Endocrinology Vol. 141, No. 6 1955-1961
Copyright © 2000 by The Endocrine Society
Transcellular Transport of Leptin by the Short Leptin Receptor Isoform ObRa in Madin-Darby Canine Kidney Cells1
Stanley M. Hileman,
Jens Tornøe,
Jeffrey S. Flier and
Christian Bjørbæk
Department of Medicine, Division of Endocrinology and Metabolism,
Beth Israel Deaconess Medical Center and Harvard Medical School,
Boston, Massachusetts 02215
Address all correspondence and requests for reprints to: Christian Bjørbæk, 325 Research North, Beth Israel Deaconess Medical Center, 99 Brookline Avenue, Boston, Massachusetts 02215. E-mail: cbjorbae{at}caregroup.harvard.edu
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Abstract
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Leptin is an adipocyte-derived hormone that acts in specific regions of
the brain to regulate body weight and neuroendocrine function. The
mechanism by which leptin enters the brain is unknown. We previously
reported that rat brain microvessels, which constitute the blood-brain
barrier, contain large amounts of messenger RNA encoding a short form
of the leptin receptor (ObRa), suggesting that this site may be
important for receptor-mediated transport of leptin into the brain. The
purpose of this study was to determine whether ObRa is capable of
transcellular transport of intact leptin. A transwell system in which
Madin-Darby Canine Kidney (MDCK) cells stably expressing ObRa are grown
in a monolayer was used to determine receptor distribution on apical or
basolateral cell surfaces and the capacity for directional transport of
125I-leptin. Binding of 125I-leptin was greater
on the apical vs. the basolateral cell surface and
transport of 125I-leptin occurred only in the apical to
basolateral direction. 11% of transported radioactivity appearing in
the basolateral chamber represented intact leptin as assessed by TCA
precipitation analysis and by SDS-PAGE. Parental MDCK cells did not
express leptin receptors and did not bind or transport
125I-leptin. Epidermal growth factor (EGF) binding and
transport via endogenous EGF receptors in MDCK cells also was assessed.
In contrast to leptin, specific binding of 125I-EGF
occurred primarily on the basolateral cell surface and transport of
125I-EGF occurred predominantly in the basolateral to
apical direction. These data show that ObRa is preferentially targeted
to the apical cell membrane in MDCK cells and that leptin transport
occurs, albeit at a low rate, in a unidirectional manner in the apical
to basolateral direction. These findings may be relevant to the
putative role of ObRa in receptor-mediated transport of leptin from the
circulation into the brain.
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Introduction
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LEPTIN is an adipocyte-derived hormone that
acts on the brain to regulate food intake, energy expenditure and the
adaptation to starvation (1, 2, 3, 4). The critical nature of leptin for
normal regulation of body weight is demonstrated by the fact that a
lack of functional leptin results in extreme obesity in rodents (1) and
in humans (5). Several isoforms of the leptin receptor (ObR) exist due
to alternative messenger RNA (mRNA) splicing (6, 7). These splice
variants have identical extracellular domains, but differ in length and
sequence of their intracellular domains. ObRb, a long isoform with a
predicted 302 amino acid intracellular domain, is highly expressed in
the brain (6, 8, 9) and mediates the effects of leptin on several
hypothalamic neural systems. Absence of functional ObRb leads to severe
obesity in both rodents and humans (10, 11).
Most cases of human obesity, however, are not characterized by reduced
levels of functional leptin or by mutations in the gene encoding the
leptin receptor. Instead, obesity in both rodents and humans is usually
associated with high levels of circulating leptin (12, 13, 14), indicating
that subjects develop "resistance" to the anorectic effects of the
hormone. Potential mechanisms for leptin resistance include defects in
leptin-induced signal transduction in neurons expressing ObRb or
defects in transport of leptin into the brain. Consistent with the
latter possibility are data showing that obesity in rats and in humans
(15, 16) is associated with a decrease in the cerebrospinal fluid
(CSF)/serum leptin ratio. Furthermore, some mouse models of obesity
that are resistant to peripheral leptin administration respond to
leptin delivered directly into the CSF (17, 18).
