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瘦素与垂体。

Leptin and the pituitary.

作者信息

Sone M, Osamura R Y

机构信息

Department of Pathology, Tokai University School of Medicine, Isehara, Kanagawa, Japan.

出版信息

Pituitary. 2001 Jan-Apr;4(1-2):15-23. doi: 10.1023/a:1012978525492.

Abstract

In 1994, Zhang et al. of Rockefeller University in New York reported the first successful complementary DNA (cDNA) cloning of leptin by the positional cloning method. Leptin was identified as the gene of ob/ob mouse in genetic obesity syndromes. It has very strong food intake control, and body weight and energy expenditure. The name "leptin" derived from the Greek word leptos, meaning "thin." We hereby review major advances leading to our current finding of leptin, leptin receptor and its structure, the outline of homozygote, and also influence of leptin in the pituitary. (The structure of leptin) The mouse obese gene has been localized to chromosome 6. With human leptin gene on chromosome 7q31.3, its DNA has more than 15000 base pairs and consists of three exons and two introns. For bioactivation of leptin the importance of disulfide-binding site is suggested. Human leptin which replaced the 128-th arginine with glutamine has the function of an aldosteron antagonist, which is reported to have the function of athrocytosis inhibition. The resemblance of leptin precursor of human, mouse and rat is very high, i.e., mouse and rat homology is 96% and mouse and human homology is 83%. (The structure of leptin receptor) The mutant gene, which is the cause of obesity, was shown on map on diabetic mouse (db/db) chromosome 4, and it was proven to be the same as the leptin receptor gene cloned by Tartaglia et all. Further studies have found the Zucker fatty rat (fa/fa) to be incorporated into a linkage map of rat chromosome 5, whose region of rat is the equivalent to the region of conserved synteny of the db/db mouse gene. The leptin receptor is glycoprotein consisting of a single transmembrane-spanning component. The primary structure of leptin receptor belongs to the cytokine-class1 family, the single membrane-spanning receptor, and is highly related to the gp130 signal-transducing component of the interleukin-6 (IL-6) receptor, the granulocyte colony-stimulating factor (G-CSF) receptor, and the leukemia inhibitory factor (LIF) receptor. The leptin receptor is known to have at least six existing isoforms (Ob-Ra, b, c, d, e, f) from the difference in splicing. (Homozygote Mutation of Leptin and Leptin Receptor :Hormone Secretion Disorders) The point mutation of ob/ob mouse and the splicing mutation of db/db mouse show remarkable obesity and hyperphagia. These obesity models show a reproduction disorder with both the male and the female, and they develop with homozygote. The cause is thought to be the gonadotropin secretory abnormality in pituitary. Three family lines report the cases of this deficiency, and it is considered that the secretory abnormality in pituitary develops into hypogonadotropic. These patients show low value in plasma FSHbeta (follicle stimulating hormone-beta and LHbeta (luteinizing hormone-beta which are produced from pituitary, and the plasma GnRH (gonadotropin releasing hormone) level is also low. Furthermore, the leptin receptor deficient family line was reported in 1998, in which case only the homozygote developed. The plasma leptin concentration of normal human is about 8.0 ng/ml, and this case with leptin receptor deficiency has high value of 500-700 ng/ml, which is the