Endocrinology Vol. 141, No. 1 375-384
Copyright © 2000 by The Endocrine Society
Localization of Glucokinase-Like Immunoreactivity in the Rat Lower Brain Stem: For Possible Location of Brain Glucose-Sensing Mechanisms1
Fumihiko Maekawa,
Yukiyasu Toyoda,
Norihiro Torii,
Ichitomo Miwa,
Robert C. Thompson,
Douglas L. Foster,
Shinji Tsukahara,
Hiroko Tsukamura and
Kei-ichiro Maeda
Laboratory of Animal Reproduction, Graduate School of
Bioagricultural Sciences, Nagoya University, Nagoya 464-8601, Japan;
the Department of Pathobiochemistry, Faculty of Pharmacy, Meijo
University (Y.T., N.T., I.M.), Nagoya 468-8503, Japan; and the
Reproductive Sciences Program (R.C.T., D.L.F.) and the Departments of
Obstetrics and Gynecology and Biology (D.L.F.), University of Michigan,
Ann Arbor, Michigan 48109
Address all correspondence and requests for reprints to: Dr. Kei-ichiro Maeda, Graduate School of Bioagricultural Sciences, Nagoya University, Chikusa, Nagoya 464-8601, Japan. E-mail:
keimaeda{at}agr.nagoya-u.ac.jp
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Abstract
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Pancreatic glucokinase (GK) is considered an important element of the
glucose-sensing unit in pancreatic ß-cells. It is possible that the
brain uses similar glucose-sensing units, and we employed GK
immunohistochemistry and confocal microscopy to examine the anatomical
distribution of GK-like immunoreactivities in the rat brain. We found
strong GK-like immunoreactivities in the ependymocytes, endothelial
cells, and many serotonergic neurons. In the ependymocytes, the GK-like
immunoreactivity was located in the cytoplasmic area, but not in the
nucleus. The GK-positive ependymocytes were found to have glucose
transporter-2 (GLUT2)-like immunoreactivities on the cilia. In
addition, the ependymocytes had GLUT1-like immunoreactivity on the
cilia and GLUT4-like immunoreactivity densely in the cytoplasmic area
and slightly in the plasma membrane. In serotonergic neurons, GK-like
immunoreactivity was found in the cytoplasm and their processes. The
present results raise the possibility that these GK-like immunopositive
cells comprise a part of a vast glucose-sensing mechanism in the brain.
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Introduction
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GLUCOSE AVAILABILITY plays a crucial role in
regulating feeding behavior (1) and the activity of the reproductive
axis (2). In both cases, there is compelling evidence that glucose
availability is sensed by the brain. Oomura et al. (3) have
found populations of neurons that respond to hyper- or hypoglycemic
stimulation in various areas of the brain. Intracellular recordings in
the ventromedial and lateral nuclei of the hypothalamus in
vivo and in vitro have revealed an increase or decrease
in neuronal bursting accompanying local glucose application (4). In
addition, lateral ventricular administration of 2-deoxyglucose (2-DG),
a glycolysis inhibitor, increases the food intake in rats (5). These
findings suggest that the forebrain, especially the hypothalamus,
contains a glucose-sensing mechanism. Furthermore, Ritter et
al. reported that glucose availability can be sensed by the
hindbrain to regulate feeding behavior in their studies in which the
aqueduct was occluded by silicon grease before the administration of
5-thioglucose, another glycolytic inhibitor, into either the third or
fourth ventricle (6). Local glucoprivation induced in the fourth
ventricular region was more effective in inducing feeding behavior than
that induced in the third ventricle (6), suggesting that the lower
brain stem possesses sensitive glucose-sensing sites involved in the
regulation of feeding behavior. Our recent finding that 2-DG
administration limited to the fourth ventricle inhibits pulsatile LH
secretion also suggests that glucose availability is sensed by glucose
sensors in the hindbrain to control GnRH/LH secretion in rats (7). In
the medulla oblongata, the area postrema (AP) and the nucleus tractus
solitarius (NTS) have been thought to possess the glucose sensors
related to feeding and reproduction, based on the findings that the
AP/NTS lesion impairs 2-DG-induced feeding in rats (8) and 2-DG-induced
suppression of estrous cycles in Syrian hamsters (9). However, the
precise localization of glucose sensors or the glucose-sensing
mechanism in the brain has not been determined.
