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Publication : Leptin monotherapy rescues spermatogenesis in male Akita type 1 diabetic mice.

First Author  Schoeller EL Year  2014
Journal  Endocrinology Volume  155
Issue  8 Pages  2781-6
PubMed ID  24840347 Mgi Jnum  J:214314
Mgi Id  MGI:5588756 Doi  10.1210/en.2014-1119
Citation  Schoeller EL, et al. (2014) Leptin monotherapy rescues spermatogenesis in male Akita type 1 diabetic mice. Endocrinology 155(8):2781-6
abstractText  Type 1 diabetes is associated with subfertility in humans. The current treatment for type 1 diabetes, insulin monotherapy, is suboptimal to fully stabilize glycemia, potentially leading to this subfertility. Recent work has demonstrated that treatment with the energy-regulating hormone leptin, alone or in combination with insulin, can more effectively control glycemia in mouse models of type 1 diabetes. Here, we sought to determine whether the fertility defects in a type 1 diabetic mouse model, the Akita mouse, can be rescued with leptin monotherapy in the absence of any exogenous insulin. Akita homozygous mice treated with leptin alone had a larger total body size, testes, and seminal vesicles than their untreated siblings. Leptin treatment prevented testicular degeneration and rescued sperm motility to wild-type levels. Furthermore, sperm obtained from leptin-treated mice could successfully fertilize ooctyes in vitro. Despite completely rescuing spermatogenesis, the critical reproductive hormones LH and testosterone were only modestly higher than in untreated mice, indicating that a minimum threshold of these hormones must be met to maintain spermatogenesis. Cumulatively, these findings implicate the importance of leptin in maintaining fertility and support the use of leptin therapy in the treatment of type 1 diabetes.
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