“…As a cytokine, it plays a key role in bone remodeling, resorption, and new bone formation. 16 Leptin controls bone metabolism by two different regulatory pathways: a direct stimulatory effect by osteoblastic cell growth and prolonging the life span of human primary osteoblasts, and an indirect suppressive effect through the hypothalamus. [17][18][19][20] Leptin shares structural and functional similarities with long-chain helical cytokines such as IL-1, IL-6, IL-10, IL-12, and granulocyte stimulating factor, and it also modulates cytokine production from monocytes.…”