Billups, Brian

Burdakov, Denis

Burke, Luke K

D'Agostino, Giuseppe

Doslikova, Barbora

Evans, Mark L

Farooq, Gala

Garfield, Alastair S

Heisler, Lora

Low, Malcolm

Rubinstein, Marcelo

Endocrinology

English

PubMed

The Open University

5-HT obesity medication efficacy via POMC activation is maintained during aging

The phenomenon commonly described as the middle-age spread is the result of elevated adiposity accumulation throughout adulthood until late middle-age. It is a clinical imperative to gain a greater understanding of the underpinnings of age-dependent obesity and, in turn, how these mechanisms may impact the efficacy of obesity treatments. In particular, both obesity and aging are associated with rewiring of a principal brain pathway modulating energy homeostasis, promoting reduced activity of satiety pro-opiomelanocortin (POMC) neurons within the arcuate nucleus of the hypothalamus (ARC). Using a selective ARC-deficientPOMCmouse line, herewereport that former obesity medications augmenting endogenous 5-hydroxytryptamine (5-HT) activity D-fenfluramine and sibutramine require ARC POMC neurons to elicit therapeutic appetite-suppressive effects. We next investigated whether age-related diminished ARC POMC activity therefore impacts the potency of 5-HT obesity pharmacotherapies, lorcaserin, D-fenfluramine, and sibutramine and report that all compounds reduced food intake to a comparable extent in both chowfed young lean (3-5 months old) and middle-aged obese (12-14 months old) male and female mice. We provide a mechanism through which 5-HT anorectic potency is maintained with age, via preserved 5-HT-POMC appetitive anatomical machinery. Specifically, the abundance and signaling of the primary 5-HT receptor influencing appetite via POMC activation, the 5-HT2CR, is not perturbed with age. These data reveal that although 5-HT obesity medications require ARC POMC neurons to achieve appetitive effects, the anorectic efficacy is maintained with aging, findings of clinical significance to the global aging obese population

D’Agostino, Giusepp

Burdako, Denis

Low, Malcom J

Rubenstein, Marcelo

Evans, Mark

The Australian National University

The phenomenon commonly described as the middle-age spread is the result of elevated adiposity accumulation throughout adulthood until late middle-age. It is a clinical imperative to gain a greater understanding of the underpinnings of age-dependent obesity and, in turn, how these mechanisms may impact the efficacy of obesity treatments. In particular, both obesity and aging are associated with rewiring of a principal brain pathway modulating energy homeostasis, promoting reduced activity of satiety pro-opiomelanocortin (POMC) neurons within the arcuate nucleus of the hypothalamus (ARC). Using a selective ARC-deficient POMC mouse line, here we report that former obesity medications augmenting endogenous 5-hydroxytryptamine (5-HT) activity d-fenfluramine and sibutramine require ARC POMC neurons to elicit therapeutic appetite-suppressive effects. We next investigated whether age-related diminished ARC POMC activity therefore impacts the potency of 5-HT obesity pharmacotherapies, lorcaserin, d-fenfluramine, and sibutramine and report that all compounds reduced food intake to a comparable extent in both chow-fed young lean (3-5 months old) and middle-aged obese (12-14 months old) male and female mice. We provide a mechanism through which 5-HT anorectic potency is maintained with age, via preserved 5-HT-POMC appetitive anatomical machinery. Specifically, the abundance and signaling of the primary 5-HT receptor influencing appetite via POMC activation, the 5-HT2CR, is not perturbed with age. These data reveal that although 5-HT obesity medications require ARC POMC neurons to achieve appetitive effects, the anorectic efficacy is maintained with aging, findings of clinical significance to the global aging obese population.Fil: Burke, Luke K.. University of Cambridge. Department of Pharmacology; Reino UnidoFil: Doslikova, Barbora. University of Cambridge. Department of Pharmacology; Reino UnidoFil: D'agostino, Giuseppe. University of Cambridge. Department of Pharmacology; Reino Unido. University of Aberdeen. Rowett Institute of Nutrition and Health; Reino UnidoFil: Garfield, Alastair S.. University of Cambridge. Department of Pharmacology; Reino UnidoFil: Farooq, Gala. University of Cambridge. Department of Pharmacology; Reino UnidoFil: Burdakov, Denis. University of Cambridge. Department of Pharmacology; Reino UnidoFil: Low, Malcolm J.. University of Michigan. Medical School. Department of Molecular and Integrative Physiology; Estados UnidosFil: Rubinstein, Marcelo. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Investigaciones en Ingeniería Genética y Biología Molecular; Argentina. University of Michigan. Medical School. Department of Molecular and Integrative Physiology; Estados UnidosFil: Evans, Mark L.. Wellcome Trust/ Medical Research Council Institute of Metabolic Science; Reino UnidoFil: Billups, Brian. University of Cambridge. Department of Pharmacology; Reino UnidoFil: Heisler, Lora K.. University of Cambridge. Department of Pharmacology; Reino Unido. University of Aberdeen. Rowett Institute of Nutrition and Health; Reino Unid

Burke, Luke K.

