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Association between serum adipocytokine and cholesterol levels in cord blood
Yuya Nakano1, Kazuo Itabashi, Takeshi Maruyama
1Department of Pediatrics, Showa University School of Medicine, Tokyo, Japan. nakano-yt@tulip.sannet.ne.jp
Insights
Cord blood leptin, a hormone, is linked to infant cholesterol levels and gender at birth. This finding suggests leptin may regulate fetal lipid metabolism.
Area of Science:
- Neonatal physiology
- Endocrinology
- Metabolic research
Background:
- Serum leptin and adiponectin are linked to adult lipid metabolism.
- These adipocytokines influence fetal growth, but their association with cord blood cholesterol is unclear.
Purpose of the Study:
- To investigate the association between cord blood adipocytokine levels (leptin and adiponectin) and cholesterol levels at birth.
- To explore relationships with neonatal characteristics and maternal factors.
Main Methods:
- Analysis of cord blood samples from 52 appropriate-for-gestational-age infants.
- Measurement of leptin, adiponectin, total cholesterol (TC), and low-density lipoprotein cholesterol (LDL-C).
- Assessment of neonatal characteristics and maternal factors, with regression analyses.
Main Results:
- Cord blood leptin levels were higher in female infants.
- Leptin associated with birthweight, gestational age, BMI, LDL-C, and TC.
- Multiple regression showed leptin linked to BMI, LDL-C, and gender; adiponectin linked to gestational age.
Conclusions:
- Cord leptin levels correlate significantly with cord cholesterol, anthropometry, and infant gender.
- Cord blood leptin may play a crucial role in fetal lipid metabolism regulation.
Background:
Serum leptin and adiponectin levels are strongly associated with lipid metabolism in adults. These adipocytokines play a role in intrauterine and postnatal growth but the association between cord blood levels of these adipocytokines and cholesterol at birth remains unclear.
Methods:
The study involved 52 appropriate-for-gestational-age (AGA) infants (25 male, 27 female, 37-41 weeks of gestational age) born at Keiai Hospital without any maternal complications. Cord blood concentrations of leptin, total adiponectin, total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), other neonatal characteristics, and maternal factors were assessed to investigate the association between cord blood leptin or adiponectin levels and cholesterol levels.
Results:
Cord blood leptin levels were significantly higher in girls. Simple regression analysis indicated that cord blood leptin levels were significantly associated with birthweight, gestational age, birthweight SD score, body mass index (BMI), ponderal index, LDL-C, and TC; but total adiponectin levels were not significantly associated with any neonatal characteristics or maternal factors. A multiple regression analysis indicated that cord leptin levels were significantly associated with BMI (beta= 0.407, P= 0.001), LDL-C (beta=-0.345, P= 0.004), and infant's gender (beta=-0.332, P= 0.006); adiponectin levels were significantly associated with only gestational age (beta= 0.279, P= 0.047).
Conclusion:
Cord leptin level is significantly associated with cord cholesterol level at birth, anthropometry, and infant gender. The present study suggests that cord blood leptin may be a key hormone for controlling fetal lipid metabolism.
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