PMID- 23274899 OWN - NLM STAT- MEDLINE DCOM- 20130628 LR - 20211021 IS - 1939-327X (Electronic) IS - 0012-1797 (Print) IS - 0012-1797 (Linking) VI - 62 IP - 5 DP - 2013 May TI - BDNF action in the brain attenuates diabetic hyperglycemia via insulin-independent inhibition of hepatic glucose production. PG - 1512-8 LID - 10.2337/db12-0837 [doi] AB - Recent evidence suggests that central leptin administration fully normalizes hyperglycemia in a rodent model of uncontrolled insulin-deficient diabetes by reducing hepatic glucose production (HGP) and by increasing glucose uptake. The current studies were undertaken to determine whether brain-derived neurotrophic factor (BDNF) action in the brain lowers blood glucose in uncontrolled insulin-deficient diabetes and to investigate the mechanisms mediating this effect. Adult male rats implanted with cannulas to either the lateral cerebral ventricle or the ventromedial hypothalamic nucleus (VMN) received either vehicle or streptozotocin to induce uncontrolled insulin-deficient diabetes. Three days later, animals received daily intracerebroventricular or intra-VMN injections of either BDNF or its vehicle. We found that repeated daily intracerebroventricular administration of BDNF attenuated diabetic hyperglycemia independent of changes in food intake. Instead, using tracer dilution techniques during a basal clamp, we found that BDNF lowered blood glucose levels by potently suppressing HGP, without affecting tissue glucose uptake, an effect associated with normalization of both plasma glucagon levels and hepatic expression of gluconeogenic genes. Moreover, BDNF microinjection directly into the VMN also lowered fasting blood glucose levels in uncontrolled insulin-deficient diabetes, but this effect was modest compared with intracerebroventricular administration. We conclude that central nervous system BDNF attenuates diabetic hyperglycemia via an insulin-independent mechanism. This action of BDNF likely involves the VMN and is associated with inhibition of glucagon secretion and a decrease in the rate of HGP. FAU - Meek, Thomas H AU - Meek TH AD - Diabetes and Obesity Center of Excellence, Department of Medicine, University of Washington, Seattle, Washington, USA. FAU - Wisse, Brent E AU - Wisse BE FAU - Thaler, Joshua P AU - Thaler JP FAU - Guyenet, Stephan J AU - Guyenet SJ FAU - Matsen, Miles E AU - Matsen ME FAU - Fischer, Jonathan D AU - Fischer JD FAU - Taborsky, Gerald J Jr AU - Taborsky GJ Jr FAU - Schwartz, Michael W AU - Schwartz MW FAU - Morton, Gregory J AU - Morton GJ LA - eng GR - T32 HL007028/HL/NHLBI NIH HHS/United States GR - T32 DK007247/DK/NIDDK NIH HHS/United States GR - T32 DK0007247/DK/NIDDK NIH HHS/United States GR - DK050154-13/DK/NIDDK NIH HHS/United States GR - R01 DK089056/DK/NIDDK NIH HHS/United States GR - K08 DK088872/DK/NIDDK NIH HHS/United States GR - DK089053/DK/NIDDK NIH HHS/United States GR - R01 DK050154/DK/NIDDK NIH HHS/United States GR - P30 DK035816/DK/NIDDK NIH HHS/United States GR - DK083042/DK/NIDDK NIH HHS/United States GR - DK035816/DK/NIDDK NIH HHS/United States GR - F32 DK097859/DK/NIDDK NIH HHS/United States GR - R01 DK090320/DK/NIDDK NIH HHS/United States GR - R01 DK083042/DK/NIDDK NIH HHS/United States GR - R56 DK050154/DK/NIDDK NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20121228 PL - United States TA - Diabetes JT - Diabetes JID - 0372763 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Hypoglycemic Agents) RN - 0 (Insulin) RN - 9007-92-5 (Glucagon) RN - IY9XDZ35W2 (Glucose) SB - IM CIN - Diabetes. 2013 May;62(5):1367-8. PMID: 23613551 MH - Animals MH - Behavior, Animal/drug effects MH - Biological Transport/drug effects MH - Brain-Derived Neurotrophic Factor/administration & dosage/*metabolism MH - Diabetes Mellitus, Type 1/blood/drug therapy/*metabolism MH - Feeding Behavior/drug effects MH - Glucagon/blood/metabolism MH - *Gluconeogenesis/drug effects MH - Glucose/metabolism MH - Hyperglycemia/*prevention & control MH - Hypoglycemic Agents/therapeutic use MH - Injections, Intraventricular MH - Insulin/therapeutic use MH - Lateral Ventricles/drug effects/metabolism MH - Liver/drug effects/*metabolism MH - Male MH - Neurons/drug effects/*metabolism MH - Rats MH - Rats, Wistar MH - Ventromedial Hypothalamic Nucleus/drug effects/*metabolism PMC - PMC3636618 EDAT- 2013/01/01 06:00 MHDA- 2013/07/03 06:00 PMCR- 2014/05/01 CRDT- 2013/01/01 06:00 PHST- 2013/01/01 06:00 [entrez] PHST- 2013/01/01 06:00 [pubmed] PHST- 2013/07/03 06:00 [medline] PHST- 2014/05/01 00:00 [pmc-release] AID - db12-0837 [pii] AID - 0837 [pii] AID - 10.2337/db12-0837 [doi] PST - ppublish SO - Diabetes. 2013 May;62(5):1512-8. doi: 10.2337/db12-0837. Epub 2012 Dec 28.