Endocrinology Vol. 139, No. 3 822-826
Copyright © 1998 by The Endocrine Society
Inhibition of Insulin Secretion by Leptin in Normal Rodent Islets of Langerhans
Vincent Poitout,
Christine Rouault,
Michèle Guerre-Millo,
Isabelle Briaud and
Gérard Reach
INSERM U341, Service de Diabétologie (V.P., C.R., I.B.,
G.R.); and INSERM U465, Institut Biomédical des Cordeliers
(M.G-M.), Paris, France
Address all correspondence and requests for reprints to: Vincent Poitout, INSERM U341, Service de Diabétologie, Hôtel-Dieu, 1 Place du Parvis Notre Dame, 75004 Paris, France. E-mail:
poitout{at}infobiogen.fr
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Abstract
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The recently discovered adipose cell-specific hormone called leptin
decreases food intake and increases energy expenditure in rodents
through a pathway involving hypothalamic leptin receptors, OB-R. In
addition, leptin decreases insulin circulating levels independent of
the reduction in food intake. Whether or not the hormone has a direct
effect on pancreatic ß-cells is not clear, because previous in
vitro studies have led to controversial results depending on
the animal model used. The present study was designed to investigate
the effects of leptin in islets of Langerhans isolated from normal
rodents. Three isoforms of the leptin receptor, OB-Ra, b, and f, were
detected by RT-PCR analysis of total RNA from rat islets. In static
incubations, leptin (10 ng/ml) did not alter basal insulin secretion
nor insulin secretion stimulated by glucose alone, potassium chloride,
or ketoisocaproic acid. In contrast, insulin secretion stimulated by
glucose + 3-isobutyl 1-methylxanthine (IBMX) was inhibited by 34
± 15% (n = 4, P < 0.05). This was further
substantiated in perifusion experiments, in which leptin decreased by
31 ± 3% (n = 5, P < 0.01) glucose +
IBMX-stimulated insulin release. Similarly, in mouse islets a
significant inhibitory effect of leptin (-31 ± 4%, n = 6,
P < 0.05) was observed only on glucose +
IBMX-stimulated insulin secretion, with no effect of the hormone on
basal nor glucose-stimulated secretion. Finally, leptin was totally
inefficient in islets isolated from obese fa/fa rats,
which bear a mutation in OB-R. These results suggest that, in normal
rodent islets, leptin specifically inhibits IBMX-potentiated
glucose-induced insulin secretion, through a direct effect involving at
least one of the three isoforms of OB-R expressed in islets.
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Introduction
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THE ob gene product leptin,
secreted by the adipocytes, decreases food intake and increases energy
expenditure in rodents. Leptin acts through a specific receptor, OB-R,
belonging to the class I cytokine receptor family. In ob/ob
mice, mutations in the ob gene result in the absence of
functional leptin, massive obesity, and noninsulin-dependent diabetes
mellitus (1). db/db mice and fa/fa rats, on the
other hand, have similar phenotypes in the presence of elevated levels
of circulating leptin. The genetic alterations underlying the obese
phenotype in the latter models are mutations in the OB-R
gene, resulting in defective leptin signaling (2, 3, 4, 5, 6). Several
alternatively spliced OB-R variants, differing in the length of the
intracellular domain, have been cloned in rats, mice, and humans (3, 7, 8). The long isoform OB-Rb, containing the potential Janus kinase (JAK)
binding domains box 1 and box 2, activates the JAK-signal transducers
and activators of transcription (STAT) pathway in reconstituted cell
systems (9, 10, 11, 12). Less documented are the signaling capabilities of the
isoforms with shorter cytoplasmic domains (13). The various isoforms of
OB-R are widely expressed in a tissue-specific manner (3, 7, 8, 14, 15, 16). Hypothalamus, which expresses the highest ratio of long
vs. short isoforms (11), is a major target for leptin.
In vivo experiments have demonstrated that leptin induces
STAT activation in the hypothalamus of ob/ob mice, but not
in any other tissue tested (17). The physiological significance of OB-R
in a large variety of peripheral tissues remains therefore unclear.