Peripheral organs such as pancreas, fat tissue, and the
gastrointestinal tract are able to sense the nutritional state and
secrete specific hormones to maintain metabolic homeostasis (10). Among
these tissues, ß-cells in the islets of Langerhans are known to have
a glucose-sensing mechanism to secrete insulin in response to increased
blood glucose levels. These cells have both a specific subtype of the
glucose transporter-2 (GLUT2) and a high Km
hexokinase [glucokinase (GK)] (11, 12, 13). GK is distinguished from
other hexokinase by features such as its low affinity for glucose and
its lack of inhibition by glucose-6-phosphate (14). GLUT2 also
possesses a high Km constant for glucose (15).
Because pharmacological blockade of GK with mannoheptulose, which is an
inhibitor of glucose phosphorylation, suppresses the insulin secretory
response to glucose in islets (16), and mice in which the GK gene is
disrupted do not secrete insulin in response to the administration of
glucose (17, 18, 19), GK is considered to play a critical role in sensing
blood glucose levels.
As the presence of GK is a prerequisite for glucose sensing in the
pancreatic ß-cells, it is reasonable to postulate that GK also plays
a role in glucose sensing in the brain to monitor glucose availability.
There is physiological evidence to support the idea that a
glucose-sensing mechanism similar to that in pancreatic ß-cells is
localized in the brain. Fourth ventricular injection of alloxan, which
inhibits GK activity (20), causes feeding behavior at the low level
(21) and eliminates 2-DG-induced feeding at the high level (8).
However, there are few studies indicating the localization of GK in the
brain.
In the present study the immunohistochemical localization of pancreatic
GK was determined in the brain, with a focus on the lower brain stem.
We paid much attention to the AP and NTS because of their significance
in previous reports. We also characterized the GK-like immunoreactive
cells in the brain using dual immunohistochemistry with reference to
glucose transporters as well as specific cell-type markers. In
addition, we examined the subcellular localization of GK-like
immunoreactivity using confocal laser microscopy.
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Materials and Methods
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Animals
Female Wistar-Imamichi rats (150200 g BW) were housed in a
controlled environment (23-25 C; 14 h of light, 10 h of
darkness, with lights on at 0500 h) and provided with food
(Labo-MR-stock, Nihon Nosan Kogyo Co, Yokohama, Japan) and water
ad libitum. All of the animals that had at least two
consecutive 4-day estrous cycles were ovariectomized 2 weeks before the
experiment.
Antibodies
A goat antiglucokinase polyclonal antibody raised against a
peptide corresponding to amino acids 220 of human pancreatic
glucokinase (GKP) was used (anti-GKP antibody, 1:25 for
immunohistochemistry; Santa Cruz Biotechnology, Inc.,
Santa Cruz, CA). The rabbit polyclonal antiliver glucokinase (GKL)
antibody (1:50) was raised against purified liver GK and has been
described previously (22). The rabbit anti-GLUT2 antibody used (1:2000;
Biogenesis, New Fields, UK) was raised against a fusion
protein consisting of the C-terminal 25 amino acids of the rat GLUT2,
glutathione-S-transferase, and a synthetic 13-amino acid
C-terminal sequence of rat GLUT2. We used a rabbit polyclonal antibody
to GLUT1 (1:100; Santa Cruz Biotechnology, Inc.) and GLUT4
(1:25; Chemicon International, Inc., Temecula, CA). Other reagents used
were a mouse monoclonal antibody to the microtubule-associated
protein-2 (MAP2) that recognizes MAP2a, MAP2b, and MAP2c; protein
markers of neurons (1:500; Sigma, St. Louis, MO); a rabbit
polyclonal antibody to the glial fibrillary acidic protein (GFAP), a
protein marker of glial cells (1:10; DAKO Corp., Glostrup,
Denmark); a mouse monoclonal antibody to vimentin, a protein marker of
ependymocytes (23) (1:100; Roche Molecular Biochemicals
GmbH, Mannheim, Germany); and a rabbit polyclonal anti-serotonin
antibody (1:1,000; DiaSorin, Inc., Stillwater, MN).
