Hamdan Medical Journal

REVIEW ARTICLE
Year
: 2010  |  Volume : 3  |  Issue : 3  |  Page : 131--135

Leptin and the regulation of body weight


Jeffrey M Friedman 
 Laboratory of Molecular Genetics, Howard Hughes Medical Institute, The Rockefeller University, USA

Correspondence Address:
Jeffrey M Friedman
Laboratory of Molecular Genetics HHMI, The Rockefeller University 1230 York Ave., New York NY 10065
USA

The discovery of leptin has led to the elucidation of a robust physiologic system that maintains fat stores at a relatively constant level. Leptin is a peptide hormone secreted by adipose tissue in proportion to its mass. This hormone circulates in blood and acts on the hypothalamus to regulate food intake and energy expenditure. When fat mass falls, plasma leptin levels fall stimulating appetite and suppressing energy expenditure until fat mass is restored. When fat mass increases, leptin levels increase, suppressing appetite until weight is lost. By such a mechanism total energy stores are stably maintained within a relatively narrow range. Recessive mutations in the leptin gene are associated with massive obesity in mice and some humans. Treatment with recombinant leptin markedly reduces food intake and body weight. The low leptin levels in patients with leptin mutations are also associated with multiple abnormalities including infertility, diabetes and immune abnormalities all of which are corrected by leptin treatment. These findings have established important links between energy stores and many other physiologic systems and led to the use of leptin as a treatment for an increasing number of other human conditions including a subset of obesity, some forms of diabetes including lipodystrophy and hypothalamic amennorhea, the cessation of menstruation seen in extremely thin women. Identification of a physiologic system that controls energy balance establishes a biologic basis for obesity and further establishes links between leptin and numerous other physiologic responses.


How to cite this article:
Friedman JM. Leptin and the regulation of body weight.Hamdan Med J 2010;3:131-135


How to cite this URL:
Friedman JM. Leptin and the regulation of body weight. Hamdan Med J [serial online] 2010 [cited 2020 Feb 21 ];3:131-135
Available from: http://www.hamdanjournal.org/article.asp?issn=2227-2437;year=2010;volume=3;issue=3;spage=131;epage=135;aulast=Friedman;type=0