Skip to main content
Top
Published in: Arthritis Research & Therapy 6/2001

Open Access 01-09-2001 | Research article

Leptin in septic arthritis: decreased levels during infection and amelioration of disease activity upon its administration

Authors: Olof H Hultgren, Andrej Tarkowski

Published in: Arthritis Research & Therapy | Issue 6/2001

Login to get access

Abstract

Weight loss is typically found during severe infections, e.g. septic arthritis. The aim of our study was to evaluate the role of leptin, regulator of food intake and energy expenditure, for the development of Staphylococcus aureus-triggered arthritis. Leptin production was found to be decreased during murine S. aureus-induced arthritis. Treatment with recombinant leptin neither restored the basal leptin levels nor affected the weight loss during the disease, but it significantly decreased the severity of septic arthritis. Exogenous leptin did not affect the staphylococcal load as measured in blood, joints and kidneys. Preceding the effects on joint manifestations, serum levels of interleukin-6 decreased in leptin-treated mice. In conclusion, the treatment with recombinant leptin reduced both the severity of joint manifestations in S.aureus-induced arthritis and the inflammatory response, as measured by serum IL-6 levels, without affecting the survival of bacteria in vivo.
Literature
1.
go back to reference Zhang Y, Proenca R, Maffei M, Barone M, Leopold L, Friedman JM: Positional cloning of the mouse obese gene and its human homologue. Nature. 1994, 372: 425-432. 10.1038/372425a0.PubMedCrossRef Zhang Y, Proenca R, Maffei M, Barone M, Leopold L, Friedman JM: Positional cloning of the mouse obese gene and its human homologue. Nature. 1994, 372: 425-432. 10.1038/372425a0.PubMedCrossRef
2.
go back to reference Campfield LA, Smith FJ, Guisez Y, Devos R, Burn P: Recombinant mouse OB protein: evidence for a peripheral signal linking adiposity and central neural networks. Science. 1995, 269: 546-569.PubMedCrossRef Campfield LA, Smith FJ, Guisez Y, Devos R, Burn P: Recombinant mouse OB protein: evidence for a peripheral signal linking adiposity and central neural networks. Science. 1995, 269: 546-569.PubMedCrossRef
3.
go back to reference Halaas JL, Gajiwala KS, Maffei M, Cohen SL, Chait BT, Rabinowitz D, Lallone RL, Burley SK, Friedman JM: Weight-reducing effects of the plasma protein encoded by the obese gene. Science. 1995, 269: 543-546.PubMedCrossRef Halaas JL, Gajiwala KS, Maffei M, Cohen SL, Chait BT, Rabinowitz D, Lallone RL, Burley SK, Friedman JM: Weight-reducing effects of the plasma protein encoded by the obese gene. Science. 1995, 269: 543-546.PubMedCrossRef
4.
go back to reference Pelleymounter MA, Cullen MJ, Baker MB, Hecht R, Winters D, Boone T, Collins F: Effects of the obese gene product on body weight regulation in ob/ob mice. Science. 1995, 269: 540-543.PubMedCrossRef Pelleymounter MA, Cullen MJ, Baker MB, Hecht R, Winters D, Boone T, Collins F: Effects of the obese gene product on body weight regulation in ob/ob mice. Science. 1995, 269: 540-543.PubMedCrossRef
5.
6.
go back to reference Coleman DL: Obese and diabetes: two mutant genes causing diabetes-obesity syndromes in mice. Diabetologia. 1978, 14: 141-148.PubMedCrossRef Coleman DL: Obese and diabetes: two mutant genes causing diabetes-obesity syndromes in mice. Diabetologia. 1978, 14: 141-148.PubMedCrossRef
7.
go back to reference Tartaglia LA, Dembski M, Weng X, Deng N, Culpepper J, Devos R, Richards GJ, Campfield LA, Clark FT, Deeds J: Identification and expression cloning of a leptin receptor, OB-R. Cell. 1995, 83: 1263-1271.PubMedCrossRef Tartaglia LA, Dembski M, Weng X, Deng N, Culpepper J, Devos R, Richards GJ, Campfield LA, Clark FT, Deeds J: Identification and expression cloning of a leptin receptor, OB-R. Cell. 1995, 83: 1263-1271.PubMedCrossRef
8.
