Leptin concentrations in Prader-Willi syndrome before and after growth hormone replacement

OBJECTIVE This study explored leptin concentrations in Prader‐Willi syndrome (PWS), a genetic disorder characterized by significant obesity and presumed hypothalamic dysfunction. The potential interaction of leptin metabolism with the growth hormone (GH) axis was also studied. STUDY DESIGN Plasma le...

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Veröffentlicht in:Clinical endocrinology (Oxford) 2000-01, Vol.52 (1), p.101-105
Hauptverfasser: Myers, Susan E., Davis, Ajuah, Whitman, Barbara Y., Santiago, Julio V., Landt, Michael
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container_end_page 105
container_issue 1
container_start_page 101
container_title Clinical endocrinology (Oxford)
container_volume 52
creator Myers, Susan E.
Davis, Ajuah
Whitman, Barbara Y.
Santiago, Julio V.
Landt, Michael
description OBJECTIVE This study explored leptin concentrations in Prader‐Willi syndrome (PWS), a genetic disorder characterized by significant obesity and presumed hypothalamic dysfunction. The potential interaction of leptin metabolism with the growth hormone (GH) axis was also studied. STUDY DESIGN Plasma leptin concentrations and percent body fat were determined by radioimmunoassay and dual energy x‐ray absorptionmetry, respectively, in 23 children with Prader‐Willi syndrome and 23 children with exogenous obesity. RESULTS Log plasma leptin concentrations were positively correlated with percentage body fat in PWS (r = 0.844) and exogenous obesity (r = 0.869). When the regression lines for the two groups were compared, there were no differences in their slopes (P = 0.737) or intercepts (P = 0.701). Administration of recombinant human growth hormone to PWS children for 12 months significantly reduced both percentage body fat and plasma leptin concentrations, but the relationship of log plasma leptin to percentage body fat was unchanged. CONCLUSION Prader‐Willi syndrome is not accompanied by deranged leptin concentrations and there was no evidence of an interaction of the GH axis with leptin metabolism in these GH‐deficient children.
doi_str_mv 10.1046/j.1365-2265.2000.00868.x
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The potential interaction of leptin metabolism with the growth hormone (GH) axis was also studied. STUDY DESIGN Plasma leptin concentrations and percent body fat were determined by radioimmunoassay and dual energy x‐ray absorptionmetry, respectively, in 23 children with Prader‐Willi syndrome and 23 children with exogenous obesity. RESULTS Log plasma leptin concentrations were positively correlated with percentage body fat in PWS (r = 0.844) and exogenous obesity (r = 0.869). When the regression lines for the two groups were compared, there were no differences in their slopes (P = 0.737) or intercepts (P = 0.701). Administration of recombinant human growth hormone to PWS children for 12 months significantly reduced both percentage body fat and plasma leptin concentrations, but the relationship of log plasma leptin to percentage body fat was unchanged. CONCLUSION Prader‐Willi syndrome is not accompanied by deranged leptin concentrations and there was no evidence of an interaction of the GH axis with leptin metabolism in these GH‐deficient children.</description><identifier>ISSN: 0300-0664</identifier><identifier>EISSN: 1365-2265</identifier><identifier>DOI: 10.1046/j.1365-2265.2000.00868.x</identifier><identifier>PMID: 10651760</identifier><identifier>CODEN: CLECAP</identifier><language>eng</language><publisher>Oxford BSL: Blackwell Science Ltd</publisher><subject>Biological and medical sciences ; Body Composition ; Child ; Complex syndromes ; Female ; Growth Hormone - therapeutic use ; Humans ; Leptin - blood ; Male ; Medical genetics ; Medical sciences ; Obesity - blood ; Obesity - physiopathology ; Prader-Willi Syndrome - blood ; Prader-Willi Syndrome - drug therapy ; Prader-Willi Syndrome - physiopathology ; Regression Analysis</subject><ispartof>Clinical endocrinology (Oxford), 2000-01, Vol.52 (1), p.101-105</ispartof><rights>2000 INIST-CNRS</rights><rights>Copyright Blackwell Scientific Publications Ltd. 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The potential interaction of leptin metabolism with the growth hormone (GH) axis was also studied. STUDY DESIGN Plasma leptin concentrations and percent body fat were determined by radioimmunoassay and dual energy x‐ray absorptionmetry, respectively, in 23 children with Prader‐Willi syndrome and 23 children with exogenous obesity. RESULTS Log plasma leptin concentrations were positively correlated with percentage body fat in PWS (r = 0.844) and exogenous obesity (r = 0.869). When the regression lines for the two groups were compared, there were no differences in their slopes (P = 0.737) or intercepts (P = 0.701). Administration of recombinant human growth hormone to PWS children for 12 months significantly reduced both percentage body fat and plasma leptin concentrations, but the relationship of log plasma leptin to percentage body fat was unchanged. CONCLUSION Prader‐Willi syndrome is not accompanied by deranged leptin concentrations and there was no evidence of an interaction of the GH axis with leptin metabolism in these GH‐deficient children.