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Query: UMLS:C0028754 (
obesity
)
124,988
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
To explore the pathophysiological significance of the obese (ob) gene product,
leptin
, in ventromedial hypothalamus (VMH)-lesioned rats, we examined the synthesis and secretion of
leptin
and its satiety effect in VMH-lesioned rats compared with those in sham-operated rats. Northern blot analysis revealed that ob gene expression is markedly augmented in the mesenteric and sc white adipose tissue, but remained unchanged in the epididymal white adipose tissue during the development of
obesity
in VMH-lesioned rats. Plasma
leptin
levels were relatively constant in sham-operated rats, but were elevated during the development of
obesity
in VMH-lesioned rats. In sham-operated rats, a single i.v. (1.0 mg/rat) or intracerebroventricular (2.0 micrograms/rat) injection of recombinant human
leptin
reduced food intake and body weight gain in sham-operated rats. By contrast, no significant effect on food intake or body weight gain was observed in VMH-lesioned rats. The present study provides evidence that VMH-lesioned rats overproduce
leptin
and increase its release but cannot respond to it and suggests that the loss of its satiety effect contributes to the development of
obesity
and the
obesity
-related phenotypes in VMH-lesioned rats.
...
PMID:Pathophysiological significance of the obese gene product, leptin, in ventromedial hypothalamus (VMH)-lesioned rats: evidence for loss of its satiety effect in VMH-lesioned rats. 904 94
Obesity
is a major predisposing factor for the development of several chronic diseases including non-insulin dependent diabetes mellitus (NIDDM) and coronary heart disease (CHD). Leptin is a serum protein which is secreted by adipocytes and thought to play a role in the regulation of body fat. Leptin levels in humans have been found to be highly correlated with an individual's total adiposity. We performed a genome-wide scan and conducted multipoint linkage analysis using a general pedigree-based variance component approach to identify genes with measurable effects on quantitative variation in
leptin
levels in Mexican Americans. A microsatellite polymorphism, D2S1788, mapped to chromosome 2p21 (approximately 74 cM from the tip of the short arm) and showed strong evidence of linkage with serum
leptin
levels with a lod score of 4.95 (P = 9 x 10(-7)). This locus accounted for 47% of the variation in serum
leptin
levels, with a residual additive genetic component contributing an additional 24%. This region contains several potential candidate genes for
obesity
, including glucokinase regulatory protein (GCKR) and pro-opiomelanocortin (POMC). Our results show strong evidence of linkage of this region of chromosome 2 with serum
leptin
levels and indicate that this region could contain an important human
obesity
gene.
...
PMID:A major quantitative trait locus determining serum leptin levels and fat mass is located on human chromosome 2. 905 40
The ob gene product,
leptin
, has been shown in several studies to be involved in weight control and recombinant
leptin
recently has entered clinical trials to treat
obesity
. The leptin receptor (OB-R/B219) is expressed in a variety of protein isoforms not only in the central nervous system, but also in reproductive, and hematopoietic tissues. We reported recently that the OB-R/B219 was associated with a variety of hematopoietic lineages as well as the small fraction of cells containing the long-term reconstituting hematopoietic stem cells. Herein we report that
leptin
significantly stimulates the proliferation and differentiation of yolk sac cells and fetal liver cells and stimulates directly hematopoietic precursors. Leptin alone can increase the number of macrophage and granulocyte colonies, and
leptin
plus erythropoietin act synergistically to increase erythroid development. These data show that
leptin
has a significant, direct effect on early hematopoietic development and can stimulate the differentiation of lineage-restricted precursors of the erythrocytic and myelopoietic lineages. These observations along with a recent report strongly support our previous hypothesis that
leptin
has an unanticipated important role in hematopoietic and immune system development.
...
PMID:Leptin stimulates fetal and adult erythroid and myeloid development. 937 66
Our knowledge of the role of the recently cloned ob-protein (
leptin
) in the regulation of body fat stores is largely derived from experiments performed in mice. Different mouse models exhibit abnormalities in ob-gene expression, with extreme overexpression in mice which lack bioactive ob-protein, have nonfunctional ob-receptors or hypothalamic lesions, and undetectable expression in mice with suggested defects in regulatory elements. The aim of this study is to examine if defects, corresponding to those in mice, exist in human
obesity
. Adipose tissue was obtained from 94 adult obese subjects and from six children who had developed
obesity
after surgery in the hypothalamic region. Total RNA was isolated and ob-gene expression was examined by reverse transcriptase-polymerase chain reaction (RT-PCR) and Northern blot. The coding region of the ob-gene was sequenced in both directions in the 94 obese adults. No mutations were detected in the coding region of the ob-gene and ob-gene expression was detectable in all subjects and none of the subjects had an extreme overexpression. There was no systematic increase in ob-expression in obese children with hypothalamic disease compared to their healthy brothers and sisters. These results show that severe abnormalities involving the ob-gene, analogous to those described in mouse models, are rare in human
obesity
. We therefore conclude that the cloning and subsequent analysis of the ob-gene has not provided information that can, by itself, explain the genetic component in the development of human
obesity
.
