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You Plow Neuronal Command Of Appetite, Metabolism Together With Weight

Last week, I attended a Keystone conference, "Neuronal Control of Appetite, Metabolism as well as Weight", inwards Banff.  Keystone conferences are small, focused meetings that tend to attract high lineament science.  This exceptional conference centered some my ain professional person enquiry interests, as well as it was incredibly informative.  This postal service is a summary of some of the most salient points.

Rapid Pace of Scientific Progress


The coming together actually underscored the incredible footstep of scientific progress on feeding, trunk weight as well as metabolism, as well as the key role the encephalon plays inwards these processes.  This is largely due to remarkable technical breakthroughs existence applied past times people who know how to utilization them to response of import questions.  Conditional knockout as well as transgenic mice, inwards which genes tin last manipulated inwards specific jail cellular telephone types, proceed to play an of import role inwards neuroscience research.  However, the to a greater extent than recent introduction of optogenetic as well as DREADD technology scientific discipline has been a quantum leap.  Optogenetics (light-activated ion channels) allows researchers to manipulate specific neuron populations using light, which offers exquisite spatial as well as temporal control.  This is of import because  1) you lot tin burn downwards (or inhibit) neurons inwards a agency that roughly approximates how they would burn downwards naturally, as well as 2) fifty-fifty inside tiny sub-nuclei of your brain, at that spot tin last a number of unlike jail cellular telephone types performing unlike functions, so having a technique alongside jail cellular telephone type specificity is useful (in contrast, imagine trying to create upwards one's hear the business office of a nucleus past times lesioning it, which powerfulness destroy 10 unlike intermingled jail cellular telephone populations all doing unlike things).  One early on illustration of the application of optogenetics to feeding showed that activating AgRP neurons inwards the arcuate nucleus "evokes voracious feeding inside minutes" (1).  AgRP neurons were already known to last an of import neuron population for hunger as well as feeding, but this experiment demonstrated it inwards the most convincing trend to date.

DREADD channels are used to activate or inhibit neuron activity using injections of the synthetic ligand CNO.  This is a squeamish technique because it's non-invasive (as opposed to optogenetics).  DREADD technology scientific discipline has bolstered the finding that activating AgRP neurons drives feeding as well as rapid fatty gain (2).

There are a number of other interesting emerging technologies, but those ii stand upwards out.

Palmiter Lab

Richard Palmiter (University of Washington) gave the opening keynote address, describing his enquiry on a feeding circuit from AgRP neurons inwards the arcuate nucleus to the parabrachial nucleus as well as and so the key nucleus of the amygdala.  This circuit seems to close off nutrient intake inwards response to aversive stimuli (sickness, pain, fear), but may non play much of a role inwards feeding nether normal circumstances.

doc Palmiter besides presented the remarkable finding that ablating AgRP neurons reverses the obesity as well as infertility phenotype of ob/ob (leptin-deficient as well as genetically obese) mice.

As the inventor of the transgenic mouse, doc Palmiter has played a major role inwards advancing scientific progress inwards the biological sciences.

Ozcan Lab

Umut Ozcan (Harvard University) presented information from his lab suggesting that leptin resistance inwards the hypothalamus is caused past times endoplasmic reticulum stress (ER stress; a aeroplane of cellular stress that tin last caused past times misfolded proteins).  He has applied a chemical compound (SR-01) inwards obese mice that reduces ER stress, restores leptin sensitivity as well as causes remarkable fatty loss.  This chemical compound has no outcome inwards genetically obese mice that lack leptin receptors, as well as it has no outcome on lean mice, both of which back upwards his hypothesis that it specifically increases leptin sensitivity inwards diet-induced obese mice.  He has been presenting these information at meetings for going on ii years as well as they haven't been published yet, which I notice puzzling.  But they for sure practice await promising.

Lam Lab

Tony Lam (University of Toronto) presented his information on the role of glucagon inwards blood glucose command via the brain.  Glucagon is an of import instrumentalist inwards blood glucose command via the liver, but its effects were by as well as large assumed to final result from straight actions on the liver until doc Lam's findings.  He showed that glucagon besides acts inwards the encephalon to regulate blood glucose, but inwards the opposite direction to its actions inwards the liver (suppresses blood glucose), as well as that diet-induced obese animals lose the powerfulness to activate this mechanism, potentially contributing to elevated blood glucose inwards obesity.

Lowell Lab

Brad Lowell gave a remarkable talk.  His lab is focused on agreement how AgRP as well as POMC neurons are regulated past times other neurons.  As stated above, this small-scale population of neurons inwards the arcuate nucleus is the most strong feeding circuit known inwards the brain.  POMC neurons are a well-characterized neuron population inwards the arcuate nucleus that suppress feeding.  The Lowell lab uses a combination of neuron tracing techniques (tracing the brain's wiring diagrams), optogenetics, as well as electrophysiology (measuring the 'electrical' activity of neurons), to nifty effect.

