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Endocrine Division (R.V.G-M.) and Clinical Chemistry Laboratory (M.A.A., M.R.), Hospital Xeral, Vigo; Endocrine Division Complejo Hospitalario Universitario de Santiago, Department of Medicine (M.L., F.F.C.) and Department of Physiology (C.D.), University of Santiago de Compostela. E-15780 Santiago de Compostela, Spain
Address all correspondence and requests for reprints to: F. F. Casanueva, P.O. Box 563, E-15780, Santiago de Compostela, Spain. E-mail: meffcasa{at}uscmail.usc.es
It is commonly accepted that at least in girls puberty starts when a minimum level of body mass or a certain amount of body fat are present. However the precise signal by which adipose stores inform the hypothalamus of the degree of energetic reserves is unknown. Leptin is a hormone produced by the adipocytes to regulate food intake and energy expenditure at the hypothalamic level. To understand whether leptin is the adipose tissue signal that allows puberty, 789 normal children of both sexes, age 515 yr, were transversally studied. Leptin levels, as well as gonadal and gonadotropins levels, were analyzed in addition to the determination of auxological parameters.
In an age-related analysis, leptin levels in girls rose from 515 yr (from 4.3 ± 0.4 to 8.5 ± 0.9 µg/L) in parallel with body weight. Boys always had lower leptin levels than girls (3.3 ± 0.3 µg/L at 5 yr), but they rose in parallel with weight until 10 yr (5.3 ± 0.7 µg/L), when a striking decrease was observed until 15 yr (3.0 ± 0.3 µg/L). In girls, leptin was the first hormone to rise followed by FSH and later by LH and estradiol. A similar pattern occurred in boys, despite the fact that leptin dropped after 10 yr when testosterone rises. Divided into three pubertal stages, i.e. P1 = prepuberty, P2 = early puberty, and P3 = overt puberty, in girls the four hormones rose progressively from P1 to P3, but from P2 to P3 the percent increment was greater for LH and estradiol. In boys, leptin decreased from P1 to P3, whereas FSH, LH, and testosterone rose. The age-related changes were not caused by adiposity variations, because data did not change when subtracting values of children over 97% of standard deviation score of body mass index.
In conclusion: 1) leptin appears to increase in both boys and girls before the appearance of other reproductive hormones related to puberty; 2) leptin levels in boys are always lower than in girls, although they increase with age until the age 10 yr; 3) leptin in boys declines about the time testosterone increases. Leptin may well be a permissive factor for the initiation of pubertal events.
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J. Licinio, A. B. Negrão, C. Mantzoros, V. Kaklamani, M.-L. Wong, P. B. Bongiorno, P. P. Negro, A. Mulla, J. D. Veldhuis, L. Cearnal, et al. Sex Differences in Circulating Human Leptin Pulse Amplitude: Clinical Implications J. Clin. Endocrinol. Metab., November 1, 1998; 83(11): 4140 - 4147. [Abstract] [Full Text] |
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S. B. Seminara, F. J. Hayes, and W. F. Crowley Jr. Gonadotropin-Releasing Hormone Deficiency in the Human (Idiopathic Hypogonadotropic Hypogonadism and Kallmann's Syndrome): Pathophysiological and Genetic Considerations Endocr. Rev., October 1, 1998; 19(5): 521 - 539. [Abstract] [Full Text] |
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K. O. Klein, K. A. Larmore, E. de Lancey, J. M. Brown, R. V. Considine, and S. G. Hassink Effect of Obesity on Estradiol Level, and Its Relationship to Leptin, Bone Maturation, and Bone Mineral Density in Children J. Clin. Endocrinol. Metab., October 1, 1998; 83(10): 3469 - 3475. [Abstract] [Full Text] |
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W. W. Wong, M. Nicolson, J. E. Stuff, N. F. Butte, K. J. Ellis, A. C. Hergenroeder, R. B. Hill, and E. O. Smith Serum Leptin Concentrations in Caucasian and African-American Girls J. Clin. Endocrinol. Metab., October 1, 1998; 83(10): 3574 - 3577. [Abstract] [Full Text] |
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M. R. Palmert, S. Radovick, and P. A. Boepple Leptin Levels in Children with Central Precocious Puberty J. Clin. Endocrinol. Metab., July 1, 1998; 83(7): 2260 - 2265. [Abstract] [Full Text] |
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A. Leal-Cerro, P. P. Garcia-Luna, R. Astorga, J. Parejo, R. Peino, C. Dieguez, and F. F. Casanueva Serum Leptin Levels in Male Marathon Athletes before and after the Marathon Run J. Clin. Endocrinol. Metab., July 1, 1998; 83(7): 2376 - 2379. [Abstract] [Full Text] |
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X. Casabiell, V. Piñeiro, R. Peino, M. Lage, J. Camiña, R. Gallego, L. G. Vallejo, C. Dieguez, and F. F. Casanueva Gender Differences in Both Spontaneous and Stimulated Leptin Secretion by Human Omental Adipose Tissue in Vitro: Dexamethasone and Estradiol Stimulate Leptin Release in Women, But Not in Men J. Clin. Endocrinol. Metab., June 1, 1998; 83(6): 2149 - 2155. [Abstract] [Full Text] |
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A. D. Rogol Leptin and Puberty J. Clin. Endocrinol. Metab., April 1, 1998; 83(4): 1089 - 1090. [Full Text] |
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M. R. Palmert, S. Radovick, and P. A. Boepple The Impact of Reversible Gonadal Sex Steroid Suppression on Serum Leptin Concentrations in Children with Central Precocious Puberty J. Clin. Endocrinol. Metab., April 1, 1998; 83(4): 1091 - 1096. [Abstract] [Full Text] |
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M. F. Saad, M. G. Riad-Gabriel, A. Khan, A. Sharma, R. Michael, S. D. Jinagouda, R. Boyadjian, and G. M. Steil Diurnal and Ultradian Rhythmicity of Plasma Leptin: Effects of Gender and Adiposity J. Clin. Endocrinol. Metab., February 1, 1998; 83(2): 453 - 459. [Abstract] [Full Text] |
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