School of Medicine, University of South Carolina, Columbia, SC.
School of Medicine, Duke University, Durham, NC.
Diabetes. 2024 Nov 1;73(11):1821-1831. doi: 10.2337/db24-0207.
Leptin is a homeostatic regulatory element that signals the presence of adipocyte energy stores, reduces food intake, and increases energy expenditure. Similarly, serotonin (5-HT), a signaling molecule found in both the central and peripheral nervous systems, also controls food intake. Using neuronal tract tracing, pharmacologic and optogenetic approaches, and in vivo microdialysis, combined with behavioral end points, we tested the hypothesis that leptin controls food intake not only by activating hypothalamic leptin receptors (LepRs) but also through activation of LepRs expressed by serotonergic raphe neurons that send projections to the arcuate (ARC). We showed that microinjection of leptin directly into the dorsal raphe nucleus (DRN) reduced food intake in rats. This effect was mediated by LepR-expressing neurons in the DRN, because selective optogenetic activation of these neurons at either their DRN cell bodies or their ARC terminals reduced food intake. Anatomically, we identified a unique population of serotonergic raphe neurons expressing LepRs that send projections to the ARC. Finally, by using in vivo microdialysis, we showed that leptin administration to the DRN increased 5-HT efflux into the ARC, and specific antagonism of the 5-HT2C receptors in the ARC diminished the leptin anorectic effect. Overall, this study identified a novel circuit for leptin-mediated control of food intake through a DRN-ARC pathway, identifying a new level of interaction between leptin and serotonin to control food intake. Characterization of this new pathway creates opportunities for understanding how the brain controls eating behavior and opens alternative routes for the treatment of eating disorders.
瘦素是一种内稳态调节因子,它能发出脂肪细胞能量储存的信号,减少食物摄入,并增加能量消耗。同样,血清素(5-HT),一种在中枢和外周神经系统中都存在的信号分子,也能控制食物摄入。通过神经元束追踪、药理学和光遗传学方法以及体内微透析,结合行为终点,我们测试了这样一个假设,即瘦素不仅通过激活下丘脑瘦素受体(LepR)来控制食物摄入,还通过激活投射到弓状核(ARC)的 5-羟色胺能中缝神经元表达的 LepR 来控制食物摄入。我们表明,直接将瘦素注射到背缝核(DRN)会减少大鼠的食物摄入。这种作用是由 DRN 中的 LepR 表达神经元介导的,因为选择性光遗传学激活这些神经元在其 DRN 细胞体或 ARC 末梢处的表达,会减少食物摄入。在解剖学上,我们鉴定出了一群表达 LepR 的独特的 5-羟色胺能中缝神经元,它们投射到 ARC。最后,通过使用体内微透析,我们表明,将瘦素给药到 DRN 会增加 5-HT 向 ARC 的外排,而 ARC 中的 5-HT2C 受体的特异性拮抗作用会减弱瘦素的厌食作用。总的来说,这项研究确定了一种通过 DRN-ARC 途径介导瘦素控制食物摄入的新回路,确定了瘦素和血清素控制食物摄入之间新的相互作用水平。该新途径的特征为理解大脑如何控制进食行为提供了机会,并为治疗进食障碍开辟了替代途径。