During development, prenatal and postnatal factors program homeostatic set points to regulate food intake and body weight in the adult. Combinations of genetic and environmental factors contribute to the development of neural circuitry that regulates whole-body energy homeostasis. Brain-derived neurotrophic factor (Bdnf) and its receptor, Tyrosine kinase receptor B (TrkB), are strong candidates for mediating the reshaping of hypothalamic neural circuitry, given their well-characterized role in the central regulation of feeding and body weight. Here, we employ a chemical-genetic approach using the TrkBF616A/F616A knock-in mouse model to define the critical developmental period in which TrkB inhibition contributes to increased adult fat mass. Surprisingly, transient TrkB inhibition in embryos, preweaning pups, and adults all resulted in long-lasting increases in body weight and fat content. Moreover, sex-specific differences in the effects of TrkB inhibition on both body weight and hypothalamic gene expression were observed at multiple developmental stages. Our results highlight both the importance of the Bdnf/TrkB pathway in maintaining normal body weight throughout life and the role of sex-specific differences in the organization of hypothalamic neural circuitry that regulates body weight.
Citation: Byerly MS, Swanson RD, Wong GW, Blackshaw S (2013) Stage-Specific Inhibition of TrkB Activity Leads to Long-Lasting and Sexually Dimorphic Effects on Body Weight and Hypothalamic Gene Expression. PLoS ONE 8(11): e80781. https://doi.org/10.1371/journal.pone.0080781
Editor: Alessandro Bartolomucci, University of Minnesota, United States of America
Received: May 22, 2013; Accepted: October 7, 2013; Published: November 29, 2013
Copyright: © 2013 Byerly et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Funding: This work was supported by a W.M. Keck Distinguished Young Scholar Award in Medical Research (to SB) and by grants from the American Heart Association (SDG2260721 to GWW), the National Institutes of Health (DK084171 to GWW), and the National Institute of Diabetes and Digestive and Kidney Diseases training grant (T32DK007751 to MSB). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Competing interests: The authors have declared that no competing interests exist.
Neuropeptides and other secreted proteins expressed in the hypothalamus play a critical role in modulating body weight and food intake in adult animals , . Hypothalamic energy balance is modulated by first-order neurons of the hypothalamus. The hypothalamus contains two populations of neurons—orexigenic [expressing agouti related protein (Agrp), and neuropeptide Y (Npy)] and anorexigenic [expressing pro-opiomelanocortin (Pomc) and cocaine- and amphetamine-regulated transcript (Cart)] neurons—that make up the central melanocortinergic system to modulate energy balance , . Many of the same factors also actively shape the embryonic and early postnatal development of the hypothalamic neural circuitry , , , . Dietary cues act in a critical period during prenatal and early postnatal development to regulate homeostatic set points that modulate food intake and body weight in the adult, a process known as metabolic imprinting . The effects of metabolic imprinting are sexually dimorphic. Male rats that are undernourished in utero have reduced body weight as young adults, while females exhibit increased body weight .
The neurotrophic factor Bdnf and its receptor, TrkB, play critical roles in the development of neural circuitry that modulates food intake and body weight. Their expression levels are modulated by genetic and dietary factors –. A missense mutation in human TRKB (NTRK2) results in severely obese children ; similarly, deletion of Bdnf results in obese mice –. However, the precise timing when TrkB signaling induces obesity during pre- and postnatal development is unknown. We addressed this question using a chemical-genetic approach whereby TrkB signaling can be chemically inhibited in a spatiotemporal and reversible manner in the TrkBF616A/F616A knock-in mouse model , .
The different components of hypothalamic circuitry that control feeding mature at different stages during development. The vast majority of hypothalamic neurogenesis occurs between embryonic (E) day 10 and E16 in mice . During embryonic development, TrkB expression is restricted to the CNS and the cranial and dorsal root ganglia . Within the hypothalamus, TrkB is broadly expressed in regions that regulate food intake [paraventricular nucleus (PVN), dorsomedial hypothalamus (DMH), ventromedial hypothalamus (VMH), arcuate nucleus (ARC), and lateral hypothalamus (LH)].
The axonal connections of different hypothalamic neuronal subtypes mature at different rates. Some projections, such as those from the VMH to the PVN, appear to be fully developed by birth. On the other hand, projections from the ARC to the PVN or the ARC to the LH do not fully develop until the end of the second postnatal week , , . Moreover, robust Bdnf expression persists in the VMH and other hypothalamic nuclei into adulthood . Thus, there is a broad range of developmental stages at which altered Bdnf/TrkB signaling could lead to lasting changes in hypothalamic neuronal connectivity. In this study, we used a chemical-genetic approach to delineate when TrkB signaling is required during development to establish hypothalamic neural circuitry that is critical for the proper maintenance of adult energy balance.
Materials and Methods
Animals and 1NMPP1 inhibition of TrkB
TrkBF616A/F616A mice were used ,  and obtained from Dr. David Ginty at Johns Hopkins University School of Medicine (Baltimore, MD). Mice were initially screened at many different stages, with multiple litters generated for in-depth investigation of sex-specific effects for groups of interest (control, 5 litters; E0–E12, 2 litters; E17–E20, 2 litters; E8–E20, 4 litters). A point mutation was introduced into TrkB to convert phenylalanine to alanine at position 616 (F616A) through targeted gene replacement, which allows pharmacological and temporal inhibition of TrkB signaling via the highly membrane-permeable small molecule 1NMPP1 . 1NMPP1 was provided in the drinking water of the dam, since it can readily cross the placenta or be secreted via the dam's milk, be ingested and cross the blood-brain barrier  during a temporally specified pre- or postnatal developmental window. Vehicle with no 1NMPP1 was provided to control animals. 1NMPP1 delivery to the pregnant mother inhibits TrkB receptor during embryonic and postnatal development . The treatment group received 1NMPP1 (80 µM) either during embryonic development via the mother's drinking water for the specified duration (Figure 1) or as an adult mouse for 7 days via drinking water beginning at 4 months of age. Fresh water was made every two days to ensure chemical integrity, although 1NMPP1 is stable for at least three days in room temperature water . 1NMPP1 was removed after the designated treatment duration to allow TrkB signaling reactivation , which has been shown to occur two hours after removal of the 1NMPP1 . All animals were provided ad libitum access to standard laboratory chow (2018 Teklad, Harlan Laboratories) and water while maintained on a 12∶12 hour light-dark cycle in a vivarium for rodent housing with controlled temperature and humidity. All studies were conducted in accordance with the recommendations provided by the Guide for the Care and Use of Laboratory Animals of the National Institutes of Health and approved by the Animal Care and Use Committee of The Johns Hopkins University School of Medicine (protocol numbers MO10M108 and MO11M49).
