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. Author manuscript; available in PMC: 2010 Jan 1.
Published in final edited form as: J Neurosci. 2009 Jul 1;29(26):8302–8311. doi: 10.1523/JNEUROSCI.1668-09.2009

Mediobasal hypothalamic leucine sensing regulates food intake through activation of a hypothalamic-brainstem circuit

Clémence Blouet 1, Young-Hwan Jo 1, Xiaosong Li 1, Gary J Schwartz 1
PMCID: PMC2740923  NIHMSID: NIHMS128498  PMID: 19571121

Abstract

In response to nutrient stimuli, the mediobasal hypothalamus (MBH) drives multiple neuroendocrine and behavioral mechanisms to regulate energy balance. While central leucine reduces food intake and body weight, the specific neuroanatomical sites of leucine sensing, downstream neural substrates and neurochemical effectors involved in this regulation remain largely unknown. Here we demonstrate that MBH leucine engages a neural energy regulatory circuit by stimulating POMC neurons of the MBH, oxytocin neurons of the paraventricular hypothalamus, and neurons within the brainstem nucleus of the solitary tract to acutely suppress food intake by reducing meal size. We identify central p70 S6 kinase and Erk1/2 pathways as intracellular effectors required for this response. Activation of endogenous leucine intracellular metabolism produced longer-term reductions in meal number. Our data identify a novel, specific hypothalamic-brainstem circuit that links amino acid availability and nutrient sensing to the control of food intake.

Keywords: food intake, nutrient sensing, energy balance, mediobasal hypothalamus, brainstem, neurocircuit

INTRODUCTION

The hypothalamus has emerged as a major center of convergence and integration of nutrient-related signals, critical in determining whole body energy homeostasis (Morton et al., 2006). Subpopulations of hypothalamic neurons are not only sensitive to adiposity hormones, such as insulin and leptin, but are also responsive to glucose and fatty acids and these nutrients act as signaling molecules to determine membrane potential and firing rate, thereby driving downstream behavioral and metabolic effectors of energy balance (Jo et al., 2009; Obici et al., 2002; Ibrahim et al., 2003; Wang et al., 2004). Hypothalamic nutrient sensing is impaired in animal models of obesity, and disruption of hypothalamic nutrient sensing induces obesity and dysregulation of glucose homeostasis (He et al., 2006; Parton et al., 2007). Conversely, restoration of hypothalamic nutrient sensing normalizes food intake, energy balance and glucose homeostasis in overfed rats (Pocai et al., 2006). Together, these findings underscore the relevance of hypothalamic nutrient sensing in the regulation of energy balance and the pathophysiology of obesity and metabolic diseases, and emphasize the need to identify and characterize how these sensors are linked to inter- and intracellular neural circuits that affect behavioral and physiological determinants of energy balance.

Recent data indicate that brain amino acid sensing also contributes to the homeostatic regulation of food intake and body weight, and suggest that amino acid-induced activation of the hypothalamic mTORC1 (mammalian target of rapamycin, complex 1) pathway mediates these effects (Cota et al., 2006). However, the role of hypothalamic neurons in brain amino acid sensing remains unclear, and the neurobiological substrates and physiological effectors mediating metabolic and behavioral consequences of neuronal amino acid sensing are unknown.

Leucine, one of the three branched-chain amino acids, is likely to represent a physiological signal of hypothalamic amino acid availability. Dietary leucine largely escapes first-pass metabolism, plasma leucine levels are rapidly and markedly increased in the postprandial state (Brosnan and Brosnan, 2006) and leucine enters the brain more quickly than other amino acids (Kanamori et al., 1998). Among amino acids, leucine is the most potent activator of the amino-acid sensitive mTORC1 pathway (Proud, 2004) and represents a signal of amino acid abundance for various anabolic pathways, including protein synthesis (Nair et al., 1992), gene transcription and translation (Kimball and Jefferson, 2006) and insulin secretion (Henquin et al., 2006).

In the current work, we determined for the first time the effects of endogenous mediobasal hypothalamic (MBH) leucine sensing on food intake and energy expenditure in rodents, identified a forebrain/hindbrain neurocircuit engaged by MBH leucine to contribute to the homeostatic feedback control of energy balance, and characterized intracellular and interneuronal mechanisms that mediate the ability of MBH leucine sensing to affect food intake and body weight. These data link for the first time hypothalamic nutrient sensors to brainstem effectors of food intake, and provide a more general experimental framework for identifying critical signaling pathways linking hypothalamic nutrient sensing to behavioral determinants of energy balance.

MATERIAL AND METHODS

Animals and reagents

Male C57/Bl6 mice and Sprague Dawley rats were obtained at 10 weeks of age respectively from Jackson Laboratories (Bar Harbor, ME) and Charles River Laboratories (Wilmington, MA). POMC-CRE Z/eGFP mice wherein the POMC-CRE transgene causes cell-specific recombination to induce expression of eGFP from the β-actin promoter, were obtained as previously described (Jo et al.). All animals were housed in individual cages and maintained in a temperature-controlled room under a standard 12h/12h light/dark cycle with ad libitum access to water and standard chow unless specifically indicated. Animals dedicated to signaling studies were trained daily to be hooked up to the brain injection system for at least the 4 consecutive days preceding the injection in order to avoid a stress-related increase in the signal to noise ratio. All experimental protocols were approved by the Institute for Animal Studies of the Albert Einstein College of Medicine. All chemicals were obtained from Sigma (St. Louis, MO) and all antibodies were purchased from Cell Signaling Technology (Boston, MA), unless otherwise specified.

