Leptin Activates a Novel CNS Mechanism for Insulin-Independent Normalization of Severe Diabetic Hyperglycemia
Open accessAbstract
The brain has emerged as a target for the insulin-sensitizing effects of several hormonal and nutrient-related signals. The current studies were undertaken to investigate mechanisms whereby leptin lowers circulating blood glucose levels independently of insulin. After extending previous evidence that leptin infusion directly into the lateral cerebral ventricle ameliorates hyperglycemia in rats with streptozotocin-induced uncontrolled diabetes mellitus, we showed that the underlying mechanism is independent of changes of food intake, urinary glucose excretion, or recovery of pancreatic β-cells. Instead, leptin action in the brain potently suppresses hepatic glucose production while increasing tissue glucose uptake despite persistent, severe insulin deficiency. This leptin action is distinct from its previously reported effect to increase insulin sensitivity in the liver and offers compelling evidence that the brain has the capacity to normalize diabetic hyperglycemia in the presence of sufficient amounts of central nervous system leptin.
AI snapshot
Written from the paper’s full text.
TL;DR
In streptozotocin-induced uncontrolled diabetic rats, intracerebroventricular leptin normalized blood glucose by day 7 independently of food intake, urinary glucose loss, or pancreatic β-cell recovery. The effect involved insulin-independent suppression of hepatic glucose production and increased tissue glucose uptake, with normalization of plasma glucagon and corticosterone.
Key findings
- Intracerebroventricular leptin (1 g/d) normalized blood glucose by day 7 in STZ-diabetic rats, whereas subcutaneous leptin at the same dose did not; pair feeding to leptin-treated intake also did not attenuate hyperglycemia.
- Urinary glucose was undetectable in icv leptin-treated diabetic rats versus marked glycosuria in STZ-veh rats; plasma insulin remained very low, pancreatic preproinsulin mRNA was reduced by >95%, and glucose tolerance was near normal despite no increase in circulating insulin.
- Tracer studies showed icv leptin reduced glucose appearance/HGP to nondiabetic values and increased glucose uptake in red gastrocnemius muscle, brain, BAT, and heart; during a hyperglycemic clamp at approximately 210 mg/dl, HGP was suppressed and glucose utilization increased despite severe insulin deficiency.
- Hepatic G6Pase and Pepck expression was reduced by icv leptin; plasma glucagon and corticosterone elevations in STZ diabetes were prevented by icv leptin; hepatic Igfbp2 mRNA was increased >25-fold in diabetic rats and further increased by leptin, which the authors argue is unlikely to explain the HGP effect.
Methods
- Adult male Wistar rats received two daily sc injections of STZ (40 mg/kg body weight) to induce uncontrolled diabetes, plus lateral ventricle cannula and sc osmotic minipump for icv vehicle or leptin (1 g/d) for up to 11 days; five groups (n = 7–9 per group): veh-veh, STZ-veh, STZ-leptin, STZ-veh-pair-fed, and STZ-leptin-sc.
- Daily food intake, body weight, water intake, and blood glucose were measured; ip glucose tolerance tests (2 g/kg) were performed on day 9; arterial catheters were used for plasma glucagon, corticosterone, and catecholamine measurements.
- Glucose turnover was assessed with [3-3H]glucose and 2[14C]deoxyglucose tracer dilution, including a hyperglycemic clamp at approximately 210 mg/dl; hepatic gene expression was measured by real-time PCR, and liver triglyceride/glycogen and body composition were also analyzed.
Limitations
- The paper states that Rd could not be compared between icv leptin-treated and veh-treated STZ-diabetic rats because glycosuria confounds Rd; it also states that whether reduced glucagon contributes to, or results from, leptin-mediated resolution of hyperglycemia is unknown, and that mechanisms of leptin regulation of the hypothalamic-pituitary-adrenal axis remain incompletely understood.
- The paper states that autonomic/SNS involvement is suspected but not directly tested here; it notes that prior denervation or adrenergic blockade studies did not measure Rg.
- Evident from the text: findings are limited to male Wistar rats with STZ-induced diabetes and short-term central leptin infusion, so human type 1 diabetes and long-term outcomes are not established; causal roles of glucagon and corticosterone normalization are not definitively separated from other mechanisms.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
0 of 60 cited sources checked · 0 supported · 0 flagged
- Findingown data
CNS leptin normalizes elevated plasma corticosterone levels in STZ-diabetic rats.
“Plasma corticosterone levels were similarly elevated in animals with STZ diabetes, a response also prevented by icv leptin but not PF (Fig. 6B).”
Quote in the paperSubstantial claim - Findingown data§ Leptin Activates a Novel CNS Mechanism for Insulin-Independent Normalization of Severe Diabetic Hyperglycemia
CNS leptin normalizes elevated plasma glucagon levels in STZ-diabetic rats.
“Although the action of leptin in the CNS was also associated with normalization of elevated plasma glucagon levels, consistent with an earlier report (4), our data suggest that factors, in addition to glucagon, contribute to the glucoselowering effect of CNS leptin action.”
- Also stated in: § CNS leptin infusion normalizes plasma glucagon and corticosterone levels in STZ-induced diabetes · plain
“the elevation in plasma glucagon levels observed in STZ-treated animals was prevented by central leptin administration (Fig. 6A).”
Quote in the paperNot a substantial claim - Also stated in: § CNS leptin infusion normalizes plasma glucagon and corticosterone levels in STZ-induced diabetes · plain
- Findingown data§ Leptin Activates a Novel CNS Mechanism for Insulin-Independent Normalization of Severe Diabetic Hyperglycemia
CNS leptin administration increases tissue glucose uptake (Rg) in STZ-diabetic rats.
“leptin action in the brain potently suppresses hepatic glucose production while increasing tissue glucose uptake despite persistent, severe insulin deficiency.”
- Also stated in: § Effect of icv leptin infusion on HGP and glucose uptake in STZ-induced diabetes · plain
“glucose uptake was significantly increased in red gastrocnemius muscle and brain in STZdiabetic animals that received icv leptin relative to veh (Fig. 3C).”
- Also stated in: § Discussion · boosted
“we demonstrate that leptin acts in the CNS to potently inhibit glucose production and simultaneously increase tissue glucose utilization in diabetic animals.”
Quote in the paperSubstantial claim - Also stated in: § Effect of icv leptin infusion on HGP and glucose uptake in STZ-induced diabetes · plain
- Findingown data§ Leptin Activates a Novel CNS Mechanism for Insulin-Independent Normalization of Severe Diabetic Hyperglycemia
The glucose-lowering effect of CNS leptin in STZ-diabetic rats is not due to reduced food intake.
“we showed that the underlying mechanism is independent of changes of food intake, urinary glucose excretion, or recovery of pancreatic -cells.”
- Also stated in: § CNS leptin infusion normalizes blood glucose levels in STZ-induced diabetes · plain
“This effect was due neither to a leptin-mediated reversal of diabetic hyperphagia, because hyperglycemia was not attenuated in STZ-veh-PF animals”
- Also stated in: § Discussion · plain
“via a mechanism that cannot be explained by reduced food intake, increased urinary glucose losses, or recovery of pancreatic -cells”
Quote in the paperSubstantial claim - Also stated in: § CNS leptin infusion normalizes blood glucose levels in STZ-induced diabetes · plain
- Findingown data§ Leptin Activates a Novel CNS Mechanism for Insulin-Independent Normalization of Severe Diabetic Hyperglycemia
CNS leptin administration suppresses hepatic glucose production (HGP) in STZ-diabetic rats.
“leptin action in the brain potently suppresses hepatic glucose production while increasing tissue glucose uptake despite persistent, severe insulin deficiency.”
- Also stated in: § Effect of icv leptin infusion on HGP and glucose uptake in STZ-induced diabetes · hedged
“Central leptin administration dramatically reduced Ra to nondiabetic control values (Fig. 3A), strongly suggesting that normalization of diabetic hyperglycemia resulted, at least in part, from reduced HGP.”
- Also stated in: § Discussion · boosted
“we demonstrate that leptin acts in the CNS to potently inhibit glucose production and simultaneously increase tissue glucose utilization in diabetic animals.”
Quote in the paperSubstantial claim - Also stated in: § Effect of icv leptin infusion on HGP and glucose uptake in STZ-induced diabetes · hedged
- Findingown data
Hepatic expression of G6Pase and Pepck is significantly reduced in STZ-diabetic rats receiving icv leptin.
“By comparison, hepatic expression of these genes was significantly reduced in STZ-diabetic rats receiving icv leptin”
Quote in the paperSubstantial claim - Findingown data§ Leptin Activates a Novel CNS Mechanism for Insulin-Independent Normalization of Severe Diabetic Hyperglycemia
The glucose-lowering effect of CNS leptin in STZ-diabetic rats is not due to recovery of pancreatic beta-cells.
“we showed that the underlying mechanism is independent of changes of food intake, urinary glucose excretion, or recovery of pancreatic -cells.”
- Also stated in: § Potential mechanism(s) mediating the glucose-lowering action of CNS leptin · plain
“the severe insulin deficiency (under both basal and glucose-stimulated conditions) caused by STZ-induced -cell destruction was not ameliorated by icv leptin.”
- Also stated in: § Discussion · plain
“via a mechanism that cannot be explained by reduced food intake, increased urinary glucose losses, or recovery of pancreatic -cells”
Quote in the paperSubstantial claim - Also stated in: § Potential mechanism(s) mediating the glucose-lowering action of CNS leptin · plain
- Findingown data
The glucose-lowering effect of CNS leptin in STZ-diabetic rats is not due to a peripheral action of leptin.
“nor to a peripheral effect of leptin, because sc infusion of leptin at the same dose did not affect blood glucose in STZ-diabetic rats (Fig. 1D).”
- Also stated in: § Discussion · plain
“does not involve a peripheral action of leptin.”
Quote in the paperSubstantial claim - Also stated in: § Discussion · plain
- Findingown data§ Leptin Activates a Novel CNS Mechanism for Insulin-Independent Normalization of Severe Diabetic Hyperglycemia
The glucose-lowering effect of CNS leptin in STZ-diabetic rats is not due to increased urinary glucose loss.
“we showed that the underlying mechanism is independent of changes of food intake, urinary glucose excretion, or recovery of pancreatic -cells.”
- Also stated in: § Potential mechanism(s) mediating the glucose-lowering action of CNS leptin · plain
“urinary glucose was undetectable in diabetic animals that received icv leptin similar to nondiabetic controls, whereas STZ-veh-treated animals displayed the expected, marked glycosuria (Fig. 2A).”
- Also stated in: § Discussion · plain
“via a mechanism that cannot be explained by reduced food intake, increased urinary glucose losses, or recovery of pancreatic -cells”
Quote in the paperSubstantial claim - Also stated in: § Potential mechanism(s) mediating the glucose-lowering action of CNS leptin · plain
- Findingown data
Hepatic expression of G6Pase and Pepck is markedly increased in STZ-veh-treated animals relative to nondiabetic controls.
“hepatic expression of the key gluconeogenic genes G6Pase and Pepck were markedly increased in the liver of STZ-veh-treated animals relative to nondiabetic controls (Fig. 4, A and B).”
Quote in the paperSubstantial claim - Findingown data§ Leptin Activates a Novel CNS Mechanism for Insulin-Independent Normalization of Severe Diabetic Hyperglycemia
Continuous infusion of leptin directly into the lateral cerebral ventricle normalizes blood glucose levels in rats with streptozotocin-induced uncontrolled diabetes mellitus.
“After extending previous evidence that leptin infusion directly into the lateral cerebral ventricle ameliorates hyperglycemia in rats with streptozotocin-induced uncontrolled diabetes mellitus, we showed that the underlying mechanism is independent of changes of food intake, urinary glucose excretion, or recovery of pancreatic -cells.”
- Also stated in: § CNS leptin infusion normalizes blood glucose levels in STZ-induced diabetes · plain
“blood glucose levels normalized to nondiabetic levels by d 7 in STZ-diabetic rats receiving icv leptin (Fig. 1D).”
- Also stated in: § Discussion · boosted
“We found that continuous infusion of leptin directly into the brain normalizes blood glucose levels in STZ-induced diabetic rats via a mechanism that cannot be explained by reduced food intake, increased urinary glucose losses, or recovery of pancreatic -cells and does not involve a peripheral action of leptin.”
Quote in the paperSubstantial claim - Also stated in: § CNS leptin infusion normalizes blood glucose levels in STZ-induced diabetes · plain
- Findingown data
CNS leptin can increase insulin-induced suppression of HGP in insulin-deficient rats.
“our findings demonstrate that this can occur in insulin-deficient rats”
Quote in the paperSubstantial claim - Findingown data
Plasma insulin and leptin levels are significantly reduced within 48 h in all animals that received STZ and remain very low relative to nondiabetic controls.
“plasma levels of both insulin and leptin (Fig. 1, A and B) were significantly reduced within 48 h in all animals that received STZ and remained very low relative to nondiabetic controls”
Quote in the paperSubstantial claim - Findingown data
Basal Rd values are similar between STZ-diabetic animals receiving leptin and nondiabetic controls.
