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Am J Physiol Regul Integr Comp Physiol 282: R627-R631, 2002; doi:10.1152/ajpregu.00549.2001
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Vol. 282, Issue 2, R627-R631, February 2002

RAPID COMMUNICATION
Subdiaphragmatic vagotomy fails to inhibit intravenous leptin-induced IL-1beta expression in the hypothalamus

Toru Hosoi, Yasunobu Okuma, Atsushi Ono, and Yasuyuki Nomura

Department of Pharmacology, Graduate School of Pharmaceutical Sciences, Hokkaido University, Sapporo 060 - 0812, Japan


    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Leptin is known to be an important circulating signal for regulation of food intake and body weight. Recent evidence has suggested that leptin is involved in infection and inflammation. The afferent vagus nerve is known to be an important component for transmitting peripheral immune signals to the brain, such as interleukin (IL)-1beta expression in the brain, anorexia, and fever responses. In the present study, we investigated whether intravenous leptin-induced IL-1beta expression in the hypothalamus is mediated via afferent vagus nerve. IL-1beta transcripts in the hypothalamus were significantly increased on RT-PCR assessment 1 h after the administration of leptin (1 mg/kg iv) to mice. Subdiaphragmatic vagotomy did not significantly modify intravenous leptin-induced IL-1beta expression in the hypothalamus compared with that in sham-treated mice. These data suggest that circulating leptin directly acts in the brain independently of afferent vagus nerve input originating from the subdiaphragmatic organs.

afferent vagus nerve; immune-to-brain communication; inflammation


    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

LEPTIN, the 16-kDa protein encoded by the ob gene (44), is known to be an important energy balance regulator through its actions in the hypothalamus, associating appetite and energy expenditure (9, 32). Leptin is mainly secreted by adipose tissue and released into circulation to act in both the periphery and the brain. Leptin enters the brain via a saturable transport mechanism (2) and is thought to activate primarily on the hypothalamic centers.

Increasing evidence has suggested that leptin may interact with cytokines in the immune system. Intraperitoneal administration of lipopolysaccharide (LPS) or cytokines such as interleukin (IL)-1 or tumor necrosis factor (TNF) has been shown to increase leptin expression in serum and adipose tissue (16, 35). Conversely, exogenous leptin has been shown to upregulate both phagocytosis and the production of proinflammatory cytokines (TNF-alpha , IL-6, and IL-12) in macrophages (26), and leptin increased monocyte chemoattractant protein-1 expression in endothelial cells (7). Moreover, it has been reported that leptin modulates T-cell immune function (11, 27). LPS applied peripherally increases IL-1beta expression in the brain (12). A recent report suggested that the effects of leptin on food intake and body temperature were mediated by IL-1beta in the hypothalamus (28), and we reported that one of the target cells of the leptin-induced IL-1beta transcript in the brain may be glial cells (22). These findings may lead us to hypothesize a possibility that peripheral leptin functions as an afferent signal to transmit peripheral immune signals in the brain. It was reported that leptin activates afferent vagus nerve activity (40, 43). The afferent vagus nerve is known to be an important component for transmitting peripheral immune signals to the brain, such as IL-1beta expression in the brain (18, 21, 25), stimulation of the hypothalamic-pituitary-adrenal (HPA) axis (13), anorexia, and fever responses (6, 8, 37). However, there is inconsistent evidence showing that vagotomy does not block suppression of food intake induced by the peripheral application of LPS or IL-1beta (33, 36). Therefore, using subdiaphragmatic vagotomized mice, we investigated whether intravenous leptin-induced IL-1beta transcript in the brain is mediated via afferent vagus nerve activity.


    MATERIALS AND METHODS
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ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Animals. C57BL/KsJ mice were obtained at 7 wk old from Central Laboratories for Experimental Animals (Japan). Mice were maintained in a room at 22-24°C under a constant day-night rhythm and were given food and water ad libitum. All animal experiments were carried out in accordance with the National Institutes of Health (NIH) Guide for the Care and Use of Laboratory Animals and were approved by the animal care and use committee at Hokkaido University.