Postprandial plasma and CSF (cerebrospinal fluid) amino acid determination

Rats were trained to eat within 1 hour a 10 g calibrated meal of a standard normal-protein diet (NP) supplemented with 4% leucine or a high-protein diet (HP) containing 530 g protein/kg food (gift from Prof. Daniel Tomé) after a 24h fast. The NP leucine supplemented meal and the HP meal provided 508 mg and 420 mg leucine, respectively. On the day of the experiment, rats fasted for 24h or 1h refed with the meal of the training period were anesthetized with ketamine/xylazine. CSF was collected as previously described (Lugarini et al., 2002) and blood sampled by cardiac puncture. Amino acid concentrations were determined by Scientific Research Consortium, Inc. (St Paul, MN).

Central nervous system surgery

Surgical procedures were performed under ketamine/xylazine anesthesia. Animals were stereotaxically implanted with a steel guide cannula (Plastics One Inc.) into the 3rd ventricle (rat coordinates from bregma: A/P -2.5 mm, D/V -8.5 mm), the 4th ventricle (mouse coordinates from bregma: A/P -6 mm, D/V -4 mm), or a bilateral cannula targeting the MBH (mouse coordinates from bregma: A/P -1.1 mm, D/V -5.9 mm; rat coordinates from bregma: A/P -3.0 mm, D/V -10.4 mm). In case of chronic drug administration, the guide cannula was connected to an osmotic pump (model 1002, Alzet, Cupertino, CA) via a cannula bifurcation connector (Plastics One Inc., Roanoke, VA). Animals were allowed to a 1-week recovery. Accurate rat 3rd ventricle cannula placement was confirmed by consumption of > 5 ml water within 60 min following an icv administration of 10 ng angiotensin in 2 μl artificial cerebrospinal fluid (aCSF, Harvard Apparatus, Holliston, MA). Correct bilateral MBH and individual 4th icv cannula placement was confirmed histologically post-mortem by india ink injections using of 200 nl (rat) or 100 nl (mouse).

Feeding behavior studies and injections design

Prior to all experiments, animals were adapted for 1 week to individual feeding chambers (Med Associates) with free access to a standard chow diet (Bioserv 20-mg and 45-mg precision pellets, F05524 and F0165, Frenchtown, NJ). Meal pattern were determined as previously described (Azzara et al., 2002). Seven distinct brain injection designs were used, as outlined below. In acute injection experiments, all animals received all drugs in a crossover manner and at least 4 days occurred between each injection.

Injection design 1

6h-fasted mice and overnight-fasted rats received a 5 min MBH injection (100 nl in mice and 200 nl in rats, per side) of aCSF alone or together with 2.1 mM L-leucine (i.e. 28 ng leucine = 210 pmol per side in mice), L-valine, α-ketoisocaproic acid (KIC) or α-ketoisovaleric acid (KIV) 1h before the onset of the dark. Injections were site-specific to the MBH and did not reach the paraventricular nucleus of the hypothalamus (PVN), lateral hypothalamus (LH) or dorsomedial hypothalamus (DMH) (Supplemental Fig. 1). Access to food was restored immediately after the injection, food intake was continuously recorded for the following 24h, and body weight was measured before and 24h after the MBH injection.

Injection design 2

Mice were implanted with an osmotic minipump delivering into the MBH 0.25 μl/h aCSF alone or together with 5.2 mM α-chloroisocaproic acid for 2 weeks (CIC, gift from Prof. Susan Hutson).

Injection design 3

SHU9119 (Bachem, Torrance, CA) or aCSF was injected into the MBH 3h before the onset of the dark (0.3 nmol in 100 nl of aCSF, per side) and leucine injection followed 2h later as described above.

Injection design 4

6h-fasted mice received [D-(CH2)5,Tyr(Me)2,Orn8]-vasotocin (OVT, Bachem) or aCSF into the 4th ventricle just before the onset of the dark and access to food was restored immediately after the injection.

Injection design 5

OVT or aCSF was injected into the 4th ventricle 90 min before the onset of the dark (1,000 ng in 100 nl of aCSF) and leucine injection followed 30 min later as described in injection design 1.

Injection design 6

6h-fasted mice received U0126 (Promega, Madison, WI) or its vehicle into the MBH 90 min before the onset of the dark (25 ng or 250 ng in 150 nl of DMSO:saline, 1:1, per side) and access to food was restored 30 min after the injection.

Injection design 7

U0126 or its vehicle was injected into the MBH 90 min before the onset of the dark (25 ng in 150 nl of DMSO:saline, 1:1, per side) and leucine injection followed 30 min later as described in injection design 1.

Conditioned taste aversion test

On 2 different experimental days separated by 1 week, 24h water-deprived rats received a 2 μl icv injection of aCSF or 4.12 mM KIC and were then presented with 1% almond- or vanilla-flavored water in a latin square design, almond and vanilla (McCormick & CO) being equally palatable to naïve rats (Bensaid et al., 2003). Fluid intake was measured at 15, 30, 45 and 60 min following the icv injection and the placement of the 2 water bottles was changed at every reading time point to avoid any side preference. The preference ratio was calculated as the intake of KIC-paired flavored water over the total fluid intake. We controlled for our ability to induce a taste aversion using a similar design in a separate group of rat that received an intraperitoneal injection of saline or 0.15M LiCl in a volume equivalent to 2% of the rat's body weight.

