meto
Mechanism

Leptin

A hormone secreted by fat cells that signals energy stores to the brain — dysfunctional in most obesity and blunted by chronic inflammation.

Definition

Leptin is secreted by adipocytes in proportion to fat mass and acts at the hypothalamus to reduce appetite and increase energy expenditure. In obesity, central leptin signalling becomes blunted — 'leptin resistance' — such that high leptin levels fail to curb appetite. GLP-1 receptor agonists and weight loss itself partially restore leptin sensitivity.

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