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Hypertension. 1998;31:409-414

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(Hypertension. 1998;31:409.)
© 1998 American Heart Association, Inc.


Scientific Contributions

Chronic Leptin Infusion Increases Arterial Pressure

Eugene W. Shek; Michael W. Brands; John E. Hall

From Department of Physiology and Biophysics and Center for Excellence in Cardiovascular-Renal Research, University of Mississippi Medical Center, Jackson, Miss.

Correspondence of John E. Hall, PhD, Department of Physiology and Biophysics, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216-4505

Plasma leptin concentration is increased in hypertensive obese humans, but whether leptin contributes to the increased arterial pressure in obesity is not known. In this study, we tested whether chronic increases in leptin, to levels comparable to those in obesity, could cause a sustained increase in arterial pressure and also the importance of central nervous system (CNS) versus systemic mechanisms. Five male Sprague-Dawley rats were implanted with chronic nonoccluding catheters in the abdominal aorta and both carotid arteries for CNS infusion, and five other rats were implanted with an abdominal aorta catheter and femoral vein catheter for intravenous (IV) infusion. After 7 days of control, leptin was infused into the carotid arteries or femoral vein at 0.1 µg/kg/min for 5 days and 1.0 µg/kg/min for 7 days, followed by a 7-day recovery period. The carotid artery and IV infusions of leptin at 1µg/kg/min significantly increased plasma leptin levels, from 1.2 ± 0.4 ng/mL to 91 ± 5 ng/mL and from 0.9 ± 0.1 ng/mL to 94 ± 9 ng/mL, respectively, but there was no significant increase in either group at the low dose. Food intake also did not change at the low dose but decreased by approximately 65% in the carotid group and 69% in the IV group after 7 days of the 1 µg/kg/min infusion. Mean arterial pressure (MAP) increased slightly at the low dose only in the carotid group, but this was not statistically significant. At the higher dose, however, MAP increased significantly from 86 ± 1 mm Hg to 94 ± 1 mm Hg in the carotid group and from 87 ± 1 mm Hg to 93 ± 1 mm Hg in the IV group. Heart rate also increased significantly in both groups at 1 µ/g/kg/min leptin infusion. Fasting blood glucose and insulin levels decreased significantly at 1 µg/kg/min in both the carotid artery group (-10.5% and -82.5%, respectively) and the IV group (-13.6% and -80.4%, respectively). All variables returned to control levels after leptin infusion was stopped. These results indicate that chronic increases in circulating leptin cause sustained increases in arterial pressure and heart rate and are consistent with a possible role for leptin in obesity hypertension.


Key Words: leptin • hypertension • sympathetic • blood pressure • heart rate • food intake

Abbreviations: CNS = central nervous system • GFR = glomerular filtration rate • HR = heart rate • MAP = mean arterial pressure • PRA = plasma renin activity • RPF = renal plasma flow • RVR = renal vascular resistance • SNS = sympathetic nervous system




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J. Clin. Endocrinol. Metab.Home page
R. Rosmond, Y. C. Chagnon, G. Holm, M. Chagnon, L. Pérusse, K. Lindell, B. Carlsson, C. Bouchard, and P. Björntorp
Hypertension in Obesity and the Leptin Receptor Gene Locus
J. Clin. Endocrinol. Metab., September 1, 2000; 85(9): 3126 - 3131.
[Abstract] [Full Text]


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Hum ReprodHome page
N. Anim-Nyame, S.R. Sooranna, P.J. Steer, and M.R. Johnson
Longitudinal analysis of maternal plasma leptin concentrations during normal pregnancy and pre-eclampsia
Hum. Reprod., September 1, 2000; 15(9): 2033 - 2036.
[Abstract] [Full Text] [PDF]