Indirect Calorimetry

Under isoflurane anesthesia, mice were implanted with an intraperitoneal radiofrequency impedance temperature probe (Minimitter Inc.) and then adapted to individual metabolic chambers. Metabolic measurements (oxygen consumption, carbon dioxide production, food intake, core temperature and locomotor activity) were obtained continuously using a CLAMS (Columbus Instruments) open-circuit indirect calorimetry system for 7 days before the first brain injection. The effects of MBH aCSF, leucine and KIC injection on metabolism were assessed using Injection design 1.

Slice preparation

Slices were prepared for in vitro recordings as previously described (Jo et al.). Transverse brain slices were prepared from POMC-CRE Z/eGFP mice at postnatal age 21-28 days. Animals were anesthetized with a mixture of ketamine and xylazine. After decapitation, the brain was transferred into a sucrose-based solution bubbled with 95%O2-5% CO2 and maintained at ~3°C. This solution contained (mM): sucrose 248; KCl 2; MgCl2 1; KH2PO4 1.25; NaHCO3 26; sodium pyruvate 1 and glucose 10. Transverse coronal brain slices (200μM) were prepared using a vibratome. Slices were equilibrated with an oxygenated aCSF for > 1 hour at 32°C prior to transfer to the recording chamber. The slices were continuously superfused with aCSF at a rate of 1.5 ml/min containing (in mM); NaCl 113, KCl 3, NaH2PO4 1, NaHCO3 26, CaCl2 2.5, MgCl2 1 and glucose 5 in 95% O2/ 5% CO2 at room temperature.

Electrophysiological recordings

Brain slices were placed on the stage of an upright, infrared-differential interference contrast microscope (Olympus BX50WI) mounted on a Gibraltar X-Y table (Burleigh) and visualized with a 40X water immersion objective by infrared microscopy (DAGE MTI camera). Membrane potentials were recorded at room temperature (25-26°C) with an Axopatch 200B Patch-Clamp amplifier. The internal solution contained (mM): Kacetate; 115; KCl 10; MgCl2 2; EGTA 0.2; HEPES 10; Na2ATP 1; Na2GTP 0.5 and phosphocreatine 5. Pipette resistance ranged from 2.5 to 4MΩ. L-Leucine was purchased from Fluka and dissolved in water at 1,000 X the final concentration.

Tissue collection for immunostaining

6h-fasted POMC-CRE Z/eGFP and C57/Bl6 mice received a 100 nl MBH injection of aCSF alone or together with 2.06 mM leucine and were sacrificed 30 to 70 minutes later with pentobarbital. Brains were perfused transcardially via a 23-gauge needle placed in the left ventricle with 200 ml of 0.1 M PBS (pH 7.4) followed by 200 ml of 4% paraformaldehyde in PBS, and the fixed brains were cryoprotected in 30% sucrose. Coronal hypothalamic sections of 35 μm thickness were prepared on a freezing microtome.

c-Fos immunocytochemical staining

Free floating sections were incubated in 0.3% hydrogen peroxide for 15 min, blocked with 10% normal goat antiserum (NGS) and then incubated in c-Fos antiserum (1:10,000 dilution, AB-5, Oncogene, Cambridge, MA) with 0.3% Triton X-100 and 10% NGS in PBS for 48 h at 4°C with gentle agitation. For light microscopy, sections were then incubated using standard biotinylated goat anti-rabbit IgG and avidin-biotin-peroxidase complex (Elite Vectastain kit, Vector Labs, Burlingame, CA). Reaction product was visualized using nickel sulfate-enhanced diaminobenzidine as the chromagen (Emond et al., 2001). For immunofluorescence, after primary c-fos antibody incubation, sections were exposed for 2h to cy3-conjugated goat anti-rabbit (1:200; Jackson Immunoresearch) washed in PBS, floated onto gelatinized slides and coverslipped with Vectashield (Vector Laboratories). Native GFP and cy3 fluorescence were visualized with the appropriate lasers and emission filters on a LSM 510 NLO multiphoton confocal microscope (Zeiss, Thornwood, NY).

Oxytocin and phospho-Erk1/2 double-labeling

Free floating sections incubated for 15 min in 0.3% hydrogen peroxide before being incubated overnight at room temperature in rabbit anti-phospho-Erk1/2 (1:500, Cell Signaling technology) and guinea-pig anti-oxytocin (1:2500, Bachem) in 0.3% Triton X-100 and 3% NGS. Sections were then incubated for 2h with Cy2-conjugated goat anti-guinea pig (1:200, Jackson Immunoresearch, West Grove, PA) and Cy3-conjugated goat anti-rabbit (1:200), floated onto gelatinized slides and coverslipped with Vectashield.

Image analysis

Images of tissue sections were digitized, and areas of interest were outlined based on cellular morphology. c-Fos-positive nuclei within the regions of interest were quantified with automated image analysis software (NIH Image and Zeiss Axiovision 4.6 software), and c-Fos-positive cells were automatically counted by the imaging programs by setting minimum and maximum optical density levels. Brain regions evaluated were LH (0.7-0.8 mm caudal to bregma), PVN (0.7-0.8 mm caudal to bregma), supraoptic nucleus (SON, 0.6-0.7 mm caudal to bregma), arcuate nucleus (1.8-1.9 mm caudal to bregma), DMH (1.7-1.8 mm caudal to bregma) and the nucleus of the solitary tract (NTS) at the mid-level of the area postrema (7.3-7.4 mm caudal to bregma), corresponding to the coordinates in the brain atlas of Paxinos and Franklin (Paxinos and Franklin, 2001), and were based on 6 animals/group.

