Els trastorns de la conducta alimentària (TCA) tenen una etiologia complexa en la que hi intervenen factors de predisposició socioculturals, ambientals i genètics. S'ha aprofundit en les bases moleculars dels TCA mitjançant estudis en pacients i en models murins. S'ha descrit una alteració en la concentració de BDNF en plasma de pacients, una correlació d'aquests nivells amb trets psicopatològics, i una associació de determinats polimorfismes a bulímia nerviosa i als nivells de BDNF en plasma. Un estudi d'associació en vàries poblacions ha demostrat una forta associació de variants del gen NTRK3, amb epistasi amb NGF, a TCA. Un model de sobreexpressió de BDNF confirma el seu paper en la regulació del pes corporal i estableix un possible vincle entre BDNF i la fisiopatologia de les tremolors. La caracterització del ratolí anx/anx suggereix que pot ser un model de la síndrome caquètica que acompanya malalties com el càncer, la SIDA o les malalties autoimmunitàries. / Eating disorders (ED) are complex disorders were environmental, sociocultural and genetic factors are involved. We have improved the knowledge of the genetic basis of ED through studies involving ED patients and murine models. Altered BDNF blood levels have been linked to ED and its related psychopathological traits. In addition several polymorphisms in the BDNF gene have been associated to bulimia nervosa and BDNF plasma levels. A family based association study has shown a strong association of NTRK3 variants to ED which show epistasis with NGF. The generation of an overexpression mouse model for BDNF confirms its role in body weight regulation and establishes a possible link between BDNF and the pathophysiology of tremors. The characterization of the anx/anx mouse model suggests that it may be a good model for the cachexia syndrome that accompanies certain chronic or inflammatory diseases such as cancer, AIDS or autoimmune diseases.

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Endocrine and Metabolic Aspects of Various Sleep Disorders MUDr. Zuzana Vimmerová Lattová Abstract: Recent epidemiological and experimental data suggest a negative influence of shortened or disturbed night sleep on glucose tolerance. However, no comparative studies of glucose metabolism have been conducted in clinical sleep disorders. Dysfunction of the HPA axis may play a causative role in some sleep disorders and in other sleep disorders it may be secondary to the sleep disorder. Moreover, dysfunction of the HPA axis is regarded as a possible causative factor for the impaired glucose sensitivity associated with disturbed sleep. However, data on HPA system activity in sleep disorders are sparse and conflicting. We studied 25 obstructive sleep apnea (OSA) patients, 18 restless legs syndrome (RLS) patients, 21 patients with primary insomnia and compared them to 33 healthy controls. We performed oral glucose tolerance test and assessed additional parameters of glucose metabolism. The dynamic response of the HPA system was assessed by the DEX-CRH-test which combines suppression (dexamethasone) and stimulation (CRH) of the stress hormone system. Compared to controls, increased rates of impaired glucose tolerance were found in OSA (OR: 4.9) and RLS (OR: 4.7), but not in primary insomnia. In addition, HbA1c...

Les facteurs de transcription SIM1, OTP, POU3F2 et ARNT2 interagissent ensemble en orchestrant le développement complexe de l’hypothalamus, une région du cerveau contenant plusieurs petites populations circonscrites de neurones, dont le noyau paraventriculaire (PVN). Ce noyau est un important centre intégrateur et l’haploinsuffisance du facteur de transcription Sim1, essentiel au développement du PVN, mène à l’hyperphagie autant chez la souris que l’homme. Différentes souris ont été générées par génie génétique afin de nous aider à trouver d’autres gènes essentiels qui participent à cette cascade transcriptionnelle. Premièrement, la partie antérieure de l’hypothalamus a été récoltée chez des embryons (E12.5) de souris qui surexprimaient le gène Pou3f2 sous le promoteur de Otp7. L’analyse transcriptionnelle de cette partie a été comparée avec les embryons (E12.5) wt de la même portée, de sorte qu’il a été possible de constater que différents gènes ont été régulés à la hausse et d’autres à la baisse. Les gènes en question ont été choisis selon leur pertinence au développement de la région d’intérêt, l’hypothalamus, et de trois autres critères : un accroissement de plus de 1.5, une expression minimale dans l’embryon d’au moins 1000 lectures et le rang le plus haut. Cette méthode discriminatoire a permis d’identifier les gènes les plus affectés dont Lgi2, Fezf2, Sema3c, Six6, Sox14, Lmo4, Nwd2 et Nkx2.1. Les gènes régulés à la baisse étaient Six6, Sox14 et Nkx2.1, tandis que tous les autres étaient à la hausse. Afin de confirmer les résultats obtenus, une validation par hybridation in situ a été utilisée sur des tranches d’hypothalamus d’embryons E12.5. Nous avons pu confirmer la surexpression des marqueurs