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Semin Reprod Med 2002; 20(2): 113-122
DOI: 10.1055/s-2002-32502
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Leptin: Roles and Regulation in Primate Pregnancy

Michael C. Henson1 , V. Daniel Castracane2
  • 1Departments of Obstetrics and Gynecology, Physiology, and Structural and Cellular Biology, and the Tulane National Primate Research Center, Tulane University Health Sciences Center, New Orleans, Louisiana 2Department of Obstetrics and Gynecology and the Women's Health Research Center of Amarillo, Texas Tech University Health Sciences Center, Amarillo, Texas
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Publication History

Publication Date:
27 June 2002 (online)

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ABSTRACT

Leptin, a hormone produced by adipose tissue and the placenta, is enhanced in the maternal circulation throughout pregnancy in both the human and the baboon (Papio sp.), a proven nonhuman primate model for the study of human pregnancy. The presence of both leptin and its receptor in the fetus implies a role for the polypeptide as a regulator of in utero development, although localization in the placental trophoblast may relate to autocrine and/or paracrine regulatory functions in this important endocrine tissue. Although regulatory mechanisms remain incompletely defined, it has been suggested that cross talk occurs between the fetus, placenta, and maternal adipose stores. Placental estrogen, which is present in increasing concentrations with advancing gestation, is suggested to influence leptin synthesis in a tissue- and cell type-specific fashion. In this capacity, cellular hypoxia, diabetes, and preeclampsia are conditions that appear to be intimately linked to leptin dynamics. A better understanding of regulatory mechanisms will have direct clinical significance, as leptin has been proposed to impact on those causes of human perinatal morbidity and mortality that are associated with anomalies of fetal maturity and development, general conceptus growth, trophoblast endocrinology, and placental sufficiency.

KEYWORDS

Leptin - fetus - placenta - trophoblast - estrogen

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