D'agostino, Giuseppe

Garfield, Alastair S.

Low, Malcolm J.

Evans, Mark L.

Heisler, Lora K.

CONICET Digital

The phenomenon commonly described as "the middle-age spread" is the result of elevated adiposity accumulation throughout adulthood until late middle-age. It is a clinical imperative to gain a greater understanding of the underpinnings of age-dependent obesity and in turn, how these mechanisms may impact the efficacy of obesity treatments. In particular, both obesity and aging are associated with rewiring of a principal brain pathway modulating energy homeostasis, promoting reduced activity of satiety melanocortin pro-opiomelanocortin (POMC) neurons within the arcuate nucleus of the hypothalamus (ARC). Utilizing a selective ARC deficient POMC mouse line, here we report that former obesity medications augmenting endogenous 5-hydroxytryptamine (5-HT) activity d-fenfluramine and sibutramine require ARC POMC neurons to elicit therapeutic appetite suppressive effects. We next investigated whether age-related diminished ARC POMC activity therefore impacts the potency of 5-HT obesity pharmacotherapies, lorcaserin, d-fenfluramine and sibutramine and report that all compounds reduced food intake to a comparable extent in both chow fed young lean (3-5 months old) and middle-aged obese (12-14 months old) male and female mice. We provide a mechanism through which 5-HT anorectic potency is maintained with age, via preserved 5-HT-POMC appetitive anatomical machinery. Specifically, the abundance and signalling of the primary 5-HT receptor influencing appetite via POMC activation, the 5-HT2CR, is not perturbed with age. These data reveal that though 5-HT obesity medications require ARC POMC neurons to achieve appetitive effects, the anorectic efficacy is maintained with aging; findings of clinical significance to the global aging obese population

The University of Manchester - Institutional Repository

5-HT Obesity Medication Efficacy via POMC Activation is Maintained During Aging

LAReferencia - Red Federada de Repositorios Institucionales de Publicaciones Científicas Latinoamericanas

Abstract
               The phenomenon commonly described as the middle-age spread is the result of elevated adiposity accumulation throughout adulthood until late middle-age. It is a clinical imperative to gain a greater understanding of the underpinnings of age-dependent obesity and, in turn, how these mechanisms may impact the efficacy of obesity treatments. In particular, both obesity and aging are associated with rewiring of a principal brain pathway modulating energy homeostasis, promoting reduced activity of satiety pro-opiomelanocortin (POMC) neurons within the arcuate nucleus of the hypothalamus (ARC). Using a selective ARC-deficient POMC mouse line, here we report that former obesity medications augmenting endogenous 5-hydroxytryptamine (5-HT) activity d-fenfluramine and sibutramine require ARC POMC neurons to elicit therapeutic appetite-suppressive effects. We next investigated whether age-related diminished ARC POMC activity therefore impacts the potency of 5-HT obesity pharmacotherapies, lorcaserin, d-fenfluramine, and sibutramine and report that all compounds reduced food intake to a comparable extent in both chow-fed young lean (3–5 months old) and middle-aged obese (12–14 months old) male and female mice. We provide a mechanism through which 5-HT anorectic potency is maintained with age, via preserved 5-HT–POMC appetitive anatomical machinery. Specifically, the abundance and signaling of the primary 5-HT receptor influencing appetite via POMC activation, the 5-HT2CR, is not perturbed with age. These data reveal that although 5-HT obesity medications require ARC POMC neurons to achieve appetitive effects, the anorectic efficacy is maintained with aging, findings of clinical significance to the global aging obese population.</jats:p

5-HT obesity medication efficacy via POMC activation is maintained during aging

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The University of Manchester - Institutional Repository

LAReferencia - Red Federada de Repositorios Institucionales de Publicaciones Científicas Latinoamericanas

The University of Manchester - Institutional Repository

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The University of Manchester - Institutional Repository