Children's Nutrition Research Center, Department of Pediatrics and.
Dan L. Duncan Cancer Center and Center for Cell Gene and Therapy, Baylor College of Medicine, Houston, Texas, USA.
J Clin Invest. 2019 Aug 12;129(9):3786-3791. doi: 10.1172/JCI126107.
Nutrient excess, a major driver of obesity, diminishes hypothalamic responses to exogenously administered leptin, a critical hormone of energy balance. Here, we aimed to identify a physiological signal that arises from excess caloric intake and negatively controls hypothalamic leptin action. We found that deficiency of the gastric inhibitory polypeptide receptor (Gipr) for the gut-derived incretin hormone GIP protected against diet-induced neural leptin resistance. Furthermore, a centrally administered antibody that neutralizes GIPR had remarkable antiobesity effects in diet-induced obese mice, including reduced body weight and adiposity, and a decreased hypothalamic level of SOCS3, an inhibitor of leptin actions. In contrast, centrally administered GIP diminished hypothalamic sensitivity to leptin and increased hypothalamic levels of Socs3. Finally, we show that GIP increased the active form of the small GTPase Rap1 in the brain and that its activation was required for the central actions of GIP. Altogether, our results identify GIPR/Rap1 signaling in the brain as a molecular pathway linking overnutrition to the control of neural leptin actions.
营养过剩是肥胖的主要驱动因素,它会降低外源性给予的瘦素(一种能量平衡的关键激素)对下丘脑的反应。在这里,我们旨在确定一种源于过量卡路里摄入并负调控下丘脑瘦素作用的生理信号。我们发现,肠道衍生的肠促胰岛素激素 GIP 的胃抑制多肽受体(Gipr)缺失可防止饮食诱导的神经瘦素抵抗。此外,中枢给予中和 GIPR 的抗体在饮食诱导肥胖的小鼠中具有显著的抗肥胖作用,包括体重和体脂肪减少,以及下丘脑 SOCS3 水平降低,SOCS3 是瘦素作用的抑制剂。相比之下,中枢给予 GIP 会降低下丘脑对瘦素的敏感性,并增加下丘脑 Socs3 的水平。最后,我们表明 GIP 会增加大脑中小分子 GTP 酶 Rap1 的活性形式,其激活是 GIP 中枢作用所必需的。总之,我们的结果确定了大脑中的 GIPR/Rap1 信号作为将营养过剩与神经瘦素作用的控制联系起来的分子途径。