(Hypertension. 1998;31:409.)
© 1998 American Heart Association, Inc.
Scientific Contributions |
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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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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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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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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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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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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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] |
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