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. 2021 Jun 2;70(4):579–590. doi: 10.33549/physiolres.934694

Cholecystokinin System Is Involved in the Anorexigenic Effect of Peripherally Applied Palmitoylated Prolactin-Releasing Peptide in Fasted Mice

Zdenko PIRNÍK 1,2,3, Lucia KOŘÍNKOVÁ 2,5, Jana OSACKÁ 3, Blanka ŽELEZNÁ 2, Jaroslav KUNEŠ 2,4, Lenka MALETÍNSKÁ 2,
PMCID: PMC8820541  PMID: 34062082

Summary

Prolactin-releasing peptide (PrRP) has been proposed to mediate the central satiating effects of cholecystokinin (CCK) through the vagal CCK1 receptor. PrRP acts as an endogenous ligand of G protein-coupled receptor 10 (GPR10), which is expressed at the highest levels in brain areas related to food intake regulation, e.g., the paraventricular hypothalamic nucleus (PVN) and nucleus of the solitary tract (NTS). The NTS and PVN are also significantly activated after peripheral CCK administration. The aim of this study was to determine whether the endogenous PrRP neuronal system in the brain is involved in the central anorexigenic effect of the peripherally administered CCK agonist JMV236 or the CCK1 antagonist devazepide and whether the CCK system is involved in the central anorexigenic effect of the peripherally applied lipidized PrRP analog palm-PrRP31 in fasted lean mice. The effect of devazepide and JMV236 on the anorexigenic effects of palm-PrRP31 as well as devazepide combined with JMV236 and palm-PrRP31 on food intake and Fos cell activation in the PVN and caudal NTS was examined. Our results suggest that the anorexigenic effect of JMV236 is accompanied by activation of PrRP neurons of the NTS in a CCK1 receptor-dependent manner. Moreover, while the anorexigenic effect of palm-PrRP31 was not affected by JMV236, it was partially attenuated by devazepide in fasted mice. The present findings indicate that the exogenously influenced CCK system may be involved in the central anorexigenic effect of peripherally applied palm-PrRP31, which possibly indicates some interaction between the CCK and PrRP neuronal systems.

Keywords: Lipidized prolactin-releasing peptide analog, Cholecystokinin system, Cholecystokinin 1 receptor, Hypothalamic paraventricular nucleus, Nucleus of the solitary tract, c-Fos

Introduction

Anorexigenic neuropeptide prolactin-releasing peptide (PrRP), which has a structural RF-amide motif at the C-terminus that is important for its biological activity, is an endogenous ligand of G protein-coupled receptor 10 (GPR10), although it also has high binding affinity for neuropeptide FF receptor type 2 (NPFF-2R) (Kuneš et al. 2016, Pražienková et al. 2019). PrRP is mainly expressed in the nucleus of the solitary tract (NTS) of the brainstem, ventrolateral medulla and dorsomedial hypothalamic nucleus (DMN), and PrRP-positive fibers are found in the hypothalamus, amygdala and area postrema (AP), which are all areas connected with food intake regulation, as previously reviewed (Dodd and Luckman 2013, Pražienková et al. 2019, Quillet et al. 2016). The highest expression of GPR10 mRNA in rats was detected in the reticular nucleus of the thalamus, paraventricular hypothalamic nucleus (PVN), periventricular hypothalamic nucleus, DMN, AP and NTS. A moderate level of GPR10 expression was also found in the anterior pituitary and ventromedial nuclei (Ibata et al. 2000, Roland et al. 1999).

