Section of Endocrinology and Investigative Medicine, Division of Diabetes, Endocrinology and Metabolism, Department of Medicine, Imperial College London, London, W12 0NN, UK.
RenaSci Ltd, BioCity, Pennyfoot Street, Nottingham, NG1 1GF, UK.
Mol Metab. 2020 Jun;36:100972. doi: 10.1016/j.molmet.2020.02.015. Epub 2020 Mar 6.
Obesity is a major cause of morbidity and mortality. Few weight-reducing medications are available, and these have limited efficacy. Cushing's Syndrome (caused by elevated glucocorticoid levels) and obesity have similar metabolic features. Though circulating glucocorticoid levels are not elevated in obesity, tissue-specific glucocorticoid levels have been implicated in the development of the metabolic phenotype of obesity. Tissue glucocorticoid levels are regulated by 11β-hydroxysteroid dehydrogenase type1 (11βHSD1), which increases the local concentration of active glucocorticoids by the production of corticosterone from 11-dehydrocorticosterone. 11βHSD1 is expressed in the hypothalamic arcuate nucleus (ARC), a major weight and appetite-regulating centre, and therefore represents a target for novel anti-obesity therapeutic agents. Thus, we sought to investigate the effect of chronic alterations of ARC corticosterone levels (mediated by 11βHSD1) on food intake and body weight in adult male rats.
Recombinant adeno-associated virus particles bearing sense 11βHSD1 (rAAV-S11βHSD1) and small interfering 11βHSD1 (rAAV-si11βHSD1), respectively, were stereotactically injected into the ARC (bilaterally) of adult male Wistar rats. rAAV-GFP was injected into control groups of male Wistar rats. Food intake and body weight were measured three times a week for 70 days. Terminal brain, plasma and intrascapular brown adipose tissue (iBAT) samples were taken for measurement of mRNA expression and hormone levels.
Compared to controls, rAAV-S11βHSD1 injection resulted in higher ARC corticosterone levels, hyperphagia and increased weight gain. Conversely, rAAV-si11βHSD1 injection (compared to controls) resulted in lower ARC corticosterone levels, higher iBAT uncoupling protein-1 mRNA expression and less weight gain despite similar food intake.
Therefore ARC corticosterone, regulated by 11βHSD1, may play a role in food intake and body weight regulation. These data have important implications for the development of centrally-acting 11βHSD1 inhibitors, which are currently being developed for the treatment of obesity, metabolic disorders, and other conditions.
肥胖是发病率和死亡率的主要原因。目前可用的减肥药物很少,而且疗效有限。库欣综合征(由皮质醇水平升高引起)和肥胖具有相似的代谢特征。虽然肥胖症患者的循环皮质醇水平没有升高,但组织特异性皮质醇水平与肥胖的代谢表型的发展有关。组织皮质醇水平受 11β-羟类固醇脱氢酶 1 型(11βHSD1)调节,它通过将 11-脱氢皮质酮转化为皮质酮来增加局部活性皮质醇的浓度。11βHSD1 在下丘脑弓状核(ARC)中表达,ARC 是调节体重和食欲的主要中心,因此是新型抗肥胖治疗药物的靶点。因此,我们试图研究慢性改变 ARC 皮质酮水平(由 11βHSD1 介导)对成年雄性大鼠的食物摄入和体重的影响。
携带正义 11βHSD1(rAAV-S11βHSD1)和小干扰 11βHSD1(rAAV-si11βHSD1)的重组腺相关病毒颗粒分别通过立体定向注射到成年雄性 Wistar 大鼠的 ARC(双侧)。rAAV-GFP 被注射到雄性 Wistar 大鼠的对照组中。每周测量三次,持续 70 天。测量大脑、血浆和肩胛间棕色脂肪组织(iBAT)样本的终末脑、血浆和 iBAT 样本的 mRNA 表达和激素水平。
与对照组相比,rAAV-S11βHSD1 注射导致 ARC 皮质酮水平升高、摄食量增加和体重增加。相反,与对照组相比,rAAV-si11βHSD1 注射(与对照组相比)导致 ARC 皮质酮水平降低、iBAT 解偶联蛋白-1 mRNA 表达增加和体重增加减少,尽管摄食量相似。
因此,ARC 皮质酮受 11βHSD1 调节,可能在食物摄入和体重调节中发挥作用。这些数据对于开发中枢作用的 11βHSD1 抑制剂具有重要意义,目前正在开发用于治疗肥胖症、代谢紊乱和其他疾病。