Serum leptin levels in patients with viral chronic hepatitis or liver cirrhosis

Background/Aim: Serum levels of leptin, the adipocyte-derived hormone regulating food intake and energy expenditure in mammals, have been found to be increased in cirrhotic patients. The aim of the present study was to investigate leptin serum level in relation to anthropometric features and liver f...

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Veröffentlicht in:Journal of hepatology 2000-07, Vol.33 (1), p.33-37
Hauptverfasser: Testa, Roberto, Franceschini, Roberto, Giannini, Edoardo, Cataldi, Angelo, Botta, Federica, Fasoli, Alberto, Tenerelli, Pasquale, Rolandi, Ermanno, Barreca, Tommaso
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container_end_page 37
container_issue 1
container_start_page 33
container_title Journal of hepatology
container_volume 33
creator Testa, Roberto
Franceschini, Roberto
Giannini, Edoardo
Cataldi, Angelo
Botta, Federica
Fasoli, Alberto
Tenerelli, Pasquale
Rolandi, Ermanno
Barreca, Tommaso
description Background/Aim: Serum levels of leptin, the adipocyte-derived hormone regulating food intake and energy expenditure in mammals, have been found to be increased in cirrhotic patients. The aim of the present study was to investigate leptin serum level in relation to anthropometric features and liver function in patients with viral chronic hepatitis or liver cirrhosis. Methods: Serum leptin levels were determined by radioimmunoassay in 30 male and 10 female patients with chronic hepatitis, in 42 male and 10 female patients with liver cirrhosis, and in four respective control groups. Liver function was evaluated by the monoethylglycinexylidide formation test. Body mass index and body fat mass were estimated by weight, height and skinfold thickness measurements. Results: Compared with controls, absolute serum leptin levels were significantly ( p
doi_str_mv 10.1016/S0168-8278(00)80156-7
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The aim of the present study was to investigate leptin serum level in relation to anthropometric features and liver function in patients with viral chronic hepatitis or liver cirrhosis. Methods: Serum leptin levels were determined by radioimmunoassay in 30 male and 10 female patients with chronic hepatitis, in 42 male and 10 female patients with liver cirrhosis, and in four respective control groups. Liver function was evaluated by the monoethylglycinexylidide formation test. Body mass index and body fat mass were estimated by weight, height and skinfold thickness measurements. Results: Compared with controls, absolute serum leptin levels were significantly ( p&lt;0.01) lower in chronic hepatitis patients and similar in cirrhotic patients. Leptin serum levels were significantly ( p&lt;0.05) higher in cirrhotic than in chronic hepatitis patients. When expressed in relation to body fat mass, the above differences persisted; however, cirrhotic females showed significantly ( p&lt;0;0.05) higher serum leptin values than controls. Serum leptin values correlated negatively ( p&lt;0;0.01) with monoethylglycinexylidide serum values in all groups of patients. Conclusions: In patients with chronic viral liver disease, serum leptin levels tend to increase as liver function worsens. This may reflect a decline in the ability to downregulate energy expenditure as an adaptation to anorexia and/or to defective substrate utilisation due to liver disease and may negatively influence body weight homeostasis in these patients.</description><identifier>ISSN: 0168-8278</identifier><identifier>EISSN: 1600-0641</identifier><identifier>DOI: 10.1016/S0168-8278(00)80156-7</identifier><identifier>PMID: 10905583</identifier><identifier>CODEN: JOHEEC</identifier><language>eng</language><publisher>Oxford: Elsevier B.V</publisher><subject>Adipose Tissue - pathology ; Adult ; Biological and medical sciences ; Chronic viral hepatitis ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Hepatitis B, Chronic - blood ; Hepatitis B, Chronic - complications ; Hepatitis B, Chronic - pathology ; Hepatitis C, Chronic - blood ; Hepatitis C, Chronic - complications ; Hepatitis C, Chronic - pathology ; Humans ; Leptin ; Leptin - blood ; Lidocaine - analogs &amp; derivatives ; Lidocaine - blood ; Liver cirrhosis ; Liver Cirrhosis - blood ; Liver Cirrhosis - pathology ; Liver Cirrhosis - virology ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Male ; Medical sciences ; MEGX30 ; Middle Aged ; Organ Size ; Other diseases. 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The aim of the present study was to investigate leptin serum level in relation to anthropometric features and liver function in patients with viral chronic hepatitis or liver cirrhosis. Methods: Serum leptin levels were determined by radioimmunoassay in 30 male and 10 female patients with chronic hepatitis, in 42 male and 10 female patients with liver cirrhosis, and in four respective control groups. Liver function was evaluated by the monoethylglycinexylidide formation test. Body mass index and body fat mass were estimated by weight, height and skinfold thickness measurements. Results: Compared with controls, absolute serum leptin levels were significantly ( p&lt;0.01) lower in chronic hepatitis patients and similar in cirrhotic patients. Leptin serum levels were significantly ( p&lt;0.05) higher in cirrhotic than in chronic hepatitis patients. When expressed in relation to body fat mass, the above differences persisted; however, cirrhotic females showed significantly ( p&lt;0;0.05) higher serum leptin values than controls. Serum leptin values correlated negatively ( p&lt;0;0.01) with monoethylglycinexylidide serum values in all groups of patients. Conclusions: In patients with chronic viral liver disease, serum leptin levels tend to increase as liver function worsens. This may reflect a decline in the ability to downregulate energy expenditure as an adaptation to anorexia and/or to defective substrate utilisation due to liver disease and may negatively influence body weight homeostasis in these patients.