go back to reference Chen H, Charlat O, Tartaglia LA, Woolf EA, Weng X, Ellis SJ, Lakey ND, Culpepper J, Moore KJ, Breitbart RE, Duyk GM, Tepper RI, Morgenstern JP: Evidence that the diabetes gene encodes the leptin receptor: identification of a mutation in the leptin receptor gene in db/db mice. Cell. 1996, 84: 491-495.PubMedCrossRef Chen H, Charlat O, Tartaglia LA, Woolf EA, Weng X, Ellis SJ, Lakey ND, Culpepper J, Moore KJ, Breitbart RE, Duyk GM, Tepper RI, Morgenstern JP: Evidence that the diabetes gene encodes the leptin receptor: identification of a mutation in the leptin receptor gene in db/db mice. Cell. 1996, 84: 491-495.PubMedCrossRef
9.
go back to reference Chua SC, Chung WK, Wu-Peng XS, Zhang Y, Liu SM, Tartaglia L, Leibel RL: Phenotypes of mouse diabetes and rat fatty due to mutations in the OB (leptin) receptor. Science. 1996, 271: 994-996.PubMedCrossRef Chua SC, Chung WK, Wu-Peng XS, Zhang Y, Liu SM, Tartaglia L, Leibel RL: Phenotypes of mouse diabetes and rat fatty due to mutations in the OB (leptin) receptor. Science. 1996, 271: 994-996.PubMedCrossRef
10.
go back to reference Ozata M, Ozdemir IC, Licinio J: Human leptin deficiency caused by a missense mutation: multiple endocrine defects, decreased sympathetic tone, and immune system dysfunction indicate new targets for leptin action, greater central than peripheral resistance to the effects of leptin, and spontaneous correction of leptin-mediated defects. J Clin Endocrinol Metab. 1999, 84: 3686-3695.PubMedCrossRef Ozata M, Ozdemir IC, Licinio J: Human leptin deficiency caused by a missense mutation: multiple endocrine defects, decreased sympathetic tone, and immune system dysfunction indicate new targets for leptin action, greater central than peripheral resistance to the effects of leptin, and spontaneous correction of leptin-mediated defects. J Clin Endocrinol Metab. 1999, 84: 3686-3695.PubMedCrossRef
11.
go back to reference Farooqi IS, Jebb SA, Langmack G, Lawrence E, Cheetham CH, Prentice AM, Hughes IA, McCamish MA, O'Rahilly S: Effects of recombinant leptin therapy in a child with congenital leptin deficiency. N Engl J Med. 1999, 341: 879-884. 10.1056/NEJM199909163411204.PubMedCrossRef Farooqi IS, Jebb SA, Langmack G, Lawrence E, Cheetham CH, Prentice AM, Hughes IA, McCamish MA, O'Rahilly S: Effects of recombinant leptin therapy in a child with congenital leptin deficiency. N Engl J Med. 1999, 341: 879-884. 10.1056/NEJM199909163411204.PubMedCrossRef
12.
go back to reference Fernandes G, Handwerger BS, Yunis EJ, Brown DM: Immune response in the mutant diabetic C57BL/Ks-dt+ mouse. Discrepancies between in vitro and in vivo immunological assays. J Clin Invest. 1978, 61: 243-250.PubMedPubMedCentralCrossRef Fernandes G, Handwerger BS, Yunis EJ, Brown DM: Immune response in the mutant diabetic C57BL/Ks-dt+ mouse. Discrepancies between in vitro and in vivo immunological assays. J Clin Invest. 1978, 61: 243-250.PubMedPubMedCentralCrossRef
13.
go back to reference Howard JK, Lord GM, Matarese G, Vendetti S, Ghatei MA, Ritter MA, Lechler RI, Bloom SR: Leptin protects mice from starvation-induced lymphoid atrophy and increases thymic cellularity in ob/ob mice. J Clin Invest. 1999, 104: 1051-1059.PubMedPubMedCentralCrossRef Howard JK, Lord GM, Matarese G, Vendetti S, Ghatei MA, Ritter MA, Lechler RI, Bloom SR: Leptin protects mice from starvation-induced lymphoid atrophy and increases thymic cellularity in ob/ob mice. J Clin Invest. 1999, 104: 1051-1059.PubMedPubMedCentralCrossRef
14.
