PMID- 32839348 OWN - NLM STAT- MEDLINE DCOM- 20210125 LR - 20210125 IS - 1939-327X (Electronic) IS - 0012-1797 (Print) IS - 0012-1797 (Linking) VI - 69 IP - 11 DP - 2020 Nov TI - Hypoglycemia-Sensing Neurons of the Ventromedial Hypothalamus Require AMPK-Induced Txn2 Expression but Are Dispensable for Physiological Counterregulation. PG - 2253-2266 LID - 10.2337/db20-0577 [doi] AB - The ventromedial nucleus of the hypothalamus (VMN) is involved in the counterregulatory response to hypoglycemia. VMN neurons activated by hypoglycemia (glucose-inhibited [GI] neurons) have been assumed to play a critical although untested role in this response. Here, we show that expression of a dominant negative form of AMPK or inactivation of AMPK alpha1 and alpha2 subunit genes in Sf1 neurons of the VMN selectively suppressed GI neuron activity. We found that Txn2, encoding a mitochondrial redox enzyme, was strongly downregulated in the absence of AMPK activity and that reexpression of Txn2 in Sf1 neurons restored GI neuron activity. In cell lines, Txn2 was required to limit glucopenia-induced reactive oxygen species production. In physiological studies, absence of GI neuron activity after AMPK suppression in the VMN had no impact on the counterregulatory hormone response to hypoglycemia or on feeding. Thus, AMPK is required for GI neuron activity by controlling the expression of the antioxidant enzyme Txn2. However, the glucose-sensing capacity of VMN GI neurons is not required for the normal counterregulatory response to hypoglycemia. Instead, it may represent a fail-safe system in case of impaired hypoglycemia sensing by peripherally located glucose detection systems that are connected to the VMN. CI - (c) 2020 by the American Diabetes Association. FAU - Quenneville, Simon AU - Quenneville S AD - Center for Integrative Genomics, University of Lausanne, Lausanne, Switzerland. FAU - Labouebe, Gwenael AU - Labouebe G AD - Center for Integrative Genomics, University of Lausanne, Lausanne, Switzerland. FAU - Basco, Davide AU - Basco D AD - Center for Integrative Genomics, University of Lausanne, Lausanne, Switzerland. FAU - Metref, Salima AU - Metref S AD - Center for Integrative Genomics, University of Lausanne, Lausanne, Switzerland. FAU - Viollet, Benoit AU - Viollet B AD - Universite de Paris, Institut Cochin, CNRS, INSERM, Paris, France. FAU - Foretz, Marc AU - Foretz M AD - Universite de Paris, Institut Cochin, CNRS, INSERM, Paris, France. FAU - Thorens, Bernard AU - Thorens B AUID- ORCID: 0000-0002-3738-0129 AD - Center for Integrative Genomics, University of Lausanne, Lausanne, Switzerland bernard.thorens@unil.ch. LA - eng SI - figshare/10.2337/figshare.12827294 PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200824 PL - United States TA - Diabetes JT - Diabetes JID - 0372763 RN - 0 (Blood Glucose) RN - 0 (Txn2 protein, mouse) RN - 52500-60-4 (Thioredoxins) RN - EC 2.7.11.1 (AMPK alpha1 subunit, mouse) RN - EC 2.7.11.1 (AMPK alpha2 subunit, mouse) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) RN - IY9XDZ35W2 (Glucose) SB - IM MH - AMP-Activated Protein Kinases/genetics/metabolism MH - Blood Glucose MH - Cells, Cultured MH - Glucose/*metabolism MH - Humans MH - Hypoglycemia/*blood MH - Neurons/*physiology MH - Patch-Clamp Techniques MH - Thioredoxins/genetics/*metabolism MH - Ventromedial Hypothalamic Nucleus/*cytology PMC - PMC7576557 EDAT- 2020/08/26 06:00 MHDA- 2021/01/26 06:00 PMCR- 2020/08/24 CRDT- 2020/08/26 06:00 PHST- 2020/05/28 00:00 [received] PHST- 2020/08/18 00:00 [accepted] PHST- 2020/08/26 06:00 [pubmed] PHST- 2021/01/26 06:00 [medline] PHST- 2020/08/26 06:00 [entrez] PHST- 2020/08/24 00:00 [pmc-release] AID - db20-0577 [pii] AID - 200577 [pii] AID - 10.2337/db20-0577 [doi] PST - ppublish SO - Diabetes. 2020 Nov;69(11):2253-2266. doi: 10.2337/db20-0577. Epub 2020 Aug 24.