Fgf15 Neurons of the Dorsomedial Hypothalamus Control Glucagon Secretion and Hepatic Gluconeogenesis.

The counterregulatory response to hypoglycemia is an essential survival function. It is controlled by an integrated network of glucose-responsive neurons, which trigger endogenous glucose production to restore normoglycemia. The complexity of this glucoregulatory network is, however, only partly characterized. In a genetic screen of a panel of recombinant inbred mice we previously identified Fgf15, expressed in neurons of the dorsomedial hypothalamus (DMH), as a negative regulator of glucagon secretion. Here, we report on the generation of Fgf15 <sup>CretdTomato</sup> mice and their use to further characterize these neurons. We show that they were glutamatergic and comprised glucose-inhibited and glucose-excited neurons. When activated by chemogenetics, Fgf15 neurons prevented the increase in vagal nerve firing and the secretion of glucagon normally triggered by insulin-induced hypoglycemia. On the other hand, they increased the activity of the sympathetic nerve in the basal state and prevented its silencing by glucose overload. Higher sympathetic tone increased hepatic Creb1 phosphorylation, Pck1 mRNA expression, and hepatic glucose production leading to glucose intolerance. Thus, Fgf15 neurons of the DMH participate in the counterregulatory response to hypoglycemia by a direct adrenergic stimulation of hepatic glucose production while suppressing vagally induced glucagon secretion. This study provides new insights into the complex neuronal network that prevents the development of hypoglycemia

Simple scoring system to predict in-hospital mortality after surgery for infective endocarditis

BACKGROUND: Aspecific scoring systems are used to predict the risk of death postsurgery in patients with infective endocarditis (IE). The purpose of the present study was both to analyze the risk factors for in-hospital death, which complicates surgery for IE, and to create a mortality risk score based on the results of this analysis. METHODS AND RESULTS: Outcomes of 361 consecutive patients (mean age, 59.1\ub115.4 years) who had undergone surgery for IE in 8 European centers of cardiac surgery were recorded prospectively, and a risk factor analysis (multivariable logistic regression) for in-hospital death was performed. The discriminatory power of a new predictive scoring system was assessed with the receiver operating characteristic curve analysis. Score validation procedures were carried out. Fifty-six (15.5%) patients died postsurgery. BMI >27 kg/m2 (odds ratio [OR], 1.79; P=0.049), estimated glomerular filtration rate 55 mm Hg (OR, 1.78; P=0.032), and critical state (OR, 2.37; P=0.017) were independent predictors of in-hospital death. A scoring system was devised to predict in-hospital death postsurgery for IE (area under the receiver operating characteristic curve, 0.780; 95% CI, 0.734-0.822). The score performed better than 5 of 6 scoring systems for in-hospital death after cardiac surgery that were considered. CONCLUSIONS: A simple scoring system based on risk factors for in-hospital death was specifically created to predict mortality risk postsurgery in patients with IE

Estimating model evidence using ensemble-based data assimilation with localization – The model selection problem

In recent years, there has been increased interest in applying data assimilation (DA) methods, originally designed for state estimation, to the model selection problem. In this setting, previous studies introduced the contextual formulation of model evidence, or contextual model evidence (CME), and showed that CME can be efficiently computed using a hierarchy of ensemble-based DA procedures. Although these studies analysed the DA methods most commonly used for operational atmospheric and oceanic prediction worldwide, they did not study these methods in conjunction with localization to a specific domain. Yet, any application of ensemble DA methods to realistic, very high-dimensional geophysical models requires the implementation of some form of localization. The present study extends CME estimation to ensemble DA methods with domain localization. Domain-localized CME (DL-CME) developed in this article is tested for model selection with two models: (a) the Lorenz 40-variable midlatitude atmospheric dynamics model (Lorenz-95); and (b) the simplified global atmospheric SPEEDY model. CME is compared to the root-mean-square error (RMSE) as a metric for model selection. The experiments show that CME systematically outperforms RMSE in model selection skill, and that this skill improvement is further enhanced by applying localization to the CME estimate using DL-CME. The potential use and range of applications of CME and DL-CME as a model selection metric are also discussed

Study of the diet e¡ect on N 13 C of shell carbonate of the land snail Helix aspersa in experimental conditions

