The hypothalamic-pituitary-thyroid axis is down-regulated during starvation, and falling levels of leptin are a critical signal for this adaptation, acting to suppress preprothyrotropin-releasing hormone (prepro-TRH) mRNA expression in the paraventricular nucleus of the hypothalamus. This study addresses the mechanism for this regulation, using primary cultures of fetal rat hypothalamic neurons as a model system. Leptin dose-dependently stimulated a 10-fold increase in pro-TRH biosynthesis, with a maximum response at 10 nM. TRH release was quantified using immunoprecipitation, followed by isoelectric focusing gel electrophoresis and specific TRH radioimmunoassay. Leptin stimulated TRH release by 7-fold. Immunocytochemistry revealed that a substantial population of cells expressed TRH or leptin receptors and that 8 -13% of those expressing leptin receptors coexpressed TRH. Leptin produced a 5-fold induction of luciferase activity in CV-1 cells transfected with a TRH promoter and the long form of the leptin receptor cDNA. Although the above data are consistent with a direct ability of leptin to promote TRH biosynthesis through actions on TRH neurons, addition of ␣-melanocyte-stimulating hormone produced a 3.5-fold increase in TRH biosynthesis and release, whereas neuropeptide Y treatment suppressed pro-TRH biosynthesis ϳ3-fold. Furthermore, the melanocortin-4 receptor antagonist SHU9119 partially inhibited leptin-stimulated TRH release from the neuronal culture. Consequently, our data suggest that leptin regulates the TRH neurons through both direct and indirect pathways.Food deprivation in animals and humans results in endocrine and metabolic changes that include decreases in circulating levels of thyroid hormones (1, 2). Previous work in starved rats has shown that this is associated with a decrease in hypothalamic, but not thalamic, reticular prepro-TRH 1 mRNA, supporting the concept that the hypothyroidism of starvation is of hypothalamic origin (1). Leptin is a recently discovered peptide hormone that is synthesized and released by adipose tissue (3-6). Serum leptin levels decrease during starvation, and leptin has been proposed to be a major regulator of the central nervous system-mediated adaptation to starvation (2). Absence of leptin is responsible for the obese phenotype of ob/ob mice, and administration of this hormone to these animals reverses many of the endocrine defects (3-6). It was recently suggested that leptin has an important role in the neuroendocrine regulation of the HPT axis (2,7,8). During prolonged fasting in rats, low levels of triiodothyronine and thyroxine are observed, and TSH is in the low to normal range. This is due in part to fasting-induced suppression of prepro-TRH gene expression in the paraventricular nucleus (PVN) of the hypothalamus neurons. Since the decrease in thyroid hormone levels is blunted in fasted mice and rats by systemic administration of leptin (2, 9), it has been proposed that the decrease in leptin during fasting alters the set point for feedback inhibition by ...