Leptin has been shown to enter the brain in a specific and saturable
manner (19), but the mechanism whereby this occurs is unknown. Brain
microvessels and the choroid plexus constitute the blood-brain barrier
and blood-CSF barrier (20), respectively, and specific leptin binding
has been demonstrated at both sites (6, 21). We recently have shown
that purified rat brain microvessels contain high amounts of messenger
RNA (mRNA) encoding a short leptin receptor isoform, ObRa (22), which
has a predicted 34 amino acid intracellular domain. Collectively, these
findings raise the possibility that ObRa is involved in transport of
leptin from the circulation into the brain. The purpose of this study
was to determine whether ObRa is capable of transcellular transport of
leptin in a cell-based model. We stably expressed ObRa in Madin-Darby
Canine Kidney (MDCK) cells, a cell type which exhibits polarity when
cultured on a substratum (23, 24, 25) and forms functionally distinct
plasma membrane domains separated by tight junctions (26). Our findings
demonstrate that ObRa is targeted to apical membranes and is capable of
unidirectional transport of intact leptin across polarized MDCK cells.
These findings support the idea that ObRa may function as a
transcellular transporter of leptin from the circulation into the brain
at the blood-brain barrier.
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Materials and Methods
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Materials
Recombinant mouse leptin was obtained from Eli Lilly & Co. (Indianapolis, IN). All reagents for cell culture and
transfection were purchased from Life Technologies, Inc.
(Gaithersburg, MD). 125I-Leptin and
125I-EGF were obtained from NEN Life Science Products Life Science Products (Boston, MA).
3H-inulin was obtained from Amersham Pharmacia Biotech (Piscataway, NJ). MDCK cells (strain NBL-2)
were obtained from the American Type Culture Collection
(Rockville, MD).
Stable cell lines
ObRa complementary DNA (cDNA) was cloned as described
previously (27). Due to a low amount of inherent zeomycin
resistance in MDCK cells, ObRa cDNA was subcloned from the original
pcDNA3.1Zeo(-) vector into a pcDNA3.1(-) vector
(Invitrogen, Carlsbad, CA) which conferred neomycin
resistance to stably transfected cells, using standard subcloning
techniques. Transfection of MDCK cells was performed using the
LipofectAMINE system (Life Technologies, Inc.,
Gaithersburg, MD) according to instructions from the manufacturer.
After allowing 48 h for protein expression, cells were split 1:10
or 1:30 into neomycin-containing growth media (Geneticin, 900 µg/ml).
MDCK cells were grown in growth media until colonies of 2- to 3-mm in
diameter were evident. Several independent clones expressing ObRa were
identified by trypsinizing single colonies using cloning cylinders
(Becton-Dickson, Lincoln Park, NJ), followed by individual transfer to
6-well dishes. When a sufficient cell number had been reached, each
clone was assayed for 125I-leptin binding. Stable
MDCK cell lines expressing the Box-1 mutant of ObRa (27) were also
generated.
Cell culture
Stock cells were grown in 10 cm dishes (Becton Dickinson and Co., Lincoln Park, NJ) containing 10 ml of DMEM supplemented
with FCS (final concentration of 10%), 100 U/ml of penicillin and 10
µg/ml of streptomycin at 37 C and 5%CO2. For
both binding and transport studies, cells were plated onto 1
cm2, 0.45 µm polycarbonate filters in sterile
plastic inserts which fit into plastic, premounted transwell system
chambers (Costar, Cambridge, MA). This resulted in an
upper and a lower chamber which allowed access to either the apical or
basolateral surface of the cells. Cell confluence was assessed by
measuring electrical resistance across the cell monolayer with an
Epithelial Voltohmmeter (World Precision Instruments, Sarasota, FL). In
addition, the relationship between electrical resistance and diffusion
of inert 3H-inulin across the cell monolayer was
assessed. Based on results from these studies, binding and transport
assays were performed when a consistent electrical resistance
measurement of more than 150 ohms was obtained, usually on day 4 or 5
after plating of the cells into the transwell system.
Binding assays
To assess ObRa or EGF receptor expression on either the apical
or basolateral cell surface, binding assays were carried out using
either 125I-leptin and ObRa transfected cells or
125I-EGF and parental MDCK cells. Binding of
125I-leptin or 125I-EGF was
carried out at 4 C in transport buffer (HBSS + 0.1% BSA) to minimize
endocytosis and intracellular processing of hormones. Cells were washed
3x with ice cold transport buffer and then incubated with 100,000
cpm/ml 125I-leptin or
125I-EGF added to either the apical chamber (0.5
ml) or basolateral chamber (1.5 ml) for 4 h. To differentiate cpm
bound from nonspecific, background binding, tracer binding was
performed in the presence or absence of excess, unlabeled leptin or EGF
(final concentration of 100 nM). After incubation,
membranes were washed 3x in ice cold transport buffer, excised from
their support with a scalpel and counted using a
counter. The
number of cpm bound above background was defined as [Total cpm
bound-cpm bound in the presence of excess, unlabeled hormone].