Lgi2, Fezf2, Sema3c, Lmo4 et de Pou3f2 dans le domaine du PVN. La diminution de l’expression des marqueurs Sox14 et Nkx2.1 a pu être détectée dans el domaine basal de l’hypothalamus, ce qui suggère que l’effet d’une surexpression de Pou3f2 dans le domaine du PVN ait un effet cellulaire non autonome. La diminution de l’expression de Six6 dans le domaine basal n’a pas pu être confirmer de façon reproductible. Deuxièmement, il semblerait qu’il y ait une redondance de rôle entre les facteurs de transcription Otp et Sim1, tous les deux agissant en amont de Pou3f2. Afin de comparer leur impact dans le programme transcriptionnel, la technologie CrisPR-cas9 a été utilisée pour faire un KO du 2e exon d’Otp. Nous avons pu confirmer notre modèle de mutation en le comparant aux autres mutants de la littérature par une réduction de l’expression d’OT, d’OTP, d’AVP et de TRH. Troisièmement, les souris hétérozygotes pour Otp et Sim1 seront croisées, de sorte d’obtenir quatre génotypes : wt, Otp+/-, Sim1+/tlz+ et Otp+/-Sim1+/tlz+. Puisqu’une redondance des rôles de Sim1 et Otp est soupçonnée, le phénotype du double mutant devrait présenter une obésité par hyperphagie plus importante que celle des souris hétérozygotes pour le gène Sim1 ou Otp. Les souris sont pesées à partir de la 5e semaine de vie jusqu’à l’âge de 6 mois à une fréquence d’une fois par semaine. L’apport calorique est également mesuré une fois par semaine sur période de 24h. La double mutation (Otp+/-Sim1+/tlz+) chez les souris mâles causait un phénotype d’obésité plus important que la singularité des mutations, mais ce n’était pas le cas chez les souris femelles. Les souris portant la mutation d’Otp étaient tout de même plus obèses que les souris sauvages pour les deux sexes. Plus de souris seront nécessaire pour déterminer si un apport calorique sans changement au niveau des dépenses énergétiques est la cause de ce gain pondéral. / The transcription factors SIM1, OTP and POU3F2 interact together to orchestrate the complex development of the hypothalamus, a region of the brain containing several small, circumscribed populations of neurons, including the paraventricular nucleus (PVN). This nucleus is an important integrating center, and the haploinsufficiency of the transcription factor Sim1, essential for the development of PVN, leads to overeating in both mice and humans. Different mice have been genetically engineered to help us find other essential genes that participate in this transcriptional cascade. Firstly, the anterior part of the hypothalamus was collected from mice embryos (E12.5) which overexpressed the Pou3f2 gene under the OTP7 promotor. The transcriptional analysis was compared to wt embryos from the same litter to see the different upregulated and downregulated genes. These genes were chosen according to their relevance to the development of the anterior hypothalamus. Three criteria were used to discriminate genes from one another: 1) an increase of more than 1.5, 2) a minimal expression in the embryo (E12.5) of at least 1000 reads and 3) the highest rank. This discriminatory method allowed us to identify the genes Lgi2, Fezf2, Sema3c, Six6, Sox14, Lmo4, Nwd2, Nkx2.1. To have a visuospatial idea of these affected genes, the validation of these results was done by in situ hybridization on E12.5 embryo hypothalamus. We have been able to see an overexpression in the PVN domain for the Lgi2, Fezf2, Sema3c, Lmo4 and Pou3f2 markers. The reduction of expression for Sox14 and Nkx2.1 markers were visible in the basal domain of the hypothalamus, which suggest a non cell autonomous effect of Pou3f2 being overexpressed. The reduction of Six6 couldn’t be consistently visible with repetition. Secondly, a redundant role of OTP and SIM1 seems to occur in the development of the hypothalamus. We created a KO line of the Otp gene by deleting the second exon with CrispR-cas9 and characterized it. We then compared it to the Sim1+/tlz+ line that we already generated in the lab. We were able to confirm our mutation model by seeing a reduction in the expression of crucial markers such as OT, OTP, AVP and TRH. Thirdly, we crossed Otp+/- with Sim1+/tlz+ mice to obtain four different genotypes: wt, Otp+/-, Sim1+/tlz+ and Otp+/- Sim1+/tlz+. Since a redundant aspect has been observed for SIM1 and OTP transcription factors, we were wondering if the obesity phenotype would be worsened by carrying both mutation or not. These mice were weighted every week from 5-week-old up to 6 months old. Food intake has also been measured since the obesity has been reported to be caused by hyperphagia in Sim1 mutant mice. The male mice carrying the double mutation (Otp+/-Sim1+/tlz+) showed a more important weight gain than only Sim1+/tlz+ or Otp+/- mutants, but it was not the case for the female mice. The mice carrying the Otp mutation still got a more important weight gain than the wt mice (females and males). More mice would be necessary to determine if this weight gain is caused by hyperphagia only or if unbalance energy cost is part of the cause.

