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Updated: Jun 19, 2026

Experimental Approach to Examine Leptin Signaling in the Carotid Bodies and its Effects on Control of Breathing
Published on: October 25, 2019
Serum leptin levels in patients undergoing carotid endarterectomy: a pilot study
Ioannis Bountouris1, Kosmas I Paraskevas, Michael Koutouzis
1Red Cross Hospital, Athens, Greece.
Insights
Serum leptin levels were lower in patients with symptomatic carotid artery disease compared to asymptomatic individuals. This suggests a potential link between reduced leptin and carotid artery symptoms.
Area of Science:
- Cardiovascular Research
- Endocrinology
- Vascular Surgery
Background:
- Elevated serum leptin is linked to cardiovascular events.
- Leptin's role in carotid artery disease requires further elucidation.
Purpose of the Study:
- To investigate the association between serum leptin levels and symptomatic carotid artery disease.
- To explore the relationship between leptin, interleukin-6 (IL-6), and macrophage accumulation in patients undergoing carotid endarterectomy (CEA).
Main Methods:
- A cohort of 74 patients undergoing CEA for >70% carotid artery stenosis was analyzed.
- Serum leptin and IL-6 levels were measured.
- Macrophage accumulation was assessed in symptomatic versus asymptomatic patients.
Main Results:
- Symptomatic patients exhibited significantly lower serum leptin levels (7.1 +/- 1.3 ng/dL) compared to asymptomatic patients (14.4 +/- 4.7 ng/dL).
- Symptomatic patients had higher IL-6 levels (4.3 +/- 1.7 pg/dL) and increased macrophage accumulation (0.7% +/- 0.1%) compared to asymptomatic patients.
- Multivariate analysis confirmed serum leptin and IL-6 levels were independently associated with symptom presence.
Conclusions:
- Serum leptin levels are decreased in patients with symptomatic carotid artery disease.
- Lower leptin may be a marker for symptomatic carotid artery disease, warranting further investigation in larger cohorts.
Introduction:
Elevated serum leptin levels are associated with cardiovascular events. We investigated the role of serum leptin in patients undergoing carotid endarterectomy (CEA).
Methods:
A total of 74 patients (55 men; 38 symptomatic and 36 asymptomatic; mean age 66.9 +/- 8.2 years) undergoing CEA for >70% carotid artery stenosis were enrolled.
Results:
Serum leptin levels were lower in symptomatic compared with asymptomatic patients (7.1 +/- 1.3 vs 14.4 +/- 4.7 ng/dL; P < .001). Interleukin-6 (IL-6) levels were higher in symptomatic compared with asymptomatic patients (4.3 +/- 1.7 vs 3.3 +/- 1.1 pg/dL; P = .017). Symptomatic patients had more intense macrophage accumulation (0.7% +/- 0.1% vs 0.3% +/- 0.1%; P < .001). Serum leptin and serum IL-6 levels were independently associated with the presence of symptoms in multivariate analysis.
Conclusion:
Serum leptin levels were decreased in symptomatic carotid artery disease. This finding requires further investigation in larger studies.
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