title: Dysregulation of Glucose Homeostasis Following Chronic Exogenous Administration of Leptin in Healthy Sprague-Dawley Rats.
abstract: BACKGROUND
  Impaired glucose utilization is seen in chronic hyperleptinaemia associated conditions such as obesity and type 2 diabetes mellitus. It is unclear if this impaired glucose utilization is due to the effect of persistent hyperleptinaemia on insulin secretion from the beta cells of pancreas.
  
  
  OBJECTIVE
  To examine the effects of chronic leptin administration on plasma glucose regulation in rats.
  
  
  METHODS
  Glucose challenge curves were plotted for male Sprague-Dawley rats treated with either normal saline (Control; n=8) or subcutaneous leptin injection for 42 days (60 μg/kg body weight/day; n=8). Plasma glucose and plasma insulin levels were measured at 0, 5, 10, 15, 20 and 25 minutes after glucose challenege. Skeletal muscle tissue was collected at the end of a glucose challenge for glucose transporter-4 protein content, insulin receptor and glucose transporter-4 mRNA expression. Data were analysed using repeated measures and one-way ANOVA with post-hoc analysis.
  
  
  RESULTS
  Chronic leptin treatment caused significantly higher fasting insulin level. Post glucose challenge, there was a significant increase in blood glucose levels and insulin level in the leptin treated rats. There was no significant difference in the skeletal muscle glucose transporter-4 content. However, leptin treated rats showed decreased mRNA expression of Insulin Receptor and glucose transporter-4 in the skeletal muscle.
  
  
  CONCLUSIONS
  Leptin administration for 42 days caused hyperinsulinaemia and decreased the expression of insulin receptors in insulin sensitive tissues leading to the development of an insulin resistance-like state in the rats.
authors.affiliation: Master's Student, Faculty of Medicine, Universiti Teknologi MARA , Sungai Buloh, Malaysia .
authors.forename: Khalil
authors.initials: K
authors.lastname: Wjidan
authors.affiliation: Lecturer, Faculty of Medicine, Universiti Teknologi MARA , Sungai Buloh, Malaysia .
authors.forename: Effendi
authors.initials: E
authors.lastname: Ibrahim
authors.affiliation: Associate Professor, Faculty of Medicine and Defence Health, National Defence University of Malaysia , Kem Sungai Besi, Kuala Lumpur, Malaysia .
authors.forename: Brinnell
authors.initials: B
authors.lastname: Caszo
authors.affiliation: Associate Professor, Faculty of Medicine and Defence Health, National Defence University of Malaysia , Kem Sungai Besi, Kuala Lumpur, Malaysia .
authors.forename: Justin
authors.initials: J
authors.lastname: Gnanou
authors.affiliation: Professor, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Malaysia; I-PerFFORM, Universiti Teknologi MARA , Selayang Campus, Selayang, Kuala Lumpur, Malaysia .
authors.forename: Harbindarjeet
authors.initials: H
authors.lastname: Singh
keywords: GLUT 4; Glucose homeostasis; Hyperinsulinaemia; Hyperleptinaemia; Insulin receptor
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