レプチン抵抗性の原因とその回復方法を発見(Researchers discover a cause of leptin resistance—and how to reverse it)

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2025-03-04 ロックフェラー大学

ロックフェラー大学の研究者たちは、肥満の原因となるレプチン抵抗性の一因を特定し、その逆転方法を発見しました。レプチンは食欲を抑制するホルモンですが、肥満者ではこのホルモンに対する感受性が低下し、過食を引き起こします。研究チームは、レプチン抵抗性が視床下部の特定の神経回路の炎症によって引き起こされることを明らかにし、抗炎症薬の投与でこの抵抗性を逆転させることに成功しました。この発見は、肥満治療の新たなアプローチを提供する可能性があります。

<関連情報>

レプチン抵抗性の細胞および分子基盤 A cellular and molecular basis of leptin resistance

Bowen Tan∙ Kristina Hedbacker∙ Leah Kelly∙ … ∙ Ji-Dung Luo∙ Joshua D. Rabinowitz∙ Jeffrey M. Friedman
Cell Metabolism  Published:January 2, 2025
DOI:https://doi.org/10.1016/j.cmet.2025.01.001

Graphical abstract

レプチン抵抗性の原因とその回復方法を発見(Researchers discover a cause of leptin resistance—and how to reverse it)

Highlights

•Rapamycin, an mTOR inhibitor, reduces food intake and fat mass in DIO mice
•Rapamycin’s effect requires intact leptin-melanocortin signaling
•Rapamycin pre-treatment of DIO mice reverses leptin resistance in POMC neurons
•Increased mTOR activity in POMC neurons causes leptin resistance

Summary

Similar to most humans with obesity, diet-induced obese (DIO) mice have high leptin levels and fail to respond to the exogenous hormone, suggesting that their obesity is caused by leptin resistance, the pathogenesis of which is unknown. We found that leptin treatment reduced plasma levels of leucine and methionine, mTOR-activating ligands, leading us to hypothesize that chronic mTOR activation might reduce leptin signaling. Rapamycin, an mTOR inhibitor, reduced fat mass and increased leptin sensitivity in DIO mice but not in mice with defects in leptin signaling. Rapamycin restored leptin’s actions on POMC neurons and failed to reduce the weight of mice with defects in melanocortin signaling. mTOR activation in POMC neurons caused leptin resistance, whereas POMC-specific mutations in mTOR activators decreased weight gain of DIO mice. Thus, increased mTOR activity in POMC neurons is necessary and sufficient for the development of leptin resistance in DIO mice, establishing a key pathogenic mechanism leading to obesity.

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