Endocrinology Vol. 139, No. 2 466-473
Copyright © 1998 by The Endocrine Society
Anorectic Effects of the Cytokine, Ciliary Neurotropic Factor, Are Mediated by Hypothalamic Neuropeptide Y: Comparison with Leptin1
B. Xu,
M. G. Dube,
P. S. Kalra,
W. G. Farmerie,
A. Kaibara,
L. L. Moldawer,
D. Martin and
S. P. Kalra
Departments of Neuroscience (B.X., S.P.K.), Physiology (M.G.D.,
P.S.K.), and Surgery (A.K., L.L.M.) and ICBR (W.G.F.), University of
Florida College of Medicine, Gainesville, Florida 32610; and Amgen,
Inc. (D.M.), Boulder, Colorado 80301
Address all correspondence and requests for reprints to: Satya P. Kalra, Ph.D., Department of Neuroscience, University of Florida College of Medicine, P.O. Box 100244, Gainesville, Florida 32610-0244. E-mail:
skalra{at}neocortex.health.ufl.edu
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Abstract
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Although ciliary neurotropic factor (CNTF) is a tropic factor in
nervous system development and maintenance, peripheral administration
of this cytokine also causes severe anorexia and weight loss. The
neural mechanism(s) mediating the loss of appetite is not known. As
hypothalamic neuropeptide Y (NPY) is a potent orexigenic signal, we
tested the hypothesis that CNTF may adversely affect NPYergic signaling
in the hypothalamus. Intraperitoneal administration of CNTF (250
µg/kg) daily for 4 days significantly suppressed 24-h food intake in
a time-dependent manner and decreased body weight. The loss in body
weight was similar to that which occurred in pair-fed (PF) rats. As
expected, hypothalamic NPY gene expression, determined by measurement
of steady state prepro-NPY messenger RNA by ribonuclease protection
assay, significantly increased in PF rats in response to energy
imbalance. However, despite a similar loss in body weight, there was no
increase in NPY gene expression in CNTF-treated rats. Daily
administration of CNTF intracerebroventricularly (0.5 or 5.0 µg/rat)
also produced anorexia and body weight loss. In this experiment,
negative energy balance produced by both PF and food deprivation
augmented hypothalamic NPY gene expression. However, despite reduced
intake and loss of body weight, no similar increment in hypothalamic
NPY gene expression was observed in CNTF-treated rats. In fact, in rats
treated with higher doses of CNTF (5.0 µg/rat), NPY gene expression
was reduced below the levels seen in control, freely fed rats.
Furthermore, CNTF treatment also markedly decreased NPY-induced
feeding. These results suggested that anorexia in CNTF-treated rats may
be due to a deficit in NPY supply and possibly in the release and
suppression of NPY-induced feeding. The possibility that CNTF-induced
anorexia may be caused by increased leptin was next examined. Daily
intracerebroventricular injections of leptin (7 µg/rat) decreased
food intake, body weight, and hypothalamic NPY gene expression in a
manner similar to that seen after CNTF treatment. Leptin administration
also suppressed NPY-induced feeding. However, peripheral and central
CNTF injections markedly decreased leptin messenger RNA in lipocytes,
indicating a deficiency of leptin in these rats; thus, leptin was
unlikely to be involved in appetite suppression. Thus, these results
show that a two-pronged central action of CNTF, causing diminution in
both NPY availability and the NPY-induced feeding response, may
underlie the severe anorexia. Further, unlike other members of the
cytokine family, suppression of NPYergic signaling in the hypothalamus
by CNTF does not involve up-regulation of leptin, but may involve a
direct action on hypothalamic NPY neurons or on neural circuits that
regulate NPY signaling in the hypothalamus.
