Leptin restores euglycemia and normalizes glucose turnover in insulin-deficient diabetes in the rat.
Abstract
Leptin has been shown to improve insulin sensitivity and glucose metabolism in normoinsulinemic healthy or obese rodents. It has not been determined whether leptin may act independently of insulin in regulating energy metabolism in vivo. The present study was designed to examine the effects of leptin treatment alone on glucose metabolism in insulin-deficient streptozotocin (STZ)-induced diabetic rats. Four groups of STZ-induced diabetic rats were studied: 1) rats treated with recombinant methionine murine leptin subcutaneous infusion with osmotic pumps for 12-14 days (LEP; 4 mg x kg(-1) x day(-1), n = 10); 2) control rats infused with vehicle (phosphate-buffered saline) for 12-14 days (VEH; n = 10); 3) pair-fed control rats given a daily food ration matching that of LEP rats for 12-14 days (PF; n = 8); and 4) rats treated with subcutaneous phloridzin for 4 days (PLZ; 0.4 g/kg twice daily, n = 10). Phloridzin treatment normalizes blood glucose without insulin and was used as a control for the effect of leptin in correcting hyperglycemia. All animals were then studied with a hyperinsulinemic-euglycemic clamp (6 mU x kg(-1) x min(-1). Our study demonstrates that leptin treatment in the insulin-deficient diabetic rats restored euglycemia, minimized body weight loss due to food restriction, substantially improved glucose metabolic rates during the postabsorptive state, and restored insulin sensitivities at the levels of the liver and the peripheral tissues during the glucose clamp. The effects on glucose turnover are largely independent of food restriction and changes in blood glucose concentration, as evidenced by the minimal improvement of insulin action and glucose turnover parameters in the PF and PLZ groups. Our results suggest that the antidiabetic effects of leptin are achieved through both an insulin-independent and an insulin-sensitizing mechanism.
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Hyperleptinemia induced by pharmacological leptin administration or adenoviral gene therapy fully ameliorates hyperglycemia in STZ-induced diabetic rats even with extremely low plasma insulin levels.
“hyperleptinemia induced by either pharmacological leptin administration (34) or with adenoviral gene therapy (210) fully ameliorates hyperglycemia in STZ-induced diabetic rats, even in the face of extremely low plasma insulin levels.”
From Leptin and the Central Nervous System Control of Glucose Metabolism (2011) · cites this paper as [34]
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).”
From Leptin Activates a Novel CNS Mechanism for Insulin-Independent Normalization of Severe Diabetic Hyperglycemia (2011) · cites this paper as [3]
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In vivo leptin infusion impairs insulin and leptin signalling in liver and hypothalamus
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Ueno, N., Inui, A., Kalra, P. S., & Kalra, S. P. (2006) · Peptides · doi:10.1016/j.peptides.2006.03.006 · Cited by 53 · 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
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Self-citationLeptin as an adjunct of insulin therapy in insulin-deficient diabetes
Miyanaga, F., Ogawa, Y., Ebihara, K., Hidaka, S., Tanaka, T., Hayashi, S., Masuzaki, H., & Nakao, K. (2003) · Diabetologia · doi:10.1007/s00125-003-1193-6 · Cited by 51 · see citing works
“There are several reports showing a marked decrease in plasma leptin concentrations in insulin-deficient diabetic rats and humans [13, 14, 15, 16, 17, 18, 19, 20], suggesting the therapeutic implication of leptin in insulin-deficient diabetes.”
BackgroundChanges in insulin sensitivity during leptin replacement therapy in leptin-deficient patients
Paz-Filho, G., Esposito, K. F., Hurwitz, B. E., Sharma, A. M., Dong, C., Andreev, V., Delibaşı, T., Erol, H. K., Ayala, A. R., Wong, M., et al. (2008) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.90450.2008 · Cited by 50 · see citing works
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“Oxidative stress is increased in diabetes [26, 27] with leptin administration reportedly improving insulin sensitivity in normal and diabetic rodents [28–30].”
Early events involved in the development of insulin resistance in Zucker fatty rat
Liu, R., Mizuta, M., Kurose, T., & Matsukura, S. (2002) · International Journal of Obesity · doi:10.1038/sj.ijo.0801924 · Cited by 49 · see citing works
Leptin signaling and leptin resistance
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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
“Interestingly, systemic and central administration of leptin, a product of adipocytes, has also been shown to curb hyperglycemia and hyperphagia in STZ-pretreated rodents in short-term experiments [8,20,21].”
InfluentialCentral signalling cross‐talk between insulin and leptin in glucose and energy homeostasis
Boucsein, A., Kamstra, K., & Tups, A. (2021) · Journal of Neuroendocrinology · doi:10.1111/jne.12944 · Cited by 46 · see citing works
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“Systemic administration of leptin to either leptindeficient ob/ob [19,35,41,61,89] or leptinopenic lipodystrophic, diabetic humans and mice stimulated glucose metabolism and normalized blood glucose concentrations, benefits previously”
BackgroundLeptin, 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
“However, in contrast to physiological replacement doses of leptin, hyperleptinemia induced by either pharmacological doses of leptin[38,39] or an adenoviral gene therapy approach[40] ameliorates hyperglycemia in rodent models of uDM, despite very low insulin levels.”