Transport assays
MDCK cells were plated on membranes in triplicate at a starting
confluence of about 30%. After reaching confluence and high electrical
resistance, cells were washed 3x with transport buffer after which
radiolabeled hormone was added to either the apical or the basolateral
chamber. Radiolabeled tracer appearing in the contralateral (CL)
chamber was assessed by collecting 50-µl samples at various time
points and counting in a
counter. Sample media was replaced with an
equal volume of fresh media at the time of sample removal. Assays were
carried out at 37 C in 5% CO2. Leptin and EGF
transport were evaluated by adding 100,000 cpm/ml
125I-leptin or 125I-EGF to
either the apical or basolateral chamber in the presence or absence of
excess, unlabeled leptin or EGF. We also used 106
cpm/ml of 3H-inulin to determine the rate of
nonspecific diffusion through the MDCK cell monolayer. Percent diffused
cpm (inulin) or transported cpm (leptin or EGF) was defined as [Total
cpm appearing in CL chamber/cpm radiolabeled ligand added per ml
media] x100.
Degradation analysis
To determine the degree to which transported cpm represented
intact leptin or EGF, trichloroacetic acid (TCA) precipitation was
performed on media collected from chambers contralateral to those to
which radiolabeled ligand was added. Eight hundred microliters of media
were collected from each chamber into 12 x 75 mm polypropylene
tubes. BSA was added to each tube to a final concentration of 0.5%.
800 µl of 10% TCA was added and tubes were incubated on ice for
1 h. This was followed by centrifugation at 4,000x g
for 30 min at 4 C. Because TCA precipitation may result in nonspecific
trapping and coprecipitation, the initial supernatant was collected and
the process repeated on the pelleted fraction with 800 µl of fresh
TCA to give a more accurate assessment of intact leptin. Radioactivity
present in both fractions was counted in a
counter. The percent of
intact hormone was calculated as [cpm pellet/combined cpm of both
supernatant fractions + cpm pellet] x 100. Controls consisted of
duplicate samples taken from the radiolabeled hormone stock. To further
affirm that intact leptin was indeed present in the transported media,
proteins in 4 ml of media from the CL chamber were first concentrated
on Centricon concentrators (Amicon, Beverly, MA). The concentrate was
then counted in a
counter and proteins were resolved by 15%
SDS-PAGE. An equal number of cpm from the
125I-leptin stock solution were analyzed in
parallel. Gels were then fixed, dried, and finally exposed to a
PhosphorImager cassette (Molecular Dynamics, Inc.,
Sunnyvale, CA).
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Results
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To study transport capabilities of the ObRa short isoform of the
leptin receptor, we used MDCK cells, which form functionally distinct
plasma membrane domains and tight junctions (23, 24, 25, 26). Due to these
properties, MDCK cells have been widely used as a model system for
receptor-mediated transcellular transport of ligands (28, 29, 30). To first
demonstrate generation of tight junctions, we plated MDCK cells at
subconfluent densities in a transwell system and measured diffusion of
inert 3H-inulin between these two chambers. At 4
days after plating, we found a marked decrease in the rate of
appearance of radioactivity in the opposite chamber to which
3H-inulin was added (Fig. 1A
). At this time, the diffusion rate was
more than 100-fold slower than the rate measured in chambers without
cells (Fig. 1A
). The decrease in diffusion after day 3 was correlated
with an increase in electrical resistance between the two chambers
(Fig. 1B
). Based on these studies, subsequent leptin and EGF transport
experiments were performed after consistent presence of an electrical
resistance between the two chambers of at least 150 ohm. Similar
electrical measurements have been used by others to determine the
presence of tight junctions between MDCK cells grown in dual-chamber
systems (31, 32).
To determine whether ObRa was capable of mediating transcellular leptin
transport, we generated MDCK cells which stably expressed ObRa (see
Materials and Methods). Vectorial transport of
125I-leptin then was assessed in MDCK-ObRa cells
grown in the dual chamber system. We found that transport of cpm
following addition of 125I-leptin (Fig. 2
, top) occurred primarily in
the apical to basolateral direction and that this transport was
markedly reduced by addition of excess, unlabeled leptin. In contrast,
little radioactivity was detected in the apical chamber following
addition of 125I-leptin to the basolateral
chamber, and these levels were not affected by the addition of excess,
unlabeled leptin suggesting that these low rates likely were due to
passive diffusion.

