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APPETITE, OBESITY, AND DIGESTION
1Graduate Groups of Psychology and Neuroscience, University of Pennsylvania, Philadelphia, Pennsylvania; 2Department of Biology and Center for Behavioral Neuroscience, Georgia State University, Atlanta; 4Department of Foods and Nutrition, University of Georgia, Athens, Georgia; and 3Department of Morphophysiological Sciences, State University of Maringá, Maringá, Brazil
Submitted 28 April 2008 ; accepted in final form 10 July 2008
| ABSTRACT |
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energy balance; thermoregulation; anterior hypothalamus; heart rate; body temperature; sympathetic drive; norepinephrine turnover; white adipose tissue; brown adipose tissue
A variety of data suggest that, in addition to their contribution to efferent control, neurons of the caudal brain stem (midbrain and hindbrain) receive skin thermal afferent information. For example, neurons in the midbrain reticular formation respond to the cooling of the skin (40). Similarly, the neurophysiological response of neurons of the medullary raphe (raphe magnus and RPa) are highly sensitive to mild cooling of the skin (46; see also Refs. 32 and 41). Some of these neurons also respond to alterations in Tc (46). Skin cooling-driven neurophysiological responses also can be recorded from the medullary raphe of acutely decerebrated, anesthetized rats (17, 54), indicating that the caudal brain stem responses are not secondary to forebrain processing. Skin cooling also increases the neurophysiological activity of lateral parabrachial neurons (lPBN) (34, 39). Perhaps most interesting are findings that spinal projections from thermally responsive medullary raphe neurons contribute to brown adipose tissue (BAT) activation and other thermoregulatory defenses against environmental cold challenges (46). The thermal sensitivity of these caudal brain stem neurons and their participation in sympathetic outflow to the periphery suggest that they may be part of a "cold-defense" pathway (46).
Although the anterior hypothalamus is commonly described as the thermoregulatory center, there is precedent in the literature for the idea that neurons within more caudal levels of the neuraxis also play an integrative role in thermoregulatory control. These "caudal neurons" are activated by thermal afferents and appear to engage circuits that trigger sympathetic and behavioral responses, thereby participating in some degree of feedforward or feedback regulation of Tc. This view, that the thermoregulatory control system is neurally distributed with contributions arising from both hypothalamic and caudal, extrahypothalamic sites, is emphasized in seminal papers by Lipton (31), Chambers et al. (14), and Amini-Sereshki (1, 2) and in a synthetic review by Satinoff (50) published in the 1970s but has apparently disappeared from discussions of thermoregulatory control. Among the relevant findings, cooling the skin does not elicit shivering in spinal animals. However, with a transection higher than the medulla and lower pons, the shivering response to cooling of the extremities is restored. This suggests a role for the caudal brain stem in thermoregulatory control. Perhaps the lack of continued discussion of the findings from these reports is due to their conclusion that, when compared with the thermoregulatory competence achieved by hypothalamic circuits in the intact brain, the degree of regulatory control achieved by more caudal levels of the neuraxis is "incomplete" and "fragmentary." It was asserted, for example, that the initiation of thermoregulatory responses in these transected neurological preparations requires more extreme thermal challenges than in intact preparations (50). These hypotheses are evaluated here through studies that examine the thermoregulatory competence of cold-exposed, freely moving, chronically maintained decerebrate rats (i.e., complete severing of the forebrain from the caudal brain stem at the mesodiencephalic junction). This was accomplished by measuring Tc, sympathetic (HR), and behavioral responses (locomotor activity) in awake, chronic supracollicular decerebrate rats and identically maintained neurologically intact control rats exposed to 4°C and to intermediate cold environmental temperatures (8 and 12°C). In addition, norepinephrine turnover (NETO), a neurochemical measure of sympathetic drive, was measured in the heart, IBAT, and several white adipose tissue (WAT) depots. In these experiments, we tested the hypothesis that, in the absence of hypothalamic neural processing and hypothalamic-caudal brain stem communication, caudal brain stem neurons responsive to thermal afferent signals will engage local neurons that activate sympathetic outflows and trigger energetic responses that result in a level of energetic and thermoregulatory control that is comparable in many, but perhaps not all, respects to that seen in neurologically intact controls.
