J Korean Pediatr Soc.
2000 Jul;43(7):959-966.
Effect of Growth Hormone Secretion on Serum Concentration of Leptin
- Affiliations
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- 1Department of Pediatrics, College of Medicine, Inje University.
- 2Department of Clinical Pathology, College of Medicine, Inje University.
- 3Department of Pediatrics, College of Medicine, Pusan National University, Pusan, Korea.
Abstract
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PURPOSE: To investigate the effect of growth hormone(GH) secretion on serum concentration of
leptin, we evaluated the differences in serum concentration of leptin between patients with
growth hormone deficiency(GHD) and GH normal short stature in prepubertal male children, and
the relationship between GH and serum leptin level. Also, we analyzed the correlation between
serum concentrations of leptin and insulin-like growth factor-I(IGF-I), insulin-like growth
factor binding protein-3(IGFBP-3), total cholesterol(TC), free fatty acid(FFA) and body mass
index(BMI).
METHODS
Eight cases with GHD and 10 cases with GH normal short stature were
included in this study. Patients were all male, prepubertal children with mean age 10.6 years.
Blood samples were collected in these patients by L-dopa GH provocation test. Statistical
analysis of the comparisons of serum leptin level and correlation of multiple variables were
performed using PC-SAS program. Significance was defined as P<0.05.
RESULTS
The mean serum concentration of leptin in GHD(12.27+/-10.63ng/mL) was significantly
higher than in GH normal short stature(5.39+/-3.21ng/mL)(P=0.0344). Serum concentration of
leptin was negatively correlated to GH(y=-7.7x+43.3, r=-0.23, P=0.0109). Serum concentration
of leptin was positively correlated to BMI(y=2.5x-33.3, r=0.75, P=0.0003). Serum concentration
of leptin was not correlated to IGF-I, IGFBP-3, TC and FFA.
CONCLUSION
Serum concentration of leptin was siginificantly increased in patients with GHD
compared to GH normal short stature and was negatively correlated to GH.