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. 2021 Dec;32(12):958-959.
doi: 10.1016/j.tem.2021.08.001. Epub 2021 Aug 19.

Pericytic porters: helping leptin step in

Affiliations

Pericytic porters: helping leptin step in

Daniel J Torres et al. Trends Endocrinol Metab. 2021 Dec.

Abstract

A new mechanism of leptin extravasation from the bloodstream into the brain may have been discovered. According to recent findings by Butiaeva et al., pericytes within the blood-brain barrier (BBB) express the leptin receptor and, upon activation, facilitate the movement of the appetite-suppressing hormone into deeper regions of the hypothalamus.

Keywords: blood–brain barrier; hypothalamus; leptin; obesity; pericyte.

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Conflict of interest statement

Declaration of interests

The authors declare no conflicts of interest.

Figures

Figure 1.
Figure 1.. Pathways of leptin action in the hypothalamus.
(A) It is known that leptin (yellow) enters the median eminence (ME) of the hypothalamus by passing through the pores of the fenestrated capillaries. Leptin receptor-positive (LepR+) neurons within the arcuate nucleus (Arc) access leptin via projections into the ME, leading to changes in metabolism. Recent evidence suggests that leptin reaches LepR+ neurons in the deeper regions of the mediobasal hypothalamus (MBH) through a pathway regulated by LepR+ pericytes lining the blood–brain barrier (BBB). (B) Activation of LepR on pericytes by circulating leptin increases BBB permeability. This mechanism may involve the adjustment of VE- or N-cadherins at inter-endothelial junctions to allow paracellular flow of leptin into the brain, as suggested by Butiaeva et al. [2]. Abbreviation: 3V, third ventricle.

Comment on

References

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