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Figure 2. ObRa has the capacity to mediate transcellular
transport of leptin in MDCK cells. Transcellular transport of cpm
following addition of 125I-leptin in the absence or
presence of excess, unlabeled leptin (100 nM) either from
the apical to basolateral (A to B) direction or from the B to A
direction was assessed for MDCK cells stably expressing ObRa
(upper panel) or in nontransfected MDCK cells
(bottom panel). Percent transported is calculated as
described in Materials and Methods. Three separate
transport assays were performed, each in triplicate. Shown here are the
results of one representative assay. Values represent the mean ±
SD.
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To determine whether parental MDCK cells are inherently capable of
transporting leptin, we assessed transport of
125I-leptin in MDCK cells which were not
transfected with ObRa cDNA (Fig. 2
, bottom). The percentage
of cpm transported after addition of 125I-leptin
in either the apical to basolateral or basolateral to apical direction
was less than 1.0% after 5 h, which is similar to the nonspecific
diffusion observed for the MDCK-ObRa cells. Furthermore, this amount
was not affected by the addition of excess, unlabeled leptin,
altogether suggesting that no specific transport had occurred. Similar
findings were obtained using cells transfected with empty plasmid
vector (data not shown).
Because MDCK cells exhibit differentiated plasma membranes when grown
on a substratum, we next tested whether the expression of ObRa might be
polarized to either the apical or basolateral cell surfaces (Fig. 3
, top). By measuring binding
of 125I-leptin at 4 C to MDCK-ObRa cells, we
found that ObRa was expressed primarily on the surface of the apical
plasma membrane compared with the basolateral side (
8-fold higher).
This result is consistent with the above results showing vectorial
transport of cpm following addition of
125I-leptin in the apical to basolateral
direction. We did not detect any 125I-leptin
binding to either membrane side of parental MDCK cells (Fig. 3
, bottom), suggesting that these cells do not express leptin
receptors on either cell surface, consistent with the lack of cpm
transport following addition of 125I-leptin in
nontransfected MDCK cells reported above.

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Figure 3. ObRa is targeted to the apical membrane in MDCK
cells grown in a transwell system. Membrane targeting of receptors was
assessed for MDCK cells either stably expressing ObRa (upper
panel) or in nontransfected MDCK cells (bottom
panel) by addition of 125I-leptin to either the
apical or the basolateral chamber in the presence or absence of excess,
cold leptin at 4 C for 4 h. Cells were then washed and
counted in a counter. The number of cpm bound was calculated as
described in Materials and Methods. Values represent the
mean ± SD of three measurements.
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To determine the amount of transported radioactivity which represented
intact 125I-leptin, we first performed TCA
precipitation analysis on media taken from basolateral chambers 24
h following the addition of 125I-leptin to the
apical chamber. We found that 10.9 ± 1.1% of the transported cpm
was precipitated by TCA. As expected almost all (93.7 ± 0.5%) of
the radioactivity in the stock 125I-leptin
solution was precipitated by TCA. We next characterized the transported
125I-leptin by SDS-PAGE. To avoid salts and acid
from the TCA precipitation, and to reduce the volume of the sample, we
concentrated the transported cpm using Centricon concentrators. The
percentage of cpm that were retained in the concentrate was 22.0
± 0.4%. Resolution of concentrated transport media by SDS-PAGE
demonstrated the presence of fully intact leptin with the expected
molecular weight of 16K, equal to the size of the stock
125I-leptin sample (Fig. 4
). Only one band was observed for both
the transport media sample and stock leptin solution and quantitation
by PhosphoImager analysis showed the two bands to be of a similar
density. Since similar cpm of stock 125I-leptin
sample and concentrated transport media sample were loaded onto the
gel, this finding would suggest that the vast majority of radioactivity
in the transport media concentrate represents intact leptin.
Collectively, these results show that although the majority of the
transported cpm represented partially or completely degraded leptin, a
significant fraction (at least 10%) also represented intact leptin,
and demonstrates that ObRa has the capability to mediate transport of
fully intact leptin.

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Figure 4. Presence of intact leptin in transport media.
