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The Journal of Neuroscience, April 1, 2003, 23(7):2939
Glucagon-Like Peptide-1-Responsive Catecholamine Neurons in the
Area Postrema Link Peripheral Glucagon-Like Peptide-1 with Central
Autonomic Control Sites
Hiroshi
Yamamoto1,
Toshiro
Kishi2,
Charlotte
E.
Lee1,
Brian J.
Choi1,
Hui
Fang1,
Anthony N.
Hollenberg1,
Daniel J.
Drucker3, and
Joel K.
Elmquist1, 2
1 Department of Medicine and Division of Endocrinology
and2 Department of Neurology and Program in Neuroscience,
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston,
Massachusetts 02215, and 3 Department of Medicine, Toronto
General Hospital and the Banting and Best Diabetes Centre, University
of Toronto, Toronto, Ontario, Canada M5G 2C4
Glucagon-like peptide-1 (GLP-1) released from the gut is an
incretin that stimulates insulin secretion. GLP-1 is also a brain neuropeptide that has diverse central actions, including inhibition of
food and water intake, gastric emptying, and stimulation of neuroendocrine responses characteristic of visceral illness. Both intravenous and intracerebroventricular administration of GLP-1 receptor (GLP-1R) agonists increase blood pressure and heart rate and
induce Fos-like immunoreactivity (Fos-IR) in autonomic regulatory sites
in the rat brain. The area postrema (AP) is a circumventricular organ
and has been implicated in processing visceral sensory information. GLP-1Rs are densely expressed in the AP, and peripheral GLP-1R agonists
induce Fos-IR in AP neurons to a greater degree than intracerebroventricular administration. Because the AP lacks a blood-brain barrier, we hypothesized that the AP is a key site for
peripheral GLP-1 to activate central autonomic regulatory sites. In
this study, we found that many tyrosine hydroxylase (TH)-containing
neurons in the AP expressed GLP-1Rs and Fos-IR after intravenous GLP-1R
agonists. Furthermore, intravenous but not intracerebroventricular
GLP-1R agonists induced TH transcription in the AP
in vivo. In addition, GLP-1R agonists directly activated TH transcription in an in vitro cell
system. Finally, we found that GLP-1-responsive TH neurons in the AP
innervate autonomic control sites, including the parabrachial nucleus,
nucleus of solitary tract, and ventrolateral medulla. These findings
suggest that catecholamine neurons in the AP link peripheral GLP-1 and central autonomic control sites that mediate the diverse neuroendocrine and autonomic actions of peripheral GLP-1.
Key words:
GLP-1; area postrema; tyrosine
hydroxylase; blood-brain barrier; insulin; c-Fos; catecholamine
neurons; autonomic regulatory system
Copyright © 2003 Society for Neuroscience 0270-6474/03/2372939-08$05.00/0
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