2009
DOI: 10.1016/j.cell.2009.06.051
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A Serotonin-Dependent Mechanism Explains the Leptin Regulation of Bone Mass, Appetite, and Energy Expenditure

Abstract: Leptin inhibition of bone mass accrual requires the integrity of specific hypothalamic neurons but not expression of its receptor on these neurons. The same is true for its regulation of appetite and energy expenditure. This suggests that leptin acts elsewhere in the brain to achieve these three functions. We show here that brainstem-derived serotonin (BDS) favors bone mass accrual following its binding to Htr2c receptors on ventromedial hypothalamic neurons and appetite via Htr1a and 2b receptors on arcuate n… Show more

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Cited by 577 publications
(613 citation statements)
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References 48 publications
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“…These latter findings correspond to the aforementioned effects on food intake, confirming that the impact of 5-HT1A receptor activation on food intake depends on the nutritional status [132,138]. A knockout of this receptor leads to reduced food intake [41]. Very likely, the knockout will diminish or eliminate the negative somatodendritic feedback and thus increase 5-HT release that will induce hypophagia via postsynaptic 5-HT2C and 5-HT1B receptor activation, although no change in habitual feeding in 5-HT1A receptor knockout mice has been displayed in another study [139].…”
supporting
confidence: 81%
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“…These latter findings correspond to the aforementioned effects on food intake, confirming that the impact of 5-HT1A receptor activation on food intake depends on the nutritional status [132,138]. A knockout of this receptor leads to reduced food intake [41]. Very likely, the knockout will diminish or eliminate the negative somatodendritic feedback and thus increase 5-HT release that will induce hypophagia via postsynaptic 5-HT2C and 5-HT1B receptor activation, although no change in habitual feeding in 5-HT1A receptor knockout mice has been displayed in another study [139].…”
supporting
confidence: 81%
“…The lack of brain 5-HT in conjunction with reduced food intake in Tph2 knockout mice seems to be at odds with the concept of 5-HT as satiety factor in the brain, but as this is a constitutional knockout, further research into developmental and aberrations and compensatory effects is required. The upregulation of uncoupling protein 1 (Ucp1) and increased catecholamine levels [41] in Tph2 knockout mice suggest that metabolic effects including a stimulated thermogenesis contribute to the phenotype. In contrast to these genetic studies, irreversible pharmacological inhibition of tryptophan hydroxylase by pchlorophenylalanine (pCPA) followed by depletion of brain 5-HT, increases food intake [43].…”
Section: Brain 5-ht and Satietymentioning
confidence: 99%
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“…The concept of control of bone mass and remodeling by the gastro-intestinal tract has emerged in the last decade. Recently, a role for gut-derived serotonin in the control of bone remodeling has been evidenced [30,31] as well as a link between glucagon-like peptide-2 and bone resorption [2]. In the present study, the role of GIP, a gut peptide, in controlling bone mass and microarchitecture was investigated.…”
Section: Discussionmentioning
confidence: 88%
“…This discovery process started a decade ago with demonstration of a link among energy metabolism, the brain, and bone mass-a field that is now moving in two distinct but complementary directions: One line of inquiry continues to explore how leptin, serotonin, and other molecules orchestrate the central control of bone mass, (1,2) and the other focuses on bone as an endocrine organ critical for global regulation of energy metabolism and is the topic of this perspective. The fact that energy metabolism affects bone mass accrual by acting through a neuronal relay on one cell type, the osteoblast, raised the testable hypothesis that, in turn, the osteoblast might secrete one or several hormones affecting energy metabolism.…”
Section: Introductionmentioning
confidence: 99%