LeptinProblems with the appetite-controlling hormone leptin can lead to obesity
The delivery of nutrients to cells throughout the body is controlled by a complex network of signaling molecules. Some of these signals happen without us really noticing, for instance, when insulin and glucagon control the level of glucose that is delivered through the blood after we eat. The signaling protein leptin, however, has a more apparent effect, acting within the system that makes us hungry when we need food.
Leptin, shown here from PDB entry 1ax8 , was discovered through the study of a strain of mutant mice that are chronically obese. By looking carefully at these mice, researchers discovered that they had an inactive form of leptin, and went on to discover that leptin is at the center of the signals that tell us when we should stop eating. Leptin is produced by fat cells and sent through the blood to special neurons in the brain that control hunger. Then, in the brain, leptin suppresses the appetite. Leptin is also important when food is scarce: in starvation, the amounts of leptin made by fat cells drops, sending a signal to the body to conserve energy and focus only on vital functions.
Appetite and Obesity
As you can imagine, there are problems when this system is compromised. Some people are born with faulty forms of leptin, and are highly prone to obesity. This has been treated successfully with doses of leptin, restoring the normal controls on appetite. Surprisingly, however, most obese people have normal leptin, and in fact they often show elevated levels of it. In these cases, the leptin system has become resistant, and the typical levels of leptin are not enough to provide effective control of appetite. This is difficult to treat, since the resistance may be happening at many different places, such as the delivery of leptin from the blood to the brain, or the binding of leptin to its receptor.
The neurons that control hunger communicate with small neurotransmitters when they are computing the appropriate level of appetite for any given moment. Neuropeptide Y, shown here from PDB entry 1ron , is one of the major orexogenic (appetite-inducing) neuropeptides, as well as being important in other processes like heart activity and emotional regulation. Surprisingly, however, if you knock out the production of neuropeptide Y in mice, they are quite normal and not prone to weight gain or loss, indicating that the peptide is part of a larger redundant network of signals.
Exploring the Structure
Leptin is recognized by receptors on the surface of the hunger-controlling neurons, as well as by other cells throughout the body. It is a large protein with many domains, and is thought to bind one-to-one with leptin, then dimerize to transmit the signal into the cell. The structure shown here, from PDB entry 3v6o , includes the leptin-binding portion of the receptor (blue) along with an antibody (red). The antibody has been shown to block the binding of leptin, and the authors used this information and other biochemical results to predict the location of leptin binding (green). To take a closer look at this structure, click on the image for an interactive Jmol.
May 2012, David Goodselldoi:10.2210/rcsb_pdb/mom_2012_5