superactive leptin antagonists (D23l/l39a/D40a/F41a), mutants of mouse, human, rat or ovine leptons, were developed in our laboratory, expressed in E. coli, refolded and purified to homogeneity as monomeric proteins. pegylation of leptin antagonists resulted in a potent and effective long-acting reagents suitable for in vivo studies. In the present review we summarize the possible use of leptin antagonists as (i) research reagents in the study of bone development, autoimmune diseases, metabolic syndrome and type 2 diabetes mellitus (T2Dm) with particular emphasis on creation of a novel, fast and reversible model of metabolic syndrome and T2Dm in mice, and (ii) possible leptin blockers in various human pathologies such as uremic cachexia, anti-inflammatory and anti-autoimmune diseases, and cancer. In conclusion, the recognition and mutagenesis of D23l of previously developed leptin antagonists (l39a/D40a/F41a) enabled construction of novel compounds that induce potent and reversible central and peripheral leptin deficiency.