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Introduction
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CILIARY neurotropic factor (CNTF) has been
studied extensively as a tropic factor in nervous system development
and maintenance and has been shown to promote the survival of a variety
of neuronal cell types in vitro and in vivo
(1, 2, 3, 4, 5, 6). CNTF is a member of the cytokine family structurally related to
leukemia inhibitory factor, interleukin-6, and other cytokines (7). It
exerts a spectrum of biological effects similar to those attributed to
other proinflammatory cytokines, such as induction of fever (8),
hepatic acute phase protein responses (9), anorexia, weight loss, and
cachexia (9, 10, 11, 12). Anorexia accompanied by weight loss is a common
neurological manifestation in acute and chronic diseases and after
injury and damage in the central nervous system. A large body of
evidence indicates that anorexia produced by a number of cytokines is
mediated by central neural mechanisms, and the primary targets of
action may reside in the hypothalamus (13, 14), a site previously
implicated in the regulation of energy homeostasis. Stimulation of
appetite, the basic urge to eat, is one of the hypothalamic mechanisms
employed to replenish weight loss and sustain the bodys energy
balance. Recently, an interconnected neural pathway has been identified
in the hypothalamus that generates and transmits stimuli for
stimulation of appetite (15, 16). Within this pathway, neuropeptide Y
(NPY) is an important messenger molecule for the relay of
appetite-stimulating signals (15, 16). Neuroanatomical mapping studies
showed that NPY-producing neurons located in the brain stem and in the
arcuate nucleus (ARC) of the basal hypothalamus innervate various
hypothalamic sites including the paraventricular nucleus (PVN) (17, 18). Experimental evidence indicates that NPY synthesis in the ARC and
release in the PVN are up-regulated when feeding occurs either normally
during the night or after fasting and dietary restriction (19, 20, 21, 22, 23).
Blockade of NPY action by either immunoneutralization (23) or the
administration of an NPY Y1 receptor antagonist (24) resulted in
inhibition of feeding under these physiological and semiphysiological
paradigms. These observations imply that NPY released from the nerve
terminals of axons emanating mainly from neurons in the ARC is a
physiological appetite transducer (16). On the basis of these findings,
we reasoned that the hypothalamic NPY system may be one of the neural
pathways disrupted in CNTF-induced anorexia. Therefore, in the first
series of experiments we evaluated components of the hypothalamic NPY
signaling system in association with CNTF-induced anorexia and weight
loss (10, 11, 12). Leptin produced by lipocytes is another cytokine shown
to inhibit food intake and to rapidly induce a loss in body weight in
genetically obese and normal rodents (25, 26, 27, 28). As there is evidence to
suggest that leptin down-regulates the hypothalamic NPY system in
conjunction with inhibition of food intake (29), we have compared the
action and efficacy of leptin with those of CNTF in modifying food
consumption and the hypothalamic NPYergic system.
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Materials and Methods
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Adult male Sprague-Dawley (225250 g), purchased from Zivic
Miller Laboratories, (Zelienople, PA) were housed individually in a
light- and temperature-controlled room (lights on, 05001900 h; 22 C);
food and water were available ad libitum unless otherwise
stated. During the experiments some groups of rats were either food
deprived (FD) or pair fed (PF; to CNTF-treated rats), as described
below. These studies were approved by the University of Florida
institutional animal care and use committee.
Exp 1
In this experiment the effects of recombinant rat CNTF (Amgen,
Boulder, CO) administration on hypothalamic prepro-NPY messenger RNA
(mRNA) levels were evaluated. The selection of CNTF dose was based on
previous studies (8, 9, 10, 11, 12). Two groups of freely fed (FF) rats received
either saline alone or CNTF in saline (250 µg/kg) ip at 1000 h
daily for 4 days. Another group of PF rats that received the average of
amount of food consumed by CNTF-treated rats was injected with saline
ip daily at 1000 h. Food intake and body weight were monitored
daily. Twenty-four hours after the fourth injection, rats were killed
by decapitation. The brains were rapidly removed, and the medial basal
hypothalamus (MBH) was dissected, frozen on dry ice, and stored at -80
C for NPY mRNA analysis with a ribonuclease (RNase) protection assay
(30).
