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Publication : A brainstem circuit for nausea suppression.

First Author  Zhang C Year  2022
Journal  Cell Rep Volume  39
Issue  11 Pages  110953
PubMed ID  35705049 Mgi Jnum  J:344017
Mgi Id  MGI:7294005 Doi  10.1016/j.celrep.2022.110953
Citation  Zhang C, et al. (2022) A brainstem circuit for nausea suppression. Cell Rep 39(11):110953
abstractText  Nausea is a discomforting sensation of gut malaise that remains a major clinical challenge. Several visceral poisons induce nausea through the area postrema, a sensory circumventricular organ that detects bloodborne factors. Here, we use genetic approaches based on an area postrema cell atlas to reveal inhibitory neurons that counteract nausea-associated poison responses. The gut hormone glucose insulinotropic peptide (GIP) activates area postrema inhibitory neurons that project locally and elicit inhibitory currents in nausea-promoting excitatory neurons through gamma-aminobutyric acid (GABA) receptors. Moreover, GIP blocks behavioral responses to poisons in wild-type mice, with protection eliminated by targeted area postrema neuron ablation. These findings provide insights into the basic organization of nausea-associated brainstem circuits and reveal that area postrema inhibitory neurons are an effective pharmacological target for nausea intervention.
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