1NMPP1 was delivered to pre- or postnatal pups at the specified times. Bars (bottom) represent the time period for 4 embryonic treatments, 3 postnatal treatments, and one treatment given during adulthood. Developmental events occurring during the various treatment periods are indicated in red (embryonic), cyan (post-natal), or blue (adult). PVN = paraventricular nucleus; ARC = arcuate nucleus; VMH (Bdnf) = ventromedial hypothalamus (brain-derived neurotrophic factor); DMH (Bdnf) = dorsomedial hypothalamus (brain-derived neurotrophic factor); LH = lateral hypothalamus.
Body weight and body composition measurements
Body weight changes were monitored after 1NMPP1 treatment in postnatal mice as early as 6 days of age until as late as 4 months of age, and until 8 months of age in the adult mouse. Fat mass, fat-free mass (i.e., lean mass), and water content were assessed to determine body composition using a whole-body NMR machine (EchoMRI, Waco, TX) as previously described , . Fat mass, fat-free mass, and water content values were generated after animals were placed into an immobilizing tube and scanned twice. The average of the two scans is presented.
RNA extraction and quantitative real-time PCR (qPCR)
Mouse hypothalami were dissected in sagittal planes utilizing anatomical landmarks (e.g., the anterior commissure and the oculomotor nerve). RNA was extracted using RNeasy Midi kits (Qiagen, Valencia, CA) and quantified using a Nanodrop 1000 spectrophotometer (Thermo Scientific, Waltham, MA). Superscript II reverse transcriptase (Life Technologies, Carlsbad, CA) and random primers (Life Technologies, Carlsbad, CA) were used to generate cDNA from 1 µg of RNA. Applied Biosystems (Life Technologies, Carlsbad, CA) quantitative real-time PCR SYBR green master mix was used to quantify mRNA levels. ΔCt values were generated by normalizing the sample Ct value to the Ct value for 18S rRNA. Samples were run in duplicate for each primer and the primers for each target were located in separate wells. The 2−ΔΔCt value (relative mRNA levels) was then generated by normalizing the data to control (non-treated) animals . The following primer pairs were used: Agrp forward – 5′ ATGCTGACTGCAATGTTGCTG 3′; Agrp reverse – 5′ CAGACTTAGACCTGGGAACTCT 3′; Mc4r forward – 5′ CGGACGGAGGATGCTATGAG 3′; Mc4r reverse – 5′ CGCCACGATCACTAGAATGTT 3′; Pomc forward – 5′ ATGCCGAGATTCTGCTACAG 3′; Pomc reverse – 5′ TGCTGCTGTTCCTGGGGC 3′; Npy forward – 5′ ATGCTAGGTAACAAGCGAATGG 3′; Npy reverse – 5′ TGTCGCAGAGCGGAGTAGTAT 3′; Leptin receptor (LepR) forward – 5′ TGGTCCCAGCAGCTATGGT 3′; LepR reverse – 5′ ACCCAGAGAAGTTAGCACTGT 3′; 18S rRNA forward – 5′ GCAATTATTCCCCATGAACG 3′; and 18S rRNA reverse- 5′ GGCCTCACTAAACCATCCAA 3′.
In situ hybridization (ISH)
Brains were harvested for histological analysis at P90, fresh frozen on dry ice in OCT compound, and then stored at −80°C. Pomc and Agrp cDNA were used as templates to generate riboprobes using the T3 or T7 RNA polymerase (Roche) for 2 hours at 37°C. Riboprobes were precipitated with LiCl. Non-radioactive ISH was performed as previously described , , with the following minor modifications: slides were incubated twice in 0.2x SSC (3 M NaCl and 300 mM sodium citrate) at 65°C for 30 minutes, washed in 0.2x SSC for 5 minutes, then washed with 0.1 M Tris pH 7.5, 0.15 M NaCl for 5 minutes, and blocked with 2 mL 0.1 M Tris pH 7.5, 0.15 M NaCl plus 0.1% HISS (Heat Inactive Sheep Serum, S2263, Sigma-Aldrich, St. Louis, MO, USA) for 1 hr. ImageJ (http://rsbweb.nih.gov/ij/) was used to perform semi-quantitative analysis of gene expression.
Statistical analyses were conducted using a one-way ANOVA to identify individual differences between groups or repeated-measures ANOVA with a Fisher LSD post-hoc analysis to identify differences between groups over days (Statistica, v.8.0, Tulsa, OK). P<0.05 was considered significant, and values are reported as means ± SEM.
Reversible TrkB inhibition during pre- and postnatal stages of hypothalamic development
To determine the critical time period at which TrkB signaling regulates development of body weight and/or body composition during pre- and postnatal development, we used the point mutant knock-in mouse model (TrkBF616A/F616A) that allows specific and reversible inhibition of TrkB function via the small molecule 1NMPP1 . 1NMPP1 was administered for fixed intervals during pre- and postnatal development and in adults. Removal of 1NMPP1 from the drinking water allowed reactivation of TrkB signaling. The small molecule 1NMPP1 was initially developed to target the enzyme activity of protein kinases, in combination with genetic manipulation , . In vitro, TrkB phosphorylation is restored 2 hours after removal of 1NMPP1 . In vivo, 1NMPP1 is able to penetrate the brain, and is rapidly metabolized, allowing reactivation of the receptor by 48 hours after removal of 1NMPP1 from the drinking water . Since TrkB is primarily expressed in the central and peripheral nervous system during development , , , we inhibited TrkB signaling during known periods of hypothalamic nuclei formation, as well as during formation of axonal connections between hypothalamic nuclei known to regulate body weight (see Figure 1).
Hypothalamic neurons organize into many different nuclei during development, ranging from as few as 12 distinct nuclei to more than 28 . The formation of hypothalamic nuclei begins at E10 and continues until E16, with the bulk of neurogenesis occurring from E12–14 , , . The most lateral hypothalamic nuclei are generated first, followed by the more medial nuclei. The LH begins developing on E10, followed by DMH, VMH and PVN on E10.5 and ARC on E11 , , . Axonal connections between nuclei form during both pre- and postnatal periods: axonal projections from the VMH reach the PVN by E17.5; ARC projects to DMH by postnatal (P) 6; efferent projections from the ARC reach the PVN by P8-P10; while ARC efferent projections reach the LH at P12 , , . Knowing this, we initially tested the effects of TrkB inhibition at intervals corresponding to specific events in hypothalamic development (Figure 1): hypothalamic neurogenesis and nucleogenesis from E14-E18; formation of VMH to PVN projections from E17–E20; hypothalamic neurogenesis, nucleogenesis and early stages of synaptogenesis from E8–E20; formation of both ARC to DMH and ARC to PVN projections from P0–P6; formation of ARC to LH projections from P7–P14; formation of most major intrahypothalamic connections from P0–P14; and E0–E12, which was prior to or at the onset of TrkB expression (E10.5–E12: , ), as an additional control group.
