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Publication : Leptin signaling in the dorsomedial hypothalamus couples breathing and metabolism in obesity.

First Author  Amorim MR Year  2023
Journal  Cell Rep Volume  42
Issue  12 Pages  113512
PubMed ID  38039129 Mgi Jnum  J:355293
Mgi Id  MGI:7574059 Doi  10.1016/j.celrep.2023.113512
Citation  Amorim MR, et al. (2023) Leptin signaling in the dorsomedial hypothalamus couples breathing and metabolism in obesity. Cell Rep 42(12):113512
abstractText  Mismatch between CO(2) production (Vco(2)) and respiration underlies the pathogenesis of obesity hypoventilation. Leptin-mediated CNS pathways stimulate both metabolism and breathing, but interactions between these functions remain elusive. We hypothesized that LEPR(b)+ neurons of the dorsomedial hypothalamus (DMH) regulate metabolism and breathing in obesity. In diet-induced obese Lepr(b)Cre mice, chemogenetic activation of LEPR(b)+ DMH neurons increases minute ventilation (Ve) during sleep, the hypercapnic ventilatory response, Vco(2), and Ve/Vco(2), indicating that breathing is stimulated out of proportion to metabolism. The effects of chemogenetic activation are abolished by a serotonin blocker. Optogenetic stimulation of the LEPR(b)+ DMH neurons evokes excitatory postsynaptic currents in downstream serotonergic neurons of the dorsal raphe (DR). Administration of retrograde AAV harboring Cre-dependent caspase to the DR deletes LEPR(b)+ DMH neurons and abolishes metabolic and respiratory responses to leptin. These findings indicate that LEPR(b)+ DMH neurons match breathing to metabolism through serotonergic pathways to prevent obesity-induced hypoventilation.
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