Scarpace Philip J, Zhang Yi
Dept. of Pharmacology and Therapeutics, Univ. of Florida, Gainesville, FL 32610, USA.
Am J Physiol Regul Integr Comp Physiol. 2009 Mar;296(3):R493-500. doi: 10.1152/ajpregu.90669.2008. Epub 2008 Dec 17.
Obesity is a resilient and complex chronic disease. One potential causative factor in the obesity syndrome is leptin resistance. Leptin behaves as a potent anorexic and energy-enhancing hormone in most young or lean animals, but its effects are diminished or lacking in the obese state associated with a normal genetic background. Emerging evidence suggests that leptin resistance predisposes the animal to exacerbated diet-induced obesity (DIO). Elevation of central leptin in young, lean rats induces a leptin resistance that precludes obesity on a chow diet but accelerates high-fat (HF)-induced obesity. Similarly, chronic dietary fructose consumption evokes a leptin resistance that causes obesity only upon HF exposure. Inherent central leptin insensitivity also contributes to dietary weight gain in certain obesity-prone rats. Conversely, aged, leptin-resistant animals are obese with continuous chow feeding and demonstrate aggravated obesity when challenged with an HF diet. Additionally, a submaximal central blockade with a leptin antagonist leads to obesity on both chow and HF diets, as is the case in rodents with leptin receptor deficiency of genetic origin. Despite the differences in the incidence of obesity on a chow diet, all of these forms of leptin resistance predispose rodents to aggravated HF-mediated obesity. Moreover, once leptin resistance takes hold, it aggravates DIO, and the leptin resistance and obesity compound one another, promoting a vicious cycle of escalating weight gain.
肥胖是一种顽固且复杂的慢性疾病。肥胖综合征的一个潜在致病因素是瘦素抵抗。在大多数年轻或瘦的动物中,瘦素表现为一种强效的食欲抑制和能量增强激素,但在与正常遗传背景相关的肥胖状态下,其作用会减弱或缺失。新出现的证据表明,瘦素抵抗使动物更容易出现因饮食诱导的肥胖(DIO)加剧。在年轻、瘦的大鼠中,中枢瘦素水平升高会诱导瘦素抵抗,这在正常饮食时可预防肥胖,但在高脂(HF)饮食诱导下会加速肥胖。同样,长期食用膳食果糖会引发瘦素抵抗,这种抵抗只有在接触HF饮食时才会导致肥胖。某些易肥胖大鼠固有的中枢瘦素不敏感也会导致饮食性体重增加。相反,年老的、具有瘦素抵抗的动物在持续正常饮食时会肥胖,在接受HF饮食挑战时会表现出更严重的肥胖。此外,用瘦素拮抗剂进行次最大剂量的中枢阻断会导致正常饮食和HF饮食时都出现肥胖,这与遗传性瘦素受体缺乏的啮齿动物情况相同。尽管正常饮食时肥胖发生率存在差异,但所有这些形式的瘦素抵抗都会使啮齿动物更容易出现HF介导的肥胖加剧。此外,一旦瘦素抵抗形成,它会加剧DIO,而瘦素抵抗和肥胖会相互作用,促进体重不断增加的恶性循环。