Exp 2
In this experiment the effects of intracerebroventricular (icv)
administration of CNTF on hypothalamic NPY gene expression were
examined. Rats were implanted with a permanent cannula in the lateral
cerebroventricle under ketamine/xylazine (30) anesthesia. After a
recovery period of 10 days, rats were randomly divided into four
groups, designated FF, FD, PF, and CNTF. FF, FD, and PF rats were
injected icv daily at 1000 h with phosphate buffer (PBS; 3 µl),
and the CNTF group received CNTF (0.5 µg in 3 µl PBS) for 4 days.
Body weight and food intake were monitored. Rats were killed 24 h
after the fourth icv injection. The MBH was processed for NPY mRNA
analysis as described above.
Two additional groups of FF rats implanted with permanent lateral
ventricle cannulas were injected icv with PBS or CNTF (5 µg/3 µl
PBS) daily for 4 days as described above. These rats were killed
24 h after the last icv injection, and the MBH was processed for
NPY mRNA.
Exp 3
To investigate the effects of CNTF on NPY-induced food intake,
FF rats were preimplanted with permanent lateral ventricle cannulas as
described above. CNTF (0.5 or 5 µg/rat) or PBS (control) was injected
icv daily at 0900 h. On days 1 and 4 of treatment these rats
received NPY (1 nmol/3 µl PBS·rat) icv 1 h after the injection
of CNTF or PBS, and 2-h food intake was measured. This dose of NPY has
been shown to produce a near-maximal increase in food intake in
satiated rats (31).
Exp 4
To analyze the effects of CNTF on leptin mRNA levels in
lipocytes, rats were injected ip with either PBS or CNTF (250 µg/kg)
and killed 5 h later. Epididymal fat was collected and rapidly
frozen at -80 C for subsequent analysis of leptin mRNA. In the second
series of experiments, groups of FF, FD, and PF rats received daily
injections of PBS, and the fourth group received CNTF (250 µg/kg) ip
for 4 days. Rats were killed 24 h after the fourth injection.
Epididymal fat from these rats was processed for leptin mRNA
analysis.
In the third series of experiments, the effects of daily icv injections
of CNTF on leptin mRNA were analyzed. As described for Exp 2, groups of
rats received daily either PBS (3 µl/rat) or CNTF (5 µg in 3 µl
PBS/rat, icv) for 4 days. Epididymal fat samples were collected 24
h after the fourth injection for leptin mRNA analysis.
Exp 5
The effects of daily icv recombinant leptin (rMuleptin, Amgen,
Thousand Oaks, CA) injection on hypothalamic prepro-NPY mRNA
levels were examined. Rats with permanent lateral ventricle cannulas
received daily either PBS (7 µl) or leptin (7 µg/7 µl PBS) for 4
days and were killed 24 h after the last injection. The MBH was
dissected out for analysis of NPY mRNA.
Exp 6
The effects of daily icv injection of leptin (3.5 or 7 µg) or
PBS on NPY-induced food intake were studied. The experimental design
was the same as that described for Exp 3, except that instead of CNTF,
leptin was injected daily. On days 1 and 4, leptin injection was
followed 1 h later by the injection of 1 nmol NPY icv. Two-hour
food intake after the NPY injection was monitored.
RNase protection assay for NPY and leptin
The leptin probe was constructed using the rat leptin plasmid in
pGEM-T vector (Promega), which was ligated with a 318-bp complementary
DNA (cDNA) fragment obtained from reverse transcription-PCR using a
19-mer upper primer (5'-CCC ATT CTG AGT TTG TCC A-3'; 5' position 262)
and an 18-mer lower primer (5'-GCA TTC AGG GCT AAG GTC-3'; 3' position
561) based on rat leptin cDNA (GenBank accession no. D45862) (32).
