Department of Endocrinology, Division of Endocrinology, Diabetes, and Metabolism, Beth Israel Deaconess Medical Centre and Harvard Medical School, Boston, MA, 02215, USA.
Department of Physiology, Faculty of Veterinary Medicine, Adnan Menderes University, Efeler, Aydin, 09010, Turkey.
Sci Rep. 2019 Sep 10;9(1):13068. doi: 10.1038/s41598-019-49295-7.
Leptin regulates both feeding and glycaemia primarily through its receptors expressed on agouti-related peptide (AgRP) and pro-opiomelanocortin-expressing (POMC) neurons; however, it is unknown whether activity of these neuronal populations mediates the regulation of these processes. To determine this, we injected Cre-dependent designer receptors exclusively activated by designer drugs (DREADD) viruses into the hypothalamus of normoglycaemic and diabetic AgRP-ires-cre and POMC-cre mice to chemogenetically activate or inhibit these neuronal populations. Despite robust changes in food intake, activation or inhibition of AgRP neurons did not affect glycaemia, while activation caused significant (P = 0.014) impairment in insulin sensitivity. Stimulation of AgRP neurons in diabetic mice reversed leptin's ability to inhibit feeding but did not counter leptin's ability to lower blood glucose levels. Notably, the inhibition of POMC neurons stimulated feeding while decreasing glucose levels in normoglycaemic mice. The findings suggest that leptin's effects on feeding by AgRP neurons are mediated by changes in neuronal firing, while the control of glucose balance by these cells is independent of chemogenetic activation or inhibition. The firing-dependent glucose lowering mechanism within POMC neurons is a potential target for the development of novel anti-diabetic medicines.
瘦素主要通过其在刺鼠相关肽 (AgRP) 和前阿黑皮素原表达 (POMC) 神经元上表达的受体来调节摄食和血糖;然而,尚不清楚这些神经元群体的活动是否介导了这些过程的调节。为了确定这一点,我们将依赖 Cre 的 Designer Receptors Exclusively Activated by Designer Drugs (DREADD) 病毒注射到正常血糖和糖尿病 AgRP-ires-cre 和 POMC-cre 小鼠的下丘脑,以化学遗传激活或抑制这些神经元群体。尽管食物摄入量发生了明显变化,但激活或抑制 AgRP 神经元不会影响血糖,而激活则导致胰岛素敏感性显著降低(P=0.014)。在糖尿病小鼠中刺激 AgRP 神经元逆转了瘦素抑制进食的能力,但并没有抵消瘦素降低血糖水平的能力。值得注意的是,在正常血糖小鼠中,POMC 神经元的抑制会刺激摄食,同时降低血糖水平。这些发现表明,AgRP 神经元对摄食的瘦素作用是通过神经元放电的变化介导的,而这些细胞对葡萄糖平衡的控制独立于化学遗传激活或抑制。POMC 神经元内的依赖放电的降血糖机制可能是开发新型抗糖尿病药物的潜在靶点。