LL. Leptin resistance and desensitization of hypophagia during prolonged inflammatory challenge. Am J Physiol Endocrinol Metab 300: E858-E869, 2011. First published February 22, 2011 doi:10.1152/ajpendo.00558.2010.-Acute exposure to bacterial lipopolysaccharide (LPS) is a potent inducer of immune response as well as hypophagia. Nevertheless, desensitization of responses to LPS occurs during long-term exposure to endotoxin. We induced endotoxin tolerance, injecting repeated (6LPS) LPS doses compared with single (1LPS) treatment. 1LPS, but not 6LPS group, showed decreased food intake and body weight, which was associated with an increased plasma leptin and higher mRNA expression of OB-Rb, MC4R, and SOCS3 in the hypothalamus. Hypophagia induced by 1LPS was associated with lower levels of 2-arachidonoylglycerol (2-AG), increased number of p-STAT3 neurons, and decreased AMPactivated protein kinase (AMPK) activity. Desensitization of hypophagia in the 6LPS group was related to high 2-AG, with no changes in p-STAT3 or increased p-AMPK. Leptin decreased food intake, body weight, 2-AG levels, and AMPK activity and enhanced p-STAT3 in control rats. However, leptin had no effects on 2-AG, p-STAT3, or p-AMPK in the 1LPS and 6LPS groups. Rats treated with HFD to induce leptin resistance showed neither hypophagia nor changes in p-STAT3 after 1LPS, suggesting that leptin and LPS recruit a common signaling pathway in the hypothalamus to modulate food intake reduction. Desensitization of hypophagia in response to repeated exposure to endotoxin is related to an inability of leptin to inhibit AMPK phosphorylation and 2-AG production and activate STAT3. SOCS3 is unlikely to underlie this resistance to leptin signaling in the endotoxin tolerance. The present model of prolonged inflammatory challenge may contribute to further investigations on mechanisms of leptin resistance. lipopolysaccharide tolerance; leptin signaling; adenosine 5=-monophosphate-activated protein kinase; phosphorylated signal transducer and activator of transcription 3; 2-arachidonoyl glycerol DEPRESSED APPETITE AND WEIGHT LOSS have been found to be acutely induced by bacterial endotoxins, such as lipopolysaccharide (LPS) from gram-negative bacteria (25,48,49). However, earlier reports confirmed that long-term administration of LPS is followed by a tolerance of its effects with desensitization of LPS-stimulated responses (9, 56). As cited by Cavaillon et al. (13), the endotoxin tolerance phenomenon was first observed by Beeson in 1946 after repeated injections of typhoid vaccine and absence of fever induction. Freudenberg and Galanos (23) provided additional data on the protective effect of endotoxin tolerance against a lethal challenge of LPS.However, the comprehension of the effect of chronic exposure to LPS on energy intake and homeostasis remains unclear.It has been demonstrated that leptin, the cytokine adiposity signal, mediates to some extent the anorexigenic responses during endotoxemia induced by LPS (49). Leptin binds to the long full-length receptor ...