Surgical preparations. The procedure for bilateral subdiaphragmatic vagotomy or sham surgery was adapted from that described previously (18). Mice were anesthetized with pentobarbital sodium (50 mg/kg ip). The stomach and lower esophagus were visualized from an upper midline laparotomy. The stomach was gently retracted down beneath the diaphragm to clearly expose both vagal trunks. At least 1 cm of the visible vagal nerves was dissected. In addition, all neural and connective tissues surrounding the esophagus immediately beneath the diaphragm were removed to transect all small vagal branches. For sham-operated animals, the vagus nerves were similarly exposed but not cut.

Three weeks after either vagotomy or sham surgery, the completeness of vagotomy was assessed. This test is based on the satiety effect of cholecystokinin-octapeptide (CCK-8; Peptide Institute, Japan), which is known to be mediated by the vagus nerve (39). Mice were injected with saline or CCK-8 (8 µg/kg ip) after food deprivation from 0930 to 1830. Five minutes after saline or CCK-8 application, food intake was measured for 30 min in both vagotomized and sham-operated mice. Two days were allowed between the saline and CCK-8 injections. The animals were then allowed at least 1 additional week recovery period. After the experiment, the wet weight of the stomach was measured after removing residual gastric contents.

Leptin injection and sample preparation. Mice were given food and water ad libitum before the leptin injection. Murine leptin (Pepro Tech, London) was dissolved in saline, and all injections were administered intravenously (1 mg/kg) via the tail vein and delivered at an injection volume of 5 ml/kg. One hour after leptin injection, mice were killed by decapitation, and the brain was quickly removed. The hypothalamus was rapidly dissected out on an ice-cold plate. The samples were then snap-frozen in liquid nitrogen and stored at -80°C.

RT-PCR. Total RNA was isolated using TRI REAGENT (Sigma). cDNA was synthesized from 2 µg of total RNA by reverse transcription using 100 U of Superscript RT (GIBCO BRL) and oligo(dT)12-18 primer (GIBCO BRL) in a 20-µl reaction containing 1× Superscript buffer (GIBCO BRL), 1 mM dNTP mix, 10 mM dithiothreitol, and 40 U of RNase inhibitor. Total RNA and oligo(dT)12-18 primer were incubated at 70°C for 10 min before the reverse transcription. After incubation for 1 h at 42°C, the reaction was terminated by a denaturing enzyme for 15 min at 70°C. For PCR amplification, 1.2 µl of cDNA was added to 12 µl of a reaction mix containing 0.2 µM of each primer, 0.2 mM of dNTP mix, 0.6 U of Taq polymerase, and 1× reaction buffer. PCR was performed in a DNA thermal cycler (Perkin-Elmer 2400-R). Primers used were as follows: IL-1beta upstream, 5'-aat ctc aca gca gca cat caa-3'; IL-1beta downstream, 5'-agc cca tac ttt agg aag aca-3'; glyceraldehyde-3-phosphate dehydrogenase (GAPDH) upstream, 5'-aaa ccc atc acc atc ttc cag-3'; and GAPDH downstream, 5'-agg ggc cat cca cag tct tct-3'. The PCR products (10 µl) were resolved by electrophoresis in an 8% polyacrylamide gel in 1× Tris-borate, EDTA buffer. The gel was stained with ethidium bromide, and the gels were photographed under ultraviolet light. Band densities were obtained using NIH Image 1.61 software.

In the initial experiments, the amount of each amplified product was integrated and plotted graphically against the number of PCR cycles to determine whether the increase in intensity of the amplified product was linear to the number of PCR cycles. To compare the expression of IL-1beta mRNAs in the different experimental groups, the amount of IL-1beta mRNA in each structure studied was estimated as the ratio IL-1beta /GAPDH.

