Hileman Stanley M, Pierroz Dominique D, Masuzaki Hiroaki, Bjørbaek Christian, El-Haschimi Karim, Banks William A, Flier Jeffrey S
Department of Physiology, West Virginia University, Morgantown, West Virginia 26506, USA.
Endocrinology. 2002 Mar;143(3):775-83. doi: 10.1210/endo.143.3.8669.
Leptin deficiency causes obesity in rodents and humans, but circulating levels of leptin are paradoxically elevated in obesity. The mechanisms underlying this leptin resistance are unknown, but may involve reduced leptin transport across the blood-brain barrier via short isoforms of the leptin receptor (Ob-R). Here, we first quantified short Ob-R mRNA expression in isolated rat cerebral microvessels constituting the blood-brain barrier and found that Ob-Ra and Ob-Rc mRNA were abundantly expressed in similar amounts. Second, brain uptake of leptin was reduced in mice lacking Ob-R. Third, brain uptake of leptin in New Zealand Obese mice, a strain that responds to central, but not peripheral, leptin, was reduced, suggesting that their obesity is at least partly due to deficient leptin transport into the brain. Fourth, brain uptake of leptin was significantly reduced in diet-induced obese mice. Neither New Zealand Obese mice nor diet-induced obese mice exhibited significant decreases in Ob-R mRNA expression in isolated cerebral microvessels. These data support the ideas that short isoforms of Ob-R are involved in brain uptake of leptin and that impaired blood-brain barrier function contributes to the pathogenesis of obesity. However, the mechanisms by which obesity-related deficits in brain uptake of leptin occur remain to be defined.
瘦素缺乏会导致啮齿动物和人类肥胖,但肥胖时瘦素的循环水平却反常地升高。这种瘦素抵抗的潜在机制尚不清楚,但可能涉及通过瘦素受体(Ob-R)的短异构体减少瘦素穿过血脑屏障的转运。在此,我们首先对构成血脑屏障的分离大鼠脑微血管中的短Ob-R mRNA表达进行了定量,发现Ob-Ra和Ob-Rc mRNA大量表达且表达量相似。其次,缺乏Ob-R的小鼠脑对瘦素的摄取减少。第三,新西兰肥胖小鼠(一种对中枢而非外周瘦素有反应的品系)脑对瘦素的摄取减少,这表明它们的肥胖至少部分归因于瘦素向脑内转运不足。第四,饮食诱导的肥胖小鼠脑对瘦素的摄取显著减少。新西兰肥胖小鼠和饮食诱导的肥胖小鼠在分离的脑微血管中Ob-R mRNA表达均未显著降低。这些数据支持以下观点:Ob-R的短异构体参与脑对瘦素的摄取,且血脑屏障功能受损有助于肥胖的发病机制。然而,肥胖相关的脑对瘦素摄取缺陷发生的机制仍有待确定。