...
PMID:Obese (ob) gene defects are rare in human obesity. 906 13
Plasma
leptin
concentration is directly related to the degree of
obesity
and is higher in women than in men of the same body mass index (BMI). We hypothesized that fasting plasma
leptin
concentrations and the response of
leptin
to weight loss would differ in older men and women of a similar fat mass. Plasma
leptin
concentrations (radioimmunoassay) and fat mass (DXA) were measured in 47 older, obese (BMI = 30 +/- 4 kg/m2) women and 23 older, obese (BMI = 31 +/- 3 kg/m2) men after a 2 to 4 week period of weight and dietary stabilization, and then in 22 of the women and 18 of the men after a 6-month weight loss intervention (250-350 kcal/d deficit). Leptin correlated with fat mass in men and women (r = 0.75 and r = 0.77, respectively; p values < 0.0001), but women had 3-fold higher
leptin
levels for a given fat mass than men (p = 0.01). In response to the 6-month hypocaloric diet, men and women lost a similar percentage of fat mass (-13% and -16%, respectively), but the relative decline in circulating
leptin
was greater in women than men (-45% and -21%, respectively; p < 0.0001). In addition, when
leptin
was normalized for fat mass using the ratio method, the decrease in
leptin
per kilogram of fat mass was greater in women than men (-0.37 +/- 0.34 vs. -0.04 +/- 0.06 ng/mL/kg; p < 0.01). After weight loss, the change in
leptin
concentrations correlated positively with the change in fat mass in men (r = 0.60; p < 0.01), but not in women (r = 0.31; p = 0.17). Furthermore, the loss in fat mass correlated negatively with baseline
leptin
levels in women (r = -0.47; p < 0.05), but not in men (r = 0.03, p = NS). These results indicate that the decline in
leptin
concentration with weight loss correlates with the loss in fat mass in men; but, in women, other factors affect the decrease in
leptin
concentration. This suggests that the role of
leptin
in the regulation of
obesity
is gender-specific and may account for gender differences in response to hypocaloric treatment and maintenance of lost weight.
...
PMID:Gender differences in the response of plasma leptin concentrations to weight loss in obese older individuals. 906 17
To explore the pathophysiologic roles of the obese (ob) gene product,
leptin
, in the development of
obesity
and hypertension, we examined ob gene expression and
leptin
secretion in obese spontaneously hypertensive rats (obese SHR or Koletsky rats) at the stage of established
obesity
and hypertension. Expression of the ob gene was augmented in the epididymal, mesenteric, subcutaneous, and retroperitoneal white adipose tissue (WAT) from 20-week-old male obese SHR compared to their lean littermates (lean SHR). Using a radioimmunoassay for rat
leptin
, we also measured plasma
leptin
levels in 20-week-old lean and obese SHR. Plasma
leptin
levels in obese SHR (292.5 +/- 37.1 ng/ml) were more than 100-fold higher than those in lean SHR (2.8 +/- 1.0 ng/ml). The present study demonstrates that ob gene expression and
leptin
secretion are markedly augmented in obese SHR.
...
PMID:Augmentation of obese (ob) gene expression and leptin secretion in obese spontaneously hypertensive rats (obese SHR or Koletsky rats). 907 Aug 50
The product of the ob gene,
leptin
, is a hormone secreted by adipose tissue that acts in the hypothalamus to regulate the size of the body fat depot. Its central administration has been shown to decrease food intake and body weight, while favoring energy dissipation. As glucocorticoids are known to play a permissive role in the establishment and maintenance of
obesity
syndromes in rodents, it was hypothesized that they do so by restraining the effect of
leptin
. Leptin injected intracerebroventricularly as a bolus of 3 microg in normal rats induced modest reductions in body weight and food intake. In marked contrast, the same dose of
leptin
had very potent and long-lasting effects in decreasing both body weight and food intake when administered to adrenalectomized rats. Further, glucocorticoid supplementation of adrenalectomized rats dose-dependently inhibited these potent effects of
leptin
. These data suggest that glucocorticoids play a key inhibitory role in the action of
leptin
. Under normal conditions, this inhibitory influence of glucocorticoids may prevent lasting hypophagia. In
obesity
with degrees of hypercorticism, it may contribute to "leptin resistance," whose etiology is still little understood.