Initial studies showed that intracerebroventricular (i.c.v.) administration of PrRP reduced food intake and increased energy expenditure in rodents (Lawrence et al. 2000, Lawrence et al. 2002). Moreover, Ellacott et al. (2002) suggested that the anorexigenic action of PrRP is regulated by the adiposity signal leptin. Moreover, i.c.v. co-administration of PrRP and leptin to rats lowered food intake by an additive effect and increased body temperature more than either peptide alone. PrRP was also proposed to mediate some of the central satiating actions of the peptide hormone cholecystokinin (CCK) released from the gastrointestinal tract (GIT) (Lawrence et al. 2002). CCK is released from the GIT following the consumption of a meal and exerts its short-term anorexigenic effect via CCK1 receptors located on vagal afferents. Vagal efferents synapse to second-order neurons in the NTS by releasing neurotransmitters and neuropeptides (Luckman 1992, Peters et al. 2006). In such a route, the intraperitoneal (i.p.) injection of CCK activated c-Fos expression as a marker of neuronal activation in NTS neurons producing PrRP (Lawrence et al. 2002). CCK-induced hypothalamic c-Fos activation is strongly associated with the activation of noradrenergic A2 neurons within the NTS that express c-Fos even after peripheral injection of low doses of CCK (Maniscalco and Rinaman 2013, Wall et al. 2020). In fasted or satiated GPR10 KO mice, i.c.v. administration of PrRP did not reduce food intake compared to their wild-type controls. The administration of CCK did not result in the inhibition of food intake in GPR10 KO mice, suggesting that PrRP is involved in the central satiating actions of CCK (Bechtold and Luckman 2006). In addition, Cre recombinase-mediated reactivation of PrRP in the brainstem rescued the anorectic action of CCK (Dodd et al. 2014). On the other hand, endogenous CCK is physiologically involved in feeding control during fasting via the hypothalamic PVN (Cano et al. 2003), where CCK1 receptors are abundant (Woodruff et al. 1991). In addition, the activation of CCK neurons of the NTS that innervate the PVN stimulates appetite (D'Agostino et al. 2016, Roman et al. 2017).

PrRP acts centrally; therefore, the potential of PrRP to decrease food intake after peripheral administration depends on its ability to reach receptors in the brain and thus facilitate its central effect. Our group designed analogs of PrRP lipidized at the N-terminus, myristoylated PrRP20 (myr-PrRP20) and palmitoylated PrRP31 (palm-PrRP31), and PrRP31 palmitoylated at position 11 were shown to significantly lower food intake in fasted lean mice after subcutaneous (s.c.) administration and to lower body weight and improve metabolic parameters in diet-induced obese mice (Maletínská et al. 2015, Pražienková et al. 2017). Moreover, only palm-PrRP31 and myr-PrRP20, but not natural PrRP20, PrRP31 or octanoylated PrRP31, showed longer stability in rat plasma and after s.c. administration significantly increased c-Fos immunoreactivity in hypothalamic and brainstem nuclei involved in food intake regulation, such as the PVN, arcuate hypothalamic nucleus (Arc) and NTS (Maletínská et al. 2015). Finally, palm-PrRP31 administration resulted in significantly increased c-Fos levels in lateral hypothalamic area (LHA) hypocretin neurons and PVN oxytocin neurons (Pirnik et al. 2015).

Although PrRP mediates some of the central satiating actions of CCK and endogenous CCK is physiologically involved in feeding control during fasting via the hypothalamic PVN, there is no information to date regarding whether the CCK system may also be involved in the central anorexigenic effect observed after peripherally administered lipidized PrRP analog. Therefore, the anorexigenic activity of palm-PrRP31 with neuronal activity of the NTS and PVN, brain structures involved in homeostatic food control, was studied in overnight-fasted mice in which the “silent” CCK system, i.e., minimal endogenous peripheral CCK activity caused by fasting, was pharmacologically influenced by devazepide (Dev), a CCK1 receptor antagonist, and JMV236, a stable anorexigenic CCK analog (Maletínská et al. 1992).

Methods

Applied drugs

The cholecystokinin analog JMV236 (Asp-Tyr (SO3H)-Nle-Gly-Trp-Nle-Asp-Phe-NH2, PolyPeptide, Strasbourg, France), CCK-1 receptor antagonist Dev (L364,718) (gift from ML Laboratories, Liverpool, UK) and human palmitoylated PrRP analog palm-PrRP31 (N-palm-SRTHRHSMEIRTPDINPAWAYSRGIRPVGRF-NH2) were used in the experiments. Palm-PrRP31 was synthesized and purified at the Institute of Organic Chemistry and Biochemistry, Prague, Czech Republic, as described previously (Maletínská et al. 2015, Popelová et al. 2018). JMV236 and palm-PrRP31 were dissolved in saline (Sal), while Dev was dissolved in Sal containing 15 % DMSO.