| METHODS |
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Control sham surgery or unilateral brain transection at the supracollicular level was performed with a blunt L-shaped surgical spatula (22) under ketamine (90 mg/kg), xylazine (2.7 mg/kg), and acepromazine (0.64 mg/kg) anesthesia and Meloxicam analgesia (3.0 mg/kg). After hemitransection (1 wk), full decerebration was completed, and control rats were anesthetized and subject to a second sham surgery. At the time of the second hemitransection, rats in the telemetry experiment were implanted with an ER-4000 transponder (Mini-Mitter, Bend, OR). The transponder core was positioned in the peritoneal cavity for activity and Tc measurement. The two attached wire leads were positioned subcutaneously in the upper right and lower left quadrants of the rat's chest and secured for HR measurement. A minimum of 2 wk was allowed for recovery before the start of thermal exposure experiments.
Procedure for transponder experiments. Naive chronic decerebrate (CD; n = 10) and pair-fed intact (n = 5) rats were exposed to three thermal conditions of 4, 8, or 12°C in a counterbalanced order; in each case, rats also were evaluated under room temperature (23°C) conditions for a period preceding cold exposure. Four days intervened between each of the three test conditions. On the day of each condition, rats received two gavage feedings (at 1.5 and 4 h after lights-on) and were then transferred to an inactive chromatography refrigerator with open doors in a room maintained at 23°C. Rats were placed individually in plastic cages positioned on receivers on the shelves of the refrigerator unit. No bedding was provided to preclude nesting. For all conditions, rats remained in this environment for 2.5 h (at 23°C); this time is referred to as the precold baseline period. Two hours into the precold baseline period, rats were gavage fed a third meal. The 6-h period of cold thermal exposure commenced 30 min later. The doors were closed, and the refrigerator was activated to achieve one of the three targeted (4, 8, or 12°C) temperatures. Target ambient temperatures were achieved within 20 min. Following the 6-h exposure period, the doors were opened, and the refrigerator was shut off; temperature in the unit returned to 23°C within 20 min. Recording continued in the postcold period. During the entire period, rats were positioned in the refrigerator unit, and HR, Tc, and activity were measured telemetrically every 30 s, 5 min, and 5 min, respectively. Experimenters entered the room periodically to monitor posture, position, and behavior of the rats.
Following completion of all experimental conditions, CD rats were anesthetized with ketamine, xylazine, and acepromazine (as above) and then perfused transcardially with heparinized saline followed by 10% formalin. Brains were removed from the crania, washed in saline, and then submerged in 10% formalin. Brains were cyroprotected in a 20% sucrose solution before being embedded in albumin gelatin and cut with a freezing microtome in 50-µm sagittal sections. Sections stained with cresyl violet were examined to verify completeness of the brain transection.
Procedure for NETO experiments.
Additional naive CD (n = 18) and pair-fed intact (n = 18) rats were used for NETO measurements using the
-methyl-p-tyrosine (
-MPT) method.
-MPT is a competitive inhibitor of tyrosine hydroxylase, the rate-limiting enzyme in catecholamine biosynthesis. This allows the estimation of NETO by the rate of norepinephrine (NE) disappearance from the sympathetic nerve terminals in the tissues of interest. The
-MPT methyl ester hydrochloride (Sigma Aldrich, St. Louis, MO) was prepared by first adding
0.5 ml of glacial acetic acid (1 µl/mg
-MPT) and then diluting to the final concentration with 0.15 M NaCl. Basal levels of NETO were determined for one-third of the animals in the control and CD groups (n = 6 each) that were untreated and killed (time 0), and tissues were harvested for subsequent NE content measures. The remaining rats (n = 12/group) were injected intraperitoneally with
-MPT (250 mg
-MPT/kg; 25 mg/ml) between 0800 and 1000. One-half of these rats was immediately placed in the cold (4°C) unit, and the other one-half was placed in a room temperature (23°C) thermal environment. Later (2 h), rats were decapitated. Inguinal WAT (IWAT), retroperitoneal WAT (RWAT), epididymal WAT (EWAT), as well as IBAT and heart were rapidly removed, weighed, frozen in liquid nitrogen, and then stored at –80°C until assayed for NE content to determine NETO as described below. NETO was calculated on a per pad basis rather than per gram or per milligram protein because total NETO per pad reflects the physiological impact of the cold stimulus on the sympathetic drive to the tissue. This is the procedure and data expression we have used previously (9, 51, 60). The decline in NE content is linear using this procedure (9), a requirement for accurate NETO estimation (16).