“basal Rd values were similar between STZdiabetic animals receiving leptin and nondiabetic controls”
Quote in the paperSubstantial claim - Findingown data
The effect of leptin to ameliorate diabetic hyperglycemia cannot be explained by reduced food intake, increased urinary glucose excretion, or recovery of pancreatic β-cells.
“Because the effect of leptin to ameliorate diabetic hyperglycemia could not be explained by reduced food intake, increased urinary glucose excretion, or a recovery of pancreatic -cells”
Quote in the paperSubstantial claim - Findingown data
Basal Ra measured by tracer dilution is markedly elevated in STZ-veh-PF animals compared with nondiabetic controls.
“basal Ra measured by tracer dilution were markedly elevated in STZ-veh-PF animals compared with nondiabetic controls (Fig. 3A).”
Quote in the paperSubstantial claim - Findingown data
Icv leptin treatment further increases glucose uptake into BAT.
“icv leptin treatment further increased glucose uptake into BAT (Fig. 5, I and J).”
Quote in the paperNot a substantial claim - Findingown data
The effect of hyperglycemia to increase Rg in skeletal muscle and heart is similar between STZ-leptin and nondiabetic controls.
“the effect of hyperglycemia to increase Rg in skeletal muscle and heart was similar between STZ-leptin and nondiabetic controls”
Quote in the paperNot a substantial claim - Findingreasoning
Body weight continuously decreases in STZ-treated rats receiving icv veh despite pronounced hyperphagia.
“After the induction of diabetes in STZ-treated rats receiving icv veh, body weight continuously decreased despite pronounced hyperphagia”
Quote in the paperNot a substantial claim - Findingown data
Hepatic Igfbp2 mRNA is increased more than 25-fold in leptin-deficient STZ-diabetic rats compared with nondiabetic controls.
“hepatic expression of Igfbp2 mRNA was increased by mote than 25-fold in leptin-deficient STZ-diabetic rats compared with nondiabetic controls.”
Quote in the paperNot a substantial claim - Findingown data
The severe insulin deficiency caused by STZ-induced beta-cell destruction is not ameliorated by icv leptin.
“the severe insulin deficiency (under both basal and glucose-stimulated conditions) caused by STZ-induced -cell destruction was not ameliorated by icv leptin.”
Quote in the paperSubstantial claim - Findingown data
Hepatic Igfbp2 mRNA levels are further increased by leptin.
“Even though hepatic Igfbp2 mRNA levels were further increased by leptin”
Quote in the paperNot a substantial claim - Findingown data
Liver glycogen levels are dramatically reduced in STZ-treated animals receiving icv leptin compared with other groups.
“liver glycogen levels were dramatically reduced in STZ-treated animals receiving icv leptin compared with the other groups (Fig. 4E)”
Quote in the paperSubstantial claim - Findingown data
STZ-leptin-treated animals exhibit near normal glucose tolerance compared with nondiabetic controls.
“STZ-leptin-treated animals exhibited near normal glucose tolerance compared with nondiabetic controls”
Quote in the paperSubstantial claim - Findingcitation
icv leptin reverses the STZ diabetes-induced increase in expression of gluconeogenic genes Pepck and G6Pase.
“Our finding that icv leptin reversed the effect of STZ diabetes to increase both glucagon secretion and the expression of these gluconeogenic genes (6)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [6] Hidaka, 2002, Chronic central leptin infusion restores hyperglycemia independent of food intake and insulin level in streptozotocin-induced diabetic rats., FASEB J source
Not checked in the free run.
- Findingown data
icv leptin increases glucose uptake in rats with uDM.
“our finding that icv leptin also increases glucose uptake in rats with uDM”
Quote in the paperSubstantial claim - Findingnone given
In diabetic animals, HGP is markedly increased.
“despite markedly increased HGP and reduced plasma leptin levels.”
Quote in the paperSubstantial claim - Findingown data
During a hyperglycemic clamp, whole-body Rd is substantially increased in STZ-diabetic animals receiving icv leptin.
“during the hyperglycemic clamp, whole-body Rd were substantially increased in STZ-diabetic animals receiving icv leptin”
Quote in the paperSubstantial claim - Findingnone given
Circulating leptin levels are markedly reduced in STZ diabetes.
“combined with the marked reduction of circulating leptin levels in this setting”
Quote in the paperSubstantial claim - Findingown data
In diabetic animals, plasma leptin levels are reduced.
“despite markedly increased HGP and reduced plasma leptin levels.”
Quote in the paperNot a substantial claim - Findingown data
icv leptin reverses the STZ diabetes-induced increase in glucagon secretion.
“Our finding that icv leptin reversed the effect of STZ diabetes to increase both glucagon secretion and the expression of these gluconeogenic genes (6)”
- Also stated in: § Discussion · plain
“our finding that the effect of STZ diabetes to raise plasma glucagon levels is prevented by icv leptin”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [6] Hidaka, 2002, Chronic central leptin infusion restores hyperglycemia independent of food intake and insulin level in streptozotocin-induced diabetic rats., FASEB J source
Not checked in the free run.
- Also stated in: § Discussion · plain
- Findingown data
Rd is similar between STZ-diabetic rats receiving icv leptin and nondiabetic controls.
“Using tracer dilution techniques, we found that Rd was similar between STZ-diabetic rats receiving icv leptin and nondiabetic controls.”
Quote in the paperSubstantial claim - Findingown data
CNS leptin increases glucose uptake in muscle, brain, BAT, and heart in STZ-diabetic animals compared with icv veh.
“our finding of increased glucose uptake in muscle, brain, BAT, and heart in STZ-diabetic animals receiving icv leptin compared with icv veh.”
- Also stated in: § Discussion · plain
“CNS leptin suppresses HGP and increases Rg in uDM.”
Quote in the paperSubstantial claim - Also stated in: § Discussion · plain
- Findingcitation
icv leptin treatment prevents the STZ diabetes-induced elevation in circulating corticosterone levels.
“this effect was prevented by icv leptin treatment.”
Quote in the paperSubstantial claim - Findingown data
In diabetic animals, hepatic expression of Igfbp2 is elevated more than 25-fold over nondiabetic controls.
“we observed that in diabetic animals, hepatic expression of Igfbp2 was elevated more than 25-fold over nondiabetic controls”
Quote in the paperSubstantial claim - Findingown data
During the hyperglycemic clamp, there is no glucose-stimulated increase in circulating insulin in STZ-diabetic animals receiving icv leptin.
“despite the absence of any glucose-stimulated increase of circulating insulin”
Quote in the paperSubstantial claim - Findingown data
CNS leptin infusion normalizes hepatic gluconeogenic gene expression in uDM.
“CNS leptin infusion normalizes hepatic gluconeogenic gene expression in uDM.”
Quote in the paperSubstantial claim - Findingown data
CNS leptin normalizes blood glucose levels in uDM.
“CNS leptin normalizes blood glucose levels in uDM.”
Quote in the paperSubstantial claim - Findingown data
During the hyperglycemic clamp, glucose uptake in BAT is further increased in STZ-diabetic animals receiving icv leptin.
“this effect was accompanied by a further increase in glucose uptake in BAT.”
Quote in the paperSubstantial claim - Interpretationreasoning
CNS leptin suppresses HGP via an insulin-independent mechanism.
“Because this suppression of HGP occurs despite near undetectable plasma insulin levels, it differs from the previously documented effect of CNS leptin to increase hepatic insulin sensitivity (10 -13) and implies the existence of an insulinindependent mechanism.”
- Also stated in: § Discussion · boosted
“Because each of these effects occurs despite persistent, severe insulin deficiency, even during a hyper-glycemic clamp, our findings constitute direct support for the existence of a novel brain mechanism for insulin-independent normalization of blood glucose in animals with uDM.”
Quote in the paperSubstantial claim - Also stated in: § Discussion · boosted
- Interpretationcitation§ Leptin Activates a Novel CNS Mechanism for Insulin-Independent Normalization of Severe Diabetic Hyperglycemia
Factors in addition to glucagon contribute to the glucose-lowering effect of CNS leptin action.
“our data suggest that factors, in addition to glucagon, contribute to the glucoselowering effect of CNS leptin action.”
- Also stated in: § CNS leptin infusion normalizes plasma glucagon and corticosterone levels in STZ-induced diabetes · plain
“However, we recently reported that in rats with STZ diabetes, physiological leptin replacement is sufficient to normalize cir-culating glucagon and corticosterone levels, yet does not reverse hyperglycemia (20).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [20] German, 2010, Leptin deficiency causes insulin resistance induced by uncontrolled diabetes., Diabetes source
Not checked in the free run.
- Also stated in: § CNS leptin infusion normalizes plasma glucagon and corticosterone levels in STZ-induced diabetes · plain
- Interpretationown data
CNS leptin increases tissue glucose uptake via an insulin-independent mechanism.
“To directly test the hypothesis that icv leptin suppresses HGP and stimulates glucose utilization in animals with uDM through an insulin-independent mechanism, we subjected both leptin-treated STZ-diabetic animals and veh-treated nondiabetic controls to a hyperglycemic clamp (Fig. 5).”
- Also stated in: § Effect of icv leptin infusion on HGP and glucose uptake in STZ-induced diabetes · plain
“Similarly, despite persistent, severe insulin deficiency, HGP was suppressed and glucose utilization was increased in STZ-diabetic rats receiving icv leptin, although less than that observed in nondiabetic animals (Fig. 5, E-H).”
Quote in the paperSubstantial claim - Also stated in: § Effect of icv leptin infusion on HGP and glucose uptake in STZ-induced diabetes · plain
- Interpretationown data
CNS leptin reduces HGP in rats with uDM by inhibiting gluconeogenic gene expression, independent of insulin signaling.
“suggesting that leptin action in the brain reduces HGP in rats with uDM by inhibiting gluconeogenic gene expression, independent of insulin signaling (Fig. 4, A and B).”
Quote in the paperSubstantial claim - Interpretationcitation§ Leptin Activates a Novel CNS Mechanism for Insulin-Independent Normalization of Severe Diabetic Hyperglycemia
The antidiabetic effect of CNS leptin is distinct from leptin's previously reported effect to increase hepatic insulin sensitivity.
“This leptin action is distinct from its previously reported effect to increase insulin sensitivity in the liver and offers compelling evidence that the brain has the capacity to normalize diabetic hyperglycemia in the presence of sufficient amounts of central nervous system leptin.”
- Also stated in: § Discussion · plain
“This leptin effect is distinct from its previously reported action to increase hepatic insulin sensitivity (10 -13) and suggests that through its central action, leptin has important potential as an effective, insulin-independent adjunct to the treatment of type 1 diabetes in humans.”
Quote in the paperSubstantial claim0 of 4 sources checked- cites [10] Liu, 1998, Intracerebroventricular leptin regulates hepatic but not peripheral glucose fluxes., J Biol Chem source
Not checked in the free run.
- cites [11] Pocai, 2005, Central leptin acutely reverses diet-induced hepatic insulin resistance., Diabetes source
Not checked in the free run.
- cites [12] Park, 2008, Long-term effects of central leptin and resistin on body weight, insulin resistance, and β-cell function and mass by the modulation of hypothalamic leptin and insulin signaling., Endocrinology source
Not checked in the free run.
- cites [13] German, 2009, Hypothalamic leptin signaling regulates hepatic insulin sensitivity via a neurocircuit involving the vagus nerve., Endocrinology source
Not checked in the free run.
- Also stated in: § Discussion · plain
- Interpretationown data§ Leptin Activates a Novel CNS Mechanism for Insulin-Independent Normalization of Severe Diabetic Hyperglycemia
The brain has the capacity to normalize diabetic hyperglycemia in the presence of sufficient amounts of CNS leptin.
“offers compelling evidence that the brain has the capacity to normalize diabetic hyperglycemia in the presence of sufficient amounts of central nervous system leptin.”
- Also stated in: § Leptin Activates a Novel CNS Mechanism for Insulin-Independent Normalization of Severe Diabetic Hyperglycemia · boosted
“These data establish that the brain has an ability to normalize diabetic hyperglycemia”
Quote in the paperSubstantial claim - Also stated in: § Leptin Activates a Novel CNS Mechanism for Insulin-Independent Normalization of Severe Diabetic Hyperglycemia · boosted
- Interpretationown data
The reduction in liver glycogen may underlie the effect of icv leptin to reduce HGP.
“a finding that may underlie the effect of icv leptin to reduce HGP.”
Quote in the paperSubstantial claim - Interpretationown data
The effect of leptin to normalize HGP is unlikely to be explained by changes in hepatic Igfbp2 mRNA.
“this effect seems unlikely to explain the effect of leptin to normalize HGP (P Ͻ 0.05) (Fig. 4C).”
Quote in the paperSubstantial claim - Interpretationreasoning
Leptin has important potential as an effective, insulin-independent adjunct to the treatment of type 1 diabetes in humans.
