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Leptin: cutting the fat off the bone

Leptin was initially proposed to be the antiobesity hormone. Now it is realised that leptin is more a signal molecule that communicates nutritional status to the brain, and that it is involved in bone formation by having an antiosteogenic action. Recently, Florent Elefteriou and colleagues (Endocrin...

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Published in:The Lancet (British edition) 2003-11, Vol.362 (9395), p.1572-1574
Main Authors: Cock, Terrie-Anne, Auwerx, Johan
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Auwerx, Johan
description Leptin was initially proposed to be the antiobesity hormone. Now it is realised that leptin is more a signal molecule that communicates nutritional status to the brain, and that it is involved in bone formation by having an antiosteogenic action. Recently, Florent Elefteriou and colleagues (Endocrinology 2003; 144: 3842-47) found that hypothalamic neurons control bone mass. These researchers used monosodium glutamate to obliterate neurons in the arcuate nucleus. Previously, this group (Cell 2002; 101: 305-17) had shown that leptin inhibits bone formation by modulating the sympathetic nervous system. Although leptin influences both energy balance and bone mass by acting on the hypothalamus, the two processes involve different proteins and neurons. WHERE NEXT? Leptin has antiosteogenic activity in mice, mediated by hypothalamic nervous pathways and the sympathetic nervous system. Yet some human studies dispute leptin's antiosteogenic role. Large clinical studies are necessary to consolidate leptin's role in the physiology of human bone. In mice the beta blocker propranolol, a widely used drug with no major deleterious effects, significantly increases bone formation and bone mass without affecting bodyweight, a finding that may provide novel opportunities to design efficient bone-forming drugs for human beings.
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subjects Adrenergic beta-Antagonists - pharmacology
Animals
Anorexia
Biochemistry, Molecular Biology
Biological and medical sciences
Biomedical materials
Blood pressure
Bone Density - drug effects
Bone Density - physiology
Bones
Brain stem
Cardiovascular diseases
Cocaine
Congenital diseases
Deletion
Density
Disease control
Energy
Energy balance
Energy Metabolism - drug effects
Energy Metabolism - physiology
Food
Genetics
Gold
Hormones
Humans
Hypothalamus - drug effects
Hypothalamus - physiology
In vivo methods and tests
Investigative techniques, diagnostic techniques (general aspects)
Leptin
Leptin - pharmacology
Leptin - physiology
Life Sciences
Maintenance
Medical sciences
Metabolic diseases
Mice
Mice, Obese
Nervous system
Neural Pathways - drug effects
Neural Pathways - physiology
Neurons - drug effects
Neurons - physiology
Neuropeptides
Norepinephrine
Nutritional status
Obesity
Osteoblasts
Osteogenesis - drug effects
Osteogenesis - physiology
Osteoporosis
Osteoporosis - drug therapy
Outflow
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Physiology
Propranolol - pharmacology
Receptors
Receptors (physiology)
Rodents
Sympathetic nervous system
Sympathetic Nervous System - drug effects
Sympathetic Nervous System - physiology
title Leptin: cutting the fat off the bone
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