Ghrelin Leptin Inversion describes a pathological reversal or disruption of the normal, healthy relationship between the appetite-stimulating hormone ghrelin and the satiety-signaling hormone leptin. In this dysfunctional state, leptin fails to induce satiety despite high levels, indicating leptin resistance, or ghrelin is inappropriately high when full or low when hungry. This state severely impairs the body’s natural energy regulation system, often driving continued caloric consumption and contributing to metabolic disease.
Origin
The term stems from endocrinology and the study of energy homeostasis, focusing on the critical gut-brain axis communication. Ghrelin and leptin are key adipokines and gut hormones that regulate energy balance. “Inversion” is a clinical descriptor for the dysfunctional pattern observed when metabolic signaling is severely compromised due to chronic metabolic stress or overnutrition.
Mechanism
In a healthy state, ghrelin rises before meals and falls after, while leptin, proportional to fat mass, suppresses appetite long-term. In the inverted state, chronic overnutrition or sleep deprivation can desensitize the hypothalamic receptors to leptin, creating resistance. Simultaneously, ghrelin secretion may become dysregulated, leading to persistent, inappropriate hunger signals. This hormonal imbalance undermines the body’s ability to maintain a healthy weight set point.
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