“suggests that through its central action, leptin has important potential as an effective, insulin-independent adjunct to the treatment of type 1 diabetes in humans.”
Quote in the paperNot a substantial claim - Interpretationown data
Changes in plasma norepinephrine and epinephrine levels are unlikely to explain leptin's effects.
“Although changes in plasma norepinephrine and epinephrine levels are unlikely to explain leptin's effects (Fig. 6, A and D)”
Quote in the paperNot a substantial claim - Premisecitation
Unrestrained HGP through increases in both glycogenolysis and gluconeogenesis contributes to severe hyperglycemia in uDM.
“unrestrained HGP (through increases of both glycogenolysis and gluconeogenesis) to severe hyperglycemia in uDM”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [32] Wahren, 2007, Splanchnic regulation of glucose production., Annu Rev Nutr source
Not checked in the free run.
- Premisecitation
Insulin-mediated inhibition of HGP is essential for normal glucose homeostasis.
“Insulin-mediated inhibition of HGP is essential for normal glucose homeostasis”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [32] Wahren, 2007, Splanchnic regulation of glucose production., Annu Rev Nutr source
Not checked in the free run.
- Study design and conductreasoning
Tracer-based estimates of Rd are confounded by glycosuria in STZ-diabetic animals receiving veh.
“tracer-based estimates of the Rd are artificially increased in STZ-diabetic animals receiving veh, because Rd values encompass both whole-body glucose utilization and urinary glucose loss (Fig. 3B).”
Quote in the paperSubstantial claim - Premisecitation
Elevated plasma glucagon and corticosterone levels are implicated in the pathogenesis of hyperglycemia in uDM.
“Elevated plasma glucagon and corticosterone levels are implicated in the pathogenesis of hyperglycemia in uDM (29 -31).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [29] Müller, 1971, The effect of experimental insulin deficiency on glucagon secretion., J Clin Invest source
Not checked in the free run.
- cites [30] Dobbs, 1975, Glucagon: role in the hyperglycemia of diabetes mellitus., Science source
Not checked in the free run.
- cites [31] Scribner, 1991, Chronic streptozotocin diabetes in rats facilitates the acute stress response without altering pituitary or adrenal responsiveness to secretagogues., Endocrinology source
Not checked in the free run.
- Premisecitation§ Leptin Activates a Novel CNS Mechanism for Insulin-Independent Normalization of Severe Diabetic Hyperglycemia
Pharmacological administration of leptin systemically can normalize blood glucose levels in rodent models of uncontrolled diabetes mellitus.
“recent evidence suggests that pharmacological administration of leptin systemically (3,4) can also normalize blood glucose levels in rodent models of uncontrolled diabetes mellitus (uDM).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [3] Chinookoswong, 1999, Leptin restores euglycemia and normalizes glucose turnover in insulin-deficient diabetes in the rat., Diabetes source
Not checked in the free run.
- cites [4] Yu, 2008, Making insulin-deficient type 1 diabetic rodents thrive without insulin., Proc Natl Acad Sci USA source
Not checked in the free run.
- Premisecitation
STZ-induced uncontrolled diabetes mellitus is a model of leptin and insulin deficiency.
“confirming previous reports that uDM is a model of leptin and insulin deficiency (24).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [24] Havel, 1998, Marked and rapid decreases of circulating leptin in streptozotocin diabetic rats: reversal by insulin., Am J Physiol
Not checked in the free run.
- Interpretationcitation
CNS leptin reduces HGP independent of insulin.
“constituting direct evidence of a brain mechanism for reducing HGP independent of insulin (33).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [33] Chari, 2008, Activation of central lactate metabolism lowers glucose production in uncontrolled diabetes and diet-induced insulin resistance., Diabetes source
Not checked in the free run.
- Interpretationown data
A further increase in hepatic Igfbp2 by leptin is unlikely to inhibit HGP.
“Given the already elevated levels of Igfbp2 in uDM, a further increase in hepatic Igfbp2 by leptin seems unlikely to inhibit HPG.”
Quote in the paperNot a substantial claim - Interpretationreasoning
Leptin-mediated normalization of glucocorticoid levels may have contributed to reversal of diabetic hyperglycemia.
“Leptinmediated normalization of glucocorticoid levels may therefore have contributed to reversal of diabetic hyperglycemia.”
Quote in the paperSubstantial claim - Premisecitation
Glucocorticoids can exacerbate hyperglycemia by increasing hepatic gluconeogenesis via inducing G6Pase and Pepck expression.
“Glucocorticoids can exacerbate hyperglycemia by increasing hepatic gluconeogenesis (by inducing expression of G6Pase and Pepck) (46)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [46] Exton, 1979, Regulation of gluconeogenesis by glucocorticoids., Monogr Endocrinol source
Not checked in the free run.
- Interpretationown data
Mechanisms in addition to normalization of glucagon levels likely contribute to leptin's antidiabetic effects.
“we conclude that mechanisms in addition to normalization of glucagon levels likely contribute to leptin's antidiabetic effects.”
Quote in the paperSubstantial claim - Premisecitation
Corticosteroid replacement partially reverses the effect of adrenalectomy on blood glucose in STZ-diabetic rats.
“this is partially reversed with corticosteroid replacement (45).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [45] Strack, 1995, Glucocorticoids and insulin: reciprocal signals for energy balance., Am J Physiol
Not checked in the free run.
- Premisecitation
Increased glucocorticoid secretion contributes to hyperglycemia in uDM.
“Increased glucocorticoid secretion is thought to contribute to hyperglycemia in uDM”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [45] Strack, 1995, Glucocorticoids and insulin: reciprocal signals for energy balance., Am J Physiol
Not checked in the free run.
- Premisecitation
Adenovirally induced hyperleptinemia ameliorates hyperglycemia in STZ diabetes.
“A recent study demonstrated that adenovirally induced hyperleptinemia ameliorates hyperglycemia in STZ diabetes”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [4] Yu, 2008, Making insulin-deficient type 1 diabetic rodents thrive without insulin., Proc Natl Acad Sci USA source
Not checked in the free run.
- Premisecitation
Adrenalectomy attenuates the rise in blood glucose in STZ-diabetic rats.
“adrenalectomy attenuates the rise in blood glucose in STZ-diabetic rats”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [45] Strack, 1995, Glucocorticoids and insulin: reciprocal signals for energy balance., Am J Physiol
Not checked in the free run.
- Premisecitation
Glucocorticoids can exacerbate hyperglycemia by increasing glycogen synthesis.
“and glycogen synthesis (47)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [47] Stalmans, 1979, Glucocorticoids and hepatic glycogen metabolism., Monogr Endocrinol source
Not checked in the free run.
- Interpretationreasoning
In uDM, reduced leptin signaling in the brain may constitute a stimulus to the hypothalamic-pituitary-adrenal axis, raising plasma corticosterone levels.
“In uDM, therefore, reduced leptin signaling in the brain may constitute a stimulus to the hypothalamic-pituitary-adrenal axis, raising plasma corticosterone levels.”
Quote in the paperSubstantial claim - Premisecitation
The effects of insulin and leptin on hypothalamic POMC cells are mediated on distinct proopiomelanocortin neuronal subsets.
“these effects are in fact mediated on distinct proopiomelanocortin neuronal subsets (37,38).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [37] Hill, 2010, Direct insulin and leptin action on pro-opiomelanocortin neurons is required for normal glucose homeostasis and fertility., Cell Metab source
Not checked in the free run.
- cites [38] Williams, 2010, Segregation of acute leptin and insulin effects in distinct populations of arcuate proopiomelanocortin neurons., J Neurosci source
Not checked in the free run.
- Interpretationcitation
The neurocircuitry that mediates leptin's glucose-lowering effects is distinct from those CNS pathways activated by insulin.
“suggesting that the neurocircuitry that mediates leptin's glucose-lowering effects is distinct from those CNS pathways activated by insulin.”
Quote in the paperSubstantial claim - Premisecitation
icv infusion of insulin at a dose that attenuates diabetic hyperphagia fails to normalize blood glucose levels in STZ-diabetic rats.
“icv infusion of insulin at a dose that attenuates diabetic hyperphagia fails to normalize blood glucose levels in STZ-diabetic rats (36)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [36] Sipols, 1995, Effect of intracerebroventricular insulin infusion on diabetic hyperphagia and hypothalamic neuropeptide gene expression., Diabetes source
Not checked in the free run.
- Interpretationreasoning
The effect of reduced leptin signaling on corticosterone, in concert with insulin deficiency and glucagon excess, may help to drive hyperglycemia.
“This effect, in concert with insulin deficiency and glucagon excess, may help to drive hyperglycemia.”
Quote in the paperSubstantial claim - Premisecitation
Both insulin and leptin exert PI3K-dependent effects on hypothalamic POMC cells.
“although both hormones exert phosphatidylinositol-3-OH kinase-dependent effects on hypothalamic POMC cells”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [37] Hill, 2010, Direct insulin and leptin action on pro-opiomelanocortin neurons is required for normal glucose homeostasis and fertility., Cell Metab source
Not checked in the free run.
- cites [38] Williams, 2010, Segregation of acute leptin and insulin effects in distinct populations of arcuate proopiomelanocortin neurons., J Neurosci source
Not checked in the free run.
- Premisecitation
Hyperglucagonemia contributes to diabetic hyperglycemia in part by driving hepatic expression of Pepck and G6Pase.
“Hyperglucagonemia contributes to diabetic hyperglycemia (29,30) in part by driving hepatic expression of the key gluconeogenic enzymes Pepck and G6Pase.”
Quote in the paperSubstantial claim0 of 2 sources checked - Premisecitation
Hypothalamic effects of both insulin and leptin are dependent on neuronal phosphatidylinositol-3-OH kinase signaling.
“hypothalamic effects of both insulin and leptin are dependent on neuronal phosphatidylinositol-3-OH kinase signaling”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [34] Obici, 2002, Decreasing hypothalamic insulin receptors causes hyperphagia and insulin resistance in rats., Nat Neurosci source
Not checked in the free run.
- cites [35] Morton, 2005, Leptin regulates insulin sensitivity via phosphatidylinositol-3-OH kinase signaling in mediobasal hypothalamic neurons., Cell Metab source
Not checked in the free run.
- Premisecitation
Glucocorticoids can exacerbate hyperglycemia by inhibiting peripheral glucose uptake in muscle and adipose tissue.
“and inhibiting peripheral glucose uptake in muscle and adipose tissue (48).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [48] Rizza, 1982, Cortisol-induced insulin resistance in man: impaired suppression of glucose production and stimulation of glucose utilization due to a postreceptor detect of insulin action., J Clin Endocrinol Metab source
Not checked in the free run.
- Premisecitation
Circulating corticosterone levels are elevated in STZ-diabetic rats.
“circulating levels of corticosterone were elevated in STZ-diabetic rats (44)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [44] Schwartz, 1997, Evidence that elevated plasma corticosterone levels are the cause of reduced hypothalamic corticotrophin-releasing hormone gene expression in diabetes., Regul Pept source
Not checked in the free run.
- Premisecitation
Leptin activation of BAT in nondiabetic animals involves increased SNS outflow that induces uncoupling protein-1.
“leptin activation of BAT in nondiabetic animals clearly involves increased sympathetic nervous system (SNS) outflow that in turn induces uncoupling protein-1 (53,54).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [53] Scarpace, 1998, Leptin induction of UCP1 gene expression is dependent on sympathetic innervation., Am J Physiol
Not checked in the free run.
- cites [54] Scarpace, 1997, Leptin increases uncoupling protein expression and energy expenditure., Am J Physiol
Not checked in the free run.
- Premisecitation
Combined α- and β-adrenergic receptor blockade does not attenuate the effect of leptin to restore euglycemia in rats with uDM.
“neither chemical denervation of the SNS (8) nor combined ␣and b-adrenergic receptor blockade attenuated the effect of leptin to restore euglycemia in rats with uDM”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [8] Wang, 2008, Guanethidine treatment does not block the ability of central leptin administration to decrease blood glucose concentrations in streptozotocin-induced diabetic rats., J Endocrinol source
Not checked in the free run.
- Premisecitation
Chemical denervation of the SNS does not attenuate the effect of leptin to restore euglycemia in rats with uDM.
“neither chemical denervation of the SNS (8) nor combined ␣and b-adrenergic receptor blockade attenuated the effect of leptin to restore euglycemia in rats with uDM”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [8] Wang, 2008, Guanethidine treatment does not block the ability of central leptin administration to decrease blood glucose concentrations in streptozotocin-induced diabetic rats., J Endocrinol source
Not checked in the free run.
- Interpretationown data
In response to leptin stimulation, the brain has the inherent ability to normalize blood glucose levels in uDM via a novel, insulin-independent mechanism characterized by reduced rates of glucose production and increased rates of glucose uptake.
“In summary, these findings suggest that in response to leptin stimulation, the brain has the inherent ability to normalize blood glucose levels in uDM via a novel, insulin-independent mechanism characterized by reduced rates of glucose production and increased rates of glucose uptake.”
