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The Journal of Neuroscience, July 15, 1999, 19(14):6111-6121
Distinct Patterns of Neuropeptide Gene Expression in the Lateral
Hypothalamic Area and Arcuate Nucleus Are Associated with
Dehydration-Induced Anorexia
Alan G.
Watts,
Graciela
Sanchez-Watts, and
Andrea B.
Kelly
The Neuroscience Program and the Department of Biological Sciences,
University of Southern California, Los Angeles, California
90089-2520
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ABSTRACT |
We have investigated the hormonal and hypothalamic neuropeptidergic
substrates of dehydration-associated anorexia. In situ hybridization and hormone analyses of anorexic and paired
food-restricted rats revealed two distinct profiles. First, both groups
had the characteristic gene expression and endocrine signatures usually associated with starvation: increased neuropeptide Y and decreased proopiomelanocortin and neurotensin mRNAs in the arcuate nucleus (ARH);
increased circulating glucocorticoid but reduced leptin and insulin.
Dehydrated animals are strongly anorexic despite these attributes,
showing that the output of leptin- and insulin-sensitive ARH neurons
that ordinarily stimulate eating must be inhibited. The second pattern
occurred only in anorexic animals and had two components: (1) reduced
corticotropin-releasing hormone (CRH) mRNA in the neuroendocrine
paraventricular nucleus (PVH) and (2) increased CRH and neurotensin
mRNAs in the lateral hypothalamic (LHA) and retrochiasmatic areas.
However, neither corticosterone nor suppressed PVH CRH gene expression
is required for anorexia after dehydration because PVH CRH mRNA in
dehydrated adrenalectomized animals is unchanged from euhydrated
adrenalectomized controls. We also showed that LHA CRH mRNA was
strongly correlated with the intensity of anorexia, increased LHA CRH
gene expression preceded the onset of anorexia, and dehydrated
adrenalectomized animals (which also develop anorexia) had elevated LHA
CRH gene expression with a distribution pattern similar to intact
animals. Finally, we identified specific efferents from the
CRH-containing region of the LHA to the PVH, thereby providing a
neuroanatomical framework for the integration by the PVH of
neuropeptidergic signals from the ARH and the LHA. Together, these
observations suggest that CRH and neurotensin neurons in the LHA
constitute a novel anatomical substrate for their well known anorexic effects.
Key words:
feeding behavior; anorexia; neuropeptides; corticotropin-releasing hormone; arcuate nucleus; lateral hypothalamus; paraventricular nucleus; leptin; glucocorticoid
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INTRODUCTION |
Feeding in rats is regulated, like
other motivated behaviors, by interactive inhibitory and stimulatory
networks (Stricker, 1990 ). Rat ingestive behaviors consistently and
predictably occur during the dark period with unlimited food and water.
Eating and drinking are alternately initiated and terminated by
integrative mechanisms involving peptidergic neural circuits, visceral
sensory feedback, and circulating nutrient and hormone levels (Woods et al., 1998 ). Dysfunction in this physiological network disturbs eating
behaviors with serious consequences. For example, disruption of leptin
and associated neuropeptide signaling results in obesity (Elmquist et
al., 1999 ), whereas an inability to restrain inhibitory mechanisms
leads to anorexia, with consequent negative energy balance and body
wasting (Schwartz et al., 1995 ).
Several neuropeptides are strongly implicated in activating eating, and
the detailed organization of their cognate neural circuits is being
clarified. For example, to regulate eating, leptin targets
neuropeptide-containing neurons in a primary network consisting of the
arcuate (ARH), ventromedial (VMH), dorsomedial (DMH) nuclei, and
retrochiasmatic area (RCH), with further contributions from the lateral
hypothalamic area (LHA) and paraventricular nucleus (PVH) (Elmquist et
al., 1998a ,c ). In this context, neuropeptide Y (NPY) stimulates food
intake when injected into the brain, whereas altered NPY and
proopiomelanocortin (POMC) mRNA levels in the ARH occur during
deprivation (for review, see Woods et al., 1998 ). Regarding behavioral
inhibition, deprivation-induced eating is suppressed by
intraventricular injection of corticotropin-releasing hormone (CRH) or
neurotensin (Morley, 1987 ; Woods et al., 1998 ). Agonists of the
melanocortin (MC) 3/4 receptor reduce food intake (Fan et al., 1997 ;
Thiele et al., 1998 ), whereas MC3/4R antagonist administration or MC4R
knockout mice provoke hyperphagia (Hruby et al., 1995 ; Huszar et al.,
1997 ). Although the PVH is implicated in mediating some of these
anorectic effects (Heinrichs et al., 1993 ), the details of the circuits
responsible for generating anorexia remain less clearly defined than
those responsible for stimulating eating.
To examine this question we have used in situ hybridization
to compare the dynamics of four key neuropeptide mRNAs (CRH,
neurotensin, NPY, POMC) in the ARH, PVH, LHA, and RCH during
dehydration-associated anorexia and pair-fed food deprivation. Although
thirst is the obvious behavioral correlate of dehydration, when
prolonged it also generates an intense anorexia (Watts, 1999 ). Because
digestion requires significant water investment, some of which is
subsequently lost by colonic excretion, dehydration-associated anorexia
is a physiologically generated behavioral reflex critical for
protecting the fluid compartment. We have recently shown that when
animals are dehydrated by replacing drinking water with 2.5% saline,
anorexia develops relatively slowly but is rapidly reversed once access to water is restored, a behavioral structure consistent with the presence of simultaneous activated sets of neural circuits that independently stimulate or suppress eating (Watts, 1999 ). We
hypothesize that modified patterns of appetite-regulating neuropeptide
gene expression apparent during dehydration but not food restriction are associated with anorexia, whereas changes seen during both dehydration and food restriction are likely associated with hunger and the ensuing bout of eating that occurs once water is returned (Watts, 1999 ). Because these data identified the LHA as a potential mediator of anorexia, we also used injections of Phaseolus
vulgaris leucoagglutinin (PHA-L) to determine whether the region
containing CRH neurons provides afferent projections to the PVH.
