Obesity, Fat Mass and Immune System: Role for Leptin
Open accessAbstract
Obesity is an epidemic disease characterized by chronic low-grade inflammation associated with a dysfunctional fat mass. Adipose tissue is now considered an extremely active endocrine organ that secretes cytokine-like hormones, called adipokines, either pro- or anti-inflammatory factors bridging metabolism to the immune system. Leptin is historically one of most relevant adipokines, with important physiological roles in the central control of energy metabolism and in the regulation of metabolism-immune system interplay, being a cornerstone of the emerging field of immunometabolism. Indeed, leptin receptor is expressed throughout the immune system and leptin has been shown to regulate both innate and adaptive immune responses. This review discusses the latest data regarding the role of leptin as a mediator of immune system and metabolism, with particular emphasis on its effects on obesity-associated metabolic disorders and autoimmune and/or inflammatory rheumatic diseases.
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Elevated leptin levels reduce the frequency of Tregs in individuals with obesity and mouse models.
“In addition, elevated leptin levels have been shown to reduce the frequency of Tregs in both individuals with obesity and mouse models (Francisco et al. 2018).”
From The double-edged sword of regulatory T cells in MASLD: from inflammation control to fibrosis promotion (2026) · cites this paper as Francisco et al. 2018
The T Regulatory Cells subsection reports fewer Tregs in individuals with obesity, correlated with plasma leptin, and a higher Treg percentage in leptin-deficient mice that was reversed by leptin administration. The mouse evidence supports an effect of leptin, but the human finding is correlational; it does not show that elevated leptin caused the reduced Treg frequency in those individuals. No page number is provided in our copy. (LLM, conf=0.86)
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“In addition, elevated leptin levels have been shown to reduce the frequency of Tregs in both individuals with obesity and mouse models (Francisco et al. 2018).”
- Authors
- Francisco, V., Pino, J., Campos-Cabaleiro, V., Ruiz-Fernández, C., Mera, A., Gonzalez-Gay, M. A., Gómez, R., & Gualillo, O.
- Affiliations
- Instituto de Investigación Sanitaria de Santiago (ES)
- Complejo Hospitalario Universitario de Santiago (ES)
- Corresponding author
- Francisco, Vera
- Venue
- Frontiers in Physiology
- Publisher
- Frontiers Media SA
- Published
- 2018-06-01
- Volume
- 9
- Pages
- 640-640
- ISSN
- 1664-042X (ISSN-L)
- PMC
- PMC5992476
- OpenAlex
- W2799348059
- Cited by
- 411
- References
- 16
- Citations by year
- 2026: 19 · 2025: 41 · 2024: 48 · 2023: 43 · 2022: 67 · 2021: 75 · 2020: 66 · 2019: 44 · 2018: 7 · 2017: 1
- FWCI
- 6.89
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Frontiers in Physiology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UCrea (University of Cantabria) (publishedVersion, other-oa)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- European Commission (H2020 Program, PI16/01870, H2020, CP15/00007, 734899)
- Xunta de Galicia (PIE13/00024,)
- Horizon 2020 Framework Programme (734899)
- Research Executive Agency (734899)
- Instituto de Salud Carlos III (PI16/, 734899, PI14/00016, PIE13/00024, CP15/00007, PI14/, RD16/0012/0014, RD16/0012, PI16/01870, H2020, PI17/00409, 00016)
- Servicio Gallego de Salud
- Topics
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Health Sciences › Medicine › Oncology › Cytokine Signaling Pathways and Interactions
- Keywords
- leptin, obesity, adipose tissue, adipokines, immunometabolism, low-grade inflammation, energy metabolism, leptin receptor, innate immunity, adaptive immunity, autoimmune disease, inflammatory rheumatic diseases, metabolic disorders
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