Unraveling the multiple roles of leptin in inflammation and autoimmunity

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This review examines leptin's multifaceted roles in inflammation and autoimmunity, exploring its influence on immune responses and potential therapeutic applications.

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This review studied the multifaceted roles of leptin beyond its original description as an antiobesity hormone, focusing on how it regulates hematopoiesis, reproduction, angiogenesis, and immune homeostasis in the context of chronic inflammation and autoimmunity. It integrates evidence that leptin links nutritional status to proinflammatory T helper 1 immune responses and that decreases in leptin during food deprivation impair immune function. Key findings emphasized across the cited literature are leptin’s modulation of T-cell responses, its involvement in autoimmune disease models, and its proinflammatory activity in inflammatory settings. A major limitation is that the work is a narrative review that compiles prior findings rather than presenting new experimental data. Relevance to endometriosis: the review explicitly cites increased leptin levels in serum and peritoneal fluid of patients with pelvic endometriosis, alongside discussion of leptin-related immune and inflammatory mechanisms, though its main focus is leptin’s general roles in inflammation and autoimmunity.

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Abstract

Initially described as an antiobesity hormone, leptin has subsequently been shown also to influence hematopoiesis, thermogenesis, reproduction, angiogenesis, and immune homeostasis. Leptin links nutritional status and proinflammatory T helper 1 immune responses, and the decrease in leptin plasma concentration during food deprivation leads to impaired immune function. This review focuses on the multiple roles of leptin in chronic inflammation and autoimmunity and suggests new possible therapeutic implications for leptin modulators.
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Abstract

Initially described as an antiobesity hormone, leptin has subsequently been shown also to influence hematopoiesis, thermogenesis, reproduction, angiogenesis, and immune homeostasis. Leptin links nutritional status and proinflammatory T helper 1 immune responses, and the decrease in leptin plasma concentration during food deprivation leads to impaired immune function. This review focuses on the multiple roles of leptin in chronic inflammation and autoimmunity and suggests new possible therapeutic implications for leptin modulators. Similar content being viewed by others Abbreviations - EAE : - Experimental autoimmune encephalomyelitis - IFN : - Interferon - IL : - Interleukin - Th : - T helper - TNF : - Tumor necrosis factor

References

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Acknowledgements

This work is partly supported by Fondazione Italiana Sclerosi Multipla and Comitato Trenta Ore per la Vita (Mediaset). A.L.C. is supported by the Arthritis National Research Foundation, the Lupus Foundation of America, and the California Community Foundation. This work is dedicated to the memory of Prof. Antonino Di Tuoro. Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article La Cava, A., Alviggi, C. & Matarese, G. Unraveling the multiple roles of leptin in inflammation and autoimmunity. J Mol Med 82, 4–11 (2004). https://doi.org/10.1007/s00109-003-0492-1 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00109-003-0492-1

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endometriosis

MeSH descriptors

Autoimmunity Inflammation Leptin Leptin Animals Autoimmunity CD4-Positive T-Lymphocytes CD4-Positive T-Lymphocytes CD4-Positive T-Lymphocytes Endometriosis Endometriosis Female Humans Immune System Immune System Immunotherapy Inflammation Leptin Neurosecretory Systems Neurosecretory Systems

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