March 18, 2008; doi:10.1152/ajpendo.00379.2007.-Partial leptin deficiency is not uncommon in the general population. We hypothesized that leptin insufficiency could favor obesity, nonalcoholic steatohepatitis (NASH), and other metabolic abnormalities, particularly under high calorie intake. Thus, mice partially deficient in leptin (ob/ϩ) and their wild-type (ϩ/ϩ) littermates were fed for 4 mo with a standardcalorie (SC) or a high-calorie (HC) diet. Some ob/ϩ mice fed the HC diet were also treated weekly with leptin. Our results showed that, when fed the SC diet, ob/ϩ mice did not present significant metabolic abnormalities except for elevated levels of plasma adiponectin. Under high-fat feeding, increased body fat mass, hepatic steatosis, higher plasma total cholesterol, and glucose intolerance were observed in ϩ/ϩ mice, and these abnormalities were further enhanced in ob/ϩ mice. Furthermore, some metabolic disturbances, such as blunted plasma levels of leptin and adiponectin, reduced UCP1 expression in brown adipose tissue, increased plasma liver enzymes, -hydroxybutyrate and triglycerides, and slight insulin resistance, were observed only in ob/ϩ mice fed the HC diet. Whereas de novo fatty acid synthesis in liver was decreased in ϩ/ϩ mice fed the HC diet, it was disinhibited in ob/ϩ mice along with the restoration of the expression of several lipogenic genes. Enhanced expression of several genes involved in fatty acid oxidation was also observed only in ob/ϩ animals. Leptin supplementation alleviated most of the metabolic abnormalities observed in ob/ϩ fed the HC diet. Hence, leptin insufficiency could increase the risk of obesity, NASH, glucose intolerance, and hyperlipidemia in a context of calorie overconsumption. fatty liver; nonalcoholic steatohepatitis; mitochondria; hyperlipidemia; adiponectin LEPTIN, AN ADIPOKINE EXPRESSED mainly in adipose tissue, plays a central role in the control of food intake and energy expenditure (11, 15) but also in immunity and inflammation (7), tissue repair (28), reproduction, and development (1). Total leptin deficiency in ob/ob mice due to missense leptin (ob) gene mutation leads to morbid obesity, type 2 diabetes, and massive steatosis (11, 33). However, total leptin deficiency is extremely rare in humans (11). In contrast, a larger number of individuals could have low (but not zero) levels of leptin as the consequence of a heterozygous mutation within the ob gene (partial leptin deficiency) (8) or a polymorphism in the 5Ј-untranslated region of the ob gene (16,18,27). Moreover, inherited low levels of leptin could increase the risk of being overweight (or even obese) in humans (8, 16, 32) and mice (5).Food overconsumption combined with decreased physical activity play a major role in the worldwide epidemic of obesity (39). Different genetic traits can modulate positively or negatively the detrimental effects of these environmental factors on body adiposity (9, 39). Because obesity favors insulin resistance, type 2 diabetes, hyperlipemia, steatohepatitis, cardiovascula...