Micropunches dissection

Using a McIlwain tissue chopper, 800 micron thick hypothalamic and brainstem sections were prepared from freshly extracted mouse brain. Sections were placed on a stainless steel plate cooled by liquid nitrogen, immersed in liquid nitrogen for 2 seconds and the micropunches were dissected out. The hypothalamic section containing the MBH spanned from approximately -1.25 to -2.05 mm posterior to bregma (Paxinos and Franklin, 2001) and we collected an equilateral triangle with the altitude defined as 1/3 of the ventral side of the 3rd ventricle, including the median eminence. The hypothalamic section containing the PVN spanned from approximately -0.45 to -1.25 mm posterior to bregma (Paxinos and Franklin, 2001) and we collected an equilateral triangle with the altitude defined as 1/3 of the dorsal side of the 3rd ventricle. The brainstem section spanned the rostrocaudal extent of the area postrema, from approximately -7.2 to -8.0 mm posterior to bregma (Paxinos and Franklin, 2001). The cerebellum was quickly removed with fine forceps. The spinal trigeminal nuclei forming the lateral borders of the section were excised and discarded. The remaining brainstem slice was then excised horizontally at the ventral aspect of the central canal, dissecting the dorsal vagal complex (DVC) from the more ventral hypoglossal nucleus and basal brainstem. The remaining DVC, including the area postrema, the NTS, and the dorsal motor vagal nucleus, was collected. All micropunches were snap frozen in liquid nitrogen.

Western blot analysis

Western blot analyses were performed as previously described (Blouet et al., 2008). Briefly brain micropunches were homogenized in 50 mM Tris, 1 mM EGTA, 1 mM EDTA, 50 mM sodium fluoride, 10 mM β-glycerophosphate, 20 mM sodium pyrophosphate, 2 mM orthovanadate, 2 mM PMSF, 1% Triton and Complete phosphatase inhibitor cocktail (Roche). 10-20 μg protein extracts were run on Criterion gels (Bio-Rad) and blotted onto nitrocellulose membranes. Immunoblots were incubated in primary antibodies against phospho-p70 S6 kinase (Thr389), phospho-S6 ribosomal protein (Ser235/236), phospho-Erk 1/2 (Thr202/Tyr204), Erk 1/2, phospho-CREB (Ser133), CREB, p70 S6 Kinase (Upstate Biotechnology, MA) or β-actin (Santa Cruz Biotechnology Inc.), followed by an incubation in fluorescent (Rockland Immunochemicals, Gilbertsville, PA) or HRP-linked secondary antibodies. Proteins were detected using either the fluorescence-based Odyssey Infrared Imaging System (LI-COR Biosciences) or enhanced chemiluminescence (ECL Plus, Amersham, NJ).

Statistical Analysis

All data, presented as means ± SEM, were analyzed using GraphPad Prism 5. For all statistical tests, an α risk of 5% was used. All kinetics were analyzed using a mixed model for repeated measurements. Multiple comparisons were tested with an ANOVA and adjusted with Tukey post-test. Single comparisons were made using one-tail Student T-tests.

RESULTS

Dietary leucine increases CSF leucine concentration

To begin to assess the physiological role of central leucine in the negative feedback control of food intake within the time frame of an individual meal, we measured meal-related changes in CSF leucine availability in rat. In the fasted state, CSF leucine concentration was 26 times lower than plasma leucine (Supplementary Fig. 2). The ingestion of a HP meal rapidly induced a 2-fold increase in plasma leucine concentration and a 24% increase in CSF leucine level. Following the ingestion of a standard chow 4% leucine-enriched meal, plasma leucine concentration was further increased (3-fold increase compared to fasted level), and this induced a 44% increase in CSF leucine concentration. Thus, during a meal, dietary leucine rapidly increases CSF leucine levels in parallel with increases in plasma leucine.

MBH leucine administration reduces food intake and body weight

We next determined the consequences of increased MBH leucine availability on several behavioral and metabolic effectors of energy balance. In both rat and mouse, MBH leucine administration induced a significant reduction in 24h food intake (Fig. 1a and 1e), and decreased 24h body weight change (Fig. 1b and 1f) compared to aCSF vehicle injections. The decrease in food intake was due to both a reduction in meal size (Fig. 1c, and 1g) - including a dramatic 50% reduction in the first meal size, occurring during the first 20 minutes following the injection in both rats and mice - as well as a sustained decrease in meal number beginning 8h after the injection that persisted for 24 h post injection (Fig. 1d and 1h).

Figure 1. MBH leucine and KIC injections reduce food intake and body weight in rat and mouse.

Figure 1

(a and e) Cumulative food intake, (b and f) 24h change in body weight, (c and g) mean meal size and (d and h) cumulative meal number in rat (a to d, n=10 to 12) and mouse (e to h, n=8) following an MBH injection of aCSF, leucine or KIC (injection design 1). Data are means ± SEM. *: P<0.05 vs. aCSF; **: P<0.01 vs. aCSF; ***: P<0.001 vs. aCSF.

