Stefanyk LE, Gulli RA, Ritchie IR, Chabowski A, Snook LA, Bonen A, Dyck DJ. Recovered insulin response by 2 weeks of leptin administration in high-fat fed rats is associated with restored AS160 activation and decreased reactive lipid accumulation. Am J Physiol Regul Integr Comp Physiol 301: R159 -R171, 2011. First published April 27, 2011 doi:10.1152/ajpregu.00636.2010.-Leptin is an adipokine that increases fatty acid (FA) oxidation, decreases intramuscular lipid stores, and improves insulin response in skeletal muscle. In an attempt to elucidate the underlying mechanisms by which these metabolic changes occur, we administered leptin (Lep) or saline (Sal) by miniosmotic pumps to rats during the final 2 wk of a 6-wk low-fat (LF) or high-fat (HF) diet. Insulin-stimulated glucose transport was impaired by the HF diet (HF-Sal) but was restored with leptin administration (HF-Lep). This improvement was associated with restored phosphorylation of Akt and AS160 and decreased in reactive lipid species (ceramide, diacylglycerol), known inhibitors of the insulin-signaling cascade. Total muscle citrate synthase (CS) activity was increased by both leptin and HF diet, but was not additive. Leptin increased subsarcolemmal (SS) and intramyofibrillar (IMF) mitochondria CS activity. Total muscle, sarcolemmal, and mitochondrial (SS and IMF) FA transporter (FAT/CD36) protein content was significantly increased with the HF diet, but not altered by leptin. Therefore, the decrease in reactive lipid stores and subsequent improvement in insulin response, secondary to leptin administration in rats fed a HF diet was not due to a decrease in FA transport protein content or altered cellular distribution. fatty acid transport proteins; insulin signaling; diacylglycerol; ceramide; mitochondria; leptin OBESITY IS CHARACTERIZED by increased lipid availability, increased fatty acid (FA) uptake into skeletal muscle, increased intramuscular lipid stores, and insulin resistance (22,34,54). Leptin is an adipokine known to improve insulin response in skeletal muscle (27) and insulin-stimulated glucose disposal (56, 59), an effect largely attributed to an increase in FA oxidation and a decrease in intramuscular triacylglycerol (TAG) content (31). Skeletal muscle expresses all leptin receptor isoforms, and leptin's effects on FA oxidation are mediated, at least in part, by the activation of AMP-activated protein kinase (AMPK) (47). Leptin administration improves insulin signaling in skeletal muscle in obese and high-fat (HF) fed rodents; in particular, leptin administration can restore muscle glucose transport protein (GLUT4) content and Akt phosphorylation in rats fed a chronic HF diet (57). Leptin can also rapidly restore insulin-stimulated GLUT4 translocation in isolated muscle acutely exposed to high concentrations of palmitate, an effect strongly associated with the recovery of AS160 (Akt substrate of 160 kDa) phosphorylation (1). AS160 is one of the distal proteins in the insulin-signaling cascade, and its phosphorylation has been shown to have...