Robinson Institute & School of Paediatrics and Reproductive Health, University of Adelaide, Adelaide, South Australia 5005, Australia.
Pediatr Res. 2010 Jun;67(6):603-8. doi: 10.1203/PDR.0b013e3181dbc471.
Low birth weight and catch-up growth predict increased adiposity in children and adults. This may be due in part to leptin resistance, as adults who were born small exhibit increased plasma leptin concentration relative to adiposity. Placental restriction (PR), a major cause of intrauterine growth restriction, reduces size at birth and increases feeding activity and adiposity by 6 wk in sheep. We hypothesized that PR would increase plasma leptin concentration and alter its relationship with feeding activity and adiposity in young lambs. Body size, plasma leptin, feeding activity, adiposity, leptin, and leptin receptor gene expression in adipose tissue were measured (12 control, 12 PR). PR reduced size at birth and increased adiposity. Plasma leptin concentration decreased with age, but to a lesser extent after PR and correlated positively with adiposity similarly in control and PR. PR increased plasma leptin concentration and perirenal adipose tissue leptin expression. Feeding activity correlated negatively with plasma leptin concentration in controls, but positively after PR. PR increases adipose tissue leptin expression and plasma leptin concentration, however, this increased abundance of peripheral leptin does not inhibit feeding activity (suckling event frequency), suggesting PR programs resistance to appetite and energy balance regulation by leptin, leading to early onset obesity.
低出生体重和追赶性生长可预测儿童和成人肥胖的增加。这可能部分归因于瘦素抵抗,因为出生时较小的成年人表现出相对肥胖的血浆瘦素浓度增加。胎盘限制(PR)是宫内生长受限的主要原因,可使绵羊在出生时体重减轻,并在 6 周内增加采食量和肥胖。我们假设 PR 会增加血浆瘦素浓度,并改变其与幼羊采食量和肥胖的关系。测量了体重、血浆瘦素、采食量、肥胖、瘦素和脂肪组织中瘦素受体基因表达(12 个对照,12 个 PR)。PR 降低了出生时的体重,增加了肥胖。血浆瘦素浓度随年龄下降,但 PR 后下降幅度较小,与肥胖的相关性在对照和 PR 中相似。PR 增加了血浆瘦素浓度和肾周脂肪组织瘦素表达。在对照组中,采食量与血浆瘦素浓度呈负相关,但 PR 后呈正相关。PR 增加了脂肪组织瘦素表达和血浆瘦素浓度,但外周瘦素的这种增加丰度并不能抑制采食量(吸吮事件频率),这表明 PR 使机体对瘦素的食欲和能量平衡调节产生抵抗,导致肥胖早发。