Early postnatal stages of body weight were screened and measured after 1NMPP1 treatment at different embryonic phases (control treatment versus 1NMPP1, Figure 2). The delivery of 1NMPP1 prior to or at the onset of TrkB expression (E0–E12) transiently and modestly decreased body weight (Figure 2A) (E0–E12, n = 5; control, n = 22, F1,27 = 58.57; Day 14, P = 0.60; Day 16, P = 0.38; Day 18, P = 0.07; Day 20, P = 0.03; Day 22, P = 0.002; Day 24, P = 0.01; Day 26, P = 0.06). Likewise, TrkB inhibition during formation of hypothalamic nuclei (E14–E18) transiently and modestly increased body weight (Figure 2B) (E14–E18, n = 7; vs. control, n = 22, F1,29 = 66.82; Day 14, P = 0.03; Day 16, P = 0.04; Day 18, P = 0.10; Day 20, P = 0.07; Day 22, P = 0.06; Day 24, P = 0.002; Day 26, P = 0.08). On the other hand, TrkB inhibition during E17–E20 induced a stable increase in body weight over all days, which resulted in a robust 45–91% increase in body weight relative to control animals that was not transient (Figure 2C) (E17–E20, n = 5; control, n = 22, F1,14 = 40.83; Day 6, P = 0.00002; Day 7, P = 10−6; Day 8, P = 10−6; Day 9, P = 10−6; Day 10, P = 10−6; Day 11, P = 10−6; Day 12, P = 10−6). TrkB inhibition during E8-E20 less robustly increased body weight, 27% relative to controls (Figure 2D) (E8–E20, n = 18; control, n = 22, F1,40 = 77.69; Day 14, P = 0.00005; Day 16, P = 8×10−6; Day 18, P = 0.0001; Day 20, P = 6×10−6; Day 22, P = 0.00005; Day 24, P = 3×10−6; Day 26, P = 7×10−6). These data suggest that TrkB inhibition in the CNS during acute developmental time windows affects body weight and body composition. Therefore, we analyzed phenotype differences between the E17–E20 and E8–E20 groups in more detail; those results are presented later.
Body weight measurements of mice treated with 1NMPP1 A) prior to or at the onset of TrkB gene expression (E0–E12), B) during the formation of hypothalamic nuclei (E14–E18), C) during the time period that projections form between nuclei of the VMH (E17–E20), D) during all embryonic development (E8–E20), E) during formation of connections between the ARC and DMH or PVN (P0–P7), F) during the formation of ARC connections between the ARC and LH (P8–P14), and G) during formation of all nuclei connections (P0–P14). Data presented in grams at the indicated days. Open circles denote 1NMPP1 treatment, while closed squares denote controls (vehicle only). Data shown are mean ± SEM for each group. *Significant relative to control, P<0.05.
Acute postnatal TrkB inhibition increased body weight when the ARC develops synaptic projections to the DMH (P0–P7), PVN (P0–P8) or LH (P8–P10). TrkB inhibition from P0–P7, P8–P14, and P0–P14 increased body weight by 49%, 102%, and 49%, respectively, relative to controls (Figure 2E–G, respectively) (P0–P7, n = 4; control, n = 22, F1,26 = 57.49; Day 14, P = 0.002; Day 16, P = 0.001; Day 18, P = 0.002; Day 20, P = 0.00009; Day 22, P = 0.00004; Day 24, P = 0.00001; Day 26, P = 0.001) (P8–P14, n = 7; control, n = 22, F1,28 = 62.89; Day 14, P = 0.005; Day 16, P = 0.01; Day 20, P = 0.01; Day 22, P = 0.003; Day 24, P = 0.07; Day 26, P = 0.03) (P0–P14, n = 7; control, n = 22, F1,29 = 62.12; Day 14, P = 0.04; Day 16, P = 0.01; Day 18, P = 0.03; Day 20, P = 0.07; Day 22, P = 0.22; Day 24, P = 0.16; Day 26, P = 0.13). This suggests that TrkB signaling during the formation of synaptic projections from the ARC to the LH neurons may play a critical role in modulating body weight.
TrkB inhibition during pre- and postnatal development induces long-lasting alterations in body weight and body composition
We observed both transient and long-lasting effects on body weight resulting from chemical inhibition of TrkB, the magnitude of which depends on the timing of treatment during development. TrkB inhibition between E8 and E20 dramatically increased body weight over the first three postnatal weeks. Long-term changes in body weight were still observed in both male and female mice at four months of age, with increased body weight in groups treated with 1NMPP1 at E8–E20, but not at E0–E12, relative to controls. The reduction in the size of this initial spike of postnatal body weight over time may be related to establishment of the leptin feedback system during postnatal development , . Furthermore, male mice showed long-term increases in body weight after 1NMPP1 treatment at E8–E20 (Figure 3A, male mice) (control, n = 10, 30.1 g±1.6; E0–E12, n = 6, 28.5 g±1.9; E8–E20, n = 9, 41.4 g±1.8) (control vs. E8–E20, F1,19 = 31.64, P = 0.00003; control vs. E0–E12, F1,16 = 0.65, P = 0.43), whereas female mice did not have increased body weight after 1NMPP1 treatment at E8–E20 (Figure 3B, female mice) (control, n = 12, 26.9 g±1.16; E0–E12, n = 6, 23.8 g±1.13; E8–E20, n = 12, 28.1 g ± 0.8) (control vs. E8–E20, F1,23 = 3.09, P = 0.09; control vs. E0–E12, F1,17 = 0.51, P = 0.48). TrkB inhibition from E0–E12 did not alter body weight over the long-term in male or female mice, relative to control mice (Figure 3A-B, respectively). This suggests TrkB inhibition leads to sex-specific effects on body weight regulation and that these effects may depend on the developmental time window of TrkB inhibition.
Four months after 1NMPP1 treatment, body weight of A) male or B) female mice. For each, control mice are compared with those treated at E0–E12 or E8–E20. Data shown are presented in grams, mean ± SEM for each group. *Significant relative to control, P<0.05.
