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Am J Physiol Regul Integr Comp Physiol (September 24, 2008). doi:10.1152/ajpregu.90324.2008
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Submitted on March 28, 2008
Revised on August 19, 2008
Accepted on September 19, 2008

Mechanisms Mediating Renal Sympathetic Activation to Leptin in Obesity

Donald A Morgan1, Daniel R. Thedens1, Robert M. Weiss2, and Kamal Rahmouni1*

1 University of Iowa
2 Univ. Iowa

* To whom correspondence should be addressed. E-mail: kamal-rahmouni{at}uiowa.edu.

Leptin plays a critical role in the control of energy homeostasis. The sympathetic cardiovascular actions of leptin have emerged as a potential link between obesity and hypertension. We previously demonstrated that in mice, modest obesity induced by 10 weeks of high fat diet is associated with preservation of leptin ability to increase renal sympathetic nerve activity (SNA) despite the resistance to the metabolic effects of leptin. Here, we examined whether selective leptin resistance exists in mice with late stage diet-induced obesity (DIO) produced by 20 weeks of high fat diet. The decrease in food intake and body weight induced by intraperitoneal or intracerebroventricular (ICV) injection of leptin attenuated in the DIO mice. Regional SNA responses to intravenous leptin were also attenuated in DIO mice. In contrast, ICV leptin caused contrasting effects on regional SNA in DIO mice. Renal SNA response to ICV leptin was preserved, whereas lumbar and brown adipose tissue SNA responses were attenuated. Intact renal SNA response to leptin combined with the increased cerebrospinal fluid leptin levels in DIO mice represents a potential mechanism for the adverse cardiovascular consequences of obesity. Lastly, we examined the role of phosphoinositol-3 kinase (PI3K) and melanocortin receptors (MCR) in mediating the preserved renal SNA response to leptin in obesity. Presence of PI3K inhibitor (LY294002) or MC3/4R antagonist (SHU9119) significantly attenuated the renal SNA response to leptin in DIO and agouti obese mice. Our results demonstrate the importance of PI3K and melanocortin receptors in the transduction of leptin-induced renal sympathetic activation in obesity.




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