Manglani Kajol, Anika Nabila Nowshin, Patel Dhriti, Jhaveri Sharan, Avanthika Chaithanya, Sudan Sourav, Alimohamed Zainab, Tiwari Kripa
Internal Medicine, MedStar Washington Hospital Center, Washington, USA.
Pediatric Surgery, Baylor College of Medicine, Houston, USA.
Cureus. 2024 Apr 5;16(4):e57667. doi: 10.7759/cureus.57667. eCollection 2024 Apr.
The exponential increase in diabetes mellitus (DM) poses serious public health concerns. In this review, we focus on the role of leptin in type 2 DM. The peripheral actions of leptin consist of upregulating proinflammatory cytokines which play an important role in the pathogenesis of type 2 DM and insulin resistance. Moreover, leptin is known to inhibit insulin secretion and plays a significant role in insulin resistance in obesity and type 2 DM. A literature search was conducted on Medline, Cochrane, Embase, and Google Scholar for relevant articles published until December 2023. The following search strings and Medical Subject Headings (MeSH terms) were used: "Diabetes Mellitus," "Leptin," "NPY," and "Biomarker." This article aims to discuss the physiology of leptin in type 2 DM, its glucoregulatory actions, its relationship with appetite, the impact that various lifestyle modifications can have on leptin levels, and, finally, explore leptin as a potential target for various treatment strategies.
糖尿病(DM)的指数级增长引发了严重的公共卫生问题。在本综述中,我们重点关注瘦素在2型糖尿病中的作用。瘦素的外周作用包括上调促炎细胞因子,这些细胞因子在2型糖尿病和胰岛素抵抗的发病机制中起重要作用。此外,已知瘦素会抑制胰岛素分泌,并在肥胖症和2型糖尿病的胰岛素抵抗中起重要作用。我们在Medline、Cochrane、Embase和谷歌学术上进行了文献检索,以查找截至2023年12月发表的相关文章。使用了以下检索词和医学主题词(MeSH词):“糖尿病”、“瘦素”、“神经肽Y”和“生物标志物”。本文旨在讨论瘦素在2型糖尿病中的生理学、其血糖调节作用、其与食欲的关系、各种生活方式改变对瘦素水平的影响,最后探讨瘦素作为各种治疗策略的潜在靶点。