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

Abstract:

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.

journal_name

Clin Endocrinol (Oxf)

journal_title

Clinical endocrinology

authors

Myers SE,Davis A,Whitman BY,Santiago JV,Landt M

doi

10.1046/j.1365-2265.2000.00868.x

keywords:

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

101-5

issue

1

eissn

0300-0664

issn

1365-2265

pii

cen868

journal_volume

52

pub_type

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