Anorectic and aversive effects of GLP-1 receptor agonism are mediated by brainstem cholecystokinin neurons, and modulated by GIP receptor activation
Anorectic and aversive effects of GLP-1 receptor agonism are mediated by brainstem cholecystokinin neurons, and modulated by GIP receptor activation
Glucagon-like peptide-1 receptor agonists (GLP-1RAs) are effective medications to reduce appetite and body weight. These actions are centrally mediated; however, the neuronal substrates involved are poorly understood.We employed a combination of neuroanatomical, genetic, and behavioral approaches in the mouse to investigate the involvement of caudal brainstem cholecystokinin-expressing neurons in the effect of the GLP-1RA exendin-4. We further confirmed key neuroanatomical findings in the non-human primate brain.We found that cholecystokinin-expressing neurons in the caudal brainstem are required for the anorectic and body weight-lowering effects of GLP-1RAs and for the induction of GLP-1RA-induced conditioned taste avoidance. We further show that, while cholecystokinin-expressing neurons are not a direct target for glucose-dependent insulinotropic peptide (GIP), GIP receptor activation results in a reduced recruitment of these GLP-1RA-responsive neurons and a selective reduction of conditioned taste avoidance.In addition to disclosing a neuronal population required for the full appetite- and body weight-lowering effect of GLP-1RAs, our data also provide a novel framework for understanding and ameliorating GLP-1RA-induced nausea - a major factor for withdrawal from treatment.
- University of Birmingham United Kingdom
- University of Salford United Kingdom
- University Federico II of Naples Italy
- Eli Lilly (United States) United States
- University of Manchester United Kingdom
Glucagon-like peptide-1, Blood Glucose, Male, MR/S025618/1, Glucose-dependent insulinotropic polypeptide, MR/ P009824/1, Supplementary Data, MR/P009824/2, 610, Appetite, Gastric Inhibitory Polypeptide, R Medicine, Brief Communication, Glucagon-Like Peptide-1 Receptor, Receptors, Gastrointestinal Hormone, Appetite; Area postrema; Brain; Cholecystokinin; Glucagon-like peptide-1; Glucose-dependent insulinotropic polypeptide; Nausea; Nucleus of the solitary tract, Mice, Nucleus of the solitary tract, Glucagon-Like Peptide 1, Appetite Depressants, Animals, Hypoglycemic Agents, Insulin, European Commission, Internal medicine, Neurons, R, Brain, Nausea, Liraglutide, BB/M001067/1, Glucagon, RC31-1245, Medical Research Council (MRC), Mice, Inbred C57BL, MR/T032669/1, Glucagon-Like Peptide-1 Receptor Agonists, Area postrema, Biotechnology and Biological Sciences Research Council (BBSRC), Exenatide, MR/N00275X/1, Female, Other, Cholecystokinin, 715884
Glucagon-like peptide-1, Blood Glucose, Male, MR/S025618/1, Glucose-dependent insulinotropic polypeptide, MR/ P009824/1, Supplementary Data, MR/P009824/2, 610, Appetite, Gastric Inhibitory Polypeptide, R Medicine, Brief Communication, Glucagon-Like Peptide-1 Receptor, Receptors, Gastrointestinal Hormone, Appetite; Area postrema; Brain; Cholecystokinin; Glucagon-like peptide-1; Glucose-dependent insulinotropic polypeptide; Nausea; Nucleus of the solitary tract, Mice, Nucleus of the solitary tract, Glucagon-Like Peptide 1, Appetite Depressants, Animals, Hypoglycemic Agents, Insulin, European Commission, Internal medicine, Neurons, R, Brain, Nausea, Liraglutide, BB/M001067/1, Glucagon, RC31-1245, Medical Research Council (MRC), Mice, Inbred C57BL, MR/T032669/1, Glucagon-Like Peptide-1 Receptor Agonists, Area postrema, Biotechnology and Biological Sciences Research Council (BBSRC), Exenatide, MR/N00275X/1, Female, Other, Cholecystokinin, 715884
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