Obesity and Leptin Resistance: Distinguishing Cause from Effect

By M. Myers, Rudolph L. Leibel, R. Seeley, M. Schwartz. Trends in endocrinology and metabolism, 2010

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Because leptin reduces food intake and body weight, the coexistence of elevated leptin levels with obesity is widely interpreted as evidence of “leptin resistance.” Indeed, obesity promotes multiple cellular processes that attenuate leptin signaling (referred to here as “cellular leptin resistance”), and which amplify the extent of weight gain induced by genetic and environmental factors. As commonly employed, however, the term “leptin resistance” embraces a range of phenomena that are distinct with respect both to underlying mechanisms and pathophysiological implications. Moreover, the induction of cellular leptin resistance by obesity complicates efforts to distinguish the mechanisms that predispose to weight gain from those that result from it. We suggest a framework for approaching these issues and important avenues for future investigation.

Subfields: Endocrine and Autonomic Systems, Epidemiology, Nutrition and Dietetics

View Paper: https://www.semanticscholar.org/paper/8f34d7d55d4d8203135e385747a8c8e3bf60b1ed

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