Although many effects of leptin are mediated through the central nervous system, leptin can regulate metabolism through a direct action on peripheral tissues, such as fat and liver. We show here that leptin, at physiological concentrations, acts through an intracellular signaling pathway similar to that activated by insulin in isolated primary rat hepatocytes. This pathway involves stimulation of phosphatidylinositol 3-kinase (PI3K) binding to insulin receptor substrate-1 and insulin receptor substrate-2, activation of PI3K and protein kinase B (AKT), and PI3K-dependent activation of cyclic nucleotide phosphodiesterase 3B, a cAMP-degrading enzyme. One important function of this signaling pathway is to reduce levels of cAMP, because leptin-mediated activation of both protein kinase B and phosphodiesterase 3B is most marked following elevation of cAMP by glucagon, and because leptin suppresses glucagon-induced cAMP elevation in a PI3K-dependent manner. There is little or no expression of the long form leptin receptor in primary rat hepatocytes, and these signaling events are probably mediated through the short forms of the leptin receptor. Thus, leptin, like insulin, induces an intracellular signaling pathway in hepatocytes that culminates in cAMP degradation and an antagonism of the actions of glucagon.
Leptin (OB)1 is a 16-kDa protein secreted primarily from adipocytes (1-3). Rodents that are defective in leptin synthesis, the ob/ob mice, or leptin receptor function, the db/db mice, Zucker fa/fa rats, and Koletsky rats, are obese and develop hyperinsulinemia and insulin resistance similar to the metabolic abnormalities associated with type 2 diabetes. Leptin suppresses food intake (4 -7) and increases thermogenesis (8) and metabolic rate (9). These responses appear to be mediated mainly through the central nervous system, because they can be achieved by intracerebroventricular injections of leptin (10, 11). Leptin has also been shown to have a wide repertoire of peripheral effects, some of which are mediated through the central nervous system, and others that are induced through a direct action on target tissues. The latter include direct inhibition of insulin secretion and gene expression in pancreatic -cells, stimulation of fatty acid oxidation in adipocytes, and stimulation of angiogenesis and T-cell proliferation (12-16).Molecular cloning of the leptin receptors (OB-R) has revealed that they are single membrane-spanning receptors with homology to members of the cytokine receptor superfamily (10, 17). The different leptin receptors arise from alternative splicing, and although the extracellular domains of these splice variants are identical, differences are apparent in the intracellular signaling domain. The splice variants containing transmembrane domains can be divided into two groups: one group that has short 32-97 amino acid residue intracellular domains (OB-Ra, -Rc, -Rd, -Rf, and a unique form expressed in hematopoietic cells, termed Rg here) and another group (OB-Rb) that has a long 302-residue intrace...