Quote in the paperSubstantial claim
- May combine two claims. 16
- Classified as probably not a substantial claim. 4
May combine two claims.
Findingown dataPlasma NEFAs and ketone bodies are elevated in STZ-veh animals and normalized with icv leptin administration but only after blood glucose levels had returned to normal.
“plasma levels of NEFAs and ketone bodies were also elevated in STZ-veh animals and normalized with icv leptin administration but only after blood glucose levels had returned to normal (Fig. 6, E and F).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataWater intake is markedly increased in both groups of STZ-veh-treated animals, whereas water intake in diabetic animals receiving icv leptin is equivalent to that of nondiabetic controls.
“water intake was markedly increased in both groups of STZ-veh-treated animals, owing to the dehydrating effect of pronounced glycosuria in uDM (26), whereas water intake in diabetic animals receiving icv leptin was equivalent to that of nondiabetic controls (Fig. 2B).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataLeptin-treated STZ-diabetic rats exhibit similar weight loss to STZ-diabetic rats receiving icv veh but greater loss of fat mass.
“leptin-treated STZ-diabetic rats exhibited similar weight loss to STZ-diabetic rats receiving icv veh but exhibited a greater loss of fat mass (Supplemental Fig. 1”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataIn nondiabetic animals, plasma insulin and C-peptide levels are significantly increased during hyperglycemic clamp, resulting in complete suppression of HGP and enhancement of glucose utilization by more than 250%.
“In nondiabetic animals, plasma insulin and C-peptide levels were significantly increased during the hyperglycemic clamp (P Ͻ 0.05) (Fig. 5, A and B), resulting in complete suppression of HGP and enhancement of glucose utilization by more than 250% (Fig. 5, E-H).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataDuring hyperglycemic clamp, HGP is suppressed and glucose utilization is increased in STZ-diabetic rats receiving icv leptin despite persistent severe insulin deficiency.
“Similarly, despite persistent, severe insulin deficiency, HGP was suppressed and glucose utilization was increased in STZ-diabetic rats receiving icv leptin, although less than that observed in nondiabetic animals (Fig. 5, E-H).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataFood intake is significantly increased by d 5 after STZ administration in diabetic animals receiving icv veh, and this effect is completely blocked by icv leptin.
“food intake was significantly increased by d 5 after STZ administration in diabetic animals receiving icv veh, and this effect was completely blocked by icv leptin (Fig. 1C).”
Quote in the paperNot a substantial claimMay combine two claims.
FindingcitationPhysiological leptin replacement is sufficient to normalize plasma glucagon levels but has little effect on diabetic hyperglycemia in rats with STZ diabetes.
“We recently observed that in rats with STZ diabetes, physiological leptin replacement is sufficient to normalize plasma glucagon levels but has little effect on diabetic hyperglycemia (20).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [20] German, 2010, Leptin deficiency causes insulin resistance induced by uncontrolled diabetes., Diabetes source
Not checked in the free run.
May combine two claims.
Findingown dataCNS leptin suppresses HGP and increases glucose utilization in uDM during a hyperglycemic clamp.
“CNS leptin suppresses HGP and increases glucose utilization in uDM during a hyperglycemic clamp.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataCNS leptin normalizes plasma glucagon and corticosterone levels in uDM.
“CNS leptin normalizes plasma glucagon and corticosterone levels in uDM.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Premisecitation§ Leptin Activates a Novel CNS Mechanism for Insulin-Independent Normalization of Severe Diabetic HyperglycemiaAccumulating evidence suggests that leptin, insulin, and nutrient-related signals in the CNS improve hepatic insulin sensitivity.
“Although accumulating evidence suggests that leptin (10 -13), insulin (14,15), and nutrient-related signals (16 -18) in the CNS improve hepatic insulin sensitivity”
Quote in the paperNot a substantial claim0 of 9 sources checked- cites [10] Liu, 1998, Intracerebroventricular leptin regulates hepatic but not peripheral glucose fluxes., J Biol Chem source
Not checked in the free run.
- cites [11] Pocai, 2005, Central leptin acutely reverses diet-induced hepatic insulin resistance., Diabetes source
Not checked in the free run.
- cites [12] Park, 2008, Long-term effects of central leptin and resistin on body weight, insulin resistance, and β-cell function and mass by the modulation of hypothalamic leptin and insulin signaling., Endocrinology source
Not checked in the free run.
- cites [13] German, 2009, Hypothalamic leptin signaling regulates hepatic insulin sensitivity via a neurocircuit involving the vagus nerve., Endocrinology source
Not checked in the free run.
- cites [14] Obici, 2002, Hypothalamic insulin signaling is required for inhibition of glucose production., Nat Med source
Not checked in the free run.
- cites [15] Pocai, 2005, Hypothalamic K(ATP) channels control hepatic glucose production., Nature source
Not checked in the free run.
- cites [16] Obici, 2002, Central administration of oleic acid inhibits glucose production and food intake., Diabetes source
Not checked in the free run.
- cites [17] Lam, 2005, Hypothalamic sensing of circulating fatty acids is required for glucose homeostasis., Nat Med source
Not checked in the free run.
- cites [18] Pocai, 2005, A brain-liver circuit regulates glucose homeostasis., Cell Metabolism source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationInsulin action in the brain of nondiabetic animals lowers ambient glycemia by increasing hepatic insulin sensitivity.
“Several lines of evidence suggest that like leptin, insulin action in the brain of nondiabetic animals lowers ambient glycemia by increasing hepatic insulin sensitivity (14,15).”
Quote in the paperNot a substantial claim0 of 2 sources checkedMay combine two claims.
Premisecitation§ Leptin Activates a Novel CNS Mechanism for Insulin-Independent Normalization of Severe Diabetic HyperglycemiaLeptin administration directly into the brain normalizes blood glucose in rats with uDM at doses that are ineffective when administered peripherally.
“leptin adminis-tration directly into the brain normalizes blood glucose in rats with uDM (5)(6)(7)(8)(9) at doses that are ineffective when administered peripherally.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites 5)(6)(7)(8)(9
Not checked in the free run.
May combine two claims.
InterpretationreasoningIcv leptin treatment reduces food intake and stimulates energy expenditure.
“These data suggest that icv leptin treatment reduces food intake and stimulates energy expenditure”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationPhysiological leptin replacement is sufficient to normalize circulating glucagon and corticosterone levels, yet does not reverse hyperglycemia in rats with STZ diabetes.
“we recently reported that in rats with STZ diabetes, physiological leptin replacement is sufficient to normalize cir-culating glucagon and corticosterone levels, yet does not reverse hyperglycemia (20).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [20] German, 2010, Leptin deficiency causes insulin resistance induced by uncontrolled diabetes., Diabetes source
Not checked in the free run.
May combine two claims.
PremisecitationHepatic Igfbp-2 expression is tonically inhibited by insulin and dramatically up-regulated by insulin deficiency.
“hepatic Igfbp-2 expression is tonically inhibited by insulin and hence dramatically up-regulated by insulin deficiency (50 -52).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [50] Böni-Schnetzler, 1990, Insulin regulates the expression of the insulin-like growth factor binding protein 2 mRNA in rat hepatocytes., Mol Endocrinol source
Not checked in the free run.
- cites [51] Ooi, 1992, Post-transcriptional regulation of insulin-like growth factor binding protein-2 mRNA in diabetic rat liver., Biochem Biophys Res Commun source
Not checked in the free run.
- cites [52] White, 1993, Insulin-like growth-factor binding protein (IGFBP) serum levels and hepatic IGFBP-2 and -3 mRNA expression in diabetic and insulin-treated swine (Sus scrofa)., Comp Biochem Physiol B source
Not checked in the free run.
May combine two claims.
PremisecitationConditions associated with leptin deficiency, such as fasting and uDM, raise corticosterone levels via a mechanism that can be reversed with leptin treatment.
“conditions associated with leptin deficiency, such as fasting and uDM, clearly raise corticosterone levels via a mechanism that can be reversed with leptin treatment (44,45,49).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [44] Schwartz, 1997, Evidence that elevated plasma corticosterone levels are the cause of reduced hypothalamic corticotrophin-releasing hormone gene expression in diabetes., Regul Pept source
Not checked in the free run.
- cites [45] Strack, 1995, Glucocorticoids and insulin: reciprocal signals for energy balance., Am J Physiol
Not checked in the free run.
- cites [49] Ahima, 1996, Role of leptin in the neuroendocrince response to fasting., Nature source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationA shared neuronal mechanism mediates effects of both insulin and leptin on glucose metabolism.
“suggesting a shared neuronal mechanism mediating effects of both hormones on glucose metabolism (34,35).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [34] Obici, 2002, Decreasing hypothalamic insulin receptors causes hyperphagia and insulin resistance in rats., Nat Neurosci source
Not checked in the free run.
- cites [35] Morton, 2005, Leptin regulates insulin sensitivity via phosphatidylinositol-3-OH kinase signaling in mediobasal hypothalamic neurons., Cell Metab source
Not checked in the free run.
Probably not a substantial claim: may not pass S4 (based).
Interpretationnone givenThese observations are distinct from any previously described CNS leptin action.
“These observations are distinct from any previously described CNS leptin action”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationActivation of β3-adrenergic receptors is not required or sufficient to mediate the effects of leptin on blood glucose levels.
“nor was activation of the 3-adrenergic receptors required or sufficient to mediate the effects of leptin on blood glucose levels (7)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [7] da Silva, 2006, Chronic antidiabetic and cardiovascular actions of leptin: role of CNS and increased adrenergic activity., Am J Physiol Regul Integr Comp Physiol source
Not checked in the free run.
May combine two claims.
Interpretationown dataicv leptin normalizes blood glucose levels in STZ-diabetic rats at least in part via an insulin-independent mechanism that increases glucose utilization in tissues such as BAT and skeletal muscle.
“Based on these data, we infer that icv leptin normalizes blood glucose levels in STZ-diabetic rats at least in part via an insulin-independent mechanism that increases glucose utilization in tissues such as BAT and skeletal muscle.”
Quote in the paperSubstantial claim
The authors state this as an assumption.
How CNS leptin signaling normalizes diabetic hyperglycemia in uDM, and whether this involves leptin-dependent effects on HGP or Rg, is unknown.
“how CNS leptin signaling normalizes diabetic hyperglycemia in uDM, and whether this involves leptin-dependent effects on hepatic glucose production (HGP) or tissue glucose uptake (Rg), is unknown.”
The paper relies on this without support.
Changes in plasma glucagon do not affect glucose utilization.
“an effect not readily explained by changes of plasma glucagon (which does not affect glucose utilization)”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Continuous infusion of leptin directly into the brain normalizes blood glucose levels in STZ-induced diabetic rats via a mechanism that cannot be explained by reduced food intake, increased urinary glucose losses, or recovery of pancreatic β-cells.
“we recently found that continuous infusion of leptin directly into the brain normalizes blood glucose levels in STZ-induced diabetic rats via a mechanism that cannot be explained by reduced food intake, increased urinary glucose losses or a recovery of pancreatic β-cells.”
From Leptin and the Central Nervous System Control of Glucose Metabolism (2011) · cites this paper as [67]
This leptin action is distinct from its previously reported effect to increase insulin sensitivity in the liver and offers compelling evidence of a novel mechanism through which the brain normalizes diabetic hyperglycemia without the need for insulin.
“This leptin action is distinct from its previously reported effect to increase insulin sensitivity in the liver (66, 146), and offers compelling evidence of a novel mechanism through which the brain normalizes diabetic hyperglycemia without the need for insulin (67).”
From Leptin and the Central Nervous System Control of Glucose Metabolism (2011) · cites this paper as [67]
Leptin action in the brain potently suppresses hepatic glucose production while increasing tissue glucose uptake despite persistent, severe insulin deficiency.
“Instead, leptin action in the brain potently suppressed hepatic glucose production while increasing tissue glucose uptake despite persistent, severe insulin deficiency (67).”
From Leptin and the Central Nervous System Control of Glucose Metabolism (2011) · cites this paper as [67]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Incorrect figure panel cited for norepinephrine
MinorThe text cites Figure 6A for norepinephrine, but the figure caption identifies panel A as glucagon and panel C as norepinephrine.
