The central melanocortin system is critical in the regulation of appetite and body weight, and leptin exerts its anorexigenic actions partly by increasing hypothalamic proopiomelanocortin (POMC) expression. The POMC-derived peptide ␣-melanocytestimulating hormone (␣MSH) is a melanocortin 4 receptor agonist, and its potency in reducing energy intake is strongly increased by N-acetylation. The reason for the higher biological activity of N-acetylated ␣MSH (Act-␣MSH) compared with that of N-desacetylated ␣MSH (Des-␣MSH) is unclear, and regulation of acetylation by leptin has not been investigated. We show here that total hypothalamic ␣MSH levels are decreased in leptin-deficient ob͞ob mice and increased in leptin-treated ob͞ob and C57BL͞6J mice. The increase in total ␣MSH occurred as soon as 3 h after leptin injection and was entirely due to an increase in Act-␣MSH. Consistent with this observation, leptin rapidly induced the enzymatic activity of a N-acetyltransferase in the hypothalamus of mice. In 293T cells expressing the melanocortin 4 receptor, Act-␣MSH is far more potent than Des-␣MSH in stimulating cAMP accumulation, an effect caused by a dramatically increased stability of Act-␣MSH. Moreover, Des-␣MSH is rapidly degraded in the hypothalamus after intracerebroventricular injection in rats and was less potent in inhibiting energy intake. The results suggest that leptin activates a N-acetyltransferase in POMC neurons, leading to increased hypothalamic levels of Act-␣MSH. Due to its increased stability, this posttranslational modification of ␣MSH may play a critical role in leptin action via the central melanocortin pathway.T he adipocyte-derived hormone leptin is expressed in fat tissue and acts on the central nervous system to inform key regulatory centers about energy stores (1-3). Leptin receptors (ObRs) are highly expressed within the hypothalamus, including in proopiomelanocortin (POMC) neurons located in the arcuate nucleus (4, 5). POMC-derived neuropeptides, primarily ␣-melanocyte-stimulating hormone (␣MSH), activate the melanocortin 4 receptor (MC4R) and function downstream of leptin signaling to regulate energy balance, although other pathways are also important (6-10). Supporting the role of the melanocortin pathway in leptin action are data showing that central injection of synthetic melanocortin receptor antagonists inhibits the effect of leptin to reduce food intake (10). Furthermore, mutations in the pomc and mc4r genes result in severe obesity in mice (6, 11) and humans (7,12).Studies investigating the regulation of POMC neurons by leptin have focused mainly on gene expression analyses. It is known that fasting, which is a state of low serum leptin levels, results in reduced amounts of POMC mRNA levels. This reduction is also seen in the hypothalamus of the leptin-deficient ob͞ob mice (13-16). In addition, hypothalamic POMC mRNA is stimulated by the administration of recombinant leptin to rodents (16). However, few studies have examined regulation of hypothalamic POMC-derived peptides, such as ...