Statistics. Results were expressed as means ± SE. Statistical analysis was performed with Student's t-test.


    RESULTS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Verification of vagotomy. Four weeks after subdiaphragmatic vagotomy, the body weight of vagotomized mice did not differ significantly from that of sham-operated mice (24.9 ± 0.59 and 25.3 ± 0.91 g, respectively). To assess the completeness of vagotomy, food intake analysis was performed. Food intake was significantly decreased by 61% in CCK-8-injected (8 µg/kg ip, 30 min) sham-operated mice compared with those animals that received saline (Fig. 1A). Subdiaphragmatic vagotomy abolished the satiety effect of CCK-8 compared with sham-operated mice (Fig. 1A). Moreover, CCK-8 did not significantly decrease food intake in vagotomized mice compared with the saline-injected animals (Fig. 1A). Furthermore, we also measured stomach weight to verify vagotomy as reported previously (5). Stomach weight in vagotomized mice showed a 2.1-fold increase compared with that of sham-operated mice (Fig. 1B). The stomach weight of the sham-operated and vagotomized mice was 0.17 ± 0.01 g (n = 6) and 0.35 ± 0.05 g (n = 6), respectively.


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Fig. 1.   Effect of vagotomy (Vx) on CCK-induced satiety and stomach weight. A: CCK-8 (8 µg/kg ip) reduced mean food intake during 30 min. CCK-8-induced satiety was reversed in Vx mice. ** Statistically significant difference from saline-injected mice (P < 0.01). B: stomach weight was significantly increased in Vx mice compared with sham-operated mice 4 wk after surgery. ** Statistically significant difference from sham-operated mice (P < 0.01).

Effect of vagotomy on intravenous leptin-induced IL-1beta transcription in the hypothalamus. Leptin (1 mg/kg iv, 1 h) was applied to sham-operated or vagotomized mice, and IL-1beta expression in the hypothalamus was measured. IL-1beta transcripts in the hypothalamus were significantly increased 1 h after the application of leptin (1 mg/kg iv) in sham-operated mice (see Fig. 3). The effect of leptin was not due to endotoxin contamination because heat-inactivated leptin (5 mg/kg, 98°C, 30 min) did not induce an increase in IL-1beta mRNA expression in the hypothalamus (Fig. 2). Subdiaphragmatic vagotomy did not significantly modify the intravenous leptin-induced IL-1beta expression compared with the sham-operated mice (Fig. 3). Thus leptin may act in the brain and directly induce IL-1beta expression independently of the afferent vagus nerve.


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Fig. 2.   Heat-inactivated leptin did not induce an increase in interleukin (IL)-1beta expression in the hypothalamus. Heat-inactivated leptin (5 mg/kg, 98°C for 30 min) was injected intravenously (1 h), and RT-PCR was performed. GAPDH, glyceraldehyde-3-phosphate dehydrogenase.



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Fig. 3.   Effect of Vx on intravenous leptin-induced IL-1beta expression in the hypothalamus. A: hypothalamus was obtained from sham-operated or Vx mice 1 h after the administration of leptin (1 mg/kg iv), and RT-PCR was performed. B: amounts of IL-1beta mRNA are expressed as ratios of densitometric measurements of the samples to the corresponding GAPDH internal standard. No significant difference in the intravenous leptin-induced IL-1beta expression between sham-operated and Vx mice was observed. Values are presented as means ± SE; n = 6/group. NS, not significant.


    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

It is becoming well accepted that the peripheral immune system can signal the brain during inflammation. Peripheral administration of LPS increases IL-1 expression in the brain (1, 20). Moreover, peripheral or central application of cytokines such as IL-1beta induces fever (24), inhibition of food intake (29) and gastric acid secretion (42), and activation of the sympathetic (30) and HPA axis (4, 34). The precise mechanisms by which IL-1beta signals the brain are unknown, but several mechanisms have been proposed. These mechanisms include 1) direct entry of IL-1beta into the brain across the blood-brain barrier by a saturable transport mechanism (3), 2) interaction of IL-1beta with circumventricular organs (organum vasculosum of the lamina terminalis, area postrema, etc.) that lack the blood-brain barrier (23), and 3) activation of afferent neurons of the vagus nerve (41).