In adult female mice, a rapid and stable increase in body weight was observed following seven days of TrkB inhibition, in sharp contrast to the phenotype after developmental TrkB inhibition. Prior to TrkB inhibition, body weight was not different between groups (Figure 4A) (control-4m, n = 12, 27.9±0.89; 1NMPP1-4m, n = 10, 27.0±1.3) (F1,22 = 0.90, P = 0.35). Four-month-old animals were treated with 1NMPP1 for seven days and monitored for body weight changes over the subsequent four months. By eight months of age, 1NMPP1-treated mice gained 37% more body weight relative to controls (Fig. 4A) (control-8m, n = 12, 33.0 g±1.5; 1NMPP1-8m, n = 10, 38.6 g±2.3) (F1,22 = 4.45, P = 0.04). The rate of body weight gain after initial TrkB inhibition was rapid and irreversible, as represented by stable body weight differences between groups observed during the first 50 days following vehicle or 1NMPP1 delivery (Fig. 4B) (control-4m, n = 4; 1NMPP1-4m, n = 6, F1,10 = 6.56; Day 14, P = 0.055; Day 16, P = 0.050; Day 18, P = 0.047; Day 20, P = 0.047; Day 22, P = 0.035; Day 24, P = 0.037; Day 26, P = 0.029; Day 28, P = 0.026; Day 32, P = 0.037; Day 36, P = 0.041; Day 40, P = 0.031; Day 42, P = 0.031; Day 46, P = 0.039; Day 48, P = 0.039; Day 50, P = 0.033). Although TrkB signaling was reactivated after 1NMPP1 removal , TrkB failed to restore or reverse the trend in body weight gain over time. We also observed a similar trend of irreversible weight gain after short-term inhibition of TrkB signaling in adult male mice. 1NMPP1 treated male mice gained significantly more weight over four months post-treatment than control mice (45% vs. 24%, control, n = 5; 1NMPP1, n = 4, F1,9 = 9.34, P = 0.018) or female mice (42% vs. 12%, control, n = 6; 1NMPP1, n = 7, F1,13 = 9.11, P = 0.011) (Figure 4C). This suggests that short-term (seven days) TrkB inhibition in adult mice may lead to proportionally more weight gain in females than males.
A) Body weight measurements of adult control mice or mice treated with 1NMPP1 at four months of age (4 m) and eight months of age (8 m), in grams. Mice were treated with 1NMPP1 for 7 days, followed by no 1NMPP1 for the remaining duration. B) Body weight measurements of mice 14–50 days after 1NMPP1 treatment or control, in grams. Open squares denote controls, while closed diamonds denote 1NMPP1-treated mice. C) Percent change in body weight measurements of male (M) or female (F) adult control mice or four months after treatment with 1NMPP1 (8 months of age). Data shown are mean ± SEM for each group. *Significant difference, P<0.05.
Effects of prenatal TrkB inhibition on body composition and hypothalamic gene expression are sexually dimorphic
TrkB is primarily expressed in the central nervous system during embryonic development , , . This allows us to observe the effects of TrkB inhibition during embryonic development on long-term alterations in body weight and hypothalamic gene expression patterns. Interestingly, alterations in body composition and body weight emerged differentially depending on the embryonic period of TrkB inhibition (E17–E20 vs. E8–E20). A striking sexual dimorphism was observed in both body weight and hypothalamic gene expression in the E17–E20 and the E8–E20 treatment groups. Males exhibited significantly increased body weight and fat mass when TrkB was inhibited at E8–E20 (E8–E20, n = 4; control, n = 5: body weight, F1,9 = 11.73, P = 0.009; fat mass, F1,9 = 63.92, P = 0.00009), but not at E17–E20 (Figure 5A and B) (E17–E20, n = 4; control, n = 5: body weight, F1,9 = 1.76, P = 0.22; fat mass, F1,9 = 5.01, P = 0.06). However, when TrkB was inhibited at E17–E20, female mice increased body weight (E17–E20, n = 5; control, n = 7, F1,12 = 21.39, P = 0.0009) and fat mass (E17–E20, n = 5; control, n = 7, F1,12 = 13.05, P = 0.004) (Figure 5D and E). There was no difference in fat-free mass for male mice treated with 1NMPP1 during E17–E20 or E8–E20, but female mice did have increased fat-free mass relative to controls at E17–E20, E8–E20 and when TrkB was inhibited at the onset of expression, E0–E12 (Figure 5C and F, respectively) (female fat-free mass: E17–E20, n = 5; control, n = 7, F1,12 = 5.36, P = 0.043; E8–E20, n = 9; control, n = 7, F1,16 = 5.94, P = 0.028; E0–E12, n = 4; control, n = 7, F1,11 = 6.24, P = 0.033).
A) Body weight, B) fat mass, and C) fat-free mass measurements at four months of age for male control mice or mice receiving 1NMPP1 treatment at E0–E12, E17–E20, or E8–E20. D) Body weight, E) fat mass, and F) fat-free mass measurements at four months of age for female control mice or those receiving 1NMPP1 treatment at E0–E12, E17–E20, or E8–E20. Data shown are mean ± SEM for each group. *Significant difference, P<0.05; #P = 0.06.
Next, we determined whether body composition and body weight differences between male and female mice were due to sexually dimorphic expression of orexigenic and anorexigenic neuropeptide genes in the hypothalamus. ISH analysis of female hypothalami revealed decreased Pomc mRNA levels in mice treated at E8–E20 (E8–E20, n = 4; control, n = 7, F1,11 = 5.14, P = 0.048) with no change in Agrp mRNA levels (Figure 6).
Brain tissues were harvested from mice at four months of age and stained by in situ hybridization (ISH) with probes to Agrp and Pomc. mRNA levels were quantified for female control mice and after 1NMPP1 treatment at E8–E20. Data shown are mean ± SEM for each group. *Significant difference from all other groups, P<0.05.
We verified ISH results with qPCR to confirm that hypothalamic Pomc mRNA levels decreased in female mice at E17–E20 and E8–E20 relative to controls (Figure 7A) (E17–E20, n = 6; control, n = 4, F1,10 = 11.92, P = 0.01; E8–E20, n = 7; control, n = 4, F1,11 = 6.07, P = 0.03). This effect was not observed in male mice. Instead, male mice treated with 1NMPP1 during E8–E20 demonstrated increased Pomc expression relative to controls (E8–E20, n = 4; control, n = 5, F1,9 = 12.17, P = 0.005), and no change was observed for male mice treated at E17–E20 (E17–E20, n = 4; control, n = 5, F1,9 = 3.92, P = 0.07) (Figure 7B). Both female and male mice showed no change in hypothalamic Agrp mRNA levels following TrkB inhibition at any developmental stage (Figure 7C and D, respectively). Interestingly, female mice demonstrated decreased Mc4r expression at E17–E20 (E17–E20, n = 6; control, n = 4, F1,10 = 6.44, P = 0.03), but not at E8–E20 (E8–E20, n = 7; control, n = 4, F1,11 = 1.17, P = 0.30), relative to controls (Figure 7E). This suggests that female mice with TrkB inhibition from E17–E20 may have overall decreased melanocortin signaling since both Pomc and Mc4r mRNA levels decreased. Unlike in female mice, TrkB inhibition in male mice during embryonic development did not decrease Mc4r expression (Figure 7F). Female mice in which TrkB was inhibited during embryonic development did not have altered hypothalamic Npy mRNA levels (Figure 7G); in contrast, TrkB inhibition in male mice at E17–E20 resulted in increased Npy expression (Figure 7H) (E17–E20, n = 4; control, n = 5, F1,9 = 14.17, P = 0.003).
qPCR measured hypothalamic gene expression changes of Pomc in A) female and B) male mice, Agrp in C) female and D) male mice, Mc4r in E) female and F) male mice, and Npy in G) female and H) male mice. All measurements were performed at four months of age on control mice or after 1NMPP1 treatment at E0–E12, E8–20 or E17–20. Data shown are mean ± SEM for each group. *Significant difference from all other groups, P<0.05.
