Hyperoxia increases leptin production: a mechanism mediated through endogenous elevation of corticosterone

Leptin, a cytokine involved in the regulation of food intake, has been repo rted to be decreased in lung diseases such as chronic obstructive pulmonary disease and cystic fibrosis and increased in critically ill patients with sepsis. We investigated the role of leptin during hyperoxia in mice, which results in alveolar edema, severe weight loss, and death within 3-4 days. I n oxygen-breathing mice, serum leptin was increased six- to sevenfold and i ts mRNA was upregulated in white adipose tissue. Leptin elevation could not be attributed to changes in circulating tumor necrosis factor-alpha but wa s completely dependent on endogenous corticosterone elevation because adren alectomized mice did not exhibit any increase in leptin levels. Using lepti n-deficient mice and wild-type mice treated with anti-leptin antibody, we d emonstrate that weight loss was leptin independent. Lung damage was moderat ely attenuated in leptin-deficient mice but was not modified by anti-leptin antibody or leptin administration, suggesting that leptin does not play an essential role in the direct and short-term effects of oxygen-induced inju ry.