Increasing evidence has suggested that the vagus nerve is an important pathway for cytokine-to-brain communication. IL-1beta immunoreactivity was expressed in dendritic cells and macrophages within connective tissues associated with the abdominal vagus after intraperitoneal injection of LPS (14), and systemic application of IL-1beta increases electrical activity of vagal afferent nerves (10, 31). Furthermore, subdiaphragmatic vagotomy has blocked or attenuated IL-1beta expression in the brain (18, 25), stimulation of the HPA axis (13), and anorexia and fever responses (6, 8, 37) induced by peripheral IL-1beta or LPS. Moreover, the selective transection of hepatic vagus nerve effectively inhibited a pyrogenic response induced by LPS (38). We previously reported that direct electrical stimulation of afferent vagus nerve induces IL-1beta expression in the brain (21).

Recent evidence has suggested that leptin is involved in the immune system (7, 11, 26, 27). Peripheral administration of LPS or cytokines has been shown to increase leptin expression in serum and adipose tissue (16, 35). Furthermore, peripheral leptin induces IL-1beta expression in the brain (22, 28). It was reported that leptin activates the afferent vagus nerve in an in vitro experiment (40, 43). Therefore, we examined whether intravenous leptin-induced IL-1beta induction is mediated through the activated vagal afferent nerve. In the present study, subdiaphragmatic vagotomy did not inhibit intravenous leptin-induced IL-1beta expression in the hypothalamus. This finding suggests that leptin may directly induce the IL-1beta transcript in the hypothalamus independently of vagal afferent nerve activity. Leptin enters the brain across the blood-brain barrier (2, 15), and it was recently postulated that such transport occurs through the Ob-Ra receptor (19). Herein, we propose that the afferent signal for IL-1beta induction in the brain during peripheral inflammation may partly be mediated by the direct action of leptin in the brain.

Perspectives

It was reported that subdiaphragmatic vagotomy failed to block suppression of food intake induced by the peripheral application of LPS or IL-1beta (33, 36). Hansen et al. (17) suggested that low-dose IL-1beta -induced fever is dependent on vagal afferent nerves, and high-dose IL-1beta -mediated fever may be dependent on a blood-borne route. One of the possible explanations for these observations is that unknown humoral factor(s) may contribute to transmit signals to the brain independently of afferent vagus nerve activity. It was reported that the effects of leptin on food intake and body temperature may be mediated by IL-1beta in the hypothalamus (28). In the present study, we have shown that peripheral leptin increases IL-1beta expression in the hypothalamus independently of the afferent vagus nerve. Herein, we propose that one of the unknown humoral factor(s) involved in the afferent signal for IL-1beta induction in the brain during peripheral inflammation may partly be mediated by leptin.


    ACKNOWLEDGEMENTS

This research was supported by Grants-in-Aid for Scientific Research from the Ministry of Education, Science, Sports, and Culture, Japan (to Y. Okuma and Y. Nomura) and by Research Fellowships of the Japan Society for the Promotion of Science for Young Scientists (to T. Hosoi).


    FOOTNOTES

Address for reprint requests and other correspondence: Y. Okuma, Dept. of Pharmacology, Graduate School of Pharmaceutical Sciences, Hokkaido Univ., Sapporo 060-0812, Japan (E-mail: okumay{at}pharm.hokudai.ac.jp).

The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

10.1152/ajpregu.00549.2001

Received 7 September 2001; accepted in final form 30 October 2001.


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Am J Physiol Regul Integr Comp Physiol 282(2):R627-R631
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