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Publication : Leptin brain entry via a tanycytic LepR-EGFR shuttle controls lipid metabolism and pancreas function.

First Author  Duquenne M Year  2021
Journal  Nat Metab Volume  3
Issue  8 Pages  1071-1090
PubMed ID  34341568 Mgi Jnum  J:348113
Mgi Id  MGI:7627232 Doi  10.1038/s42255-021-00432-5
Citation  Duquenne M, et al. (2021) Leptin brain entry via a tanycytic LepR-EGFR shuttle controls lipid metabolism and pancreas function. Nat Metab 3(8):1071-1090
abstractText  Metabolic health depends on the brain's ability to control food intake and nutrient use versus storage, processes that require peripheral signals such as the adipocyte-derived hormone, leptin, to cross brain barriers and mobilize regulatory circuits. We have previously shown that hypothalamic tanycytes shuttle leptin into the brain to reach target neurons. Here, using multiple complementary models, we show that tanycytes express functional leptin receptor (LepR), respond to leptin by triggering Ca(2+) waves and target protein phosphorylation, and that their transcytotic transport of leptin requires the activation of a LepR-EGFR complex by leptin and EGF sequentially. Selective deletion of LepR in tanycytes blocks leptin entry into the brain, inducing not only increased food intake and lipogenesis but also glucose intolerance through attenuated insulin secretion by pancreatic beta-cells, possibly via altered sympathetic nervous tone. Tanycytic LepRb-EGFR-mediated transport of leptin could thus be crucial to the pathophysiology of diabetes in addition to obesity, with therapeutic implications.
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