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Am J Physiol Regul Integr Comp Physiol (May 30, 2007). doi:10.1152/ajpregu.00207.2007
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Submitted on March 23, 2007
Accepted on May 26, 2007

Hyperglycemia impairs glucose and insulin regulation of nitric oxide (NO) production in glucose-inhibited (GI) neurons in the ventromedial hypothalamus (VMH)

Debra D Canabal1, Joseph G Potian2, Ricardo Gabriel Duran3, Joseph J McArdle3, and Vanessa H. Routh4*

1 Department of Pharmacology & Phsiology, New Jersey Medical School (UMDNJ), newark, New Jersey, United States; Newark, New Jersey, United States
2 Newark, New Jersey, United States; Department of Pharmacology & Phsiology, New Jersey Medical School (UMDNJ), newark, New Jersey, United States
3 Department of Pharmacology & Phsiology, New Jersey Medical School (UMDNJ), newark, New Jersey, United States
4 Department of Pharmacology & Phsiology, New Jersey Medical School (UMDNJ), Newark, New Jersey, United States

* To whom correspondence should be addressed. E-mail: routhvh{at}umdnj.edu.

Physiological changes in extracellular glucose, insulin, and leptin regulate glucose-excited (GE) and glucose-inhibited (GI) neurons in the ventromedial hypothalamus (VMH). Nitric oxide (NO) signaling, which is involved in the regulation of food intake and insulin signaling, is altered in obesity and diabetes. We previously showed that glucose and leptin inhibit NO production via the AMP-activated protein kinase (AMPK) pathway, while insulin stimulates NO production via the phosphotidylinsositol-3-OH kinase (PI3K) pathway in VMH GI neurons. Hyperglycemia-induced inhibition of AMPK reduces PI3K signaling by activating the mammalian target of rapamycin (mTOR). We hypothesize that hyperglycemia impairs glucose and insulin regulated NO production in VMH GI neurons. This hypothesis was tested in VMH neurons cultured in hyperglycemic conditions or from streptozotocin (STZ)-induced Type 1 diabetic rats using NO- and membrane potential-sensitive dyes. Neither decreased extracellular glucose from 2.5 to 0.5 mM, nor 5 nM insulin increased NO production in VMH neurons in either experimental condition. Glucose and insulin regulated NO production was restored in the presence of the AMPK activator, 5-aminoimidazole-4-carboxamide-1-b-4-ribofuranoside (AICAR) or the mTOR inhibitor, rapamycin. Finally, decreased glucose and insulin did not alter membrane potential in VMH neurons cultured in hyperglycemic conditions or from STZ rats. These data suggest that hyperglycemia impairs glucose and insulin regulation of NO production through AMPK inhibition. Furthermore, glucose and insulin signaling pathways interact via the mTOR pathway.







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