Several observations suggest that leptin can modulate pancreatic
ß-cell function. Administration of exogenous leptin in
ob/ob mice decreases circulating insulin levels, independent
of the reduction in food intake elicited by the hormone (18, 19, 20). This
was also observed in normal rats under adenovirus-mediated leptin
administration, in which insulinemia is markedly decreased compared
with pair-fed controls (21). Furthermore, the recent demonstration that
OB-Rb messenger RNA (mRNA) and protein are expressed in rat pancreatic
ß-cells (22), indicates that leptin may directly regulate insulin
secretion. Several groups have addressed this question, leading to
controversial results. Leclercq-Meyer et al. (23) and
Leclercq-Meyer and Malaisse (24) did not find any effect of leptin
neither on basal nor on glucose-induced insulin secretion from the
perfused rat pancreas. Other groups have reported suppression of basal
(25) or glucose-stimulated (26) insulin secretion, or increased basal
release (27), from normal rat isolated islets. Using islets from
ob/ob mice and high doses of leptin (
100 ng/ml), Emilsson
et al. (28) and Kieffer et al. (22) demonstrated
that leptin inhibits both basal and glucose-induced insulin secretion.
In contrast, the results of Chen et al. (29) indicate a
specific inhibition of phospholipase C-potentiated insulin secretion,
with no effect on basal nor glucose-stimulated release. The reasons for
such discrepancies are unclear. The observations in ob/ob
mouse islets might not be representative of the effect of the hormone
in normal mice. Indeed, islets from ob/ob mice have never
been previously exposed to leptin, and are characterized by alterations
in the regulation of insulin secretion by glucose and other
secretagogues (30, 31, 32). On the other hand, the discrepancy between the
in vitro effects of leptin in rats and mice could be
accounted for by species-related differences in the islet sensitivity
to leptin.
This prompted us to assess the effects of physiological doses of leptin
on basal and stimulated insulin secretion in islets isolated from
normal rats and mice. In addition, we investigated the expression of
three isoforms of OB-R in isolated rat islets. Finally, the specificity
of leptin effects was verified by using islets isolated from Zucker
fa/fa rats, homozygous for the fa mutation in
OB-R.
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Materials and Methods
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Animals
Normal Wistar rats and CD1 mice were purchased from Charles
River France (Cléon, France). Obese fa/fa Zucker rats
and their lean Fa/fa littermates were bred at U465 from
pairs originally provided by the Harriet G. Bird Memorial Hospital
(Stow, MA). Animals were housed on a 12 h light/ 12 h dark
cycle with free access to water and standard laboratory chow (usine
alimentation rationnelle, Epinay sur Orge, France).
Islet isolation
Pancreas were digested by intraductal injection of collagenase
type XI (Sigma, Saint-Quentin Fallavier, France) (0.5 mg/ml) and
stationary incubation as described (33). Islets were purified by
double-hand picking under a dissecting microscope and cultured for
1 h in RPMI 1640 (Sigma) containing 11.1 mM glucose
and supplemented with 10% FBS (GIBCO BRL, Cergy-Pontoise, France) and
1% penicillin/streptomycin (GIBCO BRL) before secretion studies.
Identification of leptin receptor mRNA in isolated islets
Total RNA was extracted from isolated rat islets according to
Chomczynski and Sacchi (34). Five hundred nanograms of total RNA were
reverse transcribed by random priming using avian myeloblastosis virus
reverse transcriptase (first-strand DNA synthesis, Amersham Life
Sciences, Les Ulis, France) according to the manufacturers
instructions. Control samples were run in the absence of reverse
transcriptase. Fragments of ObR-a, ObRb and ObR-f complementary DNA
(cDNA) of 487, 370, and 390 bp, respectively, were PCR-amplified by
Taq Polymerase (GIBCO BRL) using a primer from the
transmembrane region common to all three isoforms and three
isoform-specific primers from C-terminal regions (8). PCR reactions
were run at 94 C for 5 min, 50 C for 30 sec, and then 72 C for 1 min 30
sec, followed by 48 cycles at 94 C for 45 sec, 50 C for 30 sec, and
then 72 C for 1 min 30 sec, and a last cycle with a 7-min final
extension in a Crocodile III thermocycler (Appligène Oncor,
Illkirch, France). Five-microliter aliquots of the PCR reaction were
run for 20 min on a 2% agarose gel at 100 V. Gels were stained with
ethidium bromide to visualize the products.