MDCK-ObRa cells were grown in the transwell system and 100,000 cpm of
125I-leptin added to the apical chamber for 24 h. The
media in the basolateral chamber was then collected and concentrated in
a centricon column. After counting in a counter, the sample was
resolved by 15% SDS-PAGE. An equal number of cpm from the
125I-leptin stock solution was also loaded on the gel.
Shown is an autoradiogram of the dried gel. This experiment was done
twice with similar results.
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All membrane-bound leptin receptor isoforms, including ObRa, contain a
Box-1 sequence in their intracellular domains. This motif is highly
conserved among members of the class 1 cytokine receptor superfamily
(33) and we have previously shown that the Box-1 sequence is required
for activation of JAK2 by ObRa in transfected cell lines (27). To
determine whether this motif plays a role in transcellular transport of
leptin in this system, we assessed transport of
125I-leptin in MDCK cells stably expressing
either ObRa or ObRa with a mutated Box-1 sequence (MDCK-ObRa-Box1). For
this purpose, we used MDCK clones of ObRa and ObRa-Box1 that exhibited
similar apical receptor expression, based on
125I-leptin binding assays (data not shown).
Transport of 125I-leptin from the apical to the
basolateral chamber in the MDCK clone expressing wild-type ObRa (Fig. 5
, top) was approximately 2% after
21 h of incubation, which was reduced to less than 0.5% by
addition of excess, unlabeled leptin. The results for
125I-leptin transport in MDCK-ObRa-Box1 cells
(Fig. 5
, bottom) were similar to those obtained for the
MDCK-ObRa cells, i.e. at 21 h of incubation, transport
of leptin was approximately 2% and this was reduced to about 0.6% by
addition of excess, unlabeled leptin. Consistent with these
observations and as shown for wild-type ObRa, we found that ObRa-Box-1
receptors are primarily expressed on the apical cell surface using
125I-leptin binding assays at 4 C (data not
shown). Collectively, these results show that the Box-1 motif is not
required for either proper targeting of ObRa to apical membranes or for
receptor-mediated transport of leptin by ObRa in this system.

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Figure 5. The Box-1 motif in ObRa is not required for
transport of leptin across MDCK cells. Transcellular transport of cpm
following addition of 125I-leptin in the apical to
basolateral direction (A to B) in the presence or absence of excess,
unlabeled leptin (100 nM) in MDCK cells stably expressing
ObRa (top panel) or in MDCK cells stably expressing ObRa
containing a mutated Box-1 sequence (bottom panel).
Percent transported is defined as described in Materials and
Methods. Values represent the mean ± SD of
three measurements.
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For comparative purposes, we also assessed transport of EGF in MDCK
cells. Unlike leptin, specific transport of cpm following addition of
125I-EGF occurred primarily in the basolateral to
apical direction with little transport in the apical to basolateral
direction (Fig. 6A
). Consistent with this
finding, there was a 30-fold higher expression of
125I-EGF binding sites on the basolateral
membrane compared with the apical cell surface (Fig. 6B
). These results
are consistent with previous results reported by Maratos-Flier and
colleagues (28). Finally, we determined the amount of radioactivity
following transport that represented intact
125I-EGF by TCA-precipitation of media
collected from the apical chamber. We found that intact EGF represented
30.5 ± 2.5% of transported cpm.

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Figure 6. A, EGF receptors localize to the basolateral
membrane and 125I-EGF is transported from the basolateral
to apical direction in MDCK cells. A, Transcellular transport of cpm
following addition of I125-EGF in parental MDCK cells
either from the apical to basolateral (A to B) direction or from the B
to A direction in the absence or presence of excess, unlabeled EGF (100
nM). Percent transported is calculated as described in
Materials and Methods. B, Number of cpm
I125-EGF bound to either the apical or basolateral surface
of nontransfected MDCK cells. 125I-EGF was added to either
the apical or the basolateral chamber for 4 h at 4 C. Cells were
then washed and counted in a counter. Number of cpm bound is
defined as described in Materials and Methods. Values
represent the mean ± SD of three measurements.
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Discussion
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Our study shows for the first time that ObRa is preferentially
targeted to the apical membrane in a polarized cell model and that this
short form of the leptin receptor is capable of mediating transcellular
transport of intact leptin. Furthermore, this transport is
unidirectional and specific as movement of leptin occurred almost
exclusively from the apical chamber to the basolateral chamber and was
blocked by the addition of excess unlabeled hormone. These results are
opposite to those obtained for EGF in the same cell system. EGF binding
occurred principally at the basolateral cell surface, and specific
transport was primarily from the basolateral to the apical chamber,
findings that are consistent with the previous work of Maratos-Flier
et al. (28). Altogether, our data are consistent with the
idea that ObRa proteins expressed at the blood-brain barrier may
act as transporters of leptin from the peripheral circulation into
the brain.