“Although changes in plasma norepinephrine and epinephrine levels are unlikely to explain leptin's effects (Fig. 6, A and D)”
“Plasma glucagon (A), plasma corticosterone (B), norepinephrine (NE) (C), epinephrine (EPI) (D)”
Cites
The rat brain in stereotaxic coordinates
Palkovits, M. (1983) · Neuropeptides · doi:10.1016/0143-4179(83)90049-5 · Cited by 28,959 · see citing works
The Rat Brain in Stereotaxic Coordinates
Paxinos, G., & Watson, C. (1983) · Elsevier eBooks · doi:10.1016/c2009-0-63235-9 · Cited by 28,585 · see citing works
Role of leptin in the neuroendocrine response to fasting
Ahima, R. S., Prabakaran, D., Mantzoros, C., Qu, D., Lowell, B., Maratos-Flier, E., & Flier, J. S. (1996) · Nature · doi:10.1038/382250a0 · Cited by 3,117 · see citing works
Hypothalamic insulin signaling is required for inhibition of glucose production
Obici, S., Zhang, B. B., Karkanias, G., & Rossetti, L. (2002) · Nature Medicine · doi:10.1038/nm1202-798 · Cited by 904 · see citing works
Decreasing hypothalamic insulin receptors causes hyperphagia and insulin resistance in rats
Obici, S., Feng, Z., Karkanias, G., Baskin, D. G., & Rossetti, L. (2002) · Nature Neuroscience · doi:10.1038/nn0602-861 · Cited by 719 · see citing works
RIZZA, R. A., MANDARINO, L. J., & GERICH, J. E. (1982) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-54-1-131 · Cited by 696 · see citing works
Central Administration of Oleic Acid Inhibits Glucose Production and Food Intake
Obici, S., Feng, Z., Morgan, K., Stein, D., Karkanias, G., & Rossetti, L. (2002) · Diabetes · doi:10.2337/diabetes.51.2.271 · Cited by 654 · see citing works
Hypothalamic KATP channels control hepatic glucose production
Pocai, A., Lam, T. K. T., Gutierrez-Juarez, R., Obici, S., Schwartz, G. J., Bryan, J., Aguilar-Bryan, L., & Rossetti, L. (2005) · Nature · doi:10.1038/nature03439 · Cited by 645 · see citing works
Decreasing hypothalamic insulin receptors causes hyperphagia and insulin resistance in rats
Obici, S., Feng, Z., Karkanias, G. B., et al. (2002) · Nature Neuroscience · doi:10.1038/nn861 · Cited by 572 · see citing works
DeFronzo, R. A., Simonson, D. C., & Ferrannini, E. (1982) · Diabetologia · doi:10.1007/bf00253736 · Cited by 539 · see citing works
Hypothalamic sensing of circulating fatty acids is required for glucose homeostasis
Lam, T. K. T., Pocai, A., Gutierrez-Juarez, R., Obici, S., Bryan, J., Aguilar-Bryan, L., Schwartz, G. J., & Rossetti, L. (2005) · Nature Medicine · doi:10.1038/nm1201 · Cited by 432 · see citing works
Dose-response curves for in vivo insulin sensitivity in individual tissues in rats
Kraegen, E. W., James, D. E., Jenkins, A. B., & Chisholm, D. J. (1985) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.1985.248.3.e353 · Cited by 409 · see citing works
A brain-liver circuit regulates glucose homeostasis
Pocai, A., Obici, S., Schwartz, G. J., & Rossetti, L. (2005) · Cell Metabolism · doi:10.1016/j.cmet.2004.11.001 · Cited by 392 · see citing works
Hill, J. W., Elias, C. F., Fukuda, M., Williams, K. W., Berglund, E. D., Holland, W. L., Cho, Y.-R., Chuang, J.-C., Xu, Y., Choi, M., et al. (2010) · Cell Metabolism · doi:10.1016/j.cmet.2010.03.002 · Cited by 391 · see citing works
Leptin increases uncoupling protein expression and energy expenditure
Scarpace, P. J., Matheny, M. E., Pollock, B. H., & Tümer, N. (1997) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.1997.273.1.e226 · Cited by 390 · see citing works
Sipols, A. J., Baskin, D. G., & Schwartz, M. W. (1995) · Diabetes · doi:10.2337/diab.44.2.147 · Cited by 389 · cited 1× · see citing works
“blood glucose levels in STZ-diabetic rats (36),”
Self-citationLocal Ventromedial Hypothalamus Glucopenia Triggers Counterregulatory Hormone Release
Borg, W. P., Sherwin, R. S., During, M. J., Borg, M. A., & Shulman, G. I. (1995) · Diabetes · doi:10.2337/diab.44.2.180 · Cited by 386 · see citing works
Borg, M. A., Sherwin, R. S., Borg, W. P., Tamborlane, W. V., & Shulman, G. I. (1997) · Journal of Clinical Investigation · doi:10.1172/jci119165 · Cited by 359 · see citing works
Williams, K. W., Margatho, L. O., Lee, C. E., Choi, M., Lee, S., Scott, M. M., Elias, C. F., & Elmquist, J. K. (2010) · The Journal of Neuroscience · doi:10.1523/jneurosci.3118-09.2010 · Cited by 352 · see citing works
Glucocorticoids and insulin: reciprocal signals for energy balance
Strack, A. M., Sebastian, R. J., Schwartz, M. W., & Dallman, M. F. (1995) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.1995.268.1.r142 · Cited by 334 · see citing works
Self-citationMinokoshi, Y., Haque, M. S., & Shimazu, T. (1999) · Diabetes · doi:10.2337/diabetes.48.2.287 · Cited by 296 · see citing works
Morton, G. J., Gelling, R. W., Niswender, K. D., Morrison, C. D., Rhodes, C. J., & Schwartz, M. W. (2005) · Cell Metabolism · doi:10.1016/j.cmet.2005.10.009 · Cited by 292 · see citing works
Self-citationAntidiabetic Effects of IGFBP2, a Leptin-Regulated Gene
Hedbacker, K., Birsoy, K., Wysocki, R. W., Asilmaz, E., Ahima, R. S., Farooqi, I. S., & Friedman, J. M. (2010) · Cell Metabolism · doi:10.1016/j.cmet.2009.11.007 · Cited by 280 · see citing works
Ventromedial hypothalamic lesions in rats suppress counterregulatory responses to hypoglycemia.
Borg, W. P., During, M. J., Sherwin, R. S., Borg, M. A., Brines, M. L., & Shulman, G. I. (1994) · Journal of Clinical Investigation · doi:10.1172/jci117150 · Cited by 265 · see citing works
The effect of experimental insulin deficiency on glucagon secretion
Müller, W. A., Faloona, G. R., & Unger, R. H. (1971) · Journal of Clinical Investigation · doi:10.1172/jci106691 · Cited by 240 · see citing works
Glucagon: Role in the Hyperglycemia of Diabetes Mellitus
Dobbs, R., Sakurai, H., Sasaki, H., Faloona, G., Valverde, I., Baetens, D., Orci, L., & Unger, R. (1975) · Science · doi:10.1126/science.1089999 · Cited by 229 · see citing works
Intracerebroventricular Leptin Regulates Hepatic but Not Peripheral Glucose Fluxes
Liu, L., Karkanias, G. B., Morales, J. C., Hawkins, M., Barzilai, N., Wang, J., & Rossetti, L. (1998) · Journal of Biological Chemistry · doi:10.1074/jbc.273.47.31160 · Cited by 222 · see citing works
Making insulin-deficient type 1 diabetic rodents thrive without insulin
Yu, X., Park, B.-H., Wang, M.-Y., Wang, Z. V., & Unger, R. H. (2008) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0806993105 · Cited by 219 · see citing works
Haque, M. S., Minokoshi, Y., Hamai, M., Iwai, M., Horiuchi, M., & Shimazu, T. (1999) · Diabetes · doi:10.2337/diabetes.48.9.1706 · Cited by 215 · cited 1× · see citing works
“Consistent with this hypothesis, leptin administration directly into the brain of nondiabetic rats stimulates glucose uptake in BAT, as well as skeletal muscle and heart, by increasing SNS outflow (55, 56).”
BackgroundLeptin induction of UCP1 gene expression is dependent on sympathetic innervation
Scarpace, P. J., & Matheny, M. E. (1998) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.1998.275.2.e259 · Cited by 202 · see citing works
Baskin, D. G., Schwartz, M. W., Seeley, R. J., Woods, S. C., Porte, D., Breininger, J. F., Jonak, Z., Schaefer, J., Krouse, M., Burghardt, C., et al. (1999) · Journal of Histochemistry & Cytochemistry · doi:10.1177/002215549904700309 · Cited by 200 · see citing works
Self-citationHavel, P. J., Uriu-Hare, J. Y., Liu, T., Stanhope, K. L., Stern, J. S., Keen, C. L., & Ahrén, B. (1998) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.1998.274.5.r1482 · Cited by 198 · see citing works
Leptin restores euglycemia and normalizes glucose turnover in insulin-deficient diabetes in the rat.
Chinookoswong, N., Wang, J. L., & Shi, Z. Q. (1999) · Diabetes · doi:10.2337/diabetes.48.7.1487 · Cited by 197 · cited 1× · see citing works
“tion of leptin systemically (3, 4) can also normalize blood”
BackgroundSplanchnic regulation of glucose production
Wahren, J., & Ekberg, K. (2007) · Annual Review of Nutrition · doi:10.1146/annurev.nutr.27.061406.093806 · Cited by 185 · see citing works
Evans, M. I., Halter, J. B., & Porte, D. (1978) · Clinical Chemistry · doi:10.1093/clinchem/24.4.567 · Cited by 180 · see citing works
Effect of Insulin on Utilization and Production of Circulating Glucose
Wall, J. S., Steele, R., de Bodo, R. C., & ALTSZULER, N. (1957) · American Journal of Physiology-Legacy Content · doi:10.1152/ajplegacy.1957.189.1.43 · Cited by 180 · see citing works
German, J., Kim, F., Schwartz, G. J., Havel, P. J., Rhodes, C. J., Schwartz, M. W., & Morton, G. J. (2009) · Endocrinology · doi:10.1210/en.2009-0445 · Cited by 164 · see citing works
Self-citationLeptin Deficiency Causes Insulin Resistance Induced by Uncontrolled Diabetes
German, J. P., Wisse, B. E., Thaler, J. P., Oh-I, S., Sarruf, D. A., Ogimoto, K., Kaiyala, K. J., Fischer, J. D., Matsen, M. E., Taborsky, G. J., et al. (2010) · Diabetes · doi:10.2337/db09-1918 · Cited by 159 · see citing works
Self-citationCentral Leptin Acutely Reverses Diet-Induced Hepatic Insulin Resistance
Pocai, A., Morgan, K., Buettner, C., Gutierrez-Juarez, R., Obici, S., & Rossetti, L. (2005) · Diabetes · doi:10.2337/diabetes.54.11.3182 · Cited by 153 · see citing works
Regulation of gluconeogenesis by glucocorticoids.
Exton, J. H. (1979) · Monographs on endocrinology · doi:10.1007/978-3-642-81265-1_28 · Cited by 130 · cited 6× · see citing works
“The primer sequences for 18S RNA, G6Pase, Pepck, and Igfbp-2 were designed using Primer Express (version 2.0.0; Applied Biosystems) and are as follows: 18S RNA forward, CGGACAGGATTGACAGATTG and reverse, CAAATCGCTCCACCAACTAA; G6Pase forward, TCAACCTCGTCTTCAAGTGGATT and reverse, CTGCTTTATTATAGGCACGGAGCT; Pepck forward,…”
BackgroundInfluentialCentral leptin increases insulin sensitivity in streptozotocin-induced diabetic rats
Lin, C.-Y., Higginbotham, D. A., Judd, R. L., & White, B. D. (2002) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00489.2001 · Cited by 124 · see citing works
Low plasma leptin levels contribute to diabetic hyperphagia in rats.
Sindelar, D. K., Havel, P. J., Seeley, R. J., Wilkinson, C. W., Woods, S. C., & Schwartz, M. W. (1999) · Diabetes · doi:10.2337/diabetes.48.6.1275 · Cited by 119 · see citing works
Self-citationSCRIBNER, K. A., WALKER, C.-D., CASCIO, C. S., & DALLMAN, M. F. (1991) · Endocrinology · doi:10.1210/endo-129-1-99 · Cited by 112 · see citing works
Hidaka, S., Yoshimatsu, H., Kondou, S., Tsuruta, Y., Oka, K., Noguchi, H., Okamoto, K., Sakino, H., Teshima, Y., Okeda, T., et al. (2002) · The FASEB Journal · doi:10.1096/fj.01-0164com · Cited by 108 · see citing works
Böni-Schnetzler, M., Schmid, C., Mary, J.-L., Zimmerli, B., Meier, P. J., Zapf, J., Schwander, J., & Froesch, E. R. (1990) · Molecular Endocrinology · doi:10.1210/mend-4-9-1320 · Cited by 80 · see citing works
Banting, F., & BEST, C. H. (1990) · PubMed · Cited by 75 · see citing works
Park, S., Hong, S. M., Sung, S. R., & Jung, H. K. (2008) · Endocrinology · doi:10.1210/en.2007-0754 · Cited by 73 · see citing works
Glucocorticoids and hepatic glycogen metabolism.
