© 2003 by BMJ Publishing Group & European League Against Rheumatism
LEADER
Rheumatic diseases
A role for leptin in rheumatic diseases?
Division of Rheumatology, University Hospital of Geneva and Department of Pathology, University of Geneva School of Medicine, Geneva, Switzerland
Correspondence to:
Correspondence to:
Professor C Gabay, Division of Rheumatology, University Hospital of Geneva, 26 avenue Beau-Séjour, 1211 Geneva 14, Switzerland;
cem.gabay@hcuge.ch
Leptin may influence RA in opposing ways: enhance the expression of Th1 cytokines or limit the inflammatory responses
Keywords: leptin; arthritis; Th1/Th2 responses; inflammation; rheumatoid arthritis
| The first 150 words of the full text of this article appear below. |
Leptin is a peptide hormone that has an important role in the regulation of body weight by inhibiting food intake and stimulating energy expenditure. Moreover, leptin exhibits a variety of other effects, including the regulation of endocrine function, reproduction, and immunity.1,2 Consistently, leptin deficient (ob/ob) mice and leptin receptor deficient (db/db) mice are not only severely obese but also display hormonal imbalances, abnormalities in thermoregulation, infertility, and evidence of immune and haematopoietic defects. The role of leptin in the modulation of the immune response and inflammation has lately received particular attention.
It has long been known that ob/ob and db/db mice have an altered immune response.3,4 More recent studies have shown that the long isoform of the leptin receptor (OB-Rb) is expressed in T and B cells and indicated that leptin exerts direct effects on lymphocytes.57 Leptin was reported to stimulate the proliferation of T cells in vitro,
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