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Developmental variations in plasma leptin, leptin soluble receptor and their molar ratio in healthy infants
Winston W K Koo1, Mouhanad Hammami, Elaine M Hockman
1The Carman and Ann Adams Department of Pediatrics, Wayne State University and Hutzel Hospital, Wayne State University, Detroit, Michigan, USA. wkoo@wayne.edu
Insights
Plasma leptin levels decrease with age in infants, influenced by body composition. Body composition measurements are key predictors, overriding effects of race and gender on leptin and its receptor levels.
Area of Science:
- Pediatric Endocrinology
- Human Physiology
- Body Composition Analysis
Background:
- Leptin and soluble leptin receptor (sOB-R) are crucial for body composition regulation.
- Limited data exists on developmental changes in these plasma variables and their relation to body composition in infants.
Purpose of the Study:
- To investigate developmental variations in plasma leptin and sOB-R in healthy infants.
- To examine the relationship between these plasma variables and body composition measurements throughout infancy.
Main Methods:
- Healthy infants were studied at 2, 4, 8, and 12 months of age.
- Measurements included weight, length, body composition (bone, fat, lean mass) via DXA, and plasma leptin and sOB-R.
- Statistical analysis explored correlations and predictive relationships.
Main Results:
- Plasma leptin and the sOB-R:leptin molar ratio decreased with age, predicted by weight Z score and fat mass percentage.
- Leptin and the ratio were higher in African American infants and females, but these effects were eliminated by body composition measurements.
- Plasma sOB-R levels did not significantly change with age and were predicted solely by body composition.
Conclusions:
- In healthy infants, plasma leptin declines with age, while sOB-R remains stable.
- Body composition is the primary determinant of plasma leptin, sOB-R, and their ratio, overriding race and gender influences.
- These findings highlight the critical role of body composition in regulating leptin signaling during infant development.
Background:
Leptin and its soluble receptor (sOB-R) are important to regulation of body composition but there are no data on the developmental variations in these plasma variables and their relationship with body composition measurements,
Methods:
Weight, length, and body composition (bone, fat and lean mass) by dual energy absorptiometry, and plasma variables were measured in healthy infants at 2, 4, 8 and 12 months.
Results:
15 whites and 29 African Americans (21 males and 23 females) with mean birth weight 3357 +/- 45 (SEM) g and gestation of 39.3 +/- 0.17 weeks were studied. The overall Z score for weight, length and weight for length during the study were 0.00 +/- 0.15, -0.08 +/- 0.11 and 0.12 +/- 0.14 respectively. With increasing age, plasma leptin (1.0 to 18.2, median 5.5 ng/mL) and sOB-R:leptin molar ratio (10.1 to 247.4, median 59.9) were lowered (r = -0.47, p < 0.01; and r = -0.37, p < 0.05 respectively), best predicted by weight Z score and percentage of fat mass, and higher in African American and female. Presence of body composition measurements eliminated the race and gender effect on the plasma variables. Plasma sOB-R (49.5 to 173.9, median 81.3 ng/mL) did not change significantly with age and was correlated and predicted only by body composition measurements.
Conclusion:
In healthy growing infants, plasma leptin but not sOB-R decreases with age. Gender, race and anthropometric measurements are additional physiological determinants predictive of plasma leptin and the receptor:ligand ratio. However, body composition is the only variable that can predict plasma leptin and its soluble receptor and the receptor: ligand ratio; and body composition measurements eliminated the race and gender effect on these plasma variables.
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