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Am J Physiol Regul Integr Comp Physiol 276: R136-R142, 1999;
0363-6119/99 $5.00
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Vol. 276, Issue 1, R136-R142, January 1999

Leptin deficiency enhances sensitivity to endotoxin-induced lethality

Raffaella Faggioni1, Giamila Fantuzzi2, Cem Gabay3, Arthur Moser1, Charles A. Dinarello2, Kenneth R. Feingold1, and Carl Grunfeld1

1 Metabolism Section, Department of Veterans Affairs Medical Center, University of California, San Francisco, California 94121; and Divisions of 2 Infectious Diseases and 3 Rheumatology, University of Colorado Health Sciences Center, Denver, Colorado 80262

Leptin is induced by lipopolysaccharide (LPS) and cytokines. We investigated the role of leptin in LPS-induced toxicity using leptin-deficient (ob/ob) and leptin receptor-deficient (db/db) mice. Sensitivity to LPS-induced mortality is significantly greater in ob/ob mice compared with their own lean littermates but not in db/db mice. LPS reduced serum glucose in both ob/ob and db/db mice but induced corticosterone only in db/db mice. Despite the very high basal levels of serum leptin in db/db mice, a twofold increase in serum leptin levels was observed after LPS in both db/db mice and their lean littermates. No differences were detected in LPS-induced serum levels of interleukin (IL)-1beta , tumor necrosis factor, macrophage inflammatory protein-1alpha , and interferon-gamma in ob/ob mice compared with their own littermates. In contrast, a blunted induction of IL-10 and IL-1 receptor antagonist (IL-1Ra) was observed in ob/ob mice compared with their littermates. In vitro, leptin induced IL-1Ra production and upregulated the IL-1Ra induction by LPS in macrophages. Moreover, treatment with leptin reversed the increased sensitivity to LPS-induced lethality found in ob/ob mice. These results suggest that leptin participates in the host response to inflammation by modulating the host immune and cytokine responses after LPS.

lipopolysaccharide; bacterial product; OB protein; leptin receptor; interleukin; tumor necrosis factor; macrophage inflammatory protein; cytokine


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