RT journal article T1 Role of Leptin in Obesity, Cardiovascular Disease, and Type 2 Diabetes A1 Vilariño-García, Teresa A1 Polonio González, María L. A1 Pérez Pérez, Antonio A1 Ribalta, Josep A1 Arrieta, Francisco A1 Aguilar Diosdado, Manuel A1 Obaya, Juan C. A1 Gimeno Orna, José A. A1 Iglesias, Pedro A1 Navarro, Jorge A1 Durán, Santiago A1 Pedro-Botet, Juan A2 Medicina K1 cardiovascular risk K1 inflammation K1 leptin K1 obesity K1 type 2 diabetes mellitus AB Diabetes mellitus (DM) is a highly prevalent disease worldwide, estimated to affect 1 in every 11 adults; among them, 90–95% of cases are type 2 diabetes mellitus. This is partly attributed to the surge in the prevalence of obesity, which has reached epidemic proportions since 2008. In these patients, cardiovascular (CV) risk stands as the primary cause of morbidity and mortality, placing a substantial burden on healthcare systems due to the potential for macrovascular and microvascular complications. In this context, leptin, an adipocyte-derived hormone, plays a fundamental role. This hormone is essential for regulating the cellular metabolism and energy balance, controlling inflammatory responses, and maintaining CV system homeostasis. Thus, leptin resistance not only contributes to weight gain but may also lead to increased cardiac inflammation, greater fibrosis, hypertension, and impairment of the cardiac metabolism. Understanding the relationship between leptin resistance and CV risk in obese individuals with type 2 DM (T2DM) could improve the management and prevention of this complication. Therefore, in this narrative review, we will discuss the evidence linking leptin with the presence, severity, and/or prognosis of obesity and T2DM regarding CV disease, aiming to shed light on the potential implications for better management and preventive strategies PB MDPI SN 1422-0067 YR 2024 FD 2024 LK http://hdl.handle.net/10498/32682 UL http://hdl.handle.net/10498/32682 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 13-nov-2026