Stalmans, W., & Laloux, M. (1979) · Monographs on endocrinology · doi:10.1007/978-3-642-81265-1_27 · Cited by 65 · see citing works
Schwartz, M. W., Strack, A. M., & Dallman, M. F. (1997) · Regulatory Peptides · doi:10.1016/s0167-0115(97)01043-4 · Cited by 57 · see citing works
Self-citationChari, M., Lam, C. K. L., Wang, P. Y. T., & Lam, T. K. T. (2008) · Diabetes · doi:10.2337/db07-1464 · Cited by 53 · see citing works
da Silva, A. A., Tallam, L. S., Liu, J., & Hall, J. E. (2006) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.00187.2006 · Cited by 51 · see citing works
Kojima, S., Asakawa, A., Amitani, H., Sakoguchi, T., Ueno, N., Inui, A., & Kalra, S. P. (2009) · Peptides · doi:10.1016/j.peptides.2009.01.007 · Cited by 48 · see citing works
Castleman’s Disease Presenting as a Goiter in a Child
Kukuvitis, A., Gompakis, N., Zafeiriou, D., et al. (2003) · Hormone Research in Paediatrics · doi:10.1159/000067931 · Cited by 48 · see citing works
Ooi, G. T., Y.-H. Tseng, L., & Rechler, M. M. (1992) · Biochemical and Biophysical Research Communications · doi:10.1016/0006-291x(92)92307-j · Cited by 21 · see citing works
White, M. E., Leaman, D. W., Ramsay, T. G., Kampman, K. A., Ernst, C. W., & Osborne, J. M. (1993) · Comparative Biochemistry and Physiology Part B Comparative Biochemistry · doi:10.1016/0305-0491(93)90311-r · Cited by 8 · see citing works
Wang, J., Wernette, C. M., Judd, R. L., Huggins, K. W., & White, B. D. (2008) · Journal of Endocrinology · doi:10.1677/joe-08-0135 · Cited by 8 · see citing works
Elmquist (1998) · doi:10.1002/(sici)1096-9861(19980615)395:4
Flagged first, then by citations
8 of the 65 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- Maghnie, 2003, Diabetes insipidus., Horm Res, 59, 42
Cited by
Sorted by citations
Thyroid Hormone Regulation of Metabolism
Mullur, R., Liu, Y.-Y., & Brent, G. A. (2014) · Physiological Reviews · doi:10.1152/physrev.00030.2013 · Cited by 2,421 · see citing works
The pathogenesis of insulin resistance: integrating signaling pathways and substrate flux
Samuel, V. T., & Shulman, G. I. (2016) · Journal of Clinical Investigation · doi:10.1172/jci77812 · Cited by 1,484 · see citing works
Neurobiology of food intake in health and disease
Morton, G. J., Meek, T. H., & Schwartz, M. W. (2014) · Nature Reviews Neuroscience · doi:10.1038/nrn3745 · Cited by 748 · see citing works
Self-citationPhysiology of leptin: energy homeostasis, neuroendocrine function and metabolism
Park, H. K., & Ahima, R. S. (2014) · Metabolism · doi:10.1016/j.metabol.2014.08.004 · Cited by 675 · see citing works
“Leptin potently suppresses hepatic glucose production partly by ameliorating hyperglucagonemia and increases peripheral glucose uptake, via multiple mechanisms including POMC- and AgRP-expressing neurons in the ARC [105–108].”
BackgroundLeptin in Human Physiology and Pathophysiology
Mantzoros, C. S., Magkos, F., Brinkoetter, M., Sienkiewicz, E., Dardeno, T. A., Kim, S.-Y., Hamnvik, O.-P. R., & Koniaris, A. (2011) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00315.2011 · Cited by 593 · see citing works
Diabetes Mellitus and Its Metabolic Complications: The Role of Adipose Tissues
Dilworth, L., Facey, A., & Omoruyi, F. O. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22147644 · Cited by 388 · see citing works
“Interestingly, animal studies show that leptin reduces hepatic glucose production, increases tissue glucose uptake, modulates IGF binding protein 2 (IGFBP2), and reduces blood glucose in mice [78,79].”
BackgroundBerglund, E. D., Vianna, C. R., Donato, J., Kim, M. H., Chuang, J.-C., Lee, C. E., Lauzon, D. A., Lin, P., Brule, L. J., Scott, M. M., et al. (2012) · Journal of Clinical Investigation · doi:10.1172/jci59816 · Cited by 352 · see citing works
“The current data related to glucagon complement recent work in models of uncontrolled or type 1 diabetes showing that leptin action in the brain improves glucose homeostasis, in part, by reducing levels of glucagon (5, 7, 31).”
Leptin and the Central Nervous System Control of Glucose Metabolism
Morton, G. J., & Schwartz, M. W. (2011) · Physiological Reviews · doi:10.1152/physrev.00007.2010 · Cited by 338 · see citing works
Self-citationCooperation between brain and islet in glucose homeostasis and diabetes
Schwartz, M. W., Seeley, R. J., Tschöp, M. H., Woods, S. C., Morton, G. J., Myers, M. G., & D’Alessio, D. A. (2013) · Nature · doi:10.1038/nature12709 · Cited by 311 · see citing works
Self-citationLeptin's Role in Lipodystrophic and Nonlipodystrophic Insulin-Resistant and Diabetic Individuals
Moon, H., Dalamaga, Μ., Kim, S. Y., Pοlyzos, S. A., Hamnvik, O. R., Magkos, F., Paruthi, J., & Mantzoros, C. S. (2013) · Endocrine Reviews · doi:10.1210/er.2012-1053 · Cited by 257 · see citing works
Neuronal control of peripheral insulin sensitivity and glucose metabolism
Ruud, J., Steculorum, S. M., & Brüning, J. C. (2017) · Nature Communications · doi:10.1038/ncomms15259 · Cited by 245 · see citing works
Tissue-Specific Effects of Leptin on Glucose and Lipid Metabolism
Pereira, S., Cline, D. L., Glavas, M. M., Covey, S. D., & Kieffer, T. J. (2020) · Endocrine Reviews · doi:10.1210/endrev/bnaa027 · Cited by 247 · see citing works
The role of leptin in the control of insulin-glucose axis
Amitani, M. S., Asakawa, A., Amitani, H., & Inui, A. (2013) · Frontiers in Neuroscience · doi:10.3389/fnins.2013.00051 · Cited by 228 · see citing works
“Leptin action in the brain potently suppresses hepatic glucose production while increasing tissue glucose uptake despite persistent, severe insulin deficiency (German et al., 2011).”
BackgroundFGF19 action in the brain induces insulin-independent glucose lowering
Morton, G. J., Matsen, M. E., Bracy, D. P., Meek, T. H., Hồng, N. T., Stefanovski, D., Bergman, R. N., Wasserman, D. H., & Schwartz, M. W. (2013) · Journal of Clinical Investigation · doi:10.1172/jci70710 · Cited by 216 · see citing works
Self-citationThe glucoregulatory actions of leptin
D'souza, A. M., Neumann, U. H., Glavas, M. M., & Kieffer, T. J. (2017) · Molecular Metabolism · doi:10.1016/j.molmet.2017.04.011 · Cited by 214 · see citing works
“Although it is unclear whether leptin acts directly on a-cells to diminish glucagon, systemic [20,63e65] or ICV [60,66] leptin administration in STZdiabetic and non-obese diabetic mice potently reduces plasma glucagon levels.”
BackgroundInfluentialDalamaga, Μ., Chou, S. H.-H., Shields, K. S., Papageorgiou, P., Pοlyzos, S. A., & Mantzoros, C. S. (2013) · Cell Metabolism · doi:10.1016/j.cmet.2013.05.010 · Cited by 191 · see citing works
Functional identification of a neurocircuit regulating blood glucose
Meek, T. H., Nelson, J. T., Matsen, M. E., Dorfman, M. D., Guyenet, S. J., Damian, V. M., Allison, M. B., Scarlett, J. M., Hồng, N. T., Thaler, J. P., et al. (2016) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1521160113 · Cited by 178 · see citing works
Self-citationMinireview: CNS Mechanisms of Leptin Action
Flak, J. N., & Myers, M. G. (2015) · Molecular Endocrinology · doi:10.1210/me.2015-1232 · Cited by 175 · see citing works
Park, H.-K., & Ahima, R. S. (2014) · F1000Prime Reports · doi:10.12703/p6-73 · Cited by 171 · see citing works
“Leptin suppresses hepatic glucose production by ameliorating hyperglucagonemia and stimulating peripheral glucose uptake through central mechanisms, possibly involving POMC and AgRP neurons in the ARC, and the modulation of the autonomic nervous system [38,52,53].”
BackgroundRole of Leptin in Obesity, Cardiovascular Disease, and Type 2 Diabetes
Vilariño‐García, T., Polonio-González, M., Pérez‐Pérez, A., Ribalta, J., Arrieta, F., Aguilar‐Diosdado, M., Obaya, J. C., Gimeno-Orna, J. A., Iglesias, P., Navarro, J., et al. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25042338 · Cited by 172 · see citing works
“It is worth noting that certain antidiabetic drugs, including metformin, pioglitazone, sitagliptin, liraglutide, and empagliflozin, have been shown to reduce leptin levels, although the clinical implications of these drugs’ effect have not yet been fully elucidated [110,112].”
BackgroundLeptin therapy, insulin sensitivity, and glucose homeostasis
Paz-Filho, G., Mastronardi, C. A., Wong, M., & Licinio, J. (2012) · Indian Journal of Endocrinology and Metabolism · doi:10.4103/2230-8210.105571 · Cited by 168 · see citing works
“[53] However, it has also been demonstrated that leptin ameliorates hyperglycemia by suppressing hepatic glucose production and by increasing tissue glucose uptake, independent of insulin.[54]”
BackgroundCentral nervous system regulation of organismal energy and glucose homeostasis
Myers, M. G., Affinati, A. H., Richardson, N. E., & Schwartz, M. W. (2021) · Nature Metabolism · doi:10.1038/s42255-021-00408-5 · Cited by 154 · see citing works
Self-citationRole of leptin in the pancreatic β-cell: effects and signaling pathways
Marroquí, L., González, A., Ñeco, P., Caballero‐Garrido, E., Vieira, E. C., Ripoll, C., Nadal, Á., & Quesada, I. (2012) · Journal of Molecular Endocrinology · doi:10.1530/jme-12-0025 · Cited by 151 · see citing works
Exercise, Energy Intake, Glucose Homeostasis, and the Brain
van Praag, H., Fleshner, M., Schwartz, M. W., & Mattson, M. P. (2014) · Journal of Neuroscience · doi:10.1523/jneurosci.2814-14.2014 · Cited by 145 · see citing works
“…observation that, when the adipocyte hormone leptin is administered at low doses into the brain of rats or mice with uncontrolled, insulindeficient diabetes, pronounced hyperglycemia is completely normalized despite persistent, severe insulin deficiency (da Silva et al., 2006; German et al., 2011).”
BackgroundInfluentialSelf-citationThe role of leptin in glucose homeostasis
Denroche, H. C., Huynh, F. K., & Kieffer, T. J. (2012) · Journal of Diabetes Investigation · doi:10.1111/j.2040-1124.2012.00203.x · Cited by 147 · see citing works
Emerging hormonal-based combination pharmacotherapies for the treatment of metabolic diseases
Clemmensen, C., Finan, B., Müller, T. D., DiMarchi, R. D., Tschöp, M. H., & Hofmann, S. M. (2018) · Nature Reviews Endocrinology · doi:10.1038/s41574-018-0118-x · Cited by 129 · see citing works
Denroche, H. C., Levi, J., Wideman, R. D., Sequeira, R. M., Huynh, F. K., Covey, S. D., & Kieffer, T. J. (2011) · Diabetes · doi:10.2337/db10-0958 · Cited by 126 · see citing works
“(5) to reverse hyperglycemia in rats with STZ-induced diabetes, a finding that has now been confirmed by others (6,7,37); interestingly, central leptin therapy can inhibit hepatic glucose production in rats with STZ-induced diabetes (37).”
BackgroundThe role of leptin in diabetes: metabolic effects
Meek, T. H., & Morton, G. J. (2016) · Diabetologia · doi:10.1007/s00125-016-3898-3 · Cited by 119 · see citing works
“Moreover, this glucose-lowering effect of leptin occurs via an insulinindependent mechanism characterised by a normalisation of hepatic glucose production (HGP) and increased rates of glucose uptake in peripheral tissues, including brown adipose tissue, muscle and heart [20].”
