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The role of leptin in endometrium disorders: literature review

https://doi.org/10.14341/probl13397

Abstract

Leptin is not only the main regulator of energy balance, but also it affects the reproductive and immune systems. Leptin and its receptors are expressed in the endometrium and are actively involved in the embryo implantation. According to numerous studies, expression and level changes of leptin are associated with the inflammatory and autoimmune diseases, including endometriosis and chronic endometritis. Hyperplastic and inflammatory diseases of the uterus are accompanied by a violation of the receptivity of the endometrium due to the dysregulation of many factors involved in proliferation, vascularization and decidualization of cells. Activity of most of these factors is due to the leptin action, however, there are no studies of the direct effect of leptin in the pathogenesis of disorders of the endometrium in hyperplastic and inflammatory diseases.

Thus, the purpose of this literature review was to describe the putative molecular mechanisms of the effect of leptin on the development of endometrial pathology.

Literature search was carried out from 03/20/2023 to 05/11/2023 using scientific literature databases: NCBI PubMed, Google Scholar (foreign sources), Cyberleninka, Elibrary (domestic sources): references for the period 1995-2023 were analyzed. The following keywords were used for the search: leptin, endometrial dysfunction, endometrial receptivity, inflammation, pelvic inflammatory disease.

About the Authors

K. D. Ievleva
Scientific Centre for Family Health and Human Reproduction
Russian Federation

Ievleva Kseniia Dmitrievna - Can. of Med. Sc.

664003, , 16 Timiryezev st.


Competing Interests:

none



I. N. Danusevich
Scientific Centre for Family Health and Human Reproduction
Russian Federation

Danusevich Irina Nicolaevna - Doc. of Med. Sc.

Irkutsk


Competing Interests:

none



L. V. Suturina
Scientific Centre for Family Health and Human Reproduction
Russian Federation

Suturina Larisa Victorovna - professor, Doc. of Med. Sc.

Irkutsk


Competing Interests:

none



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Supplementary files

1. Рисунок 1. Предположительный механизм влияния повышенной концентрации лептина на рецептивность эндометрия у женщин с воспалительными и гиперплазивными заболеваниями матки
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Type Исследовательские инструменты
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Ievleva K.D., Danusevich I.N., Suturina L.V. The role of leptin in endometrium disorders: literature review. Problems of Endocrinology. 2024;70(5):106-114. (In Russ.) https://doi.org/10.14341/probl13397

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