Effects of Recombinant Leptin Therapy in a Child with Congenital Leptin Deficiency
I. Sadaf Farooqi, M.D., Susan A. Jebb, Ph.D., Gill Langmack, B.Sc., Elizabeth Lawrence, Ph.D., Christopher H. Cheetham, M.D., Andrew M. Prentice, Ph.D., Ieuan A. Hughes, M.D., Mark A. McCamish, M.D., Ph.D., and Stephen O'Rahilly, M.D.
Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.
Severely obese (ob/ob) mice are deficient in the adipocyte-derivedhormone leptin, which acts on the hypothalamus to control appetiteand energy expenditure.1 The administration of leptin to thesemice corrects their obesity by reducing their food intake andincreasing their energy expenditure.2,3,4 These mice also havehyperinsulinemia, corticosterone excess, and infertility, whichalso are reversed by treatment with leptin.5 In humans, serumleptin concentrations, in general, correlate positively withindexes of obesity.6,7 We previously described two cousins withsevere, early-onset obesity and undetectable serum leptin concentrationswho were homozygous for a frame-shift mutation in the leptingene.8 In . . . [Full Text of this Article]
Case Report
Methods
Results
Clinical and Anthropometric Features
Body Composition
Energy Intake
Energy Expenditure
Metabolic and Endocrine Status
Pharmacokinetics of Leptin
Discussion
Source Information
From the Departments of Medicine and Clinical Biochemistry (I.S.F., G.L., S.O.) and Paediatrics (I.A.H.), Addenbrooke's Hospital, Cambridge, United Kingdom; the Medical Research Council Dunn Clinical Nutrition Unit, Cambridge, United Kingdom (S.A.J., A.M.P.); Amgen, Thousand Oaks, Calif. (E.L., M.A.M.); and the Department of Paediatrics, Wycombe Hospital, High Wycombe, United Kingdom (C.H.C.).
Address reprint requests to Dr. O'Rahilly at the Departments of Medicine and Clinical Biochemistry, Box 157, Addenbrooke's Hospital, Cambridge CB2 2QQ, United Kingdom, or at sorahill@hgmp.mrc.ac.uk.
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