<p>  </p> <p>Cilia are cell appendages that sense our environment and are critical in cell-to-cell communication. Dysfunction of cilia can result in several disease states including obesity. While cilia in the brain are known to be important for feeding behavior, it is unclear how they regulate energy homeostasis. Classically, cilia coordinate signaling through surface receptors called G-protein coupled receptors (GPCRs). For example, cilia mediated GPCR signaling is critical for both our senses of vision and smell. How cilia regulate the signaling of GPCRs in other areas of the body including the brain is only now emerging. To answer cell biology questions around cilia mediated GPCR signaling in neurons, we developed a system for primary neuronal cultures. We discovered that the cilia mediated hedgehog pathway influences the ability of neurons to respond to GPCR ligands. For the first time, this result highlights the role of the hedgehog pathway in neurons. We continue to explore how cilia integrate the hedgehog pathway and GPCR signaling in the central nervous system, and the potential connections to energy homeostasis. We discovered that hedgehog pathway activity in feeding centers of the brain changes based upon feeding conditions like fasting. We also learned that activating the hedgehog pathway in these brain regions is sufficient to cause obesity in mice. These novel results highlight an unrecognized role for the hedgehog pathway in the regulation of feeding behavior. Overall, this work provides a better understanding of ciliopathy associated obesity and may reveal more common mechanisms of obesity in the general population. In addition, this work implicates the hedgehog pathway in regulating behaviors and new modes of cell-cell communication within the central nervous system.</p>

Serotonin gilt als Hauptangriffsstelle gängiger Antidepressiva bei schweren Depressionen, wie bspw. selektive Serotonin-Wiederaufnahmehemmer (SSRI), und -Enhancer (SSRE). Es bleibt offen, ob SSRI / E ausschließlich über die Manipulation des Serotoninspiegels wirken, oder ob alternative Signalwege daran beteiligt sind. Ansatzpunkte hierfür sind beispielsweise die neurotrophen Signalwege (spez. Brain derived neurotophic factor, BDNF) oder die Hypothalamus-Hypophysen-Nebennieren- (HPA) – Signalwege des Stressachsensystems. Ebenfalls wurde in Nagetiermodellen beobachtet, dass mit der Dysregulation des zentralen Serotoninsystems bei schweren Depressionen, ein Rückgang der Neurogenese im Gyrus dentatus des Hippocampus einhergeht. Ziel dieser Arbeit war, das Zusammenspiel von Serotonin, BDNF, adulter Neurogenese und der Stressachse zu untersuchen. Zentrum der Studien ist ein Mausmodell, mit einer genetischen Depletion des zentralen Serotonin-synthetisierenden Enzyms Tryptophanhydroxylase 2 (sog. Tph2-/- Mäuse). Es wurden die physiologische Reaktionen auf die Behandlung mit gängigen Antidepressiva abhängig von der Abwesenheit von Serotonin untersucht, um mögliche alternative Signalwege aufzeigen zu können. Die bekannte Zunahme der Neurogenese nach SSRI/SSRE-Behandlung wurde in Wildtyptieren beobachtet, während die Therapie in Tph2-/- Mäusen keine direkte kausale Wirkung zeigte. Im Gegensatz dazu waren die BDNF-Spiegel in depressionsrelevanten Hirnregionen in Tph2-/- Mäusen nach SSRI, signifikant verringert. Auch zeigen die Studien eine neurobiologische Relevanz von Serotonin im ZNS, bei den antidepressiven Mechanismen einer Elektrokonvulsiven Krampftherapie. Ebenfalls deuten erhöhte Neurogeneseraten bei lebenslanger Abwesenheit von Serotonin im ZNS, Therapiemethoden-unabhängig, möglicherweise auf eine modulierte Stressreaktion hin. Untersuchungen der Parameter des HPA-Stressachsensystems, wiesen auf einen grundlegend veränderten Stresshormonspiegel in Tph2-/- Mäusen hin. / Serotonin, the "molecule of