...
PMID:Glucocorticoids as counterregulatory hormones of leptin: toward an understanding of leptin resistance. 907 17
Thirty-five years ago, Lois and Theodore Zucker reported the discovery of a genetic mutation in the rat that resulted in juvenile-onset
obesity
, increased food intake, decreased energy expenditure, and insulin resistance. The mutation was called fatty (fa). The fatty gene is passed on to successive generations by an autosomal recessive mode of inheritance. In the intervening years, much work has been done to characterize the many abnormalities of this animal model of
obesity
. Nearly 10 years ago, we reviewed the evidence for a central nervous system mechanism in the etiology of
obesity
in the fatty Zucker rat. Since that time, the discovery of novel peptides and genes has revolutionized the study of the etiology of genetically linked obesities. In this review, we update the evidence for a central nervous system mechanism of
obesity
in Zucker rats by focusing on the possible role of neuropeptide Y (NPY) and
leptin
in the etiology of
obesity
. We also discuss the role of glucocorticoids and insulin in the regulation of NPY.
...
PMID:Evidence for a central mechanism of obesity in the Zucker rat: role of neuropeptide Y and leptin. 908 55
Leptin is the protein product of the
obesity
(OB) gene in humans. To date, no study has correlated serum
leptin
levels with ethnicity, cigarette smoking, or other cardiovascular risk factors. In this study, serum
leptin
levels were measured in 100 Mexican Americans and 50 non-Hispanic whites who participated in the San Antonio Heart Study. Mexican Americans had higher levels of serum
leptin
than age- and sex-matched non-Hispanic whites (21 vs. 16 ng/mL). However, the
leptin
levels were similar in the two groups after controlling for body mass index (BMI). Women had higher levels of serum
leptin
than did men (24 vs. 9 ng/mL; P < .0001). There was a strong association between
leptin
levels and BMI (r = 0.91 in non-Hispanic white men; r = 0.77 in non-Hispanic women; r = 0.81 in Mexican American men; and r = 0.78 in Mexican American women). A model containing age, sex, and BMI explained 79% of the variance in serum
leptin
levels. After adjustment for age, sex, and BMI, current cigarette smokers had significantly lower
leptin
levels than never-smokers (p < 0.05). The results suggested that human
obesity
was associated with
leptin
-resistance rather than
leptin
-deficiency. Leptin levels were positively associated with BMI in this cross-sectional analysis. Cigarette smoking may increase sensitivity to
leptin
, since cigarette smokers had lower
leptin
levels than did nonsmokers with the same BMI.
...
PMID:Serum leptin levels in Mexican Americans and non-Hispanic whites: association with body mass index and cigarette smoking. 909 94
Leptin is an adipocyte hormone involved in the regulation of energy homeostasis. Generally accepted biological effects of
leptin
are inhibition of food intake and stimulation of metabolic rate in ob/ob mice that are defective in the
leptin
gene. In contrast to these centrally mediated effects of
leptin
, we are reporting here on
leptin
effects on isolated rat adipocytes. Leptin impairs several metabolic actions of insulin, i.e. stimulation of glucose transport, glycogen synthase, lipogenesis, inhibition of isoproterenol-induced lipolysis, and protein kinase A activation, as well as stimulation of protein synthesis. Insulin effects were reduced by
leptin
(2 nM) with a half-life of about 8 h. At low
leptin
concentrations (<1 nM), the insulin sensitivity was reduced leading to a shift to the right in the dose-response curve. At higher concentrations the responsiveness was diminished, resulting in nearly complete inhibition of insulin effects at >30 nM
leptin
. The IC50 value of
leptin
was 3.1 +/- 1 nM after 15 h of preincubation of adipocytes in primary culture. The natural splice variant des-Gln49-
leptin
exhibited a significantly lower potency. Adipocytes regained full insulin sensitivity within a few hours after
leptin
removal. The stimulation of glucose transport by vanadate was not affected by
leptin
. These data show specific and potent impairment of insulin action by
leptin
in the physiological concentration range of both
leptin
and insulin, which may be related to the pathophysiology of insulin resistance in both non-insulin-dependent diabetes mellitus and
obesity
.
...
PMID:Leptin impairs metabolic actions of insulin in isolated rat adipocytes. 909 5
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