Dear Sir: We read with interest the well-written review of L. M. Kaplan entitled “Leptin, Obesity, and Liver Disease” published recently in GASTROENTEROLOGY.[1]Kaplan LM. Leptin, obesity, and liver disease.Gastroenterology. 1998; 115: 997-1001Abstract Full Text Full Text PDF PubMed Scopus (134) Google Scholar He points out the current knowledge about leptin and its physiological role for gastroenterologists. Since the identification of leptin as a product of the obese gene by Zhang et al. in 1994,[2]Zhang Y Procnca R Maffei M. Positional cloning of the mouse obese gene and its human homologue.Nature. 1994; 372: 425-432Crossref PubMed Scopus (11755) Google Scholar the number of publications on leptin and its effects has increased exponentially. Up to now, there have been only few articles about leptin expression and function in the gastrointestinal tract, especially in humans. The initial perception that leptin is exclusively expressed and secreted by adipocytes had to be revised by the detection of leptin expression and secretion in the placenta, mammary epithelial cells, and hepatic stellate cells. Recently, Bado et al.[3]Bado A Levasseur S Attoub S. The stomach is a source of leptin.Nature. 1998; 394: 790-793Crossref PubMed Scopus (1038) Google Scholar showed leptin expression in the rat gastric mucosa. This led us to investigate leptin expression and secretion in the human gastric mucosa, which, to our knowledge, has not been reported. We screened (1) fundic and antral gastric biopsy specimens, obtained from healthy subjects during endoscopy; (2) human gastric mucous cells, isolated from surgical specimens by collagenase/pronase treatment; and (3) human gastric cancer cell lines (Kato III, 23132/87 cells) for messenger RNA expression of leptin and leptin receptor by reverse-transcription polymerase chain reaction (PCR). Specific oligonucleotide primers, deduced from the cloned human leptin gene and the human leptin receptor gene, were used.[4]Tartaglia LA Dembski M Wenig X. Identification and expression cloning of a leptin receptor, OB-R.Cell. 1995; 83: 1263-1271Abstract Full Text PDF PubMed Scopus (3231) Google Scholar Human adipose and human placental tissue were used as positive controls. All tested specimens showed the expected PCR amplification product. Furthermore, bound leptin and soluble leptin receptor levels in cultured cell medium supernatant were detected by radioimmunoassay,5Ockenga J. Widjaja A. Holtmannspotter M. Bound leptin is regulated by tumor necrosis factor–alpha in HIV-infected patients: a potential mediator of wasting?.AIDS. 1998; 12: 2233-2235PubMed Google Scholar indicating leptin expression and secretion by human gastric epithelial cells. Finally, immunohistochemistry of gastric mucosal biopsy specimens was reactive for human leptin and human leptin receptor. The presence of the leptin receptor on gastric mucous cells suggests a paracrine effect of leptin on mucous cell function and gastric mucosa protection. In this study we did not differentiate between the different leptin receptor isoforms that have been described previously. Additional in vitro studies are needed to explore the unknown physiological function of leptin and its receptors in the human stomach.