White. Central leptin increases insulin sensitivity in streptozotocin-induced diabetic rats. Am J Physiol Endocrinol Metab 282: E1084-E1091, 2002; 10.1152/ajpendo.00489.2001.-This study examined the effect of intracerebroventricular leptin on insulin sensitivity in streptozotocin (STZ)-induced diabetic rats. Male Wistar rats were cannulated in the lateral ventricle and, after recovery, administered either intravenous STZ (50 mg/kg) to induce diabetes or citrate buffer. Chronic leptin (10 g/10 l icv) or vehicle injections were administered daily for 14 days beginning 2 days after establishment of hyperglycemia in the diabetic animals. At the end of the 2 wk of injections, insulin sensitivity was measured by the steady-state plasma glucose (SSPG) method. Blood glucose concentrations were dramatically reduced and normalized by the 4th day in diabetic animals receiving intracerebroventricular leptin treatment. Diabetic animals exhibited insulin resistance, whereas intracerebroventricular leptin significantly enhanced insulin sensitivity, as indicated by decreased SSPG. Circulating leptin levels were not increased in animals injected with intracerebroventricular leptin. Thus the increased peripheral insulin sensitivity appears to be due solely to the presence of leptin in the brain, not to leptin acting peripherally. These data imply that inadequate central leptin signaling may lead to insulin resistance. intracerebroventricular leptin; insulin resistance; hyperglycemia THE INTERACTION BETWEEN LEPTIN AND INSULIN has been the subject of several investigations. Leptin is thought to be a signal that informs the brain about the size of the fat mass in the body. It acts as a satiety factor, decreasing food intake and increasing energy expenditure, or at least preventing the decrease in energy expenditure normally associated with a decrease in food intake (38). These effects lead to a decrease in body fat. In addition to these actions, leptin treatment enhances insulin sensitivity in normal rats, as indicated by increased insulin-stimulated glucose utilization in peripheral tissues (7,33,42). It also decreases plasma glucose and/or insulin concentrations of normal animals in the postabsorptive state. Leptin has been shown to directly inhibit insulin secretion (11), whereas insulin increases leptin release from adipocytes (25). Evidence indicates that glucose metabolism, rather than insulin itself, is the main determinant for leptin expression in adipose tissue (22). Moreover, in vivo and in vitro evidence suggests that leptin and insulin-signaling networks may be connected at several levels, such as insulin receptor substrates, or IRS; phosphatidylinositol 3-kinase, or PI 3-kinase; and mitogen-activated protein kinase, or MAPK (19,20,41). Therefore, leptin and insulin-signaling pathways may interact with each other.The effects of leptin on insulin sensitivity have been examined independently of peripheral insulin concentrations. Diabetic animals induced by streptozotocin (STZ), which selectively destroys insulin-producing...