How does leptin restore euglycemia in insulin-deficient diabetes?

J Clin Invest. 2017 Feb 1;127(2):450-453. doi: 10.1172/JCI91880. Epub 2017 Jan 23.

Abstract

Insulin replacement is the cornerstone of type 1 diabetes (T1D) treatment; however, glycemic control remains a challenge. Leptin has been shown to effectively restore euglycemia in rodent models of T1D; however, the mechanism or mechanisms by which leptin exerts glycemic control are unclear. In this issue of the JCI, Perry and colleagues provide evidence that suppression of lipolysis is a key facet of leptin-mediated restoration of euglycemia. However, more work remains to be done to fully understand the antidiabetic mechanisms of leptin.

MeSH terms

  • Animals
  • Diabetes Mellitus, Experimental / drug therapy
  • Diabetes Mellitus, Experimental / metabolism
  • Diabetes Mellitus, Type 1* / drug therapy
  • Diabetes Mellitus, Type 1* / metabolism
  • Humans
  • Insulin / therapeutic use
  • Leptin / therapeutic use*
  • Lipolysis / drug effects*

Substances

  • Insulin
  • Leptin