IntroductionThe hypothalamic peptide, thyrotropin-releasing hormone (TRH), is essential for the normal production of thyroid-stimulating hormone in the pituitary and thyroid hormones in the thyroid gland (1). Within the paraventricular hypothalamic nucleus (PVH), TRH is regulated at the transcriptional level by thyroid hormone (T3), such that in hyperthyroid states TRH expression is reduced and in hypothyroid states its expression is increased (2). Recently, it has become clear that TRH is also regulated by nutritional states. To conserve energy during periods of food deprivation, rodents dramatically reduce their thyroid hormone levels, which in turn allows reductions in their metabolic rate (3). This adaptation to starvation is accomplished through a reduction in the expression of TRH in the PVH, indicating that a central process contributes to the regulation of this physiological adaptation. The mechanism governing the nutritional regulation of TRH has been clarified by Ahima et al., who reversed starvation-induced suppression of thyroid hormone levels in mice by administering leptin during starvation (4). This finding was extended by Legradi et al., who further demonstrated that leptin's effects were due to upregulation of TRH gene expression (5).Although leptin can regulate TRH gene expression in the PVH, it remains unclear whether this effect is mediated by direct actions of leptin on the TRH neuron in the PVH or indirectly through leptin effects on other neurons, which then project to the TRH neuron.Recently Legradi et al. demonstrated that chemical ablation of the arcuate nucleus blocks leptin's effect on TRH expression, suggesting that an indirect pathway is involved (6). Given that leptin activates pro-opiomelanocortin (POMC) gene expression in the arcuate nucleus, POMC-derived α-melanocyte stimulating hormone (α-MSH) is a candidate hormone that may be responsible for the regulation of TRH expression (7,8). Starvation causes a rapid reduction in thyroid hormone levels in rodents. This adaptive response is caused by a reduction in thyrotropin-releasing hormone (TRH) expression that can be reversed by the administration of leptin. Here we examined hypothalamic signaling pathways engaged by leptin to upregulate TRH gene expression. As assessed by leptin-induced expression of suppressor of cytokine signaling-3 (SOCS-3) in fasted rats, TRH neurons in the paraventricular nucleus are activated directly by leptin. To a greater degree, they also contain melanocortin-4 receptors (MC4Rs), implying that leptin can act directly or indirectly by increasing the production of the MC4R ligand, α-melanocyte stimulating hormone (α-MSH), to regulate TRH expression. We further demonstrate that both pathways converge on the TRH promoter. The melanocortin system activates the TRH promoter through the phosphorylation and DNA binding of the cAMP response element binding protein (CREB), and leptin signaling directly regulates the TRH promoter through the phosphorylation of signal transducer and activator of transcription 3 (St...