The biotinylated donkey antigoat IgG (1:400), FITC-conjugated donkey
antigoat IgG (1:400), Cy3-conjugated donkey antirabbit IgG (1:800), and
Cy3-conjugated donkey antimouse IgG (1:800) were purchased from
Jackson ImmunoResearch Laboratories, Inc. (West Grove,
PA). The biotin-conjugated goat antirabbit IgG (1:200) was purchased
from Vector Laboratories, Inc. (Burlingame, CA).
Fixation
Ten animals were perfused transcardially with 50 ml 0.05
M PBS (pH 7.5) at room temperature followed by 100 ml
ice-cold 4% paraformaldehyde in 0.05 M phosphate buffer
(PB; pH 7.5) under deep pentobarbital anesthesia. The brain, liver, and
pancreas were removed, postfixed by the same fixative overnight at 4 C,
and cryoprotected with 30% sucrose in 0.05 M PB for 23
days at 4 C. The brain and liver were sectioned at 30-µm thickness
with a cryostat. The sections were stored in a cryoprotectant at -20 C
until stained. The pancreas was sectioned at 20-µm thickness,
thaw-mounted on glass slides, dried, and preserved at -30 C.
The fourth cerebroventricular area collected from five rats was used
for whole mount immunostaining. The brain was removed immediately after
the decapitation. The dorsal portion of the medulla oblongata including
the AP and the NTS was removed under a dissecting microscope. The
excised tissues were fixed with 4% paraformaldehyde in 0.05
M PB at 4 C overnight and were rinsed four times for 15 min
each time in 0.05 M PBS.
Immunohistochemistry
The localization of the target proteins was determined by
immunoperoxidase histochemistry or fluorescence immunohistochemistry.
All incubations were carried out at 4 C, and the sections were rinsed
four times for 15 min each time with 0.05 M PBS between
each step unless otherwise indicated. For immunoperoxidase
histochemistry, free floating sections or glass slide-mounted sections
were 1) incubated with 0.05 M PBS containing 0.6%
H2O2 at room temperature
for 30 min to eliminate endogenous peroxidase activity, 2) incubated
with the paper-filtrated 10% skim milk in 0.05 M PBS
containing 0.05% Triton X-100 for 60 min at room temperature to block
nonspecific binding of antibodies, 3) incubated for 4 days under
constant shaking with primary antibodies diluted in the same solution
used for blocking nonspecific binding of antibodies as described above,
4) incubated with biotinylated secondary antibody for 60 min at room
temperature with constant shaking, 5) incubated with the
streptavidin-biotin complex solution (Vector Elite ABC kit,
Vector Laboratories, Inc.) for 60 min at room temperature.
The 4-day incubation period was chosen to lower the background level of
immunostaining. Sections were rinsed four times for 15 min each time in
0.1 M Tris-HCl buffer (pH 7.5). The immunoreactivities were
visualized by 0.1% 3,3'-diaminobenzidine (Sigma) and
0.02% H2O2 solution
containing 0.25% NiCl2 in 0.1 M
Tris-HCl buffer in the dark. Free floating sections were mounted on the
gelatin-coated glass slides, and all sections were observed under a
light microscope (Eclipse E800, Nikon, Tokyo, Japan). The
images were directly digitized by a CCD camera (PA-160,
Nikon) and printed on a Fuji Pictrography
3000 (Fuji Photo Film Co., Ltd., Tokyo, Japan).
For fluorescence immunohistochemistry, sections were incubated in the
same blocking solution used in immunoperoxidase histochemistry after
rinsing four times for 15 min each time in 0.05 M PBS.
Then, sections were incubated in the primary antibody for 4 days with
constant shaking. In dual immunohistochemistry, sections were incubated
with a mixture of two primary antibodies. The sections were then rinsed
four times for 15 min each time in 0.05 M PBS and incubated
with the fluorescence-conjugated secondary antibodies for 2 h in
the dark at room temperature. After incubation of the secondary
antibody, free floating sections were mounted on glass slides, and all
sections were coverslipped with Fluorogard antifade reagent
(Bio-Rad Laboratories, Inc., Hercules, CA). They were
examined under a confocal laser scanning microscope (MRC 1024,
Bio-Rad Laboratories, Inc.).
