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脂联素对胰岛β细胞胰岛素分泌及凋亡的影响 Title:TheImpactofLeptinonPancreaticβ-CellInsulinSecretionandApoptosis Abstract: Leptin,anadipocyte-derivedhormone,hasemergedasacriticalregulatorofmetabolismandenergyhomeostasis.Itplaysasignificantroleinmodulatinginsulinsensitivity,glucosemetabolism,andappetitecontrol.Whilemuchresearchhasbeenconductedontheeffectsofleptinonvarioustissues,itsimpactonpancreaticβ-cellshasattractedconsiderableattention.Inthispaper,weexploretheeffectsofleptinonpancreaticβ-cellinsulinsecretionandapoptosis,sheddinglightonitspotentialtherapeuticimplicationsinthetreatmentofmetabolicdisorders. 1.Introduction: 1.1Background:Leptinisahormoneprimarilysecretedbyadipocytesandplaysacrucialroleinregulatingbodyweightandenergybalance. 1.2Pancreaticβ-cells:Pancreaticβ-cellsareresponsibleforthesynthesisandsecretionofinsulin,ahormoneessentialforglucosehomeostasis. 2.LeptinSignalinginPancreaticβ-Cells: 2.1Leptinreceptors:Pancreaticβ-cellsexpressfunctionalleptinreceptors,suggestingdirecteffectsofleptinonthesecells. 2.2Intracellularsignalingpathways:Leptinactivatesvariousintracellularsignalingpathways,includingtheJAK-STAT,PI3K-AKT,andAMPKpathways,whichcanregulateinsulinsecretionandcellsurvival. 3.EffectsofLeptinonInsulinSecretion: 3.1Potentiationofinsulinrelease:Leptinhasbeenshowntoenhanceglucose-stimulatedinsulinsecretioninpancreaticβ-cellsthroughtheupregulationofkeytranscriptionfactorsandionchannels. 3.2Modulationofinsulingeneexpression:Leptincanregulatethetranscriptionofinsulingene,leadingtoincreasedinsulinbiosynthesisandsecretion. 3.3Roleininsulingranuledynamics:Leptinaffectsthedynamicsofinsulingranuleswithinβ-cells,promotingtheirexocytosisandenhancinginsulinsecretion. 4.ImpactofLeptinonβ-CellApoptosis: 4.1Anti-apoptoticeffects:Leptinhasbeenfoundtoprotectpancreaticβ-cellsfromapoptosisinducedbyvariousfactors,suchascytokinesandlipotoxicity. 4.2Activationofsurvivalpathways:Leptinactivatespro-survivalpathways,includingthePI3K-AKTandERK1/2pathways,whichinhibitcaspaseactivationandpromotecel