Semaglutide lowers body weight in rodents via distributed neural pathways.


Journal

JCI insight
ISSN: 2379-3708
Titre abrégé: JCI Insight
Pays: United States
ID NLM: 101676073

Informations de publication

Date de publication:
26 03 2020
Historique:
received: 17 09 2019
accepted: 26 02 2020
entrez: 28 3 2020
pubmed: 28 3 2020
medline: 18 5 2021
Statut: epublish

Résumé

Semaglutide, a glucagon-like peptide 1 (GLP-1) analog, induces weight loss, lowers glucose levels, and reduces cardiovascular risk in patients with diabetes. Mechanistic preclinical studies suggest weight loss is mediated through GLP-1 receptors (GLP-1Rs) in the brain. The findings presented here show that semaglutide modulated food preference, reduced food intake, and caused weight loss without decreasing energy expenditure. Semaglutide directly accessed the brainstem, septal nucleus, and hypothalamus but did not cross the blood-brain barrier; it interacted with the brain through the circumventricular organs and several select sites adjacent to the ventricles. Semaglutide induced central c-Fos activation in 10 brain areas, including hindbrain areas directly targeted by semaglutide, and secondary areas without direct GLP-1R interaction, such as the lateral parabrachial nucleus. Automated analysis of semaglutide access, c-Fos activity, GLP-1R distribution, and brain connectivity revealed that activation may involve meal termination controlled by neurons in the lateral parabrachial nucleus. Transcriptomic analysis of microdissected brain areas from semaglutide-treated rats showed upregulation of prolactin-releasing hormone and tyrosine hydroxylase in the area postrema. We suggest semaglutide lowers body weight by direct interaction with diverse GLP-1R populations and by directly and indirectly affecting the activity of neural pathways involved in food intake, reward, and energy expenditure.

Identifiants

pubmed: 32213703
pii: 133429
doi: 10.1172/jci.insight.133429
pmc: PMC7213778
doi:
pii:

Substances chimiques

Glucagon-Like Peptide-1 Receptor 0
semaglutide 53AXN4NNHX
Glucagon-Like Peptides 62340-29-8

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

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Auteurs

Sanaz Gabery (S)

Global Drug Discovery and

Casper G Salinas (CG)

Global Drug Discovery and

Sarah J Paulsen (SJ)

Global Drug Discovery and

Jonas Ahnfelt-Rønne (J)

Global Drug Discovery and

Tomas Alanentalo (T)

Global Drug Discovery and

Arian F Baquero (AF)

Institute of Experimental Medicine Hungarian Academy of Sciences, Budapest, Hungary.

Stephen T Buckley (ST)

Global Research Technologies, Novo Nordisk A/S, Måløv, Denmark, and Seattle, Washington, USA.

Erzsébet Farkas (E)

Institute of Experimental Medicine Hungarian Academy of Sciences, Budapest, Hungary.

Csaba Fekete (C)

Institute of Experimental Medicine Hungarian Academy of Sciences, Budapest, Hungary.

Klaus S Frederiksen (KS)

Global Drug Discovery and

Hans Christian C Helms (HCC)

Global Research Technologies, Novo Nordisk A/S, Måløv, Denmark, and Seattle, Washington, USA.

Jacob F Jeppesen (JF)

Global Drug Discovery and

Linu M John (LM)

Global Drug Discovery and

Charles Pyke (C)

Global Drug Discovery and

Jane Nøhr (J)

Global Drug Discovery and

Tess T Lu (TT)

Global Drug Discovery and

Joseph Polex-Wolf (J)

Global Drug Discovery and

Vincent Prevot (V)

Inserm, Laboratory of Development and Plasticity of the Neuroendocrine Brain, Jean-Pierre Aubert Research Centre, Lille, France.

Kirsten Raun (K)

Global Drug Discovery and

Lotte Simonsen (L)

Global Drug Discovery and

Gao Sun (G)

Global Research Technologies, Novo Nordisk A/S, Måløv, Denmark, and Seattle, Washington, USA.

Anett Szilvásy-Szabó (A)

Institute of Experimental Medicine Hungarian Academy of Sciences, Budapest, Hungary.

Hanni Willenbrock (H)

Global Research Technologies, Novo Nordisk A/S, Måløv, Denmark, and Seattle, Washington, USA.

Anna Secher (A)

Global Drug Discovery and

Lotte Bjerre Knudsen (LB)

Global Drug Discovery and

Wouter Frederik Johan Hogendorf (WFJ)

Institute of Experimental Medicine Hungarian Academy of Sciences, Budapest, Hungary.

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