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Mechanism of Regulation of Adipocyte Numbers in Adult Organisms Through Differentiation and Apoptosis Homeostasis
Published on: June 3, 2016
Leptin in pediatrics: A hormone from adipocyte that wheels several functions in children
Ashraf T Soliman1, Mohamed Yasin, Ahmed Kassem
1Department of Pediatric Endocrinology, Clinical Chemistry, Hamad Medical Center (HMC), Doha-Qatar, HMC, Qatar ; College of Medicine, University of Alexandria, Alexandria, Egypt.
Insights
Leptin, a key hormone, regulates appetite, energy, and growth. This review explores leptin
Area of Science:
- Endocrinology and Metabolism
- Pediatrics
- Physiology
Background:
- Leptin is a pleiotropic hormone crucial for regulating appetite, energy balance, linear growth, pubertal development, cardiovascular function, and immunity.
- Nutritional status significantly impacts the balance between leptin and other hormones, influencing adaptation processes across multiple organ systems.
- Understanding leptin's structure, functions, and clinical significance in conditions of altered secretion is essential.
Purpose of the Study:
- To review the physiological functions and signaling pathways of leptin during childhood and adolescence.
- To discuss leptin's roles in controlling food intake, energy regulation, growth, puberty, and immunity.
- To examine leptin's secretion and adaptive roles in various disease states and the application of leptin therapy.
Main Methods:
- Literature review summarizing recent findings on leptin's structure, function, and clinical significance.
- Analysis of leptin's roles in physiological processes and disease states.
- Discussion of clinical manifestations and management strategies for leptin-related disorders.
Main Results:
- Leptin plays a vital role in mediating essential adaptation processes influenced by nutritional status.
- Leptin influences numerous organ systems, including the brain, liver, and skeletal muscle.
- Leptin therapy has shown success in managing genetic leptin deficiency and other conditions like lipodystrophy and diabetes mellitus.
Conclusions:
- Leptin is a critical regulator of energy homeostasis, growth, and development, particularly during childhood and adolescence.
- Dysregulation of leptin is implicated in various diseases, including obesity, malnutrition, and eating disorders.
- Leptin therapy offers a viable treatment option for specific leptin-deficient states and related metabolic disorders.
Abstract:
The protein leptin, a pleiotropic hormone regulates appetite and energy balance of the body and plays important roles in controlling linear growth, pubertal development, cardiovascular function, and immunity. Recent findings in the understanding of the structure, functional roles, and clinical significance of conditions with increased and decreased leptin secretion are summarized. Balance between leptin and other hormones is significantly regulated by nutritional status. This balance influences many organ systems, including the brain, liver, and skeletal muscle, to mediate the essential adaptation process. The aim of this review is to summarize the possible physiological functions of leptin and its signaling pathways during childhood and adolescence including control of food intake, energy regulation, growth and puberty, and immunity. Moreover, its secretion and possible roles in the adaptation process during different disease states (obesity, malnutrition, eating disorders, delayed puberty, congenital heart diseases and hepatic disorders) are discussed. The clinical manifestations and the successful management of patients with genetic leptin deficiency and the application of leptin therapy in other diseases including lipodystrophy, states with severe insulin resistance, and diabetes mellitus are discussed.
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