The aim of this study was to investigate the regulation of leptin expr
ession and production in cultured human adipocytes using the model of
in vitro differentiated human adipocytes. Freshly isolated human pread
ipocytes did not exhibit significant leptin mRNA and protein levels as
assessed by reverse transcriptase (RT)-polymerase chain reaction (PCR
) and radioimmunoassay (RIA). However, during differentiation induced
by a defined adipogenic serum-free medium, cellular leptin mRNA and le
ptin protein released into the medium increased considerably in accord
ance with the cellular lipid accumulation. In fully differentiated hum
an fat cells, insulin provoked a dose-dependent rise in leptin protein
. Cortisol at a near physiological concentration of 10(-8) mol/l was f
ound to potentiate this insulin effect by almost threefold. Removal of
insulin and cortisol, respectively, was followed by a rapid decrease
in leptin expression, which was reversible after readdition of the hor
mones. These results clearly indicate that both insulin and cortisol a
re potent and possibly physiological regulators of leptin expression i
n human adipose tissue.