Mood Disorders Psychopharmacology Unit, Toronto Western Hospital, Toronto, ON, Canada; University of Toronto HBSc, Toronto, ON, Canada.
Mood Disorders Psychopharmacology Unit, Toronto Western Hospital, Toronto, ON, Canada; University of Toronto MSc, Toronto, ON, Canada.
J Affect Disord. 2023 Apr 1;326:225-231. doi: 10.1016/j.jad.2023.01.100. Epub 2023 Feb 2.
Determining whether changes in leptin signaling plays a role in the improvement of cognitive function post-bariatric surgery may aid in the understanding and development of novel therapeutic approaches targeting cognitive dysfunction through the greater understanding of processes connecting obesity and brain health. Several studies have explored the effects of cognition post bariatric surgery, and others have studied leptin and its changes post surgery. However the amalgamation of the effects of leptin signaling in relation to cognition post bariatric surgery have yet to be considered as key tools in the understanding of cognitive dysfunction in obese subjects with leptin resistance or insensitivity. This review serves to highlight the potential correlations, to further elucidate the effect of improved leptin signaling on cognition post bariatric surgery, and to propose a direct cause for the improvement of cognitive function via the amelioration of the leptin Janus kinase/Signal transducer and activator of transcription (JAK/STAT) signaling pathway as a result of the reversal of inflammatory processes involved in diseased individuals.
确定瘦素信号的变化是否在减重手术后认知功能的改善中起作用,可能有助于通过更好地了解肥胖与大脑健康之间的联系过程,从而理解和开发针对认知功能障碍的新的治疗方法。已有几项研究探讨了减重手术后认知功能的变化,还有一些研究探讨了瘦素及其手术后的变化。然而,瘦素信号对减重手术后认知功能的影响的综合作用尚未被视为理解肥胖个体中瘦素抵抗或不敏感导致的认知功能障碍的关键工具。本综述旨在强调潜在的相关性,进一步阐明改善的瘦素信号对减重手术后认知功能的影响,并通过改善涉及疾病个体的炎症过程来逆转瘦素 Janus 激酶/信号转导和转录激活因子 (JAK/STAT) 信号通路,从而提出改善认知功能的直接原因。