Lee MJ, Wang Y, Ricci MR, Sullivan S, Russell CD, Fried SK. Acute and chronic regulation of leptin synthesis, storage, and secretion by insulin and dexamethasone in human adipose tissue. Am J Physiol Endocrinol Metab 292: E858 -E864, 2007. First published November 22, 2006; doi:10.1152/ajpendo.00439.2006.-Serum leptin levels are upregulated in proportion to body fat and also increase over the short term in response to meals or insulin. To understand the mechanisms involved, we assessed leptin synthesis and secretion in samples of adipose tissue from subjects with a wide range of BMI. Tissue leptin content and relative rates of leptin biosynthesis, as determined by metabolic labeling, were highly correlated with each other and with BMI and fat cell size. To understand mechanisms regulating leptin synthesis in obesity, we used biosynthetic labeling to directly assess the effects of insulin and glucocorticoids (dexamethasone) on leptin synthesis and secretion in human adipose tissue. Chronic treatment (1-2 days in organ culture) with insulin increased relative rates of leptin biosynthesis without affecting leptin mRNA levels. In contrast, dexamethasone increased leptin mRNA and biosynthesis in parallel. Acute treatment with insulin or dexamethasone (added during 1-h preincubation and 45-min pulse labeling) did not affect relative rates of leptin biosynthesis, but pulse-chase studies showed that addition of insulin nearly doubled the release of [ 35 S]leptin after a 1-h chase. We conclude that the higher leptin stores in adipose tissue of obese humans are maintained by chronic effects of insulin and glucocorticoids acting at pre-and posttranslational levels and that the ability of insulin to increase the release of preformed leptin may contribute to short-term variations in circulating leptin levels. obesity; adipocyte; posttranscriptional LEPTIN, THE PEPTIDE HORMONE encoded by the obese gene, is secreted by adipose cells and plays a role in regulating food intake, energy expenditure, and adiposity, as well as immune and endocrine systems (1,6,23). Although deficiency of leptin (37) or the leptin receptor (25) results in obesity, most human obesity is associated with elevated leptin levels (8, 21). The mechanisms that increase plasma leptin levels in proportion to body fat are not well understood. Leptin mRNA levels and secretion during a 2-h in vitro incubation correlate with obesity (as assessed by BMI or body fat) and even more tightly with fat cell size (19,34). The increased leptin secretion and synthesis in obese fat cells could simply be secondary to increased leptin mRNA levels. However, a number of lines of evidence (5, 29) and our studies in human and rat adipose tissue (15,16,28) suggest that leptin production is also regulated at posttranscriptional steps, including translation and secretion.We (32) previously demonstrated that a substantial quantity of leptin protein resides in a detergent-sensitive compartment of adipose tissue of severely obese subjects, and we proposed that the regulated release of t...