Static incubations
Isolated islets were washed in Krebs buffer (KRBB: 118.5
mM NaCl, 2.54 mM CaCl2.2H2O, 1.19
mM KH2PO4, 4.74 mM
potassium chloride (KCl), 25 mM NaHCO3, 1.19 mM
MgSO4.7H2O, 10 mM HEPES, 0.1% BSA,
5 mM glutamic acid, 5 mM fumaric acid, 5
mM pyruvic acid, pH 7.4) containing 2.8 mM
glucose for 15 min at 37 C, then incubated for 60 min in the presence
of various secretagogues, as indicated in the figure legends, with 0,
0.1, 1, or 10 ng/ml recombinant murine leptin (Tebu, Le Perray en
Yvelines, France). In some experiments, recombinant leptin from another
source (a kind gift of M. Chiesi, Novartis, Basel, Switzerland) was
used. Leptin from both sources were equally potent (data not shown).
Each incubation tube contained 10 islets, and each condition was run in
triplicate.
Insulin was assayed in the supernatant by RIA (Sanofi Diagnostic
Pasteur, Marnes la Coquette, France) using rat insulin as standard.
Perifusions
Batches of 50 rat islets were placed in Swinnex chambers
(Millipore, Molsheim, France) kept at 37 C and perifused for 1 h
with KRBB containing 2.8 mM glucose. Islets were then
challenged with KRBB containing 16.7 mM glucose + 0.1
mM 3-isobutyl 1-methylxanthine (IBMX) (Sigma) for 60 min,
followed by a 20-min perifusion with basal buffer. The effect of leptin
on stimulated insulin secretion was tested by adding 10 ng/ml murine
leptin to the perifusate, starting 5 min before the switch to the 16.7
mM glucose + 0.1 mM IBMX buffer. Effluent
perifusate was collected over an 80-min period at the times indicated
in Fig. 3
. Each condition was run in duplicate chambers.

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Figure 3. Effect of leptin on insulin secretion from
isolated Wistar rat islets in perifusions. Batches of 50 islets were
perifused for 1 h with KRBB containing 2.8 mM glucose,
then for 1 h with KRBB containing 16.7 mM glucose +
0.1 mM IBMX, starting at time 0. In experimental groups,
leptin (10 ng/ml) was added to perifusion buffer 5 min before beginning
of stimulation. Leptin significantly inhibited stimulated insulin
release (n = 5, P < 0.01 vs.
control).
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Expression of data and statistics
Data are presented as mean ± SE. Statistical
analysis of insulin secretion in perifusions was performed by comparing
the areas under the curves between leptin-treated and control islets
after subtraction of the basal level. Intergroup comparisons were
performed by Students t test or by Dunnetts t
test for multiple comparisons, when appropriate. P <
0.05 was considered significant.
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Results
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Identification of OB-R isoforms in isolated rat islets
Expression of three isoforms of OB-R was investigated by RT-PCR.
Using specific pairs of primers for OB-Ra, OB-Rb, and OB-Rf, three cDNA
fragments were amplified from rat islet total cDNA with expected mol
wts of 487, 370, and 390 bp, respectively (Fig. 1
). OB-Ra and OB-Rf were easily detected,
whereas the signal corresponding to OB-Rb was much less abundant.

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Figure 1. RT-PCR analysis of OB-Ra, OB-Rb, and OBR-f
expression in isolated Wistar rat islets. Total RNA from isolated
islets was reverse transcribed and PCR amplified as described in
Materials and Methods. Amplified products were resolved
on a 2%-agarose gel and stained with ethidium bromide.
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Effect of leptin on insulin secretion in islets from normal Wistar
rats
Batches of 10 islets isolated from normal Wistar rats were
incubated in either basal (2.8 mM glucose) or stimulating
(16.7 mM glucose + 0.1 mM IBMX) buffer for 60
min in the presence of increasing concentrations of leptin. The
presence of leptin in the incubation buffer did not significantly
change the amount of released insulin under basal conditions [139
± 50 (n = 6), 89 ± 36 (n = 3), 142 ± 94 (n
= 3), and 131 ± 66 (n = 4) µU/islet at 0, 0.1, 1, and 10
ng/ml, respectively]. In contrast, leptin inhibited insulin secretion
stimulated by glucose + IBMX with a maximal and statistically
significant effect observed at 10 ng/ml (Fig. 2
). At this concentration of leptin,
insulin secretion was 66 ± 15% of control (269 ± 61
vs. 404 ± 64 µU/islet, P < 0.05,
n = 4).