equivalent to the db/db mouse. (Role of Leptin in Hypothalamus-Pituitary-Periphery Function) The role of leptin which regulates pituitary hormones suggests the promotion the GHRH (growth hormone releasing hormone) secretion in hypothalamus-pituitary axis, with the possibility of the rise in secretion of GH (growth hormone) in pituitary, i.e. effects of icv (intracerebroventricular) infusion of leptin has spontaneously stimulated GHRH, which promotes GH secretion in the normal rats. On the other hand, topical treatment of GH3 (derived from a rat pituitary GH-secreting cell line) with leptin directly inhibits cell proliferation. The obesity model animals (ob/ob, db/db, fa/fa) have equally plump body compared to the normal models, which shows signs of sufficient growth. (Localization and Functional Relevance of Leptin and Leptin Receptor in Rodents Pituitary) Aside from being the food intake inhibitor and the energy control factor, leptin takes part in controlling the pituitary hormones. Promoting the secretion of GH, PRL (prolactin), TSHbeta (thyroid stimulating hormone-beta, FSHbeta/LHbeta, and inhibiting the secretion of ACTH (adrenocorticotropic hormone) are the major changes of pituitary hormones which are brought on by leptin. The expressive localization is specific, and immunohistochemistry (IHC) method recognized leptin in granular state in FSHbeta, LHbeta and TSHbeta positive cells. In our biochemical examination, the bulk of the expression of leptin is recognized in fraction of the secretory granule. In particular, FSHbeta cells had the highest percentage rate of colocalized leptin in rat pituitary. On the other hand, leptin receptor has been reported to be found only in normal rat pituitary, human pituitary adenoma, and respective cell lines in pituitaries by the RT-PCR method until now, but we disclosed for the first time the localization of leptin receptor on the plasma membrane of GH-secreting cells with the IHC method that has not been cleared so far. These findings show that leptin and leptin receptor have been expressed in different cells, and that the rat pituitary glands entertain paracrine mechanism between leptin (FSHbeta/LHbeta cells) and leptin receptor (GH cells). The function of paracrine in this pituitary suggests a new point of view in hypothalamus-pituitary axis, and it shall be concerned with many aspects such as hormone secretions and proliferation/inhibition. (Human Pituitary Adenoma) Preliminary report of leptin and leptin-receptor relationship with pituitary adenoma that has secretion abnormality has been filed, and its manifestation is being observed by the RT-PCR. Leptin and leptin receptor are expressed in most adenoma, and it is thought to function by autocrine and paracrine pathway in the adenomas. Leptin has been located in ACTH-secreting adenoma most frequently, especially in ACTH carcinoma. The leptin receptor is detected in all adenomas with high percentage rate, with both long and short forms, and then many cases of nonfunctioning pituitary adenomas, compared with other adenomas, have been reported to be positive with both long and short forms of leptin receptor as detected by RT-PCR. The HP75 cell line is derived from the nonfunctioning pituitary adenoma, which produces FSHbeta and LHbeta. The expression of leptin receptor in nonfunctioning pituitary adenoma, and the suppression of HP75 multiplication may lead to the possible hypothesis of leptin becoming one factor for the treatment of pituitary adenoma, especially in gonadotropin adenomas.

