Evidence mapPaperPMID 40283443Full record

ReviewJournal of clinical medicine2025

Leptin and Insulin in COPD: Unveiling the Metabolic-Inflammatory Axis-A Narrative Review.

Oana Maria Catana, Alexandra Floriana Nemes, Ramona Cioboata, Claudia Lucia Toma, Denisa Maria Mitroi, Cristina Calarasu, Costin Teodor Streba

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Peptide Hormones in Appetite Regulation: A Complex Network.Pharmaceuticals (Basel, Switzerland) · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. 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

7 authors.

Oana Maria CatanaDoctoral School, University of Medicine and Pharmacy, 200349 Craiova, Romania.ORCID 0009-0000-9976-2256
Alexandra Floriana NemesNeonatology Department, Memorial Life Hospital Bucharest, 010719 Bucharest, Romania.
Ramona CioboataPneumology Department, University of Medicine and Pharmacy, 200349 Craiova, Romania.ORCID 0009-0006-6335-1627
Claudia Lucia TomaPneumology Department, University of Medicine Carol Davila, 020021 Bucharest, Romania.ORCID 0009-0009-0596-2122
Denisa Maria MitroiDoctoral School, University of Medicine and Pharmacy, 200349 Craiova, Romania.
Cristina CalarasuPneumology Department, University of Medicine and Pharmacy, 200349 Craiova, Romania.ORCID 0000-0003-0277-5865
Costin Teodor StrebaPneumology Department, University of Medicine and Pharmacy, 200349 Craiova, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic obstructive pulmonary disease (COPD) is a progressive and debilitating condition characterized by airflow limitations and systemic inflammation. The interaction between the metabolic and inflammatory pathways plays a key role in disease progression, with leptin and insulin emerging as pivotal metabolic regulators. Leptin, an adipokine that regulates energy homeostasis, and insulin, the primary regulator of glucose metabolism, are both altered in COPD patients. This narrative review provides an in-depth examination of the roles of leptin and insulin in COPD pathogenesis, focusing on the molecular mechanisms through which these metabolic regulators interact with inflammatory pathways and how their dysregulation contributes to a spectrum of extrapulmonary manifestations. These disturbances not only exacerbate COPD symptoms but also increase the risk of comorbidities such as metabolic syndrome, diabetes, cardiovascular disease, or muscle wasting. By exploring the underlying mechanisms of leptin and insulin dysregulation in COPD, this review underscores the significance of the metabolic-inflammatory axis, suggesting that restoring metabolic balance through leptin and insulin modulation could offer novel therapeutic strategies for improving clinical outcomes.

Indexed as

chronic obstructive pulmonary diseaseCOPDinsulinleptinmetabolic–inflammatory axisoxidative stress

Identifiers

PMID40283443
PMCPMC12027990

What Socratic 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 Socratic graph.