Effect of Serum Leptin on Weight Gain Induced by Olanzapine in Female Patients with Schizophrenia.

Olanzapine (OLZ) treatment is associated with a high risk of weight gain, and may cause abnormalities in glycolipid metabolism. Therefore, the underlying mechanism of OLZ-related weight gain is needed to clarify but not yet been adequately determined. In recent years, adipocytokines such as leptin,...

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Main Authors: Nobuto Tsuneyama, Yutaro Suzuki, Kazushi Sawamura, Takuro Sugai, Naoki Fukui, Junzo Watanabe, Shin Ono, Mami Saito, Toshiyuki Someya
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4773092?pdf=render
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author Nobuto Tsuneyama
Yutaro Suzuki
Kazushi Sawamura
Takuro Sugai
Naoki Fukui
Junzo Watanabe
Shin Ono
Mami Saito
Toshiyuki Someya
author_facet Nobuto Tsuneyama
Yutaro Suzuki
Kazushi Sawamura
Takuro Sugai
Naoki Fukui
Junzo Watanabe
Shin Ono
Mami Saito
Toshiyuki Someya
author_sort Nobuto Tsuneyama
collection DOAJ
description Olanzapine (OLZ) treatment is associated with a high risk of weight gain, and may cause abnormalities in glycolipid metabolism. Therefore, the underlying mechanism of OLZ-related weight gain is needed to clarify but not yet been adequately determined. In recent years, adipocytokines such as leptin, adiponectin, and tumor necrosis factor (TNF)-α, which play important roles in energy homeostasis, have been suggested as biomarkers of weight gain. Here, we determined if baseline plasma concentrations of leptin, adiponectin, and TNF-α predict weight gain following OLZ treatment.We recruited 31 schizophrenia outpatients (12 men and 19 women, 28.8 ± 10.2 years old) that were unmedicated or on another antipsychotic monotherapy medication. Baseline body mass index (BMI) and plasma levels of leptin, adiponectin, and TNF-α were obtained. All patients started or were switched to OLZ monotherapy for a maximum of 1 year. BMI was also obtained at the endpoint.Mean BMI change following OLZ treatment was 2.1 ± 2.7 kg/m2. BMI change from baseline to endpoint negatively-correlated with baseline leptin levels in female patients (r = -0.514, P = 0.024), but not male patients. Baseline adiponectin or TNF-α levels were not correlated with BMI change.Baseline plasma leptin can have an effect on subsequent weight gain following OLZ treatment in female patients with schizophrenia.
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spelling doaj.art-a91ccf674676457d944a36c42098e1b12022-12-22T03:08:05ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-01113e014951810.1371/journal.pone.0149518Effect of Serum Leptin on Weight Gain Induced by Olanzapine in Female Patients with Schizophrenia.Nobuto TsuneyamaYutaro SuzukiKazushi SawamuraTakuro SugaiNaoki FukuiJunzo WatanabeShin OnoMami SaitoToshiyuki SomeyaOlanzapine (OLZ) treatment is associated with a high risk of weight gain, and may cause abnormalities in glycolipid metabolism. Therefore, the underlying mechanism of OLZ-related weight gain is needed to clarify but not yet been adequately determined. In recent years, adipocytokines such as leptin, adiponectin, and tumor necrosis factor (TNF)-α, which play important roles in energy homeostasis, have been suggested as biomarkers of weight gain. Here, we determined if baseline plasma concentrations of leptin, adiponectin, and TNF-α predict weight gain following OLZ treatment.We recruited 31 schizophrenia outpatients (12 men and 19 women, 28.8 ± 10.2 years old) that were unmedicated or on another antipsychotic monotherapy medication. Baseline body mass index (BMI) and plasma levels of leptin, adiponectin, and TNF-α were obtained. All patients started or were switched to OLZ monotherapy for a maximum of 1 year. BMI was also obtained at the endpoint.Mean BMI change following OLZ treatment was 2.1 ± 2.7 kg/m2. BMI change from baseline to endpoint negatively-correlated with baseline leptin levels in female patients (r = -0.514, P = 0.024), but not male patients. Baseline adiponectin or TNF-α levels were not correlated with BMI change.Baseline plasma leptin can have an effect on subsequent weight gain following OLZ treatment in female patients with schizophrenia.http://europepmc.org/articles/PMC4773092?pdf=render
spellingShingle Nobuto Tsuneyama
Yutaro Suzuki
Kazushi Sawamura
Takuro Sugai
Naoki Fukui
Junzo Watanabe
Shin Ono
Mami Saito
Toshiyuki Someya
Effect of Serum Leptin on Weight Gain Induced by Olanzapine in Female Patients with Schizophrenia.
PLoS ONE
title Effect of Serum Leptin on Weight Gain Induced by Olanzapine in Female Patients with Schizophrenia.
title_full Effect of Serum Leptin on Weight Gain Induced by Olanzapine in Female Patients with Schizophrenia.
title_fullStr Effect of Serum Leptin on Weight Gain Induced by Olanzapine in Female Patients with Schizophrenia.
title_full_unstemmed Effect of Serum Leptin on Weight Gain Induced by Olanzapine in Female Patients with Schizophrenia.
title_short Effect of Serum Leptin on Weight Gain Induced by Olanzapine in Female Patients with Schizophrenia.
title_sort effect of serum leptin on weight gain induced by olanzapine in female patients with schizophrenia
url http://europepmc.org/articles/PMC4773092?pdf=render
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