Experimental design

Male C57BL/6J mice from Charles River Laboratories (Sulzfeld, Germany) were housed at a temperature of 23 °C and a relative humidity of 45–65 % with a daily 12 h light/dark cycle (lights on at 6:00 am). The mice were given ad libitum water and a standard rodent chow diet Ssniff R/M-H (Ssniff Spezialdiäten GmbH, Soest, Germany) and were housed at five mice per cage until three months of age. All animal experiments followed the ethical guidelines for animal experiments of the European Union Directive (2010/63/EU) and the Act of the Czech Republic Nr. 246/1992 and were approved by the Committee for experiments with Laboratory Animals of the Academy of Sciences of the Czech Republic.

In both experiments, individually housed overnight-fasted (16 h) mice (body weight 27.2 g ± 0.27 g) provided ad libitum to water were used. In both experiments, fasted mice were randomly divided into eight experimental groups: 1) Sal/Sal, 2) Sal/palm-PrRP31, 3) JMV236/Sal, 4) JMV236/palm-PrRP31, 5) Dev/Sal, 6) Dev/palm-PrRP31, 7) Dev/JMV236 and 8) Dev/JMV236 and palm-PrRP31. The first intraperitoneal (i.p., 0.15 ml) administration of Sal, Dev (1 mg/kg) and JMV236 (7 μg/kg) was thirty minutes later followed by a second subcutaneous (s.c., 0.15 ml) treatment with Sal and palm-PrRP31 (1 mg/kg) or i.p. treatment by JMV236 (7 μg/kg). The applied doses of JMV236, Dev and palm-PrRP31 were selected according to previously published data (Maletínská et al. 1992, Maletínská et al. 2008, Maletínská et al. 2015).

Food intake study

Rodent chow pellets were given to fasted mice (n=6 per group) 30 min after the second injection. The pellets were weighed every 30 min (noncumulative food intake) for the next 5 hours. The cumulative food intake was calculated by progressive summation of noncumulative food intakes during the individual time intervals. In all animals, the residual effect of the applied drugs was excluded based on nonsignificant differences in the amount of food intake during the first 24 h after drug administration compared to Sal/Sal treatment. For ethical reasons and for the validity, reproducibility, and respectability of the obtained data, the food intake study was repeated after 7 days in the same mice, and all data were pooled.

Immunohistochemical study

Fasted mice (n=5 per group) were deeply anesthetized with sodium pentobarbital (50 mg/kg, i.p.) ninety minutes after the second injection. The mice were transcardially perfused with ice-cold saline with heparin (10 U/ml, Zentiva, Prague, Czech Republic), and the brains were removed and postfixed in 0.1 M phosphate buffer (PB, pH 7.4) containing 4 % paraformaldehyde. To prevent diurnal variations in c-Fos expression, this part of the experiment was performed between 7:00 and 12:00 a.m.

Immunohistochemical staining

After 24 h of fixation, the brains were stored in a 20 % sucrose solution in PB with 0.1 % sodium azide at 4 °C and cut into 30 μm coronal sections using a cryostat (C M1950; Leica Biosystems, Germany). c-Fos immunohistochemistry was performed with rabbit c-Fos monoclonal antibody (1:2000; #2250S; Cell Signaling Technology, Inc., Danvers, MA, USA) according to the protocol described earlier (Pirnik et al. 2018). Consecutive PrRP immunostaining with rabbit polyclonal PrRP-31 antibody (1:500; #H-008-52; Phoenix Pharmaceuticals, Inc., Burlingame, CA, USA) was performed according to the same procedure as described above. The final PrRP immunoreactions were visualized by a single 0.01 % 3,3′-diaminobenzidine tetrahydrochloride (DAB; Millipore Sigma, Burlington, MA, USA) solution in 0.05 M Tris buffer (pH 7.4) and 0.0006 % H2O2. The development time (6 min) of the DAB immunostaining was monitored under a light microscope to reach the appropriate yellow-brownish color. Finally, the sections were mounted into 0.5 % gelatin dissolved in 0.05 M sodium acetate buffer (pH 6.0), air-dried and cover-slipped with Permount (Millipore Sigma, Burlington, MA, USA). The immunostaining of the negative control, which did not show any antiserum immunolabeling, included the substitution of the primary antisera with normal rabbit serum and the sequential elimination of the primary and secondary antibodies from the staining series.

