Leptin, cortisol, and GH secretion interactions in short normal prepubertal children

J Clin Endocrinol Metab. 2001 Aug;86(8):3729-34. doi: 10.1210/jcem.86.8.7758.

Abstract

The hormonal regulation of the ob gene and leptin secretion in humans is still unclear. To investigate the interactions among leptin, cortisol, and GH, we analyzed and time-cross-correlated their spontaneous 24-h secretion in 12 short normal prepubertal children of both sexes (6 females and 6 males). Time-cross-correlation analyses demonstrated that leptin and cortisol were correlated in both a negative and positive fashion. The negative correlation, with cortisol leading leptin by 4 and 3 h for boys and girls, respectively, might reflect the stimulatory effect of CRH on the sympathetic system, which inhibits leptin secretion; the positive correlation, with leptin leading cortisol by 6 and 5 h for boys and girls, respectively, might reflect a direct effect of leptin on CRH secretion in the hypophyseal portal system. Time-cross-correlation analyses also showed a strong positive correlation between GH and leptin concentrations, with GH leading leptin by 5 and 2 h for boys and girls, respectively, suggesting a possible direct leptin-releasing effect of GH on adipocytes. We conclude that cross-correlation analyses of 24-h hormone secretions under baseline physiological conditions suggest that the hypothalamic-pituitary-adrenal axis might have a prevailing inhibitory effect on leptin secretion, whereas leptin might exert a positive effect on the hypothalamic-pituitary-adrenal axis. The relation between GH and leptin could be a direct one and characterized prevalently by a positive effect of GH on leptin secretion. Further investigations using different experimental systems are needed to ascertain the validity of these mathematically educed conclusions.

MeSH terms

  • Body Height*
  • Child
  • Circadian Rhythm / physiology*
  • Corticotropin-Releasing Hormone / physiology
  • Female
  • Human Growth Hormone / blood
  • Human Growth Hormone / metabolism*
  • Humans
  • Hydrocortisone / blood
  • Hydrocortisone / metabolism*
  • Insulin-Like Growth Factor I / analysis
  • Leptin / blood
  • Leptin / metabolism*
  • Male
  • Models, Biological
  • Puberty
  • Reference Values
  • Sex Factors

Substances

  • Leptin
  • Human Growth Hormone
  • Insulin-Like Growth Factor I
  • Corticotropin-Releasing Hormone
  • Hydrocortisone