Evidence map›Paper›PMID 37002197›Full record

ArticleNature communications2023

Structural insights into the mechanism of leptin receptor activation.

Robert A Saxton, Nathanael A Caveney, Maria Dolores Moya-Garzon, Karsten D Householder, Grayson E Rodriguez, Kylie A Burdsall, Jonathan Z Long, K Christopher Garcia

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
9.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Classification of Congenital Leptin Deficiency.The Journal of clinical endocrinology and metabolism · 2024
    Pooled it
  2. Monoallelic pathogenic variants in LEPR do not cause obesity.American journal of human genetics · 2024
    Trial
  3. The causes of cachexia: key signals and the brain.Nature reviews. Endocrinology · 2026
    Review
  4. Article
  5. Peptide Hormones in Appetite Regulation: A Complex Network.Pharmaceuticals (Basel, Switzerland) · 2026
    Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Intestinal-related substances in obesity regulation: A comprehensive review.World journal of gastrointestinal pharmacology and therapeutics · 2025
    Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Robert A Saxton *Department of Molecular and Cellular Physiology, Stanford University School of Medicine, Stanford, CA, 94305, USA. rsaxton@berkeley.edu.ORCID 0000-0001-9777-8270
Nathanael A Caveney *Department of Molecular and Cellular Physiology, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Maria Dolores Moya-GarzonDepartment of Pathology, Stanford University School of Medicine, Sarafan ChEM-H, Stanford University, Stanford, CA, USA.
Karsten D HouseholderDepartment of Molecular and Cellular Physiology, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Grayson E RodriguezDepartment of Molecular and Cellular Physiology, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Kylie A BurdsallCancer Biology Program, Stanford University School of Medicine, Stanford, CA, 94305, USA.ORCID 0000-0001-7089-2532
Jonathan Z LongDepartment of Pathology, Stanford University School of Medicine, Sarafan ChEM-H, Stanford University, Stanford, CA, USA.ORCID 0000-0003-2631-7463
K Christopher GarciaDepartment of Molecular and Cellular Physiology, Stanford University School of Medicine, Stanford, CA, 94305, USA. kcgarcia@stanford.edu.ORCID 0000-0001-9273-0278
Stanford University · USHoward Hughes Medical Institute · USUniversity of California, Berkeley · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007365 · NIGMS · STANFORD UNIVERSITY · PI CHUA, KATRIN F · 1985 to 2021
$33.8M
Medical Scientist Training ProgramT32GM145402 · NIGMS · STANFORD UNIVERSITY · PI Katrin F. Chua · 2022 to 2026
$10.0M
Structure-based engineering of immune cytokine signalingR01AI051321 · NIAID · STANFORD UNIVERSITY · PI Kenan Christopher GARCIA · 2002 to 2026
$5.6M
Chemical control of energy metabolism by N-acyl amino acidsR01DK124265 · NIDDK · STANFORD UNIVERSITY · PI LONG, JONATHAN Z · 2020 to 2024
$2.0M
Howard Hughes Medical InstituteNIAID NIH HHS R01 AI051321NIDDK NIH HHS R01 DK124265NIGMS NIH HHS T32 GM007365NIGMS NIH HHS T32 GM145402
6 · The paper itself

Abstract

Leptin is an adipocyte-derived protein hormone that promotes satiety and energy homeostasis by activating the leptin receptor (LepR)-STAT3 signaling axis in a subset of hypothalamic neurons. Leptin signaling is dysregulated in obesity, however, where appetite remains elevated despite high levels of circulating leptin. To gain insight into the mechanism of leptin receptor activation, here we determine the structure of a stabilized leptin-bound LepR signaling complex using single particle cryo-EM. The structure reveals an asymmetric architecture in which a single leptin induces LepR dimerization via two distinct receptor-binding sites. Analysis of the leptin-LepR binding interfaces reveals the molecular basis for human obesity-associated mutations. Structure-based design of leptin variants that destabilize the asymmetric LepR dimer yield both partial and biased agonists that partially suppress STAT3 activation in the presence of wild-type leptin and decouple activation of STAT3 from LepR negative regulators. Together, these results reveal the structural basis for LepR activation and provide insights into the differential plasticity of signaling pathways downstream of LepR.

Indexed as

LeptinReceptors, LeptinHumansHypothalamusNeuronsObesityLeptinReceptors, Leptin

Identifiers

PMID37002197
PMCPMC10066393
OpenAlexW4362523001

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.