</description><subject>Biological and medical sciences</subject><subject>Body Composition</subject><subject>Child</subject><subject>Complex syndromes</subject><subject>Female</subject><subject>Growth Hormone - therapeutic use</subject><subject>Humans</subject><subject>Leptin - blood</subject><subject>Male</subject><subject>Medical genetics</subject><subject>Medical sciences</subject><subject>Obesity - blood</subject><subject>Obesity - physiopathology</subject><subject>Prader-Willi Syndrome - blood</subject><subject>Prader-Willi Syndrome - drug therapy</subject><subject>Prader-Willi Syndrome - physiopathology</subject><subject>Regression Analysis</subject><issn>0300-0664</issn><issn>1365-2265</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkFuL1DAYhoMo7rj6FySIeNeaNM2h4I077kEYR8HDgjchzcHt2CZj0mFn_v2mdljFK68Skud9v48HAIhRiVHNXm9KTBgtqorRskIIlQgJJsr9A7C4_3gIFoggVCDG6hPwJKVNBqlA_DE4wYhRzBlagO8rux07D3Xw2voxqrELPsH88ikqY2Nx3fV9B9PBmxgGC1vrQrRQeQOVG22EP2K4HW_gTYhD8BZGu-2VtkPuegoeOdUn--x4noKvF-dfllfF6uPl--XbVaFrKkThFFLUGEOxbmvTKkUIMUI7YhvKRF3XilaoakSjKsdNi7Gt8mLUCY5Ea5Ajp-DV3LuN4dfOplEOXdK275W3YZckRw3nXPAMvvgH3IRd9Hk3iRvBG0KaCRIzpGNIKVont7EbVDxIjOQkX27k5FhOjuUkX_6WL_c5-vzYv2sHa_4KzrYz8PIIqKRV76Lyukt_uIplsMnYmxm77Xp7-O_5cnm-zpccL-Z4l0a7v4-r-FMyTjiV1-tLebU-W337_GEp35E7IoOvmw</recordid><startdate>200001</startdate><enddate>200001</enddate><creator>Myers, Susan E.</creator><creator>Davis, Ajuah</creator><creator>Whitman, Barbara Y.</creator><creator>Santiago, Julio V.</creator><creator>Landt, Michael</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>200001</creationdate><title>Leptin concentrations in Prader-Willi syndrome before and after growth hormone replacement</title><author>Myers, Susan E. ; Davis, Ajuah ; Whitman, Barbara Y. ; Santiago, Julio V. ; Landt, Michael</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4588-fa0a5ddd51cb4dbaa333d8cf3e9568444a5202989a2f7db11e2ade5f8708bd0f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Biological and medical sciences</topic><topic>Body Composition</topic><topic>Child</topic><topic>Complex syndromes</topic><topic>Female</topic><topic>Growth Hormone - therapeutic use</topic><topic>Humans</topic><topic>Leptin - blood</topic><topic>Male</topic><topic>Medical genetics</topic><topic>Medical sciences</topic><topic>Obesity - blood</topic><topic>Obesity - physiopathology</topic><topic>Prader-Willi Syndrome - blood</topic><topic>Prader-Willi Syndrome - drug therapy</topic><topic>Prader-Willi Syndrome - physiopathology</topic><topic>Regression Analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Myers, Susan E.</creatorcontrib><creatorcontrib>Davis, Ajuah</creatorcontrib><creatorcontrib>Whitman, Barbara Y.</creatorcontrib><creatorcontrib>Santiago, Julio V.</creatorcontrib><creatorcontrib>Landt, Michael</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; 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The potential interaction of leptin metabolism with the growth hormone (GH) axis was also studied. STUDY DESIGN Plasma leptin concentrations and percent body fat were determined by radioimmunoassay and dual energy x‐ray absorptionmetry, respectively, in 23 children with Prader‐Willi syndrome and 23 children with exogenous obesity. RESULTS Log plasma leptin concentrations were positively correlated with percentage body fat in PWS (r = 0.844) and exogenous obesity (r = 0.869). When the regression lines for the two groups were compared, there were no differences in their slopes (P = 0.737) or intercepts (P = 0.701). Administration of recombinant human growth hormone to PWS children for 12 months significantly reduced both percentage body fat and plasma leptin concentrations, but the relationship of log plasma leptin to percentage body fat was unchanged. 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subjects Biological and medical sciences
Body Composition
Child
Complex syndromes
Female
Growth Hormone - therapeutic use
Humans
Leptin - blood
Male
Medical genetics
Medical sciences
Obesity - blood
Obesity - physiopathology
Prader-Willi Syndrome - blood
Prader-Willi Syndrome - drug therapy
Prader-Willi Syndrome - physiopathology
Regression Analysis
title Leptin concentrations in Prader-Willi syndrome before and after growth hormone replacement
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