BackgroundSelf-citationFGF1 — a new weapon to control type 2 diabetes mellitus
Gasser, E., Moutos, C. P., Downes, M., & Evans, R. M. (2017) · Nature Reviews Endocrinology · doi:10.1038/nrendo.2017.78 · Cited by 106 · see citing works
Regulatory role of leptin in glucose and lipid metabolism in skeletal muscle
Minokoshi, Y., Toda, C., & Okamoto, S. (2012) · Indian Journal of Endocrinology and Metabolism · doi:10.4103/2230-8210.105573 · Cited by 93 · see citing works
“Recently, studies indicate that leptin suppresses the development of the impaired glucose metabolism in rodents treated with streptozotocin (STZ) and Akita mice with insulinopenia.[12-20] Hyperleptinemia induced by either pharmacologic leptin administration or with adenoviral infection, fully amieliorates hyperglycemi…”
BackgroundLean heart: Role of leptin in cardiac hypertrophy and metabolism
Hall, M. E., Harmancey, R., & Stec, D. E. (2015) · World Journal of Cardiology · doi:10.4330/wjc.v7.i9.511 · Cited by 92 · see citing works
Targeted deletion of fibrinogen like protein 1 reveals a novel role in energy substrate utilization
Demchev, V., Malana, G., Vangala, D., Stoll, J., Desai, A., Kang, H. W., Li, Y., Nayeb-Hashemi, H., Niepel, M., Cohen, D. E., et al. (2013) · PLoS ONE · doi:10.1371/journal.pone.0058084 · Cited by 89 · see citing works
“In white adipose tissue, we found significant down regulation of Glut4, a gene whose loss in adipose tissue results in hyperglycemia and impaired glucose handling [29,30]; leptin a gene whose product enhances peripheral glucose uptake [31] and perilipin, a white adipose protein whose over expression protects from diet…”
BackgroundCummings, B. P., Bettaieb, A., Graham, J. L., Stanhope, K. L., Dill, R., Morton, G. J., Haj, F. G., & Havel, P. J. (2011) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1107163108 · Cited by 87 · see citing works
Self-citationConsequences of Metabolic Disruption in Alzheimer's Disease Pathology
Ryu, J. C., Zimmer, E. R., Rosa‐Neto, P., & Yoon, S. O. (2019) · Neurotherapeutics · doi:10.1007/s13311-019-00755-y · Cited by 84 · see citing works
Cheng, L., Yu, Y., Szabo, A., Wu, Y., Wang, H., Camer, D., & Huang, X. (2015) · The Journal of Nutritional Biochemistry · doi:10.1016/j.jnutbio.2014.12.011 · Cited by 80 · see citing works
“A similar study previously demonstrated that icv leptin injection can decrease hepatic G6Pase and PEPCK mRNA expression in rats with STZ diabetes [15].”
BackgroundMeek, T. H., Wisse, B. E., Thaler, J. P., Guyenet, S. J., Matsen, M. E., Fischer, J. D., Taborsky, G. J., Schwartz, M. W., & Morton, G. J. (2013) · Diabetes · doi:10.2337/db12-0837 · Cited by 80 · see citing works
“Uncontrolled insulindeficient diabetes is characterized by hyperglucagonemia and hypercorticosteronemia, responses that increase HGP and that are normalized when intracerebroventricular leptin is administered at doses that normalize hyperglycemia (1).”
BackgroundMethodInfluentialSelf-citationCôté, C. D., Zadeh‐Tahmasebi, M., Rasmussen, B. A., Duca, F. A., & Lam, T. K. T. (2014) · Journal of Biological Chemistry · doi:10.1074/jbc.o114.556068 · Cited by 71 · see citing works
“This effect is likely mediated by the CNS as intracerebroventricular leptin lowers plasma glucose levels in insulin-deficient rodents (92, 93), emphasizing the insulin-independent ability of leptin to lower glucose levels.”
BackgroundGlucagon receptor inhibition normalizes blood glucose in severe insulin-resistant mice
Okamoto, H., Cavino, K., Na, E., Krumm, E. A., Kim, S. Y., Cheng, X., Murphy, A. J., Yancopoulos, G. D., & Gromada, J. (2017) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1621069114 · Cited by 70 · see citing works
“Leptin could mediate this effect because it has been shown to normalize blood glucose levels in mice with no β cells (42, 43).”
BackgroundCyclic AMP sensor EPAC proteins and energy homeostasis
Almahariq, M. F., Mei, F. C., & Cheng, X. (2013) · Trends in Endocrinology and Metabolism · doi:10.1016/j.tem.2013.10.004 · Cited by 70 · see citing works
“We speculate the latter class of molecules will combat hyperglucagonemia as it restores leptin sensitivity, which decreases glucagon levels [67].”
Central Nervous System Control of Glucose Homeostasis: A Therapeutic Target for Type 2 Diabetes?
Mirzadeh, Z., Faber, C. L., & Schwartz, M. W. (2022) · The Annual Review of Pharmacology and Toxicology · doi:10.1146/annurev-pharmtox-052220-010446 · Cited by 69 · see citing works
Self-citationNutrient-Sensing Mechanisms in the Gut as Therapeutic Targets for Diabetes
Breen, D. M., Rasmussen, B. A., Côté, C. D., Jackson, V. M., & Lam, T. K. T. (2013) · Diabetes · doi:10.2337/db13-0523 · Cited by 64 · see citing works
Type 2 diabetes: one disease, many pathways
Ha, J., & Sherman, A. (2020) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00512.2019 · Cited by 65 · see citing works
Marques, T. M., Patterson, E., Wall, R., O’Sullivan, Ó., Fitzgerald, G. F., Cotter, P. D., Dinan, T. G., Cryan, J. F., Ross, R. P., & Stanton, C. (2016) · Beneficial Microbes · doi:10.3920/bm2015.0154 · Cited by 58 · see citing works
Morton, G. J., Muta, K., Kaiyala, K. J., Rojas, J. M., Scarlett, J. M., Matsen, M. E., Nelson, J. T., Acharya, N., Piccinini, F., Stefanovski, D., et al. (2017) · Diabetes · doi:10.2337/db16-1351 · Cited by 59 · see citing works
“Euglycemic-Hyperinsulinemic Clamp To independently assess the effect of phentolamine on insulin sensitivity in cold-exposed rats, a euglycemichyperinsulinemic clamp was performed as previously described (21,22).”
MethodSelf-citationBrain control of blood glucose levels: implications for the pathogenesis of type 2 diabetes
Alonge, K. M., D’Alessio, D. A., & Schwartz, M. W. (2020) · Diabetologia · doi:10.1007/s00125-020-05293-3 · Cited by 58 · see citing works
Self-citationYau, S. W., Henry, B. A., Russo, V. C., McConell, G. K., Clarke, I. J., Werther, G. A., & Sabin, M. A. (2014) · Endocrinology · doi:10.1210/en.2013-2099 · Cited by 54 · see citing works
Control of hepatic glucose metabolism by islet and brain
Rojas, J. M., & Schwartz, M. W. (2014) · Diabetes Obesity and Metabolism · doi:10.1111/dom.12332 · Cited by 52 · see citing works
“leptin involves normalization of elevated HGP [47], despite ongoing, severe insulin deficiency.”
BackgroundSelf-citationMeek, T. H., Matsen, M. E., Dorfman, M. D., Guyenet, S. J., Damian, V. M., Hồng, N. T., Taborsky, G. J., & Morton, G. J. (2013) · Endocrinology · doi:10.1210/en.2013-1328 · Cited by 51 · see citing works
Self-citationPhysiological role for leptin in the control of thermal conductance
Kaiyala, K. J., Ogimoto, K., Nelson, J. T., Muta, K., & Morton, G. J. (2016) · Molecular Metabolism · doi:10.1016/j.molmet.2016.07.005 · Cited by 48 · see citing works
Self-citationPeripheral Mechanisms Mediating the Sustained Antidiabetic Action of FGF1 in the Brain
Scarlett, J. M., Muta, K., Brown, J. M., Rojas, J. M., Matsen, M. E., Acharya, N., Secher, A., Ingvorsen, C., Jørgensen, R., Høeg-Jensen, T., et al. (2018) · Diabetes · doi:10.2337/db18-0498 · Cited by 50 · see citing works
“In rodent models of uncontrolled diabetes induced by streptozotocin, for example, hyperglycemia can be reversed by continuous icv administration of leptin, even in the face of persistent, severe insulin deficiency (10,40).”
Self-citationParacrine signalling by pancreatic δ cells determines the glycaemic set point in mice
Huang, J. L., Pourhosseinzadeh, M. S., Lee, S. C. L., Krämer, N., Guillen, J. V., Cinque, N., Aniceto, P. A., Momen, A. T., Koike, S., & Huising, M. O. (2024) · Nature Metabolism · doi:10.1038/s42255-023-00944-2 · Cited by 51 · see citing works
Leptin, diabetes, and the brain
Morton, G. J., & Meek, T. H. (2012) · Indian Journal of Endocrinology and Metabolism · doi:10.4103/2230-8210.105568 · Cited by 45 · see citing works
“In a similar manner, leptin administration directly into the brain normalizes blood glucose levels in rodent models of uDM[42-46] at doses that are ineffective when administered systemically.”
BackgroundMethodSelf-citationThe ventromedial hypothalamic nucleus: watchdog of whole-body glucose homeostasis
Tu, L., Fukuda, M., Tong, Q., & Xu, Y. (2022) · Cell & Bioscience · doi:10.1186/s13578-022-00799-2 · Cited by 45 · see citing works
Levi, J., Gray, S. L., Speck, M., Huynh, F. K., Babich, S. L., Gibson, W. T., & Kieffer, T. J. (2011) · Endocrinology · doi:10.1210/en.2011-0185 · Cited by 45 · see citing works
Morton, G. J., Meek, T. H., Matsen, M. E., & Schwartz, M. W. (2015) · Journal of Clinical Investigation · doi:10.1172/jci82723 · Cited by 40 · see citing works
“Based on these observations, the brain was identified as a likely mediator of leptin’s antidiabetic actions, and an insulin-independent glucose-lowering mechanism was implied since the effect occurs despite persistent, severe insulin deficiency (3, 4).”
BackgroundSelf-citationCNS Control of Glucose Metabolism: Response to Environmental Challenges
Arble, D. M., & Sandoval, D. A. (2013) · Frontiers in Neuroscience · doi:10.3389/fnins.2013.00020 · Cited by 41 · see citing works
“, 2005b) independently of insulin levels (German et al., 2011).”
BackgroundHow Should We Think About the Role of the Brain in Glucose Homeostasis and Diabetes?
Deem, J. D., Muta, K., Scarlett, J. M., Morton, G. J., & Schwartz, M. W. (2017) · Diabetes · doi:10.2337/dbi16-0067 · Cited by 39 · see citing works
“This leptin effect appears to be mediated centrally because it is replicated by administration of leptin directly into the brain at a dose below that needed to affect glucose homeostasis when given systemically (21,22).”
BackgroundSelf-citationA critical update on the l eptin‐melanocortin system
Lavoie, O., Michael, N. J., & Caron, A. (2023) · Journal of Neurochemistry · doi:10.1111/jnc.15765 · Cited by 40 · see citing works
“It should be noted that leptin also seemed to regulate hepatic glucose production independently of insulin (German et al., 2011).”
BackgroundAdipose Tissue as an Endocrine Organ
Musi, N., & Guardado‐Mendoza, R. (2014) · Elsevier eBooks · doi:10.1016/b978-0-12-408134-5.00014-7 · Cited by 40 · see citing works
Gut-brain mechanisms controlling glucose homeostasis
Scarlett, J. M., & Schwartz, M. W. (2015) · F1000Prime Reports · doi:10.12703/p7-12 · Cited by 38 · see citing works
“A role for the brain in this anti-diabetic leptin action was identified initially on the basis of the finding that, in rats with STZ-diabetes, continuous ICV infusion of leptin normalized markedly elevated blood glucose levels at low doses that are ineffective when administered peripherally [55].”
BackgroundInfluentialSelf-citationLeptin, 20years of searching for glucose homeostasis
Fernández-Formoso, G., Perez‐Sieira, S., González-Touceda, D., Diéguez, C., & Tovar, S. A. (2015) · Life Sciences · doi:10.1016/j.lfs.2015.02.008 · Cited by 37 · see citing works
Brain derived neurotrophic factor in newly diagnosed diabetes and prediabetes
Liu, W., Han, X., Zhou, X., Zhang, S., Cai, X., Zhang, L., Li, Y., Li, M., Gong, S., & Ji, L. (2016) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2016.04.002 · Cited by 36 · see citing works
Arachidonic acid impairs hypothalamic leptin signaling and hepatic energy homeostasis in mice
Cheng, L., Yu, Y., Zhang, Q., Szabo, A., Wang, H., & Huang, X. (2015) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2015.04.025 · Cited by 33 · see citing works
“For instance, leptin administration in rodents enhances insulin mediated suppression of hepatic glucose production [14, 15] and suppress [16] hepatic gluconeogenesis.”
Perfluorooctanoic acid impaired glucose homeostasis through affecting adipose AKT pathway
Du, G., Sun, J., & Zhang, Y. (2018) · Cytotechnology · doi:10.1007/s10616-017-0164-6 · Cited by 33 · see citing works
Meek, T. H., Dorfman, M. D., Matsen, M. E., Fischer, J. D., Cubelo, A., Kumar, M. R., Taborsky, G. J., & Morton, G. J. (2015) · Diabetes · doi:10.2337/db14-1562 · Cited by 32 · see citing works
“A parallel line of study has shown that leptin action in the brain normalizes blood glucose levels in uDM via an insulin-independent mechanism characterized by a normalization of both HGP and elevated plasma glucagon levels (9,10).”