The c-Fos immunoreactive cells were counted separately on each side of the appropriate coronal brain sections (n=3–4 sections/mouse) within the PVN (from bregma −0.7 mm to −0.94 mm) according to the mouse brain atlas (Paxinos 2004). In the same way, PrRP-, Fos-PrRP- and Fos-immunopositive cells were counted within the caudal NTS (from bregma −7.48 to −7.76 mm) according to the same mouse brain atlas based on (Ganchrow et al. 2014). Quantitative assessment of the immunostained cells was performed manually in CellCounter1.2. from digital images of the selected areas captured with an Olympus AX70 light microscope and digital camera (Olympus DP70; Olympus Europa SE & Co. KG, Hamburg, Germany). Images of representative sections were captured by the same microscope and digital camera.

Statistical analysis

All obtained data were first checked for normal distribution by the Shapiro-Wilks test in Statistica 7.0 (StatSoft) and SigmStat 4.0 (Systat). Square root normalized data from Fos immunoreactive cell counts in the PVN were analyzed by two-way ANOVA followed by Tukey’s post hoc comparison (SigmStat 4.0, Systat). If the distribution of the data was also nonnormal after square root data normalization (data obtained from noncumulative and cumulative food intake, data obtained from the immunohistochemical studies related to cNTS), then nonparametric Kruskal-Wallis analysis followed by Student-Newman-Keuls multiple comparison was performed. All the results are reported as the mean ± SEM. Differences were considered significant at p<0.05.

Results

Food intake and Fos neuronal activation in fasted mice did not differ between mice treated with Sal and the CCK1 receptor antagonist Dev alone.

In overnight-fasted Sal mice, the maximal food intake was observed during the first half-hour interval (Fig. 1). The second maximal peak of noncumulative food intake during the second half-hour interval did not exceed 40 % of its noncumulative food intake in the first time interval (Fig. 1). Dev alone did not significantly influence the normal pattern of food consumption in overnight-fasted mice compared to the Sal group (Fig. 1, Fig. 2).

Fig. 1.

Fig. 1

Non-cumulative food intake of fasted mice (n=12 per group) treated by Sal or Dev (1 mg/kg) and followed by Sal, JMV236 (7 μg/kg), palm-PrRP31 (1 mg/kg) and JMV236 (7 μg/kg)/palm-PrRP31 (1 mg/kg). Dev pretreatment of mice suppressed anorexigenic effect of JMV236 and was able to partially block anorexigenic effect of palm-PrRP31 and JMV236/palm-PrRP31 in time interval which covered time interval of immunohistochemical study. p<0.05 for each group represented by arrow [nonparametric Kruskal-Wallis analysis, H(7,N=96)=42.728, p<0.0001], Sal – saline, Dev – devazepide, palm-PrRP31 - palmitoylated prolactin-releasing peptide 31

Fig. 2.

Fig. 2

Cumulative food intake of fasted mice (n=12 per group) treated by Sal or Dev (1 mg/kg) and followed by Sal, JMV236 (7 μg/kg), palm-PrRP31 (1 mg/kg) and JMV236 (7 μg/kg)/palm-PrRP31 (1 mg/kg). (A) Dev pretreatment of mice suppressed anorexigenic effect of JMV236, (B) In Dev pretreated group of mice no significant differences between Dev alone and Dev/palm-PrRP31 was achieved on food intake, (C) The anorexigenic effect of palm-PrRP31 after JMV236 treatment. Please note that in Dev pretreated group of mice no significant anorexigenic effect of JMV236/palm-PrRP31 was achieved as in Dev alone. xp<0.05 for JMV236/Sal vs Sal/Sal, #p<0.05 for JMV236/Sal vs Dev/JMV236, &p<0.05 for Sal/palm-PrRP31 vs Sal/Sal and $p<0.05 for JMV236/palm-PrRP31 vs Sal/Sal [nonparametric Kruskal-Wallis analysis, H(7,N=96)=42.728, p<0.0001], Sal – saline, Dev – devazepide, palm-PrRP31 - palmitoylated prolactin-releasing peptide 31

In the caudal NTS (cNTS), almost no c-Fos-immunopositive cells (Fig. 3A, C) or c-Fos-immunopositive PrRP neurons (Fig. 3B, C) were detected in the Sal or Dev alone group. In the PVN, only a minimal number of c-Fos-immunopositive cells was found after Sal or Dev administration alone (Fig. 4A,B). Moreover, the number of Fos-immunoreactive cells in the PVN did not significantly differ between Sal and Dev alone (Fig. 4A,B).