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Figure 2. Effect of leptin on insulin secretion from
isolated Wistar rat islets in static incubations. Batches of 10 islets
were incubated for 60 min in KRBB containing 2.8 or 16.7 mM
glucose + 0.1 mM IBMX in the presence of increasing leptin
concentrations. Leptin was added to buffer at beginning of incubation.
Data are presented as mean ± SEM of (n) individual
experiments. *, P < 0,05 vs.
insulin secretion in response to 16.7 mM glucose in absence
of leptin.
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To further substantiate these observations, Wistar rat islets were
perifused in the absence or in the presence of 10 ng/ml leptin (Fig. 3
). When islets were perifused with 16.7
mM glucose + 0.1 mM IBMX, the area under the
curve was 1122 ± 164 µUislets-1h. In the
presence of leptin, phasic insulin release in response to glucose +
IBMX was decreased to 69 ± 3% of control (769 ± 100
µU · islets-1h, n = 5, P <
0.01).
Finally, as shown in Fig. 4
, leptin (10
ng/ml) failed to inhibit insulin release in response to 16.7
mM glucose alone [321 ± 53 vs. 316
± 55 µU/islet, n = 4, not significant (NS)], 20 mM
KCl (93 ± 28 vs. 92 ± 26, n = 4, NS), or 10
mM ketoisocaproic acid (KIC) (152 ± 26 vs.
143 ± 34, n = 4, NS) in static incubations.

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Figure 4. Effect of leptin on insulin secretion from
isolated Wistar rat islets in static incubations. Batches of 10 islets
were incubated for 60 min in presence of 2.8 mM glucose,
16.7 mM glucose, 20 mM KCl, or 10
mM KIC, with or without 10 ng/ml leptin added to buffer at
beginning of incubation. Data are presented as mean ±
SEM of four experiments.
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Effect of leptin on insulin secretion in islets from normal CD1
mice
To determine whether species-related differences could account for
the variable effects of leptin reported in the literature, we
investigated the effect of leptin on insulin secretion in islets
isolated from normal mice in static incubations (Fig. 5
). As observed in rat islets, the
presence of 10 ng/ml leptin in the incubation buffer had no effect on
basal nor glucose alone-induced insulin secretion. In contrast, leptin
inhibited insulin secretion stimulated by 16.7 mM glucose +
0.1 mM IBMX by 31 ± 4% (382 ± 24
vs. 563 ± 52 µU/islet, n = 6, P
< 0.05).

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Figure 5. Effect of leptin on insulin secretion from
isolated CD1 mouse islets in static incubations. Batches of 10 islets
were incubated for 60 min in KRBB containing 2.8 mM
glucose, 16.7 mM glucose, or 16.7 mM glucose +
0.1 mM IBMX, in presence or absence of 10 ng/ml leptin
added to buffer at beginning of incubation. Data are presented as
mean ± SEM of six experiments. *,
P < 0,05 vs. insulin secretion in
absence of leptin.
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Effect of leptin on insulin secretion in islets from Zucker
rats
To verify the specificity of the inhibitory effect of leptin,
islets isolated from obese fa/fa and lean Fa/fa
Zucker rats were incubated in the presence or absence of 10 ng/ml
leptin. Glucose + IBMX-induced insulin secretion in the presence of
leptin was 70 ± 19% of control in islets from Zucker
Fa/fa rats (P < 0.01, n = 4, Table 1
), an effect of similar magnitude of
that observed in Wistar rats. In contrast, no effect of leptin was
observed in islets isolated from Zucker fa/fa rats (NS,
n = 4, Table 1
).