go back to reference Faggioni R, Jones-Carson J, Reed DA, Dinarello CA, Feingold KR, Grunfeld C, Fantuzzi G: Leptin-deficient (ob/ob) mice are protected from T cell-mediated hepatotoxicity: role of tumor necrosis factor alpha and IL-18. Proc Natl Acad Sci U S A. 2000, 97: 2367-2372. 10.1073/pnas.040561297.PubMedPubMedCentralCrossRef Faggioni R, Jones-Carson J, Reed DA, Dinarello CA, Feingold KR, Grunfeld C, Fantuzzi G: Leptin-deficient (ob/ob) mice are protected from T cell-mediated hepatotoxicity: role of tumor necrosis factor alpha and IL-18. Proc Natl Acad Sci U S A. 2000, 97: 2367-2372. 10.1073/pnas.040561297.PubMedPubMedCentralCrossRef
15.
go back to reference Takahashi N, Waelput W, Guisez Y: Leptin is an endogenous protective protein against the toxicity exerted by tumor necrosis factor. J Exp Med. 1999, 189: 207-212. 10.1084/jem.189.1.207.PubMedPubMedCentralCrossRef Takahashi N, Waelput W, Guisez Y: Leptin is an endogenous protective protein against the toxicity exerted by tumor necrosis factor. J Exp Med. 1999, 189: 207-212. 10.1084/jem.189.1.207.PubMedPubMedCentralCrossRef
16.
go back to reference Sarraf P, Frederich RC, Turner EM, Ma G, Jaskowiak NT, Rivet DJ, Flier JS, Lowell BB, Fraker DL, Alexander HR: Multiple cytokines and acute inflammation raise mouse leptin levels: potential role in inflammatory anorexia. J Exp Med. 1997, 185: 171-5. 10.1084/jem.185.1.171.PubMedPubMedCentralCrossRef Sarraf P, Frederich RC, Turner EM, Ma G, Jaskowiak NT, Rivet DJ, Flier JS, Lowell BB, Fraker DL, Alexander HR: Multiple cytokines and acute inflammation raise mouse leptin levels: potential role in inflammatory anorexia. J Exp Med. 1997, 185: 171-5. 10.1084/jem.185.1.171.PubMedPubMedCentralCrossRef
17.
go back to reference Faggioni R, Fantuzzi G, Fuller J, Dinarello CA, Feingold KR, Grun-feld C: IL-1 beta mediates leptin induction during inflammation. Am J Physiol. 1998, 274: R204-R208.PubMed Faggioni R, Fantuzzi G, Fuller J, Dinarello CA, Feingold KR, Grun-feld C: IL-1 beta mediates leptin induction during inflammation. Am J Physiol. 1998, 274: R204-R208.PubMed
18.
go back to reference Grunfeld C, Zhao C, Fuller J, Pollack A, Moser A, Friedman J, Fein-gold KR: Endotoxin and cytokines induce expression of leptin, the ob gene product, in hamsters. J Clin Invest. 1996, 97: 2152-2157.PubMedPubMedCentralCrossRef Grunfeld C, Zhao C, Fuller J, Pollack A, Moser A, Friedman J, Fein-gold KR: Endotoxin and cytokines induce expression of leptin, the ob gene product, in hamsters. J Clin Invest. 1996, 97: 2152-2157.PubMedPubMedCentralCrossRef
19.
go back to reference Roberts HC, Hardie LJ, Chappell LH, Mercer JG: Parasite-induced anorexia: leptin, insulin and corticosterone responses to infection with the nematode, Nippostrongylus brasiliensis. Parasitology. 1999, 118: 117-123. 10.1017/S0031182098003503.PubMedCrossRef Roberts HC, Hardie LJ, Chappell LH, Mercer JG: Parasite-induced anorexia: leptin, insulin and corticosterone responses to infection with the nematode, Nippostrongylus brasiliensis. Parasitology. 1999, 118: 117-123. 10.1017/S0031182098003503.PubMedCrossRef
20.