MBH injection of an equimolar dose of KIC, the product of leucine reversible transamination by branched-chain amino-acid transferase (BCAT), recapitulated the effects of MBH leucine injection on 24h food intake (Fig. 1a and 1e), 24h body weight change (Fig. 1b and 1f) and meal number (Fig. 1d and 1h) but did not affect meal size (data not shown); these results support the interpretation that endogenous MBH leucine metabolism reduces food intake and body weight. Previous data reported that icv leucine-induced anorexia is not accompanied by visceral illness (Cota et al., 2006); likewise, icv KIC-induced anorexia was not due to the development of conditioned taste aversion (Supplementary Fig. 3)

To assess the specificity of MBH leucine response with respect to other branched-chain amino acids, we examined the feeding inhibitory effects of the non-ketogenic branched-chain amino acid valine, and its ketoacid, KIV. Both valine and KIV failed to alter food intake and body weight change compared to aCSF control injections (Supplementary Fig. 4a and 4b).

The decreases in 24h food intake following MBH leucine and KIC administrations were not accompanied by significant changes in respiratory quotient, oxygen consumption, core temperature or locomotor activity compared to aCSF control injection (Supplementary Fig. 5a, 5b, 5c and 5d), supporting the interpretation that increased MBH leucine and KIC availability decreased body weight by selectively reducing food intake.

Endogenous leucine metabolism in the MBH reduces food intake and body weight

The ability of MBH KIC to recapitulate leucine-induced decrease in food intake suggests a role for endogenous leucine metabolism as a potent mechanism to account for leucine's anorexigenic effect. Indeed, leucine is solely ketogenic, and similarly to glucose and fatty acid, MBH leucine's effects on energy balance could be a consequence of its intracellular metabolism (He et al., 2006; Wolfgang and Lane, 2008). To test this suggestion, mice were implanted with an MBH osmotic minipump delivering CIC, a specific repressor of branched-chain ketoacid deshydrogenase complex inhibitory kinase, resulting in a chronic activation of branched-chain amino acid irreversible decarboxylation (Harris et al., 1982). Chronic MBH CIC delivery induced a significant reduction in food intake during the 4 days following the minipump implantation (Fig. 2a) due to a decrease in daily meal number (Fig. 2b) compared to aCSF-injected controls, with no effect on meal size (Fig. 2c). Reduced food intake in mice receiving the CIC infusion was accompanied by a decreased rate of body weight gain (Fig. 2d). These data support the interpretation that MBH endogenous leucine metabolism contributes to leucine's anorexigenic effect, primarily by reducing meal frequency.

Figure 2. MBH CIC decreases food intake and body weight in mouse.

Figure 2

(a) Food intake, (b) meal number, (c) meal size and (d) body weight in mouse infused for 8 days with aCSF (n=8) or CIC (n=10) in the MBH (injection design 2). Data are means ± SEM. *: P<0.05; **: P<0.01.

MBH leucine activates MBH POMC neurons and MBH leucine's anorexigenic effect requires melanocortin signaling

Because MBH KIC did not acutely affect eating, leucine metabolism within the MBH is not likely involved in the dramatic decrease in meal size measured as early as 20 min after MBH leucine administration. Therefore, we investigated alternative mechanisms to account for the acute effects of MBH leucine on meal size. Since central melanocortin signaling has been implicated in the control of meal size (Azzara et al., 2002), we evaluated the ability of leucine to activate anorexigenic POMC neurons of the arcuate nucleus of the hypothalamus, using POMC-CRE Z/eGFP mice that express GFP specifically in POMC neurons. Incubation with leucine of POMC-CRE Z e/GFP mouse hypothalamic slices significantly increased the frequency of action potentials in arcuate hypothalamic POMC neurons (Firing rate: control: 3.1±1.2Hz, range from 0 to 6.1Hz; leucine: 4.7±1.5Hz, range from 0.2 to 8.4Hz; n=5 neurons; p<0.05) (Fig. 3a). Consistent with this result, MBH leucine injection induced cFOS immunoreactivity in arcuate POMC neurons of POMC-CRE Z/eGFP mice (Fig. 3b and 3c). Interestingly, MBH leucine injection also induced c-Fos immunoreactivity in the PVN and the NTS (Fig. 3c), the former being involved in the integration of melanocortin signals arising from the MBH (Cowley et al., 2001; Blevins et al., 2004) while the latter integrates gut-derived satiety signals with descending input from the forebrain to limit meal size (Moran et al., 2001; Berthoud et al., 2006). MBH leucine failed to induce c-Fos immunoreactivity in the LH, DMH or the SON (Fig. 3c).

Figure 3. Leucine's anorexigenic effect requires direct activation of the melanocortin system.

