Leptin Gene and Receptor Mutations and its Association with Obesity and Overweight: A Mini Review

Lorena V. Rincones Rojas, Amenaida C. Ferrer Marcano, Juan S. Mojica Muñoz, Angelica M. García, Luis G. Celis
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Abstract

Overweight and obesity are considered a global epidemic in the twenty first century, it is a multifactorial disease due, in part, to a genetic component. The most common genetic alteration is one that affects the neuroregulatory pathway of Leptin, a fundamental hormone for appetite regulation. Mutations that affect the LEP gene are present in the different exons of this gene and have been described for many years. Although obesity due to a genetic mutation is not the most common cause, its diagnosis is of paramount importance since it can affect the quality of life and life expectancy of the patients suffering from this condition. The purpose of this mini review is to present up-to-date evidence regarding Leptin gene mutations, possible treatment strategies such as Leptin Replacement Therapy (LRT), leptin sensitizers and anti-inflammatory drugs, and discuss the importance of stablishing health policies worldwide to achieve a timely and successful approach to this disease.
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瘦素基因和受体突变及其与肥胖和超重的关系:综述
超重和肥胖被认为是21世纪的一种全球性流行病,它是一种多因素疾病,部分原因是遗传因素。最常见的基因改变是影响瘦素的神经调节途径,瘦素是调节食欲的基本激素。影响LEP基因的突变存在于该基因的不同外显子中,并且已被描述多年。虽然由基因突变引起的肥胖不是最常见的原因,但它的诊断是至关重要的,因为它会影响患者的生活质量和预期寿命。这篇小型综述的目的是介绍关于瘦素基因突变的最新证据,可能的治疗策略,如瘦素替代疗法(LRT)、瘦素增敏剂和抗炎药物,并讨论建立全球卫生政策以及时和成功地治疗这种疾病的重要性。
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