HPLC analysis of NE tissue content.
NE tissue content was measured using reverse-phase with electrochemical detection following our modification (60) of the method of Mefford (33). Briefly, tissue was thawed and homogenized in a solution containing dihydroxybenzylamine (DHBA, internal standard) in 0.2 M perchloric acid with 1 mg/ml ascorbic acid (PCA/AA). The amount of tissue processed and DHBA added was varied to obtain NE values within the range of the standards (
25–250 mg WAT were used with 10 ng of DHBA added;
200 mg of IBAT was used with 50 ng of DHBA added). Following centrifugation for 10 min at 7,500 g, catecholamines were extracted from the homogenate with alumina and eluted in PCA/AA. Catecholamines were assayed using an ESA (Bedford, MA) HPLC system with electrochemical detection (Cuolochem II). The mobile phase was Cat-A-Phase II, and the column was a C18 reverse-phase column. NE turnover was calculated in IWAT, RWAT, EWAT, IBAT, and heart by subtracting the NE content (ng NE/tissue) of the baseline NETO group (time 0) from the 2-h thermal exposure group according to the method of Brodie et al. (11). Briefly, calculations were made according to the following formulas: k = (log[NE]0 – log[NE]4)/(0.434 x 4) and K = k x [NE]0, where k is the rate constant of NE efflux, [NE]0 is the initial NE concentration, [NE]4 is the final NE concentration, and K = NETO.
Data analysis. Statistical analysis of Tc, HR, and activity data was performed using the Statistica software package (Tulsa, OK). Data, presented as means ± SE, were analyzed using two-way ANOVA, with neurological condition and thermal condition as the main variables. Comparisons between treatment means were analyzed by Tukey's honest significant difference test. In addition, variation within each thermal condition was analyzed by two-way ANOVAs and Tukey's tests to assess differences between the 6-h thermal period and 2.5-h room temperature baseline period, with neurological preparation and experimental thermal condition as main variables. In addition, within-group comparisons were made between the three, 2-h segments of the 6-h cold exposure period and for the initial 2-h pre- and the immediate 2-h postcold exposure periods via one-way ANOVAs. Comparisons between treatment means were analyzed by Tukey's honest significant difference test. For analysis of NETO data, a two-way ANOVA with neurological condition and time of death postinjection as the main variables was used. Duncan's New Multiple Range post hoc tests were conducted when appropriate for pairwise comparisons (NCSS version 2000 software, Kaysville, UT). Differences between the means for all tests were considered statistically significant if P < 0.05. The exact probabilities and other test values are omitted for simplicity and clarity of the presentation of the results.
| RESULTS |
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HR. Regardless of neurological condition, the HR of all rats increased by an average of 87 ± 6 beats/min in response to the 4°C cold exposure (Fig. 3A, left and right) when compared with the HR observed during the room temperature baseline period (374 ± 8 beats/min; P < 0.05). Similar to results with the 4°C exposure, all rats showed an increase in HR in response to the 8°C compared with the room temperature baseline exposure (P < 0.05); CD and control rats did not differ in their HR response to the 8°C cold exposure condition (Fig. 3B, left and right); HR was elevated in both surgical groups in response to 12°C exposure (Fig. 3C; P < 0.05). The HR of CD rats rose to 471 ± 8 beats/min compared with their room temperature baseline HR of 406 ± 14 beats/min (P < 0.05). Neurologically intact pair-fed control rats elevated HR (415 ± 12 beats/min) compared with their HR in the room temperature baseline period (376 ± 8 beats/min), but the magnitude of the tachycardia for controls was significantly lower than that observed for CD rats (P < 0.05), and the latency for the elevated HR was longer than that observed for CD rats, appearing 2 h after cold onset (Fig. 3C, right).