Fig. 3.

Fig. 3

cNTS: Fos cell immunoreactivity in brainstem cNTS 90 min after last injection in mice (n=5 per group) treated by Sal or Dev (1 mg/kg) and followed Sal, JMV236 (7 μg/kg), palm-PrRP31 (1 mg/kg) and JMV236 (7 μg/kg)/palm-PrRP31 (1 mg/kg). (A) In Sal pretreated group of mice JMV236 and JMV236/palm-PrRP31 significantly increased the number of Fos immunopositive cells, (B) Dev pretreatment significantly reduced percentage of Fos-PrRP immunostained neurons in mice treated JMV236 and JMV236/palm-PrRP31, (C) Representative photographs of Fos immunostained cells and Fos-PrRP immunostained neurons (black arrows) with detail photograph of one colocalization. p<0.05 for each group represented by arrow [Fos: nonparametric Kruskal-Wallis analysis, H(7,N=5)=28.356, p<0.001, percentage of Fos-PrRP: nonparametric Kruskal-Wallis analysis, H(7,N=5)=31.388, p<0.001], Sal – saline, Dev – devazepide, palm-PrRP31 - palmitoylated prolactin-releasing peptide 31, cNTS - caudal nucleus of the solitary tract

Fig. 4.

Fig. 4

PVN: Fos cell immunoreactivity in PVN 90 min after last injection in mice (n=5 per group) treated by Sal or Dev (1 mg/kg) and followed Sal, JMV236 (7 μg/kg), palm-PrRP31 (1 mg/kg) and JMV236 (7 μg/kg)/palm-PrRP31 (1 mg/kg). (A) Dev pretreatment significantly reduced number of Fos immunopositive cells in mice treated JMV236 and JMV236/palm-PrRP31 but significantly increased number of Fos immunopositive cells in mice treated palm-PrRP31, (B) Representative photographs of Fos immunostained cells. p<0.05 for each group represented by arrow [two-way ANOVA, treatment: F(1,3)=20.438, p<0.001, pretreatment x treatment: F(1,3)=13.93, p<0.001], Sal – saline, Dev – devazepide, palm-PrRP31 - palmitoylated prolactin-releasing peptide 31, PVN - paraventricular hypothalamic nucleus, 3v – third brain ventricle

Onset of the anorexigenic effect of the CCK analog JMV236 is accompanied by Fos activation of PrRP neurons of the cNTS via CCK1 receptors.

Peripheral administration of JMV236 to overnight-fasted mice significantly lowered noncumulative food intake during the first and second half-hour intervals by almost 92 % compared to Sal alone (Fig. 1, p<0.05). This anorexigenic effect of JMV236 was significantly attenuated by Dev pretreatment (Fig. 1, p<0.05). In overnight-fasted mice, compared to Sal alone, a significant anorexigenic effect of JMV236 on cumulative food intake during all the measured time intervals was observed (Fig. 2A, p<0.05). No significant differences between Dev/JMV236 and Dev alone were found in noncumulative or cumulative food intake (Fig. 1, Fig. 2A).

The onset of the JMV236 effect on food intake was accompanied by a significantly increased number of Fos-immunopositive cells in the cNTS (Fig. 3A,C, p<0.05) and PVN compared to Sal alone (Fig. 4A,B, p<0.05). At the same time, approximately one-third of PrRP neurons in the cNTS were significantly activated after JMV236 administration compared to Sal alone (Fig. 3B,C, p<0.05). JMV236-induced c-Fos expression in PrRP cNTS neurons and PVN cells was almost completely suppressed by Dev pretreatment (Fig. 3B, C, p<0.05, Fig. 4A, B, p<0.05).

