PMID- 30261068 OWN - NLM STAT- MEDLINE DCOM- 20190304 LR - 20230928 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 13 IP - 9 DP - 2018 TI - Stimulating the nucleus accumbens in obesity: A positron emission tomography study after deep brain stimulation in a rodent model. PG - e0204740 LID - 10.1371/journal.pone.0204740 [doi] LID - e0204740 AB - PURPOSE: The nucleus accumbens (NAcc) has been suggested as a possible target for deep brain stimulation (DBS) in the treatment of obesity. Our hypothesis was that NAcc-DBS would modulate brain regions related to reward and food intake regulation, consequently reducing the food intake and, finally, the weight gain. Therefore, we examined changes in brain glucose metabolism, weight gain and food intake after NAcc-DBS in a rat model of obesity. PROCEDURES: Electrodes were bilaterally implanted in 2 groups of obese Zucker rats targeting the NAcc. One group received stimulation one hour daily during 15 days, while the other remained as control. Weight and daily consumption of food and water were everyday registered the days of stimulation, and twice per week during the following month. Positron emission tomography (PET) studies with 2-deoxy-2-[18F]fluoro-D-glucose (FDG) were performed 1 day after the end of DBS. PET data was assessed by statistical parametric mapping (SPM12) software and region of interest (ROI) analyses. RESULTS: NAcc-DBS lead to increased metabolism in the cingulate-retrosplenial-parietal association cortices, and decreased metabolism in the NAcc, thalamic and pretectal nuclei. Furthermore, ROIs analyses confirmed these results by showing a significant striatal and thalamic hypometabolism, and a cortical hypermetabolic region. However, NAcc-DBS did not induce a decrease in either weight gain or food intake. CONCLUSIONS: NAcc-DBS led to changes in the metabolism of regions associated with cognitive and reward systems, whose impairment has been described in obesity. FAU - Casquero-Veiga, Marta AU - Casquero-Veiga M AUID- ORCID: 0000-0003-0859-9495 AD - Instituto de Investigacion Sanitaria Gregorio Maranon (IiSGM), Madrid, Spain. FAU - Garcia-Garcia, David AU - Garcia-Garcia D AD - Facultad de Ciencia y Tecnologia, Universidad Isabel I, Burgos, Spain. FAU - Pascau, Javier AU - Pascau J AD - Instituto de Investigacion Sanitaria Gregorio Maranon (IiSGM), Madrid, Spain. AD - CIBER de Salud Mental (CIBERSAM), Madrid, Spain. AD - Departamento de Bioingenieria e Ingenieria Aeroespacial, Universidad Carlos III de Madrid, Leganes, Spain. FAU - Desco, Manuel AU - Desco M AD - Instituto de Investigacion Sanitaria Gregorio Maranon (IiSGM), Madrid, Spain. AD - CIBER de Salud Mental (CIBERSAM), Madrid, Spain. AD - Departamento de Bioingenieria e Ingenieria Aeroespacial, Universidad Carlos III de Madrid, Leganes, Spain. AD - Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain. FAU - Soto-Montenegro, Maria Luisa AU - Soto-Montenegro ML AD - Instituto de Investigacion Sanitaria Gregorio Maranon (IiSGM), Madrid, Spain. AD - CIBER de Salud Mental (CIBERSAM), Madrid, Spain. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180927 PL - United States TA - PLoS One JT - PloS one JID - 101285081 SB - IM MH - Animals MH - *Deep Brain Stimulation MH - Disease Models, Animal MH - Male MH - *Nucleus Accumbens/diagnostic imaging/physiopathology MH - *Obesity/diagnostic imaging/physiopathology/therapy MH - *Positron-Emission Tomography MH - Rats MH - Rats, Zucker PMC - PMC6160153 COIS- The authors have declared that no competing interests exist. EDAT- 2018/09/28 06:00 MHDA- 2019/03/05 06:00 PMCR- 2018/09/27 CRDT- 2018/09/28 06:00 PHST- 2018/03/14 00:00 [received] PHST- 2018/09/13 00:00 [accepted] PHST- 2018/09/28 06:00 [entrez] PHST- 2018/09/28 06:00 [pubmed] PHST- 2019/03/05 06:00 [medline] PHST- 2018/09/27 00:00 [pmc-release] AID - PONE-D-18-07882 [pii] AID - 10.1371/journal.pone.0204740 [doi] PST - epublish SO - PLoS One. 2018 Sep 27;13(9):e0204740. doi: 10.1371/journal.pone.0204740. eCollection 2018.