Levy, James R., and Wayne Stevens. Plasma hyperosmolality stimulates leptin secretion acutely by a vasopressin-adrenal mechanism. Am J Physiol Endocrinol Metab 287: E263-E268, 2004. First published April 6, 2004; 10.1152/ajpendo.00514.2003.-Glucose administration to rodents acutely stimulates leptin secretion. To investigate the mechanism, rats were infused intravenously with various concentrations of glucose, and plasma leptin concentrations were measured with time. The osmolality of the infusates was equalized with various concentrations of carbohydrates that are not metabolized. Hyperosmolar glucose stimulates leptin secretion in a dose-dependent manner, with peak plasma leptin concentrations occurring ϳ3 h after the end of the glucose infusion. Hypertonic infusions of galactose, mannitol, and sodium chloride independently stimulate leptin secretion with approximately one-half the strength of equivalent osmolar concentrations of glucose. Peak plasma leptin concentrations occur ϳ4 h after the end of the hypertonic solution infusion. Hypertonic solutions of mannitol do not stimulate leptin secretion in vasopressindeficient or in adrenalectomized animals. In conclusion, intravenous infusions of hypertonic glucose and hypertonic mannitol independently stimulate leptin secretion. Hyperosmolality stimulates leptin secretion by a vasopressin-adrenal mechanism.LEPTIN IS A HORMONE SECRETED by adipocytes that has pleiotropic functions, including roles in body weight homeostasis, satiety, metabolism, reproduction, and angiogenesis (for review, see Ref. 1). The mechanisms of leptin secretion from adipocytes have been intensively studied. A number of factors, hormones, and conditions regulate leptin secretion. Fasting plasma leptin concentrations are mostly determined by body fat content; numerous investigations have demonstrated that both leptin mRNA and plasma leptin concentrations obtained from animals and humans after an overnight fast are directly proportional to measurements of body fat (6,18,19,27). In addition, leptin secretion is regulated by body fat-independent mechanisms. In rodents and humans, plasma leptin concentration has a diurnal variation that most likely is entrained to meals (4, 23). In the rodent, enteral feeding (26) or the intravenous infusion of total parenteral nutrition or glucose alone (15, 16) causes a rise in plasma leptin concentration ϳ3 h after the calorie bolus. The rise in insulin and the transport and metabolism of energyproducing substrates in adipocytes appear to stimulate postprandial leptin secretion (17,20).We previously showed that leptin secretion from cultured adipocytes was proportional to the uptake and metabolism of glucose and to the intra-adipocyte concentrations of ATP (14). We wanted to determine whether the previous studies in cultured adipocytes could be extended to studies in whole animals. We hypothesized that the intravenous infusion of increasing concentrations of glucose would increase delivery and metabolism of glucose in adipose tissue and acutely increase leptin...