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Short-term regulation of food intake primarily involves neural signals from the gastrointestinal (GI) tract, blood nutrient levels, and GI tract hormones. Communication between the gut and brain via vagal nerve fibers plays a significant role in evaluating the contents of the gut. Clinical studies have shown that protein ingestion produces a more prolonged response in these nerve fibers compared to an equivalent amount of glucose. Additionally, the activation of stretch receptors caused by GI...
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Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
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Control of Eating Behavior Using a Novel Feedback System
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A Brain Reward Circuit Inhibited By Next-Generation Weight Loss Drugs.

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    New small-molecule glucagon-like peptide-1 receptor agonists (GLP1RAs) target brain circuits to control appetite. These drugs modulate both metabolic and reward-driven feeding behaviors, offering potential for obesity and addiction treatments.

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    Area of Science:

    • Neuroscience
    • Pharmacology
    • Metabolic Diseases

    Background:

    • Glucagon-like peptide-1 receptor agonists (GLP1RAs) are effective for weight loss but typically require injections.
    • Small-molecule GLP1RAs offer oral bioavailability and scalable manufacturing but lack detailed mechanistic understanding.
    • Neural circuits underlying small-molecule GLP1RA effects on feeding are largely undefined.

    Purpose of the Study:

    • To investigate the neural mechanisms by which small-molecule GLP1RAs modulate feeding behavior.
    • To compare the neural circuit engagement of small-molecule GLP1RAs with peptide-based GLP1RAs.
    • To identify specific brain regions and pathways targeted by small-molecule GLP1RAs.

    Main Methods:

    • Development of humanized GLP1R mouse models.
    • Integration of genetic manipulations, calcium imaging, and behavioral profiling.
    • Analysis of neural activity and dopamine release in response to small-molecule GLP1RAs.

    Main Results:

    • Small-molecule GLP1RAs regulate both homeostatic and hedonic feeding through distinct neural circuits.
    • GLP1RAs activate central amygdala neurons, suppressing palatable food intake via dopamine modulation in the nucleus accumbens.
    • Targeting GLP1 receptors in the central amygdala specifically affects reward-driven feeding.

    Conclusions:

    • Small-molecule GLP1RAs engage a dedicated neural circuit in the central amygdala to modulate reward processing and hedonic feeding.
    • These findings reveal a novel mechanism for small-molecule GLP1RAs, distinct from canonical pathways.
    • Small-molecule GLP1RAs show therapeutic potential for conditions involving dysregulated dopamine signaling, such as substance use disorder and binge eating.