Abstract

The avoidance of being overweight or obese is a daily challenge for a growing number of people. The growing proportion of people suffering from a nutritional imbalance in many parts of the world exemplifies this challenge and emphasizes the need for a better understanding of the mechanisms that regulate nutritional balance. Until recently, research on the central regulation of food intake primarily focused on neuronal signaling, with little attention paid to the role of glial cells. Over the last few decades, our understanding of glial cells has changed dramatically. These cells are increasingly regarded as important neuronal partners, contributing not just to cerebral homeostasis, but also to cerebral signaling. Our understanding of the central regulation of energy balance is part of this (r)evolution. Evidence is accumulating that glial cells play a dynamic role in the modulation of energy balance. In the present review, we summarize recent data indicating that the multifaceted glial compartment of the brainstem dorsal vagal complex (DVC) should be considered in research aimed at identifying feeding-related processes operating at this level.

Highlights

  • Maintaining a healthy weight has turned into a personal difficulty as well as a serious public health concern

  • We focus our review on energy balance, we are aware that at the brainstem level, neuroglial interactions interfere with other autonomic functions, cardiorespiratory function

  • We reported the in vivo and in vitro expressions of leptin receptor (LepR) isoforms at the area postrema (AP)/nucleus of the solitary tract (NTS) glial boundary level, with a strong expression of short isoforms

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Summary

Introduction

Maintaining a healthy weight has turned into a personal difficulty as well as a serious public health concern. I.e., the hypothalamus and DVC, a brainstem structure, strongly contribute to the homeostatic control of energy balance by integrating information linked to nutritional status and arising from peripheral organs (the gut, liver, pancreas, and adipose tissue; see [2] for review). In these structures, neuronal networks dedicated to the regulation of energy balance have been extensively studied [3]. Many studies have strongly suggested that neuroglial interactions contribute to the regulation of feeding behavior and control of energy balance (see [4,5] for reviews). (ii) the integration of viscerosensory signals; and (iii) the modulation of food intake

The Adult DVC
Cellular Diversity and Glial Organization within the Adult DVC
Integration of Viscerosensory Signals
Modulation of Food Intake and Weight Gain by DVC Glial Cells
Findings
Open Questions and Future Avenues
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