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Medicinas Complementárias
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1.
Pediatr Res ; 69(3): 230-6, 2011 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-21372758

RESUMEN

Patients with craniopharyngioma (CP), a tumor located in the pituitary and/or hypothalamus, are susceptible to developing obesity and many metabolic complications. The study aim was to create a rodent model that mimics the complex neuroanatomical and metabolic disturbances commonly seen in obese CP patients. We compared the metabolic phenotype of animals with three distinct types of hypothalamic lesions: 1) destruction of the arcuate nucleus (ARC) induced by monosodium glutamate (MSG), 2) electrolytic lesion of the adjacent ventromedial nucleus (VMN) alone, 3) both the VMN and dorsomedial nucleus (DMN), or a 4) combined medial hypothalamic lesion (CMHL) affecting the VMN, DMN, and the ARC. Only the CMHL model exhibited all key features observed in patients with hypothalamic obesity induced by CP. These features included excessive weight gain due to increased adiposity, increased food intake, and pronounced hyperinsulinemia and hyperleptinemia. Similar to characteristics of patients with CP, CMHL animals exhibited reduced plasma levels of alpha-melanocyte stimulating hormone and reduced ambulatory activity compared with weight-matched controls. Therefore, the CMHL model best mimics the complex metabolic abnormalities observed in obese CP patients compared with lesions to other hypothalamic areas and provides a foundation for future pharmacological approaches to treat obesity in children with hypothalamic damage.


Asunto(s)
Craneofaringioma/complicaciones , Modelos Animales de Enfermedad , Neoplasias Hipotalámicas/complicaciones , Obesidad/etiología , Neoplasias Hipofisarias/complicaciones , Animales , Núcleo Arqueado del Hipotálamo/efectos de los fármacos , Núcleo Arqueado del Hipotálamo/patología , Peso Corporal , Niño , Craneofaringioma/patología , Núcleo Hipotalámico Dorsomedial/metabolismo , Núcleo Hipotalámico Dorsomedial/patología , Ingestión de Alimentos , Metabolismo Energético , Femenino , Homeostasis , Humanos , Neoplasias Hipotalámicas/patología , Hipotálamo/anatomía & histología , Hipotálamo/efectos de los fármacos , Hipotálamo/metabolismo , Hipotálamo/patología , Masculino , Neoplasias Hipofisarias/patología , Embarazo , Ratas , Ratas Sprague-Dawley , Glutamato de Sodio/efectos adversos , Núcleo Hipotalámico Ventromedial/metabolismo , Núcleo Hipotalámico Ventromedial/patología
2.
PLoS One ; 1: e1, 2006 Dec 20.
Artículo en Inglés | MEDLINE | ID: mdl-17183631

RESUMEN

Systemic inflammation is a leading cause of hospital death. Mild systemic inflammation is accompanied by warmth-seeking behavior (and fever), whereas severe inflammation is associated with cold-seeking behavior (and hypothermia). Both behaviors are adaptive. Which brain structures mediate which behavior is unknown. The involvement of hypothalamic structures, namely, the preoptic area (POA), paraventricular nucleus (PVH), or dorsomedial nucleus (DMH), in thermoregulatory behaviors associated with endotoxin (lipopolysaccharide [LPS])-induced systemic inflammation was studied in rats. The rats were allowed to select their thermal environment by freely moving in a thermogradient apparatus. A low intravenous dose of Escherichia coli LPS (10 microg/kg) caused warmth-seeking behavior, whereas a high, shock-inducing dose (5,000 microg/kg) caused cold-seeking behavior. Bilateral electrocoagulation of the PVH or DMH, but not of the POA, prevented this cold-seeking response. Lesioning the DMH with ibotenic acid, an excitotoxin that destroys neuronal bodies but spares fibers of passage, also prevented LPS-induced cold-seeking behavior; lesioning the PVH with ibotenate did not affect it. Lesion of no structure affected cold-seeking behavior induced by heat exposure or by pharmacological stimulation of the transient receptor potential (TRP) vanilloid-1 channel ("warmth receptor"). Nor did any lesion affect warmth-seeking behavior induced by a low dose of LPS, cold exposure, or pharmacological stimulation of the TRP melastatin-8 ("cold receptor"). We conclude that LPS-induced cold-seeking response is mediated by neuronal bodies located in the DMH and neural fibers passing through the PVH. These are the first two landmarks on the map of the circuitry of cold-seeking behavior associated with endotoxin shock.


