To assess the importance of the sympathetic nervous system in regulating body weight during prolonged leptin infusion, we evaluated food intake, body weight, and physical activity in conscious, unrestrained rats. Initial studies illustrated that prolonged intracerebroventricular (ICV) infusion of leptin enhanced substrate oxidation so that adipose tissue lipid stores were completely ablated, and muscle triglyceride and liver glycogen stores were depleted. After neonatal chemical sympathectomy, changes in weight and food intake were compared in groups of sympathectomized (SYM) and control (CON) adult animals during ICV infusion of leptin. CON animals lost 60 Ϯ 9 g over 10 days vs. 25 Ϯ 3 g in the SYM animals when food intake was matched between the two groups. Greater weight loss despite similar energy intake points to an important role of the sympathetic nervous system in stimulating energy expenditure during ICV leptin infusion by increasing the resting metabolic rate, since no differences in physical activity were observed between CON and SYM groups. In conclusion, activation of the SNS by leptin increases energy expenditure by augmenting the resting metabolic rate. lipid oxidation; sympathetic nervous system; intracerebroventricular ADMINISTRATION OF LEPTIN in normal rodents activates the ventromedial hypothalamus, resulting in both anorexia and increased sympathetic stimulation of peripheral tissues (7,19,42). Seminal studies indicate that leptin infusion enhances daily energy expenditure in food-restricted animals by preventing circadian decreases in resting energy expenditure that are normally observed during the first few hours of the light cycle (14,22,39,51,52). It is postulated that this effect is mediated via disinhibition of sympathetically mediated thermogenesis (14). On the other hand, fatty (fa/ fa) rats with a mutation in the gene encoding the long form of the leptin receptor that disrupts intracellular signaling events (11,24,25,44,55,56) develop profound obesity that is linked to impaired sympathetic regulation of peripheral metabolism (33,34,37).Despite the straightforward results obtained in the animal models just cited, questions remain regarding the role that sympathetic activation plays in regulating body weight. Decreased sympathetic activity is associated with weight gain in rodent models of obesity, but muscle sympathetic nerve activity measured by direct recordings obtained from the peroneal nerve is increased in obese human subjects (49, 50). Furthermore, peripheral sympathetic nerve terminals have been destroyed in rats by triggering an immune-mediated response with repeated injections of guanethidine or 6-hydroxydopamine (27)(28)(29). Surprisingly, chemically sympathectomized rats do not gain more weight than untreated littermates, even when challenged with a high-fat diet (27,29,35,45). Given the complex nature of the multiple processes controlling energy balance, it is likely that additional mechanisms are triggered that compensate for the loss of peripheral sympathetic nerves. If...