Some of these data have been reported previously in abstract form
(Watts and Sanchez-Watts, 1998 ; Watts et al., 1998 )
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MATERIALS AND METHODS |
Animals. Adult male Sprague Dawley rats [250-260 gm
body weight (BW) at the start of the experiment] were individually
caged and maintained on a 12 hr light/dark schedule with lights on at 6 A.M. with unlimited access to food (Teklad rodent diet 8604) and
water. Food intake and body weights of all animals were measured twice
daily at 8-9 A.M. and 5-6 P.M. throughout the experiment. Intact
animals were selected to begin the control, food restriction (FR), or
dehydration (DE) schedules when their body weights were ~300 gm. At
this time there were no significant differences in body weights among
the three groups. For experiments involving adrenalectomized (ADX)
animals, adrenals were removed through bilateral flank incisions under
halothane anesthesia, and in addition to rodent diet, animals were
offered water and 0.9% saline. ADX animals began the dehydration
regimen only when all animals had showed increases in body weight for
at least 5 consecutive days.
Control, dehydration, and food restriction regimens. Control
euhydrated (EU) animals continued throughout the experiment with unlimited access to water and food, whereas the water supply of all DE
animals (intact and ADX) was replaced with 2.5% saline at noon on day
0 and continued for 5 d. The FR schedule was maintained for 5 d in a third group of intact animals that were offered water rather
than hypertonic saline. The FR schedule was designed so that animals
were pair-fed the same amount of food during each 12 hr light and dark
period as was eaten by intact-DE animals. The amount of food provided
for each period was determined from previously published data on
intact-DE animals (Watts, 1999 ) and was calculated individually as a
percentage per 100 gm BW of mean body weight during the 3 d
preceding the start of the restriction schedule. Food for each animal
was provided every day until they were killed after measurements
were taken at 8-9 A.M. and 5-6 P.M.
Sample collection. Animals were killed by one of two methods
at noon on day 5. First, animals destined for in situ
hybridization were decapitated, and their brains were rapidly removed
and immediately placed in ice-cold 4% paraformaldehyde in 0.01 M borate buffer, pH 9.5, for 24 hr. Fresh fixative
containing 12-15% sucrose was added after 24 hr, and brains were
fixed for a further 24 hr at 4-6°C. We have reported previously that
fixing brain tissue in this manner is entirely compatible with
quantitative in situ hybridization (Tanimura and Watts,
1998 ). All brains were then frozen on powdered dry ice and stored at
70°C until sectioning for in situ hybridization at a
later date. Trunk blood from these same animals was collected at
decapitation into three cooled plastic tubes: one for serum preparation
(for leptin assay), one coated with 0.01 M EDTA (for ACTH
assay), and one coated with heparin (for insulin and corticosterone assays). After a small sample was removed for hematocrit determination, all blood samples were centrifuged, and plasma was removed, aliquoted, and stored at 40°C until assayed for plasma osmolality and plasma hormone determinations at a later date. In the second method, animals
destined for immunocytochemistry were anesthetized with tribromoethanol
and perfused as described previously (Kelly and Watts, 1998 ). After
perfusion, brains were removed from the skull and post-fixed for 24 hr
in pH 9.5 4% paraformaldehyde/0.01 M borate fixative, and
brains were frozen on dry ice and stored as just described.
Radioimmunoassays. Concentrations of serum leptin, plasma
ACTH, insulin, and corticosterone were all measured by double-antibody radioimmunoassays (RIAs) using commercially available
125I-labeled antigen kits. Plasma insulin and leptin were
measured using kits purchased from Linco Research (St. Charles, MI),
with the lower sensitivity limits being 100 pg/ml and 0.5 ng/ml,
respectively, whereas the intra-assay coefficients of variation were
<9.4% and <6.8%, respectively. Plasma ACTH concentrations were
determined using an RIA kit purchased from ICN Biochemicals (Costa
Mesa, CA). The lower sensitivity limit was 30 pg/ml, and the
intra-assay coefficient of variation was <10.5%. Plasma
corticosterone concentrations were determined using an RIA kit
purchased from ICN Biochemicals. The lower sensitivity limit was 12 ng/ml, and the intra-assay coefficient of variation was <8.5%. For
all hormones, all samples were run in single assays.
In situ hybridization. Eight series of one in eight
15-µm-thick frontal sections were cut through the hypothalamus and
saved in ice-cold potassium PBS (KPBS) containing 0.25%
paraformaldehyde, pH 7.4. Sections were mounted the same day onto
poly-L-lysine-coated gelatin-subbed slides,
vacuum-desiccated overnight, post-fixed in KPBS/4% paraformaldehyde
for 1 hr at room temperature, rinsed five times for 5 min in clean
KPBS, air-dried, and then stored at 70°C in air-tight containers
containing silica-gel desiccant for hybridization at a later date.
Serial sections were saved for thionin staining.
