Leptin, a hormone produced by adipocytes in proportion to fat stores, signals the sufficiency of energy reserves to the brain to control feeding and metabolism. Leptin represents a vital link between metabolic and neuroendocrine pathways, and adequate circulating leptin levels are required to permit the expenditure of energy on reproduction, growth, and other energy-intensive endocrine outputs. Leptin mediates its effects by acting upon a distributed network of CNS neurons that express the signaling form of the leptin receptor (LRb). Nutritional status early in development influences a lifelong metabolic program that modulates risk for diabetes, obesity and other elements of the metabolic syndrome. Recent evidence has demonstrated a number of important roles for leptin in the regulation of neural development and metabolic programming. In this review, we discuss leptin action, the neural circuits on which leptin acts, and our nascent understanding of how early leptin exposure may influence neural development and the predisposition to metabolic diseases.Keywords Leptin . Development . Metabolic syndrome . Brain
Leptin and leptin actionThe discovery of leptin The story of leptin began half a century ago, with the identification of two spontaneously arising recessive alleles causing monogenic obesity and diabetes in mice-obese (ob) and diabetes (db) [1-3]. The ob/ob and db/db animals exhibit similar syndromes of hyperphagic obesity with prominent diabetes and endocrine dysregulation reminiscent of the fasting response (hypothalamic hypogonadism, decreased growth, decreased thyroid function, increased glucocorticoids, etc.). The first clue to the biology of the genes underlying these two animal models came from a series of parabiosis experiments conducted by Coleman in the late 1960s [4,5]. Linking the circulation of ob/ob mice with either wild-type or db/db mice promoted weight loss in the ob/ob animals, while parabiosis of db/db mice with either ob/ob or wild-type animals had no effect on the db/db animals-suggesting that ob/ob mice lacked a circulating factor, while db/db mice lacked the receptor for this factor. This conclusion was confirmed by the positional cloning of the ob gene, which encoded an adipocyte (fat cell)-produced secreted peptide (termed leptin; Greek-leptos=thin) that promoted weight loss in ob/ob mice [6]. The leptin receptor (LR)-encoding gene (Lepr) was cloned soon thereafter, revealing that LR mutation underlies the defects in db/db mice [7-10].The physiologic regulation of leptin Although leptin is produced primarily by adipocytes, it is also produced in smaller quantities by other tissues [6,11]. While no conditional null animals have been generated to probe the physiologic relevance of leptin production by specific tissues, the phenotype of human patients and rodent models virtually devoid of adipose tissue (lipodystrophy) is re- Rev Endocr Metab Disord (2007) 8:85-94