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Contrasting Effects of Acute Versus Chronic Intermittent Hypoxia on Leptin Secretion in Differentiated Human Preadipocytes
Author(s) -
Somers Kiran R,
Becari Christiane,
Polonis Katarzyna,
Singh Prachi
Publication year - 2016
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.30.1_supplement.759.2
Subject(s) - leptin , appetite , medicine , endocrinology , adipokine , intermittent hypoxia , weight gain , energy homeostasis , hypoxia (environmental) , obesity , obstructive sleep apnea , chemistry , body weight , oxygen , organic chemistry
BACKGROUND Leptin is an adipokine with a central role in energy homeostasis and appetite regulation. Increases in leptin suppress appetite, while decreases in leptin increase appetite and may consequently cause weight gain. Patients with established obstructive sleep apnea (OSA) have been shown to have elevated leptin. Also, newly diagnosed OSA patients have a history of significant recent weight gain. Repetitive nocturnal intermittent hypoxia has been implicated in OSA pathophysiology and in increases in leptin. However, the factors contributing to weight gain in OSA are not completely understood. In contrast to the history of weight gain in OSA subjects, animal models of intermittent hypoxia (IH) are associated with weight loss along with increases in leptin. Furthermore, acute altitude dependent hypoxia in humans has also been associated with loss of appetite and increases in leptin. We postulated that the duration of IH may be important in defining the nature of effects on leptin. In this study we sought to examine the interactions between IH and leptin secretion, comparing acute versus chronic exposure to IH. We tested the hypothesis that although acute IH increases leptin secretion and likely suppresses appetite, repeated chronic exposure to IH will decrease leptin secretion, and thereby may increase appetite and predispose individuals such as patients with OSA to weight gain. METHODS We used an in‐vitro approach to examine the acute effects of IH (24 cycles of 30 min 0.1% O 2 followed by 30 min exposure to 21% O 2 ) in differentiated human white preadipocytes. Cells grown in normoxic conditions and continuous hypoxia were controls for these experiments. For chronic treatment, cells were exposed to 9 cycles of IH each day for 7 days. Leptin secretion was measured in 48 h conditioned media by ELISA. RESULTS Acute 24 hour exposure to IH or sustained hypoxia increased leptin secretion (p = 0.013). However, chronic 7 day exposure of differentiated human white preadipocytes caused decreases in leptin secretion (p = 0.02). CONCLUSION Acute intermittent hypoxia elicits increases in leptin secretion. Conversely, chronic IH decreases leptin secretion, suggesting a mechanism for development of obesity in the early stages of OSA. We speculate that decreased leptin, as a consequence of chronic IH, would result in increased appetite and hence weight gain. As obesity progresses, leptin levels likely rise secondary to the increase in body fat. Elevated leptin levels in patients with longstanding OSA may be indicative of increased fat mass and not a consequence of IH‐mediated effects on adipocytes. Support or Funding Information Christiane Becari was supported by a grant from CNPq Brazil (# 203802/2014‐4); Prachi Singh was supported by AHA scientist development grant (11SDG7260046).