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| DISCUSSION |
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Although a wide range of similarities in the compensatory responses of CD and control rats was observed, some significant differences are noteworthy. CD rats did not maintain Tc over the 6-h exposure to 4°C, the most extreme cold environment. In spite of increased HR and locomotor activity, and from the extrapolated findings of the NETO experiment suggesting increased IBAT thermogenesis, CD rats lost
2°C in Tc during the 4°C exposure. This result is consistent with the view that the thermoregulatory competence of the neurally isolated caudal brain stem is, to some extent, incomplete (50). Another difference between intact and CD rats that suggests a contribution from hypothalamic/forebrain processing to the energetic response and thermoregulatory control of intact rats was in the precision of HR adjustments in response to changes in skin thermal input with increasing ambient cold temperature. The HR of control rats was highly correlated with cold temperature magnitude, with the greatest increase of HR observed at 4°C (see Fig. 4). By contrast, the elevation of CD HR was not incremental over the 4 to 12°C range; rather, the HR elevation for 12°C was as large as that observed with the 4°C exposure.
In considering which aspects of thermoregulatory control are not recruited in CD rats potentially contributing to the loss of Tc in the 4°C condition, it is useful to explore the contribution of thermogenesis as well as that of heat loss (43). The thermogenic response of intact controls includes shivering and nonshivering processes (12). From our measures here and other reports, it appears that IBAT NETO (nonshivering thermogenesis) in CD rats is similar in both magnitude and latency to that of controls exposed to 4°C. CDs also increase nonshivering thermogenesis in a manner comparable to controls in response to fourth ventricular injections of the melanocortin 3/4 receptor agonist melanotan II, at least in terms of uncoupling protein-1 mRNA, a relatively reliable indicator of IBAT thermogenesis. Similarly, the latency and magnitude of the tachycardia induced by 4°C exposures in CD rats were indistinguishable from that of controls. By contrast, differences in shivering thermogenesis may contribute to the observed differences in Tc maintenance in 4°C exposed CD rats. This assertion is based on the marked reduction in lean body mass (
15–20%) of the CDs shown in our previous studies (23, 24), but not assessed here. Rats were periodically observed while in the cold environment for the occurrence of shivering; however, visual assessment of shivering proved unreliable; its measurement is best quantified using electromyographic techniques, and this approach will be applied in future studies. Another potential contributor to the loss of Tc during 4°C exposures in CD rats is the effectiveness of mechanisms designed to limit heat loss. In rats, tail vasoconstriction (not measured in the current experiments) is important to the maintenance of Tc during cold exposure, and, importantly, the neurochemical control of IBAT thermogenesis and that for tail vasoconstriction is separable (43).
At room temperature, the CD rats had increased NETO in both IWAT and EWAT, but not RWAT, compared with similarly exposed control rats. At first blush, this result seems inconsistent with the elevated WAT pad masses and of total body fat in the CDs in the present experiment and our recent studies (24). Given that increased sympathetic drive to WAT is the principal initiator of lipid mobilization (for reviews, see Refs. 3 and 4), such increases in WAT NETO might be presumed to trigger increased lipolysis and consequent decreases in WAT pad mass (decreased adiposity), as we have seen previously in Siberian hamsters exposed to short "winter-like" photoperiods (60). One possible reason for the lack of this relation between WAT NETO and WAT pad mass in the present experiment is that, even with increases in sympathetic drive, if this is accompanied by increases in the rate of reesterification of released free fatty acids back into triacylglycerol, as is seen in obese compared with lean humans (29, 30), then there will not be a decrease in fat pad mass. Alternatively, there may be an insensitivity to the released NE by the white adipocytes of the CDs such that lipolysis is not triggered. Two in vivo studies in obese vs. lean humans suggest decreased sensitivity to β-adrenoceptor stimulation (27) and to electrical stimulation of sympathetic nerves innervating WAT (19). The specific mechanisms underlying such insensitivity are unclear, although across several genetic- and diet-induced models, the number of white adipocyte β-adrenoceptors is decreased in the obese vs. their lean counterparts (15), although changes in receptor affinity, second messenger cascades, and key intracellular lipolytic factors such as hormone-sensitive lipase and perilipin A also could be defective. Finally, NETO was not increased in CD RWAT, IBAT, or heart at room temperature, showing that rats with an isolated caudal brain stem are capable of differential trafficking of sympathetic outflow, as seen in neurally intact animals (for reviews, see Refs. 5 and 36).