happiness" is an important target for antidepressants. The mainly prescribed drugs in major depression are selective serotonin re-uptake inhibitors (SSRI); but recently, SSR-enhancer (SSRE) have also attracted clinical attention. However, only a quarter of patients responds to treatment. It needs to be determined, whether SSRI/E act solely via manipulating serotonin levels or whether other pathways are involved, e.g. neurotrophic signaling (brain-derived neurotrophic factor, BDNF) or the hypothalamus-pituitary-adrenal (HPA)-axis. Furthermore, in major depression, dysregulation of central serotonin signaling is accompanied with a decline in hippocampal neurogenesis, as has been observed in rodent models. At the center of this thesis is a mouse model deficient in the central serotonin-synthesizing enzyme, tryptophan hydroxylase 2 (Tph2-/- mice). I have investigated physiological responses to antidepressant treatment in the absence of brain serotonin, and the possible role of alternative pathways. I observed the typical increase in neurogenesis upon SSRI treatment in WT mice, while it had no effect in Tph2-/- mice. In contrast, BDNF levels were significantly decreased in Tph2-/- mice after treatment with no effect in WT control mice. Furthermore, my results show a critical role of brain serotonin in the neurobiological effects of electroconvulsive seizure. Surprisingly, in animals lacking central serotonin, increased neurogenesis was observed independently of the treatment. The gathered data indicated an altered stress response; therefore, parameters of the HPA-axis have been studied, indicating a downregulated HPA system in Tph2-/-animals in baseline state, but showed no difference in treatment or feedback control. This thesis gives insight into the mechanisms of antidepressant action and reveals ideas for novel pathways involved in the process that could be used as targets in therapeutic approaches and further research in major depression.

Ciliary neurotrophic factor (CNTF) is produced by astrocytes which have been implicated in regulating stress responses. We found that CNTF in the medial amygdala (MeA) promotes despair or passive coping, i.e., immobility in an acute forced swim stress, in female mice, while having no effect in males. Neutralizing CNTF antibody injected into the MeA of wildtype females reduced activation of downstream STAT3 (Y705) 24 and 48 h later. In concert, the antibody reduced immobility in the swim test in females and only after MeA injection, but not when injected in the central or basolateral amygdala. Antibody injected into the male MeA did not affect immobility. These data reveal a unique role of CNTF in female MeA in promoting despair or passive coping behavior. Moreover, 4 weeks of chronic unpredictable stress (CUS) increased immobility in the swim test and reduced sucrose preference in wildtype CNTF+/+, but not CNTF-/- littermate, females. Following CUS, 10 min of restraint stress increased plasma corticosterone levels only in CNTF+/+ females. In males, the CUS effects were present in both genotypes. Further, CUS increased CNTF expression in the MeA of female, but not male, mice. CUS did not alter CNTF in the female hippocampus, hypothalamus and bed nucleus of stria terminalis. This suggests that MeA CNTF has a female-specific role in promoting CUS-induced despair or passive coping, behavioral anhedonia and neuroendocrine responses. Compared to CNTF+/+ mice, CNTF-/- mice did not show differences in CUS-induced anxiety-like behavior and sensorimotor gating function as measured by elevated T-Maze, open field and pre-pulse inhibition of the acoustic startle response. Together, this study reveals a novel CNTF-mediated female-specific mechanism in stress responses and points to opportunities for developing treatments for stress-related disorders in women.

