Leptin in Human Physiology and Pathophysiology
Open accessAbstract
Leptin, discovered through positional cloning 15 years ago, is an adipocyte-secreted hormone with pleiotropic effects in the physiology and pathophysiology of energy homeostasis, endocrinology, and metabolism. Studies in vitro and in animal models highlight the potential for leptin to regulate a number of physiological functions. Available evidence from human studies indicates that leptin has a mainly permissive role, with leptin administration being effective in states of leptin deficiency, less effective in states of leptin adequacy, and largely ineffective in states of leptin excess. Results from interventional studies in humans demonstrate that leptin administration in subjects with congenital complete leptin deficiency or subjects with partial leptin deficiency (subjects with lipoatrophy, congenital or related to HIV infection, and women with hypothalamic amenorrhea) reverses the energy homeostasis and neuroendocrine and metabolic abnormalities associated with these conditions. More specifically, in women with hypothalamic amenorrhea, leptin helps restore abnormalities in hypothalamic-pituitary-peripheral axes including the gonadal, thyroid, growth hormone, and to a lesser extent adrenal axes. Furthermore, leptin results in resumption of menses in the majority of these subjects and, in the long term, may increase bone mineral content and density, especially at the lumbar spine. In patients with congenital or HIV-related lipoatrophy, leptin treatment is also associated with improvements in insulin sensitivity and lipid profile, concomitant with reduced visceral and ectopic fat deposition. In contrast, leptin's effects are largely absent in the obese hyperleptinemic state, probably due to leptin resistance or tolerance. Hence, another emerging area of research pertains to the discovery and/or usefulness of leptin sensitizers. Results from ongoing studies are expected to further increase our understanding of the role of leptin and the potential clinical applications of leptin or its analogs in human therapeutics.
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Leptin is an adipokine that acts as a satiety signal and can directly or indirectly improve insulin sensitivity and reduce lipids and visceral adiposity.
“Leptin is an adipokine that acts as a satiety signal, and can directly or indirectly improve insulin sensitivity and reduce lipids and visceral adiposity [28].”
From Impact of Five Nights of Sleep Restriction on Glucose Metabolism, Leptin and Testosterone in Young Adult Men (2012) · cites this paper as [28]
Leptin regulates food intake, metabolism, energy expenditure, and body weight.
“It regulates food intake, metabolism, energy expenditure, and body weight (11).”
From Sparse System Identification of Leptin Dynamics in Women With Obesity (2022) · cites this paper as [11]
Excessive adipose tissue corresponds to an increase in leptin production rate and higher serum leptin levels.
“Hence, excessive amounts of adipose tissue in the body correspond to an increase in leptin production rate, and thus, higher serum leptin levels (11).”
From Sparse System Identification of Leptin Dynamics in Women With Obesity (2022) · cites this paper as [11]
Leptin is produced and secreted primarily by adipocytes.
“Leptin is a hormone produced and secreted primarily by adipocytes.”
From Sparse System Identification of Leptin Dynamics in Women With Obesity (2022) · cites this paper as [11]
Leptin is a signaling hormone and adipokine essential to activating central nervous system networks involved in the suppression of appetite.
“Leptin is a signaling hormone and adipokine that is essential to activating central nervous system (CNS) networks involved in the suppression of appetite.”