Total RNA isolated from rat fat tissue with RNA STAT-60 (Tel-Test,
Friendswood, TX) was used for reverse transcription. The plasmid DNA
was linearized by digestion with Spe I, and an antisense probe of 364
bp was produced by in vitro transcription using T7 RNA
polymerase. Total RNA (5 µg) was hybridized overnight at 45 C with
32P-labeled leptin antisense probe and 152-bp ß-actin
antisense riboprobe (cDNA template purchased from Ambion, Austin, TX).
After hybridization, RNase A/T1 digestion was performed for 1 h at
37 C. Protected hybrids were isolated by ethanol precipitation and
separated on a 6% polyacrylamide denaturing sequencing gel. The dried
gel was quantitated by a Molecular Dynamics PhosphorImager (Sunnyvale,
CA). The expected protected leptin fragments and ß-actin fragments
were 318 and 126 bp, respectively. Leptin mRNA levels were standardized
relative to the ß-actin value to minimize gel loading variations.
Complementary DNA to NPY was obtained from Dr. S. L. Sabol (NIH,
Bethesda, MD). The standard RNase protection assay protocol, followed
for hypothalamic prepro-NPY mRNA was described previously (30). The
hybrid signal was analyzed by PhosphorImager, and the NPY mRNA values
were normalized to cyclophilin mRNA.
Statistical analysis
Data are presented as the mean ± SE. Leptin
and prepro-NPY mRNA in various experiments were measured in several
RNase protection assays at different times. Although the leptin and NPY
mRNA values were calculated relative to ß-actin and cyclophilin in
each sample, due to variations in sensitivities of the ß-actin and
cyclophilin probes in different assays, the mRNA values for controls
varied between experiments. To make comparisons between experiments,
the mRNA values for controls were assigned an arbitrary value of 1.0,
and the levels in experimental groups were calculated relative to this.
Data were statistically analyzed by one-way ANOVA followed by Tukeys
multiple comparison test post-hoc. Daily body weight changes
are presented as a percentage of the initial body weight. Body weight
changes and food intake within a group were analyzed by repeated
measures ANOVA and Dunnetts multiple test to compare with initial
values. Comparisons between two treatment groups at any single time
point or dose level were made by the unpaired t test for two
groups and by one-way ANOVA followed by Tukeys multiple comparison
test post-hoc for more than two groups. The level of
significance was set at P < 0.05.
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Results
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Effects of ip CNTF on food intake, body weight, and hypothalamic
NPY gene expression (Fig. 1
)
Daily ip injections of CNTF (Fig. 1A
) significantly reduced 24-h food
intake in a time-related fashion, with the lowest intake observed after
the fourth CNTF injection. Whereas FF rats injected with saline
maintained their body weight, the anorexia in CNTF-treated rats
resulted in a significant loss in body weight beginning on day 2
(P < 0.05) and reaching the lowest level on day 4
(Fig. 1B
). PF rats that were fed amounts equivalent to CNTF rats showed
a pattern of body weight loss similar to that of the CNTF-treated rats.
The effects of these treatments on hypothalamic NPY gene expression are
shown in Fig. 1C
. In association with reduced intake and loss in body
weight, the steady state prepro-NPY mRNA levels in the hypothalami of
PF rats increased significantly compared with that in FF control rats
(P < 0.05). However, in CNTF-treated rats, despite a
similar loss in body weight, there was no increase in NPY gene
expression; prepro-NPY mRNA levels in the hypothalami of CNTF-treated
rats were similar to those in saline-injected FF rats.

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Figure 1. The effects of daily CNTF (250 µg, ip) or
saline (Cont) injections on 24-h food intake (A), body weight change
(B), and hypothalamic NPY mRNA (C). *, P < 0.05
vs. initial value of the treatment. Daily food intake in
CNTF and PF rats averaged 20.2 ± 1.6 and 20.5 ± 1.2 g,
respectively, for the 4-day experimental period. a and b, Statistically
significant differences between treatment groups at the same time point
(P < 0.05; n = 6 rats/group).
