Leptin, the ob gene product, provides a molecular basis for the lipostatic
theory of the regulation of energy balance, Leptin circulates as a monomeri
c 16 kDa protein in rodent and human plasma and is also bound to leptin bin
ding proteins that may form large high molecular weight complexes. Initial
models of leptin action included leptin-deficient ob/ob mice and leptin-ins
ensitive db/db mice. Peripheral or central administration of leptin reduced
body weight, adiposity, and food intake in ob/ob mice but not in db/db mic
e, In ob/ob mice leptin treatment restored fertility. Leptin interacts with
many messenger molecules in the brain. For example, leptin suppresses neur
opeptide Y (NPY) expression in the arcuate nucleus. Increased NPY activity
has an inhibitory effect on the gonadotropin axis and represents a direct m
echanism for inhibiting sexual maturation and reproductive function in cond
itions of food restriction and/or energy expenditure. By modulating the hyp
othalamo-pituitary-gonadal axis both directly and indirectly, leptin may th
us serve as the signal from fat to the brain about the adequacy of fat stor
es for pubertal development and reproduction, Normal leptin secretion is ne
cessary for normal reproductive function to proceed and leptin may be a sig
nal allowing for the point of initiation of and progression toward puberty.