Asunto(s)
Hipotálamo/efectos de los fármacos , Hipotálamo/fisiopatología , Choque Séptico/fisiopatología , Animales , Sistema Nervioso Autónomo/efectos de los fármacos , Sistema Nervioso Autónomo/fisiopatología , Conducta Animal/efectos de los fármacos , Conducta Animal/fisiología , Regulación de la Temperatura Corporal/efectos de los fármacos , Regulación de la Temperatura Corporal/fisiología , Frío , Núcleo Hipotalámico Dorsomedial/efectos de los fármacos , Núcleo Hipotalámico Dorsomedial/lesiones , Núcleo Hipotalámico Dorsomedial/patología , Núcleo Hipotalámico Dorsomedial/fisiopatología , Relación Dosis-Respuesta a Droga , Calor , Humanos , Hipotálamo/lesiones , Hipotálamo/patología , Lipopolisacáridos/administración & dosificación , Lipopolisacáridos/toxicidad , Masculino , Núcleo Hipotalámico Paraventricular/efectos de los fármacos , Núcleo Hipotalámico Paraventricular/lesiones , Núcleo Hipotalámico Paraventricular/patología , Núcleo Hipotalámico Paraventricular/fisiopatología , Área Preóptica/efectos de los fármacos , Área Preóptica/lesiones , Área Preóptica/patología , Área Preóptica/fisiopatología , Ratas , Ratas Wistar , Choque Séptico/patología , Choque Séptico/psicología
3.
Proc Natl Acad Sci U S A ; 103(32): 12150-5, 2006 Aug 08.
Artículo en Inglés | MEDLINE | ID: mdl-16880388

RESUMEN

Temporal restriction of feeding can phase-shift behavioral and physiological circadian rhythms in mammals. These changes in biological rhythms are postulated to be brought about by a food-entrainable oscillator (FEO) that is independent of the suprachiasmatic nucleus. However, the neural substrates of FEO have remained elusive. Here, we carried out an unbiased search for mouse brain region(s) that exhibit a rhythmic expression of the Period genes in a feeding-entrainable manner. We found that the compact part of the dorsomedial hypothalamic nucleus (DMH) demonstrates a robust oscillation of mPer expression only under restricted feeding. The oscillation persisted for at least 2 days even when mice were given no food during the expected feeding period after the establishment of food-entrained behavioral rhythms. Moreover, refeeding after fasting rapidly induced a transient mPer expression in the same area of DMH. Taken in conjunction with recent findings (i) that behavioral expression of food-entrainable circadian rhythms is blocked by cell-specific lesions of DMH in rats and (ii) that DMH neurons directly project to orexin neurons in the lateral hypothalamus, which are essential for proper expression of food-entrained behavioral rhythms, the present study suggests that DMH plays a key role as a central FEO in the feeding-mediated regulation of circadian behaviors.


Asunto(s)
Ritmo Circadiano , Núcleo Hipotalámico Dorsomedial/fisiología , Conducta Alimentaria , Animales , Relojes Biológicos , Encéfalo/anatomía & histología , Encéfalo/patología , Encéfalo/fisiología , Núcleo Hipotalámico Dorsomedial/patología , Privación de Alimentos , Hipotálamo/patología , Ratones , Neuronas/metabolismo , Obesidad/patología , Oscilometría , Factores de Tiempo , Regulación hacia Arriba
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