#33 – Rudy Leibel, M.D.: Finding the obesity gene and discovering leptin
Summary

In this episode of The Peter Atia Drive podcast, Peter Atia interviews Dr. Rudy Leibel, a professor at Columbia University who has focused on type 2 diabetes and obesity. They discuss the discovery of leptin, the genetics and regulation of obesity, energy expenditure, and insulin resistance. The podcast covers a range of topics, including the process of cloning the OB and DB genes related to obesity, the potential influence of Pro convertase one on the hyperinsulinemia and other phenotypes of Prader-Willi patients, and the neural circuitry that regulates food intake.

The conversation covers the potential consequences of manipulating the metabolism of a pregnant animal or human on the developing brain or physiology of the fetus. There is evidence that a mother who is hyperinsulinemic or has gestational diabetes increases the child's risk of obesity. The literature on this topic is still uncertain and primarily based on registry data. However, experiments have been conducted on pregnant animals to investigate the effects of hyperinsulinemia on the metabolism and body weight of the offspring.

The podcast also discusses the potential epigenetic implications of exposing children to highly refined and sugary foods during critical periods of development. Research is ongoing to determine the molecular and physiological consequences of early manipulations on body weight regulation. The conversation also touches on the effectiveness of low carbohydrate diets in reducing obesity and the different mechanisms by which diet composition influences the success of weight loss.

Overall, the podcast provides a detailed and informative discussion on the various factors that contribute to obesity and the ongoing research in the field. The speakers provide valuable insights into the genetic and physiological mechanisms that regulate body weight and the challenges of studying and understanding these complex systems. The podcast is recommended for anyone interested in learning more about the science behind obesity and the ongoing efforts to combat this growing public health issue.