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Publication : A neural basis for brain leptin action on reducing type 1 diabetic hyperglycemia.

First Author  Fan S Year  2021
Journal  Nat Commun Volume  12
Issue  1 Pages  2662
PubMed ID  33976218 Mgi Jnum  J:332211
Mgi Id  MGI:6713847 Doi  10.1038/s41467-021-22940-4
Citation  Fan S, et al. (2021) A neural basis for brain leptin action on reducing type 1 diabetic hyperglycemia. Nat Commun 12(1):2662
abstractText  Central leptin action rescues type 1 diabetic (T1D) hyperglycemia; however, the underlying mechanism and the identity of mediating neurons remain elusive. Here, we show that leptin receptor (LepR)-expressing neurons in arcuate (LepR(Arc)) are selectively activated in T1D. Activation of LepR(Arc) neurons, Arc GABAergic (GABA(Arc)) neurons, or arcuate AgRP neurons, is able to reverse the leptin's rescuing effect. Conversely, inhibition of GABA(Arc) neurons, but not AgRP neurons, produces leptin-mimicking rescuing effects. Further, AgRP neuron function is not required for T1D hyperglycemia or leptin's rescuing effects. Finally, T1D LepR(Arc) neurons show defective nutrient sensing and signs of cellular energy deprivation, which are both restored by leptin, whereas nutrient deprivation reverses the leptin action. Our results identify aberrant activation of LepR(Arc) neurons owing to energy deprivation as the neural basis for T1D hyperglycemia and that leptin action is mediated by inhibiting LepR(Arc) neurons through reversing energy deprivation.
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