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Table 1. Effect of leptin on glucose-induced insulin
secretion in islets of lean (Fa/fa) or obese
(fa/fa) Zucker rats
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Discussion
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The present study was designed to investigate a direct effect of
leptin on insulin secretion in islets of Langerhans isolated from
normal rodents. We demonstrate that acute exposure of both rat and
mouse islets to concentrations of leptin within the physiological range
(10 ng/ml) does not alter basal insulin secretion nor insulin secretion
stimulated by glucose alone. These data are in agreement with the
observations of Leclercq-Meyer et al. (23) and
Leclercq-Meyer and Malaisse (24). In contrast, an inhibitory effect of
leptin was reported in islets from ob/ob mice (22, 28). This
could first be due to the higher concentrations of leptin used in these
studies. Alternatively, a different mechanism of regulation of insulin
secretion by leptin could occur in the mutant vs. normal
mice. Kieffer et al. (22) showed that the effect of leptin
in islets from ob/ob mice is mediated through activation of
the ATP-sensitive potassium channel of the ß-cell. Our data, showing
no effect of leptin on insulin secretion stimulated by glucose or KIC,
do not support this mechanism of action in normal rodents, although we
cannot exclude that KIC acts through a K-ATP channel-independent
pathway (35), or that the inhibitory effect of leptin is overpowered by
this nonglucose secretagogue. We show that leptin specifically inhibits
glucose + IBMX-stimulated insulin release. Given the well-known effect
of IBMX, which inhibits islet phoshodiesterases, our observations
suggest that the hormone decreases either the intracellular levels of
cAMP or its downstream effect on insulin secretion. This, together with
the lack of effect of leptin on KCl-stimulated secretion, suggests that
in normal rodents leptin does not act on the main pathway of coupling
between glucose and insulin release in the ß-cell, involving
activation of ATP-sensitive potassium channels, membrane
depolarization, and calcium entry through voltage-sensitive calcium
channels. Rather, we hypothesize that leptin decreases either the
intracellular levels of cAMP or its potentiating effect on this
pathway. Further studies are required to identify the molecular
mechanisms of leptin action. The lack of effect of leptin in islets
from fa/fa rats supports the hypothesis that functional
OB-Rs are required.
Our results indicate that OB-Ra and OB-Rb mRNAs are expressed in
isolated rat islets, in agreement with previous observations (22, 23).
In addition, we demonstrate for the first time that pancreatic rat
islets also express OB-Rf mRNA. However, the relative levels of
expression of the three isoforms of OB-R were not measured in the
present study. Which isoform of OB-R mediates leptin effects on
ß-cells is presently unknown. The lack of response in islets from
Zucker fa/fa does not allow for discriminating the
respective roles of these three isoforms, because the fa
mutation affects the extracellular domain common to all known OB-Rs
(4, 5, 6). OB-Ra and OB-Rf are two isoforms with short intracellular
domains, whereas OB-Rb is the long isoform thought to transduce leptin
signal through the JAK/STAT pathway. OB-Ra is commonly thought to be
devoid of a significant role in leptin signaling because it lacks the
intracellular domain responsible for signal transduction by OB-Rb
through the JAK/STAT pathway. However, the possibility that short
isoforms of OB-R could have signal transduction capacities through
different pathways cannot be excluded. Indeed, it was recently
demonstrated that leptin induces the expression of early genes in
Chinese hamster ovary (CHO) cells overexpressing OB-Ra (13).
Furthermore, mutational analysis of the cytoplasmic domain of OB-Rb
indicates that a truncated receptor is still able, although less
efficient, to activate STAT 5 (36). These observations support the
notion that the leptin receptors with short intracellular domains,
which are expressed in rat islets, are capable of signal transduction.
Finally, a modulatory effect of OB-Ra on OB-Rb function was recently
demonstrated (36), suggesting that the relative expression of OB-R
isoforms may be important for leptin signaling in islets.
In summary, this study uniquely demonstrates that leptin inhibits
glucose-induced insulin secretion potentiated by IBMX in islets
isolated from normal rodents. It is noteworthy that this was observed
at concentrations in the range of circulating leptin levels. Assuming
that circulating levels of leptin reflect the local concentration in
the pancreas, this finding strongly suggests that our in
vitro observations are physiologically relevant. Based on the
results obtained in ob/ob mice islets, Kieffer et
al. (22) hypothesized that leptin acts as a tonic inhibitor of
basal insulin release, and that this effect can be overcome after a
meal, when insulin secretion is potentiated by incretins. In contrast,
our results obtained in normal animals lead us to speculate that the
slight inhibitory effect of leptin on stimulated insulin secretion
under conditions of increased cAMP intracellular levels may represent a
brake avoiding insulin hypersecretion in response to meals. This effect
would be enhanced in overweight individuals with increased plasma
levels of leptin. It could therefore participate in the physiological
mechanisms preventing the development of frank obesity, before the
occurrence of confonding alterations, such as a putative resistance to
leptin.
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Acknowledgments
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We thank Dr. M. Chiesi for the gift of recombinant murine
leptin, and Drs. M. Sharon and P. Ferré for fruitful
comments.
Received September 22, 1997.
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