Consistent with leptin transport occurring mainly from the apical to
basolateral chamber, we found that binding of leptin was about 8-fold
higher for the apical cell surface than the basolateral cell surface,
suggesting that ObRa is preferentially targeted to the apical membrane
in this polarized cell model. Because the basolateral cell surface area
of MDCK cells is 4 to 7 times greater than the apical membrane area
(34) the concentration of receptors on the apical membrane may actually
be 30- to 50-fold higher than that of the basolateral cell membrane.
This suggests that the ObRa isoform of the leptin receptor may contain
a signal that results in specific sorting to the apical membrane.
Similarly, data regarding EGF receptor expression, even after
correction for the greater surface area of the apical membrane,
indicates that this protein also may contain a sorting signal. However,
in contrast to ObRa, this putative signal directs expression of the EGF
receptor to the basolateral membrane. Collectively, these data
significantly extend our previous observation that ObRa mRNA is
abundantly expressed in brain microvessels and choroid plexus (22) and
the finding of leptin binding to membranes of isolated human brain
microvessels (21). Clearly, further studies are required to directly
demonstrate in vivo transport of leptin into the brain via
ObRa.
Several studies have shown that proteins expressed in MDCK cells have a
similar pattern of polarized expression as seen in vivo
(35, 36, 37). Therefore, if ObRa is expressed in apical membranes of brain
microvessel endothelial cells, which face the bloodstream, ObRa is well
positioned to mediate transport of leptin from the circulation into the
brain parenchyma. Leptin would then reach ObRb-containing neurons by
diffusion and activate intracellular signal transduction. These
findings also suggest that ObRa expression in the choroid plexus, where
the apical membrane faces the CSF (20), could serve to mediate leptin
clearance from the CSF and the central nervous system. Further studies
will be necessary to investigate this possibility.
The endocytic pathway by which the leptin-ObRa complex transverses the
MDCK cell monolayer is unknown, but may involve several steps including
internalization, degradation, recycling or transcytosis of the ligand
and/or the receptor itself. Based on our TCA precipitation data, it
appears that the majority of leptin that appears in the basolateral
chamber after internalization is partially or completely degraded. This
result is consistent with our earlier data showing that ObRa mediates
internalization and degradation of leptin via a lysosomal mechanism in
CHO cells (38). The fate of receptor bound ligand may depend upon cell
type, as suggested by the observation that insulin is largely degraded
by adipocytes, but not by endothelial cells (39, 40). Importantly, the
present experiments were performed in cells that are derived from the
canine kidney. As the kidney serves as a major site of leptin removal
and degradation (41, 42, 43) and kidneys express high amounts of ObRa (44),
these results suggest that ObRa may play a role in receptor-mediated
degradation of leptin at this site in vivo. It might be
predicted, then, that a decrease in degradation would result in
increased transport of the intact protein. While this is unknown with
regard to leptin, in MDCK cells transfected with insulin receptors,
inhibiting degradation by the addition of the sulfhydryl alkylating
agent N-ethylmaleimide increases the percentage, but not the
amount, of intact insulin that is transported (45). We would suggest
that leptin may be largely transported as an intact protein across
endothelial cells that constitute the blood-brain barrier, while being
mostly degraded in the kidney and possibly the choroid plexus. Testing
this idea will require assessment of leptin transport in a brain
endothelial cell-derived cell line. Nonetheless, a small but
significant percentage of leptin was transported in an intact form in
our study suggesting that, even in MDCK cells, ObRa possess the
capability to mediate transcellular transport of intact leptin.
In summary, we have shown that ObRa is preferentially targeted to the
apical cell surface of MDCK cells and can mediate transcellular
transport of intact leptin across polarized epithelial cells. These
data are supportive of the concept that ObRa mediates passage of leptin
across the cerebral microvessels that constitute the blood-brain
barrier. Furthermore, deficits in ObRa function at this site could
result in leptin resistance. Additional studies are needed to determine
whether ObRa function is altered in obesity, which is characterized by
peripheral leptin resistance.
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Footnotes
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1 This work was supported by National Institutes of Health Grant
DK-R3728062 and a grant from Lilly (to J.S.F.) and the Danish
Research Academy (J.T.). 
Received October 7, 1999.
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