In the present experiment, we did not observe a cold-induced increase in WAT NETO in the pair-fed sham-operated controls. This is inconsistent with another report where acute cold exposure to similar temperatures increased rat WAT NETO (21). This lack of response by control animals here may be due to the increase in adiposity resulting from the tube-feeding maintenance. That is, tube feeding is well established as a means of increasing efficiency of energy utilization (e.g., Ref. 25), likely through diminished thermogenesis (49), thereby promoting increases in adiposity. Although we did not have ad libitum-fed control rats in the present experiment, in another experiment where the tube feeding was identical to that in the present experiment and ad libitum-fed rats also were included, the tube-fed controls had significantly increased carcass lipid and fat pad masses compared with the ad libitum-fed controls. Thus, with both an increase in lipid fuels in their expanded WAT depots and increased insulation provided by the subcutaneous WAT pads (e.g., Ref. 48), the acute cold exposure here may not have provided enough of an energetic challenge to trigger the typical cold-induced increase in sympathetic drive to WAT. Despite the lack of a significant cold-induced increase in NETO across the WAT pads of the controls, acute cold exposure doubled CD IWAT NETO compared with their room temperature CD counterparts. One possible reason for the increased IWAT NETO of the CDs may be a greater need for lipid to fuel cold-induced increased thermogenesis, thereby helping maintain their Tc, which the CDs accomplished comparably to the neurally intact control rats during the first 2 h of cold expose. Indirect support of this notion was the marked increase in IBAT NETO by the cold-exposed CDs (
4-fold that of cold-exposed controls). What is somewhat unclear is why there was such a marked increase in IWAT NETO compared with other WAT pads, since this would result in increased lipolysis from an adipose depot that may have a role in thermal insulation (e.g., see Ref. 48). What is clear, however, is that, unlike other WAT depots, IWAT NETO uniformly increases in response to a wide variety of lipid-promoting stimuli in Siberian hamsters [e.g., cold, food deprivation, cold + food deprivation, glucoprivation (10)], suggesting an important role as a provider of lipid to energetic challenges such as cold here.