From Sparse System Identification of Leptin Dynamics in Women With Obesity (2022) · cites this paper as [11]
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Leptin Inhibits Osteoclast Generation
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Self-citationThe endoplasmic reticulum in pancreatic beta cells of type 2 diabetes patients
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Effect of Lifestyle Modification on Adipokine Levels in Obese Subjects with Insulin Resistance
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Self-citationLeptin Indirectly Regulates Gonadotropin-Releasing Hormone Neuronal Function
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Self-citationHypothalamic pathways linking energy balance and reproduction
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Self-citationLeptin-Deficient Mice Exhibit Impaired Host Defense in Gram-Negative Pneumonia
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Expression of Leptin Receptor Isoforms in Rat Brain Microvessels
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Leptin therapy in insulin-deficient type I diabetes
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Self-citationA Leptin Dose-Response Study in Obese (ob/ob) and Lean (+/?) Mice
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Short Term Effects of Leptin on Hepatic Gluconeogenesis and in Vivo Insulin Action
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Self-citationAMPK as a mediator of hormonal signalling
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The Stimulatory Effect of Leptin on the Neuroendocrine Reproductive Axis of the Monkey 1
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Leptin in human physiology and therapeutics
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Self-citationLeptin is an effective treatment for hypothalamic amenorrhea
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Self-citationEndoplasmic Reticulum Stress Markers Are Associated with Obesity in Nondiabetic Subjects
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Energy Homeostasis, Obesity and Eating Disorders: Recent Advances in Endocrinology
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Self-citationSleep Loss Reduces Diurnal Rhythm Amplitude of Leptin in Healthy Men
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Effects of experimental weight perturbation on skeletal muscle work efficiency in human subjects
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Lipodystrophy: pathophysiology and advances in treatment
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Self-citationCross-talk between estrogen and leptin signaling in the hypothalamus
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Evidence for Leptin Binding to Proteins in Serum of Rodents and Humans: Modulation With Obesity
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Self-citationIndependent circadian and sleep/wake regulation of adipokines and glucose in humans
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Self-citationLeptin Induces Insulin-like Signaling That Antagonizes cAMP Elevation by Glucagon in Hepatocytes
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Self-citationLeptin reverses nonalcoholic steatohepatitis in patients with severe lipodystrophy†
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Long-Term Efficacy of Leptin Replacement in Patients With Generalized Lipodystrophy
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Leptin therapy improves insulin-deficient type 1 diabetes by CNS-dependent mechanisms in mice
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Weekly Subcutaneous Pegylated Recombinant Native Human Leptin (PEG-OB) Administration in Obese Men
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Leptin Regulates Functional Capacities of Polymorphonuclear Neutrophils
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Obesity is associated with a decreased leptin transport across the blood-brain barrier in rats.
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Differential regulation of metabolic, neuroendocrine, and immune function by leptin in humans.
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Self-citationHereditary Diabetes in Genetically Obese Mice
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Central control of bone remodeling by neuromedin U
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Leptin in humans: lessons from translational research
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Self-citationLeptin restores euglycemia and normalizes glucose turnover in insulin-deficient diabetes in the rat.
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Leptin: in search of role(s) in human physiology and pathophysiology
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Self-citationLeptin Receptor Action in Hepatic Cells
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OBESE, A NEW MUTATION IN THE HOUSE MOUSE*
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Selective interaction between leptin and insulin signaling pathways in a hepatic cell line
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Molecular and neural mediators of leptin action
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Abnormal Germ Cell Development in Cryptorchidism
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Role of Leptin in Reproduction
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Self-citationEnhancing leptin response by preventing SH2-containing phosphatase 2 interaction with Ob receptor
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Hypothalamic Actions of Neuromedin U
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Leptin: its role in obesity and beyond
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Self-citationLeptin Transport Across the Blood-Brain Barrier: Implications for the Cause and Treatment of Obesity
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The Central Regulation of Bone Mass, The First Link between Bone Remodeling and Energy Metabolism
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Leptin and its actions on reproduction in males
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- Authors
- Mantzoros, C. S., Magkos, F., Brinkoetter, M., Sienkiewicz, E., Dardeno, T. A., Kim, S.-Y., Hamnvik, O.-P. R., & Koniaris, A.
- Affiliations
- Beth Israel Deaconess Medical Center (US)
- Brigham and Women's Hospital (US)
- Corresponding author
- Mantzoros, Christos S.
- Venue
- American Journal of Physiology-Endocrinology and Metabolism
- Publisher
- American Physiological Society
- Published
- 2011-10
- Volume
- 301
- Issue
- 4
- Pages
- E567-E584
- ISSN
- 0193-1849 (ISSN-L)
- 1522-1555
- PMC
- PMC3191548
- OpenAlex
- W2010072332
- Cited by
- 593
- References
- 294
- Citations by year
- 2026: 18 · 2025: 21 · 2024: 37 · 2023: 30 · 2022: 46 · 2021: 31 · 2020: 42 · 2019: 40 · 2018: 39 · 2017: 40 · 2016: 39 · 2015: 34 · 2014: 64 · 2013: 58 · 2012: 50
- FWCI
- 5.92
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Physiology-Endocrinology and Metabolism (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK079929, DK-081913, R01DK058785, R56DK058785, DK079929, DK 58785, K24DK081913)
- 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, leptin deficiency, leptin resistance, hypothalamic amenorrhea, lipoatrophy, HIV-associated lipoatrophy, energy homeostasis, hypothalamic-pituitary axis, bone mineral density, insulin sensitivity, obesity, leptin therapy
- MeSH terms
- Adipose Tissue, Amenorrhea, Energy Metabolism, Female, Homeostasis, Humans, Hypothalamic Diseases, Hypothalamus, Male, Neurosecretory Systems, Reproduction, Leptin
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