The formation of neural circuits in the hypothalamus during embryonic and early postnatal development is shaped by many of the same factors (e.g., leptin, estrogen, testosterone) , , , . However, the role of Bdnf/TrkB signaling during the formation of these hypothalamic neural circuits has not been previously investigated. We show that chemical inhibition of TrkB during the period in which hypothalamic circuitry development results in obesity and sexually dimorphic patterns of gene expression that continue into adulthood. Specifically, inhibition of TrkB when connections between the VMH and PVN are being formed  resulted in sexually dimorphic changes in hypothalamic expression of genes involved in the control of energy balance. Further, we also observed that short-term inhibition of TrkB signaling in adults leads to long-lasting and irreversible weight gain. We identified key developmental time windows in which TrkB inhibition contributes to long-term obesity of both male and female mice, which stems from sexually dimorphic neuropeptide expression in the hypothalamus of genes known to regulate whole-body energy balance.
Many key physiological processes are regulated by the VMH, including glucose homeostasis and appetite control –. The developmental pattern of neuronal projections to the VMH is unique because it occurs during the prenatal period, unlike many other nuclei of the hypothalamus known to regulate whole-body energy balance . Efferent VMH projections have been analyzed at E17.5, revealing the presence of two separate ascending pathways traveling to the medial basal forebrain and three descending projections traveling to the caudal portion of the brain . One of the two ascending tracts branch off to form the VMH projections to the PVN. Interestingly, inhibition of TrkB (E17–E20) resulted in both postnatal and adult obesity and sex-specific changes in hypothalamic gene expression corresponding to the period in which VMH projections to the PVN are first formed.
Mice deficient in TrkB do not show alterations in sexual development, whereas mice deficient in steroidogenic factor 1 (Sf1, NR5A1) exhibit gross alterations in sexual development. Male mice lacking Sf1 develop female genitalia –. Interestingly, Sf1 is a molecular marker for the VMH and is known to regulate development of both VMH neural projections and the cytoarchitecture of the nuclei , , . Sf1 knockout mice have decreased Bdnf expression in the VMH by E17.5, suggesting that downregulation of the Bdnf signaling pathway modulated by Sf1 could regulate sexually dimorphic gene expression patterns . This observation implies that the phenotype seen following TrkB inhibition during E17–E20 may result from disrupted TrkB signaling in a hypothalamic region known to regulate sexually dimorphic behavior, such as the VMH. Given that neural projections from the VMH are forming during this period, we propose that the Bdnf/TrkB pathway may modulate the development of efferent VMH projections and/or survival of VMH neurons during E17–E20 and that inhibition of this pathway results in adult obesity.
Leptin levels positively correlate with fat mass; leptin decreases Agrp and increases Pomc expression in the hypothalamus , , whereas Npy expression contributes to leptin resistance –. Bdnf heterozygote mice have increased leptin levels and no change in LepR expression, suggesting that Bdnf functions downstream or independently of the LepR/Npy pathway . LepR expression was not altered in mice carrying a truncated form of the long 3′UTR of Bdnf, despite leptin resistance in these mice . Similarly, we show that acute inhibition of TrkB signaling alters neither LepR (long form) expression (control males, 1.05± 0.19; control females,1.17±0.42; E8–E20 males, 1.12±0.19; E8–E20 females, 1.98±0.82; E17–E20 males, 1.92±0.71; E17–E20 females, 0.74±0.13) nor Agrp expression. These data suggest that acute developmental disruption of TrkB signaling may alter hypothalamic neural circuits involved in leptin signaling (e.g. Npy or Pomc/Mc4r expression), although this needs to be investigated further.
TrkB inhibition at E8–E20 increased fat mass, body weight, and hypothalamic Pomc mRNA levels in male mice. However, TrkB inhibition at E17–E20 increased fat mass and body weight and decreased hypothalamic melanocortinergic tone in female mice. Increased Pomc may alter components of food intake (e.g., satiety signals), which would result in small changes in meal patterns that accumulate to long-term changes in body weight gain over time. Thus, we propose that TrkB inhibition during embryonic development (E8–E20) in male mice, but not female mice, may trigger an overall phenotype that resembles mice carrying a targeted deletion of Bdnf or TrkB. Male mice treated at E17–E20 increased hypothalamic Npy levels, again suggesting that TrkB inhibition in male mice may alter signals associated with meal patterns, with only a trend toward increased fat mass and no change in body weight. Here, we present acute inhibition of TrkB signaling during specific developmental stages and demonstrate that the body weight and body composition phenotype, as well as the hypothalamic neuropeptide profile for LepR and Npy, resemble that of Bdnf heterozygote mice  or TrkB hypomorphs . These phenotypes persist even after TrkB signaling is restored . Chronic delivery of Bdnf restores the body weight phenotype of Bdnf-deficient mice , ; therefore, it remains to be determined whether overexpressing Bdnf (e.g. AAV delivery or chronic protein delivery), after acute TrkB inhibition and reactivation, could restore the body weight phenotype.
Bdnf heterozygote and TrkB hypomorph mice are obese , , suggesting that treatment of TrkBF616A/+ mice will produce a similar phenotype as observed following treatment of TrkBF616A/F616A animals. The maternal influences of the offspring treated with 1NMPP1 for 4, 7, or even 14 days may indirectly influence the developing embryos/pups during or after this time. However, many confounding studies that analyze mutant offspring from mutant mothers, including the obese Bdnf heterozygote or the TrkB hypomorph, demonstrate long-term physiological changes and exhibit a potential confound in all studies. In order to differentiate maternal versus embryonic contributions resulting from stage-specific inhibition of TrkB signaling, mating TrkBF616A/+ mice to generate all genotypes in the offspring would be beneficial. For example, the offspring generated from mating TrkBF616A/+ combined with stage-specific embryonic inhibition of TrkB, may generate similar phenotypes in all the offspring, suggesting that maternal influences are dominant over embryonic influences. Here, the temporally-restricted and reversible inhibition of TrkB signaling makes it possible to determine precisely when Bdnf acts to modulate body weight. It remains to be determined whether TrkB inhibition alters maternal feeding behavior to induce sex-specific changes in hypothalamic neural circuitry of offspring. However, the E14–E18 and E0–E12 groups treated with 1NMPP1 exhibited very modest and short-term alterations in body weight (e.g., increased and decreased body weight, respectively), suggesting a modest contribution of maternal influence on the observed phenotype.
