The glucoregulatory actions of leptin.

The glucoregulatory actions of leptin.
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DOI:
10.1016/j.molmet.2017.04.011
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发表时间:
2017-09
影响因子:
8.1
通讯作者:
Kieffer TJ
Kieffer TJ
中科院分区:
医学1区
文献类型:
--
作者:
D'souza AM;Neumann UH;Glavas MM;Kieffer TJ

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The hormone leptin is an important regulator of metabolic homeostasis, able to inhibit food intake and increase energy expenditure. Leptin can also independently lower blood glucose levels, particularly in hyperglycemic models of leptin or insulin deficiency. Despite significant efforts and relevance to diabetes, the mechanisms by which leptin acts to regulate blood glucose levels are not fully understood. Here we assess literature relevant to the glucose lowering effects of leptin. Leptin receptors are widely expressed in multiple cell types, and we describe both peripheral and central effects of leptin that may be involved in lowering blood glucose. In addition, we summarize the potential clinical application of leptin in regulating glucose homeostasis. Leptin exerts a plethora of metabolic effects on various tissues including suppressing production of glucagon and corticosterone, increasing glucose uptake, and inhibiting hepatic glucose output. A more in-depth understanding of the mechanisms of the glucose-lowering actions of leptin may reveal new strategies to treat metabolic disorders.
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