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1 Faculte de Medecine Xavier Bichat, INSERM U773, Paris, France
2 Service Central d'Anatomie et de Cytologie Pathologiques, Ap-HP, Clichy La Garenne, France
* To whom correspondence should be addressed. E-mail: fromenty{at}bichat.inserm.fr.
Partial leptin deficiency is not uncommon in the general population. We hypothesized that leptin insufficiency could favor obesity, nonalcoholic steatohepatitis (NASH) and other metabolic abnormalities, in particular under high calorie intake. Thus, mice partially deficient in leptin (ob/+) and their wild-type (+/+) littermates were fed for 4 months with a standard-calorie (SC) or a high-calorie (HC) diet. Some ob/+ mice fed the HC diet were also treated weekly with leptin. Our results showed that when fed the SC diet, ob/+ mice did not present significant metabolic abnormalities, except elevated levels of plasma adiponectin. Under HF feeding, increased body fat mass, hepatic steatosis, higher plasma total cholesterol and glucose intolerance were observed in +/+ mice, and these abnormalities were further enhanced in ob/+ mice. Furthermore, some metabolic disturbances were observed only in ob/+ mice fed the HC diet, such as blunted plasma levels of leptin and adiponectin, reduced UCP1 expression in brown adipose tissue, increased plasma liver enzymes,
-hydroxybutyrate and triglycerides and slight insulin resistance. Whereas de novo fatty acid synthesis in liver was decreased in +/+ mice fed the HC diet, it was disinhibited in ob/+ mice along with the restoration of the expression of several lipogenic genes. Enhanced expression of several genes involved in fatty acid oxidation was also observed only in ob/+ animals. Leptin supplementation alleviated most of the metabolic abnormalities observed in ob/+ fed the HC diet. Hence, leptin insufficiency could increase the risk of obesity, NASH, glucose intolerance and hyperlipidemia in a context of calorie overconsumption.
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