Abnormal regulation of the leptin gene in the pathogenesis of obesity.
Open accessAbstract
A subset of obese humans has relatively low plasma levels of leptin. This finding has suggested that in some cases abnormal regulation of the leptin gene in adipose tissue is etiologic in the pathogenesis of the obese state. The possibility that a relative decrease in leptin production can lead to obesity was tested by mating animals carrying a weakly expressed adipocyte specific aP2-human leptin transgene to C57BL/6J ob/ob mice (which do not express leptin). The transgene does not contain the regulatory elements of the leptin gene and is analogous to a circumstance in which the cis elements and/or trans factors regulating leptin RNA production are abnormal. The ob/ob mice carrying the transgene had a plasma leptin level of 1. 78 ng/ml, which is approximately one-half that found in normal, nontransgenic mice (3.72 ng/ml, P < 0.01). The ob/ob animals expressing the leptin transgene were markedly obese though not as obese as ob/ob mice without the transgene. The infertility as well as several of the endocrine abnormalities generally evident in ob/ob mice were normalized in the ob/ob transgenic mice. However, the ob/ob transgenic mice had an abnormal response when placed at an ambient temperature of 4 degreesC, suggesting that different thresholds exist for the different biologic effects of leptin. Leptin treatment of the ob/ob transgenic mice resulted in marked weight loss with efficacy similar to that seen after treatment of wild-type mice. In aggregate these data suggest that dysregulation of leptin gene can result in obesity with relatively normal levels of leptin and that this form of obesity is responsive to leptin treatment.
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The possibility that leptin is efficacious in obese humans with low leptin concentrations has not been directly tested in humans.
“Although leptin has been shown to have potent weight-reducing effects in obese animals with low leptin concentrations, this possibility has not been directly tested in humans (43).”
From Leptin at 14 y of age: an ongoing story (2009) · cites this paper as [43]
Leptin has potent weight-reducing effects in obese animals with low leptin concentrations.
“Although leptin has been shown to have potent weight-reducing effects in obese animals with low leptin concentrations, this possibility has not been directly tested in humans (43).”
From Leptin at 14 y of age: an ongoing story (2009) · cites this paper as [43]
Leptin could potentially be efficacious in obese patients with low plasma leptin concentrations.
“The demonstration that leptin can have therapeutic effects in some patients with low leptin concentrations in other settings (see above) suggests that leptin could potentially be efficacious in those obese patients with low plasma leptin concentrations (43).”
From Leptin at 14 y of age: an ongoing story (2009) · cites this paper as [43]
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- Authors
- Ioffe, E., Moon, B., Connolly, E., & Friedman, J. M.
- Affiliations
- Howard Hughes Medical Institute (US)
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 1998-09-29
- Volume
- 95
- Issue
- 20
- Pages
- 11852-11857
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC21729
- OpenAlex
- W2078769875
- Cited by
- 117
- References
- 33
- Citations by year
- 2025: 3 · 2024: 2 · 2023: 1 · 2020: 1 · 2019: 6 · 2018: 3 · 2017: 3 · 2016: 1 · 2015: 6 · 2014: 6 · 2013: 4 · 2012: 2
- FWCI
- 3.38
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (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 › Reproductive Medicine › Hypothalamic control of reproductive hormones
- Keywords
- leptin, obesity, ob/ob mice, adipose tissue, leptin deficiency, weight loss, infertility, endocrine disorders, leptin resistance
- MeSH terms
- Animals, Base Sequence, Cell Count, Eating, Female, Gene Expression Regulation, Humans, Male, Mice, Inbred C57BL, Mice, Obese, Mice, Transgenic, Obesity, Phenotype, Proteins, Weight Loss, Polymerase Chain Reaction, Adipocytes, DNA Primers, Leptin, Mice
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