Leptin in human reproduction

被引:53
作者
Messinis, IE [1 ]
Milingos, SD [1 ]
机构
[1] Univ Thessali, Sch Med, Dept Obstet & Gynaecol, Larisa 41222, Greece
关键词
leptin; obesity; ovary; pregnancy; puberty;
D O I
10.1093/humupd/5.1.52
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
The recent discovery of the obese (ob) gene has provided new insight into the mechanism which controls body fat mass. Leptin, a product of the ob gene, serves as the link between fat and the brain. This protein, by acting at the level of the hypothalamus, decreases food intake and increases energy expenditure. Animals that lack leptin (ob/ob mice) develop profound obesity and become infertile, Treatment of these animals with leptin reduces food intake and restores normal fertility; Although leptin is important for the control of fat stores in certain species, the role of this substance in the de development of human obesity remains obscure, However, it has been speculated that, in humans, obesity is related to leptin resistance. The relationship between fat and reproduction has been recognised for >20 Sears. This article discusses the relationship between leptin and human reproduction, Tn particular, recent knowledge about the possible role of leptin in various conditions such as puberty, polycystic ovary syndrome and pregnancy is reviewed, Also, the article discusses the possible role of leptin in ovarian function and the relationship of this protein with gonadal steroids. It is expected that future research will clarify the physiological importance of leptin in human reproductive function.
引用
收藏
页码:52 / 63
页数:12
相关论文
共 108 条
[1]   Leptin accelerates the onset of puberty in normal female mice [J].
Ahima, RS ;
Dushay, J ;
Flier, SN ;
Prabakaran, D ;
Flier, JS .
JOURNAL OF CLINICAL INVESTIGATION, 1997, 99 (03) :391-395
[2]   Role of leptin in the neuroendocrine response to fasting [J].
Ahima, RS ;
Prabakaran, D ;
Mantzoros, C ;
Qu, DQ ;
Lowell, B ;
MaratosFlier, E ;
Flier, JS .
NATURE, 1996, 382 (6588) :250-252
[3]   Elevated leptin concentrations in growth hormone-deficient hypopituitary adults [J].
AlShoumer, KAS ;
Anyaoku, V ;
Richmond, W ;
Johnston, DG .
CLINICAL ENDOCRINOLOGY, 1997, 47 (02) :153-159
[4]   A novel mechanism of vascular endothelial growth factor, leptin and transforming growth factor-β2 sequestration in a subpopulation of human ovarian follicle cells [J].
Antczak, M ;
Van Blerkom, J ;
Clark, A .
HUMAN REPRODUCTION, 1997, 12 (10) :2226-2234
[5]   Oocyte influences on early development: the regulatory proteins leptin and STAT3 are polarized in mouse and human oocytes and differentially distributed within the cells of the preimplantation stage embryo [J].
Antczak, M ;
Van Blerkom, J .
MOLECULAR HUMAN REPRODUCTION, 1997, 3 (12) :1067-1086
[6]   Leptin is a metabolic signal to the reproductive system [J].
Barash, IA ;
Cheung, CC ;
Weigle, DS ;
Ren, HP ;
Kabigting, EB ;
Kuijper, JL ;
Clifton, DK ;
Steiner, RA .
ENDOCRINOLOGY, 1996, 137 (07) :3144-3147
[7]   Strong association between serum levels of leptin and testosterone in men [J].
Behre, HM ;
Simoni, M ;
Nieschlag, E .
CLINICAL ENDOCRINOLOGY, 1997, 47 (02) :237-240
[8]   Leptin and clinical medicine: A new piece in the puzzle of obesity [J].
Bray, GA ;
York, DA .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1997, 82 (09) :2771-2776
[9]   Serum immunoreactive leptin concentrations in women with polycystic ovary syndrome [J].
Brzechffa, PR ;
Jakimiuk, AJ ;
Agarwal, SK ;
Weitsman, SR ;
Buyalos, RP ;
Magoffin, DA .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1996, 81 (11) :4166-4169
[10]   Leptin in human reproduction: Serum leptin levels in pregnant and lactating women [J].
Butte, NF ;
Hopkinson, JM ;
Nicolson, MA .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1997, 82 (02) :585-589