Leptin is autocrine/paracrine regulator of wound healing.

This study was performed to investigate the role of leptin in wound healing. The specific aims were to determine whether leptin is present at the wound site and whether this might reflect up-regulation of leptin expression as a consequence of active synthesis in response to the tissue insult. Leptin is a hypoxia-inducible cytokine functionally related to the IL-6 cytokine family. As a well-documented angiogenic molecule, leptin may mediate wound neovascularization and have additional effects in cells involved in the healing process, including fibroblasts, macrophages, and keratinocytes. Wound resident cells actively engage in acute synthesis of leptin within the first 4 h after injury, which is maintained throughout the various phases of the healing process. Treatment of wounds with neutralizing anti-leptin antibodies severely disrupts a variety of morphological parameters of wound healing such as wound contraction, re-epithelialization, and matrix density. The increase observed in leptin synthesis within the wound results in a transient elevation in circulating leptin, arising directly from the wound bed. This report demonstrates for the first time that leptin synthesis occurs rapidly in wound ischemic tissue and that the presence of leptin is necessary for normal healing progression to occur. [ABSTRACT FROM AUTHOR]