-We have previously reported that intraceliac infusion of leptin induces a reduction of meal size that depends on intact vagal afferents. This effect of leptin is enhanced in the presence of cholecystokinin (CCK). The mechanisms by which leptin and CCK activate vagal afferent neurons are not known. In the present study, we have begun to address this question by using patch-clamp electrophysiological techniques to examine the mechanisms by which leptin and CCK activate cultured vagal afferents from adult rat nodose ganglia. We found that leptin depolarized 41 (60%) of 68 neurons. The magnitude of membrane depolarization was dependent on leptin concentration and occurred in both capsaicin-sensitive and capsaicin-insensitive neurons. We also found that a majority (16 of 22; 73%) of nodose neurons activated by leptin were also sensitive to CCK. CCK-induced depolarization was primarily associated with the increase of an inward current (11 of 12), whereas leptin induced multiple changes in background conductances through a decrease in an outward current (7 of 13), an increase in an inward current (3 of 13), or both (3 of 13). However, further isolation of background currents by recording in solutions that contained only sodium or only potassium revealed that both leptin and CCK were capable of increasing a sodium-dependent conductance or inhibiting a potassium-dependent conductance. Our results support the hypothesis that vagal afferents are a point of convergence and integration of leptin and CCK signaling for control of food intake and suggest multiple ionic mechanisms by which leptin and CCK activate vagal afferent neurons.cholecystokinin; vagal afferents; capsaicin; satiation THE ADIPOKINE HORMONE LEPTIN and the intestinal peptide cholecystokinin (CCK) have profound effects on food intake and energy expenditure. Leptin is secreted into the systemic blood primarily by white adipose tissue (7,14). When administered exogenously, leptin induces several physiological changes, the most dramatic of which is the rapid loss of body fat (11). CCK, a peptide produced and stored within enteroendocrine I cells of the upper small intestine, is secreted in response to fat or protein in the intestinal lumen (12). When administered exogenously or released endogenously, CCK decreases meal size and evokes a behavioral pattern consistent with an enhancement of the satiation process (31). During the past 10 years, several observations (2,15,18,19) have suggested that leptin and CCK may interact synergistically at multiple levels along the neuroaxis to produce changes in food intake and energy expenditure. Indeed, recent reports from our laboratory and others suggest that such leptin-CCK synergy may even occur at the level of primary vagal afferent neurons.Vagal afferent neurons innervate a majority of the abdominal viscera and express both leptin and CCK receptors (4 -6, 17). It is well established that satiation produced by peripheral CCK involves activation of vagal afferent neurons (10,21,29,30,32). On the other hand, many effects ...