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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 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]
In the citing paper
“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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Items 101–197 of 197
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Leptin downregulates ghrelin levels in streptozotocin-induced diabetic mice
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“Because this was the group that had lost weight and had supposedly also the highest leptin levels, two conditions that improve glucose tolerance [29, 30 ] such a result might be expected.”
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“Leptin reduces systemic glucose levels and regulates glucose utilization in a diabetic mouse model via an insulin independent pathway (Chinookoswong et al., 1999; Hidaka et al., 2002; Kojima et al., 2009).”
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“The normalization of blood glucose levels by leptin therapy in insulin-deficient rodents correlates with increased insulin sensitivity (Chinookoswong et al. 1999; Denroche et al. 2011; Lin et al. 2002).”
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“Published results of others suggest that this approach may have promise for humans [31] as well as rodents [50, 51].”
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“For example, a near total insulin deficiency not only leads to hyperglycemia, but also to a leptin deficit (Chinookoswong et al., 1999; Lin et al., 2002).”
BackgroundNutrient Sensing, Leptin and Insulin Action
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“Leptin selectively decreases visceral adiposity and enhances the action of insulin (Barzilai et al., 1997; Chinookoswong et al., 1999).”
BackgroundRole of Hormone-sensitive Lipase in Leptin-Promoted Fat Loss and Glucose Lowering
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“This is strongly supported by the fact that an increase in leptin levels either by exogenous leptin [46] or by indirect maneuvers such as adenoviral gene therapy [47] decreases hypoglycemia despite persistent hypoinsulinemia in STZ diabetes.”
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“Chronic peripheral leptin administration (via subcutaneous osmotic pump) normalizes blood glucose concentrations in streptozotocin (STZ)-induced diabetic rats (Chinookoswong et al. 1999).”
BackgroundSelf-citationLeptin is a potent anti-diabetic in mice with lipodystrophy and insulin resistance
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Metadata
- 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 › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › 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
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.
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 ›
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