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      Leptin-dependent serotonin control of appetite: temporal specificity, transcriptional regulation, and therapeutic implications

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          Abstract

          Leptin regulates serotonin synthesis by brainstem neurons in adult mice; serotonin then acts on arcuate neurons to inhibit food intake via Creb.

          Abstract

          Recent evidence indicates that leptin regulates appetite and energy expenditure, at least in part by inhibiting serotonin synthesis and release from brainstem neurons. To demonstrate that this pathway works postnatally, we used a conditional, brainstem-specific mouse CreER T2 driver to show that leptin signals in brainstem neurons after birth to decrease appetite by inhibiting serotonin synthesis. Cell-specific gene deletion experiments and intracerebroventricular leptin infusions reveal that serotonin signals in arcuate nuclei of the hypothalamus through the Htr1a receptor to favor food intake and that this serotonin function requires the expression of Creb, which regulates the expression of several genes affecting appetite. Accordingly, a specific antagonist of the Htr1a receptor decreases food intake in leptin-deficient but not in Htr1a −/− mice. Collectively, these results establish that leptin inhibition of serotonin is necessary to inhibit appetite postnatally and provide a proof of principle that selective inhibition of this pathway may be a viable option to treat appetite disorders.

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          Leptin inhibits bone formation through a hypothalamic relay: a central control of bone mass.

          Gonadal failure induces bone loss while obesity prevents it. This raises the possibility that bone mass, body weight, and gonadal function are regulated by common pathways. To test this hypothesis, we studied leptin-deficient and leptin receptor-deficient mice that are obese and hypogonadic. Both mutant mice have an increased bone formation leading to high bone mass despite hypogonadism and hypercortisolism. This phenotype is dominant, independent of the presence of fat, and specific for the absence of leptin signaling. There is no leptin signaling in osteoblasts but intracerebroventricular infusion of leptin causes bone loss in leptin-deficient and wild-type mice. This study identifies leptin as a potent inhibitor of bone formation acting through the central nervous system and therefore describes the central nature of bone mass control and its disorders.
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            Obesity and the regulation of energy balance.

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              Rapid rewiring of arcuate nucleus feeding circuits by leptin.

              The fat-derived hormone leptin regulates energy balance in part by modulating the activity of neuropeptide Y and proopiomelanocortin neurons in the hypothalamic arcuate nucleus. To study the intrinsic activity of these neurons and their responses to leptin, we generated mice that express distinct green fluorescent proteins in these two neuronal types. Leptin-deficient (ob/ob) mice differed from wild-type mice in the numbers of excitatory and inhibitory synapses and postsynaptic currents onto neuropeptide Y and proopiomelanocortin neurons. When leptin was delivered systemically to ob/ob mice, the synaptic density rapidly normalized, an effect detectable within 6 hours, several hours before leptin's effect on food intake. These data suggest that leptin-mediated plasticity in the ob/ob hypothalamus may underlie some of the hormone's behavioral effects.
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                Author and article information

                Journal
                J Exp Med
                J. Exp. Med
                jem
                The Journal of Experimental Medicine
                The Rockefeller University Press
                0022-1007
                1540-9538
                17 January 2011
                : 208
                : 1
                : 41-52
                Affiliations
                [1 ]Department of Genetics and Development , [2 ]Division of Development Psychobiology, Department of Psychiatry , [3 ]Department of Medicine , and [4 ]Irving Institute for Clinical and Translational Research, Columbia University, New York, NY 10027
                [5 ]Institut de Genetique et de Biologie Moleculaire et Cellulaire, 67404 Illkirch, France
                Author notes
                CORRESPONDENCE Gerard Karsenty: gk2172@ 123456columbia.edu

                V.K. Yadav and F. Oury contributed equally to this paper.

                Article
                20101940
                10.1084/jem.20101940
                3023132
                21187319
                3ae5e2a5-1db3-4ddf-a017-37d191884444
                © 2011 Yadav et al.

                This article is distributed under the terms of an Attribution–Noncommercial–Share Alike–No Mirror Sites license for the first six months after the publication date (see http://www.rupress.org/terms). After six months it is available under a Creative Commons License (Attribution–Noncommercial–Share Alike 3.0 Unported license, as described at http://creativecommons.org/licenses/by-nc-sa/3.0/).

                History
                : 15 September 2010
                : 3 December 2010
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                Medicine
                Medicine

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