Glucokinase (GK) is hypothesized to be the critical glucosensor of pancreatic -cells and hypothalamic glucosensing neurons. To understand the role of GK in glucoprivic counterregulatory responses, we injected alloxan, a GK inhibitor and toxin, into the third ventricle (3v) to target nearby GK-expressing neurons. Four and 6 days after 3v, but not 4v, alloxan injection, alloxan-treated rats ate only 30% and their blood glucose area under the curve was only 28% of saline controls' after systemic 2-deoxy-D-glucose. In addition, their hyperglycemic response to hindbrain glucoprivation induced with 5-thio-glucose was impaired, whereas fasting blood glucose levels and food intake after an overnight fast were elevated. These impaired responses were associated with the destruction of 3v tanycytes, reduced glial fibrillary acidic protein-immunoreactivity surrounding the 3v, neuronal swelling, and decreased arcuate nucleus neuropeptide Y (NPY) mRNA. Nevertheless, hypothalamic GK mRNA was significantly elevated. Two weeks after alloxan injection, 3v tanycyte destruction was reversed along with restoration of feeding and hyperglycemic responses to both systemic and hindbrain glucoprivation. At this time there were significant decreases in GK, NPY, and proopiomelanocortin mRNA. Thus, neural substrates near and around the 3v affected by alloxan may be critically involved in the expression of these glucoprivic responses. Diabetes 53: 1230 -1236, 2004 T he brain relies on a continuous supply of glucose as a primary energy source (1) and has evolved mechanisms that detect decreases in blood glucose levels and elicit autonomic, neuroendocrine, and behavioral counterregulatory responses (CRRs) that prevent and correct glucoprivation. One way in which the brain senses alterations in glucose availability is through specialized glucosensing neurons (2-6). These neurons utilize glucose as a signaling molecule to alter their membrane potential and firing rate, whereas the majority of neurons utilize glucose primarily to fuel their metabolic needs (2,3). As extracellular glucose levels decline, glucose-excited neurons decrease and glucoseinhibited neurons increase their action potential frequency (4,7-11). As is the case with pancreatic -cells, it is hypothesized that the high-K m glycolytic enzyme, glucokinase (GK), is a regulator of neuronal glucosensing within the physiological range (10,(12)(13)(14). GK inhibitors alter calcium flux (10,14) and neuronal firing (12) in ventromedial hypothalamus (VMH) glucosensing neurons, and GK mRNA is expressed in glucosensing neurons in the hypothalamic paraventricular nucleus (PVN), dorsomedial nucleus (DMN), ventromedial nucleus (VMN), and arcuate nucleus (ARC) (15,16). Specifically, GK is coexpressed in both ARC neuropeptide Y (NPY) and proopiomelanocortin (POMC) neurons (10). GK immunoreactivity (ir) is also localized in the ependymocytes lining the ventricles (17) and serotonin neurons in the midline medulla (17), where glucoprivic stimuli elicit CRRs (18).In vitro studies suggest that GK...