RT Journal Article T1 Leptin, Both Bad and Good Actor in Cancer. A1 Jiménez-Cortegana, Carlos A1 López-Saavedra, Ana A1 Sánchez-Jiménez, Flora A1 Pérez-Pérez, Antonio A1 Castiñeiras, Jesús A1 Virizuela-Echaburu, Juan A A1 de la Cruz-Merino, Luis de la A1 Sánchez-Margalet, Víctor K1 cancer K1 immune system K1 immunotherapy K1 inflammation K1 leptin K1 obesity AB Leptin is an important regulator of basal metabolism and food intake, with a pivotal role in obesity. Leptin exerts many different actions on various tissues and systems, including cancer, and is considered as a linkage between metabolism and the immune system. During the last decades, obesity and leptin have been associated with the initiation, proliferation and progression of many types of cancer. Obesity is also linked with complications and mortality, irrespective of the therapy used, affecting clinical outcomes. However, some evidence has suggested its beneficial role, called the "obesity paradox", and the possible antitumoral role of leptin. Recent data regarding the immunotherapy of cancer have revealed that overweight leads to a more effective response and leptin may probably be involved in this beneficial process. Since leptin is a positive modulator of both the innate and the adaptive immune system, it may contribute to the increased immune response stimulated by immunotherapy in cancer patients and may be proposed as a good actor in cancer. Our purpose is to review this dual role of leptin in cancer, as well as trying to clarify the future perspectives of this adipokine, which further highlights its importance as a cornerstone of the immunometabolism in oncology. YR 2021 FD 2021-06-20 LK http://hdl.handle.net/10668/18093 UL http://hdl.handle.net/10668/18093 LA en DS RISalud RD Apr 9, 2025