BackgroundMethodResultInfluentialSelf-citationJejunal Leptin-PI3K Signaling Lowers Glucose Production
Rasmussen, B. A., Breen, D. M., Duca, F. A., Côté, C. D., Zadeh‐Tahmasebi, M., Filippi, B., & Lam, T. K. T. (2013) · Cell Metabolism · doi:10.1016/j.cmet.2013.11.014 · Cited by 32 · see citing works
Neumann, U. H., Ho, J. S. S., Chen, S., Tam, Y. Y. C., Cullis, P. R., & Kieffer, T. J. (2017) · Molecular Metabolism · doi:10.1016/j.molmet.2017.06.012 · Cited by 33 · see citing works
Interaction of glucose sensing and leptin action in the brain
Li, R. J. W., Zhang, S., & Lam, T. K. T. (2020) · Molecular Metabolism · doi:10.1016/j.molmet.2020.101011 · Cited by 34 · see citing works
Glucose Effectiveness in Obese Children: Relation to Degree of Obesity and Dysglycemia
Weiss, R., Magge, S. N., Santoro, N., Giannini, C., Boston, R. C., Holder, T. A., Shaw, M. M., Duran, E. J., Hershkop, K. J., & Caprio, S. (2015) · Diabetes Care · doi:10.2337/dc14-2183 · Cited by 31 · see citing works
“diabetic hyperglycemia in rodents in the presence of sufficient amounts of central nervous system leptin (30).”
BackgroundYue, J. T. Y., Abraham, M. A., Bauer, P. V., LaPierre, M. P., Wang, P., Duca, F. A., Filippi, B., Chan, O. T. M., & Lam, T. K. T. (2016) · Nature Communications · doi:10.1038/ncomms13501 · Cited by 30 · see citing works
CNS Regulation of Glucose Homeostasis: Role of the Leptin-Melanocortin System
da Silva, A. A., do Carmo, J. M., & Hall, J. E. (2020) · Current Diabetes Reports · doi:10.1007/s11892-020-01311-1 · Cited by 30 · see citing works
Metreleptin and generalized lipodystrophy and evolving therapeutic perspectives
Tchang, B. G., Shukla, A. P., & Aronne, L. J. (2015) · Expert Opinion on Biological Therapy · doi:10.1517/14712598.2015.1052789 · Cited by 28 · see citing works
“Studies in lipoatrophic mice show that leptin replacement prevents insulin resistance at the level of the liver, independently of its effects on food intake and body weight, via reduction of hepatic triglyceride content, decreases in hepatic expression of gluconeogenic genes and improvement of insulin signaling [10].”
BackgroundTrajectory of leptin and leptin receptor in vertebrates: Structure, function and their regulation
Bakshi, A., Singh, R. K., & Rai, U. (2021) · Comparative Biochemistry and Physiology Part B Biochemistry and Molecular Biology · doi:10.1016/j.cbpb.2021.110652 · Cited by 27 · see citing works
Leptin Is Required for Glucose Homeostasis after Roux-en-Y Gastric Bypass in Mice
Mokadem, M., Zechner, J. F., Uchida, A., & Aguirre, V. (2015) · PLoS ONE · doi:10.1371/journal.pone.0139960 · Cited by 25 · see citing works
Leptin induces fasting hypoglycaemia in a mouse model of diabetes through the depletion of glycerol
Denroche, H. C., Kwon, M., Quong, W. L., Neumann, U. H., Kulpa, J. E., Karunakaran, S., Clee, S. M., Brownsey, R. W., Covey, S. D., & Kieffer, T. J. (2015) · Diabetologia · doi:10.1007/s00125-015-3529-4 · Cited by 25 · see citing works
“Leptin depletes hepatic energy-yielding stores in STZ-diabetic mice Several studies have shown that leptin reduces endogenous glucose production in rodent models of type 1 diabetes [1, 6, 11], suggesting that this may drive the glucose-lowering effect of leptin.”
BackgroundResultInfluentialRap1 in the VMH regulates glucose homeostasis
Kaneko, K., Lin, H., Fu, Y., Saha, P., la Puente-Gomez, A. B. D., Xu, Y., Ohinata, K., Chen, P., Morozov, A., & Fukuda, M. (2021) · JCI Insight · doi:10.1172/jci.insight.142545 · Cited by 24 · see citing works
Kim, G. H., Szabo, A., King, E. M., Ayala, J., Ayala, J. E., & Altarejos, J. Y. (2014) · Molecular Metabolism · doi:10.1016/j.molmet.2014.12.006 · Cited by 24 · see citing works
Foster, S. R., Omoruyi, F. O., Bustamante, J. J., Alexander-Lindo, R. L., & Dilworth, L. (2016) · International Journal of Experimental Pathology · doi:10.1111/iep.12210 · Cited by 24 · see citing works
Leptin deficiency affects glucose homeostasis and results in adiposity in zebrafish
He, J., Ding, Y., Nowik, N., Jager, C., Eeza, M. N. H., Alia, A., Baelde, H. J., & Spaink, H. P. (2021) · Journal of Endocrinology · doi:10.1530/joe-20-0437 · Cited by 23 · see citing works
Insulin Knockout Mice Have Extended Survival but Volatile Blood Glucose Levels on Leptin Therapy
Neumann, U., Denroche, H. C., Mojibian, M., Covey, S. D., & Kieffer, T. J. (2015) · Endocrinology · doi:10.1210/en.2015-1890 · Cited by 24 · see citing works
Leptin therapy in type 2 diabetes
Cummings, B. P. (2012) · Diabetes Obesity and Metabolism · doi:10.1111/dom.12048 · Cited by 23 · see citing works
“Furthermore, leptin has been suggested to exert important glucoregulatory and insulin-sensitizing effects through central signalling pathways [6,14,33,37,38].”
BackgroundMeek, T. H., Matsen, M. E., Damian, V. M., Cubelo, A., Chua, S. C., & Morton, G. J. (2014) · Endocrinology · doi:10.1210/en.2014-1169 · Cited by 22 · see citing works
Self-citationCurrent and Emerging Treatment Options in Diabetes Care
Clemmensen, C., Müller, T. D., Finan, B., Tschöp, M. H., & DiMarchi, R. D. (2015) · Handbook of experimental pharmacology · doi:10.1007/164_2015_7 · Cited by 22 · see citing works
Boychuk, C. R., & Smith, B. N. (2016) · Journal of Neurophysiology · doi:10.1152/jn.00325.2016 · Cited by 22 · see citing works
da Silva, A. A., Spradley, F. T., Granger, J. P., Hall, J. E., & do Carmo, J. M. (2015) · Journal of Neurophysiology · doi:10.1152/jn.00911.2014 · Cited by 21 · see citing works
Matsen, M. E., Thaler, J. P., Wisse, B. E., Guyenet, S. J., Meek, T. H., Ogimoto, K., Cubelo, A., Fischer, J. D., Kaiyala, K. J., Schwartz, M. W., et al. (2013) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00488.2012 · Cited by 21 · see citing works
Self-citationExpanding neurotransmitters in the hypothalamic neurocircuitry for energy balance regulation
Xu, Y., & Tong, Q. (2011) · Protein & Cell · doi:10.1007/s13238-011-1112-4 · Cited by 20 · see citing works
“Strikingly, both peripheral and central administration of leptin effectively lowers glucose to a normal range, which is independent of its effects on body weight (Yu et al., 2008; Fujikawa et al., 2010; Wang et al., 2010; German et al., 2011).”
BackgroundLeptin modulates the daily rhythmicity of blood glucose
Grosbellet, E., Dumont, S., Schuster, C., Lemaître, B. J., Pévet, P., Criscuolo, F., & Challet, É. (2015) · Chronobiology International · doi:10.3109/07420528.2015.1035440 · Cited by 20 · see citing works
“, 2009), decreased hepatic glucose production, increased peripheral glucose uptake (German et al., 2011) and decreased insulin secretion as shown in ob/ob mice (Seufert et al.”
Backgrounddo Carmo, J. M., da Silva, A. A., Gava, F. N., Moak, S. P., Dai, X., & Hall, J. E. (2019) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.00077.2019 · Cited by 19 · see citing works
Leptin Administration Enhances Islet Transplant Performance in Diabetic Mice
Denroche, H. C., Quong, W. L., Bruin, J. E., Tudurí, E., Asadi, A., Glavas, M. M., Fox, J. K., & Kieffer, T. J. (2013) · Diabetes · doi:10.2337/db12-1684 · Cited by 18 · see citing works
Does oral glutamine improve insulin sensitivity in adolescents with type 1 diabetes?
Torres‐Santiago, L., Mauras, N., Hossain, J., WELTMAN, A. L., & Darmaun, D. (2016) · Nutrition · doi:10.1016/j.nut.2016.09.003 · Cited by 20 · see citing works
Sweatman, C. Z. W. H. (2019) · Journal of Theoretical Biology · doi:10.1016/j.jtbi.2019.110037 · Cited by 19 · see citing works
Ito, Y., Sun, R., Yagimuma, H., Taki, K., Mizoguchi, A., Kobayashi, T., Sugiyama, M., Onoue, T., Tsunekawa, T., Takagi, H., et al. (2022) · Diabetes · doi:10.2337/db21-0953 · Cited by 18 · see citing works
Central regulation of glucose metabolism in an insulin‐dependent and ‐independent manner
Fujikawa, T. (2021) · Journal of Neuroendocrinology · doi:10.1111/jne.12941 · Cited by 19 · see citing works
Denroche, H. C., Glavas, M. M., Tudurí, E., Karunakaran, S., Quong, W. L., Philippe, M., Britton, H. M., Clee, S. M., & Kieffer, T. J. (2016) · Endocrinology · doi:10.1210/en.2015-1998 · Cited by 17 · see citing works
The Brain–Liver Connection Between BDNF and Glucose Control
Jo, Y., & Chua, S. C. (2013) · Diabetes · doi:10.2337/db12-1824 · Cited by 17 · see citing works
“The current report by Morton and colleagues (3) builds upon the group’s previous work with leptin’s effect on diabetic rats (19) with the clear anticipation that BDNF is a mediator of leptin.”
BackgroundPitra, S., & Smith, B. N. (2020) · American Journal of Physiology-Gastrointestinal and Liver Physiology · doi:10.1152/ajpgi.00368.2020 · Cited by 14 · see citing works
Chan, L. K. Y., & Leung, P. S. (2015) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00373.2015 · Cited by 16 · see citing works
Wegeberg, A., Meldgaard, T., Bæk, A., Drewes, A. M., Vyberg, M., Jessen, N., Brock, B., & Brock, C. (2021) · Basic & Clinical Pharmacology & Toxicology · doi:10.1111/bcpt.13575 · Cited by 14 · see citing works
A mathematical model of type 1 diabetes involving leptin effects on glucose metabolism
Kadota, R., Sugita, K., Uchida, K., Yamada, H., Yamashita, M., & Kimura, H. (2018) · Journal of Theoretical Biology · doi:10.1016/j.jtbi.2018.08.008 · Cited by 14 · see citing works
- Authors
- German, J. P., Thaler, J. P., Wisse, B. E., Oh-I, S., Sarruf, D. A., Matsen, M. E., Fischer, J. D., Taborsky, G. J., Schwartz, M. W., & Morton, G. J.
- Affiliations
- University of Washington (US)
- Diabetes and Obesity Center of Excellence (J.P.G., J.P.T., B.E.W., S.O.-I., D.A.S., M.E.M., J.D.F., M.W.S., G.J.M.), Department of Medicine, University of Washington, Seattle, Washington 98109
- VA Puget Sound Health Care System (US)
- Corresponding author
- Morton, Gregory J.
- Venue
- Endocrinology
- Publisher
- The Endocrine Society
- Published
- 2010-12-15
- Volume
- 152
- Issue
- 2
- Pages
- 394-404
- ISSN
- 0013-7227 (ISSN-L)
- 1945-7170
- PMC
- PMC3037161
- OpenAlex
- W1996800212
- Semantic Scholar
- 7c46f9454e2b40dacf481b15d5c0a823b6dc64a7
- Cited by
- 169
- References
- 65
- Citations by year
- 2026: 1 · 2025: 8 · 2024: 7 · 2023: 4 · 2022: 7 · 2021: 12 · 2020: 10 · 2019: 10 · 2018: 6 · 2017: 14 · 2016: 18 · 2015: 23 · 2014: 14 · 2013: 16 · 2012: 11
- FWCI
- 4.94
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Endocrinology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Veterans Affairs
- University of Washington
- National Institutes of Health (1u24dk076126-01)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK074758, DK-083042, U24-DK076126, DK 035816, DK-050154-13, R56DK050154, R01DK050154, R01DK090320, P30DK035816, R01DK083042)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Keywords
- leptin, diabetic hyperglycemia, insulin-independent glucose regulation, hepatic glucose production, tissue glucose uptake, streptozotocin-induced diabetes, insulin deficiency
- MeSH terms
- Animals, Blood Glucose, Body Composition, Brain, Corticosterone, Diabetes Mellitus, Experimental, Glucagon, Glucose Tolerance Test, Hyperglycemia, Insulin, Male, Rats, Wistar, Reverse Transcriptase Polymerase Chain Reaction, Leptin, Rats
About these checks
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.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-10.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-10.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review