Leptin circulates in blood and is involved in body weight control primarily
via hypothalamic receptors. To examine its direct metabolic action, effect
s of short-term portal leptin infusion: 1) on postprandial basal and epinep
hrine-stimulated glycogenolysis; and 2) on postabsorptive lactate-stimulate
d gluconeogenesis were studied in isolated perfused rat livers. Incremental
epinephrine (150 pmol . min(-1) . g(-1) liver)-stimulated glucose release
(in mu mol/g liver within 30 minutes; control: 28.3 +/- 2.8) was suppressed
(P < .05) kby 44% (15.8 +/- 1.6), by 48% (14.6 +/- 4.1), and by 53% (13.3
+/- 2.1) during insulin (3 pmol . min(-1) . g(-1) liver), leptin (30 pmol .
min(-1) . g(-1) liver), and simultaneous leptin + insulin infusion. Perfus
ate cyclic adenosine monophosphate increased approximately twofold during e
pinephrine stimulation in all groups. Neither leptin nor insulin affected h
epatic lactate production, bile flow, or portal pressure in the fed state.
In the postabsorptive state (20-hour fasting), rates of lactate (10 mmol/L)
-dependent hepatic glucose release (in mu mol. min(-1) . g(-1) liver; contr
ol: 0.12 +/- 0.01) were increased (P < .01) to 0.35 +/- 0.02 and to 0.24 +/
- 0.01 by glucagon (3 pmol . min(-1) . g(-1) liver) and by leptin (15 pmol
. min(-1) . g(-1) liver), respectively. In parallel, lactate uptake rates (
in mu mol . min(-1) . g(-1) liver) were higher in the presence of both gluc
agon (0.90 +/- 0.03) and leptin (0.84 +/- 0.02) compared with control (0.68
+/- 0.04). In conclusion, leptin modulates hepatic glucose fluxes and may
contribute to direct humoral regulation of liver glycogen stores in the fas
ted as well as in the fed state.