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Published on: April 24, 2021
Hypothalamic endoplasmic reticulum stress as a key mediator of obesity-induced leptin resistance
1Guangdong Metabolic Disease Research Center of Integrated Chinese and Western Medicine, Key Unit of Modulating Liver to Treat Hyperlipemia SATCM (State Administration of Traditional Chinese Medicine), Guangdong Pharmaceutical University, Guangzhou, China.
Abstract:
Obesity is an epidemic disease that is increasing worldwide and is a major risk factor for many metabolic diseases. However, effective agents for the prevention or treatment of obesity remain limited. Therefore, it is urgent to clarify the pathophysiological mechanisms underlying the development and progression of obesity and exploit potential agents to cure and prevent this disease. According to a recent study series, obesity is associated with the development of endoplasmic reticulum stress and the activation of its stress responses (unfolded protein response) in metabolically active tissues, which contribute to the development of obesity-related insulin and leptin resistance, inflammation and energy imbalance. Hypothalamic endoplasmic reticulum stress is the central mechanism underlying the development of obesity-associated leptin resistance and disruption of energy homeostasis; thus, targeting endoplasmic reticulum stress offers a promising therapeutic strategy for improving leptin sensitivity, increasing energy expenditure and ultimately combating obesity. In this review, we highlight the relationship between and mechanism underlying hypothalamic endoplasmic reticulum stress and obesity-associated leptin resistance and energy imbalance and provide new insight regarding strategies for the treatment of obesity.
Insights
Obesity is linked to endoplasmic reticulum stress, causing leptin resistance and energy imbalance. Targeting this stress offers a promising therapeutic strategy for obesity treatment and prevention.
Area of Science:
- Metabolic disease research
- Neuroendocrinology
- Cellular stress response
Background:
- Obesity is a global epidemic and a significant risk factor for metabolic diseases.
- Current obesity treatments are limited, necessitating research into underlying mechanisms and novel therapeutic targets.
- Obesity is associated with endoplasmic reticulum stress and unfolded protein response in metabolic tissues, contributing to insulin/leptin resistance and inflammation.
Purpose of the Study:
- To review the relationship between hypothalamic endoplasmic reticulum stress and obesity.
- To elucidate the mechanisms linking hypothalamic endoplasmic reticulum stress to leptin resistance and energy imbalance.
- To explore therapeutic strategies targeting hypothalamic endoplasmic reticulum stress for obesity treatment.
Main Methods:
- Literature review of studies investigating endoplasmic reticulum stress in obesity.
- Analysis of the role of hypothalamic endoplasmic reticulum stress in leptin resistance.
- Examination of energy homeostasis disruption associated with endoplasmic reticulum stress.
Main Results:
- Hypothalamic endoplasmic reticulum stress is a central mechanism in obesity-related leptin resistance.
- Endoplasmic reticulum stress contributes to disrupted energy homeostasis and inflammation in obesity.
- Targeting endoplasmic reticulum stress may improve leptin sensitivity and energy expenditure.
Conclusions:
- Hypothalamic endoplasmic reticulum stress plays a critical role in obesity pathogenesis.
- Strategies targeting endoplasmic reticulum stress present a promising therapeutic avenue for combating obesity.
- Further research into these mechanisms could lead to effective obesity treatments.
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