Am J Physiol Regul Integr Comp Physiol 306: R439–R440, 2014; doi:10.1152/ajpregu.00076.2014.

Editorial Focus

Hindbrain energy status controls hypothalamic metabolic and neuropeptide signals. Focus on “Hindbrain lactostasis regulates hypothalamic AMPK activity and hypothalamic metabolic neurotransmitter mRNA and protein responses to hypoglycemia” Harvey J. Grill Graduate Groups of Psychology and Neuroscience, University of Pennsylvania, Philadelphia, Pennsylvania Submitted 19 February 2014; accepted in final form 19 February 2014

detects correlates of reduced energy availability and activates circuits that trigger compensatory responses that collectively restore energy balance. The seminal experiments of Claude Bernard and Walter Cannon defined concepts underlying the regulatory physiology of energy balance, an area that continues to attract investigators interested in addressing a range of important unresolved questions. Those questions include: 1) which correlates of energy availability are detected, 2) what unique molecular elements define the neurons and glia that detect energy status signals, 3) where are these cellular detectors located within the brain, 4) what circuits connect the detectors to various effector pathways, and 5) where are the commands resulting in the execution of compensatory response generated? The paper by Gujar and colleagues (2a) in this issue of the American Journal of Physiology-Regulatory, Integrative and Comparative Physiology is noteworthy as it addresses several of these questions and further it investigates the organization of the regulatory system itself. The authors ask: what is the relationship between two anatomically distinct sites of energy status detection that affect function, and do they operate autonomously or do they interact? Gujar et al. (2a) investigated the neuropeptide-expressing neurons of the arcuate, paraventricular, and lateral hypothalamus (LH) and the catecholamine-expressing A2 neurons of the nucleus tractus solitarius (NTS) in the dorsal medulla. Hindbrain neurons and astrocytes are energy status sensitive (1, 8 –12) and express a variety of molecular features [e.g., (2, 4, 7) cf. (6)] linked to metabolic state detection. By contrast, the functional contributions of hypothalamic energy status-sensitive neurons have been pursued longer and more intensely in this regard giving rise to the common perspective that the hypothalamus singularly mediates this functional role. For this reason, the authors’ conclusion that the metabolic status of hindbrain A2 neurons (conveyed to the forebrain via rostral projections) controls the metabolic readout of hypothalamic neurons and their neuropeptide gene/protein expression is most intriguing. In a rodent model, Gujar and colleagues reduced energy availability globally (using systemic insulin treatment) or locally in the hindbrain (via fourth ventricle delivery of the monocarboxylate inhibitor of lactate transport). To assess the metabolic impact of these treatments, phosphorylated adeno-

THE CENTRAL NERVOUS SYSTEM

Address for reprint requests and other correspondence: H. J. Grill, Graduate Groups of Psychology and Neuroscience, Univ. of Pennsylvania, 3720 Walnut St., Philadelphia, PA 19104 (e-mail: [email protected]). http://www.ajpregu.org

