The p90 ribosomal S6 kinase 2 (RSK2) is a serine/ threonine kinase with high expression levels in adipose tissue. Numerous in vitro studies show that RSK2 is activated by a broad number of cellular stimuli and suggest that RSK2 is involved in the regulation of a variety of cellular processes. However, the physiological role of RSK2 still remains elusive. We therefore generated rsk2 knockout (KO) mice to better understand the function of RSK2 in vivo. Birth weights of RSK2 KO mice are normal, but the body weight is reduced with age, as compared with wild-type littermates. We found that the difference in body weight was largely caused by a specific loss of white adipose tissue that is accompanied by reduced serum levels of the adipocyte-derived peptide, leptin. KO mice also have impaired glucose tolerance and elevated fasting insulin and glucose levels that are restored following administration of low amounts of leptin, which do not affect food intake. We conclude that RSK2 plays a novel and an important role in regulation of adipose mass in mice and speculate that the reduction in fat tissue may negatively affect insulin sensitivity, as observed in human lipodystrophy, through reduced levels of adipocyte-derived factors, such as leptin. Diabetes 52:1340 -1346, 2003 R SK2 is a member of a family of growth factorregulated serine-threonine kinases known as p90rsk (90-kDa ribosomal S6 kinase) or as mitogen-activated protein (MAP) kinase-activated protein kinase 1 (MAPKAP-K1b) (1-6). Several mammalian isoforms of RSK (RSK1-4) have been identified in different species (7-10). In addition, novel proteins that are homologous to RSK have recently been discovered, including mitogen-and stress-activated protein kinase (MSK) and 11,12). RSK enzymes are activated in response to a variety of cellular stimuli, growth factors, and hormones, including epidermal growth factor, insulin, phorbol-esters, heat shock, and ionizing radiation (1,13-17). The activation is complex and requires phosphorylation at multiple sites by different upstream kinases, including the p42 and p44 MAP kinases, and the 3-phosphoinositide-dependent protein kinase 1 (18,19). RSK proteins contain two distinct kinase domains that set them apart from most other protein kinases (3). After phosphorylation by the upstream kinases, the COOH-terminal kinase domain of RSK autophosphorylates additional sites in the RSK molecule, ultimately resulting in activation of the NH 2 -terminal kinase domain, which is responsible for substrate phosphorylation (20 -24). RSK enzymes have broad substrate specificity (25), and putative substrates include nuclear proteins and transcription factors such as cAMP-responsive binding-element protein (26,27), lamin-C (28), histone 3B (29), c-fos (26), glycogen synthase kinase 3 (30), BAD (31), and IB/NFB (32). Based on these findings, RSK proteins are likely to regulate a variety of cellular processes. This fact, combined with their wide but distinct tissue distribution (33), suggests that RSK proteins are involved in the regulation of c...