title: Duodenal leptin stimulates cholecystokinin secretion: evidence of a positive leptin-cholecystokinin feedback loop.
abstract: Some of the actions of leptin depend on cholecystokinin (CCK). However, it is unknown whether leptin modulates the release of CCK. Here, we demonstrate in vitro that leptin induces the phosphorylation of extracellular signal-related kinase (ERK)-1/2 proteins and increases CCK release (EC(50) = 0.23 nmol/l) in CCK-secreting STC-1 cells. We showed that rat duodenal juice contains leptin that circulates free and bound to macromolecules, suggesting that leptin has a lumenal action on the intestine. In vivo in the rat, duodenal infusion of leptin increased plasma CCK at levels comparable to those induced by feeding. Moreover, meal-induced increases in plasma CCK were markedly reduced in obese fa/fa rats, whereas the mobilization of the gastric leptin pool was similar in lean and obese Zucker rats. The release of CCK by leptin presumably generates a positive feedback loop. Indeed, the blockade of CCK receptors reversed the meal reduction of the stomach leptin pool and the meal-increased plasma insulin, consistent with the previous concept of an entero-insular axis. Collectively, these data support a novel mode of action of leptin where leptin and CCK may potentiate their own effects by cross-stimulating their secretion. The impairment of this leptin-CCK loop may have pathological implications related to obesity and diabetes.
authors.affiliation: Institut National de la Santé et de la Recherche Médicale (INSERM) Unité 410, Faculté de Médecine Xavier Bichat, Paris, France.
authors.forename: Sandra
authors.initials: S
authors.lastname: Guilmeau
authors.forename: Marion
authors.initials: M
authors.lastname: Buyse
authors.forename: Annick
authors.initials: A
authors.lastname: Tsocas
authors.forename: Jean Pierre
authors.initials: JP
authors.lastname: Laigneau
authors.forename: André
authors.initials: A
authors.lastname: Bado
mesh_terms: D000818:Animals; D002766:Cholecystokinin / Q000097:blood / Q000378:metabolism*; D004379:Duodenal Neoplasms; D004386:Duodenum; D005246:Feedback; D005753:Gastric Mucosa / Q000378:metabolism; D005786:Gene Expression Regulation; D007413:Intestinal Mucosa / Q000378:metabolism*; D007700:Kinetics; D020738:Leptin / Q000494:pharmacology / Q000502:physiology*; D008297:Male; D019950:Mitogen-Activated Protein Kinase 1 / Q000378:metabolism; D048052:Mitogen-Activated Protein Kinase 3; D020928:Mitogen-Activated Protein Kinases / Q000378:metabolism; D010766:Phosphorylation; D016133:Polymerase Chain Reaction; D051381:Rats; D017208:Rats, Wistar; D011924:Rats, Zucker; D011956:Receptors, Cell Surface / Q000235:genetics; D011949:Receptors, Cholecystokinin / Q000037:antagonists & inhibitors / Q000502:physiology; D054411:Receptors, Leptin; D014407:Tumor Cells, Cultured
chemical_list: D020738:Leptin; D011956:Receptors, Cell Surface; D011949:Receptors, Cholecystokinin; D054411:Receptors, Leptin; D002766:Cholecystokinin; D019950:Mitogen-Activated Protein Kinase 1; D048052:Mitogen-Activated Protein Kinase 3; D020928:Mitogen-Activated Protein Kinases