2006
DOI: 10.1007/s10620-006-9126-0
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Leptin in the Field of Hepatic Fibrosis: A Pivotal or an Incidental Player?

Abstract: Leptin is a 16-kDa nonglycosylated protein primarily secreted from the adipocytes of white fat; minor levels of regulated leptin expression also occurs at other sites such as placenta, skeletal muscle, the stomach fundus, and culture-activated hepatic stellate cells (HSCs). Leptin is primarily involved in the regulation of food intake and body composition through a central feedback mechanism linking food ingestion, hypothalamus, and adipose tissue mass. In recent years, however, emerging evidence has suggested… Show more

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Cited by 24 publications
(22 citation statements)
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“…Moreover, hyaluronic acid, collagen IV, TIMP-1, -2-macroglobulin, and TGF1 are correlated with a moderate serious fibrotic state (Lu et al, 2003). In addition, the leptin receptor gene possibly involved in fibrogenesis and hepatic inflammation is up-regulated (Bethanis and Theocharis, 2006). The expression patterns of these genes collectively suggest that a fibrotic state develops during the differentiation program, which may be responsible, at least in part, for differentiation problems.…”
Section: Discussionmentioning
confidence: 99%
“…Moreover, hyaluronic acid, collagen IV, TIMP-1, -2-macroglobulin, and TGF1 are correlated with a moderate serious fibrotic state (Lu et al, 2003). In addition, the leptin receptor gene possibly involved in fibrogenesis and hepatic inflammation is up-regulated (Bethanis and Theocharis, 2006). The expression patterns of these genes collectively suggest that a fibrotic state develops during the differentiation program, which may be responsible, at least in part, for differentiation problems.…”
Section: Discussionmentioning
confidence: 99%
“…45 Leptin, one of the major adipokines, is a 16-kDa nonglycosylated protein secreted primarily from the adipocytes of white fat; a minor level of regulated leptin expression also occurs at other sites such as placenta, skeletal muscle, and stomach fundus, and in cultureactivated HSCs. 46 Leptin has been recognized as a profi brogenic hormone in the liver. Niu et al 47 reported that leptin acts directly on liver fi brogenesis by stimulating α1(I) collagen production in activated HSCs.…”
Section: Fibrogenesismentioning
confidence: 99%
“…In particular, activation of the LEPR in hepatic stellate cells leads to increased expression of proinflammatory cytokine MCP-1 and proangiogenic vascular endothelial growth factor (VEGF) and angiopoietin-1 [44]. It was also postulated that leptin acts as a profibrogenic cytokine in sinusoidal microenvironment by acting both on endothelial cells and Kupffer cells [45], as it participates in the development of the liver fibrosis associated with chronic viral infections and with primary biliary cirrhosis [46].…”
Section: Leptinmentioning
confidence: 99%
“…In particular, activation of the LEPR in hepatic stellate cells leads to increased expression of proinflammatory cytokine MCP-1 and proangiogenic vascular endothelial growth factor (VEGF) and angiopoietin-1 [44]. It was also postulated that leptin acts as a profibrogenic cytokine in sinusoidal microenvironment by acting both on endothelial cells and Kupffer cells [45], as it participates in the development of the liver fibrosis associated with chronic viral infections and with primary biliary cirrhosis [46].The involvement of the leptin in the development of the fibrosis in NAFLD is less obvious; a longitudinal study of NAFLD patients revealed no differences in leptin levels in patients with fibrosis progression and those who did not progress [47]. On the other hand, an increase in expression was found both for LEPR mRNA and its protein in patients with NASH, especially those with fibrosis [48].…”
mentioning
confidence: 99%