go back to reference Arnalich F, Lopez J, Codoceo R, Jiménez M, Madero R, Montiel C: Relationship of plasma leptin to plasma cytokines and human survival in sepsis and septic shock. J Infect Dis. 1999, 180: 908-911. 10.1086/314963.PubMedCrossRef Arnalich F, Lopez J, Codoceo R, Jiménez M, Madero R, Montiel C: Relationship of plasma leptin to plasma cytokines and human survival in sepsis and septic shock. J Infect Dis. 1999, 180: 908-911. 10.1086/314963.PubMedCrossRef
21.
go back to reference Carlson GL, Saeed M, Little RA, Irving MH: Serum leptin concentrations and their relation to metabolic abnormalities in human sepsis. Am J Physiol. 1999, 276: E658-E662.PubMed Carlson GL, Saeed M, Little RA, Irving MH: Serum leptin concentrations and their relation to metabolic abnormalities in human sepsis. Am J Physiol. 1999, 276: E658-E662.PubMed
22.
go back to reference Esterhai JL, Gelb I: Adult septic arthritis. Orthop Clin North Am. 1991, 22: 503-514.PubMed Esterhai JL, Gelb I: Adult septic arthritis. Orthop Clin North Am. 1991, 22: 503-514.PubMed
23.
go back to reference Ryan MJ, Kavanagh R, Wall PG, Hazleman BL: Bacterial joint infections in England and Wales: analysis of bacterial isolates over a four year period. Br J Rheumatol. 1997, 36: 370-373. 10.1093/rheumatology/36.3.370.PubMedCrossRef Ryan MJ, Kavanagh R, Wall PG, Hazleman BL: Bacterial joint infections in England and Wales: analysis of bacterial isolates over a four year period. Br J Rheumatol. 1997, 36: 370-373. 10.1093/rheumatology/36.3.370.PubMedCrossRef
24.
go back to reference Goldenberg DL: Infectious arthritis complicating rheumatoid arthritis and other chronic rheumatic disorders. Arthritis Rheum. 1989, 32: 496-502.PubMedCrossRef Goldenberg DL: Infectious arthritis complicating rheumatoid arthritis and other chronic rheumatic disorders. Arthritis Rheum. 1989, 32: 496-502.PubMedCrossRef
25.
go back to reference Anders HJ, Rihl M, Heufelder A, Loch O, Schattenkirchner M: Leptin serum levels are not correlated with disease activity in patients with rheumatoid arthritis. Metabolism. 1999, 48: 745-748.PubMedCrossRef Anders HJ, Rihl M, Heufelder A, Loch O, Schattenkirchner M: Leptin serum levels are not correlated with disease activity in patients with rheumatoid arthritis. Metabolism. 1999, 48: 745-748.PubMedCrossRef
26.
go back to reference Hultgren OH, Stenson M, Tarkowski A: Role of IL-12 in Staphylococcus aureus-triggered arthritis and sepsis. Arthritis Res. 2001, 3: 41-47. 10.1186/ar138.PubMedPubMedCentralCrossRef Hultgren OH, Stenson M, Tarkowski A: Role of IL-12 in Staphylococcus aureus-triggered arthritis and sepsis. Arthritis Res. 2001, 3: 41-47. 10.1186/ar138.PubMedPubMedCentralCrossRef
27.
go back to reference Lord GM, Matarese G, Howard JK, Baker RJ, Bloom SR, Lechler RI: Leptin modulates the T-cell immune response and reverses starvation-induced immunosuppression. Nature. 1998, 394: 897-901. 10.1038/29795.PubMedCrossRef Lord GM, Matarese G, Howard JK, Baker RJ, Bloom SR, Lechler RI: Leptin modulates the T-cell immune response and reverses starvation-induced immunosuppression. Nature. 1998, 394: 897-901. 10.1038/29795.PubMedCrossRef
28.
