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      Arcuate AgRP neurons mediate orexigenic and glucoregulatory actions of ghrelin

      brief-report
      1 , 2 , * , 1 , 2 , * , 1 , 2 , 1 , 2 , 1 , 2 , 3 , 1 , 2 , 1 , 2 , 1 , 2 , 1 , 2 , 1 , 2 , 1 , 2 , 1 , 2 , 3 , **
      Molecular Metabolism
      Elsevier
      GHSR, growth hormone secretagogue receptor, ghrelin receptor, GOAT, ghrelin O-acyltransferase, CNS, central nervous system, Phox2b, paired-like homeobox 2b, AgRP, Agouti-related peptide, NPY, neuropeptide Y, GABA, gamma-aminobutyric acid, VGAT, vesicular GABA transporter, POMC, pro-opiomelanocortin, ARC, arcuate nucleus, BAC, bacterial artificial chromosome, VTA, ventral tegmental area, DG, dentate gyrus, NAc, nucleus accumbens, DVC, dorsal vagal complex, G6p, glucose-6 phosphatase, Pepck, phosphoenolpyruvate carboxykinase, Hnf4α, hepatocyte nuclear factor 4α, Foxo1, Forkhead box protein O1, Pcx, pyruvate carboxylase, GHRH, Growth-hormone-releasing hormone, AgRP, Ghrelin, Ghrelin receptor, Food intake, Blood glucose homeostasis

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          Abstract

          The hormone ghrelin stimulates eating and helps maintain blood glucose upon caloric restriction. While previous studies have demonstrated that hypothalamic arcuate AgRP neurons are targets of ghrelin, the overall relevance of ghrelin signaling within intact AgRP neurons is unclear. Here, we tested the functional significance of ghrelin action on AgRP neurons using a new, tamoxifen-inducible AgRP-CreER T2 transgenic mouse model that allows spatiotemporally-controlled re-expression of physiological levels of ghrelin receptors (GHSRs) specifically in AgRP neurons of adult GHSR-null mice that otherwise lack GHSR expression. AgRP neuron-selective GHSR re-expression partially restored the orexigenic response to administered ghrelin and fully restored the lowered blood glucose levels observed upon caloric restriction. The normalizing glucoregulatory effect of AgRP neuron-selective GHSR expression was linked to glucagon rises and hepatic gluconeogenesis induction. Thus, our data indicate that GHSR-containing AgRP neurons are not solely responsible for ghrelin's orexigenic effects but are sufficient to mediate ghrelin's effects on glycemia.

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          Most cited references47

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          A receptor in pituitary and hypothalamus that functions in growth hormone release.

          Small synthetic molecules termed growth hormone secretagogues (GHSs) act on the pituitary gland and the hypothalamus to stimulate and amplify pulsatile growth hormone (GH) release. A heterotrimeric GTP-binding protein (G protein)-coupled receptor (GPC-R) of the pituitary and arcuate ventro-medial and infundibular hypothalamus of swine and humans was cloned and was shown to be the target of the GHSs. On the basis of its pharmacological and molecular characterization, this GPC-R defines a neuroendocrine pathway for the control of pulsatile GH release and supports the notion that the GHSs mimic an undiscovered hormone.
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            Insulin action in AgRP-expressing neurons is required for suppression of hepatic glucose production.

            Insulin action in the central nervous system regulates energy homeostasis and glucose metabolism. To define the insulin-responsive neurons that mediate these effects, we generated mice with selective inactivation of the insulin receptor (IR) in either pro-opiomelanocortin (POMC)- or agouti-related peptide (AgRP)-expressing neurons of the arcuate nucleus of the hypothalamus. While neither POMC- nor AgRP-restricted IR knockout mice exhibited altered energy homeostasis, insulin failed to normally suppress hepatic glucose production during euglycemic-hyperinsulinemic clamps in AgRP-IR knockout (IR(DeltaAgRP)) mice. These mice also exhibited reduced insulin-stimulated hepatic interleukin-6 expression and increased hepatic expression of glucose-6-phosphatase. These results directly demonstrate that insulin action in POMC and AgRP cells is not required for steady-state regulation of food intake and body weight. However, insulin action specifically in AgRP-expressing neurons does play a critical role in controlling hepatic glucose production and may provide a target for the treatment of insulin resistance in type 2 diabetes.
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              UCP2 mediates ghrelin's action on NPY/AgRP neurons by lowering free radicals.

              The gut-derived hormone ghrelin exerts its effect on the brain by regulating neuronal activity. Ghrelin-induced feeding behaviour is controlled by arcuate nucleus neurons that co-express neuropeptide Y and agouti-related protein (NPY/AgRP neurons). However, the intracellular mechanisms triggered by ghrelin to alter NPY/AgRP neuronal activity are poorly understood. Here we show that ghrelin initiates robust changes in hypothalamic mitochondrial respiration in mice that are dependent on uncoupling protein 2 (UCP2). Activation of this mitochondrial mechanism is critical for ghrelin-induced mitochondrial proliferation and electric activation of NPY/AgRP neurons, for ghrelin-triggered synaptic plasticity of pro-opiomelanocortin-expressing neurons, and for ghrelin-induced food intake. The UCP2-dependent action of ghrelin on NPY/AgRP neurons is driven by a hypothalamic fatty acid oxidation pathway involving AMPK, CPT1 and free radicals that are scavenged by UCP2. These results reveal a signalling modality connecting mitochondria-mediated effects of G-protein-coupled receptors on neuronal function and associated behaviour.
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                Author and article information

                Contributors
                Journal
                Mol Metab
                Mol Metab
                Molecular Metabolism
                Elsevier
                2212-8778
                17 October 2013
                17 October 2013
                February 2014
                : 3
                : 1
                : 64-72
                Affiliations
                [1 ]Division of Hypothalamic Research, Department of Internal Medicine, The University of Texas Southwestern Medical Center, Dallas, TX, USA
                [2 ]Division of Endocrinology and Metabolism, Department of Internal Medicine, The University of Texas Southwestern Medical Center, Dallas, TX, USA
                [3 ]Department of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, TX, USA
                Author notes
                [** ]Corresponding author at: Division of Hypothalamic Research, The University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, Texas 75390-9077, USA. Tel.: +1 214 648 8621; fax: +1 214 648 5612. jeffrey.zigman@ 123456utsouthwestern.edu
                [⁎]

                These authors contributed equally to this work.

                Article
                S2212-8778(13)00099-9
                10.1016/j.molmet.2013.10.001
                3929914
                24567905
                82bec99e-5f60-4329-bec4-c71ddd4cd46b
                © 2013 The Authors

                This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike License, which permits non-commercial use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 23 September 2013
                : 8 October 2013
                : 8 October 2013
                Categories
                Brief Communication

                ghsr, growth hormone secretagogue receptor, ghrelin receptor,goat, ghrelin o-acyltransferase,cns, central nervous system,phox2b, paired-like homeobox 2b,agrp, agouti-related peptide,npy, neuropeptide y,gaba, gamma-aminobutyric acid,vgat, vesicular gaba transporter,pomc, pro-opiomelanocortin,arc, arcuate nucleus,bac, bacterial artificial chromosome,vta, ventral tegmental area,dg, dentate gyrus,nac, nucleus accumbens,dvc, dorsal vagal complex,g6p, glucose-6 phosphatase,pepck, phosphoenolpyruvate carboxykinase,hnf4α, hepatocyte nuclear factor 4α,foxo1, forkhead box protein o1,pcx, pyruvate carboxylase,ghrh, growth-hormone-releasing hormone,agrp,ghrelin,ghrelin receptor,food intake,blood glucose homeostasis

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