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Leptin
Leptin is a
protein encoded by the OB gene. Its named comes from the Greek word leptos, which means "thin." Its discovery was a major breakthrough in
the field of obesity genetics.
Fat
cells make this hormone, which in turn signals a part of the brain called the
hypothalamus. This part of the brain controls several bodily functions, including hunger, the
metabolism of fats and sugars, and regulation of body temperature.
Leptin is produced more in the evening time and
early morning hours. When levels are high, the hypothalamus is signaled
that the body has enough energy stored as fat. The
hypothalamus decreases the sensation of feeling hungry and
increases the body's rate of energy expenditure. Fasting
causes levels to rapidly decrease and activates a starvation
response to seek food as well as other bodily reactions: - Tries to prevent pregnancy
- Decreased thyroid hormones
- Decreased metabolism
- Growth hormone levels increase which mobilizes fat stores
- but IGF-1 levels decrease which may slow growth
- May play a key role in the Female Athlete Triad
Theoretically,
dieting may initially make your brain feel hungrier than you need to be
in order to have a proper energy balance. It may take some time to move
out of "starvation mode" where metabolism is suppressed and hunger is
increased. Your body would need to adapt its leptin levels to your
newly desired weight, at which point, energy use and appetite return to
normal.
Some people have mutations in the OB gene, and this causes them
to start becoming overweight shortly after being born. They can weigh more than 44
lbs by 1 year old or 110 lbs by 5 years old. They have more than 50% body fat,
whereas children normally have 15-25% body fat.
These mutations also lead to several abnormalities of the brain and hormone
functions, in particular small gonads (i.e. testicles and ovaries). There are low levels of
T-cells, which are a major part
of the immune system. This causes them to have a high rate of respiratory
infections. Thyroid and growth hormone levels are low as well. The defects are very
rare as only 12 cases have been reported in people who have mutations in both of their
leptin genes.
Daily injections of synthetic leptin can help these
people. Their sense of feeling good from eating diminishes. The hunger
subsides, and they do eat less. The gonads grow and function normally.
Puberty now takes place as it would in a normal child. There is a
small increase in thyroid hormone. Immune function also improves. Unfortunately, giving it
to people who already have normal or high levels does not seem to make
them want to eat less. It only benefits those who are deficient in the
hormone. However, research is ongoing to try to utilize this signaling
system to help people lose weight and maintain weight loss. It may even
be able to help with other health issues like high cholesterol, diabetes, and polycystic ovarian syndrome.

The hypothalamic leptin-melanocortin system
Return to Genetics or the
Home Page.
It is important you
discuss any weight loss or exercise plan with your doctor. Only you and
your physician can decide what is best for you. Some people have
certain conditions that prevent them from doing all exercises, and goal
body weights may be different for different people. You need to discuss
all these things with your physician before starting any weight loss or
exercise program.
This
article was written by
John
Vickery, MD.
References Fauci et al., Harrison's
Principles of Internal Medicine 17th ed., ch 74
Endocrine Reviews 27(7):710-718
Endocrinol Metab Clin N Am 2008;37:733-751 Ann Intern Med. 2010;152:93-100

Last updated 3/14/2010
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