摘要

1994年,纽约洛克菲勒大学的张等人报告了通过定位克隆法首次成功克隆瘦素互补DNA(cDNA)。瘦素在遗传性肥胖综合征中被鉴定为ob/ob小鼠的基因。它对食物摄入控制、体重和能量消耗具有很强的调节作用。“瘦素”这个名字来源于希腊语leptos,意为“瘦”。在此,我们回顾了导致我们目前对瘦素、瘦素受体及其结构的发现、纯合子概述以及瘦素对垂体影响的主要进展。(瘦素的结构)小鼠肥胖基因已定位到6号染色体。人类瘦素基因位于7q31.3染色体上,其DNA有超过15000个碱基对,由三个外显子和两个内含子组成。二硫键结合位点对瘦素的生物激活具有重要意义。用谷氨酰胺取代第128位精氨酸的人瘦素具有醛固酮拮抗剂的功能,据报道具有抑制吞噬作用。人、小鼠和大鼠的瘦素前体相似度非常高,即小鼠和大鼠的同源性为96%,小鼠和人的同源性为83%。(瘦素受体的结构)导致肥胖的突变基因在糖尿病小鼠(db/db)的4号染色体图谱上显示,并且被证明与塔塔利亚等人克隆的瘦素受体基因相同。进一步研究发现, Zucker肥胖大鼠(fa/fa)被纳入大鼠5号染色体的连锁图谱,其大鼠区域相当于db/db小鼠基因的保守同线区域。瘦素受体是一种糖蛋白,由单个跨膜成分组成。瘦素受体的一级结构属于细胞因子1类家族,即单跨膜受体,与白细胞介素-6(IL-6)受体、粒细胞集落刺激因子(G-CSF)受体和白血病抑制因子(LIF)受体的gp130信号转导成分高度相关。已知瘦素受体由于剪接差异至少有六种异构体(Ob-Ra、b、c、d、e、f)。(瘦素和瘦素受体的纯合子突变:激素分泌紊乱)ob/ob小鼠的点突变和db/db小鼠的剪接突变表现出明显的肥胖和多食。这些肥胖模型在雄性和雌性中都表现出生殖障碍,并且它们以纯合子形式发育。原因被认为是垂体促性腺激素分泌异常。三个家族系报告了这种缺陷的病例,并且认为垂体分泌异常发展为低促性腺激素性。这些患者垂体产生的血浆促卵泡激素β(FSHβ)和促黄体生成素β(LHβ)值较低,血浆促性腺激素释放激素(GnRH)水平也较低。此外,1998年报道了瘦素受体缺陷家族系,在这种情况下只有纯合子发病。正常人的血浆瘦素浓度约为8.0 ng/ml,而这个瘦素受体缺陷病例的值高达500 - 700 ng/ml,与db/db小鼠相当。(瘦素在下丘脑 - 垂体 - 外周功能中的作用)瘦素调节垂体激素的作用表明,它促进下丘脑 - 垂体轴中生长激素释放激素(GHRH)的分泌,垂体中生长激素(GH)分泌可能增加,即脑室内(icv)注入瘦素可自发刺激GHRH,促进正常大鼠的GH分泌。另一方面,用瘦素局部处理GH3(源自大鼠垂体生长激素分泌细胞系)可直接抑制细胞增殖。与正常模型相比,肥胖模型动物(ob/ob、db/db、fa/fa)身体同样丰满,显示出生长充分的迹象。(瘦素和瘦素受体在啮齿动物垂体中的定位及功能相关性)除了作为食物摄入抑制剂和能量控制因子外,瘦素还参与垂体激素的调节。促进GH、催乳素(PRL)、促甲状腺激素β(TSHβ)、FSHβ/LHβ的分泌,并抑制促肾上腺皮质激素(ACTH)的分泌,这些是瘦素引起的垂体激素的主要变化。其表达定位具有特异性,免疫组织化学(IHC)方法在FSHβ、LHβ和TSHβ阳性细胞中以颗粒状态识别出瘦素。在我们的生化检查中,大部分瘦素表达在分泌颗粒部分被识别。特别是,FSHβ细胞中瘦素共定位的百分率在大鼠垂体中最高。另一方面,到目前为止,通过逆转录聚合酶链反应(RT-PCR)方法仅在正常大鼠垂体、人垂体腺瘤及垂体各细胞系中发现了瘦素受体,但我们首次用尚未明确的免疫组织化学方法揭示了瘦素受体在生长激素分泌细胞的质膜上的定位。这些发现表明瘦素和瘦素受体在不同细胞中表达,并且大鼠垂体在瘦素(FSHβ/LHβ细胞)和瘦素受体(GH细胞)之间存在旁分泌机制。垂体中这种旁分泌功能为下丘脑 - 垂体轴提供了一个新的视角,并且它与激素分泌和增殖/抑制等许多方面有关。(人类垂体腺瘤)已经提交了关于瘦素和瘦素受体与具有分泌异常的垂体腺瘤关系的初步报告,并且正在通过RT-PCR观察其表现。瘦素和瘦素受体在大多数腺瘤中表达,并且被认为在腺瘤中通过自分泌和旁分泌途径发挥作用。瘦素最常位于促肾上腺皮质激素分泌腺瘤中,尤其是在促肾上腺皮质激素癌中。通过RT-PCR检测,在所有腺瘤中瘦素受体的检出率很高,有长、短两种形式,并且与其他腺瘤相比,许多无功能垂体腺瘤被报道长、短两种形式的瘦素受体均为阳性。HP75细胞系源自无功能垂体腺瘤,该腺瘤产生FSHβ和LHβ。无功能垂体腺瘤中瘦素受体的表达以及HP75增殖的抑制可能导致瘦素成为垂体腺瘤治疗因素的假说,尤其是在促性腺激素腺瘤中。

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