Obesidade é fator de risco para a hipertensão arterial e os mecanismos envolvidos nesta doença não são totalmente esclarecidos. Camundongos C57BL/6J e transgênicos com com deleção em neurônios e glia da via inflamatória do receptor toll-like-NF&#954;B foram submetidos à dieta hiperlipídica (HL) por 8 e 15 semanas e avaliados parâmetros metabólicos, pressão arterial, frequência cardíaca, atividade do sistema nervoso autônomo, fatores inflamatórios e neuropeptídeos no hipotálamo e no tronco encefálico. Os camundongos expostos HL desenvolveram hipertensão arterial acompanhada de disfunção autonômica e aumento de CART no DMH. Os animais transgênicos quando submetidos à dieta HL desenvolveram um quadro de obesidade, porém não apresentaram hipertensão arterial e disfunção autonômica. Além disso, o grupo de animais HL aumentou o RNAm de CCL5 no hipotálamo e de CD86 no tronco-encefálico e a densidade de microglia no NTS caudal. Os resultados sugerem novos mecanismos para a hipertensão e disfunção autonômica secundárias à ingestão de dieta hiperlipídica mostrando o papel do CART o DMH e o envolvimento da via inflamatória do TLR-NF&#954;B em neurônios e glia nos mecanismos desta patologia. / Obesity is a risk factor for high blood pressure and the mechanisms involved in this disease are not fully clarified. C57BL/6J and transgenic mice with toll-like-NF&#954;B receptor inflammatory- pathway deletion in neurons and glia were fed with high-fat diet (HL) for 8 or 15 weeks and assessed metabolic parameters, blood pressure, heart rate, autonomic nervous system activity, inflammatory factors and neuropeptides in the hypothalamus and brainstem. The HL mice developed hypertension accompanied with autonomic dysfunction and increased CART in DMH. Transgenic animals when submitted to HL diet developed obesity, but not showed high blood pressure and autonomic dysfunction. In addition, HL animals had increased CCL5 mRNA in hypothalamus, CD86 mRNA in brainstem and micróglia density in caudal NTS. The results suggest new mechanisms for hypertension and autonomic dysfunction secondary to intake of high-fat diet by showing CART role in DMH and the involvement of the inflammatory pathway TLR-NF&#954;B in neurons and glia.

Obesidade é fator de risco para a hipertensão arterial e os mecanismos envolvidos nesta doença não são totalmente esclarecidos. Camundongos C57BL/6J e transgênicos com com deleção em neurônios e glia da via inflamatória do receptor toll-like-NF&#954;B foram submetidos à dieta hiperlipídica (HL) por 8 e 15 semanas e avaliados parâmetros metabólicos, pressão arterial, frequência cardíaca, atividade do sistema nervoso autônomo, fatores inflamatórios e neuropeptídeos no hipotálamo e no tronco encefálico. Os camundongos expostos HL desenvolveram hipertensão arterial acompanhada de disfunção autonômica e aumento de CART no DMH. Os animais transgênicos quando submetidos à dieta HL desenvolveram um quadro de obesidade, porém não apresentaram hipertensão arterial e disfunção autonômica. Além disso, o grupo de animais HL aumentou o RNAm de CCL5 no hipotálamo e de CD86 no tronco-encefálico e a densidade de microglia no NTS caudal. Os resultados sugerem novos mecanismos para a hipertensão e disfunção autonômica secundárias à ingestão de dieta hiperlipídica mostrando o papel do CART o DMH e o envolvimento da via inflamatória do TLR-NF&#954;B em neurônios e glia nos mecanismos desta patologia. / Obesity is a risk factor for high blood pressure and the mechanisms involved in this disease are not fully clarified. C57BL/6J and transgenic mice with toll-like-NF&#954;B receptor inflammatory- pathway deletion in neurons and glia were fed with high-fat diet (HL) for 8 or 15 weeks and assessed metabolic parameters, blood pressure, heart rate, autonomic nervous system activity, inflammatory factors and neuropeptides in the hypothalamus and brainstem. The HL mice developed hypertension accompanied with autonomic dysfunction and increased CART in DMH. Transgenic animals when submitted to HL diet developed obesity, but not showed high blood pressure and autonomic dysfunction. In addition, HL animals had increased CCL5 mRNA in hypothalamus, CD86 mRNA in brainstem and micróglia density in caudal NTS. The results suggest new mechanisms for hypertension and autonomic dysfunction secondary to intake of high-fat diet by showing CART role in DMH and the involvement of the inflammatory pathway TLR-NF&#954;B in neurons and glia.