TrkB inhibition in adult animals also led to a long-lasting and persistent increase in body weight. Long-term overfeeding both early in life and in adulthood can persistently increase baseline body weight, which can be difficult to reduce by food restriction alone. These alterations may result from structural changes in homeostatic regulatory circuitry within the hypothalamus . Structural plasticity may be mediated by changes in synaptic connectivity between existing hypothalamic neurons or the integration of newborn neurons into existing circuitry. Indeed, intracerebroventricular (ICV) delivery of Bdnf increases neurogenesis in the hypothalamic parenchyma of adult rats , but not the subventricular zone , suggesting that neurogenesis may be one possible mechanism by which inhibition of TrkB signaling might lead to long-term changes in body weight. Bdnf also binds p75 neurotrophin receptor (p75Trk), which modulates neurogenesis in the embryo and in the adult olfactory bulb , . This raises the possibility that adult hypothalamic neurogenesis may involve the action of both p75Trk and TrkB. However, P75Trk is activated by multiple neurotrophic factors (e.g. Nerve Growth Factor, Neurotrophin-3, Neurotrophin-4/5) and has been shown to activate cell death . TrkB inhibition may increase Bdnf/p75Trk signaling in order to shift the balance between neurogenesis or cell death , –, which has not been thoroughly investigated in the hypothalamus. It remains to be determined whether changes in neurogenesis or cell death result from stage-specific inhibition of TrkB and how this interacts with p75Trk signaling.
Neurogenesis in the adult hypothalamus is also induced by ICV delivery of ciliary neurotrophic factor (Cntf). Cntf also reduces body weight, although both effects are reversed by cytosine-β-D-arabinofuranoside (AraC) , . High fat diet-induced obesity (DIO) also broadly inhibits hypothalamic neurogenesis in adult male mice , . In contrast, DIO stimulates neurogenesis in the median eminence of both neonatal and adult female mice, leading to a long-term increase in body weight . These data collectively imply that dietary-induced changes in hypothalamic neurogenesis may play a central role in reshaping homeostatic neural circuitry that regulates body weight. Bdnf signaling may regulate the proliferation, differentiation, or survival of these newly generated neurons. The potential sex-specific differences reported in the regulation of adult neurogenesis by DIO – may likewise partially underlie the greater increase in body weight of adult female mice following TrkB inhibition.
Our studies demonstrate that Bdnf/TrkB signaling modulates body weight, body composition, and hypothalamic gene expression at specific time points throughout the lifespan of the mouse. Further, TrkB inhibition has differential stage and sex-specific effects. Over the last 20 years, the incidence of obesity in infants and children under the age of five years has greatly increased –. This raises concern because obesity during infancy and childhood increases susceptibility to adult diseases . Given the increasing trend in infant and childhood obesity, determining the critical time frame during pre- and postnatal development for which TrkB signaling influences obesity has important implications. Interestingly, high-fat/high-sugar diets decrease hypothalamic expression of both Bdnf and TrkB, suggesting that diet composition (e.g. macronutrients) may influence this pathway –. Our results show that downregulation of the Bdnf/TrkB signaling pathway during critical developmental time periods leads to a dramatic short-term increase in body weight. Although TrkB signaling has been reactivated and body weight modestly decreases over time, it never returns to baseline in adulthood. This suggests that the homeostatic set point for maintaining body weight has been permanently reset. Finally and unexpectedly, adult animals also show rapid and stable increased body weight after acute inhibition of TrkB signaling, even after TrkB reactivation. Adults do not lose weight gained following 1NMPP1 treatment, in sharp contrast to what is seen following late embryonic and neonatal treatment. This indicates a fundamentally different requirement of Bdnf signaling in regulation of body weight in adult animals, possibly through regulation of hypothalamic neurogenesis.
Using chemical-genetics, we have systematically characterized the effects of endogenous TrkB inhibition at different developmental stages on the regulation of body weight and adult obesity (Table 1). We observed a continual requirement for TrkB signaling in regulating body weight throughout the mouse lifespan. We further demonstrated an unexpected sexually dimorphic effect of TrkB inhibition on both body weight and hypothalamic expression of genes known to regulate food intake and body weight (Table 1). Because hypothalamic TrkB signaling can also be modulated by dietary cues , , , this work has important potential implications for human health.
TrkB knock-in mice were kindly provided by David Ginty (Department of Neuroscience, Johns Hopkins University School of Medicine).
Conceived and designed the experiments: MSB SB. Performed the experiments: MSB RDS. Analyzed the data: MSB. Contributed reagents/materials/analysis tools: GWW SB. Wrote the paper: MSB GWW SB.
- 1. Bouret SG, Draper SJ, Simerly RB (2004) Formation of projection pathways from the arcuate nucleus of the hypothalamus to hypothalamic regions implicated in the neural control of feeding behavior in mice. J Neurosci 24: 2797–805.
- 2. Simerly RB (2005) Wired on hormones: endocrine regulation of hypothalamic development. Curr Opin Neurobiol 15: 81–5.
- 3. de Rijke CE, Hillebrand JJ, Verhagen LA, Roeling TA, Adan RA (2005) Hypothalamic neuropeptide expression following chronic food restriction in sedentary and wheel-running rats. J Mol Endocrinol 35: 381–90.
- 4. Vink T, Hinney A, van Elburg AA, van Goozen SH, Sandkuijl LA, et al. (2001) Association between an agouti-related protein gene polymorphism and anorexia nervosa. Mol Psychiatry 6: 325–8.
- 5. Pinto S, Roseberry AG, Liu H, Diano S, Shanabrough M, et al. (2004) Rapid rewiring of arcuate nucleus feeding circuits by leptin. Science 304: 110–5.
- 6. Kirk SL, Samuelsson AM, Argenton M, Dhonye H, Kalamatianos T, et al. (2009) Maternal obesity induced by diet in rats permanently influences central processes regulating food intake in offspring. PLoS One 4: e5870.
- 7. Waterland RA, Garza C (1999) Potential mechanisms of metabolic imprinting that lead to chronic disease. Am J Clin Nutr 69: 179–97.
- 8. Molteni R, Barnard RJ, Ying Z, Roberts CK, Gomez-Pinilla F (2002) A high-fat, refined sugar diet reduces hippocampal brain-derived neurotrophic factor, neuronal plasticity, and learning. Neuroscience 112: 803–14.
