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Molecular Psychiatry
Article . 2023 . Peer-reviewed
License: CC BY
Data sources: Crossref
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Nuclear receptor 5A2 regulation of Agrp underlies olanzapine-induced hyperphagia

Authors: Rizaldy C. Zapata; Dinghong Zhang; Avraham Libster; Alessandra Porcu; Patricia Montilla-Perez; Aisha Nur; Baijie Xu; +5 Authors

Nuclear receptor 5A2 regulation of Agrp underlies olanzapine-induced hyperphagia

Abstract

Abstract Antipsychotic (AP) drugs are efficacious treatments for various psychiatric disorders, but excessive weight gain and subsequent development of metabolic disease remain serious side effects of their use. Increased food intake leads to AP-induced weight gain, but the underlying molecular mechanisms remain unknown. In previous studies, we identified the neuropeptide Agrp and the transcription factor nuclear receptor subfamily 5 group A member 2 ( Nr5a2 ) as significantly upregulated genes in the hypothalamus following AP-induced hyperphagia. While Agrp is expressed specifically in the arcuate nucleus of the hypothalamus and plays a critical role in appetite stimulation, Nr5a2 is expressed in both the CNS and periphery, but its role in food intake behaviors remains unknown. In this study, we investigated the role of hypothalamic Nr5a2 in AP-induced hyperphagia and weight gain. In hypothalamic cell lines, olanzapine treatment resulted in a dose-dependent increase in gene expression of Nr5a2 and Agrp . In mice, the pharmacological inhibition of NR5A2 decreased olanzapine-induced hyperphagia and weight gain, while the knockdown of Nr5a2 in the arcuate nucleus partially reversed olanzapine-induced hyperphagia. Chromatin-immunoprecipitation studies showed for the first time that NR5A2 directly binds to the Agrp promoter region. Lastly, the analysis of single-cell RNA seq data confirms that Nr5a2 and Agrp are co-expressed in a subset of neurons in the arcuate nucleus. In summary, we identify Nr5a2 as a key mechanistic driver of AP-induced food intake. These findings can inform future clinical development of APs that do not activate hyperphagia and weight gain.

Country
United States
Keywords

570, Cytoplasmic and Nuclear, Biological Psychology, Hypothalamus, 610, Receptors, Cytoplasmic and Nuclear, Clinical sciences, Review Article, Hyperphagia, Cardiovascular, Weight Gain, Medical and Health Sciences, Oral and gastrointestinal, Clinical and health psychology, Mice, Eating, Behavioral and Social Science, Receptors, Genetics, Psychology, 2.1 Biological and endogenous factors, Animals, Humans, Agouti-Related Protein, Obesity, Metabolic and endocrine, Nutrition, Psychiatry, Biomedical and Clinical Sciences, Psychology and Cognitive Sciences, Neurosciences, Pharmacology and Pharmaceutical Sciences, Biological Sciences, Olanzapine, Biological psychology, Antipsychotic Agents

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
9
Top 10%
Average
Top 10%
Green
hybrid