Sections were hybridized using 35S-labeled cRNA probes for
ppCRH [a 700 bp fragment encoding part of exon 1 and all of exon 2 (Frim et al., 1990 )], ppNT/N [a 336 bp fragment encoding part of exon
4 (Kislauskis and Dobner, 1990 )], POMC [a 538 bp fragment encoding
part of exon 3 (Drouin and Goodman, 1980 )], or NPY [a 287 bp fragment
encoding part of exon 2 (Larhammar et al., 1987 )] mRNAs synthesized as
described previously (Watts and Sanchez-Watts, 1995b ). Briefly,
sections were prehybridized, hybridized for 20-22 hr at 60°C using a
probe concentration of 5 × 106 or
107 cpm/ml of hybridization buffer, followed by
posthybridization with RNase treatment at 37°C and room temperature
washes of from 4× to 0.1× SSC at 65°C, and dehydrated in alcohols.
Sections were exposed to Microvision-C x-ray film (Sterling Diagnostic
Imaging, Newark, DE) for varying periods (2-8 d), dipped in nuclear
track emulsion (Kodak NTB-2; diluted 1:1 with distilled water), and then exposed for 5-21 d, developed, and counterstained with thionin.
In situ hybridization data analysis. Relative levels of
mRNA were measured in anatomically defined regions on Microvision-C X-ray film exposures using a SC501 CCD camera (VSP Laboratories, Ann
Arbor MI) connected through a Perceptics Pixel Buffer frame grabber and
IPLab Spectrum software (v2.51; Signal Analytics Corp., Vienna, VA) to a Macintosh IIfx computer, as described elsewhere (Watts
and Sanchez-Watts, 1995a ,b ; Watts et al., 1995 ).
The area on the film image corresponding to each anatomical region
chosen for analysis was determined with careful reference to local
cytoarchitectonics on the adjacent thionin-stained sections and the
corresponding dipped autoradiographs. The area of the LHA used for
analyzing CRH and NT/N mRNA [LHA-crh (Kelly and Watts, 1998 )] was
determined using previously published maps for reference (Kelly and
Watts, 1998 ). Specifically, this area was contained within the five
consecutive one in eight sections starting at the most caudal aspect of
the PVH [level 27 of Swanson (1992) ]. The delineated region extended
from the fornix medially to the internal capsule laterally, and the
zona incerta dorsally to the ventral surface of the brain. CRH
mRNA-containing cells considered to be supraoptic magnocellular neurons
located on the most ventral aspect of the hypothalamus were excluded.
CRH or NT/N mRNA levels in the RCH were measured from signal in the
four consecutive one in eight sections beginning with the section
closest to level 25 of Swanson (1992) . For POMC, NPY, and NT/N mRNA
levels in the ARH, signal for each was measured in the eight
consecutive one in eight sections beginning with the section closest to
level 26 of Swanson (1992) .
Two quantitative indices of mRNA levels were obtained. First, the mean
gray level (MGL) of hybridization in CRH mRNA-containing cells in the
anatomically defined dorsal aspect of the medial parvicellular PVH
(PVHmpd) was determined as described previously (Watts and
Sanchez-Watts, 1995b ; Tanimura and Watts, 1998 ). This value is
dependent on the amount of mRNA per cell (Watts et al., 1995 ). Second,
to determine the effects of the treatments on neuropeptide mRNA levels
in the LHA, RCH, and ARH we measured the total pixel area occupied on
the film image by hybridization signal from labeled cells within these
anatomically defined areas. In brief, the total pixel area of the image
within the anatomically defined region was noted after image
segmentation at a value corresponding to 3 SDs above the mean
background value (determined from adjacent areas showing no specific
labeling). We have reported previously that this method excludes 98%
of background pixels (Watts et al., 1995 ). The derived value is
dependent on the total number of mRNA-containing cells within the
region of interest. For each mRNA in each region, the total pixel area
used for subsequent analysis was derived by summing the area values
from each of the sections in the series. In addition, because of the
heterogenous pattern of CRH and NT/N gene expression in the
LHA-crh, both the MGL of the region of specific labeling and its
total pixel area were determined on the appropriate segmented images.
Significance of differences between treatment groups was determined
using single-factor ANOVA followed by Dunnett's post hoc test for comparison with control values or unpaired Students
t test, where appropriate.
Phaseolus vulgaris leucoagglutinin injections. A 2.5%
solution of PHAL in sodium PBS was iontophoresed within the LHA-crh of
18 DE animals through glass microelectrodes (inner tip diameter 10-15
µm). A 5 µA direct current (7 sec on, 8.5 sec off) was delivered by
a high-voltage precision current source (model CS3, Transkinetics, Canton, MA) for up to 20 min (Kelly and Watts, 1998 ). Two weeks later
animals were perfused, and brains were removed from the skull,
post-fixed, frozen in powdered dry ice, and then stored at 70°C.
Frozen coronal sections (30 µm) were cut through the hypothalamus and
collected into ice-cold 0.1 M KPBS, pH 7.4, for immediate
processing or into buffered glycerol/sucrose cryoprotectant (Kelly and
Watts, 1998 ) and stored at 20°C for processing at a later date.
