4.7 Article

Leptin-inhibited PBN neurons enhance responses to hypoglycemia in negative energy balance

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NATURE NEUROSCIENCE
卷 17, 期 12, 页码 1744-1750

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NATURE PUBLISHING GROUP
DOI: 10.1038/nn.3861

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资金

  1. Animal Phenotyping Core of the Michigan Diabetes Research Center (US National Institutes of Health (NIH)) [P30 DK020572]
  2. Michigan Nutrition and Obesity Research Center [P30 DK089503]
  3. American Diabetes Association
  4. American Heart Association
  5. Marilyn H. Vincent Foundation
  6. Wellcome Trust [098012]
  7. Biotechnology and Biological Sciences Research Council [BB/K001418/1]
  8. NIH [DK098853, DK055267, DK020595, DK046060, DK046409]
  9. BBSRC [BB/K001418/1] Funding Source: UKRI
  10. Biotechnology and Biological Sciences Research Council [BB/K001418/1] Funding Source: researchfish

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Hypoglycemia initiates the counter-regulatory response (CRR), in which the sympathetic nervous system, glucagon and glucocorticoids restore glucose to appropriate concentrations. During starvation, low leptin levels restrain energy utilization, enhancing long-term survival. To ensure short-term survival during hypoglycemia in fasted animals, the CRR must overcome this energy-sparing program and nutrient depletion. Here we identify in mice a previously unrecognized role for leptin and a population of leptin-regulated neurons that modulate the CRR to meet these challenges. Hypoglycemia activates neurons of the parabrachial nucleus (PBN) that coexpress leptin receptor (LepRb) and cholecystokinin (CCK) (PBN LepRb(CCK) neurons), which project to the ventromedial hypothalamic nucleus. Leptin inhibits these cells, and Cck(cre)-mediated ablation of LepRb enhances the CRR. Inhibition of PBN LepRb cells blunts the CRR, whereas their activation mimics the CRR in a CCK-dependent manner. PBN LepRb(CCK) neurons are a crucial component of the CRR system and may be a therapeutic target in hypoglycemia.

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