Fig. 11.
Schematic diagram of leptin interaction and neuropeptide Y. In diabetes mellitus there is either decreased leptin or leptin resistance that affects neuropeptide Y levels in the hypothalamus and peripheral autonomic nervous system. This altered regulation of neuropeptide Y leads to changes in neuropeptide Y receptor concentration. Decreased leptin itself causes increased apoptosis and increased anti-angiogenic factors. The neuropeptide Y receptorsmay be involved in cardiomyocytes hypertrophy and arterial smoothmuscle proliferation.