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Nephrol Dial TransplantHome page
P. Stenvinkel
Leptin and blood pressure--is there a link?
Nephrol. Dial. Transplant., August 1, 2000; 15(8): 1115 - 1117.
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Am. J. Physiol. Heart Circ. Physiol.Home page
B. G. Phillips, M. Kato, K. Narkiewicz, I. Choe, and V. K. Somers
Increases in leptin levels, sympathetic drive, and weight gain in obstructive sleep apnea
Am J Physiol Heart Circ Physiol, July 1, 2000; 279(1): H234 - H237.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
G. Paolisso, D. Manzella, N. Montano, A. Gambardella, and M. Varricchio
Plasma Leptin Concentrations and Cardiac Autonomic Nervous System in Healthy Subjects with Different Body Weights
J. Clin. Endocrinol. Metab., May 1, 2000; 85(5): 1810 - 1814.
[Abstract] [Full Text]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
K. Matsumura, I. Abe, T. Tsuchihashi, and M. Fujishima
Central effects of leptin on cardiovascular and neurohormonal responses in conscious rabbits
Am J Physiol Regulatory Integrative Comp Physiol, May 1, 2000; 278(5): R1314 - R1320.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
A. N. Vgontzas, D. A. Papanicolaou, E. O. Bixler, K. Hopper, A. Lotsikas, H.-M. Lin, A. Kales, and G. P. Chrousos
Sleep Apnea and Daytime Sleepiness and Fatigue: Relation to Visceral Obesity, Insulin Resistance, and Hypercytokinemia
J. Clin. Endocrinol. Metab., March 1, 2000; 85(3): 1151 - 1158.
[Abstract] [Full Text]


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J. Clin. Endocrinol. Metab.Home page
G. Uckaya, M. Ozata, A. Sonmez, C. Kinalp, T. Eyileten, N. Bingol, B. Koc, F. Kocabalkan, and I. C. Ozdemir
Is Leptin Associated with Hypertensive Retinopathy?
J. Clin. Endocrinol. Metab., February 1, 2000; 85(2): 683 - 687.
[Abstract] [Full Text]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
T. D. Williams, J. B. Chambers, O. L. May, R. P. Henderson, M. E. Rashotte, and J. M. Overton
Concurrent reductions in blood pressure and metabolic rate during fasting in the unrestrained SHR
Am J Physiol Regulatory Integrative Comp Physiol, January 1, 2000; 278(1): R255 - R262.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
T. Shirasaka, M. Nakazato, S. Matsukura, M. Takasaki, and H. Kannan
Sympathetic and cardiovascular actions of orexins in conscious rats
Am J Physiol Regulatory Integrative Comp Physiol, December 1, 1999; 277(6): R1780 - R1785.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
G. Paolisso, M. R. Tagliamonte, M. Galderisi, G. A. Zito, A. Petrocelli, C. Carella, O. de Divitiis, and M. Varricchio
Plasma Leptin Level Is Associated With Myocardial Wall Thickness in Hypertensive Insulin-Resistant Men
Hypertension, November 1, 1999; 34(5): 1047 - 1052.
[Abstract] [Full Text] [PDF]


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StrokeHome page
S. Soderberg, B. Ahren, B. Stegmayr, O. Johnson, P.-G. Wiklund, L. Weinehall, G. Hallmans, and T. Olsson
Leptin Is a Risk Marker for First-Ever Hemorrhagic Stroke in a Population-Based Cohort
Stroke, February 1, 1999; 30(2): 328 - 337.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
A. L. Mark, M. Correia, D. A. Morgan, R. A. Shaffer, and W. G. Haynes
Obesity-Induced Hypertension : New Concepts From the Emerging Biology of Obesity
Hypertension, January 1, 1999; 33(1): 537 - 541.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
D. Villarreal, G. Reams, R. H. Freeman, and A. Taraben
Renal effects of leptin in normotensive, hypertensive, and obese rats
Am J Physiol Regulatory Integrative Comp Physiol, December 1, 1998; 275(6): R2056 - R2060.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
P. M. Smith, V. Mollaret, and A. V. Ferguson
Leptin acts in the rat hypothalamic paraventricular nucleus to induce gastric mucosal damage
Am J Physiol Regulatory Integrative Comp Physiol, December 1, 1998; 275(6): R2081 - R2084.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
H. Mise, N. Sagawa, T. Matsumoto, S. Yura, H. Nanno, H. Itoh, T. Mori, H. Masuzaki, K. Hosoda, Y. Ogawa, et al.
Augmented Placental Production of Leptin in Preeclampsia: Possible Involvement of Placental Hypoxia
J. Clin. Endocrinol. Metab., September 1, 1998; 83(9): 3225 - 3229.
[Abstract] [Full Text]


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Circ. Res.Home page
P. Quehenberger, M. Exner, R. Sunder-Plassmann, K. Ruzicka, C. Bieglmayer, G. Endler, C. Muellner, W. Speiser, and O. Wagner
Leptin Induces Endothelin-1 in Endothelial Cells In Vitro
Circ. Res., April 5, 2002; 90(6): 711 - 718.
[Abstract] [Full Text] [PDF]