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Effects of icv CNTF on food intake, body weight, and hypothalamic
NPY gene expression (Figs. 2
and 3
)
Daily icv injection of 0.5 µg CNTF (Fig. 2
) produced a
significant decrease in food intake and loss of body weight compared
with those in FF rats (P < 0.05). A decrease in food
intake to about 50% of the control range was seen between days 2 and 4
in CNTF-treated rats (Fig. 2A
); the loss in body weight in these rats
was comparable to that observed in PF rats, but was significantly
less than that seen in FD rats (P < 0.05; Fig. 2B
).

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Figure 2. A, Effects of daily icv injections
(arrowheads) of PBS (control) or CNTF (0.5 µg/rat) on
food intake. B, Patterns of body weight loss in control (cont), PF, and
FD rats injected daily with PBS or CNTF. C, Hypothalamic NPY mRNA
levels in these four groups of rats killed 24 h after the fourth
injection (n = 7 rats/group). The average 4-day daily food intakes
in CNTF and PF rats were 6.6 ± 0.7 and 6.8 ± 0.4,
respectively. The letters a, b, and c represent statistically
significant differences between treatment groups at the same time
point (P < 0.05).
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Figure 3. Effect of four daily icv injection of PBS or CNTF
(5 µg/rat) on food intake (A), body weight change (B), and
hypothalamic NPY mRNA levels 24 h after the fourth injection. *,
P < 0.05 vs. controls (n = 7
rats/group).
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As shown in Fig. 2C
, hypothalamic NPY gene expression was augmented in
PF rats compared with that in FF control rats (P <
0.05) and was even further increased in FD rats (P
< 0.05 vs. PF rats). Despite the anorexia and loss in body
weight equivalent to those observed in PF rats, NPY gene expression
failed to increase in CNTF-treated rats. In fact, prepro-NPY mRNA
levels in these rats were similar to those in FF rats (Fig. 2C
).
Further, as shown in Fig. 3
, a 10-fold
higher dose of icv CNTF (5 µg/rat) also reduced food intake, and the
loss in body weight was slightly greater (15% of initial body weight)
than that in response to 0.5 µg CNTF (12% of initial body weight;
Fig. 2
). However, in contrast to the lack of effect of 0.5 µg CNTF
treatment (Fig. 2C
) on NPY mRNA levels, the higher dose of CNTF
significantly suppressed the steady state levels of prepro-NPY mRNA
below those in FF control rats (P < 0.05; Fig. 3C
).
Effects of icv CNTF on NPY-induced feeding (Fig. 4
)
To investigate the effects of daily 0.5- and 5-µg CNTF treatment
on NPY-induced feeding, we analyzed 2-h food intake in response to NPY
(1 nmol) on days 1 and 4 of treatment. As expected on both days 1 and
4, NPY evoked robust feeding responses in control rats injected with
PBS daily. Rats injected with CNTF alone (0.5 or 5 µg) ate a little,
but this response was not different from that in the controls or that
seen normally in untreated rats (31). In rats pretreated with CNTF,
decreases in NPY-induced food intake were observed on day 1; however,
the decrease was statistically significant only in the group receiving
5 µg CNTF (P < 0.05). On day 4, NPY-induced food
intake was suppressed in rats receiving either dose of CNTF, and the
magnitude of suppression was related to the dose of CNTF
(P < 0.05).

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Figure 4. The effects of icv CNTF on NPY-induced food intake
on day 1 (A) and day 4 (B) of treatment. CNTF (0, 0.5, and 5 µg) was
injected daily. On days 1 and 4, NPY (1 nmol) was injected icv 1 h
after CNTF, and 2-h food intake was monitored. Different letters
represent statistically significant differences from other treatment
groups (n = 7 rats/group).
