In cases of Type 2 diabetes, the body's cells fail to appropriately regulate blood glucose levels.
Research has suggested that this results from two simultaneous problems: the improper functioning of pancreatic beta cells and the impairment of insulin's actions on target tissues, including the liver, fat and muscles.
But now, research led by scientists at Beth Israel Deaconess Medical Center (BIDMC) and Oregon Health & Science University has identified a third abnormality that could play an important role in the development of obesity-induced Type 2 diabetes. Reported in the journal Nature, which appears in its Advance Online format today, the study describes a previously unrecognized role for glucose-sensing neurons in the onset of the disease – in other words, an important component of Type 2 diabetes may indeed be “in your head.”
“For many years we've known that subpopulations of neurons in the brain become ‘excited' by glucose,” explains Bradford Lowell, MD, PhD, an investigator in the Division of Endocrinology, Diabetes and Metabolism at BIDMC and Professor of Medicine at Harvard Medical School (HMS). “But we haven't understood exactly how or why this is significant. With this study, we show that these neurons sense increases in glucose and then initiate responses aimed at returning blood-glucose levels to normal. This is the first demonstration that glucose-sensing by neurons plays an important role in responding to rising blood glucose levels.” This finding, adds Lowell, who served as the study's co-senior author together with Michael Cowley, PhD, of the Division of Neuroscience, Oregon Health & Science University, could potentially lead to novel treatments for Type 2 diabetes.
Knowing that the pro-opiomelanocortin (POMC) neurons regulate body weight in both mice and humans, co-lead authors Laura Parton, PhD, Chian Ping Ye, PhD, Roberto Coppari, PhD, and Pablo Enriori, PhD, decided to study the electrical properties of these cells in an animal model.
“New advances in genetic techniques have allowed us to express green fluorescent proteins [GFP] specifically in one cell type,” explains Parton, a member of the Lowell laboratory at BIDMC and Postdoctoral Research Fellow at HMS. “The advantage of expressing a fluorescent marker specifically in one type of neuron is the ability to identify and distinguish these cells from the many hundreds of other cell types that are present in the brain.”