Sections were rinsed three times for 5 min in KPBS immediately before
incubation with primary antibody. Free-floating sections were incubated
in anti-PHAL antibody (1:2000; Vector Labs, Burlingame, CA) containing
10% nonfat dry milk and 0.3% Triton X-100 for 2-3 d. Specific
antibody staining was color-developed using a Vectastain Elite ABC kit
(Vector Labs) followed by incubation in a 0.5 mg/ml solution of
diaminobenzidine (3,3 diaminobenzidine tetrahydrochloride) containing
0.1 µl/ml hydrogen peroxide. Sections were then rinsed, mounted on
gelatin-coated slides, and vacuum-desiccated. Staining was amplified by
incubation of the slides in 0.01% OsO4, followed by
a water rinse and dehydration through ascending concentrations of
ethanol before being coverslipped with DPX mountant. The location of
all the injections sites used in this study, as well as their relationship to CRH mRNA-containing neurons in DE animals, have been
reported in detail in a previous publication from our laboratory (Kelly
and Watts, 1998 ). The same experimental numbers have been retained
here. The anatomical nomenclature of Swanson (1992) is used throughout.
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RESULTS |
Effects of dehydration or pair-fed food restriction on body weight
and food intake in intact and adrenalectomized animals
On day 0 there was no significant difference in mean morning body
weights between animals assigned to the EU, DE, or pair-fed FR groups
(Table 1). Although food intake was
maintained and body weight progressively increased in EU animals, both
variables declined during DE or FR (Fig.
1) with the reduction in food intake of
the FR group being experimentally controlled. The rate of body weight
loss during FR was significantly less than that seen in DE animals
(Fig. 1A), most likely because of a greater loss of body water from the latter group. As ADX-DE animals became
progressively dehydrated, the rate of body weight reduction was no
different from intact-DE animals (Fig. 1A). Figure
1B shows the anticipated mild hypophagia of ADX-EU
animals and that ADX-DE rats developed anorexia at rates
indistinguishable from intact animals when related to body weight.

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Figure 1.
Changes in body weight and food intake during
dehydration or food restriction. Mean (±SEM) daily changes in body
weight (A) and nocturnal food intake
(B) of intact-EU (solid circles,
solid lines), ADX-EU (solid squares,
solid lines), intact-DE (open circles,
dashed lines), ADX-DE (open squares,
dashed lines), or intact-food restricted (open
circles, solid lines) rats. Dehydration was
started on day 0 by replacing drinking water with 2.5% saline.
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Effects of dehydration or pair-fed food restriction on plasma
osmolalities, hormone concentrations, and thymus weights in intact and
adrenalectomized animals (Table 1)
DE but not FR significantly increased plasma osmolality in intact
animals. DE increased plasma osmolality in ADX animals, although this
was not to the same extent as was observed in intact animals.
Hematocrit was significantly increased only in intact-DE animals.
DE and FR in intact animals had qualitatively similar effects on a
number of other parameters. Thymus weights were equally and
significantly lowered in intact-DE and FR animals compared with
intact-EU animals. However, there was no significant difference between
the thymus weights of ADX-EU and ADX-DE animals, and both values were
significantly greater than intact-EU animals. Plasma ACTH
concentrations were not significantly different between intact-EU, FR,
and DE animals. However, plasma corticosterone concentrations were
significantly elevated in intact-FR and intact-DE when compared with
intact-EU animals. Plasma corticosterone was undetectable in all ADX
animals. DE and FR significantly reduced plasma insulin concentrations
in intact animals when compared with intact-EU animals, whereas serum
leptin concentrations were reduced to undetectable levels by DE and FR.
Serum leptin concentrations in ADX animals were undetectable in EU and
DE. Plasma insulin concentrations were significantly lower in ADX-EU
animals than in intact-EU animals and were not significantly affected
by DE.
Changes in neuropeptide gene expression observed during dehydration
and pair-fed food restriction
There are at least two possible mechanisms by which DE could
conceivably act at the level of the ARH to generate anorexia: DE could
reduce NPY levels (thereby reducing a major neural signal to eat), or
it could increase ARH levels of anorexic neuropeptides, such as
neurotensin or -MSH, or a combination of both. To test these
possibilities, we compared the levels of NPY, POMC, and NT/N mRNAs in
the ARH of pair-fed FR animals with those of DE-anorexic animals. The
data shown in Figure 2 are clearly
inconsistent with the hypothesis that DE targets the ARH to generate
anorexia. Thus, DE and FR both modified levels of these mRNAs in the
same direction. NPY was significantly increased in both instances (Fig.
2A), whereas DE and FR significantly decreased POMC
(Fig. 2B) and NT/N (Figs. 2C,
3B,D,F) mRNAs.

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Figure 2.
Dehydration and food-restriction both affect
arcuate nucleus gene expression. Mean (±SEM) levels of NPY
(A), POMC (B), and NT/N
(C) mRNA hybridization measured on treatment day
5 in the arcuate nucleus of euhydrated (EU),
dehydrated (DE), and paired-food restricted
(FR) animals. *p < 0.01;
**p < 0.001; ***p < 0.0002 versus EU animals.
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Figure 3.
CRH and neurotensin mRNA hybridization in the
lateral hypothalamic area. Dark-field photomicrographs of CRH
(A, C, E) and NT/N (B, D, F) mRNA
hybridization in the lateral hypothalamic area (LHA) and
arcuate nucleus (ARH) at approximately level
27/28 of Swanson (1992) of animals in the three treatment groups killed
on treatment day 5. A, B, Serial sections from a control
euhydrated animal; C, D, serial sections from a
dehydrated animal; E, F, serial sections from a
food-restricted animal. 3V, Third ventricle;
ME, median eminence.
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Changes in neuropeptide gene expression observed only
during dehydration
Rather than an ARH-dependent mechanism, DE-associated anorexia
could involve the specific activation of anorexigenic circuits. In this
instance, we might expect to see divergent responses of anorexigenic
neuropeptide mRNAs after DE and FR, with increased gene expression
after DE but not FR. Based on previously published patterns of
anorexigenic gene expression (Watts, 1992 ; Watts et al., 1995 ; Kelly
and Watts, 1998 ), CRH and neurotensin in the LHA and RCH, or CRH in the
neuroendocrine PVH, are candidate systems that could generate
DE-associated anorexia. In this experiment we focused on the
potential anorexigenic role of the LHA and RCH. The role of the
neuroendocrine PVH is addressed in the experiments described in the
next section.