</description><subject>Adipose Tissue - pathology</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Chronic viral hepatitis</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Hepatitis B, Chronic - blood</subject><subject>Hepatitis B, Chronic - complications</subject><subject>Hepatitis B, Chronic - pathology</subject><subject>Hepatitis C, Chronic - blood</subject><subject>Hepatitis C, Chronic - complications</subject><subject>Hepatitis C, Chronic - pathology</subject><subject>Humans</subject><subject>Leptin</subject><subject>Leptin - blood</subject><subject>Lidocaine - analogs &amp; derivatives</subject><subject>Lidocaine - blood</subject><subject>Liver cirrhosis</subject><subject>Liver Cirrhosis - blood</subject><subject>Liver Cirrhosis - pathology</subject><subject>Liver Cirrhosis - virology</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Male</subject><subject>Medical sciences</subject><subject>MEGX30</subject><subject>Middle Aged</subject><subject>Organ Size</subject><subject>Other diseases. 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Liver. Pancreas. Abdomen</topic><topic>Hepatitis B, Chronic - blood</topic><topic>Hepatitis B, Chronic - complications</topic><topic>Hepatitis B, Chronic - pathology</topic><topic>Hepatitis C, Chronic - blood</topic><topic>Hepatitis C, Chronic - complications</topic><topic>Hepatitis C, Chronic - pathology</topic><topic>Humans</topic><topic>Leptin</topic><topic>Leptin - blood</topic><topic>Lidocaine - analogs &amp; derivatives</topic><topic>Lidocaine - blood</topic><topic>Liver cirrhosis</topic><topic>Liver Cirrhosis - blood</topic><topic>Liver Cirrhosis - pathology</topic><topic>Liver Cirrhosis - virology</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Male</topic><topic>Medical sciences</topic><topic>MEGX30</topic><topic>Middle Aged</topic><topic>Organ Size</topic><topic>Other diseases. Semiology</topic><topic>Reference Values</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Testa, Roberto</creatorcontrib><creatorcontrib>Franceschini, Roberto</creatorcontrib><creatorcontrib>Giannini, Edoardo</creatorcontrib><creatorcontrib>Cataldi, Angelo</creatorcontrib><creatorcontrib>Botta, Federica</creatorcontrib><creatorcontrib>Fasoli, Alberto</creatorcontrib><creatorcontrib>Tenerelli, Pasquale</creatorcontrib><creatorcontrib>Rolandi, Ermanno</creatorcontrib><creatorcontrib>Barreca, Tommaso</creatorcontrib><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>MEDLINE - Academic</collection><jtitle>Journal of hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Testa, Roberto</au><au>Franceschini, Roberto</au><au>Giannini, Edoardo</au><au>Cataldi, Angelo</au><au>Botta, Federica</au><au>Fasoli, Alberto</au><au>Tenerelli, Pasquale</au><au>Rolandi, Ermanno</au><au>Barreca, Tommaso</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Serum leptin levels in patients with viral chronic hepatitis or liver cirrhosis</atitle><jtitle>Journal of hepatology</jtitle><addtitle>J Hepatol</addtitle><date>2000-07-01</date><risdate>2000</risdate><volume>33</volume><issue>1</issue><spage>33</spage><epage>37</epage><pages>33-37</pages><issn>0168-8278</issn><eissn>1600-0641</eissn><coden>JOHEEC</coden><abstract>Background/Aim: Serum levels of leptin, the adipocyte-derived hormone regulating food intake and energy expenditure in mammals, have been found to be increased in cirrhotic patients. The aim of the present study was to investigate leptin serum level in relation to anthropometric features and liver function in patients with viral chronic hepatitis or liver cirrhosis. Methods: Serum leptin levels were determined by radioimmunoassay in 30 male and 10 female patients with chronic hepatitis, in 42 male and 10 female patients with liver cirrhosis, and in four respective control groups. Liver function was evaluated by the monoethylglycinexylidide formation test. Body mass index and body fat mass were estimated by weight, height and skinfold thickness measurements. Results: Compared with controls, absolute serum leptin levels were significantly ( p&lt;0.01) lower in chronic hepatitis patients and similar in cirrhotic patients. Leptin serum levels were significantly ( p&lt;0.05) higher in cirrhotic than in chronic hepatitis patients. When expressed in relation to body fat mass, the above differences persisted; however, cirrhotic females showed significantly ( p&lt;0;0.05) higher serum leptin values than controls. Serum leptin values correlated negatively ( p&lt;0;0.01) with monoethylglycinexylidide serum values in all groups of patients. Conclusions: In patients with chronic viral liver disease, serum leptin levels tend to increase as liver function worsens. This may reflect a decline in the ability to downregulate energy expenditure as an adaptation to anorexia and/or to defective substrate utilisation due to liver disease and may negatively influence body weight homeostasis in these patients.</abstract><cop>Oxford</cop><pub>Elsevier B.V</pub><pmid>10905583</pmid><doi>10.1016/S0168-8278(00)80156-7</doi><tpages>5</tpages></addata></record>
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subjects Adipose Tissue - pathology
Adult
Biological and medical sciences
Chronic viral hepatitis
Female
Gastroenterology. Liver. Pancreas. Abdomen
Hepatitis B, Chronic - blood
Hepatitis B, Chronic - complications
Hepatitis B, Chronic - pathology
Hepatitis C, Chronic - blood
Hepatitis C, Chronic - complications
Hepatitis C, Chronic - pathology
Humans
Leptin
Leptin - blood
Lidocaine - analogs & derivatives
Lidocaine - blood
Liver cirrhosis
Liver Cirrhosis - blood
Liver Cirrhosis - pathology
Liver Cirrhosis - virology
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical sciences
MEGX30
Middle Aged
Organ Size
Other diseases. Semiology
Reference Values
title Serum leptin levels in patients with viral chronic hepatitis or liver cirrhosis
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