Pretreatment with Dev partially blocked the anorexigenic effect of palm-PrRP31

During the first and second half-hour intervals, palm-PrRP31 reduced noncumulative food intake by almost 61 % (Fig. 1, p=0.055) and 96 %, respectively (Fig. 1, p<0.05), compared to Sal alone. Except for the first half-hour (Fig. 2B, p=0.055), palm-PrRP31 also had a significant suppressive effect on cumulative food intake compared to Sal alone (Fig. 2B, p<0.05). On the other hand, no significant differences between Dev/palm-PrRP31 and Dev alone on food intake were achieved (Fig. 1, Fig. 2B).

The onset of the anorexigenic effect of palm-PrRP31 was not accompanied by a significantly changed number of c-Fos-immunopositive cells in either the cNTS (Fig. 3A,C) or PVN (Fig. 4A,B) or Fos-PrRP neurons in the cNTS (Fig. 3B,C) compared to Sal alone. Dev in combination with palm-PrRP31 did not affect the number of Fos- or Fos-PrRP-immunopositive cells in the cNTS compared to Dev alone (Fig. 4A,B,C). In the PVN, Dev/palm-PrRP31-treated animals exhibited a signifi-cantly increased number of Fos immunopositive cells compared to Dev alone (Fig. 4A,B, p<0.05).

Anorexigenic effect of palm-PrRP31 in fasted mice was not affected by the CCK analog JMV236, but pretreatment with Dev partially blocked the anorexigenic effect of JMV236-palm-PrRP31

In the Sal pretreatment group, the anorexigenic effects achieved by JMV236, palm-PrRP31 and JMV236/palm-PrRP31 did not differ significantly from each other at any time (Fig. 2C). The onset of the anorexigenic activity of JMV236/palm-PrRP31 was achieved at the same time as JMV236 and earlier than the onset of the anorexigenic activity of palm-PrRP31 (Fig. 1). No significant differences between Dev alone and Dev combined with JMV236/palm-PrRP31, JMV236 and palm-PrRP31 in effect on food intake were found (Fig. 1, Fig. 2).

In the Sal-pretreated groups, the onset of the anorexigenic effect of JMV236/palm-PrRP31 and JMV236 was associated with a significantly increased number of Fos-immunolabeled PrRP neurons in the cNTS compared to palm-PrRP31 (Fig. 3B,C, p<0.05). A similar effect was detected in the PVN: JMV236/palm-PrRP31 and JMV236 exhibited significantly more activated cells than palm-PrRP31 (Fig. 4A, B, p<0.05). No significant differences in the number of Fos-immunolabeled cells in either the cNTS or PVN or in the number of Fos-immunolabeled PrRP neurons in the cNTS were found between the JMV236/palm-PrRP31 and JMV236 groups (Fig. 3A,B,C, Fig. 4A,B).

Dev in combination with JMV236/palm-PrRP31 significantly reduced the number of Fos-immunolabeled PrRP neurons in the cNTS (Fig. 3B, C, p<0.05) and the number of Fos-immunolabeled cells in the PVN compared to those of the JMV236/palm-PrRP31 group (Fig. 4A,B, p<0.05). In addition, a significant parallel decrease in the number of Fos-PrRP neurons in the cNTS and Fos-immunolabeled cells in the PVN also occurred in the Dev/JMV236 group compared to the JMV236 alone group (Fig. 3B,C, p<0.05, Fig. 4A,B, p<0.05). On the other hand, Dev pretreatment with palm-PrRP31 significantly increased the number of Fos-immunolabeled cells in the PVN compared to palm-PrRP31 alone (Fig. 4A,B, p<0.05).

In the Dev-pretreated groups, JMV236, palm-PrRP31 or JMV236/palm-PrRP31 did not affect the number of Fos- or Fos-PrRP neurons in the cNTS compared to Dev alone (Fig. 3). On the other hand, the number of Fos immunolabeled cells in the PVN of Dev/JMV236/palm-PrRP31 was comparable to that of Dev/palm-PrRP31 group and was significantly higher than in the Dev/JMV236 and Dev alone (Fig. 4A,B, p<0.05).

Discussion

The present study aimed to elucidate the anorexigenic effect of peripherally applied palmitoylated prolactin-releasing peptide in the context of pharmacological manipulation of the “silent” cholecystokinin system in fasted mice.