Figure 3

(a) Sample traces recorded before and after application of L-leucine from a POMC neuron in current clamp configuration. (b) Immunofluorescence showing colocalization (yellow) of leucine-stimulated c-Fos positive cells (Cy3, red) and arcuate POMC neurons of POMC-CRE Z/eGFP mice (green), 70 min after MBH leucine administration (injection design 1). (c) Quantification of c-fos positive cells in different nuclei 70 min after MBH aCSF or leucine injection (injection design 1). (d) First meal size, (e) 12h food intake and (f) 24h change in body weight in mouse (n=8-12) after MBH coadministration of SHU9119 or aCSF and leucine or aCSF (injection design 3). Data are means ± SEM. *: P<0.05; **: P<0.01; ***: P<0.001

POMC neurons of the arcuate nucleus of the hypothalamus produce an endogenous agonist of melanocortin 3-4 receptors (MC3/4R), α-melanocyte stimulating hormone (α-MSH) (Cone, 2005). Consequently, we assessed the effect of the melanocortin analogue SHU9119, a MC3/4R antagonist, on MBH leucine-induced anorexia in mice. Co-administration of leucine with a sub-threshold dose of SHU9119 (that had no effect by itself on food intake and body weight) blocked MBH leucine-induced decreases in first meal size (Fig. 3d), food intake (Fig. 3e) and 24h body weight change (Fig. 3f), indicating that MBH leucine's acute and longer-term effects on food intake and body weight require activation of MC3/4R. As MC3R have been primarily implicated in the negative feedback control of metabolism but not feeding (Chen et al., 2000), and MBH leucine's inhibitory effects on body weight gain were mediated solely by reductions in food intake and not energy expenditure, these findings support the interpretation that MC4R mediate MBH leucine's effects on food intake and body weight.

MBH leucine activates PVN oxytocin anorexigenic neurons

PVN oxytocin neurons are activated by food consumption during a meal (Johnstone et al., 2006) and have been implicated in the melanocortinergic control of feeding by stimulating populations of neurons in the NTS that contribute to the control of meal size (Lokrantz et al., 1997) (Kublaoui et al., 2008) (Blevins et al., 2004). We next determined whether brainstem oxytocin signaling mediates the reduction in meal size produced by MBH leucine. Fourth ventricular administration of the oxytocin receptor antagonist OVT alone rapidly and dose-dependently increased food intake through a specific increase in meal size (Supplementary Fig. 6), supporting for the first time a specific role for descending oxytocin tone in the control of meal size at the level of the caudal brainstem in mouse. Co-administration of MBH leucine and IVth icv OVT (30 min prior to leucine injections, where OVT had no effect by itself on feeding behavior) completely reversed the MBH leucine-induced decrease in food intake and meal size (Figure 4). Together, these results demonstrate that MBH leucine sensing engages a forebrain-hindbrain circuit stemming from arcuate POMC neurons, involving activation of melanocortin signaling, PVN oxytocin neurons, and NTS neurons to reduce food intake by a specific reduction in meal size.

Figure 4. Oxytocin receptor antagonist blocks leucine anorexigenic effect.

Figure 4

(a) First meal size, (b) food intake, (c) meal size and (d) meal number in mouse (n=9) after co-administration of IVth icv OVT or aCSF and MBH leucine or aCSF (injection design 5). Data are means ± SEM. *: P<0.05; **: P<0.01

MBH leucine-induced activation of p70 S6 kinase 1 and Erk1/2 signaling pathways is required for leucine's anorexigenic effect

Finally, we investigated the intracellular signaling mechanisms activated by MBH leucine and required for its anorexigenic effect in mouse. p70 S6 kinase 1 (S6K) is a well-described amino acid sensor (Kimball and Jefferson, 2006) and mediates the regulation of meal size in the MBH (Blouet et al., 2008). Consequently, we assessed the ability of MBH leucine to activate MBH S6K and its target ribosomal protein S6 (rS6). We found a 2.3-fold increase in the expression of the activated forms of both S6K and rS6 in MBH extracts of leucine injected mice compared to aCSF injected controls 45 min after the injection (Supplementary Fig. 7), positioning MBH leucine-induced activation of MBH S6K pathway as a good candidate mechanism to account for MBH leucine's acute effect on meal size.

Activation of the Erk1/2 signaling pathway occurs in PVN neurons and NTS neurons after activation of melanocortin signaling (Daniels et al., 2003; Sutton et al., 2004) and contributes to the regulation of meal size in NTS neurons (Sutton et al., 2005). In addition, refeeding rapidly activates Erk1/2 phosphorylation in PVN oxytocin neurons (Supplementary Fig. 8). Consequently, we investigated the role of Erk1/2 signaling pathway in MBH leucine sensing. We found that 30 min after MBH leucine injection, the phosphorylation of Erk1/2 and its target the transcriptional factor CREB were increased in the MBH, the PVN and the DVC (Fig. 5a, 5b and 5c). In the PVN, Erk 1/2 phosphorylation was activated in oxytocin neurons following MBH leucine injection, as shown by oxytocin and phospho-Erk1/2 co-staining in PVN slices of MBH leucine injected mice (Fig. 6d). To further test the role of MBH Erk1/2 activation in MBH leucine's anorexigenic effect, we used U0126, a selective inhibitor of Erk1/2 upstream kinases MEK1 and MEK2. MBH administration of U0126 alone significantly increased food intake specifically by increasing meal size, increased body weight gain, and decreased MBH Erk1/2 Thr202/Tyr204 phosphorylation (Supplementary Figure 9). Co-administration of MBH leucine and MBH U0126 (at a dose that had no effect by itself on food intake and body weight) suppressed the leucine-induced decreases in first meal size (Fig. 6a), 24h food intake (Fig. 6b) and 24h body weight change (Fig. 6c). Western blot analysis of MBH extracts collected 45 min after the injections indicated that U0126 blocked leucine-induced activation of both Erk1/2 and S6K signaling pathways in the MBH (Fig. 6d and 6e). Together, these data indicate that local MBH administration of leucine induces the activation of MBH p70 S6 kinase 1, Erk1/2 signaling in MBH, PVN and DVC neurons, and that MBH activation of these transducers is required for MBH leucine's anorexigenic effect.