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Effects of CNTF on leptin gene expression in lipocytes
The data presented above show that CNTF administration produces
anorexia and a marked loss in body weight. As cytokines have been shown
to up-regulate leptin in fat cells (33, 34), it appeared likely that
the anorectic effects of CNTF may be mediated through leptin action in
the hypothalamus. Therefore, we studied the effects of CNTF treatment
on leptin mRNA levels in lipocytes.
Effects of ip CNTF. As shown in Fig. 5A
, one injection of CNTF failed to alter
leptin mRNA levels in the lipocytes when analyzed 5 h later.
However, daily injections of CNTF produced a profound suppression of
leptin mRNA in lipocytes in association with a loss in body weight. In
accord with the results of Exp 1 presented in Fig. 1
, in this
experiment FF rats increased body weight by 15% during the 4-day
treatment with PBS compared with their initial body weight, whereas
CNTF-treated rats lost 5% of their body weight, equivalent to that
seen in PF rats, but significantly less than that in FD rats (22%;
data not shown). As shown in Fig. 5B
, this CNTF treatment decreased
lipocyte leptin mRNA (P < 0.05 vs. FF
control rats); the reduction in leptin gene expression was similar to
those in FD and PF rats.

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Figure 5. A, Relative levels of leptin mRNA in lipocytes of
FF rats 5 h after an ip injection of PBS or CNTF (250 µg/kg BW).
B, Relative levels of leptin mRNA in lipocyte of rats 24 h after
four daily ip injections of PBS or CNTF (250 µg/kg BW). Leptin mRNA
levels in FD and PF rats given daily PBS injections are included for
comparison. Different letters represent statistically significant
differences from other treatment groups (n = 7 rats/group).
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Effects of icv CNTF. As noted in the earlier experiments and
Fig. 3
, daily icv injections of 5 µg CNTF for 4 days reduced body
weight by 15% (P < 0.05; data not shown). This loss
in body weight was accompanied by a significant decrease in leptin mRNA
in lipocytes of CNTF-treated compared with control PBS-injected rats
(Fig. 6
).

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Figure 6. Relative levels of lipocyte leptin mRNA 1 day
after four daily icv injections of PBS or CNTF (5 µg). *,
P < 0.05 vs. PBS (control) group
(n = 7 rats/group).
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Effects of icv leptin injection on food intake and NPY gene
expression in the hypothalamus
Daily injections of leptin (7 µg/rat) decreased body weight by
14% compared with that in control rats receiving PBS alone. The 24-h
food intake monitored between days 2 and 3 showed that leptin-treated
rats ate 7.8 ± 1.6 g, significantly less than the
PBS-treated controls (15 ± 0.7 g; P <
0.05). Analysis of hypothalamic prepro-NPY mRNA showed that leptin
treatment for 4 days significantly suppressed NPY gene expression
compared with that in control PBS-treated rats (P <
0.05; Fig. 7
).

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Figure 7. Relative levels of NPY mRNA in the MBH of rats
24 h after the fourth daily PBS (n = 5 rats) or leptin (7
µg/rat; n = 6 rats) icv injection. *, P <
0.05 vs. PBS (control) group.
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Effects of icv leptin injection on NPY-induced feeding
As shown in Fig. 8
, icv NPY (1 nmol)
induced a robust feeding response on both days 1 and 4 in control rats
injected daily with PBS. Injection of leptin (3.5 or 7 µg) 1 h
before NPY on day 1 reduced food intake, but the response was not
statistically significant. However, on day 4 of leptin treatment (3.5
or 7 µg), NPY-induced feeding was significantly reduced; feeding was
reduced by 88% in 3.5 µg leptin-treated rats and by 90% in rats
treated with 7 µg leptin (P < 0.05).

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Figure 8. The effects of daily PBS or leptin (7 µg/rat)
injections on the 2-h NPY-induced food intake on days 1 and day 4.
Different letters represent statistically significant differences from
other treatment groups (n = 6 rats/group).