First, we examined how patterns of CRH and NT/N gene expression in the
LHA and RCH were modified by DE and FR. In the LHA of intact-EU
animals, the number of CRH mRNA-containing cells was very low (Figs.
3A, 4A). As
anticipated, after 5 d of DE there was a highly significant
increase in the numbers of positively labeled cells (Figs.
3C, 4A) and the amount of CRH mRNA per
cell (Fig. 4C) in the LHA-crh (Kelly and Watts, 1996 , 1998 ).
In contrast, pair-fed FR animals had levels of CRH mRNA that remained
very low and indistinguishable from EU controls (Figs. 3E,
4A,C). There were already substantial numbers of NT/N
mRNA-containing neurons in LHA-crh of intact-EU animals (Figs.
3B, 4B), and these were not significantly
increased by DE (Figs. 3D, 4B) or FR
(Figs. 3F, 4B). However, the amount of
NT/N mRNA per cell was significantly increased by DE only (Figs.
3D, 4D). Figure 3C,D shows that
the majority of the NT/N mRNA-containing neurons that showed increased mRNA levels in the LHA after DE were in the same region as those expressing CRH mRNA. In this regard, we have recently observed that
>90% of the CRH neurons in the LHA-crh also express NT/N mRNA (our
unpublished observations). Although the overall number of neurons was
much lower, the nature of the response of CRH and NT/N mRNA-containing
neurons in the RCH was virtually identical to that seen in the LHA
(Fig. 5; see also Fig.
8B,D,F). Only in intact-DE animals were there
significant increases in these mRNAs.

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Figure 4.
Dehydration and food restriction differentially
affect gene expression in the lateral hypothalamic area. Mean (±SEM)
levels of CRH (A, C) and NT/N (B, D) mRNA
hybridization measured on treatment day 5 in the lateral hypothalamic
area of euhydrated (EU), dehydrated
(DE), and paired-food restricted (FR)
animals. A, B, Total pixel area of the specific
hybridization signal; C, D, the mean gray level of the
specifically labeled area. See Materials and Methods for further
details of the image analysis. *p < 0.0025;
**p < 0.0005; ***p < 0.0001 versus EU animals.
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Figure 5.
Dehydration and food restriction differentially
affect gene expression in the retrochiasmatic area. Mean (±SEM) levels
of CRH (A) and NT/N (B)
mRNA hybridization measured on treatment day 5 in the retrochiasmatic
area of euhydrated (EU), dehydrated
(DE), and paired-food restricted (FR)
animals. See Materials and Methods for further details of the image
analysis. *p < 0.005; **p < 0.0001 versus EU. ns, Not significant.
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Second, we showed that the amount of CRH mRNA present in the LHA of DE
animals on day 5 was significantly correlated with the degree of
anorexia exhibited the previous night (Fig.
6A) (r2 = 0.876;
F(10,1) = 63.7; p < 0.0001). Third, the rapid reversal of anorexia after the drinking of
water (Watts, 1999 ) reduced CRH mRNA in the LHA to levels
indistinguishable from EU animals 24 hr but not 5 hr after DE animals
had been allowed access to water (Fig. 6B).

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Figure 6.
CRH mRNA in the LHA is correlated with the degree
of anorexia, and CRH mRNA levels in the LHA return to control values 24 hr after anorexia is reversed. A, Correlation between
food intake (expressed as the percentage reduction relative to that
measured during the dark period immediately preceding treatment day 0)
and total pixel area of the specific CRH mRNA hybridization signal
measured on treatment day 5 in individual euhydrated and dehydrated
rats. See Results for levels of significance. B, Mean
(±SEM) CRH mRNA hybridization signal in the lateral hypothalamic area
of animals before (0 hr), 5 hr, or 24 hr after the return of drinking
water. Values were measured as total pixel area and expressed as a
percentage relative to those in euhydrated (EU)
animals on treatment day 5. ***p < 0.00025 versus
EU animals. ns, Not significant.
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CRH gene expression in the hypothalamic paraventricular nucleus of
intact and adrenalectomized rats after dehydration and food
restriction
CRH neurons in the neuroendocrine PVH are implicated as potential
regulators of ingestive behaviors (Schwartz et al., 1995 ; Woods et al.,
1998 ). Starvation, FR, and DE all reportedly decrease CRH mRNA in the
medial parvicellular part of the PVH (PVHmp) (Brady et al., 1990 ;
Watts, 1996 ), and altered neuroendocrine CRH metabolism acting on
adrenal corticosterone secretion is a potential mechanism through which
anorexia might be generated (Woods et al., 1998 ). Consequently, in our
final gene expression experiment we determined how DE and FR affected
CRH mRNA in the medial parvicellular (neuroendocrine) part of the PVH
of intact and ADX rats, and then how dehydration modified CRH mRNA in
the PVH and LHA of ADX rats. We used ADX-DE rats because, in contrast
to intact-DE animals, they do not show reduced CRH gene expression in
the PVHmp (Watts and Sanchez-Watts, 1995a ). Although DE
significantly reduced CRH mRNA levels in the PVHmp when compared with
intact-EU animals, paired-FR had no effect; levels in these animals
were indistinguishable from intact-EU controls (Figs.
