Evidence map›Paper›PMID 42842099›Full record

ReviewEndocrine2026

Circadian dysregulation of leptin and its role in skin inflammation and obesity: an integrative perspective.

Luiza A Altenfelder, Ellen M S Xerfan, Sergio Tufik, Monica L Andersen

Abstract readReview
In one paragraph

Review in Endocrine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Luiza A AltenfelderEscola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.
Ellen M S XerfanDepartamento de Psicobiologia, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.
Sergio TufikDepartamento de Psicobiologia, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.
Monica L AndersenDepartamento de Psicobiologia, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil. ml.andersen12@gmail.com.

Funding

Fundação de Amparo à Pesquisa do Estado de São Paulo #2020/13467-8Fundação de Amparo à Pesquisa do Estado de São Paulo #2025/06354-6
6 · The paper itself

Abstract

purposeLeptin is an adipokine that regulates energy balance and is commonly linked to obesity. It exhibits a circadian rhythm that can be disrupted by variations in eating times and sleep disorders. This brief review explored how leptin can modulate appetite and tissue repair; and assessed whether dysregulated serum levels may activate pro-inflammatory pathways contributing to inflammatory dermatoses, particularly in the context of obesity.

methodsCurrent evidence on the interconnection between leptin rhythmicity, obesity, sleep disruption, meal timing, oxidative stress, and inflammatory dermatoses was reviewed and synthesized, with an emphasis on studies relevant to the proposed circadian, metabolic and cutaneous axis.

resultsAvailable evidence indicated that irregular or late meal timing can alter leptin rhythmicity, while sleep disruption is associated with changes in leptin secretion and inflammatory mediators. In obesity, persistent hyperleptinemia may coexist with central leptin resistance and preserved peripheral pro-inflammatory signaling. Experimental and clinical findings support associations among leptin dysregulation, oxidative stress, reduced antioxidant capacity, and inflammatory pathways relevant to dermatoses related to obesity, particularly psoriasis. However, direct evidence establishing a causal relationship between circadian leptin dysregulation and skin inflammation remains limited.

conclusionsCircadian leptin misalignment may represent a plausible upstream pathway linking altered meal timing, sleep disruption, leptin resistance, oxidative stress, and immune activation to obesity-associated inflammatory dermatoses. Chronobiological interventions, particularly time-restricted feeding combined with adequate sleep, warrant further investigation for their potential to improve leptin regulation and attenuate skin inflammation. Much of the current evidence remains associative, and further mechanistic and interventional studies are needed to test this hypothesis.

Indexed as

Circadian RhythmDermatitisInflammationLeptinObesityAnimalsHumansOxidative StressSkinLeptinCircadian misalignmentCircadian rhythmMeal timingObesitySkin inflammationSleep

Identifiers

PMID42842099
PMCPMC13645989

What OpenQuestion holds

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Registered trials

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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.