Williams DL, Baskin DG, Schwartz MW. Hindbrain leptin receptor stimulation enhances the anorexic response to cholecystokinin. Am J Physiol Regul Integr Comp Physiol 297: R1238 -R1246, 2009. First published September 2, 2009 doi:10.1152 doi:10. /ajpregu.00182.2009tin is thought to reduce food intake, in part, by increasing sensitivity to satiation signals, including CCK. Leptin action in both forebrain and hindbrain reduces food intake, and forebrain leptin action augments both the anorexic and neuronal activation responses to CCK. Here, we asked whether leptin signaling in hindbrain also enhances these responses to CCK. We found that food intake was strongly inhibited at 30 min after a combination of 4th-intracerebroventricular (4th-icv) leptin injection and intraperitoneal CCK administration, whereas neither hormone affected intake during this period when given alone. Leptin injections targeted directly at the dorsal vagal complex (DVC) similarly enhanced the anorexic response to intraperitoneal CCK. Intra-DVC leptin injection also robustly increased the number of neurons positive for phospho-STAT3 staining in the area surrounding the site of injection, confirming local leptin receptor activation. Conversely, the anorexic response to 4th-icv leptin was completely blocked by IP devazepide, a CCKA-R antagonist, suggesting that hindbrain leptin reduces intake via a mechanism requiring endogenous CCK signaling. We then asked whether hindbrain leptin treatment enhances the dorsomedial hindbrain, hypothalamus, or amygdala c-Fos responses to IP CCK. We found that, in contrast to the effects of forebrain leptin administration, 4th-icv leptin injection had no effect on CCK-induced c-Fos in any structures examined. We conclude that leptin signaling in either forebrain or hindbrain areas can enhance the response to satiation signals and that multiple distinct neural circuits likely contribute to this interaction. nucleus of the solitary tract; satiety signals; adiposity signals; food intake LEPTIN, A CIRCULATING HORMONE secreted by adipose tissue in proportion to fat mass, is a key humoral signal involved in the control of food intake and body weight (19). Leptin signaling in the brain reduces food intake primarily by reducing the size of meals (5,11,16), suggesting an augmentation of mechanisms that promote satiation. This idea is supported by several studies that have demonstrated an interaction between leptin and the gut peptide CCK (14), a prototypical satiation hormone that is secreted in response to the presence of nutrients in the gastrointestinal tract. In rats and mice, central or peripheral leptin pretreatment enhances CCK-induced anorexia (2, 4). Conversely, the reduction of plasma leptin induced by fasting causes a decrease in rats' responsiveness to CCK (12). Furthermore, the feeding response to CCK is blunted in rodents lacking functional leptin receptors, such as obese fa k /fa k Koletsky rats, and can be rescued by central leptin receptor gene therapy directed to the hypothalamic arcuate nucleus (ARC) of...