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Targeting lipid sensing in the central nervous system: new therapy against the development of obesity and type 2
Hervé Le Stunff1, Nicolas Coant, Stéphanie Migrenne
1Unité Biologie Fonctionnelle et Adaptative - EAC CNRS 4413, Équipe Homéostasie Energétique et RéGulation nerveuse et Endocrine (HERGE), Université PARIS DIDEROT (7) , Bâtiment BUFFON - 5ème étage - pièce 504A, 4, rue Marie-Andrée Lagroua Weill-Halle, 75205 Paris Cedex 13 , France. herve.le-stunff@univ-paris-diderot.fr
Introduction:
The hypothalamus plays a major role in the control of energy balance, by sensing circulating lipids. Several studies conducted over the past decade suggest that disruption of lipid sensing can lead to hypothalamic lipotoxicity, thereby contributing to the development of various diseases, such as obesity and type 2 diabetes.
Areas Covered:
The physiological role of 'lipid sensing' as a regulator of neuronal activity involved in the regulation of energy homeostasis will be reviewed. Next, the emerging evidence that alterations of hypothalamic systems that regulate energy balance during overnutrition can lead to the development of obesity and associated pathologies such as type 2 diabetes will be described.
Expert Opinion:
Several studies have highlighted the role of malonyl-CoA and PKCθ and also autophagy within the hypothalamus as signals of nutrient abundance by critical neurons regulating food intake. Besides the physiological role of hypothalamic lipid sensing, it has been shown that overnutrition can also induce hypothalamic lipotoxicity through an inflammatory process. In conclusion, lipid toxicity could be the starting point of perturbations of the central control of energy balance which will favor the appearance of obesity and type 2 diabetes. Lipid sensing in the hypothalamus could be considered as a potential target for anti-obesity/diabetic strategies.
Insights
Hypothalamic lipid sensing regulates energy balance. Disrupted lipid sensing can cause hypothalamic lipotoxicity, contributing to obesity and type 2 diabetes, suggesting it as a therapeutic target.
Area of Science:
- Neuroendocrinology
- Metabolic diseases
Background:
- The hypothalamus regulates energy balance by sensing circulating lipids.
- Disrupted hypothalamic lipid sensing can lead to lipotoxicity, contributing to obesity and type 2 diabetes.
Purpose of the Study:
- Review the physiological role of lipid sensing in energy homeostasis.
- Describe how altered hypothalamic systems during overnutrition contribute to obesity and type 2 diabetes.
Main Methods:
- Literature review of hypothalamic lipid sensing mechanisms.
- Analysis of evidence linking overnutrition to hypothalamic dysfunction and metabolic disease.
Main Results:
- Hypothalamic malonyl-CoA, PKCθ, and autophagy signal nutrient abundance.
- Overnutrition induces hypothalamic lipotoxicity via inflammation.
Conclusions:
- Lipid toxicity can initiate central energy balance disruptions, promoting obesity and type 2 diabetes.
- Hypothalamic lipid sensing presents a potential target for anti-obesity and anti-diabetic strategies.
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