Research has shown that the synergistic interaction between vagal cholecystokinin-A receptors (CCKARs) and leptin receptors (LRbs) mediates short term satiety. We hypothesize that this synergistic interaction is mediated by cross-talk between signaling cascades used by CCKARs and LRbs, which, in turn, activates closure of K Ű channels, leading to membrane depolar- Leptin, the product of the ob gene, is secreted primarily from white adipocyte tissue; its level in the circulation correlates with the degree of adiposity (1, 2). Circulating leptin crosses the blood-brain barrier via a receptor-mediated transport system (3, 4) and acts on the long form of the leptin receptor (LRb) 2 in the medial hypothalamus to regulate feeding behavior and energy balance (5). Leptin is secreted from several other sites, including the gastric mucosa, brown adipocyte tissue, placenta, mammary gland, ovarian follicles, and brain (5, 6). Leptin mRNA and leptin protein have also been detected in human stomach mucosa (7) and rat gastric fundus (8). Leptin levels in the stomach are altered by nutritional state and by cholecystokinin (CCK) administration. CCK is not, however, a stimulus for leptin release from isolated adipocytes (8). Leptin is the key signaling molecule responsible for long term satiety and energy balance; mutations that cause defective leptin secretion or abnormal leptin receptor signaling result in obesity in ob/ob mice (9, 10) and in humans (11). The leptin receptor belongs to the IL-6 receptor family of class 1 cytokine receptors and mediates the biological effects of leptin via the Janus kinase 2-signal transducer and activator of transcription 3 (JAK2/STAT3) pathway (12-14). Several splice variants of the leptin receptor exist; however, the LRb isoform mediates the leptin effect on satiety (4). CCK is an endogenous peptide found in the gastrointestinal tract and the brain. It is released into the circulation after a meal and acts on neurons both centrally and peripherally (15). The satiety action of CCK appears to be mediated by low affinity CCK-A receptors (CCKARs) on vagal afferent neurons (16). Systemic administration of CCK inhibits food intake in several species, including rats and humans (17), giving credence to the hypothesis that peripheral CCK acts as a satiety signal. CCK cannot penetrate the blood-brain barrier; therefore, systemically administered CCK likely acts at a peripheral site to inhibit feeding (18). In contrast to leptin, the effect of CCK on food intake occurs within 15 min after intraperitoneal administration of CCK-8, suggesting that CCK may act as a meal-related short term satiety signal (19,20).Both CCKARs and LRbs are widely distributed in nodose ganglia (NG) and the vagus nerve (21,22). There is evidence that a synergistic interaction between leptin and CCK leads to the reduction of short term food intake (23)(24)(25). In fact, the satiety action of CCK appears to depend on leptin signaling (26). Currently, the intracellular signaling mechanisms responsible for the synergistic interacti...