Lack of heritability of circulating leptin concentration in humans after adjustment for body size and adiposity using a physiological approach

OBJECTIVE: To construct a simple physiological model of leptin kinetics, ba sed on measures of body size and composition, which is suitable for investi gating the influence of genetic and other influences on circulating leptin levels in humans. METHODS: Consideration of the kinetics of the secretion and clearance of le ptin led to a predicted linear relationship between In(leptin), In(fat mass ), and a function of non-fat body compartments. Results obtained from this model were compared with those from two published empirical models based on adjustment for fat mass alone or for body mass index. Overnight fasted lep tin levels, body composition data (dual-energy X-ray absorptiometry) and qu estionnaire responses were obtained from 527 twin pairs (127 monozygotic, 4 00 dizygotic; 37 male (age 18-68 y, BMI 18-32 kg/m(2)), 489 female (age 18- 71, BMI 17-44) drawn from the St Thomas' UK Adult Twin Registry. RESULTS: In a partial correlation analysis In(fat mass) and ln(height) (r = 0.80, P < 0.0001) and r = -0.22, P < 0.0001 respectively) were independent predictors of In(leptin) in females but In(lean mass) was not (r = -0.01). A regression model incorporating In(fat mass), In(height) and a second ord er polynomial in age provided an adequate fit of the In(leptin) data in fem ales (r(2) = 71%). In(Leptin) values adjusted for body size and composition using the model were not significantly heritable (P = 0.11), were signific antly related to gender (r(2) = 2.3%) and to ln(insulin) (r(2) = 5.7%), but not to menopausal status (r(2) = 0.7%), hormone replacement therapy (r(2) = 0.4%), past or current smoking (r(2) = 1.1%), or percentage trunk fat (r( 2) = 0.5%). Both empirical models found significant heritability (h(2) = 36 -42%), overestimated the effect of gender in the data (r(2) = 14-16%), and produced significant relationships between adjusted In(leptin) and percenta ge trunk fat (r(2) =4-12%). CONCLUSIONS: We conclude that our physiologically based model provides an a dequate description of the relationship between leptin and body composition and provides a more reliable framework than current empirical approaches f or the investigation of other influences on circulating leptin levels. Heri table variations in the control of leptin secretion are unlikely to contrib ute significantly to variations in leptin levels at the population level.