101. Leptin rapidly improves glucose homeostasis in obese mice by increasing hypothalamic insulin sensitivity.
- Author
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Koch C, Augustine RA, Steger J, Ganjam GK, Benzler J, Pracht C, Lowe C, Schwartz MW, Shepherd PR, Anderson GM, Grattan DR, and Tups A
- Subjects
- Adipose Tissue enzymology, Adipose Tissue physiopathology, Animals, Blood Glucose metabolism, Class Ia Phosphatidylinositol 3-Kinase genetics, Class Ia Phosphatidylinositol 3-Kinase physiology, Class Ib Phosphatidylinositol 3-Kinase genetics, Class Ib Phosphatidylinositol 3-Kinase physiology, Homeostasis genetics, Hypothalamus enzymology, Insulin Resistance genetics, Isoenzymes genetics, Isoenzymes physiology, Leptin genetics, Male, Mice, Mice, Knockout, Mice, Obese, Obesity enzymology, Obesity genetics, Rats, Rats, Sprague-Dawley, Time Factors, Glucose metabolism, Homeostasis physiology, Hypothalamus metabolism, Insulin Resistance physiology, Leptin deficiency, Obesity metabolism
- Abstract
Obesity is associated with resistance to the actions of both leptin and insulin via mechanisms that remain incompletely understood. To investigate whether leptin resistance per se contributes to insulin resistance and impaired glucose homeostasis, we investigated the effect of acute leptin administration on glucose homeostasis in normal as well as leptin- or leptin receptor-deficient mice. In hyperglycemic, leptin-deficient Lep(ob/ob) mice, leptin acutely and potently improved glucose metabolism, before any change of body fat mass, via a mechanism involving the p110α and β isoforms of phosphatidylinositol-3-kinase (PI3K). Unlike insulin, however, the anti-diabetic effect of leptin occurred independently of phospho-AKT, a major downstream target of PI3K, and instead involved enhanced sensitivity of the hypothalamus to insulin action upstream of PI3K, through modulation of IRS1 (insulin receptor substrate 1) phosphorylation. These data suggest that leptin resistance, as occurs in obesity, reduces the hypothalamic response to insulin and thereby impairs peripheral glucose homeostasis, contributing to the development of type 2 diabetes.
- Published
- 2010
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