Chronic Central Infusion of Ghrelin Increases Hypothalamic

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Chronic Central Infusion of Ghrelin Increases Hypothalamic Chronic Central Infusion of Ghrelin Increases Hypothalamic Neuropeptide Y and Agouti-Related Protein mRNA Levels and Body Weight in Rats Jun Kamegai, Hideki Tamura, Takako Shimizu, Shinya Ishii, Hitoshi Sugihara, and Ichiji Wakabayashi Ghrelin, an endogenous ligand for the growth hormone secretagogue receptor (GHS-R), was originally puri- fied from the rat stomach. Like the synthetic growth nergy intake and expenditure are tightly regu- hormone secretagogues (GHSs), ghrelin specifically re- lated in mammals (1). Several neuronal popula- leases growth hormone (GH) after intravenous admin- tions, particularly in the hypothalamic arcuate istration. Also consistent with the central actions of nucleus (ARC), are involved in the regulation of GHSs, ghrelin-immunoreactive cells were shown to be E energy homeostasis and have been implicated as possi- located in the hypothalamic arcuate nucleus as well as the stomach. Recently, we showed that a single central ble targets of orexigenic peptides (1). These include administration of ghrelin increased food intake and neuropeptide Y (NPY)/agouti-related protein (AGRP) co- hypothalamic agouti-related protein (AGRP) gene ex- expressing neurons, pro-opiomelanocortin (POMC) neu- pression in rodents, and the orexigenic effect of this rons, and growth hormone–releasing hormone (GHRH) peptide seems to be independent of its GH-releasing neurons, which are known to be stimulated (NPY and activity. However, the effect of chronic infusion of AGRP) or suppressed (POMC and GHRH) by starvation ghrelin on food consumption and body weight and their (2–10). However, central administration of NPY, AGRP, possible mechanisms have not been elucidated. In this and GHRH increased food intake in rats, whereas ␣-mela- study, we determined the effects of chronic intracere- ␣ broventricular treatment with ghrelin on metabolic fac- nocyte–stimulating hormone ( -MSH), an end product of tors and on neuropeptide genes that are expressed in POMC processing, decreased food intake when injected hypothalamic neurons that have been previously shown centrally (11–13). to express the GHS-R and to regulate food consumption. The growth hormone secretagogues (GHSs) are syn- Chronic central administration of rat ghrelin (1 ␮g/rat thetic peptide and nonpeptide compounds that stimulate every 12 h for 72 h) significantly increased food intake the pulsatile release of growth hormone (GH) after intra- and body weight. However, it did not affect plasma venous administration (14). Central administration of insulin, glucose, leptin, or GH concentrations. We also GHSs also stimulates feeding behavior (15). GHS receptor found that chronic central administration of ghrelin increased both neuropeptide Y (NPY) mRNA levels (GHS-R) mRNA is expressed in the pituitary gland and in of saline-treated controls; P < 0.05) and several areas of the brain, including the hypothalamus 10.1% ؎ 151.0) AGRP mRNA levels (160.0 ؎ 22.5% of saline-treated (16). In the hypothalamus, GHS-R mRNA is expressed in controls; P < 0.05) in the arcuate nucleus. Thus, the NPY/AGRP-, POMC-, and GHRH-containing neurons (17– primary hypothalamic targets of ghrelin are NPY/AGRP- 19). Ghrelin, an endogenous ligand for the GHS-R, was containing neurons, and ghrelin is a newly discovered purified from the rat stomach (20). Similar to the synthetic orexigenic peptide in the brain and stomach. Diabetes GHSs, ghrelin specifically releases GH after intravenous 50:2438–2443, 2001 administration. Recently, we showed that a single central administration of ghrelin increased food intake and hypo- thalamic AGRP gene expression in rodents, and the orexi- genic effect of this peptide seems to be independent of its GH-releasing activity (21). Thus, ghrelin has an alternative role in stimulating food intake in addition to releasing GH from the pituitary. It has been reported that previous exposure to GHS can induce desensitization of the subse- quent GH responses to GHS, indicating that homologous From the Department of Medicine, Nippon Medical School, Tokyo, Japan. desensitization is observed after continuous exposure to Address correspondence and reprint requests to Jun Kamegai, Department GHS with respect to GH release (22,23). However, the of Medicine, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-Ku, Tokyo 113- 8603, Japan. E-mail: [email protected]. effect of chronic infusion of ghrelin on food consumption Received for publication 1 December 2000 and accepted in revised form 31 and body weight and their possible mechanisms has not July 2001. AGRP, agouti-related protein; ARC, hypothalamic arcuate nucleus; GH, been elucidated. In this study, we determined the effects of growth hormone; GHRH, growth hormone–releasing hormone; GHS, growth chronic intracerebroventricular treatment with ghrelin on hormone secretagogue; GHS-R, growth hormone secretagogue receptor; metabolic factors and on the hypothalamic NPY, AGRP, ␣-MSH, ␣-melanocyte–stimulating hormone; NPY, neuropeptide Y; POMC, pro-opiomelanocortin; RIA, radioimmunoassay; SS, somatostatin; SSC, saline POMC, and GHRH mRNA levels using radioactive in situ sodium citrate. hybridization histochemistry. 