7A,
8A,C,E). However,
despite ADX-DE animals having PVHmp levels of CRH mRNA that were
indistinguishable from ADX-EU animals (Fig. 7B), they
developed DE-associated anorexia at a rate identical to intact animals
(Fig. 1B). Furthermore, Figure 7C shows
that CRH mRNA in the LHA of ADX-DE animals was significantly increased
in a manner similar to that seen in ADX-EU animals. These CRH
mRNA-containing neurons in ADX-DE animals were located in the same
region of the LHA-crh as those seen in intact-DE animals (data not
shown).

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Figure 7.
Dehydration and food-restriction effects on CRH
gene expression in the paraventricular nucleus and lateral hypothalamic
area of adrenalectomized rats. Mean (±SEM) levels of CRH mRNA
hybridization measured on treatment day 5 in the dorsal aspect of the
medial parvicellular part of the hypothalamic paraventricular nucleus
from euhydrated (EU), dehydrated
(DE), paired-food restricted (FR) intact
animals (A), or from EU or DE adrenalectomized
(ADX) (B) animals.
C, Mean (±SEM) levels of CRH mRNA hybridization in the
lateral hypothalamic area of EU or DE-ADX animals. See Materials and
Methods for further details of the image analysis.
***p < 0.0005 versus EU animals.
ns, Not significant.
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Figure 8.
CRH and neurotensin mRNA hybridization in the
paraventricular nucleus retrochiasmatic area. Dark-field
photomicrographs of CRH (A, C, E) and NT/N (B, D,
F) mRNA hybridization in the paraventricular nucleus
(PVH) and retrochiasmatic area
(RCH) at approximately level 25/26 of Swanson
(1992) of animals in the three treatment groups killed on treatment day
5. A, B, Serial sections from a control euhydrated
animal; C, D, sections from a dehydrated animal;
E, F, sections from a food-restricted animal.
3V, Third ventricle; PVHmpd, dorsal
aspect of the medial parvicellular part of the PVH.
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|
Projections from the LHA-crh to the hypothalamic
paraventricular nucleus
The generation of DE-associated anorexia by peptidergic LHA-crh
neurons would require that their afferent projections interact with
elements of those neural networks previously implicated in controlling
food intake. One such locus is the PVH, which receives inputs from the
ARH critical for increasing food intake (for review, see Elmquist et
al., 1998a ). To determine whether the PVH is a region that received
afferents from the LHA-crh as might be a potential site of integration,
we injected PHA-L into the LHA-crh of DE rats.
Only those injections centered in the LHA-crh region (cases LP 6, 10, 14) resulted in labeled fibers in the PVH. The results from case LP 6 are shown in Figures 9 and
10. Although fibers and structures
indicative of terminal boutons were visible in both the magnocellular
and parvicellular neuroendocrine parts of the PVH, they were most
abundant in the dorsal, ventral, and lateral parvicellular regions of
the PVH that are known to contain neurons projecting to the brainstem
and spinal cord. These fibers appeared to course to the more rostral
regions of the PVH through the lateral parvicellular PVH [LP 6 level
27 (Figs. 9, 10)]. In contrast, injections of PHA-L placed beyond the
limits of LHA-crh [cases LP3, 15, and 18 (Fig. 9); case LP18 (Fig.
10)] showed far weaker projections into the PVH, with fibers
aggregating just outside the borders of the nucleus. This was
particularly prominent in case LP18 (Figs. 9, 10), where the injection
was located immediately medial to the fornix (Kelly and Watts,
1998 ). Injections placed within the same mediolateral limits as
the LHA-crh, but located either more rostrally or caudally, also had
far fewer labeled fibers in the PVH than injections in the LHA-crh
[cases LP 15 and 3 (Fig. 9)].

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Figure 9.
Maps of PHAL-labeled projections from the lateral
hypothalamic area to the paraventricular nucleus. PHAL-immunoreactive
processes from four representative injections plotted onto maps at
levels 26 and 27 of Swanson (1992) . PHAL immunoreactively labeled
neuronal cell bodies at injection sites (black dots) are
also shown where visible. Maps are arranged depending on the
rostrocaudal position of the injection site, with the most rostral case
(LP 15) first. Cases LP 15, LP 18, and LP 3 (located at
the same dorsoventral position as the LHA-crh, but further caudal at
level 29) were all control injections placed outside the region of the
LHA-crh; case LP 6 was in the center of the LHA-crh [Level 27A (Kelly
and Watts, 1998 )]. Note the large number of PHAL-labeled fibers in the
parvicellular regions of the PVH in case LP 6, but not in any of the
control injections. See Kelly and Watts (1998) for complete
descriptions of the injection sites. 3V, Third
ventricle; AHN, anterior hypothalamic nucleus;
ARH, arcuate nucleus; dp, dorsal
parvicellular part of the PVH; fx, fornix;
lp, lateral parvicellular part of the PVH;
mpd, dorsal aspect of the medial parvicellular part of
the PVH; mpv, ventral aspect of the medial parvicellular
part of the PVH; pv, periventricular part of the PVH;
RE, nucleus reuniens; SBPV,
subparaventricular zone; VMH, ventromedial nucleus;
ZI, zona incerta.
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|

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Figure 10.
PHAL-labeled projections from the lateral
hypothalamic area to the paraventricular nucleus. Dark-field
photomicrographs of PHAL-immunoreactive processes in the region of the
hypothalamic paraventricular nucleus (PVH) at approximately levels 26 and 27 of Swanson (1992) . Injection LP 6 (A) was
centered in the LHA-crh (level 27A/28); case LP 18 (B) was a control injection centered in the
region immediately medial and ventral to the fornix at level 26/27 of
Swanson (1992) . Note the large number of PHAL-labeled fibers in the
parvicellular regions of the PVH in the animal injected in the LHA-crh
(A) but not the control injection
(B). See Kelly and Watts (1998) for further
detailed descriptions of the injection sites. 3V, Third
ventricle; AHN, anterior hypothalamic nucleus;
dp, dorsal parvicellular part of the PVH;
fx, fornix; lp, lateral parvicellular
part of the PVH; mpd, dorsal aspect of the medial
parvicellular part of the PVH; mpv, ventral aspect of
the medial parvicellular part of the PVH; SBPV,
subparaventricular zone.
|
|
 |
DISCUSSION |
We have shown that for those hypothalamic neuropeptide genes whose
products can regulate feeding, hunger and anorexia result in two
expression patterns. Figure 11 shows
that some of these alterations are specific to DE-associated anorexia,
others happen in both hunger and anorexia, and all occur in key
components of a hypothalamic network critical for regulating eating:
the LHA, ARH, RCH, and PVH. We also demonstrate that those peripheral
signals usually processed centrally to stimulate eating reduced leptin and insulin, and elevated corticosterone concentrations occur in both
hungry and anorexic animals and likely initiate the altered NPY, POMC,
and possibly NT/N gene expression seen in the ARH after both behavioral
challenges (Schwartz et al., 1996 , 1997 ; Sahu, 1998 ). Considering that
DE produces strong anorexia, the presence of this humoral signal
pattern is superficially paradoxical. However, these profiles are
consistent with a model we have proposed to explain the sequence of rat
ingestive behaviors seen as dehydration-associated anorexia develops
and is then rapidly reversed by drinking water (Watts, 1999 ). This
model posits that by generating anorexia, DE ultimately impacts two
sets of neural circuits responsible for regulating eating behavior. The
first is responsible for stimulating the eating that normally follows
periods of negative energy balance, and the similar pattern of modified
gene expression evident in the ARH of both DE and FR rats is consistent
with this hypothesis. However, during DE but not FR, the motor output
of this stimulatory network is inhibited by a second set of neural
circuits that involves neuropeptides in particular parts of the LHA and
RCH. This inhibition is removed minutes after the return of water by an
as yet unknown but clearly fast-acting mechanism (Watts, 1999 ).

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Figure 11.
Summary of changes in gene expression. Schematic
diagram summarizing those patterns of gene expression that are
exclusive to dehydrated (anorexic) animals (black bars)
and those that are common to both dehydrated and food-restricted
(hungry) animals (gray bars). The height of each
symbol represents relative levels of gene expression.
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|
Retrochiasmatic and lateral hypothalamic neuropeptides in the
generation of anorexia
The integrated output of LHA neurons normally stimulates eating
(for review, see Elmquist et al., 1999 ), the substrate of which
probably includes the large but distinct populations of hypocretin/orexin- and MCH-containing neurons in LHA (Broberger et al.,
1998 ; Elias et al., 1998b ). However, because excitotoxic LHA lesions
cause mild rather than catastrophic hypophagia and do not impede
compensatory responses after deprivation (Winn, 1995 ), its overall
function is clearly not mandatory but has a more subtle and modulatory
nature (Winn, 1995 ; Sawchenko, 1998 ). Additional support for this
notion derives from the presence of at least two neuropeptides in the
LHA of normally fed animals (neurotensin and CART) that will
inhibit eating if exogenously applied (Levine et al., 1983 ; Kristensen
et al., 1998 ). Considered in this manner, it seems likely that this
diverse neuropeptidergic output of the LHA can be differentially
modulated by its array of afferents (Kelly and Watts, 1996 ), has the
capacity to regulate feeding in a wide variety of circumstances, and in
some instances can generate anorexia.
Our results strongly implicate increased CRH and neurotensin activity
in discrete populations of LHA and RCH neurons as mediators of
DE-associated anorexia. Together, the following findings advocate a
novel anatomical substrate in the LHA and RCH for the well known anorexigenic actions of CRH. First, elevated CRH mRNA only occurs in DE
animals that develop anorexia and not in pair-fed FR animals. Second,
the amount of CRH mRNA in the LHA is significantly correlated to the
intensity of expressed anorexia. Third, CRH mRNA dynamics in the LHA
are consistent with a role in generating anorexia: its appearance
anticipates the onset of anorexia (Watts et al., 1995 ; Watts, 1999 ),
and the extinction of anorexia by drinking water is followed within 24 hr by a return of CRH mRNA to control levels (this study). Fourth, DE
reveals CRH-immunoreactive neurons in these same LHA and RCH regions
(Kay-Nishiyama and Watts, 1999 ). Finally, intraventricular injections
of CRH and neurotensin inhibit deprivation-induced eating but do
not stimulate drinking (Levine et al., 1983 ; Morley, 1987 ),
demonstrating that elevated CRH and NT/T mRNAs in DE animals are
unlikely to contribute directly to increases in thirst.
Interestingly, this anorexia is independent of alterations in both
plasma corticosterone and CRH gene expression in PVH neuroendocrine neurons because DE-ADX animals also develop anorexia despite the absence of corticosterone and altered CRH gene expression in the PVH
(Watts and Sanchez-Watts, 1995a ; this study). The fact that ADX-DE rats
have increased CRH mRNA in the LHA and RCH expressed with an identical
topography to intact-DE animals is consistent with an
anorexia-generating role for these neurons.
The arcuate nucleus and the stimulation of food intake
The ARH is a central component of the neural network that
regulates eating. It is a major target of leptin signaling (Schwartz et
al., 1997 ; Elmquist et al., 1998b ; Hakansson et al., 1998 ; Sahu, 1998 ),
and substantial evidence implicates ARH neuropeptides as critical
determinants of eating. Thus, central injections of NPY stimulate
eating (Stanley and Leibowitz, 1985 ), elevated NPY mRNA occurs after FR
or deprivation (Brady et al., 1990 ; Woods et al., 1998 ), MC3/4 receptor
agonists inhibit eating (Fan et al., 1997 ; Thiele et al., 1998 ), and
manipulating circulating leptin alters the expression of neuropeptide
genes in the ARH (Schwartz et al., 1997 ; Sahu, 1998 ). Here we show that
a pair-feeding schedule mirroring the amount of food eaten during DE
has virtually the same effects on the levels of NPY, POMC, and NT/N
mRNAs as DE itself, suggesting that these gene responses are a
consequence of the reduced food intake common to both treatments and
are unlikely to be the substrate for anorexia. Although changes in NPY,
POMC, and NT/N mRNA levels have been reported previously after DE or FR
(Brady et al., 1990 ; O'Shea and Gundlach, 1995 ; Watts et al., 1995 ),
this is the first study to compare directly the effects of DE with
paired FR on these variables.
The paraventricular nucleus and the integration of
feeding signals
During the development and rapid termination of DE-associated
anorexia, accounting for the operational dynamics of the two neural
networks impacted by dehydration (one inhibiting, the other stimulating
eating) requires their eventually convergence. Several lines of
evidence place the PVH in a strategic position to effect at least part
of this integration (Gold, 1973 ; Stanley and Leibowitz, 1985 ),
including the fact that insulin and leptin-sensitive NPY neurons in the
ARH provide afferents to the PVH (Kalra et al., 1991 ; Elmquist et al.,
1999 ). Our findings that FR and DE similarly affect NPY gene expression
is consistent with ARH-PVH projections being components of the
stimulatory network described above. To incorporate an inhibitory
network, we now show that the region of the LHA expressing CRH during
DE specifically provides efferents to parvicellular PVH subdivisions
consistent with the data of Larsen et al. (1994) . It is notable that
some of these same regions contain preganglionic neurons capable of
regulating a wide variety of behavioral and autonomic motor functions
(Swanson, 1987 ). That CRH functions in this LHA-PVH pathway is
supported by the fact that some CRH neurons in the perifornical LHA
project to the PVH (Champagne et al., 1998 ). A functional interaction
of this kind is also supported by the observation that feeding induced
by injections of NPY into the PVH is inhibited by CRH (Heinrichs et
al., 1993 ).
Finally, it is worth noting that in addition to actions at the PVH,
DE-sensitive CRH neurons in the LHA may also have modulatory actions in
the parabrachial nucleus and other brainstem loci known to be involved
with energy metabolism and gustation (Moga et al., 1990 ; Kelly and
Watts, 1998 ). Although it is likely that other neuropeptides in the LHA
and RCH (e.g., MCH, orexin/hypocretin, CART, POMC) contribute to
altered motor function in these networks (Elias et al., 1998a ), their
role in the generation and recovery from DE-associated anorexia is
currently unknown.
Considered together, our data from DE and FR animals are consistent
with our previously proposed model for DE-associated anorexia (Watts,
1999 ). Thus, during the first night of drinking hypertonic saline,
information about increasing plasma osmolality is relayed to neurons in
the LHA using projections from the lamina terminalis. In turn, this
activates CRH and NT/N genes (Kelly and Watts, 1996 ), although at this
time it is insufficient to provoke anorexia (Watts, 1999 ), but as the
intensity of dehydration increases, elevated CRH and neurotensin in LHA
efferents now act, possibly at the PVH, to suppress feeding. This
progressive suppression of feeding provokes the characteristic hormonal
and ARH neuropeptide signature of negative energy balance, accounting
for the similar responses to FR and DE. However, during DE, steadily
increasing inhibition from CRH and neurotensin neural signaling
prevents these elements from stimulating eating. When water is again
drunk, sensory components of this action rapidly disinhibit the
stimulatory network, provoking avid food consumption (Watts, 1999 ). As
drinking water continues, plasma osmolality falls (Hatton and Bennett,
1970 ), allowing LHA CRH gene expression and normal feeding patterns to
return to control levels (Watts, 1999 ; this study). These results
suggest that the behavioral and neuropeptidergic aspects of
DE-associated anorexia provide a very powerful dynamic paradigm for
investigating the neural basis of ingestive behaviors.
 |
FOOTNOTES |
Received Feb. 25, 1999; revised April 27, 1999; accepted April 27, 1999.
This study was supported by Grant NS 29728 (A.G.W.) from the National
Institute of Neurological Diseases and Stroke, National Institutes of
Health. We thank Drs. P. Dobner (NT/N), D. Larhammar (NPY), J. Majzoub
(CRH), and J. Roberts (POMC) for gifts of cDNAs for probe preparation.
We also thank Cynthia Kay-Nishiyama and Dr. JunQi Zheng for technical assistance.
Correspondence should be addressed to Dr. Alan G. Watts, Program in
Neural, Informational and Behavioral Sciences, Hedco Neuroscience Building, MC 2520, University of Southern California, Los Angeles, CA
90089-2520.
 |
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Copyright © 1999 Society for Neuroscience 0270-6474/99/19146111-11$05.00/0
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