Plasma Leptin Concentrations in Newborns of Diabetic and Nondiabetic Mothers

ABSTRACT Leptin plays an important role in regulating body composition through modulation of appetite and energy expenditure. We hypothesized that leptin levels in umbilical cord blood correlate with newborn body weight and habitus. We also hypothesized that infants of diabetic mothers would demonst...

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Veröffentlicht in:American journal of perinatology 1998-04, Vol.11 (4), p.243-247
Hauptverfasser: Gross, Gil A., Solenberger, Thomas, Philpott, Timothy, Holcomb, William L., Landt, Michael
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container_end_page 247
container_issue 4
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container_title American journal of perinatology
container_volume 11
creator Gross, Gil A.
Solenberger, Thomas
Philpott, Timothy
Holcomb, William L.
Landt, Michael
description ABSTRACT Leptin plays an important role in regulating body composition through modulation of appetite and energy expenditure. We hypothesized that leptin levels in umbilical cord blood correlate with newborn body weight and habitus. We also hypothesized that infants of diabetic mothers would demonstrate altered leptin metabolism. Venous blood was sampled at birth from the umbilical cords of 105 infants (74 infants of nondiabetic mothers, and 31 infants of diabetic mothers). Thirty-nine mothers had plasma leptin concentrations measured. Analysis was done using Student's T-test, Pearson's correlation, and Spearman's correlation. Univariate/multivariate regression was used for analysis of factors associated with leptin concentration in umbilical cord plasma. Maternal and newborn characteristics were correlated with log leptin levels in umbilical venous plasma. Leptin concentration in umbilical cord plasma correlated best with birth weight for newborns of both nondiabetic and diabetic mothers (P < 0.01 for either). Umbilical cord plasma concentration of leptin was higher in infants of diabetic mothers than in infants of nondiabetic mothers (2.53 ± 1.09 vs. 1.76 ± 0.82; P < 0.001). Multiple regression analysis revealed a significant (P < 0.01) relationship between umbilical cord leptin level and newborn birth weight, as well as maternal DM, but not with gestational age. Similarly, there was no significant correlation with maternal plasma leptin concentration. The strong correlation of leptin concentration in umbilical cord plasma with newborn birth weight, and the lack of significant correlation with maternal leptin plasma levels, suggest that normal fetal leptin metabolism reflects fetal size and/or body habitus independent of maternal leptin metabolism. On the other hand, the higher umbilical plasma levels in infants of diabetic mothers may reflect an influence of altered fetal insulin homeostasis on fetal leptin metabolism, and suggests that maternal diabetes may influence fetal leptin metabolism.
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We hypothesized that leptin levels in umbilical cord blood correlate with newborn body weight and habitus. We also hypothesized that infants of diabetic mothers would demonstrate altered leptin metabolism. Venous blood was sampled at birth from the umbilical cords of 105 infants (74 infants of nondiabetic mothers, and 31 infants of diabetic mothers). Thirty-nine mothers had plasma leptin concentrations measured. Analysis was done using Student's T-test, Pearson's correlation, and Spearman's correlation. Univariate/multivariate regression was used for analysis of factors associated with leptin concentration in umbilical cord plasma. Maternal and newborn characteristics were correlated with log leptin levels in umbilical venous plasma. Leptin concentration in umbilical cord plasma correlated best with birth weight for newborns of both nondiabetic and diabetic mothers (P &lt; 0.01 for either). Umbilical cord plasma concentration of leptin was higher in infants of diabetic mothers than in infants of nondiabetic mothers (2.53 ± 1.09 vs. 1.76 ± 0.82; P &lt; 0.001). Multiple regression analysis revealed a significant (P &lt; 0.01) relationship between umbilical cord leptin level and newborn birth weight, as well as maternal DM, but not with gestational age. Similarly, there was no significant correlation with maternal plasma leptin concentration. The strong correlation of leptin concentration in umbilical cord plasma with newborn birth weight, and the lack of significant correlation with maternal leptin plasma levels, suggest that normal fetal leptin metabolism reflects fetal size and/or body habitus independent of maternal leptin metabolism. 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Umbilical cord plasma concentration of leptin was higher in infants of diabetic mothers than in infants of nondiabetic mothers (2.53 ± 1.09 vs. 1.76 ± 0.82; P &lt; 0.001). Multiple regression analysis revealed a significant (P &lt; 0.01) relationship between umbilical cord leptin level and newborn birth weight, as well as maternal DM, but not with gestational age. Similarly, there was no significant correlation with maternal plasma leptin concentration. The strong correlation of leptin concentration in umbilical cord plasma with newborn birth weight, and the lack of significant correlation with maternal leptin plasma levels, suggest that normal fetal leptin metabolism reflects fetal size and/or body habitus independent of maternal leptin metabolism. 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Andrology. Obstetrics</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Leptin</topic><topic>Linear Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>ORIGINAL ARTICLE</topic><topic>Pregnancy</topic><topic>Pregnancy in Diabetics - embryology</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Proteins - analysis</topic><topic>Reference Values</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gross, Gil A.</creatorcontrib><creatorcontrib>Solenberger, Thomas</creatorcontrib><creatorcontrib>Philpott, Timothy</creatorcontrib><creatorcontrib>Holcomb, William L.</creatorcontrib><creatorcontrib>Landt, Michael</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>American journal of perinatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gross, Gil A.</au><au>Solenberger, Thomas</au><au>Philpott, Timothy</au><au>Holcomb, William L.</au><au>Landt, Michael</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Plasma Leptin Concentrations in Newborns of Diabetic and Nondiabetic Mothers</atitle><jtitle>American journal of perinatology</jtitle><addtitle>Amer J Perinatol</addtitle><date>1998-04-01</date><risdate>1998</risdate><volume>11</volume><issue>4</issue><spage>243</spage><epage>247</epage><pages>243-247</pages><issn>0735-1631</issn><eissn>1098-8785</eissn><coden>AJPEEK</coden><abstract>ABSTRACT Leptin plays an important role in regulating body composition through modulation of appetite and energy expenditure. 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Umbilical cord plasma concentration of leptin was higher in infants of diabetic mothers than in infants of nondiabetic mothers (2.53 ± 1.09 vs. 1.76 ± 0.82; P &lt; 0.001). Multiple regression analysis revealed a significant (P &lt; 0.01) relationship between umbilical cord leptin level and newborn birth weight, as well as maternal DM, but not with gestational age. Similarly, there was no significant correlation with maternal plasma leptin concentration. The strong correlation of leptin concentration in umbilical cord plasma with newborn birth weight, and the lack of significant correlation with maternal leptin plasma levels, suggest that normal fetal leptin metabolism reflects fetal size and/or body habitus independent of maternal leptin metabolism. 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ispartof American journal of perinatology, 1998-04, Vol.11 (4), p.243-247
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source MEDLINE; Thieme Connect Journals
subjects Adolescent
Adult
Biological and medical sciences
Body Weight - physiology
Cohort Studies
Diseases of mother, fetus and pregnancy
Female
Fetal Blood - chemistry
Gestational Age
Gynecology. Andrology. Obstetrics
Humans
Infant, Newborn
Leptin
Linear Models
Male
Medical sciences
ORIGINAL ARTICLE
Pregnancy
Pregnancy in Diabetics - embryology
Pregnancy. Fetus. Placenta
Proteins - analysis
Reference Values
title Plasma Leptin Concentrations in Newborns of Diabetic and Nondiabetic Mothers
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