Journal
CELL REPORTS
Volume 9, Issue 1, Pages 366-377Publisher
CELL PRESS
DOI: 10.1016/j.celrep.2014.08.057
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Funding
- European Community's Seventh Framework Programme (FP7) [281854]
- ObERStress European Research Council Project [245009]
- Neurofast project
- Xunta de Galicia [10PXIB208126PR, EM 2012/039, 2012-CP069, 2012-CP070]
- Instituto de Salud Carlos III (ISCIII) [PI12/01814]
- MINECO
- FEDER Program of EU [BFU-2010-14968, SAF2011-30520-C02-01, BFU2012-35255, SAF2011-30520-C02-02, BFU2011-29102]
- NIH [HL084207]
- Ministerio de Educacion, Cultura y Deporte [FPU12/01827]
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Hypothalamic endoplasmic reticulum (ER) stress is a key mechanism leading to obesity. Here, we demonstrate that ceramides induce lipotoxicity and hypothalamic ER stress, leading to sympathetic inhibition, reduced brown adipose tissue (BAT) thermogenesis, and weight gain. Genetic overexpression of the chaperone GRP78/BiP (glucose-regulated protein 78 kDa/binding immunoglobulin protein) in the ventromedial nucleus of the hypothalamus (VMH) abolishes ceramide action by reducing hypothalamic ER stress and increasing BAT thermogenesis, which leads to weight loss and improved glucose homeostasis. The pathophysiological relevance of this mechanism is demonstrated in obese Zucker rats, which show increased hypothalamic ceramide levels and ER stress. Overexpression of GRP78 in the VMH of these animals reduced body weight by increasing BAT thermogenesis as well as decreasing leptin and insulin resistance and hepatic steatosis. Overall, these data identify a triangulated signaling network involving central ceramides, hypothalamic lipotoxicity/ER stress, and BAT thermogenesis as a pathophysiological mechanism of obesity.
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