipid Metabolism
Tanianskii, D. A., Jarzebska, N., Birkenfeld, A. L., O’Sullivan, J. F., & Rodionov, R. N. (2019) · Nutrients · doi:10.3390/nu11030524 · Cited by 121 · see citing works
A Twin Study of Sleep Duration and Body Mass Index
Watson, N. F., Buchwald, D., Vitiello, M. V., Noonan, C., & Goldberg, J. (2010) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.27704 · Cited by 116 · see citing works
Greenfield, J. R. (2011) · Journal of Neuroendocrinology · doi:10.1111/j.1365-2826.2010.02088.x · Cited by 72 · see citing works
Chan, J. L., Mietus, J. E., Raciti, P. M., Goldberger, A. L., & Mantzoros, C. S. (2007) · Clinical Endocrinology · doi:10.1111/j.1365-2265.2006.02684.x · Cited by 68 · see citing works
Rogers, E. M., Banks, N. F., & Jenkins, N. D. M. (2024) · Diabetes/Metabolism Research and Reviews · doi:10.1002/dmrr.3667 · Cited by 62 · see citing works
- Authors
- Rayner, D. V., & Trayhurn, P.
- Affiliations
- University of Aberdeen (GB)
- University of Oslo (NO)
- ORCID
- Trayhurn, Paul
- Venue
- Journal of Molecular Medicine
- Published
- 2001-02-20
- Volume
- 79
- Issue
- 1
- Pages
- 8-20
- ISSN
- 0946-2716 (ISSN-L)
- 1432-1440
- OpenAlex
- W2154900520
- Cited by
- 250
- References
- 182
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 9 · 2023: 7 · 2022: 3 · 2021: 6 · 2020: 3 · 2019: 6 · 2018: 3 · 2017: 3 · 2016: 9 · 2015: 8 · 2014: 11 · 2013: 11 · 2012: 9
- FWCI
- 5.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Molecular Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Health Sciences › Medicine › Physiology › Adipose Tissue and Metabolism
- Keywords
- leptin, sympathetic nervous system, white adipose tissue, leptin gene expression, neuropeptides, neuropeptide Y, agouti-related protein, cocaine- and amphetamine-regulated transcript, sympathetic nerve block, cold exposure, fasting, obesity, leptin resistance, energy balance, adipose tissue endocrine function
- MeSH terms
- Adipose Tissue, Energy Metabolism, Models, Biological, Obesity, Research Personnel, Sympathetic Nervous System, Leptin
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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