The leptin⅐leptin receptor (LR) system shows strong similarities to the long chain cytokine interleukin-6 (IL-6) and granulocyte colony-stimulating factor (G- Recessive homozygous mutations in the ob/ob and db/db mouse strains cause a complex syndrome principally characterized by extreme obesity. The products of the ob and db genes are leptin and its receptor, respectively (1, 2). The leptin receptor (LR) 3 is expressed in nuclei of the hypothalamus, which were identified previously as critical for energy homeostasis and regulation of food uptake. Leptin is a 16-kDa hormone that is secreted mainly by fat cells into the bloodstream. Administration of leptin to leptin-deficient ob/ob mice leads to rapid normalization of body weight. Under normal circumstances, circulating leptin levels are proportionate to the body fat mass. Sensing of elevated leptin by the hypothalamic neurocircuitry activates a negative feedback loop resulting in reduced food intake and increased energy expenditure. Decreased leptin concentrations lead to opposite effects. However, leptin is very pleiotropic and also influences, for instance, angiogenesis, blood pressure, hematopoiesis, bone formation, and immune and inflammatory responses (3, 4). Many of these effects are mediated by direct peripheral action of leptin, and expression of the LR is now well documented in many peripheral tissues (including ovary, liver, and adipose), hemopoietic precursors, and immune cells (5).CSFMature human leptin is secreted as a 146-amino acid protein, and its crystal structure (6) resembles the structures of four-␣-helix bundle cytokines (7). Leptin shows the highest structural similarity to granulocyte colony-stimulating factor (G-CSF) and cytokines of the interleukin-6 (IL-6) family, including IL-6, ciliary neurotrophic factor, and leukemia inhibitory factor (LIF) (8, 9). The LR is a member of the class I cytokine receptor family and has no intrinsic kinase activity, depending on cytoplasmic-associated Janus kinase (JAK)-2 for signaling. Extracellularly, different structural domains can be discerned. Two cytokine receptor homology (CRH) domains are separated by an Ig-like domain, followed by two membrane-proximal fibronectin type III domains. The membrane-proximal CRH domain (CRH2) was identified as the main high affinity binding site of the LR (10 -12), whereas the other CRH domain (CRH1) seems to be not essential for leptin binding and receptor activation (10,12). Although the Ig-like domain and the two fibronectin type III modules are not prerequisites for high affinity leptin binding (10), they are essential for LR activation (12, 13), but the underlying mechanism has not been fully resolved.Cytokines of the gp130 family typically interact with their receptor complex through three different binding sites (I-III) (14). The similar binding sites II and III have been found in G-CSF (15,16). The stoichiometry of the signaling complex differs between the G-CSF and IL-6 receptor systems. G-CSF is believed to form a 2:2 tetrameric complex with its receptor...