- 9. Molteni R, Wu A, Vaynman S, Ying Z, Barnard RJ, et al. (2004) Exercise reverses the harmful effects of consumption of a high-fat diet on synaptic and behavioral plasticity associated to the action of brain-derived neurotrophic factor. Neuroscience 123: 429–40.
- 10. Wu A, Ying Z, Gomez-Pinilla F (2004) The interplay between oxidative stress and brain-derived neurotrophic factor modulates the outcome of a saturated fat diet on synaptic plasticity and cognition. Eur J Neurosci 19: 1699–707.
- 11. Zeeni N, Chaumontet C, Moyse E, Fromentin G, Tardivel C, et al. (2009) A positive change in energy balance modulates TrkB expression in the hypothalamus and nodose ganglia of rats. Brain Res 1289: 49–55.
- 12. Yeo GS, Connie Hung CC, Rochford J, Keogh J, Gray J, et al. (2004) A de novo mutation affecting human TrkB associated with severe obesity and developmental delay. Nat Neurosci 7: 1187–9.
- 13. Kernie SG, Liebl DJ, Parada LF (2000) BDNF regulates eating behavior and locomotor activity in mice. Embo J 19: 1290–300.
- 14. Xu B, Goulding EH, Zang K, Cepoi D, Cone RD, et al. (2003) Brain-derived neurotrophic factor regulates energy balance downstream of melanocortin-4 receptor. Nat Neurosci 6: 736–42.
- 15. Unger TJ, Calderon GA, Bradley LC, Sena-Esteves M, Rios M (2007) Selective deletion of Bdnf in the ventromedial and dorsomedial hypothalamus of adult mice results in hyperphagic behavior and obesity. J Neurosci 27: 14265–74.
- 16. Rios M, Fan G, Fekete C, Kelly J, Bates B, et al. (2001) Conditional deletion of brain-derived neurotrophic factor in the postnatal brain leads to obesity and hyperactivity. Mol Endocrinol 15: 1748–57.
- 17. Fox EA, Byerly MS (2004) A mechanism underlying mature-onset obesity: evidence from the hyperphagic phenotype of brain-derived neurotrophic factor mutants. Am J Physiol Regul Integr Comp Physiol 286: R994–1004.
- 18. Lyons WE, Mamounas LA, Ricaurte GA, Coppola V, Reid SW, et al. (1999) Brain-derived neurotrophic factor-deficient mice develop aggressiveness and hyperphagia in conjunction with brain serotonergic abnormalities. Proc Natl Acad Sci U S A 96: 15239–44.
- 19. Bishop AC, Ubersax JA, Petsch DT, Matheos DP, Gray NS, et al. (2000) A chemical switch for inhibitor-sensitive alleles of any protein kinase. Nature 407: 395–401.
- 20. Chen X, Ye H, Kuruvilla R, Ramanan N, Scangos KW, et al. (2005) A chemical-genetic approach to studying neurotrophin signaling. Neuron 46: 13–21.
- 21. Shimada M, Nakamura T (1973) Time of neuron origin in mouse hypothalamic nuclei. Exp Neurol 41: 163–73.
- 22. Homma S, Shimada T, Hikake T, Yaginuma H (2009) Expression pattern of LRR and Ig domain-containing protein (LRRIG protein) in the early mouse embryo. Gene Expr Patterns 9: 1–26.
- 23. Rinaman L (2003) Postnatal development of hypothalamic inputs to the dorsal vagal complex in rats. Physiol Behav 79: 65–70.
- 24. Bouret SG (2010) Development of hypothalamic neural networks controlling appetite. Forum Nutr 63: 84–93.
- 25. Tran PV, Lee MB, Marin O, Xu B, Jones KR, et al. (2003) Requirement of the orphan nuclear receptor SF-1 in terminal differentiation of ventromedial hypothalamic neurons. Mol Cell Neurosci 22: 441–53.
- 26. Byerly MS, Swanson RD, Semsarzadeh NN, McCulloh PS, Kwon K, et al.. (2013) Identification of hypothalamic Neuron-derived Neurotrophic Factor (NENF) as a novel factor modulating appetite. Am J Physiol Regul Integr Comp Physiol.
- 27. Wang H, Shimizu E, Tang YP, Cho M, Kyin M, et al. (2003) Inducible protein knockout reveals temporal requirement of CaMKII reactivation for memory consolidation in the brain. Proc Natl Acad Sci U S A 100: 4287–92.
- 28. Byerly MS, Al Salayta M, Swanson RD, Kwon K, Peterson JM, et al.. (2013) Estrogen-related receptor beta deletion modulates whole-body energy balance via estrogen-related receptor gamma and attenuates neuropeptide Y gene expression. Eur J Neurosci.
- 29. Taicher GZ, Tinsley FC, Reiderman A, Heiman ML (2003) Quantitative magnetic resonance (QMR) method for bone and whole-body-composition analysis. Anal Bioanal Chem 377: 990–1002.
- 30. Livak KJ, Schmittgen TD (2001) Analysis of relative gene expression data using real-time quantitative PCR and the 2(-Delta Delta C(T)) Method. Methods 25: 402–8.
- 31. Byerly MS, Swanson RD, Wong GW, Blackshaw S (2013) Estrogen-related receptor beta deficiency alters body composition and response to restraint stress. BMC Physiol 13: 10.
- 32. Blackshaw S, Snyder SH (1997) Developmental expression pattern of phototransduction components in mammalian pineal implies a light-sensing function. J Neurosci 17: 8074–82.
- 33. Bishop AC, Kung C, Shah K, Witucki L, Shokat KM, et al. (1999) Generation of Monospecific Nanomolar Tyrosine Kinase Inhibitors via a Chemical Genetic Approach. Journal of American Chemical Society 121: 627–631.
- 34. Klein R, Parada LF, Coulier F, Barbacid M (1989) trkB, a novel tyrosine protein kinase receptor expressed during mouse neural development. Embo J 8: 3701–9.
- 35. Atlas (2009) Allen Mouse Brain Atlas [Internet], Seattle (WA): Allen Institute for Brain Science: http://mouse.brain-map.org.
- 36. Krieg WJS (1932) The Hypothalamus of the Albino Rat. The Journal of Comparative Neurology 55: 19–89.
- 37. Ishii Y, Bouret SG (2012) Embryonic birthdate of hypothalamic leptin-activated neurons in mice. Endocrinology 153: 3657–67.
- 38. Shimogori T, Lee DA, Miranda-Angulo A, Yang Y, Wang H, et al. (2010) A genomic atlas of mouse hypothalamic development. Nat Neurosci 13: 767–75.
- 39. Byerly MS, Blackshaw S (2009) Vertebrate retina and hypothalamus development. Wiley Interdiscip Rev Syst Biol Med 1: 380–9.