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Discussion
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In this study we investigated the effects of peripheral and
central administration of the cytokine CNTF on food intake and body
weight, and correlated these with the impact on hypothalamic NPY, the
endogenous orexigenic signaling modality (15, 16, 19). Additionally,
the CNTF-induced responses were compared with those produced by the
endogenous cytokine-like hormone, leptin, produced by lipocytes.
Several new findings have emerged from these investigations. In
agreement with the previous reports (11, 14), we observed that
peripheral administration of CNTF produced anorexia. We have extended
these results to show that central administration of CNTF (in much
smaller doses) is just as effective as peripheral injections in
reducing food intake. Consequently, it is likely that the targets for
CNTF action involved in producing anorexia may reside within the brain
(15, 16). Our results also showed that the anorectic effects of central
CNTF persist for a considerable period of time, because CNTF injection
9 h before the normal nighttime feeding consistently reduced
intake for 24 h, and daily injections sustained anorexia for at
least 5 days; compared with the effects of other cytokines, such as
interleukin-1 (15, 16, 35), the anorectic effects of CNTF apparently
are more profound and longer lasting.
NPY is a potent endogenous orexigenic signal (15, 16). Our findings
show that CNTF may act on hypothalamic NPYergic signaling in three ways
to produce anorexia. First, it is likely that the supply of NPY for
release at the appetite-stimulating targets located in the PVN and
surrounding sites (15, 16, 19, 20) may be drastically curtailed. This
is evidenced by our findings that CNTF inhibited the basal steady state
levels of prepro-NPY mRNA in the ARC by high doses of CNTF and
suppressed the augmentation in NPY gene expression normally produced by
restricted feeding or fasting. In fact, the degree of suppression of
NPY gene expression was positively correlated with the dose of CNTF and
the reduction in food intake. Second, CNTF injected ip or icv in small
doses produced anorexia, with no change in hypothalamic prepro-NPY mRNA
compared with that in freely fed controls. Seemingly, the supply of NPY
for release may not be disrupted under these conditions. Although the
current studies do not provide any supportive evidence, it remains
possible that the amount of NPY release responsible for normal food
intake may be attenuated in CNTF-treated rats, thereby leading to
decreased food intake. Indeed, immunoneutralization of endogenously
released NPY has been shown to suppress food intake and induce a loss
in body weight in a fashion similar to that seen in CNTF-treated rats
(23). Third, CNTF suppressed the feeding induced by NPY. Suppression of
intake in response to NPY was evident on day 1 of CNTF treatment, and
the magnitude of suppression was highest on day 4. These findings lead
us to suspect that an additional site of CNTF action in counteracting
NPY-induced appetite most likely resides in the PVN and surrounding
areas, where NPY microinjection readily stimulated feeding (36).
Overall, these revelations strongly imply that CNTF-induced body weight
loss is the consequence of anorexia caused by a reduction in the NPY
supply for release, possibly release itself, and suppression of NPY
action at hypothalamic target sites engaged in enhancing appetite.
These conclusions are supported by another line of evidence. It is
known that energy depletion produced by either restricted availability
or complete absence of food up-regulates NPY synthesis and release
(19, 20, 21), which, in turn, is apparently responsible for enhancing
appetite to replenish the loss in energy (19, 23). These
energy-depleted rats feed avidly when allowed access to food and
quickly regain the loss in body weight. In our study, food and water
were available ad libitum to CNTF-treated rats, and despite
the disruption in energy homeostasis similar to that in PF and FD rats,
as indicated by weight loss, these rats apparently made little attempt
to replenish the energy loss. Also, we observed that daily icv CNTF
administration to fasted rats prevented the fasting-induced
up-regulation of NPY expression in the hypothalamus (37). Taken
together, these findings clearly show that CNTF is a powerful appetite
suppressant and curtailment of NPYergic signaling in the hypothalamus
may in part underlie the anorexia. The precise mechanism by which CNTF
reduces both NPY gene expression and action, presumably at two
different sites in the hypothalamus, remains to be ascertained.