Figure 5. MBH Leucine activates Erk1/2 signaling pathway in MBH, PVN oxytocin and DVC neurons.

Figure 5

(a) MBH, (b) PVN and (c) DVC Erk 1/2 Thr202/Tyr204 phosphorylation and CREB Ser133 phosphorylation in mouse 30 min after an MBH injection of aCSF (n=5) or leucine (n=5) (injection design 1). (d) Immunofluorescence showing colocalization (yellow, right) of oxytocin (Cy2, green, left) and MBH leucine-induced phospho-Thr202/Tyr204 Erk 1/2 (Cy3, red, middle) in PVN slices of mice 30 min after MBH leucine administration (injection design 1).

Figure 6. MBH leucine anorexigenic effect requires MBH Erk1/2 signaling.

Figure 6

(a) First meal size, (b) 24h food intake, (c) 24h body weight, (d) MBH p70 S6 kinase1 Thr389 phosphorylation, and (e) MBH Erk 1/2 Thr202/Tyr204 phosphorylation in mouse (n=6-12) after MBH co-administration of SHU9119 or its vehicle and leucine or aCSF (injection design 7). All data are means ± SEM. *: P<0.05. **: P<0.01.

DISCUSSION

Despite the growing database supporting important roles for central nutrient sensing in the regulation of energy balance and the pathophysiology of obesity and metabolic diseases, the neurocircuit linking hypothalamic nutrient sensing to energy intake has not been identified. In this paper, we demonstrate for the first time that increased leucine availability specifically within the MBH engages a forebrain/hindbrain neurocircuitry that contributes to the negative feedback control of energy balance by reducing food intake. Our data provide evidence for a model of nutrient-activated hypothalamic neurocircuitry that transmits information from MBH nutrient sensors to brainstem neurons of the NTS implicated in the integrative control of ingestion.

The finding that dietary leucine-induced elevation in plasma leucine levels is associated with increased CSF leucine concentration supports the physiological relevance of this work. The MBH is located between the 3rd ventricle and the median eminence, ideally situated to sense variations in blood and CSF circulating factors. The 25% postprandial increase in leucine CSF concentration observed following the ingestion of the HP meal is similar to that measured in PVN microdialysates (Choi et al., 2001). This work also reported a significant decrease in PVN microdialysates leucine concentration following the ingestion of a protein free meal, indicating that the hypothalamus is exposed to bilateral changes in leucine levels.

Our data support the interpretation that increased MBH leucine availability reduces body weight gain primarily by reducing ad libitum food intake, without affecting any contribution to energy expenditure. MBH KIC replicated MBH leucine effects, supporting both (1) the role of endogenous leucine in the control of food intake, since neuronal KIC is transaminated to leucine (Yudkoff et al., 2005), and (2) the role of endogenous leucine metabolism in leucine's anorexigenic effect, since KIC activates leucine decarboxylation (Hutson et al., 2005). This latter conclusion is confirmed by the decreased food intake and body weight gain we observed in mice receiving chronic MBH infusions of CIC, a selective activator of leucine irreversible decarboxylation. This represents the first demonstration that endogenous MBH leucine metabolism generates a signal that contributes to the regulation of energy balance. Interestingly, both KIC and CIC MBH administrations decreased food intake selectively by reducing meal frequency, as has been reported after central inhibition of fatty-acid synthase with icv C75 (Aja et al., 2006). The inability of either valine or KIV to affect feeding suggests that the ketogenic fate of leucine is a requirement for its ability to reduce food intake. Since hypothalamic glucose and fatty acid detection also involve their metabolism and the induced changes in the intracellular pool of malonyl-CoA / long-chain fatty acyl-CoA (Lam et al., 2005), these data provide a framework for a synthetic understanding of MBH nutrient sensing mechanisms, where intracellular intermediates of macronutrient are used by nutrient sensing neurons to mediate the negative feedback control of energy balance.

A striking result of this study is the dramatic acute reduction in meal size observed shortly after MBH leucine administration. This effect is not replicated by MBH KIC, and likely involves alternative mechanisms than those described above. Our subsequent investigations gave us considerable insight into the neurobiological effectors of this rapid response.

The ability of SHU9119 to block both the acute and longer-term anorexia induced by MBH leucine demonstrates a critical role for hypothalamic melanocortin signaling in these feeding effects. Taken together with the ability of leucine to depolarize POMC neurons in vitro and acutely induce cFOS gene expression in POMC neurons in vivo, these data support the interpretation that activation of POMC neurons and secretion of α-MSH are involved in MBH leucine's acute reduction of meal size. In fact, both ARC neurons and their projection targets in the PVN express MC4 receptors (Bagnol et al., 1999; Kishi et al., 2003) and are activated shortly after MBH leucine administration, as evidenced by cFos expression and Erk 1/2 phosphorylation.