A report by Nakamura and Morrison (38) considers the relation between three neural elements in the control of cold-induced IBAT thermogenesis and tachycardia. They show that these responses are significantly diminished by local injections of
-aminobutyric acid (GABA)-a agonists in either the DMH or RPa or antagonist injections in the POa. The authors describe a serial relation among these three neural elements; POa projects to DMH that in turn projects to RPa. Perhaps more relevant to the discussion of our current data is how their model represents the projection path of central skin thermal afferent processing to the central effector path from RPa. In their model, skin thermal afferent information is viewed as directly affecting only the most rostral element in this serial pathway, the POa. A recent report from the same authors (39) adds to their model by showing that lPBN neurons are responsive to skin cooling and that these neurons project to POA. Collectively, the current data suggest and previous neurophysiological data in intact and also in decerebrated rats show that RPa neurons themselves are activated by cold exposure (17, 32, 46, 54), thereby suggesting a revision of that aspect of their model. We hypothesize that the potent effects of cold exposure on HR, IBAT, and heart NETO in CD rats, as well as the defense of Tc by CD rats at 8 and 12°C exposures, are the result of skin afferent processing in RPa neurons (not directly measured in our studies) that drive sympathetic outflows in the absence of descending neural projections from POa or from DMH, as well as in the absence of ascending projections from lPBN to POA. As noted earlier, the data of Rathner and colleagues (46) provide direct support for a cold skin thermal input that affects the neurophysiological activity of neurons in the caudal raphe at the level of the caudal part of the facial nucleus that, in turn, engage sympathetic outflows to IBAT and heart via raphe-spinal projections. Furthermore, these authors cite the data of Dickenson (17) and Taylor (54) who show that skin cooling also activates medullary raphe neurons in rats whose caudal brain stem was isolated from interconnection with forebrain elements via midcollicular level acute transection. Recent data of Osaka (45) showing that skin cooling of anesthetized acutely decerebrated rats (level of transaction not indicated) does not trigger increased energy expenditure are inconsistent with those of the aforementioned neurophysiological studies and with the data presented here. Overall, these neurophysiological data from anesthetized intact and decerebrated rats and our results from awake, behaving decerebrate rats make the case for a caudal brain stem control circuit linking the processing of skin cooling afferent input with sympathetic outflow and thermogenic response production.
Additional work will be required to determine which elements of caudal brain stem processing contribute to the control of sympathetic output and the thermoregulatory competence observed here. The potential contribution of RPa neurons here is, of course, of great relevance, and lPBN neurons provide another important focus. Electrical stimulation of lPBN increases oxygen consumption, IBAT temperature, and HR (28). Cold-exposed rats with bilateral lPBN lesions loose Tc, and their oxygen consumption is elevated to a lesser extent than that of sham lesion rats or rats with lesions outside lPBN. Nakamura and Morrison (39) provide evidence of lPBN projection to POa, but these neurons also are known to provide afferent input to RPa and raphe magnus (26). It remains to be determined whether projections from lPBN to RPa play a functional role in the responses observed in CD rats and more generally in the thermoregulatory response of intact rats. As noted earlier, RPa neuronal output is modulated by GABAa agonists (38). RPa neurons also express melanocortin 4 receptors (MC4R), and these MC4R-expressing neurons are labeled after virus injection in IBAT (56). We have recently shown that doses of MC4R agonist that are without affect when applied to the brain ventricles increased Tc, HR, and IBAT temperature when delivered directly to the RPa of intact and CD rats (52). Functional contribution to the effects observed here also may involve the participation of other caudal brain stem neurons previously implicated in response to skin cooling or thermal control such as those in periaqueductal gray, peritrigeminal nucleus, inferior olive, and nucleus tractus solitarius (e.g., Ref. 55).
Perspectives and Significance
Other results (24) support and complement the energy regulatory competence of the isolated caudal brain stem revealed here with cold exposure. Specifically, chronic supracollicular decerebrate rats subjected to a 48-h period of food deprivation displayed essentially the same energetic (reduced expenditure) and hormonal responses as that of intact control rats to compensate for the reduced energy intake. Taken together with the current results, support is provided for the perspective that inputs of relevance to energetic regulation, such as those from skin thermal afferents and blood-born correlates of energy status, are processed by caudal brain stem neurons that in turn engage local effector circuits whose activity results in adjustments in sympathetically mediated energetic responses. Some differences in the response of CD and intact control rats were found in the current study and in one of our previous reports (24), but the overall degree of intact-like responses observed in the CD rats in these studies suggest that integrations performed in, and efferent control issued from, the caudal brain stem mimic to a large degree those observed in intact rats and generally attributed to hypothalamic processing. The results appear to demonstrate that a remarkable, although not exactly normal, ability to maintain body temperature and energy balance is apparent in CD rats in which higher brain centers that have been of considerable interest of late are disconnected from the caudal brain stem thermoregulatory mechanisms. Collectively, this supports the hypothesis that energy expenditure control is distributed across the neuraxis rather than localized to a single structure or level of the brain, the more commonly expressed perspective (see also Refs. 6, 37, 42, and 44).
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| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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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.
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