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PEDIATRICS Vol. 103 No. 5 May 1999, pp. 998-1006

Genetic and Environmental Influences on Human Cord Blood Leptin Concentration

Received May 8, 1998; accepted Nov 30, 1998.

Brunetto Tarquini*, Roberto Tarquini*, Federico Perfetto*, Germaine CornélissenDagger , and Franz HalbergDagger

From the * Cattedra di Medicina Interna, Istituto di Clinica Medica Generale e Terapia Medica IV, Florence, Italy; and Dagger  Chronobiology Laboratories, University of Minnesota, Minneapolis, Minnesota.

Objective.  To examine in a population sample of cord blood the time structure (chronome) of leptin, an adipocyte-derived hormone, and to assess any effect of a familial history of noninsulin-dependent diabetes mellitus and obesity, separately, on both the maternal and the paternal side.

Subjects and Methods.  Leptin concentration was determined in cord blood from 93 infants. Effects of gender, gestational age, birth weight, maternal weight, familial antecedents of obesity and noninsulin-dependent diabetes mellitus, and circadian and about-yearly stage were assessed by linear regression and ANOVA.

Results.  Cord blood leptin concentration is elevated in the presence of a family history of obesity on the paternal side, but not on the maternal side. Leptin concentrations are higher in spring and summer than in fall and are higher in infants born before noon. In keeping with earlier work, leptin concentration in cord blood correlates positively with birth weight and height and is higher in infants who are appropriate for or large for gestational age than in infants who are small for gestational age or born prematurely.

Discussion.  Changes along the scales of the day and the seasons point to synchronizing environmental as well as genetic influence. An association of cord blood leptin concentration with obesity on the paternal side may help clarify the role of leptin in parental contributions to human obesity and may prompt focus on cholesterol metabolism.  Key words:  about-yearly, circadian, cord blood, leptin, NIDDM, obesity, patroclinicity.




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