2438 DIABETES, VOL. 50, NOVEMBER 2001 J. KAMEGAI AND ASSOCIATES RESEARCH DESIGN AND METHODS TABLE 1 Animals. Male Sprague-Dawley rats (250–280 g) were housed in air-condi- Comparisons of food intake, body weight, fat weight, plasma tioned animal quarters, with lights on between 08:00 and 20:00 h, and were glucose, insulin, leptin, and GH in rats treated with rat ghrelin or given food and water ad libitum. The animals were anesthetized with ether, saline for 3 days and a 23-gauge stainless-steel cannula was implanted into the right lateral ventricle using a stereotaxic apparatus, as previously described (24). The Control Ghrelin-treated upper incisor bar was set 3.3 mm below the interauricular line, and the bregma was taken as A-P zero. The cannula tip was placed at A Ϫ0.9, L Ϫ1.2, and V n 55 Ϫ3.6 mm and secured in place with dental acrylic. Only those rats whose Food intake (g/72 h) 97.8 Ϯ 4.5 116.0 Ϯ 6.2* cerebrospinal fluid overflowed through the cannula were used for the exper- Initial body weight (g) 373 Ϯ 12 379 Ϯ 13 iment. They were kept in individual cages and habituated by handling every Final body weight (g) 376 Ϯ 14 391 Ϯ 15 day. Injections of the peptide were performed 14 days after placement of the ⌬ Body weight (g) 2.8 Ϯ 2.5 11.8 Ϯ 2.9* cannula. Experiments were conducted according to the principles and proce- Epididymal fat weight (g) 3.6 Ϯ 0.3 3.9 Ϯ 0.3 dures outlined in the National Institutes of Health Guide for the Care and Use Retroperitoneal fat weight (g) 3.2 Ϯ 0.4 4.2 Ϯ 0.4 of Laboratory Animals. Ϯ Ϯ Experimental protocol. Rat ghrelin (1 ␮g/rat; provided by Dr. K. Kangawa, Inguinal fat weight (g) 3.8 0.3 4.0 0.2 National Cardiovascular Center Research Institute, Osaka, Japan) or saline Plasma glucose (mg/dl) 144.8 Ϯ 3.2 148.6 Ϯ 5.1 was injected every 12 h for 72 h. Food intake and body weights were measured Plasma insulin (ng/ml) 4.56 Ϯ 0.43 4.90 Ϯ 0.28 daily. Animals were anesthetized with pentobarbital (70 mg/kg i.p.) ϳ4 h after Plasma leptin (ng/ml) 5.65 Ϯ 1.39 6.99 Ϯ 0.83 the final injection of ghrelin. The blood was collected, and plasma was Plasma GH (ng/ml) 8.61 Ϯ 3.18 6.45 Ϯ 1.38 separated by centrifugation and stored at Ϫ70°C until assay. Plasma glucose was measured by the glucose oxidase method. Plasma insulin and leptin were Data are means Ϯ SD. *P Ͻ 0.05 compared with the control group. measured by radioimmunoassay (RIA) using a commercially available rat insulin RIA kit (Amersham, Tokyo) and rat leptin RIA kit (Linco Research, St. Charles, MO), respectively. GH levels were measured with a double-antibody 6.2 g for ghrelin vs. 97.8 Ϯ 4.5 g for saline; n ϭ 5 rats per RIA using materials supplied by the National Institute of Diabetes and group; P Ͻ 0.05) (Table 1) and body weight (11.8 Ϯ 2.9 g Digestive and Kidney Diseases, National Institutes of Health (Bethesda, MD), for ghrelin vs. 2.8 Ϯ 2.5 g for saline; n ϭ 5 rats per group; as previously described (21). Epididymal, retroperitoneal, and inguinal fat Ͻ pads were dissected and weighed. Anesthetized rats were perfused with 2% P 0.05 (Table 1), as compared with intracerebroventric- paraformaldehyde, and the brain was kept overnight at 4°C in the same ular injection of the vehicle. However, it did not affect the fixative containing 20% sucrose. weight of three fat deposits or of plasma insulin, glucose, In situ hybridization. Frozen coronal sections, 30 ␮m thick, were cut with leptin, and GH concentrations, although there was the a cryostat, mounted onto Silan-coated slides (Shin-Etsu Chemical, Tokyo), and air-dried. The medial basal hypothalamus from the rostral end of the third trend toward higher levels of fat pad weights and plasma ventricle to the caudal end of the ARC was processed for in situ hybridization leptin and insulin levels in the ghrelin-treated group (Table using 35S-labeled riboprobes for NPY, AGRP, POMC, and GHRH mRNA, as 1). previously described (21). The hybridization protocol has been described Hypothalamic neuropeptide gene expressions. Cen- previously (25). In brief, sections were dried, digested by proteinase K (10 tral administration of ghrelin increased the levels of NPY ␮g/ml), and acetylated with 0.25% acetic anhydride. Sections were rinsed Ϯ brieflyin2ϫ saline sodium citrate (SSC) and then air-dried. The probe was mRNA in the ARC to 151.0 10.1% of the saline-treated dissolved in hybridization buffer (10 mmol/l Tris [pH 8.0], containing 50% controls (n ϭ 5 rats per group; P Ͻ 0.05) (Fig.
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