Abstract This study aims to demonstrate the influence of the metabolic CO 2 derived from the diet and of the atmospheric CO 2 on the shell carbonate N 13 C of the pulmonate snail Helix aspersa maxima raised under controlled conditions. Adult snails were analyzed and compared with three hatching and 1-day old young snails stemming from the same breeding. One day after, the 2-day old individuals were raised during 1 month. Three groups of gastropods were fed with fresh lettuce (C 3 plant, N 13 C = 327.49x), three groups with corn (C 4 plant, N 13 C = 311.7x), and three groups ate alternately both (C 3 +C 4 ). The difference between the average N 13 C values of the adult snails on the one hand and the hatched and 1-day old snails on the other hand indicates a depletion of 2.47x. Therefore, the isotopic parentsô ffspring signal is not preserved. The depleted ingested albumen by the snail embryo in the egg during the building of the shell could explain this depletion. The C 3 diet experiment gave the expected isotopic composition difference between the diet (lettuce) and the shells (average v 13 C shellÀlettuce = 13.75x þ 0.52). This result shows a clear diet effect on the isotopic composition of the snail shells. For the C 4 experiment, the difference in carbon isotope composition between the corn and the shell (v 13 C shellÀcorn ) yielded an average value of 4.89x þ 0.87. The main result is that v 13 C is not constant and appears to depend on the type of ingested food. Several hypotheses can arise from this study to explain the different fractionations: (a) differences in the quality of the two diets, (b) differences in turnover rate for C 3 and C 4 feeders. The groups regularly fed with mixed diet yielded N 13 C values showing a preferential use of C 3 food for most values. The C 3^C4 mixed dietary alternation probably led snails to use mainly the lettuce instead of the corn powder.

Hepatic glucose sensing is required to preserve β cell glucose competence.

Liver glucose metabolism plays a central role in glucose homeostasis and may also regulate feeding and energy expenditure. Here we assessed the impact of glucose transporter 2 (Glut2) gene inactivation in adult mouse liver (LG2KO mice). Loss of Glut2 suppressed hepatic glucose uptake but not glucose output. In the fasted state, expression of carbohydrate-responsive element-binding protein (ChREBP) and its glycolytic and lipogenic target genes was abnormally elevated. Feeding, energy expenditure, and insulin sensitivity were identical in LG2KO and control mice. Glucose tolerance was initially normal after Glut2 inactivation, but LG2KO mice exhibited progressive impairment of glucose-stimulated insulin secretion even though β cell mass and insulin content remained normal. Liver transcript profiling revealed a coordinated downregulation of cholesterol biosynthesis genes in LG2KO mice that was associated with reduced hepatic cholesterol in fasted mice and reduced bile acids (BAs) in feces, with a similar trend in plasma. We showed that chronic BAs or farnesoid X receptor (FXR) agonist treatment of primary islets increases glucose-stimulated insulin secretion, an effect not seen in islets from Fxr-/- mice. Collectively, our data show that glucose sensing by the liver controls β cell glucose competence and suggest BAs as a potential mechanistic link

No development of hypertension in the hyperuricemic liver-Glut9 knockout mouse.

Urate is the metabolic end point of purines in humans. Although supra-physiological plasma urate levels are associated with obesity, insulin resistance, dyslipidemia, and hypertension, a causative role is debated. We previously established a mouse model of hyperuricemia by liver-specific deletion of Glut9, a urate transporter that provides urate to the hepatocyte enzyme uricase. These LG9 knockout mice show mild hyperuricemia (120 μmol/l), which can be further increased by the urate precursor inosine. Here, we explored the role of progressive hyperuricemia on the cardiovascular function. Arterial blood pressure and heart rate were periodically measured by telemetry over 6 months in LG9 knockout mice supplemented with incremental amounts of inosine in a normal chow diet. This long-term inosine treatment elicited a progressive increase in uricemia up to 300 μmol/l; however, it did not modify heart rate or mean arterial blood pressure in LG9 knockout compared with control mice. Inosine treatment did not alter cardiac morphology or function measured by ultrasound echocardiography. However, it did induce mild renal dysfunction as revealed by higher plasma creatinine levels, lower glomerular filtration rate, and histological signs of chronic inflammation and fibrosis. Thus, in LG9 knockout mice, inosine-induced hyperuricemia was not associated with hypertension despite partial renal deficiency. This does not support a direct role of urate in the control of blood pressure

Glut2-dependent glucose-sensing controls thermoregulation by enhancing the leptin sensitivity of NPY and POMC neurons.

The physiological contribution of glucose in thermoregulation is not completely established nor whether this control may involve a regulation of the melanocortin pathway. Here, we assessed thermoregulation and leptin sensitivity of hypothalamic arcuate neurons in mice with inactivation of glucose transporter type 2 (Glut2)-dependent glucose sensing. Mice with inactivation of Glut2-dependent glucose sensors are cold intolerant and show increased susceptibility to food deprivation-induced torpor and abnormal hypothermic response to intracerebroventricular administration of 2-deoxy-d-glucose compared to control mice. This is associated with a defect in regulated expression of brown adipose tissue uncoupling protein I and iodothyronine deiodinase II and with a decreased leptin sensitivity of neuropeptide Y (NPY) and proopiomelanocortin (POMC) neurons, as observed during the unfed-to-refed transition or following i.p. leptin injection. Sites of central Glut-2 expression were identified by a genetic tagging approach and revealed that glucose-sensitive neurons were present in the lateral hypothalamus, the dorsal vagal complex, and the basal medulla but not in the arcuate nucleus. NPY and POMC neurons were, however, connected to nerve terminals from Glut2-expressing neurons. Thus, our data suggest that glucose controls thermoregulation and the leptin sensitivity of NPY and POMC neurons through activation of Glut2-dependent glucose-sensing neurons located outside of the arcuate nucleus