“…• The leptin signaling system with different receptors and pathways: JAK/STAT, IRS, and MAPK systems (9,11,18,23,35,44,45). • Leptin metabolic and physiological effects in the following tissues (9,20,35,45,49): • In the hypothalamus, leptin promotes the expression of anorexigenic peptides (3,11,21,18,28,32,40,44); • In adipose tissue, leptin induces an indirect effect through norepinephrine production by the hypothalamus, stimulating the thermogenesis process in adipocytes (3,7,13,28,37,41,46); • In the pancreas, leptin suppresses basal insulin secretion (7,25,28,34,37,46); and • In muscle, leptin induces fatty acid oxidation and glucose uptake as metabolic responses triggered by AMP-activated protein kinase; stimulates the activity of mitochondrial fatty acid transporters, such as carnitine-palmitoyl transferase (CPT)-I; increases mRNA levels of the transcription factor peroxisome proliferatoractivated receptor-␣␣, a global activator of fatty acid oxidation and uncoupling protein genes; increases the responsiveness of skeletal muscle to insulin by activation of PKB and inhibition of GSK-3; and decreases levels of PKC, which has been implicated in the pathogenesis of lipid-induced insulin (7,37,19,30,31,33,…”