Increased fat mass, abdominal adiposity, and insulin resistance are typical findings in aging mammals and are frequently associated with leptin resistance and increased plasma leptin levels. To examine whether leptin's failure in aging is due to aging per se or to changes in body fat mass or distribution, we studied aging rats that underwent calorie restriction throughout their lives, maintaining their youthful body fat pattern and metabolic profile. Leptin's action was assessed by measuring its ability to regulate food intake, fat mass and its distribution, peripheral and hepatic insulin action, and its own gene expression in fat. Our results show that leptin's action is markedly diminished in aging rats, independently of their body fat pattern. Leptin's failure in this model suggests its causative role in the metabolic decline seen with aging. Diabetes 51: 1016 -1021, 2002 A ging is associated with a metabolic decline characterized by the development of changes in fat distribution, obesity, and insulin resistance (1-3). All these metabolic alterations are associated with a variety of age-related diseases that subsequently result in increased mortality (4 -9). It has been recently demonstrated that leptin, a 16-kDa fat-derived peptide, can modulate many of the metabolic alterations characteristic of aging (10 -12). Chronic administration of leptin decreases food intake and induces reduction in fat mass (FM) and visceral fat (VF), with a parallel significant improvement in hepatic and peripheral insulin action (10 -14). This finding suggests that alterations in leptin action may play a role in the metabolic phenotype of aging. Indeed, the dramatic increase in plasma leptin levels in aging animal models and in humans suggests a leptinresistant state (15-18). Although the increase in plasma leptin concentration in aging may be partially attributed to the development of obesity (which is associated with leptin resistance [19]), the increase in plasma leptin level during aging is often disproportionate to the increase in the amount of fat (16 -19). We therefore hypothesize that aging per se is associated with a failure in leptin's action, independent of obesity or changes in body fat distribution. Thus, leptin resistance of aging may represent a perpetuating factor in developing and maintaining obesity and its clinical consequences.Because aging is frequently associated with obesity, it is difficult to identify whether leptin failure is due to obesity, the process of aging per se, or both. To overcome this difficulty, we used caloric restriction throughout aging in a rodent model and prevented the typical age-related changes in body composition. We reasoned that aging rats would remain leptin resistant even when kept relatively lean and "metabolically young" by calorie restriction.
RESEARCH DESIGN AND METHODS
Animals.A total of 36 male Sprague-Dawley rats (Charles River Laboratories, Wilmington, MA) were housed in individual cages and subjected to a standard light (6:00 A.M. to 6:00 P.M) to dark (6:00 P.M. to 6:0...