“…However, both in experimental animals (Escobar-Morreale et al 1997, Fain et al 1997, and in humans (Corbetta et al 1997, Sreenan et al 1997, Valcavi et al 1997, Leonhardt et al 1998, Pinkney et al 1998, Yoshida et al 1998, no data have demonstrated in a definitive way that thyroid hormones may change circulating leptin levels, and the scarce leptin changes observed were explained by parallel alterations in body weight of the subjects under observation. Supporting that lack of action of thyroid hormones, studies with human adipose tissue showed no changes in leptin release when incubated with significant concentrations of thyroid hormones in vitro (Menendez et al 2001). The present report of a direct action of TSH on leptin secretion, exerted directly at the adipocyte level in human tissue, adds a new dimension to the complex relationship between the two points of the system, although it must be remembered that other factors continuously operate superimposed on the TSH actions in order to modulate the final levels of leptin in plasma.…”