Nave Heike, Kuhlmann Susanne, Brabant Georg, Pabst Reinhard
Department of Functional and Applied Anatomy, Hannover Medical School, Hannover, Germany.
Exp Toxicol Pathol. 2003 Jul;55(1):45-9. doi: 10.1078/0940-2993-00300.
Leptin, a potent anorectic, 16-kDa, adipose tissue-derived protein, predominantly acts in hypothalamic nuclei, signaling obesity and modulating ingestive behavior. To reach this brain area, leptin, probably has to cross the blood-brain barrier (BBB). In some cases of obesity, enhanced leptin levels in the blood do not result in anorectic effects, probably due to an altered leptin transport across the BBB. Therefore, we investigated the BBB in lean and diet-induced obese Lewis rats. To obtain information about the presence of microvessels with barrier dysfunction we examined three brain areas (hypothalamus, cortex, hippocampus) using a monoclonal antibody which detects intact microvessels of the BBB (anti-endothelial barrier antigen, anti-EBA). The results showed a significantly reduced EBA staining in the brain sections of the obese animals, except the hippocampus, compared to the control group. In a second step we injected I125-labeled leptin intravenously (i.v.) in permanent i.v.-cannulated, unrestrained Lewis rats (lean and obese). We measured the radioactivity in the cerebrospinal fluid after puncture of the cisterna magna, in the blood and brain tissue 90 min after injection. The leptin content in the cerebrospinal fluid and brain was not reduced in obese compared to lean rats, thus showing a similar transport capacity of the BBB in both experimental groups. Therefore, the results of the in vivo investigations do not indicate an impairment of the BBB in diet-induced obesity, despite the immunohistological findings. Further functional and morphological studies are necessary to evaluate the specific role of other organs and distinct forms of leptin (free and protein-bound) in the pathogenesis of diet-induced obesity.
瘦素是一种由脂肪组织分泌的16千道尔顿的强效食欲抑制蛋白,主要作用于下丘脑核团,传递肥胖信号并调节摄食行为。为了到达这个脑区,瘦素可能必须穿过血脑屏障(BBB)。在某些肥胖病例中,血液中瘦素水平升高并未产生食欲抑制作用,这可能是由于血脑屏障对瘦素的转运发生了改变。因此,我们研究了正常饮食和饮食诱导肥胖的Lewis大鼠的血脑屏障。为了获取有关存在屏障功能障碍微血管的信息,我们使用一种检测血脑屏障完整微血管的单克隆抗体(抗内皮屏障抗原,抗-EBA)检查了三个脑区(下丘脑、皮层、海马体)。结果显示,与对照组相比,肥胖动物脑切片中除海马体外,EBA染色显著减少。在第二步实验中,我们对永久性静脉插管、不受约束的Lewis大鼠(正常饮食和肥胖)静脉注射125I标记的瘦素。注射后90分钟,我们测量了枕大池穿刺后脑脊液、血液和脑组织中的放射性。与正常饮食大鼠相比,肥胖大鼠脑脊液和脑中的瘦素含量并未降低,因此表明两个实验组血脑屏障的转运能力相似。因此,尽管有免疫组织学研究结果,但体内研究结果并未表明饮食诱导肥胖会导致血脑屏障受损。需要进一步进行功能和形态学研究,以评估其他器官以及不同形式的瘦素(游离型和蛋白结合型)在饮食诱导肥胖发病机制中的具体作用。