RADIOIMMUNOASSAY OF LEPTIN IN HUMAN PLASMA

Recent studies suggest that leptin, the ob gene product absent in ob/o b mice, is a negative regulator of adiposity, We developed an RIA to m easure human leptin in plasma or serum, The minimum detectable concent ration by the assay is 0.5 mu g/L leptin and the limit of linearity is 100 mu g/L. Recovery of leptin added to serum was 99-104% over by the linear range of the assay, The RIA. agreed reasonably well with rough quantification by Western blot (RIA = 0.90 blot + 3.7 mu g/L, S-y\x = 10.9 mu g). CVs within- and between-run ranged from 3.4% to 8.3% and from 3.6% to 6.2%, respectively, Variation in plasma leptin concentrat ions in specimens collected on consecutive mornings was large (CVs of 10.9% and 22.5%). After an overnight fast, leptin concentrations were similar to those 1-2 h after 1-2 meals, Plasma leptin concentrations i n specimens from 83 lean and obese adults correlated directly with bod y mass index (BMI; kg/m(2)): r = 0.72, P < 0.001, Correlations were si gnificantly improved by separating results by gender (men r = 0.84, wo men r = 0.87; p < 0.001). The increase in leptin concentrations with i ncreasing BMI was greater in women than in men (slope 2.53 vs 0.97 mu g/L per unit BMI, respectively). Leptin concentrations determined in l ean subjects (BMI between 18 and 25) were higher in women (7.36 +/- 3. 73 mu g/L) than in men (3.84 +/- 1.79 mu g/L) (P < 0.001). Plasma lept in varied little with age and no significant difference was observed b etween whites and blacks, We conclude that: (a) plasma leptin concentr ations are accurately and precisely measured by this new RTA; (b) lept in concentrations vary little due to short-term fasting, age, or race; but (c) plasma leptin concentrations are gender specific.