Glucose sensing by POMC neurons regulates glucose homeostasis and is impaired in obesity

By L. Parton, C. Ye, R. Coppari, P. Enriori, Brian J. Choi, Chen-Yu Zhang, Chun Xu, C. Vianna, N. Balthasar, Charlotte E. Lee and 3 more. Nature, 2007

715 citations recorded by the source corpus.

A subset of neurons in the brain, known as ‘glucose-excited’ neurons, depolarize and increase their firing rate in response to increases in extracellular glucose. Similar to insulin secretion by pancreatic β-cells, glucose excitation of neurons is driven by ATP-mediated closure of ATP-sensitive potassium (KATP) channels. Although β-cell-like glucose sensing in neurons is well established, its physiological relevance and contribution to disease states such as type 2 diabetes remain unknown. To address these issues, we disrupted glucose sensing in glucose-excited pro-opiomelanocortin (POMC) neurons via transgenic expression of a mutant Kir6.2 subunit (encoded by the Kcnj11 gene) that prevents ATP-mediated closure of KATP channels. Here we show that this genetic manipulation impaired the whole-body response to a systemic glucose load, demonstrating a role for glucose sensing by POMC neurons in the overall physiological control of blood glucose. We also found that glucose sensing by POMC neurons became defective in obese mice on a high-fat diet, suggesting that loss of glucose sensing by neurons has a role in the development of type 2 diabetes. The mechanism for obesity-induced loss of glucose sensing in POMC neurons involves uncoupling protein 2 (UCP2), a mitochondrial protein that impairs glucose-stimulated ATP production. UCP2 negatively regulates glucose sensing in POMC neurons. We found that genetic deletion of Ucp2 prevents obesity-induced loss of glucose sensing, and that acute pharmacological inhibition of UCP2 reverses loss of glucose sensing. We conclude that obesity-induced, UCP2-mediated loss of glucose sensing in glucose-excited neurons might have a pathogenic role in the development of type 2 diabetes.

Subfields: Endocrine and Autonomic Systems, Physiology, Surgery

View Paper: https://www.semanticscholar.org/paper/db6fa1ebdee3b51dd1ddb453c36514988ffd5a30

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In Endocrine and Autonomic Systems

  1. M. Myers
  2. M. Schwartz

In Physiology

  1. Rudolph L. Leibel
  2. G. Dienel
  3. G. Shadel
  4. T. Horvath

In Surgery

  1. G. Dienel

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