BackgroundLeptin increases osteoblast-specific osteocalcin release through a hypothalamic relay
Kalra, S. P., Dube, M. G., & Iwaniec, U. T. (2009) · Peptides · doi:10.1016/j.peptides.2009.01.020 · Cited by 46 · see citing works
“Increased leptin signaling by icv injection of either leptin or rAAV-lep readily augments energy expenditure and glucose metabolism, even in the absence of increased energy intake [1,2,17,20,21,32,59,60] and these centrally generated effects participate substantially in diminishing blood glucose levels [20,21,59,60].”
BackgroundLeptin resistance following over-expression of protein tyrosine phosphatase 1B in liver
Lam, N., Covey, S. D., Lewis, J. T., Oosman, S. N., Webber, T. D., Hsu, E. C., Cheung, A. T., & Kieffer, T. J. (2005) · Journal of Molecular Endocrinology · doi:10.1677/jme.1.01937 · Cited by 45 · see citing works
Cross-talk between adipose and gastric leptins for the control of food intake and energy metabolism
Cammisotto, P., Levy, E. H., Bukowiecki, L. J., & Bendayan, M. (2010) · Progress in Histochemistry and Cytochemistry · doi:10.1016/j.proghi.2010.06.001 · Cited by 42 · 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
Kalra, S. P. (2008) · Nutrition · doi:10.1016/j.nut.2008.06.023 · Cited by 40 · see citing works
“However, contrary to this established mode for the genesis of type 2 diabetes, evidence also shows that direct activation of hypothalamic leptin receptor by intraventricular injections of leptin lowers blood glucose levels and glucose intolerance [33,34].”
BackgroundSclerostin and its significance for children and adolescents with type 1 diabetes mellitus (T1D)
Wędrychowicz, A., Sztefko, K., & Starzyk, J. (2018) · Bone · doi:10.1016/j.bone.2018.08.007 · Cited by 40 · see citing works
Leptin reduces glucose transport and cellular ATP levels in INS-1 beta-cells
Lam, N., Cheung, A., Riedel, M., Light, P., Ci, C., & Kieffer, T. J. (2004) · Journal of Molecular Endocrinology · doi:10.1677/jme.0.0320415 · Cited by 40 · see citing works
“infusion of leptin to rats enhances hepatic insulin sensitivity and increases whole-body glucose utilization (Kamohara et al. 1997, Sivitz et al. 1997, Barzilai et al. 1999, Chinookoswong et al. 1999 ).”
BackgroundPleotropic effects of leptin to reverse insulin resistance and diabetic ketoacidosis
Perry, R. J., Petersen, K. F., & Shulman, G. I. (2016) · Diabetologia · doi:10.1007/s00125-016-3909-4 · Cited by 39 · see citing works
Increased plasma leptin attenuates adaptive metabolism in early lactating dairy cows
Ehrhardt, R., Foskolos, A., Giesy, S. L., Wesolowski, S. R., Krumm, C. S., Butler, W. R., Quirk, S. M., Waldron, M. R., & Boisclair, Y. R. (2016) · Journal of Endocrinology · doi:10.1530/joe-16-0031 · Cited by 36 · see citing works
Hypothalamic clamp on insulin release by leptin-transgene expression
Boghossian, S., Dube, M. G., Torto, R., Kalra, P. S., & Kalra, S. P. (2006) · Peptides · doi:10.1016/j.peptides.2006.07.022 · Cited by 36 · see citing works
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Jejunal 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
- Authors
- Chinookoswong, N., Wang, J. L., & Shi, Z. Q.
- Affiliations
- Amgen (United States) (US)
- Venue
- Diabetes
- Publisher
- American Diabetes Association
- Published
- 1999-07-01
- Volume
- 48
- Issue
- 7
- Pages
- 1487-1492
- ISSN
- 0012-1797 (ISSN-L)
- 1939-327X
- OpenAlex
- W2113808580
- Cited by
- 197
- References
- 0
- Citations by year
- 2022: 4 · 2021: 6 · 2020: 2 · 2019: 1 · 2018: 4 · 2017: 11 · 2016: 14 · 2015: 9 · 2014: 11 · 2013: 12 · 2012: 13
- FWCI
- 4.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
- Keywords
- leptin, insulin-deficient diabetes, streptozotocin-induced diabetes, glucose turnover, normoglycemia, insulin sensitivity, hyperinsulinemic-euglycemic clamp, phloridzin, dietary restriction, weight loss, peripheral insulin action
- MeSH terms
- Animals, Diabetes Mellitus, Experimental, Drug Evaluation, Preclinical, Glucose, Insulin, Male, Obesity, Phlorhizin, Proteins, Glucose Clamp Technique, Rats, Sprague-Dawley, Leptin, Rats
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