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Publication : Insulin regulates neurovascular coupling through astrocytes.

First Author  Fernandez AM Year  2022
Journal  Proc Natl Acad Sci U S A Volume  119
Issue  29 Pages  e2204527119
PubMed ID  35858325 Mgi Jnum  J:332541
Mgi Id  MGI:7427330 Doi  10.1073/pnas.2204527119
Citation  Fernandez AM, et al. (2022) Insulin regulates neurovascular coupling through astrocytes. Proc Natl Acad Sci U S A 119(29):e2204527119
abstractText  Mice with insulin receptor (IR)-deficient astrocytes (GFAP-IR knockout [KO] mice) show blunted responses to insulin and reduced brain glucose uptake, whereas IR-deficient astrocytes show disturbed mitochondrial responses to glucose. While exploring the functional impact of disturbed mitochondrial function in astrocytes, we observed that GFAP-IR KO mice show uncoupling of brain blood flow with glucose uptake. Since IR-deficient astrocytes show higher levels of reactive oxidant species (ROS), this leads to stimulation of hypoxia-inducible factor-1alpha and, consequently, of the vascular endothelial growth factor angiogenic pathway. Indeed, GFAP-IR KO mice show disturbed brain vascularity and blood flow that is normalized by treatment with the antioxidant N-acetylcysteine (NAC). NAC ameliorated high ROS levels, normalized angiogenic signaling and mitochondrial function in IR-deficient astrocytes, and normalized neurovascular coupling in GFAP-IR KO mice. Our results indicate that by modulating glucose uptake and angiogenesis, insulin receptors in astrocytes participate in neurovascular coupling.
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