Leptin Levels in Sera from the Peripheral Blood
and Bone Marrow in Orthopaedic Patients
Gaja A. 1 , Churý Z. 1 , Pecen L. 2 , Hejlová N. 1
1 Masarykův onkologický ústav, Brno, ředitel MUDr. J. Drbal 2 Ústav informatiky, Praha, ředitel prof. RNDr. P. Hájek, DrSc. |
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Summary:
Leptin is a protein with hormonal actvity and is produced mainly by adipocytes. Its primary
function in the human organism is regulation of the calorie intake via the anorectic action in the
hypothalamus. Leptin participates also in the regulation of haematopoiesis and immunity proces-
ses. There are many data on leptin production by peripheral adipose tissue and it is also known
that leptin is produced by adipocytes of bone marrow. It was assumed for a long time that
adipocytes of bone marrow are not only a passive source of energy but have, similarly as stromal
cells, a regulatory function. However, it is not clear in what way the adipose tissue of bone
marrow participates in the regulation of haematopoiesis and what role is played in this relation-
ship by leptin production. The authors attempted to assemble in their small study data on leptin
production in bone marrow and at the same time parameters of lipids of bone marrow which can
be assessed by cytological examination.
The authors examined 16 patients (9 men and 7 women) subjected to orthopaedic surgery. They
assessed leptin concentrations in sera obtained from peripheral blood and bone marrow, and at
the same time they assessed by morphological examination in smears of bone marrow some
parameters associated with lipids.
The authors found that serum leptin levels from bone marrow are significantly lower than in
peripheral blood (p < 0.0005). These values correlate closely (r = +0.77, p < 0.0005). The authors
found also a positive correlation between serum leptin (r = +0.56, p < 0.02) and bone marrow leptin
(r = +0.72, p < 0.002) and the body mass index (BMI). A positive correlation was found also between
serum (r = +0.65, p < 0.006) and bone marrow leptin (r = +0.80, p < 0.0002) and age. The authors did
not detect any significant correlations between parameters of the lipids of bone marrow and
leptin levels in serum and bone marrow.
The assembled results can in combinaton with data from the literature indicate that the actual
amount of leptin in bone marrow is influenced rather by its consumption by haematopoietic
tissue than by its production.
Key words:
Leptin - Bone marrow - Bone marrow lipids.
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