go back to reference Hultgren O, Kopf M, Tarkowski A: Staphylococcus aureus-induced septic arthritis and septic death is decreased in IL-4-deficient mice: role of IL-4 as promoter for bacterial growth. J Immunol. 1998, 160: 5082-5087.PubMed Hultgren O, Kopf M, Tarkowski A: Staphylococcus aureus-induced septic arthritis and septic death is decreased in IL-4-deficient mice: role of IL-4 as promoter for bacterial growth. J Immunol. 1998, 160: 5082-5087.PubMed
29.
go back to reference Moshyedi AK, Josephs MD, Abdalla EK, Mackay SL, Edwards CK, Copeland EM, Moldawer LL: Increased leptin expression in mice with bacterial peritonitis is partially regulated by tumor necrosis factor alpha. Infect Immun. 1998, 66: 1800-1802.PubMedPubMedCentral Moshyedi AK, Josephs MD, Abdalla EK, Mackay SL, Edwards CK, Copeland EM, Moldawer LL: Increased leptin expression in mice with bacterial peritonitis is partially regulated by tumor necrosis factor alpha. Infect Immun. 1998, 66: 1800-1802.PubMedPubMedCentral
30.
go back to reference Santos-Alvarez J, Goberna R, Sanchez-Margalet V: Human leptin stimulates proliferation and activation of human circulating monocytes. Cell Immunol. 1999, 194: 6-11. 10.1006/cimm.1999.1490.PubMedCrossRef Santos-Alvarez J, Goberna R, Sanchez-Margalet V: Human leptin stimulates proliferation and activation of human circulating monocytes. Cell Immunol. 1999, 194: 6-11. 10.1006/cimm.1999.1490.PubMedCrossRef
31.
go back to reference Matarese G, Di Giacomo A, Sanna V, Lord GM, Howard JK, Di Tuoro A, Bloom SR, Lechler RI, Zappacosta S, Fontana S: Requirement for leptin in the induction and progression of autoimmune encephalomyelitis. J Immunol. 2001, 166: 5909-5916.PubMedCrossRef Matarese G, Di Giacomo A, Sanna V, Lord GM, Howard JK, Di Tuoro A, Bloom SR, Lechler RI, Zappacosta S, Fontana S: Requirement for leptin in the induction and progression of autoimmune encephalomyelitis. J Immunol. 2001, 166: 5909-5916.PubMedCrossRef
32.
go back to reference Faggioni R, Fantuzzi G, Gabay C, Moser A, Dinarello CA, Feingold KR, Grunfeld C: Leptin deficiency enhances sensitivity to endotoxin-induced lethality. Am J Physiol. 1999, 276: R136-R142.PubMed Faggioni R, Fantuzzi G, Gabay C, Moser A, Dinarello CA, Feingold KR, Grunfeld C: Leptin deficiency enhances sensitivity to endotoxin-induced lethality. Am J Physiol. 1999, 276: R136-R142.PubMed
33.
go back to reference Faggioni R, Moser A, Feingold KR, Grunfeld C: Reduced leptin levels in starvation increase susceptibility to endotoxic shock. Am J Pathol. 2000, 156: 1781-1787.PubMedPubMedCentralCrossRef Faggioni R, Moser A, Feingold KR, Grunfeld C: Reduced leptin levels in starvation increase susceptibility to endotoxic shock. Am J Pathol. 2000, 156: 1781-1787.PubMedPubMedCentralCrossRef
34.
go back to reference Hultgren O, Eugster HP, Sedgwick JD, Korner H, Tarkowski A: TNF/lymphotoxin-alpha double-mutant mice resist septic arthritis but display increased mortality in response to Staphylococcus aureus. J Immunol. 1998, 161: 5937-5942.PubMed Hultgren O, Eugster HP, Sedgwick JD, Korner H, Tarkowski A: TNF/lymphotoxin-alpha double-mutant mice resist septic arthritis but display increased mortality in response to Staphylococcus aureus. J Immunol. 1998, 161: 5937-5942.PubMed
35.
go back to reference Lee FY, Li Y, Yang EK, Yang SQ, Lin HZ, Trush MA, Dannenberg AJ, Diehl AM: Phenotypic abnormalities in macrophages from leptin-deficient, obese mice. Am J Physiol. 1999, 276: C386-C394.PubMed Lee FY, Li Y, Yang EK, Yang SQ, Lin HZ, Trush MA, Dannenberg AJ, Diehl AM: Phenotypic abnormalities in macrophages from leptin-deficient, obese mice. Am J Physiol. 1999, 276: C386-C394.PubMed
36.
