title: Lack of heritability of circulating leptin concentration in humans after adjustment for body size and adiposity using a physiological approach.
abstract: OBJECTIVE
  To construct a simple physiological model of leptin kinetics, based on measures of body size and composition, which is suitable for investigating the influence of genetic and other influences on circulating leptin levels in humans.
  
  
  METHODS
  Consideration of the kinetics of the secretion and clearance of leptin led to a predicted linear relationship between ln(leptin), ln(fat mass), and a function of non-fat body compartments. Results obtained from this model were compared with those from two published empirical models based on adjustment for fat mass alone or for body mass index. Overnight fasted leptin levels, body composition data (dual-energy X-ray absorptiometry) and questionnaire responses were obtained from 527 twin pairs (127 monozygotic, 400 dizygotic; 37 male (age 18-68 y, BMI 18-32 kg/m2), 489 female (age 18-71, BMI 17-44) drawn from the St Thomas' UK Adult Twin Registry.
  
  
  RESULTS
  In a partial correlation analysis ln(fat mass) and ln(height) (r=0.80, P<0.0001) and r=-0.22, P<0.0001 respectively) were independent predictors of ln(leptin) in females but ln(lean mass) was not (r=-0.01). A regression model incorporating ln(fat mass), ln(height) and a second order polynomial in age provided an adequate fit of the ln(leptin) data in females (r2=71%). ln(Leptin) values adjusted for body size and composition using the model were not significantly heritable (P=0.11), were significantly related to gender (r2=2.3%) and to ln(insulin) (r2=5.7%), but not to menopausal status (r2=0.7%), hormone replacement therapy (r2=0.4%), past or current smoking (r2=1.1%), or percentage trunk fat (r2=0.5%). Both empirical models found significant heritability (h2=36-42%), overestimated the effect of gender in the data (r2=14-16%), and produced significant relationships between adjusted ln(leptin) and percentage trunk fat (r2=4-12%).
  
  
  CONCLUSIONS
  We conclude that our physiologically based model provides an adequate description of the relationship between leptin and body composition and provides a more reliable framework than current empirical approaches for the investigation of other influences on circulating leptin levels. Heritable variations in the control of leptin secretion are unlikely to contribute significantly to variations in leptin levels at the population level.
authors.affiliation: Metabolic Research Centre and Department of Biomedical Science, University of Wollongong, Wollongong, NSW, Australia. arthur_jenskins@uow.edu.au
authors.forename: A B
authors.initials: AB
authors.lastname: Jenkins
authors.forename: K
authors.initials: K
authors.lastname: Samaras
authors.forename: M A
authors.initials: MA
authors.lastname: Gordon
authors.forename: H
authors.initials: H
authors.lastname: Snieder
authors.forename: T
authors.initials: T
authors.lastname: Spector
authors.forename: L V
authors.initials: LV
authors.lastname: Campbell
mesh_terms: D015502:Absorptiometry, Photon; D000293:Adolescent; D000328:Adult; D000368:Aged; D001823:Body Composition; D005260:Female; D006801:Humans; D020738:Leptin / Q000097:blood*; D008297:Male; D008875:Middle Aged; D008954:Models, Biological; D009765:Obesity / Q000097:blood / Q000235:genetics*; D011795:Surveys and Questionnaires; D014427:Twins
chemical_list: D020738:Leptin