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Racial variation in umbilical cord blood leptin concentration in male babies
Gabriel Y Lai1, Sabine Rohrmann, Tanya Agurs-Collins
1Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, USA.
Insights
Racial differences in utero may affect prostate cancer risk. This study found adjusted cord blood leptin levels were not significantly higher in African-American male infants, not supporting the hypothesis.
Area of Science:
- Perinatal biology and health disparities.
- Endocrinology and cancer risk factors.
Background:
- Racial disparities in prostate cancer risk are observed.
- Leptin, influencing fetal development, is investigated as a potential factor in these disparities.
Purpose of the Study:
- To investigate if racial differences in cord blood leptin concentrations contribute to racial disparities in prostate cancer risk.
- To examine the relationship between leptin, birth weight, and other growth factors in newborns of different races.
Main Methods:
- Leptin concentration measured by ELISA in cord blood from African-American and white male newborns.
- Adjustments made for birth weight, placental weight, maternal factors, and hormone levels using linear regression.
Main Results:
- Leptin positively correlated with birth weight, placental weight, IGF-1, and IGFBP-3.
- Unadjusted cord blood leptin levels were similar between African-American and white infants.
- Adjusted leptin levels were nonsignificantly higher in African-American infants.
Conclusions:
- Adjusted cord blood leptin concentrations were not significantly different between African-American and white male newborns.
- Findings do not support the hypothesis that in utero leptin levels explain racial disparities in adult prostate cancer risk.
Background:
We hypothesize that racial differences in utero contribute to the racial disparity in prostate cancer risk. Leptin is a candidate for evaluating this hypothesis because it influences fetal development and newborn growth.
Methods:
We measured leptin concentration by ELISA in venous cord blood collected from 70 African-American and 37 white male full-term babies. We measured sex steroid hormones and insulin-like growth factor (IGF) axis concentrations previously. Separately by race, we calculated the geometric mean leptin concentration and estimated the geometric mean adjusted for birth and placental weights, mother's age and parity, time of day and season of birth, and sex steroid hormone and IGF axis concentrations by linear regression.
Results:
Leptin was positively correlated with birth (r = 0.34) and placental (r = 0.25) weights, IGF-1 (r = 0.21), and IGF binding protein-3 (r = 0.29) adjusting for race. Unadjusted geometric mean leptin did not differ (P = 0.92) between African Americans (5,280 pg/mL; 95% CI: 4,322-6,451) and whites (5,187 pg/mL; 95% CI: 3,938-6,832). Adjusted geometric mean leptin was nonstatistically significantly higher (P = 0.15) in African Americans (5,954 pg/mL; 95% CI: 4,725-7,502) than in whites (4,133 pg/mL; 95% CI: 2,890-5,910).
Conclusion:
We observed a nonsignificantly higher adjusted cord blood leptin concentration in African-American male babies than in white male babies, although unadjusted levels were similar.
Impact:
These findings do not support the hypothesis that leptin level in utero contributes to the racial disparity in prostate cancer risk in adulthood.
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