- 40. Cheung CC, Kurrasch DM, Liang JK, Ingraham HA (2012) Genetic labeling of SF-1 neurons in mice reveals VMH circuitry beginning at neurogenesis and development of a separate non-SF-1 neuronal cluster in the ventrolateral VMH. J Comp Neurol.
- 41. Ip FC, Cheung J, Ip NY (2001) The expression profiles of neurotrophins and their receptors in rat and chicken tissues during development. Neurosci Lett 301: 107–10.
- 42. Mistry AM, Swick A, Romsos DR (1999) Leptin alters metabolic rates before acquisition of its anorectic effect in developing neonatal mice. Am J Physiol 277: R742–7.
- 43. Proulx K, Richard D, Walker CD (2002) Leptin regulates appetite-related neuropeptides in the hypothalamus of developing rats without affecting food intake. Endocrinology 143: 4683–92.
- 44. Anand BK, Brobeck JR (1984) Nutrition classics. The Yale Journal of Biology and Medicine. Volume XXIV 1951–1952. Hypothalamic control of food intake in rats and cats. Nutrition Reviews 42: 354–6.
- 45. Hetherington A, Ranson S (1983) Nutrition Classics. The Anatomical Record, Volume 78, 1940: Hypothalamic lesions and adiposity in the rat. Nutrition Reviews 41: 124–7.
- 46. King BM (2006) The rise, fall, and resurrection of the ventromedial hypothalamus in the regulation of feeding behavior and body weight. Physiol Behav 87: 221–44.
- 47. Tong Q, Ye C, McCrimmon RJ, Dhillon H, Choi B, et al. (2007) Synaptic glutamate release by ventromedial hypothalamic neurons is part of the neurocircuitry that prevents hypoglycemia. Cell Metab 5: 383–93.
- 48. Luo X, Ikeda Y, Parker KL (1994) A cell-specific nuclear receptor is essential for adrenal and gonadal development and sexual differentiation. Cell 77: 481–90.
- 49. Sadovsky Y, Crawford PA, Woodson KG, Polish JA, Clements MA, et al. (1995) Mice deficient in the orphan receptor steroidogenic factor 1 lack adrenal glands and gonads but express P450 side-chain-cleavage enzyme in the placenta and have normal embryonic serum levels of corticosteroids. Proc Natl Acad Sci U S A 92: 10939–43.
- 50. Shinoda K, Lei H, Yoshii H, Nomura M, Nagano M, et al. (1995) Developmental defects of the ventromedial hypothalamic nucleus and pituitary gonadotroph in the Ftz-F1 disrupted mice. Dev Dyn 204: 22–9.
- 51. Tran PV, Akana SF, Malkovska I, Dallman MF, Parada LF, et al. (2006) Diminished hypothalamic bdnf expression and impaired VMH function are associated with reduced SF-1 gene dosage. J Comp Neurol 498: 637–48.
- 52. Varela L, Horvath TL (2012) Leptin and insulin pathways in POMC and AgRP neurons that modulate energy balance and glucose homeostasis. EMBO Rep 13: 1079–86.
- 53. Bjorntorp P (2001) Do stress reactions cause abdominal obesity and comorbidities? Obes Rev 2: 73–86.
- 54. Erickson JC, Ahima RS, Hollopeter G, Flier JS, Palmiter RD (1997) Endocrine function of neuropeptide Y knockout mice. Regul Pept 70: 199–202.
- 55. Frankish HM, Dryden S, Hopkins D, Wang Q, Williams G (1995) Neuropeptide Y, the hypothalamus, and diabetes: insights into the central control of metabolism. Peptides 16: 757–71.
- 56. Liao GY, An JJ, Gharami K, Waterhouse EG, Vanevski F, et al. (2012) Dendritically targeted Bdnf mRNA is essential for energy balance and response to leptin. Nat Med 18: 564–71.
- 57. Levin BE (2000) Metabolic imprinting on genetically predisposed neural circuits perpetuates obesity. Nutrition 16: 909–15.
- 58. Pencea V, Bingaman KD, Wiegand SJ, Luskin MB (2001) Infusion of brain-derived neurotrophic factor into the lateral ventricle of the adult rat leads to new neurons in the parenchyma of the striatum, septum, thalamus, and hypothalamus. J Neurosci 21: 6706–17.
- 59. Galvao RP, Garcia-Verdugo JM, Alvarez-Buylla A (2008) Brain-derived neurotrophic factor signaling does not stimulate subventricular zone neurogenesis in adult mice and rats. J Neurosci 28: 13368–83.
- 60. Hosomi S, Yamashita T, Aoki M, Tohyama M (2003) The p75 receptor is required for BDNF-induced differentiation of neural precursor cells. Biochem Biophys Res Commun 301: 1011–5.
- 61. Young KM, Merson TD, Sotthibundhu A, Coulson EJ, Bartlett PF (2007) p75 neurotrophin receptor expression defines a population of BDNF-responsive neurogenic precursor cells. J Neurosci 27: 5146–55.
- 62. Barbacid M (1995) Structural and functional properties of the TRK family of neurotrophin receptors. Ann N Y Acad Sci 766: 442–58.
- 63. Kokoeva MV, Yin H, Flier JS (2005) Neurogenesis in the hypothalamus of adult mice: potential role in energy balance. Science 310: 679–83.
- 64. Kokoeva MV, Yin H, Flier JS (2007) Evidence for constitutive neural cell proliferation in the adult murine hypothalamus. J Comp Neurol 505: 209–20.
- 65. McNay DE, Briancon N, Kokoeva MV, Maratos-Flier E, Flier JS (2012) Remodeling of the arcuate nucleus energy-balance circuit is inhibited in obese mice. J Clin Invest 122: 142–52.
- 66. Li J, Tang Y, Cai D (2012) IKKbeta/NF-kappaB disrupts adult hypothalamic neural stem cells to mediate a neurodegenerative mechanism of dietary obesity and pre-diabetes. Nat Cell Biol 14: 999–1012.
- 67. Lee DA, Bedont JL, Pak T, Wang H, Song J, et al. (2012) Tanycytes of the hypothalamic median eminence form a diet-responsive neurogenic niche. Nat Neurosci 15: 700–2.
- 68. Ogden CL, Carroll MD, Flegal KM (2003) Epidemiologic trends in overweight and obesity. Endocrinol Metab Clin North Am 32: : 741–60, vii.
- 69. Tremblay MS, Katzmarzyk PT, Willms JD (2002) Temporal trends in overweight and obesity in Canada, 1981-1996. Int J Obes Relat Metab Disord 26: 538–43.
- 70. Jebb SA, Rennie KL, Cole TJ (2004) Prevalence of overweight and obesity among young people in Great Britain. Public Health Nutr 7: 461–5.
- 71. Caprio S, Tamborlane WV (1999) Metabolic impact of obesity in childhood. Endocrinol Metab Clin North Am 28: 731–47.