Our work also demonstrates that: 1) oxytocin exerts a tonic stimulatory effect on brainstem neurons that contribute to the control meal size, 2) rapid activation of Erk1/2 signaling in PVN oxytocin neurons accompanies refeeding, 3) MBH leucine activates PVN oxytocin neurons, and 4) the ability of MBH leucine to decrease meal size requires activation of oxytocin projections to DVC. As a population of PVN oxytocin neurons project directly to the NTS (Sawchenko and Swanson, 1982), these data support the interpretation that MBH leucine sensors activate the hypothalamic melanocortin system, which drives PVN oxytocin neurons projecting to the DVC, stimulating neurons of the nucleus of the solitary tract, implicated in the integrative regulation of meal size.

Taken together, these results represent the first comprehensive description of a functional neuroanatomical forebrain-hindbrain circuit activated by MBH nutrient sensing to control food intake. Interestingly, leptin stimulates the same PVN/NTS circuit and this activation contributes to leptin-induced reduction in meal size and increased NTS neuronal responses to visceral afferent satiety signals such as CCK (Blevins et al., 2004; Peters et al., 2008; Emond et al., 2001; Blevins et al., 2009). Thus, the caudal brainstem integrates short-term nutrient availability signals from the forebrain, long-term adiposity signals and short-term gut satiety signals, to determine the amount of food ingested during a meal.

Finally, we identified intracellular transducers of MBH leucine sensing, S6K and Erk1/2. MBH leucine rapidly induced MBH S6K phosphorylation, providing critical neuroanatomical specificity to a recent report that icv leucine activates hypothalamic mTORC1 pathway (Cota et al., 2006). In light of results from recent studies demonstrating that overactivation of MBH S6K decreases food intake specifically by reducing meal size (Blouet et al., 2008), the present data support the interpretation that MBH leucine-induced activation of S6K mediates the acute decrease in meal size. In contrast to leucine, KIC is a poor activator of mTORC1 (Lynch et al., 2000), consistent with the present failure to observe any acute decrease in feeding following MBH KIC administration. Interestingly, MBH leucine administration was also associated with an activation of the Erk1/2 pathway in MBH, PVN and DVC extracts. Furthermore, MBH Erk1/2 activation was required for leucine's effect on food intake and body weight, as shown by the ability of MBH U0126 to completely reverse MBH leucine's effects. The mechanism of leucine-induced activation of MBH Erk1/2 remains to be investigated, and could result from the molecular interaction between Erk1/2 and S6K signaling (Roux et al., 2007). U0126 ability to block leucine-induced activation of MBH S6K supports a direct interaction between leucine and the Erk1/2 pathway in MBH neurons. In contrast, activation of PVN Erk1/2 is likely secondary to MBH leucine-induced activation of melanocortin signaling, as indicated by our result that MBH leucine drives POMC neurons, and reports proposing that PVN Erk1/2 signaling is coupled to PVN MCR (Daniels et al., 2003). Coupling between MCR and Erk1/2 has also been shown in NTS neurons (Sutton et al., 2005), and we propose that DVC Erk1/2 activation results from PVN oxytocin neuron stimulation. In the NTS, Erk1/2 has been described as a molecular integrator of converging gut satiety signals and forebrain adiposity signals, required for both ip CCK and icv MTII induced anorexia (Sutton et al., 2004; Sutton et al., 2005).

Our data: 1) extend the integrative role of ERK1/2 in the control of food intake to include the feeding inhibitory consequences of MBH nutrient sensing, and 2) identify activation of Erk1/2 pathway as a common molecular effector of hypothalamic nutrient detection in MBH nutrient sensing neurons, PVN oxytocinergic relay neurons, and NTS neurons involved in the control of meal size. Interestingly, inhibition of Erk1/2 also completely reversed MBH leucine longer-term effects on food intake and 24h body weight gain, most likely by activation of CREB, a direct regulator of gene expression. Together with our data showing that Erk1/2 inhibition can overcome leucine-induced S6K activation and reduction in meal size and that MBH Erk 1/2 pathway is also involved in natural satiation and satiety, as demonstrated by the ability of MBH U0126 to increase meal size, meal frequency and body weight, our data strongly support the role of hypothalamic Erk 1/2 as an important regulator and effector of feeding processes that has the potential to mediate acute and long-term changes in neuronal functioning.

Together, this work provides evidence for a model in which the MBH senses variations in leucine availability to regulate energy balance through multiple mechanisms (Fig. 7). Acute increases in MBH leucine availability engage a forebrain/hindbrain neurocircuit to decrease meal size through the activation of MBH POMC neurons, PVN oxytocin neurons, and NTS satiety effector neurons; within these 3 regions, this circuit involves Erk1/2 signaling, a molecular integrator of meal-size regulating signals. Over the longer term, we propose that increased MBH leucine levels decrease meal frequency by mechanisms involving leucine metabolism and activation of transcription factor CREB. How this model can be expanded to MBH sensing of other nutrients and the brainstem integration of multiple forebrain signals of nutrient abundance in the control of meal size remains to be determined.

Figure 7. Model for MBH Leucine's sensing regulation of feeding behavior.

Figure 7

Acute increase in MBH leucine levels engages a forebrain/hindbrain neurocircuit to decrease meal size through the activation of MBH POMC neurons, PVN oxytocin neurons, and NTS neurons involved in the regulation of feeding.

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Acknowledgements

We thank Professors Daniel Tomé and Susan M. Hutson for providing us with reagents. This work was supported by NIH DK 047208, New York Obesity Research Center NIH DK026687, the AECOM Diabetes Research and Training Center NIH DK 020541, and the Skirball Institute for Nutrient Sensing.

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