Le Foll C, Dunn-Meynell AA, Miziorko HM, Levin BE. Role of VMH ketone bodies in adjusting caloric intake to increased dietary fat content in DIO and DR rats. Am J Physiol Regul Integr Comp Physiol 308: R872-R878, 2015. First published March 18, 2015; doi:10.1152/ajpregu.00015.2015.-The objective of this study was to determine the potential role of astrocyte-derived ketone bodies in regulating the early changes in caloric intake of diet induced-obese (DIO) versus diet-resistant (DR) rats fed a 31.5% fat high-energy (HE) diet. After 3 days on chow or HE diet, DR and DIO rats were assessed for their ventromedial hypothalamic (VMH) ketone bodies levels and neuronal ventromedial hypothalamic nucleus (VMN) sensing using microdialysis coupled to continuous food intake monitoring and calcium imaging in dissociated neurons, respectively. DIO rats ate more than DR rats over 3 days of HE diet intake. On day 3 of HE diet intake, DR rats reduced their caloric intake while DIO rats remained hyperphagic. Local VMH astrocyte ketone bodies production was similar between DR and DIO rats during the first 6 h after dark onset feeding but inhibiting VMH ketone body production in DR rats on day 3 transiently returned their intake of HE diet to the level of DIO rats consuming HE diet. In addition, dissociated VMN neurons from DIO and DR rats were equally sensitive to the largely excitatory effects of -hydroxybutyrate. Thus while DR rats respond to increased VMH ketone levels by decreasing their intake after 3 days of HE diet, this is not the case of DIO rats. These data suggest that DIO inherent leptin resistance prevents ketone bodies inhibitory action on food intake. food intake; ketones; hypothalamus; neurons; obesity OBESITY AND TYPE 2 DIABETES MELLITUS are major worldwide public health issues (1,2,4,12,16, 19,37,38). Both obesity and Type 2 diabetes have important comorbidities that make it imperative to understand the underlying mechanisms that regulate food intake. Increased consumption of highly palatable, energy-dense foods, especially those rich in fats, represents a major cause of excess caloric intake (13). Indeed, a direct relationship exists between total fat intake and obesity (8). However, the effects and the mechanisms of chronic and excessive high-fat diet (HFD) consumption in the development of obesity are still poorly understood. Toward this end, we have used selectively bred diet-induced obese (DIO) rats as a model of human obesity (26,27,32) to assess the underlying factors that regulate their responses to high-energy (HE; 31.5% fat) diet intake. These rats are selectively bred to produce polygenically inherited diet-induced obesity or to remain diet resistant (DR) when fed an HE diet. DIO rats are larger but not fatter than DR rats when fed a low-fat chow diet but rapidly become hyperphagic, obese, and insulin resistant when fed an HE diet (27,30). Most importantly, when chow-fed DIO and DR rats are fed an HE diet, both overeat for 3 days. Whereas DR rats then reduce their intake to chow-fed levels on day 3, ...