The importance of the leptin pathway is well documented in obesity, diabete
s, and reproductive dysfunction, New evidence demonstrates unexpected roles
for leptin and its receptor in the bone marrow, the complex organ responsi
ble for hematopoiesis, immune response, and osteogenesis. In vitro and in v
ivo data from rodent and human studies demonstrate that leptin directly con
tributes to red blood cell production, macrophage activity, the T-cell resp
onse, and bone formation, These findings suggest that assessment of leptin
and its receptor will have clinical application in the evaluation of patien
ts presenting with sepsis, immunosuppression, anemia, and osteoporosis.