Our data showed that the 1) onset of the anorexigenic effect of peripherally applied CCK agonist JMV236 was accompanied by significant Fos activation of PrRP neuronal population of the caudal NTS and by significant Fos cell activation in the PVN; 2) peripheral palm-PrRP31 administration in low anorexigenic dose was not associated with significant Fos activation of PrRP neuronal population in cNTS or Fos cell activation in PVN; 3) pretreatment with Dev was able to partially block anorexigenic effect of palm-PrRP31 and increase Fos cell activation in PVN; and 4) although combination of peripherally administered JMV236 and palm-PrRP31 did not show additive anorexigenic effect in fasted mice, it caused enhancement of Fos neuronal activity both in NTS and PVN which was partially suppressed by Dev pretreatment.

In our study, Fos cell activation in the NTS and PVN was studied after peripheral administration of the CCK analogs JMV236 and palm-PrRP31 for several reasons. First, among the key brainstem and hypothalamic structures that are involved in homeostatic food intake regulation, only the NTS and PVN were found to be significantly activated after acute peripheral CCK administration (Lawrence et al. 2002, Maletínská et al. 2008, Pirnik et al. 2010). Second, the NTS and the hypothalamic DMN are the main locations of brain PrRP neurons (Maruyama et al. 1999, Morales et al. 2000, Roland et al. 1999); however, only PrRP neurons in the NTS were shown to be involved in mediating the central satiety effect of CCK (Bechtold and Luckman 2006, Lawrence et al. 2002) while PrRP neurons in the DMN seem to be regulated by energy status (Lawrence et al. 2000). Third, prominent PrRP fiber innervation from the NTS to the PVN was described (Morales et al. 2000), and the CCK-PrRP-oxytocin PVN pathway was identified as critical for controlling meal size (Yamashita et al. 2013). In addition, although the PVN contains a lower number of GPR10 receptors than the DMN and NTS (Roland et al. 1999), our data with another palmitoylated PrRP analog indicated that while DMN cells might be associated with the process of long-term adaptation to modified energy homeostasis, activated PVN and NTS cells are instead also associated with the anorexigenic effect of lipidized analogs of PrRP (Pirník et al. 2018).

Our data showed that the anorexigenic effect of JMV236, which was accompanied by cell activation in the NTS and PVN, was inhibited by the selective CCK1 receptor antagonist Dev. Dev is able to cross the blood-brain barrier (BBB) (Woltman et al. 1999) and thus could be able to inhibit the anorexigenic effect of JMV236 via central CCK1 receptors. On the other hand, peripheral CCK1 receptors are involved in the central anorexigenic effect of CCK (Reidelberger et al. 2003), and JMV236 is analogously a CCK peptide agonist, as endogenous CCK is unable to cross the BBB (Passaro et al. 1982), and its central anorexigenic effect is probably indirect. The anorexigenic effect of JMV236 lasted several hours after its i.p. administration (Gourch et al. 1990, Maletínská et al. 1992). Moreover, JMV236 can inhibit food intake in rats only after its peripheral i.p. but not central i.c.v. administration (Gourch et al. 1990). Our study indicates that significant activation of PVN cells after peripheral JMV236 administration may be a consequence of the activation of peripheral CCK1 receptors and is probably associated with PrRP neurons of the NTS. On the other hand, the activation of cocaine- and amphetamine-regulated transcript (CART)-positive neurons in the PVN was also associated with the activation of NTS cells after peripheral CCK administration (Peter et al. 2010). In addition, a significant synergistic anorexigenic effect of peripheral CCK and central CART peptide in mice was also described (Maletínská et al. 2008). From this point of view, another neuronal system may also participate in the central anorexigenic effect observed after peripheral JMV236 administration.

In addition, the onset of the anorexigenic effect of JMV236/palm-PrRP31 and JMV236 was associated with a significantly increased number of Fos-immunolabeled PrRP neurons in the cNTS compared to that of palm-PrRP31. In addition, peripheral palm-PrRP31 administration at a dose of 1 mg/kg was associated only with nonsignificant PVN cell activation in our study. Recently, we showed that the central anorexigenic effect of peripherally administered palm-PrRP31 (5 mg/kg, s.c.) in mice was accompanied by significant Fos cell activation of the brainstem cNTS as well as hypothalamic PVN-Arc-DMN activation (Pirnik et al. 2015). In addition, a significant number of oxytocin PVN neurons and hypocretin LHA neurons were also activated after s.c. administration of palm-PrRP31 at dose of 5 mg/kg (Pirnik et al. 2015). In our study, only a nonsignificant increase in Fos cell activity in the cNTS and PVN after a lower palm-PrRP31 dose (1 mg/kg, s.c.), despite its significant anorexigenic effect, could be explained by a delayed onset of its anorexigenic activity that was already published for both doses (Maletínská et al. 2015).

