Role of leptin resistance in the development of obesity in older patients

Sophie Carter,1,* Alexandre Caron,2,* Denis Richard,2 Frédéric Picard1 1Faculty of Pharmacy, 2Faculty of Medicine, Dept Anatomy and Physiology, Université Laval, Québec, QC, Canada *These authors contributed equally to the work Abstract: Obesity is a glo...

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Autores principales: Carter S, Caron A, Richard D, Picard F
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Lenguaje:EN
Publicado: Dove Medical Press 2013
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spelling oai:doaj.org-article:7b4dcc499df648c19dac83f96c85cea82021-12-02T08:52:00ZRole of leptin resistance in the development of obesity in older patients1178-1998https://doaj.org/article/7b4dcc499df648c19dac83f96c85cea82013-07-01T00:00:00Zhttps://www.dovepress.com/role-of-leptin-resistance-in-the-development-of-obesity-in-older-patie-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Sophie Carter,1,* Alexandre Caron,2,* Denis Richard,2 Frédéric Picard1 1Faculty of Pharmacy, 2Faculty of Medicine, Dept Anatomy and Physiology, Université Laval, Québec, QC, Canada *These authors contributed equally to the work Abstract: Obesity is a global epidemic associated with aging-like cellular processes; in both aging and obesity, resistance to hormones such as insulin and leptin can be observed. Leptin is a circulating hormone/cytokine with central and peripheral effects that is released mainly by subcutaneous white adipose tissue. Centrally, leptin controls food intake, energy expenditure, and fat distribution, whereas it controls (among several others) insulin sensitivity, free fatty acids (FFAs) oxidation, and lipolysis in the periphery. Aging is associated with important changes in both the distribution and the composition of adipose tissue. Fat is redistributed from the subcutaneous to the visceral depot and increased inflammation participates in adipocyte dysfunction. This redistribution of adipose tissue in favor of visceral fat influences negatively both longevity and healthy aging as shown in numerous animal models. These modifications observed during aging are also associated with leptin resistance. This resistance blunts normal central and peripheral functions of leptin, which leads to a decrease in neuroendocrine function and insulin sensitivity, an imbalance in energy regulation, and disturbances in lipid metabolism. Here, we review how age-related leptin resistance triggers metabolic disturbances and affects the longevity of obese patients. Furthermore, we discuss the potential impacts of leptin resistance on the decline of brown adipose tissue thermogenesis observed in elderly individuals. Keywords: leptin, obesity, aging, insulin sensitivity, brown adipose tissueCarter SCaron ARichard DPicard FDove Medical PressarticleLeptinobesityaginginsulin sensitivitybrown adipose tissueGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 8, Pp 829-844 (2013)
institution DOAJ
collection DOAJ
language EN
topic Leptin
obesity
aging
insulin sensitivity
brown adipose tissue
Geriatrics
RC952-954.6
spellingShingle Leptin
obesity
aging
insulin sensitivity
brown adipose tissue
Geriatrics
RC952-954.6
Carter S
Caron A
Richard D
Picard F
Role of leptin resistance in the development of obesity in older patients
description Sophie Carter,1,* Alexandre Caron,2,* Denis Richard,2 Frédéric Picard1 1Faculty of Pharmacy, 2Faculty of Medicine, Dept Anatomy and Physiology, Université Laval, Québec, QC, Canada *These authors contributed equally to the work Abstract: Obesity is a global epidemic associated with aging-like cellular processes; in both aging and obesity, resistance to hormones such as insulin and leptin can be observed. Leptin is a circulating hormone/cytokine with central and peripheral effects that is released mainly by subcutaneous white adipose tissue. Centrally, leptin controls food intake, energy expenditure, and fat distribution, whereas it controls (among several others) insulin sensitivity, free fatty acids (FFAs) oxidation, and lipolysis in the periphery. Aging is associated with important changes in both the distribution and the composition of adipose tissue. Fat is redistributed from the subcutaneous to the visceral depot and increased inflammation participates in adipocyte dysfunction. This redistribution of adipose tissue in favor of visceral fat influences negatively both longevity and healthy aging as shown in numerous animal models. These modifications observed during aging are also associated with leptin resistance. This resistance blunts normal central and peripheral functions of leptin, which leads to a decrease in neuroendocrine function and insulin sensitivity, an imbalance in energy regulation, and disturbances in lipid metabolism. Here, we review how age-related leptin resistance triggers metabolic disturbances and affects the longevity of obese patients. Furthermore, we discuss the potential impacts of leptin resistance on the decline of brown adipose tissue thermogenesis observed in elderly individuals. Keywords: leptin, obesity, aging, insulin sensitivity, brown adipose tissue
format article
author Carter S
Caron A
Richard D
Picard F
author_facet Carter S
Caron A
Richard D
Picard F
author_sort Carter S
title Role of leptin resistance in the development of obesity in older patients
title_short Role of leptin resistance in the development of obesity in older patients
title_full Role of leptin resistance in the development of obesity in older patients
title_fullStr Role of leptin resistance in the development of obesity in older patients
title_full_unstemmed Role of leptin resistance in the development of obesity in older patients
title_sort role of leptin resistance in the development of obesity in older patients
publisher Dove Medical Press
publishDate 2013
url https://doaj.org/article/7b4dcc499df648c19dac83f96c85cea8
work_keys_str_mv AT carters roleofleptinresistanceinthedevelopmentofobesityinolderpatients
AT carona roleofleptinresistanceinthedevelopmentofobesityinolderpatients
AT richardd roleofleptinresistanceinthedevelopmentofobesityinolderpatients
AT picardf roleofleptinresistanceinthedevelopmentofobesityinolderpatients
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