Leptin, the product of the ob gene, is a small peptide molecule synthesized
by white adipocytes with an important role in the regulation of body fat a
nd food intake, Leptin and leptin receptor mRNA were first detected in the
brain and hypothalamus but now their ubiquitous presence has been demonstra
ted. Leptin receptor signal transduction involves the activation of signal
transducer and activator of transcription (STAT)-3, a member of the transcr
iption family of proteins. Leptin is regulated by hormones and cytokines, i
nterleukin-1, tumour necrosis factor-ex and transforming growth factor-beta
, linking this molecule with the inflammatory response. In addition, emergi
ng evidence has demonstrated that this molecule is related to reproductive
function, This small protein is present in the ovary and decidua, in mature
oocytes and during embryonic development and trophoblast invasion. Animal
models have demonstrated that leptin-deficient ob/ob mice are sterile; howe
ver, fertility can be restored by exogenous leptin, In addition, embryos im
planted in STAT-3-deficient mice degenerate rapidly and are the target disr
uption of STAT-3-provoked embryonic lethality. Leptin acts as a novel place
ntal hormone participating in the control of fetal growth and development.
Leptin could be a modulator for invasive features of cytotrophoblast cells.
We postulate that leptin may have an autocrine/paracrine role in human imp
lantation and placentation.