PMID- 25470549 OWN - NLM STAT- MEDLINE DCOM- 20150915 LR - 20211110 IS - 1932-7420 (Electronic) IS - 1550-4131 (Print) IS - 1550-4131 (Linking) VI - 20 IP - 6 DP - 2014 Dec 2 TI - A parabrachial-hypothalamic cholecystokinin neurocircuit controls counterregulatory responses to hypoglycemia. PG - 1030-7 LID - S1550-4131(14)00503-8 [pii] LID - 10.1016/j.cmet.2014.11.006 [doi] AB - Hypoglycemia engenders an autonomically mediated counterregulatory (CR)-response that stimulates endogenous glucose production to maintain concentrations within an appropriate physiological range. Although the involvement of the brain in preserving normoglycemia has been established, the neurocircuitry underlying centrally mediated CR-responses remains unclear. Here we demonstrate that lateral parabrachial nucleus cholecystokinin (CCK(LPBN)) neurons are a population of glucose-sensing cells (glucose inhibited) with counterregulatory capacity. Furthermore, we reveal that steroidogenic-factor 1 (SF1)-expressing neurons of the ventromedial nucleus of the hypothalamus (SF1(VMH)) are the specific target of CCK(LPBN) glucoregulatory neurons. This discrete CCK(LPBN)-->SF1(VMH) neurocircuit is both necessary and sufficient for the induction of CR-responses. Together, these data identify CCK(LPBN) neurons, and specifically CCK neuropeptide, as glucoregulatory and provide significant insight into the homeostatic mechanisms controlling CR-responses to hypoglycemia. CI - Copyright (c) 2014 Elsevier Inc. All rights reserved. FAU - Garfield, Alastair S AU - Garfield AS AD - Centre for Integrative Physiology, Hugh Robson Building, University of Edinburgh, Edinburgh, EH8 9XD, UK; Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02115, USA. Electronic address: agarfiel@bidmc.harvard.edu. FAU - Shah, Bhavik P AU - Shah BP AD - Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02115, USA. FAU - Madara, Joseph C AU - Madara JC AD - Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02115, USA. FAU - Burke, Luke K AU - Burke LK AD - Department of Medicine and Wellcome Trust/Medical Research Council Institute of Metabolic Science, University of Cambridge, Cambridge, CB2 0QQ, UK; Rowett Institute of Nutrition and Health, University of Aberdeen, Aberdeen, AB25 2ZD, UK. FAU - Patterson, Christa M AU - Patterson CM AD - Division of Metabolism, Endocrinology, and Diabetes, Department of Internal Medicine, University of Michigan, Ann Arbor, MI 48105, USA. FAU - Flak, Jonathan AU - Flak J AD - Division of Metabolism, Endocrinology, and Diabetes, Department of Internal Medicine, University of Michigan, Ann Arbor, MI 48105, USA. FAU - Neve, Rachael L AU - Neve RL AD - Picower Institute for Learning and Memory, Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, MA 02139, USA. FAU - Evans, Mark L AU - Evans ML AD - Department of Medicine and Wellcome Trust/Medical Research Council Institute of Metabolic Science, University of Cambridge, Cambridge, CB2 0QQ, UK. FAU - Lowell, Bradford B AU - Lowell BB AD - Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02115, USA. FAU - Myers, Martin G Jr AU - Myers MG Jr AD - Division of Metabolism, Endocrinology, and Diabetes, Department of Internal Medicine, University of Michigan, Ann Arbor, MI 48105, USA. FAU - Heisler, Lora K AU - Heisler LK AD - Rowett Institute of Nutrition and Health, University of Aberdeen, Aberdeen, AB25 2ZD, UK. LA - eng GR - R01 DK089044/DK/NIDDK NIH HHS/United States GR - DK059637/DK/NIDDK NIH HHS/United States GR - DK020593/DK/NIDDK NIH HHS/United States GR - R01 DK098853/DK/NIDDK NIH HHS/United States GR - P30 DK020593/DK/NIDDK NIH HHS/United States GR - R01 DK075632/DK/NIDDK NIH HHS/United States GR - U24 DK059637/DK/NIDDK NIH HHS/United States GR - R01 DK096010/DK/NIDDK NIH HHS/United States GR - R37 DK053477/DK/NIDDK NIH HHS/United States GR - R01 DK071051/DK/NIDDK NIH HHS/United States GR - 098012/WT_/Wellcome Trust/United Kingdom GR - P30 DK020572/DK/NIDDK NIH HHS/United States GR - WT_/Wellcome Trust/United Kingdom PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Cell Metab JT - Cell metabolism JID - 101233170 RN - 0 (Blood Glucose) RN - 9011-97-6 (Cholecystokinin) SB - IM CIN - Cell Metab. 2014 Dec 2;20(6):933-5. PMID: 25470543 MH - Animals MH - Blood Glucose/metabolism MH - Cholecystokinin/*metabolism MH - Hypoglycemia/*metabolism MH - Hypothalamus/*metabolism MH - Male MH - Mice MH - Parabrachial Nucleus/cytology PMC - PMC4261079 EDAT- 2014/12/04 06:00 MHDA- 2015/09/16 06:00 PMCR- 2014/12/02 CRDT- 2014/12/04 06:00 PHST- 2014/07/08 00:00 [received] PHST- 2014/09/29 00:00 [revised] PHST- 2014/11/07 00:00 [accepted] PHST- 2014/12/04 06:00 [entrez] PHST- 2014/12/04 06:00 [pubmed] PHST- 2015/09/16 06:00 [medline] PHST- 2014/12/02 00:00 [pmc-release] AID - S1550-4131(14)00503-8 [pii] AID - 10.1016/j.cmet.2014.11.006 [doi] PST - ppublish SO - Cell Metab. 2014 Dec 2;20(6):1030-7. doi: 10.1016/j.cmet.2014.11.006.