I won't locomote through the entire talk, which was incredibly information-dense, but I volition advert ii key findings:

  1. What neurons activate AgRP neurons as well as campaign hunger as well as feeding?  PACAP as well as TRH eurons inwards the paraventricular nucleus ship excitatory projections to AgRP neurons, as well as stimulating these neurons greatly increases feeding.  The DMH besides sends excitatory projections to AgRP neurons, but these are weaker.  
  2. The arcuate nucleus mediates a large part of leptin activeness on appetite as well as trunk weight, yet deleting leptin receptors from arcuate neurons doesn't campaign much obesity, implying that they are receiving leptin-responsive signals from upstream neurons.  What are these neurons?  Dr. Lowell showed that leptin receptor expressing neurons inwards the dorsomedial hypothalamus ship dense inhibitory projections to AgRP neurons.  Activating these DMH neurons potently suppresses feeding.

Sternson Lab

Scott Sternson (NIH's prestigious Janelia farm campus) is interested inwards the downstream targets of AgRP neurons, as well as he besides makes extensive utilization of optogenetics, DREADDs as well as related approaches.  Dr. Sternson argued for a epitome shift inwards agreement feeding-related motivation.  Activating AgRP neurons increases motivation for food, likely reflecting hunger.  But what is hunger, as well as how does it shape futurity nutrient alternative behaviors (via vantage processes)?  He presented information suggesting that hunger drives nutrient intake demeanour as well as learning through a procedure involving negative reinforcement.

He showed that activating AgRP neurons inwards mice (presumably inducing a hunger-like state) is aversive (unpleasant).  Also, experimentally suppressing the activation of AgRP neurons caused past times hunger is reinforcing/rewarding (increases the likelihood of seeking situations/flavors associated alongside the cessation of AgRP neuron activity), basically suggesting that the satiety nation is reinforcing because it relieves the unpleasant nation of hunger.  So animals larn to prefer situations associated alongside the relieving of the aversive 'hunger' state, as well as this is constituent of how the vantage arrangement learns how to guide food-seeking behavior

Zeltser Lab

Lori Zeltser (Columbia University) had a fascinating verbalise on anorexia that besides contained a really interesting tibit on insulin as well as obesity.  I won't acquire into all the details of her talk, but she is researching the intersection betwixt genes, calorie restriction, as well as psychological stress inwards promoting anorexia.

The Val66Met allele of the BDNF factor is strongly associated alongside anorexia inwards at to the lowest degree some human studies.  BDNF is constituent of the leptin signaling pathway as well as hence plays an of import role inwards the command of nutrient intake as well as trunk fatness.  BDNF Val66Met mice are relatively normal, but when stressed (by social isolation) or temporarily calorie-restricted, mice volition locomote through spontaneous periods of aphagia (no eating).  I notice it remarkable that it's possible to model anorexia inwards mice, but her information were fairly convincing that this human genetic susceptibility constituent increases the adventure of anorexia nether atmospheric condition of psychological or metabolic stress.  We don't know if the same is truthful inwards humans, but it seems plausible based on her data.

She presented some other interesting tidbit that's relevant to the insulin-obesity idea: mice alongside a hypothalamus-specific deletion (Nkx2.1) of the insulin receptor withdraw hold normal trunk weight, trunk fatness, as well as leptin levels.  The implication is that (complete) insulin resistance inwards the hypothalamus does non Pb to leptin resistance or obesity, which bears on i of the to a greater extent than pop versions of the insulin-obesity hypothesis (e.g., the thought that hyperinsulinemia causes hypothalamic insulin resistance, which causes hypothalamic leptin resistance, which leads to obesity).

Cowley Lab

Michael Cowley (Monash University) gave i of the most fascinating talks, partially because I wasn't aware of this trouble of investigation prior to the conference.  In short, he has shown that elevated leptin is largely responsible for obesity-induced hypertension (high blood pressure) inwards rodents, as well as the testify suggests the same is truthful for humans, who besides tend to prepare hypertension alongside obesity.  He (with Stephanie Simonds) latterly wrote an fantabulous review article inwards Trends inwards Neurosciences that covers most of the testify (3).  The illustrations of the sympathetic (SNS) as well as parasympathetic (PNS) nervous systems, as well as the encephalon regions involved inwards SNS as well as PNS outpouring are actually outstanding inwards that paper.  I'll last hanging on to it every bit a reference.

The encephalon controls the SNS as well as PNS, which regulates many 'autonomic' (unconscious) functions similar see rate, lipolysis, glucose control, adrenaline release, estrus production, digestion, as well as blood pressure.  Normally, it does so inwards response to leptin as well as other peripheral signals.  During the evolution of obesity, the encephalon becomes resistant to many of leptin's actions, such every bit its powerfulness to suppress nutrient intake as well as cut back trunk fatness.  However, it doesn't locomote resistant to leptin's powerfulness to stimulate the SNS, so the SNS goes into overdrive inwards obese rodents as well as humans.  Dr. Cowley's information advise that this is due inwards large constituent to increased leptin acting inwards the dorsomedial hypothalamus.

