Ma. Llopis et al., GROWTH HORMONE-BINDING PROTEIN DIRECTLY DEPENDS ON SERUM LEPTIN LEVELS IN ADULTS WITH DIFFERENT NUTRITIONAL-STATUS, The Journal of clinical endocrinology and metabolism, 83(6), 1998, pp. 2006-2011
The aim of this work was to assess the relationship between GH-binding
protein (GHBP) and leptin. Both peptides are nutritionally regulated,
but the recent implication of a role for leptin in the GH axis requir
es further study. To avoid the sexual dimorphism in leptin values, we
performed leptin standardization according to gender (SD score-leptin)
. The relationship between so score-leptin and GHBP was studied in 128
adults with different nutritional status [8 groups according to body
mass index (BMI)], ranging from severely underweight anorexia nervosa
to highly morbid obesity. Both GHBP and SD score-leptin significantly
increase according to BMI within the range from 18-27 kg/m(2), whereas
no significant differences were found among underweight groups (BMI,
<18 kg/m(2)) or among obesity grades (BMI, >27 kg/m(2)). We found a st
rong correlation between GHBP and SD score-leptin (r = 0.8; P < 0.0001
). Multiple regression analysis revealed so score-leptin to be a signi
ficant determinant of GHBP, accounting for 64% of the variation, where
as BMI did not contribute further to explaining changes in GHBP. This
suggests a physiological pathway involving both GHBP (the soluble frac
tion of GH receptor) and leptin. Thus, we might speculate that leptin
could be the signal that induces the related nutritional changes obser
ved in GHBP/GH receptor expression.