Leptin therapy in insulin-deficient type I diabetes.


Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Wang, M-Y; Chen, L; Clark, GO; Lee, Y; Stevens, RD; Ilkayeva, OR; Wenner, BR; Bain, JR; Charron, MJ; Newgard, CB; Unger, RH

Published Date

  • March 16, 2010

Published In

Volume / Issue

  • 107 / 11

Start / End Page

  • 4813 - 4819

PubMed ID

  • 20194735

Pubmed Central ID

  • 20194735

Electronic International Standard Serial Number (EISSN)

  • 1091-6490

Digital Object Identifier (DOI)

  • 10.1073/pnas.0909422107


  • eng

Conference Location

  • United States