Insulin besides activates the SNS, as well as obesity is besides associated alongside elevated insulin.  Elevated insulin acting on the encephalon is besides likely a constituent that contributes to hypertension through similar pathways.  Interestingly, low-carbohydrate diets oft withdraw hold a dramatic outcome to speedily cut back blood pressure.  Dr. Cowley's results advise that this is likely due to a reduction of insulin activeness inwards the brain.

Tschop Lab

Matthias Tschop (Institute of Diabetes as well as Obesity Research, Munich) was i of the organizers of the conference.  He runs a mega-lab inwards Deutschland as well as is the manager of a enquiry institute.  We withdraw hold collaborated alongside him on agreement the role of hypothalamic inflammatory signaling inwards obesity.  The most interesting constituent of his verbalise was his description of obesity drugs he has created past times fusing gastrointestinal satiety hormones (including glucagon, GLP-1 as well as PYY) to i some other inwards a unmarried molecule.  He is basically trying to create a drug that mimics the hormonal effects of gastric bypass, so that people tin acquire the same weight loss as well as glucose command benefits without surgery.  His results inwards rodents are impressive, as well as at that spot are some preliminary information suggesting a similar outcome inwards humans.

Schwartz Lab

Mike Schwartz (my electrical flow mentor; University of Washington) gave a nifty closing keynote address.  He argued for a novel framework for thinking nearly blood glucose regulation.

Researchers withdraw hold long known that at that spot are apparently ii ways that blood glucose is regulated next a meal: 1) insulin increases tissue glucose uptake as well as reduces glucose production past times the liver, as well as 2) some other unknown machinery of glucose disposal that does non rely on insulin.  The latter is referred to every bit 'glucose effectiveness' as well as accounts for 50% of the body's powerfulness to regulate blood glucose next a meal!  Originally, glucose effectiveness was thought to last a passive, unregulated process.

One of the most interesting recent discoveries inwards diabetes enquiry is that nether sure conditions, the encephalon tin completely regulate blood glucose without whatsoever assistance from insulin.  This has been shown multiple times inwards type 1 diabetic rats that completely lack insulin.  Infusing leptin into the encephalon of these animals almost completely normalizes their blood glucose control, both past times reducing liver glucose production as well as increasing tissue glucose uptake.  My colleague Greg Morton has done a lot of the piece of job on this.  This suggests that the encephalon tin withdraw hold a major influence on blood glucose control, as well as that this arrangement is likely partially redundant alongside the insulin arrangement of blood glucose rule (which is apparently really of import nether normal circumstances).

doc Schwartz presented information suggesting that glucose effectiveness may inwards fact last a regulated (not passive) procedure that results at to the lowest degree inwards constituent from gastrointestinal signals acting on the brain, as well as that it is impaired inwards obesity.  This has huge implications for diabetes treatment, because if nosotros tin figure out how this procedure works, it may pave the agency for diabetes treatments that don't rely on insulin at all!  Most electrical flow drug treatments rely on insulin, insulin sensitizers, and/or insulin secretogogues.  Insulin therapy tin withdraw hold serious unwanted side effects such every bit hypoglycemia.

My Poster

I presented a poster on our finding that when rats are fed a fattening diet, they sense a rapid increment of activated caspase-3 inwards astrocytes of the arcuate nucleus as well as other encephalon regions (within iii days).  Although rats gained fatty speedily on this diet, fatty gain did non seem to explicate the effect.  Caspase-3 is unremarkably associated alongside a type of jail cellular telephone decease called apoptosis, nonetheless inwards this illustration at that spot was no apoptosis to last found.  We retrieve that caspase-3 is constituent of the rapid cellular injury response to this diet that nosotros reported previously (4).  This suggests a novel non-apoptotic role for caspase-3 inwards the brain's response to injury, as well as suggests that astrocytes may last trying to incorporate harm to of import feeding centers early on during exposure to a fattening diet.  The poster was good received.  These information were accepted for publication inwards the journal Brain Research ii weeks ago.

Conclusion

The conference was fantabulous as well as left my hear extremely full.  There were many informative talks as well as posters that I left out of this summary.  The footstep of scientific regain correct forthwith is mind-boggling; it would last a full-time task simply to maintain upwards alongside electrical flow findings inwards my plain alone.  I'm confident that this novel enquiry volition pay dividends inwards agreement as well as improving human health, as well as specially preventing as well as treating obesity as well as diabetes.  In the meantime, nosotros already know how to foreclose (and to a lesser extent, treat) most obesity as well as diabetes using diet as well as lifestyle.