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Cited by 559

The DOI matches its Crossref record; 72 of the 72 references it cites were found in a registry or an index.

Leptin and Androgens in Male Obesity: Evidence for Leptin Contribution to Reduced Androgen Levels

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Isidori, A. M.·1999·Journal of Clinical Endocrinology & Metabolism

Abstract

Leptin circulates in plasma at concentrations that parallel the amount of fat reserves. In obese males, androgen levels decline in proportion to the degree of obesity. Recently, we have shown that in rodent Leydig cells leptin inhibits hCG-stimulated testosterone (T) production via a functional leptin receptor isoform; others have found that leptin inhibits basal and hCG-induced T secretion by testis from adult rats. In this study, we further investigated the relationship linking leptin and androgens in men. Basal and hCG-stimulated leptin and sex hormone levels were studied in a large group of men ranging from normal weight to very obese (body mass index, 21.8-55.7). Initial cross-sectional studies showed that circulating leptin and fat mass (FM) were inversely related with total and free T (r = -0.51 and r = -0.38, P < 0.01 and P < 0.05, respectively). Multiple regression analysis indicated that the correlation between leptin or FM and T was not lost after controlling for SHBG and/or LH and/or estradiol (E2) levels and that leptin was the best hormonal predictor of the lower androgen levels in obesity. Dynamic studies showed that in obese men the area under the curve of T and free T to LH/hCG stimulation (5000 IU i.m.) was 30-40% lower than in controls and inversely correlated with leptin levels (r = -0.45 and r = -0.40, P < 0.01 and P < 0.05, respectively). Also, LH/hCG-stimulation caused higher increases in 17-OH-progesterone to T ratio in obese men than in controls, whereas no differences were observed between groups either in stimulated E2 levels or in the E2/T ratio. In all subjects, the percentage increases from baseline in the 17-OH-progesterone to T ratio were directly correlated with leptin levels or FM (r = 0.40 and r = 0.45, P < 0.01), but not with E2 or other hormonal variables. In conclusion, our studies, together with previous in vitro findings, indicate that excess of circulating leptin may be an important contributor to the development of reduced androgens in male obesity.

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Metadata

Authors
Isidori, A. M.
Venue
Journal of Clinical Endocrinology & Metabolism
Published
1999-10-01
Volume
84
Issue
10
Pages
3673-3680
ISSN
0021-972X (ISSN-L)
OpenAlex
W2133833346
Cited by
559
References
72
FWCI
5.11
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Leptin and Androgens in Male Obesity: Evidence for Leptin Contribution to Reduced Androgen Levels. https://app.cochat.ai/papers/10.1210/jc.84.10.3673
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Isidori, A. M. (1999). Leptin and Androgens in Male Obesity: Evidence for Leptin Contribution to Reduced Androgen Levels. Journal of Clinical Endocrinology & Metabolism. https://doi.org/10.1210/jc.84.10.3673

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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