JCI Insight (May 2023)

Hypothalamic and brainstem glucose-dependent insulinotropic polypeptide receptor neurons employ distinct mechanisms to affect feeding

  • Alice Adriaenssens,
  • Johannes Broichhagen,
  • Anne de Bray,
  • Julia Ast,
  • Annie Hasib,
  • Ben Jones,
  • Alejandra Tomas,
  • Natalie Figueredo Burgos,
  • Orla Woodward,
  • Jo Lewis,
  • Elisabeth O’Flaherty,
  • Kimberley El,
  • Canqi Cui,
  • Norio Harada,
  • Nobuya Inagaki,
  • Jonathan Campbell,
  • Daniel Brierley,
  • David J. Hodson,
  • Ricardo Samms,
  • Fiona Gribble,
  • Frank Reimann

Journal volume & issue
Vol. 8, no. 10

Abstract

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Central glucose-dependent insulinotropic polypeptide (GIP) receptor (GIPR) signaling is critical in GIP-based therapeutics’ ability to lower body weight, but pathways leveraged by GIPR pharmacology in the brain remain incompletely understood. We explored the role of Gipr neurons in the hypothalamus and dorsal vagal complex (DVC) — brain regions critical to the control of energy balance. Hypothalamic Gipr expression was not necessary for the synergistic effect of GIPR/GLP-1R coagonism on body weight. While chemogenetic stimulation of both hypothalamic and DVC Gipr neurons suppressed food intake, activation of DVC Gipr neurons reduced ambulatory activity and induced conditioned taste avoidance, while there was no effect of a short-acting GIPR agonist (GIPRA). Within the DVC, Gipr neurons of the nucleus tractus solitarius (NTS), but not the area postrema (AP), projected to distal brain regions and were transcriptomically distinct. Peripherally dosed fluorescent GIPRAs revealed that access was restricted to circumventricular organs in the CNS. These data demonstrate that Gipr neurons in the hypothalamus, AP, and NTS differ in their connectivity, transcriptomic profile, peripheral accessibility, and appetite-controlling mechanisms. These results highlight the heterogeneity of the central GIPR signaling axis and suggest that studies into the effects of GIP pharmacology on feeding behavior should consider the interplay of multiple regulatory pathways.

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