go back to reference Alonzi T, Fattori E, Lazzaro D, Costa P, Probert L, Kollias G, De Benedetti F, Poli V, Ciliberto G: Interleukin 6 is required for the development of collagen-induced arthritis. J Exp Med. 1998, 187: 461-468. 10.1084/jem.187.4.461.PubMedPubMedCentralCrossRef Alonzi T, Fattori E, Lazzaro D, Costa P, Probert L, Kollias G, De Benedetti F, Poli V, Ciliberto G: Interleukin 6 is required for the development of collagen-induced arthritis. J Exp Med. 1998, 187: 461-468. 10.1084/jem.187.4.461.PubMedPubMedCentralCrossRef
37.
go back to reference Gabay C, Dreyer M, Pellegrini N, Chicheportiche R, Meier CA: Leptin directly induces the secretion of interleukin 1 receptor antagonist in human monocytes. J Clin Endocrinol Metab. 2001, 86: 783-791.PubMed Gabay C, Dreyer M, Pellegrini N, Chicheportiche R, Meier CA: Leptin directly induces the secretion of interleukin 1 receptor antagonist in human monocytes. J Clin Endocrinol Metab. 2001, 86: 783-791.PubMed
38.
go back to reference Gainsford T, Willson TA, Metcalf D, Handman E, McFarlane C, Ng A, Nicola NA, Alexander WS, Hilton DJ: Leptin can induce proliferation, differentiation, and functional activation of hemopoietic cells. Proc Natl Acad Sci U S A. 1996, 93: 14564-14568. 10.1073/pnas.93.25.14564.PubMedPubMedCentralCrossRef Gainsford T, Willson TA, Metcalf D, Handman E, McFarlane C, Ng A, Nicola NA, Alexander WS, Hilton DJ: Leptin can induce proliferation, differentiation, and functional activation of hemopoietic cells. Proc Natl Acad Sci U S A. 1996, 93: 14564-14568. 10.1073/pnas.93.25.14564.PubMedPubMedCentralCrossRef
39.
go back to reference Loffreda S, Yang SQ, Lin HZ, Karp CL, Brengman ML, Wang DJ, Klein AS, Bulkley GB, Bao C, Noble PW, Lane MD, Diehl AM: Leptin regulates proinflammatory immune responses. FASEB J. 1998, 12: 57-65.PubMed Loffreda S, Yang SQ, Lin HZ, Karp CL, Brengman ML, Wang DJ, Klein AS, Bulkley GB, Bao C, Noble PW, Lane MD, Diehl AM: Leptin regulates proinflammatory immune responses. FASEB J. 1998, 12: 57-65.PubMed
40.
go back to reference Yamagishi SI, Si S, Edelstein D, Du XL, Kaneda Y, Guzman M, Brownlee M: Leptin induces mitochondrial superoxide production and monocyte chemoattractant protein-1 expression in aortic endothelial cells by increasing fatty acid oxidation via protein kinase A. J Biol Chem. 2001, 276: 25096-25100. 10.1074/jbc.M007383200.PubMedCrossRef Yamagishi SI, Si S, Edelstein D, Du XL, Kaneda Y, Guzman M, Brownlee M: Leptin induces mitochondrial superoxide production and monocyte chemoattractant protein-1 expression in aortic endothelial cells by increasing fatty acid oxidation via protein kinase A. J Biol Chem. 2001, 276: 25096-25100. 10.1074/jbc.M007383200.PubMedCrossRef
Metadata
Title
Leptin in septic arthritis: decreased levels during infection and amelioration of disease activity upon its administration
Authors
Olof H Hultgren
Andrej Tarkowski
Publication date
01-09-2001
Publisher
BioMed Central
Published in
Arthritis Research & Therapy / Issue 6/2001
Electronic ISSN: 1478-6362
DOI
https://doi.org/10.1186/ar332

Other articles of this Issue 6/2001

Arthritis Research & Therapy 6/2001 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine