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The Journal of Neuroscience, October 15, 2002, 22(20):9048-9052
The Catabolic Action of Insulin in the Brain Is Mediated by
Melanocortins
Stephen C.
Benoit1,
Ellen L.
Air1,
Lique M.
Coolen2,
Richelle
Strauss1,
Alana
Jackman3,
Deborah J.
Clegg1,
Randy J.
Seeley1, and
Stephen C.
Woods1
Departments of 1 Psychiatry and 2 Cell
Biology, Neurobiology, and Anatomy, University of Cincinnati,
Cincinnati, Ohio 45267, and 3 Procter & Gamble
Pharmaceuticals, Mason, Ohio 45040
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ABSTRACT |
Like leptin, the pancreatic hormone insulin is an important
adiposity signal to the brain. We report that the hypothalamic melanocortin system is an important target of the actions of
insulin to regulate food intake and body weight. Hypothalamic
neurons expressing insulin receptors were found to coexpress the
melanocortin precursor molecule pro-opiomelanocortin (POMC), and
administration of insulin into the third cerebral ventricle of fasted
rats increased expression of POMC mRNA. Finally, a subthreshold dose of
the melanocortin antagonist SHU-9119 prevented the reduction in food
intake caused by third-ventricular insulin administration. These data
suggest that the hypothalamic melanocortin system mediates the anorexic effects of central insulin, as well as of leptin.
Key words:
insulin; melanocortins; POMC; food intake; obesity; leptin
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INTRODUCTION |
Body weight is regulated by a
complex interaction of peripheral signals with central pathways that
influence food intake and energy expenditure. Understanding the high
degree of accuracy displayed by most mammals to maintain energy balance
is fundamental to our knowledge of how homeostatic systems function, as
well as to the etiology and treatment of clinical syndromes, including obesity and eating disorders. One afferent signal to the brain that
provides information about the amount of stored calories in the form of
adipose tissue is the pancreatic hormone insulin. The secretion of
insulin from the pancreas and its level in the blood are directly
proportional to adipose mass (Bagdade et al., 1967 ), such that plasma
insulin increases during periods of positive energy balance and
decreases during periods of negative energy balance (Bagdade et al.,
1967 ; Woods et al., 1974 ). Moreover, insulin passes through the
blood-brain barrier via a saturable, receptor-mediated process that
yields insulin levels in the CNS that are proportional to plasma
insulin (Baura et al., 1993 ).
The administration of exogenous insulin in small amounts into either
the neuropil of the ventral hypothalamus or the adjacent third
ventricle results in dose-dependent decreases in food intake (Woods et
al., 1979 ; Schwartz et al., 1992 ) and sustained weight loss that is not
attributable to incapacitation or illness (Chavez et al., 1995 ), and
this has been observed in several species. Conversely, the central
administration of insulin antibodies results in increased food intake
and body weight (McGowan et al., 1992 ). Consistent with this, the
selective removal of insulin receptors from neurons or else the
selective absence of key insulin receptor signaling molecules in the
brain results in increased body weight and susceptibility to
diet-induced obesity (Brüning et al., 2000 ; Stubdal et al.,
2000 ). Hence, insulin provides a negative feedback signal to the CNS
that is proportional to peripheral energy stores and is linked to CNS
systems that control food intake and body weight.
Like insulin, the more recently characterized adipocyte hormone leptin
also acts to reduce food intake and body weight. The central mechanisms
of this hormone, however, have been well characterized during the last
several years. Considerable evidence now implicates the hypothalamic
melanocortin system in the mediation of the anorexic effects of leptin.
We hypothesized that the hypothalamic melanocortin system also mediates
the central effects of insulin to reduce food intake and body weight.
This hypothesis makes several predictions that we tested. First,
insulin receptors exist on -melanocyte-stimulating hormone
( -MSH) producing neurons within the arcuate nucleus (ARC) of
the hypothalamus. Second, insulin stimulates expression of the -MSH
precursor pro-opiomelanocortin (POMC). Third, the ability of insulin to
reduce food intake depends on melanocortin receptor activation.
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MATERIALS AND METHODS |
Subjects
Subjects for all experiments were male, Long-Evans rats
(250-300 gm) individually housed in plastic tub cages. All animals had
ad libitum access to water and Purina 5001 rat chow unless otherwise noted.
Experiment 1: dual-labeling immunohistochemistry
Experiment 1 assessed the hypothesis that insulin receptors are
located on hypothalamic arcuate neurons that express the melanocortin precursor POMC. To assess this hypothesis, we used qualitative dual-labeling immunohistochemistry for insulin receptors and POMC.
Procedures. Five rats were given an overdose of
pentobarbital (60 mg/kg) and perfused transcardially with 450 ml of 4%
paraformaldehyde in 0.1 M sodium phosphate buffer
(PB). Brains were removed, postfixed (1.5 hr at room temperature), and
stored in 20% sucrose in PB. Coronal sections were cut (40 µm) with
a cryostat (Leica, Nussloch, Germany) and stored in
cryoprotectant (30% sucrose and 30% ethylene glycol in 0.1 M PB) (Watson et al., 1986 ) at 20°C until
further processing for POMC and insulin receptor- . Available
antibodies recognizing these antigens were all raised in rabbit. To
eliminate the possibility of cross-reactivity, a modification of a
recently described protocol was used (Hunyady et al., 1996 ).
Free-floating sections were incubated overnight at 4°C with
polyclonal antiserum recognizing insulin receptor- (Santa Cruz
Biotechnology, Santa Cruz, CA) diluted 1:1000 in incubation solution
(PBS containing 4% normal donkey serum and 0.1% Triton X-100).
Sections were subsequently exposed to biotin-conjugated donkey
anti-rabbit IgG (1:400 in incubation solution for 60 min; Jackson
ImmunoResearch, West Grove, PA), avidin-biotin-horseradish peroxidase
(ABC Elite, 1:1500 in PBS for 60 min; Vector Laboratories, Burlingame,
CA), biotinylated tyramide (1:250 for 10 min; Tyramide Signal
Amplification; NEN, Boston, MA), and CY3-conjugated streptavidin (1:400
in PBS for 30 min; Jackson ImmunoResearch). Sections were then
incubated overnight at room temperature in polyclonal antiserum
recognizing POMC (1:1000 in incubation solution; Phoenix Peptides,
Belmont, CA) and in Alexa488-conjugated goat anti-rabbit (1:400 for 30 min; Molecular Probes, Eugene, OR). Sections were mounted on glass slides and coverslipped with Gelvatol, containing an anti-fading agent
[1,4-diazabicyclo (2,2) octane].
Immunocytochemical controls included omission of primary antibody or
preabsorption of diluted antiserum with nanomolar concentrations of
appropriate purified peptides at 4°C for 24 hr. In addition, controls
included omission of second primary antibody and application of
Alexa488-conjugated secondary antibody. Fluorescent-stained sections
were examined with a Zeiss (Oberkochen, Germany) laser-scanning confocal microscope system (Zeiss LSM510). Alexa 488 fluorescence was
imaged with a 505 nm emission filter and an argon laser (488 nm) and
visualized as red signal; CY3 fluorescence was imaged with a 567 nm
emission filter and a HeNe laser (544 nm) and visualized as green
signal. Images were imported into Adobe Systems (San Jose, CA)
PhotoShop 6.0 and Microsoft (Seattle, WA) Word to comprise Figure 1.
Images were not adjusted or altered in any way, except for occasional
adjustment of brightness.
Experiment 2: POMC expression
Experiment 2 determined whether administration of central
insulin increases expression of POMC mRNA.
Surgeries. With the aid of a stereotaxic device, a stainless
steel 21 gauge cannula was implanted 2.2 mm posterior to bregma, 7.5 mm
below the dural surface and directly along the midline, with bregma and
lambda at the same vertical coordinate. The cannula was anchored to the
skull with screws and dental acrylic. All rats were allowed to recover
for 1 week. Cannula patency was then assessed by injection of 10 ng of
angiotensin-II (1 µl injection). Cannulas were considered patent if
rats consumed 5 ml of water within 1 hr of injection.
Procedures. Beginning at lights-on, each rat received an
intrathird ventricular (i3vt) injection (1 µl) of either
saline or 4 mU of insulin (n = 7 per group). The
injections were repeated every 12 hr over a 72 hr period (seven
injections total), during which time the rats were food deprived. An
additional group of rats (n = 7) also received i3vt
saline but remained fed ad libitum.
POMC mRNA quantification. Two hours after the final
injection, the rats were killed, and the brains were collected.
RNA was isolated from whole hypothalami using Tri-Reagent (Medical
Research Council, Cincinnati, OH) according to the instructions of the manufacturer. DNA contamination was eliminated using a removable DNase
system (DNAfree; Ambion, Austin, TX). The absence of DNA contamination
was confirmed by amplification of glyceraldehyde-3-phosphate dehydrogenase (GAPDH) (250 ng of RNA per well) with and without a
preceding reverse transcriptase (RT) step (2 min at 50°C and 30 min
at 60°C). Completion of 40 amplification cycles (i.e., 5 min at
95°C for one time; 20 sec at 94°C and 60 sec at 62°C for 40 times) without detecting a product in the non-RT wells indicated
that the RNA samples were not contaminated.
POMC expression was analyzed using the Taqman real-time PCR system (PE
Applied Biosystems, Foster City, CA) (Medhurst et al., 2000 ). POMC was
amplified, as above, in triplicate samples of RNA from each rat (10 ng/20 µl reaction) using forward and reverse primers
(5'-CGCCCGTGTTTCCA-3' and 5'-TGACCCATGACGTACTTCC-3', respectively; 300 nM each) coupled with a fluorescent-labeled Taqman probe
(6-FAM-ACGGAGATGAACAGCCCTTGACT-TAMRA; 150 nM). GAPDH served
as the reference gene in each multiplexed reaction (forward primer,
5'-TGCACCACCAACTGCTTAG-3'; reverse primer, 5'-GGATGCAGGGATGATGTTC-3',
80 nM each; probe VIC-CAGAAGACTGTGGATGGCCCCTC-TAMRA, 100 nM). Reactions were run using the Taqman EZ RT-PCR core
reagent kit at the recommended concentrations, although reaction volume was reduced to 20 µl. Standard curves consisted of pooled RNA from
each treatment group in singleplex GAPDH reactions. All reactions completed 40 replication cycles.
Sequence amplification and fluorescence detection were done using the
ABI PRISM 7700 Sequence Detection System (PE Applied Biosystems).
Baseline fluorescence was determined by the system and defined as the
average fluorescence detected during cycles 3-15. The threshold
fluorescence was then calculated by the system to be the level of
fluorescence that was statistically different from baseline (i.e., 10 times the mean SD of fluorescence in all wells over baseline
cycles). Relative expression was calculated based on the cycle number
at which the fluorescence exceeded the threshold of detection (CT).
Specifically, the CT for GAPDH was subtracted from that of POMC for
each well ( CT). The average CT for each experimental group was
derived from the average CT of each rat in that group. The
percentage of change in POMC expression, relative to the reference fed
saline group, was defined as 100 × 2  CT, where  CT equals the
group CT minus the CT of the fed saline group. Percentage of
change data were analyzed with one-way ANOVA, which yielded a
significant main effect of treatment
(F(2,19) = 7.44; p < 0.05).
Experiment 3: food intake
Experiment 3 determined whether a subthreshold for feeding dose
of a melanocortin antagonist would block the ability of central insulin
to reduce food intake.
Surgeries. Intracerebroventricular cannulations were
performed as described for experiment 2.
Procedures. The dose of SHU-9119 (Phoenix Peptides) was 0.1 nmol, which has been found previously to be subthreshold for augmenting food intake but nonetheless blocks the anorexic effects of involuntary overfeeding (Hagan et al., 1999 ). Food was removed 4 hr before the dark
phase, and all infusions were administered 1 hr before lights-off. Food
was returned at the onset of dark, and intake was measured after 1, 2, 4, and 24 hr. Body weights were recorded at 24 hr. This design included
four within-subjects tests: saline saline, SHU-9119 saline,
saline insulin, and SHU-9119 insulin. Order of test infusions
was counterbalanced via Latin-square design, with 2 d between treatments.
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RESULTS |
Experiment 1: dual-labeling immunohistochemistry
We assessed the hypothesized overlap in distribution of POMC and
the insulin receptor ( -subunit) by qualitative dual-labeling immunohistochemistry. First, immunoreactivity for insulin receptor- was present in brain areas found previously to contain mRNA or binding
sites (Baskin et al., 1983 ), including hippocampus and arcuate nucleus
(Fig. 1). No insulin
receptor- immunoreactivity was observed in areas of the brain that
do not express insulin receptor mRNA. Second, in all sections observed,
arcuate neurons with POMC immunoreactivity also had immunoreactivity
for the insulin receptor- . Figure 1 depicts a representative section
with colocalization of POMC and insulin receptor- immunoreactivity
in the arcuate nucleus at bregma 2.4 mm. Extensive colocalization of
POMC and insulin receptor- was observed throughout the nucleus in
both medial and lateral arcuate neurons. Most (~90%) of the cells
with POMC immunoreactivity also had insulin receptor-
immunoreactivity. However, not all insulin receptor- -immunopositive
neurons coexpressed POMC immunoreactivity. Cells positive only for
insulin receptor- were distributed throughout the arcuate but
primarily observed in the most rostral sections. Furthermore,
immunocytochemical controls demonstrated specificity of the primary
antibody. Both omission of the primary antibody and preabsorption in
diluted antiserum blocked insulin receptor- immunoreactivity.

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Figure 1.
Dual-label immunohistochemistry for insulin
receptor- and POMC. The top two panels
are confocal images (5 µm optical section) of ARC neurons. Positive
immunoreactivity for the insulin receptor- is depicted in
green (A), whereas POMC-positive
immunoreactivity is depicted in red
(B). C, An overlay of the above
images. Green arrows point to
single-labeled neurons; yellow arrows
indicate dual-labeled neurons. Scale bar, 50 µm.
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Experiment 2: POMC expression
To test the hypothesis that insulin upregulates POMC expression in
the ARC, insulin was administered into the third ventricle of fasted
rats, and POMC expression compared with fasted, saline-treated, and
ad libitum fed rats was measured in whole hypothalamic
extracts by real-time PCR (Medhurst et al., 2000 ). As depicted in
Figure 2, POMC expression in the fasted
saline-treated rats was decreased by 50% (ANOVA; Tukey's post
hoc test; p < 0.01) relative to those in a group
of fed rats, an effect similar to that seen in previous reports
(Schwartz et al., 1997 ; Thornton et al., 1997 ; Mizuno et al., 1998 ). In
contrast, POMC expression in insulin-treated fasted rats was
significantly higher than that of the level in the fasted saline rats
(Tukey's post hoc test; p < 0.05) and not significantly different from the level in the fed controls. Hence, the
local administration of insulin greatly attenuated the reduction of ARC
POMC caused by fasting. Percentage of change data were analyzed with
one-way ANOVA, which yielded a significant main effect of treatment
(F(2,19) = 7.44; p < 0.05).

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Figure 2.
Hypothalamic POMC expression. POMC expression
after ad libitum feeding (left
bar), a 72 hr fast (middle bar), and a 72 hr fast with i3vt infusions of 4 mU of insulin every 12 hr
(right bar). Central administration of insulin increased
expression of POMC relative to fasting, and the resultant levels were
not different from those that occurred during ad libitum
feeding. *p < 0.05.
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Experiment 3: food intake
SHU-9119 in the absence of insulin had no effect on food intake at
this dose (Fig. 3), nor did it block the
anorexic action of glucagon-like peptide-1 (Seeley et al.,
1997 ). Insulin by itself caused a significant reduction of food intake
(Tukey's post hoc test; p < 0.05), and
this was completely reversed by the presence of SHU-9119. Food intake
data were analyzed with a repeated-measures ANOVA, yielding a
significant main effect of treatments
(F(3,12) = 3.52; p < 0.05).

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Figure 3.
Effect of insulin and SHU-9119 on food intake.
Mean 4 hr food intake (in grams) after i3vt administration of saline
(Sal), insulin (8 mU) (Ins),
SHU-9119 (0.1 nmol) (Shu), and SHU-9119 followed by
insulin (S+I). SHU-9119, by itself, had no effect
on food intake, whereas insulin significantly reduced intake relative
to saline. Administration of SHU-9119 before administration of insulin
blocked the effect of insulin to reduce food intake
(*p < 0.05).
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DISCUSSION |
Although the importance of insulin as an adiposity signal has been
well established, the mechanisms by which it regulates intake and body
weight have been ill defined. The central action of insulin to reduce
food intake is similar in many ways to what is known about the central
action of the adipocyte hormone leptin. Like insulin, leptin secretion
and levels in the circulation are directly proportional to adiposity;
like insulin, leptin penetrates the blood-brain barrier via a
receptor-mediated process, and, as occurs with insulin, experimentally
or genetically induced increases in central leptin activity cause a net
catabolic response, whereas decreases cause a net anabolic response
(Woods et al., 1998 ; Schwartz et al., 2000 ). Hence, insulin and leptin
share many common activities regarding the control of energy
homeostasis, and recent evidence suggests that they also share common
intracellular signaling pathways (Bjorbaek et al., 1998 ; Barsh et al.,
2000 ; Emanuelli et al., 2000 ; Niswender et al., 2001 ). Based on all of
this evidence, we hypothesized that insulin and leptin act in concert
in the CNS to regulate caloric intake and expenditure.
Considerable evidence suggests that specific neuronal populations in
the ARC of the hypothalamus mediate the catabolic action of leptin
(Cheung et al., 1997 ; Fan et al., 1997 ; Seeley et al., 1997 ; Thornton
et al., 1997 ; Mizuno et al., 1998 ). In particular, one population of
ARC neurons expresses POMC, the precursor molecule of -MSH. In the
CNS, -MSH interacts with melanocortin 3 and 4 (MC3 and MC4)
receptors, and administration of -MSH or other MC3/4 agonists
reduces food intake and body weight (Fan et al., 1997 ; Thiele et al.,
1998 ). Consistent with this, overexpression or pharmacological
administration of MC3/4 antagonists increases food intake and body
weight (Fan et al., 1997 ; Ollmann et al., 1997 ; Hagan et al., 2000 ),
whereas genetic disruption of either POMC or the MC4 receptor results
in a phenotype that includes increased food intake and obesity (Huszar
et al., 1997 ; Yaswen et al., 1999 ).
Leptin receptors are expressed by POMC neurons in the ARC (Cheung et
al., 1997 ), and leptin administration stimulates POMC gene expression
(Schwartz et al., 1997 ; Thornton et al., 1997 ; Mizuno et al., 1998 ) and
increased electrical activity in these neurons (Cowley et al., 2001 ).
Most importantly, melanocortin receptor blockade inhibits the ability
of leptin to alter neuronal activation in the paraventricular nucleus
and to reduce food intake (Seeley et al., 1997 ). Based on the reliance
of leptin on an intact ARC POMC- -MSH system for its catabolic
action and other parallels of insulin and leptin as adiposity signals
to the brain, we hypothesized that insulin likewise interacts with the
central melanocortin system to exert its effects on energy balance.
Consistent with this hypothesis, insulin receptors would be expected to
be located on POMC neurons. This was found to be the case (Fig. 1).
Moreover, some insulin receptor-containing cells did not contain POMC,
indicating that these cells may contain other important ARC systems,
such as neuropeptide Y and agouti-related protein AgRP. These
data provide the first demonstration of a direct anatomical link
between central insulin receptors and a specific neuropeptide system
that regulates energy homeostasis.
One potential way in which insulin may influence the melanocortin
system is through regulation of POMC expression. Insulin, at doses that
do not influence peripheral glucose levels, was able to attenuate
significantly the reduction in POMC expression that accompanies a
prolonged fast (Fig. 2). These data are consistent with a previous
report that, when circulating insulin is reduced after streptozotocin
administration, POMC gene expression in the ARC is reduced, and the
administration of insulin systemically restores POMC expression (Kim et
al., 1999 ). However, it could not be concluded from that report whether
insulin or leptin was the key factor because streptozotocin treatment
also results in reduced circulating leptin, and systemic insulin
administration leads to an immediate increase in plasma leptin. The
current results indicate that the local administration of a small
amount of insulin directly into the CNS stimulates POMC gene
expression, presumably through the insulin receptors found on POMC neurons.
The observations that insulin receptors are expressed by POMC neurons
and that insulin stimulates POMC gene expression suggest that insulin
may reduce food intake and body weight by acting through the central
melanocortin system. However, because the POMC precursor encodes a
number of important ligands, the data from the first two experiments do
not unambiguously relate insulin signaling to increased activity at
melanocortin receptors. To this end, we determined the ability of
melanocortin receptor antagonists to block the anorexic actions of
centrally administered insulin. As illustrated in Figure 3, a
nonspecific melanocortin 3/4 receptor antagonist, SHU-9119, was able to
significantly attenuate the reduction in food intake elicited by
insulin administration. Hence, like leptin, insulin appears to exert
its central catabolic action by acting through melanocortin receptors.
Collectively, these experiments provide the first demonstration that
the CNS melanocortin system is an important downstream target for the
effects of insulin to regulate food intake and body weight. Therefore,
they provide a significant step in delineating the critical pathways
that allow for the maintenance of energy balance. The present data also
indicate that one important role for the CNS melanocortin system is to
integrate the message conveyed by insulin and leptin and likely other
important signals, as well (Woods et al., 1998 ; Schwartz et al., 2000 ;
Cowley et al., 2001 ).
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FOOTNOTES |
Received March 8, 2002; revised July 12, 2002; accepted July 12, 2002.
This work was supported by grants from the National Institutes of
Health and the American Diabetes Association (Physician Scientist
Training Award to E.L.A.) and funds from Procter & Gamble Pharmaceuticals.
Correspondence should be addressed to Stephen C. Benoit, Department of
Psychiatry, University of Cincinnati, College of Medicine, Box 670559, Cincinnati, OH 45267-0559. E-mail: stephen.benoit{at}uc.edu.
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