Although the topography of the neuronal network producing CNTF in the
hypothalamus is currently unknown, both CNTF receptor-
immunoreactivity and CNTF receptor-
mRNA are expressed in various
hypothalamic sites, including the PVN (38, 39). Thus, the potential to
influence the NPYergic system by CNTF exists in the adult rat
hypothalamus.
Concurrent with the loss in body weight due to anorexia, we observed
that the steady state leptin mRNA levels were reduced in the lipocytes
of CNTF-treated rats. These findings complement several reports showing
that leptin gene expression in fat cells is directly related to body
mass index (reviewed in Refs. 28 and 40). However, we suspect that the
act of eating itself may serve as a trigger to up-regulate leptin gene
expression, and the anorexia in CNTF-treated rats may be responsible
for diminished leptin gene expression. This inference is in harmony
with a number of observations that the daily increases in leptin gene
expression in lipocytes and the circulating levels of leptin closely
follow the normal feeding pattern during the night (28, 39).
Our consistent findings of a reduction in leptin gene expression in
lipocytes by CNTF administered either systemically or centrally differ
from those reported for several other peripherally administered
cytokines, such as tumor necrosis factor, interleukin-1, and leukemia
inhibitor factors as well as the endotoxin, lipopolysaccharide (33, 34). These cytokines were shown to augment leptin secretion and
lipocyte leptin gene expression, both acutely and on a long term basis
in fasted mice and free-fed hamsters. Based on these results, it was
suggested that the cytokine-induced increase in leptin may be
responsible for the anorexia seen in these rodents (34, 35). In
contrast, our results show that ip CNTF failed to change leptin mRNA
acutely in satiated rats, an observation similar to that reported in
fasted mice (33). In addition, severe anorexia in conjunction with
reduced leptin mRNA was observed in rats receiving CNTF either
systemically or centrally. Consequently, our findings demonstrate that
anorexia produced by CNTF involves a direct central action mediated
through diminution in NPYergic signaling and not indirectly via
up-regulation of leptin.
Additionally, a comparison of our results of CNTF and leptin studies
clearly show that these two members of the cytokine family engage a
similar central modality, i.e. suppression of NPY synthesis
and action in the hypothalamus, to cause anorexia. Evidently, these
cytokines suppress the basal, as shown in this study, and
fasting-induced NPY gene expression (37), and in this respect, although
additional studies are needed, CNTF appears slightly more effective
than leptin on a molar basis. However, in each of these two cases
anorexia at the doses tested was quite severe, and injection of NPY
only marginally stimulated feeding in these rats. Therefore, we are
tempted to propose that CNTF and leptin may involve similar
intracellular JAK-STAT signal transduction modalities in target cells
in the hypothalamus to produce anorexia leading to body weight loss
(41, 42, 43).
In summary, the results of these studies show that CNTF is a potent
anorectic cytokine. One of the central CNTF actions in producing
anorexia and body weight loss involves suppression of NPYergic
signaling in the hypothalamus in a manner similar to that effected by
leptin. Identification of the NPY neuronal system as one of the target
neural pathways for CNTF action is important for further understanding
the cellular and molecular events underlying the anorexia accompanying
infection and brain injury.
 |
Acknowledgments
|
|---|
We thank Ms. Sally McDonell for secretarial assistance, and
Amgen (Boulder, CO) and Amgen (Thousand Oaks, CA) for the supply of
recombinant rat CNTF and recombinant leptin, respectively.
 |
Footnotes
|
|---|
1 Presented in part at the 26th Annual Meeting of the Society for
Neuroscience, Washington DC, 1996. This work was supported by NIH
Grants DK-37273 (to S.P.K.), NS-32727 (to P.S.K.), and GM-40586 and
GM-53252 (to L.M.). 
Received July 9, 1997.
 |
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