This study showed that Dev alone did not significantly influence food intake and cell activation in the cNTS and PVN in overnight-fasted mice compared to Sal, but Dev pretreatment was able to significantly diminish food intake and Fos activation in both the NTS and PVN after JMV236 administration. Dev pretreatment was also able to partially reduce palm-PrRP-mediated food intake inhibition and to decrease Fos activation in response to combined JMV236 and palm-PrRP treatment in both the NTS and PVN. Moreover, our data also showed that peripheral Dev administration in fasted animals increased the number of Fos immunopositive cells in the PVN after palm-PrRP administration at a dose of 1 mg/kg. It must be mentioned that the plasma level of endogenous CCK in fasted animals is low (Playford et al. 1993), and in our study, Dev did not affect food intake when administered to overnight-fasted animals. In addition, even though Dev was able to increase CCK synthesis in the gastrointestinal tract of fasted animals, it was not able to increase plasma CCK levels (Playford et al. 1993). Although our data indicated that Dev could act peripherally to antagonize the action of JMV236, due to the low endogenous peripheral plasma CCK levels in fasted animals, the central effect of Dev should probably be considered. As shown previously, Dev can bind to CCK1 receptors located in the vagus nerve as well as in NTS neurons (Corp et al. 1993) and is able to cross the BBB (Woltman et al. 1999). On the other hand, food deprivation selectively increases the number of CCK1 receptors in the hypothalamus (Saito et al. 1981), and endogenous CCK is physiologically involved in feeding control during fasting via the hypothalamic PVN (Cano et al. 2003). As previously reported, CCK1 receptors are abundant in the PVN (Woodruff et al. 1991), and activation of CCK neurons of the NTS that innervate the PVN stimulates appetite (D'Agostino et al. 2016, Roman et al. 2017). In addition, i.p. administration of Dev did not alter food intake, although central i.c.v. administration of Dev increased food intake in fasted animals (Ebenezer 2002). Finally, i.p. Dev administration also resulted in almost complete loss of the anorexigenic effect of i.c.v. administered the CART peptide, whose anorexigenic effect was associated with PVN cell activation (Maletínská et al. 2008).

Thus, our data may indicate that the pharmacologically influenced CCK system may be involved in the central anorexigenic effect of peripherally applied palm-PrRP31. According to the Dev pretreatment, it cannot be excluded that both peripheral (mediated via brainstem NTS) and central mechanisms (mediated via hypothalamic PVN) may be involved in this effect. The central mechanism of the interaction between CCK and the PrRP neuronal system should be elucidated in future studies.

Acknowledgements

We would like to thank Hedvika Vysušilová for excellent assistance in food intake experiments and Miroslava Blechová for synthesis of palm-PrRP31. This work was supported by the Grant Agency of the Czech Republic GACR 18-10591S, RVO:67985823 and RVO:61388963 of Academy of Sciences of the Czech Republic.

Abbreviations

AP

Area postrema

Arc

Arcuate hypothalamic nucleus

BBB

Blood-brain barrier

CART

Cocaine- and amphetamine-regulated transcript

CCK

Cholecystokinin

cNTS

Caudal nucleus of the solitary tract

DAB

3,3′-diaminobenzidine tetrahydrochloride

Dev

Devazepide

DMN

Dorsomedial hypothalamic nucleus

GIT

Gastrointestinal tract

i.c.v.

Intracerebroventricular

i.p.

Intraperitoneal

LHA

Lateral hypothalamic area

myr

myristoylated

palm

palmytoylated

PB

Phosphate buffer

PrRP

Prolactin-releasing peptide

PVN

Paraventricular hypothalamic nucleus

Sal

Saline

s.c

Subcutaneous

Footnotes

Conflict of Interest

There is no conflict of interest.

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