Details

Autor(en) / Beteiligte

• Wang, May-yun
• Chen, Lijun
• Clark, Gregory O
• Lee, Young
• Stevens, Robert D
• Ilkayeva, Olga R
• Wenner, Brett R
• Bain, James R
• Charron, Maureen J
• Newgard, Christopher B
• Unger, Roger H

Titel

Leptin therapy in insulin-deficient type I diabetes

Ist Teil von

• Proceedings of the National Academy of Sciences - PNAS, 2010-03, Vol.107 (11), p.4813-4819

Ort / Verlag

United States: National Academy of Sciences

Erscheinungsjahr

2010

Quelle

MEDLINE

Beschreibungen/Notizen

• In nonobese diabetic mice with uncontrolled type 1 diabetes, leptin therapy alone or combined with low-dose insulin reverses the catabolic state through suppression of hyperglucagonemia. Additionally, it mimics the anabolic actions of insulin monotherapy and normalizes hemoglobin A1c with far less glucose variability. We show that leptin therapy, like insulin, normalizes the levels of a wide array of hepatic intermediary metabolites in multiple chemical classes, including acylcarnitines, organic acids (tricarboxylic acid cycle intermediates), amino acids, and acyl CoAs. In contrast to insulin monotherapy, however, leptin lowers both lipogenic and cholesterologenic transcription factors and enzymes and reduces plasma and tissue lipids. The results imply that leptin administration may have multiple short- and long-term advantages over insulin monotherapy for type 1 diabetes.