sine monophosphate kinase (pAMPK), a readout of energy status (3, 5), was measured in NTS A2 and in the aforementioned hypothalamic neurons. Also assessed were hypothalamic neuropeptide gene and protein expression, a variety of plasma hormones, and feeding behavior. Two experiments were designed to determine whether altering the energy status of hindbrain neurons control hypothalamic pAMPK levels and neuropeptide gene and protein levels. In the first experiment, lactate delivery confined to the hindbrain reversed the effects of insulin on pAMPK activity in A2 neurons and, importantly, also reversed the insulin-induced effects on pAMPK levels in arcuate and LH neurons, on arcuate neuropeptide Y (NPY) mRNA and protein levels, and LH orexin protein levels. In the second experiment, the effects of a hindbrain-administered monocarboxylate inhibitor (which induced an energy deficit) on A2 and hypothalamic neuronal pAMPK activity and hypothalamic neuropeptide effects were measured under two conditions. In one condition, connectivity between hindbrain A2 neurons and the hypothalamus was intact, and in the other, rats were treated with neurotoxin 6-hydroxydopamine (6-OHDA) to destroy A2 catecholamine neurons and their axonal projections to hypothalamic neurons. In rats with normal hindbrain-hypothalamic connectivity, the monocarboxylate inhibitor elevated pAMPK levels in A2 neurons, and, importantly, also elevated pAMPK levels in arcuate NPY and LH orexin neurons and attenuated them in arcuate pro-opiomelanocortin (POMC) neurons. Markedly reducing hindbrain-hypothalamic catecholamine connectivity attenuated or completely eliminated the hypothalamic effects. Collectively, these data support a novel view, one might call it a “bottom-up” view, of the organization of neural systems that contribute to energy status detection and maintenance and challenge the prevailing view that the hypothalamus is the primary center for metabolic detection. These ideas about the relationship between different neural populations of metabolic detectors are exciting and are likely to prompt future research. GRANTS This paper was supported by National Institute of Diabetes and Digestive and Kidney Diseases Grant DK-21397. DISCLOSURES No conflicts of interest, financial or otherwise, are declared by the author(s). REFERENCES 1. DiRocco RJ, Grill HJ. The forebrain is not essential for sympathoadrenal hyperglycemic response to glucoprivation. Science 204: 1112–1114, 1979.

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2. Dunn-Meynell AA, Rawson NE, Levin BE. Distribution and phenotype of neurons containing the ATP-sensitive K⫹ channel in rat brain. Brain Res 814: 41–54, 1998. 2a.Gujar AD, Ibrahim BA, Tamrakar P, Cherian AK, Briski KP. Hindbrain lactostasis regulates hypothalamic AMPK activity and hypothalamic metabolic neurotransmitter mRNA and protein responses to hypoglycemia. Am J Physiol Regul Integr Comp Physiol 306: R000 –R000, 2014. 3. Hardie DG, Scott JW, Pan DA, Hudson ER. Management of cellular energy by the AMP-activated protein kinase system. FEBS Lett 546: 113–120, 2003. 4. Hayes MR, Skibicka KP, Bence KK, Grill HJ. Dorsal hindbrain 5’adenosine monophosphate-activated protein kinase as an intracellular mediator of energy balance. Endocrinology 150: 2175–2182, 2009. 5. Kahn BB, Alquier T, Carling D, Hardie DG. AMP-activated protein kinase: ancient energy gauge provides clues to modern understanding of metabolism. Cell Metab 1: 15–25, 2005. 6. Lynch RM, Tompkins LS, Brooks HL, Dunn-Meynell AA, Levin BE. Localization of glucokinase gene expression in the rat brain. Diabetes 49: 693–700, 2000.

7. Marty N, Dallaporta M, Thorens B. Brain glucose sensing, counterregulation, and energy homeostasis. Physiology (Bethesda) 22: 241– 251, 2007. 8. McDougal DH, Viard E, Hermann GE, Rogers RC. Astrocytes in the hindbrain detect glucoprivation and regulate gastric motility. Auton Neurosci 175: 61–69, 2013. 9. Mizuno Y, Oomura Y. Glucose responding neurons in the nucleus tractus solitarius of the rat: in vitro study. Brain Res 307: 109 –116, 1984. 10. Ritter RC, Slusser PG, Stone S. Glucoreceptors controlling feeding and blood glucose: location in the hindbrain. Science 213: 451–452, 1981. 11. Ritter S, Dinh TT, Zhang Y. Localization of hindbrain glucoreceptive sites controlling food intake and blood glucose. Brain Res 856: 37–47, 2000. 12. Vavaiya KV, Briski KP. Caudal hindbrain lactate infusion alters glucokinase, SUR1, and neuronal substrate fuel transporter gene expression in the dorsal vagal complex, lateral hypothalamic area, and ventromedial nucleus hypothalamus of hypoglycemic male rats. Brain Res 1176: 62–70, 2007.

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Hindbrain energy status controls hypothalamic metabolic and neuropeptide signals. Focus on "Hindbrain lactostasis regulates hypothalamic AMPK activity and hypothalamic metabolic neurotransmitter mRNA and protein responses to hypoglycemia".

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