Abstract

Accumulated evidence indicates that obesity-induced type 2 diabetes (T2D) is associated with enhanced sympathetic activation. The present study was conducted to investigate the role for leptin-glutamate signaling within the hypothalamus in regulating sympathetic nerve activity. In anesthetized rats, microinjections of leptin (5 ng ~ 100 ng) into the arcuate nucleus (ARCN) and paraventricular nucleus (PVN) induced increases in renal sympathetic nerve activity (RSNA), blood pressure (BP), and heart rate (HR). Prior microinjections of NMDA receptor antagonist AP5 (16 pmol) into the ARCN or PVN reduced leptin-induced increases in RSNA, BP, and HR in both ARCN and PVN. Knockdown of a leptin receptor with siRNA inhibited NMDA-induced increases in RSNA, BP, and HR in the ARCN but not in the PVN. Confocal calcium imaging in the neuronal NG108 and astrocytic C6 cells demonstrated that preincubation with leptin induced an increase in intracellular calcium green fluorescence when the cells were challenged with glutamate. In high-fat diet and low-dose streptozotocin-induced T2D rats, we found that leptin receptor and NMDA NR1 receptor expressions in the ARCN and PVN were significantly increased. In conclusion, these studies provide evidence that within the hypothalamic nuclei, leptin-glutamate signaling regulates the sympathetic activation. This may contribute to the sympathoexcitation commonly observed in obesity-related T2D.

Highlights

  • Overweight and obesity are a growing “worldwide epidemic problem.” The prevalence of type 2 diabetes (T2D) has significantly increased with the prevalence of obesity

  • The activation of the sympathetic nervous system through the central action of the adipokine leptin has been suggested as a possible major mechanism that contributes to the development of hypertension and heart failure leading to cardiovascular morbidity and mortality in T2D [8, 9]

  • These data indicated that HFD and low-dose STZ induced hyperglycemia, hyperleptinemia, hyperlipidemia, and insulin resistance in T2D rats mimicking T2D in humans

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Summary

Introduction

Overweight and obesity are a growing “worldwide epidemic problem.” The prevalence of type 2 diabetes (T2D) has significantly increased with the prevalence of obesity. The prevalence of type 2 diabetes (T2D) has significantly increased with the prevalence of obesity. Increased sympathetic nerve activity contributes to the onset and maintenance of cardiovascular complications such as hypertension and heart failure in T2D [3]. The central nervous system plays a very important role in regulating sympathetic activation and contributing to the altered neurohumoral drive during diabetes [6,7,8,9]. The activation of the sympathetic nervous system through the central action of the adipokine leptin has been suggested as a possible major mechanism that contributes to the development of hypertension and heart failure leading to cardiovascular morbidity and mortality in T2D [8, 9]

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