For whole mount preparations, tissues were incubated in 0.05
M PBS containing 0.5% Triton X-100 overnight to enhance
the permeability of antibodies. The sections were immersed in the same
blocking solution used in the immunoperoxidase histochemistry
overnight. After blocking nonspecific binding, tissues were transferred
to the primary antibody solution containing rabbit anti-GLUT2 antibody
for 4 days. Tissues were then washed four times for 15 min each time in
0.05 M PBS and incubated with the solution containing
Cy3-conjugated donkey antirabbit IgG overnight. After rinsing four
times for 15 min each time in 0.05 M PBS, they were mounted
on glass slides and covered with Fluorogard and a coverslip. The dorsal
view of the three-dimensional digital image was constructed from 100
pieces of sections scanned at 2-µm intervals with a confocal laser
scanning microscope.
Specificity of immunostaining
To test the specificity of the anti-GKP, 60 µl antibody
solution containing 1.2 µg antibodies were incubated at 4 C overnight
with 60 µg of the synthetic antigen peptide (Santa Cruz Biotechnology, Inc.). To examine the specificity of anti-GLUT2
antibody, the antibody was adsorbed with the solution containing the
rough plasma membrane fraction prepared from rat liver, because the
membrane fraction of the liver is rich with GLUT2 (24). Five grams of
the rat liver were homogenated in 20 ml 1 mM
NaHCO3 (pH7.5), filtrated, and diluted with 480
ml 1 mM NaHCO3. The homogenate was
centrifuged at 1500 x g for 10 min, and 210 ml 1
mM NaHCO3 was added to the
resultant precipitate. The mixture was centrifuged at 100 x
g for 5 min and at 1000 x g for 10 min
again. The fluffy layer was removed, diluted with 105 ml 1
mM NaHCO3, and used as a
rough membrane fraction. The protein concentration in this solution
(3.61 mg/ml) was measured by the Bio-Rad Laboratories, Inc., protein assay kit in accordance with the Bradford method
(25). The 200 µl anti-GLUT2 solution containing 0.02 µg antibodies
were incubated with 5 µl plasma membrane solution at 4 C overnight,
and then used for immunohistochemistry.
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Results
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Localization of pancreatic GK-like immunoreactivity in rat
brain
In the lower brain stem, cells comprising the walls of the central
canal, fourth ventricle and aqueduct were stained by the anti-GKP
antibody (Fig. 1
). In addition, cells
surrounding the third and lateral ventricles in the forebrain
were also stained by anti-GKP antibody (data not shown). Double
staining with anti-GKP and antivimentin antibodies revealed that
GKP-like immunoreactive cells on the ventricular walls, such as the
central canal (Fig. 1A
, white), the fourth ventricle (Fig. 1B
, white), and the third ventricle (Fig. 1C
, white), were immunoreactive to vimentin. In the dorsal and
ventral ends of the central canal (Fig. 1A
, right) and the
intermediate part of the third ventricle on dorsoventral axis around
the hypothalamus (Fig. 1C
, right), the tapering processes of
ependymocytes were stained with anti-vimentin antibody, but lacked the
GKP-like immunoreactivity (Fig. 1
, A and C, left). There was
no GKP immunoreactivity in the ventral one third of the third
ventricular wall (data not shown), an area known to be comprised of
ependymal tanycytes (26).

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Figure 1. Digital images of confocal laser microscopy
showing GK-like immunoreactivities in the ependymocytes around the
ventricular system. Pancreatic GK-like immunoreactivities
(white, left) were colocalized with
vimentin-immunoreactivities (white,
right) in the ependymocytes composing the wall of the
central canal (A), the fourth ventricle (B), and the third ventricle
(C). 3V, Third ventricle; 4V, fourth ventricle; CC, central canal.
Scale bar, 50 µm.
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GKP-like immunoreactive cells were observed in several raphe
nuclei, including the dorsal raphe nucleus (data not shown), the median
raphe nucleus (data not shown), the raphe obscurus (Fig 2
, A and B, black), the raphe
pallidus (Fig. 2
, A and C, black), the raphe magnus, and the
raphe pontis (data not shown). This immunoreactivity was localized
within both soma and dendrite-like processes. Clusters of the GKP-like
immunoreactive cells were also located around the ventrolateral
medullary surface (Fig. 2
, A and D, black) and fourth
ventricle (data not shown). Figure 2D
shows immunopositive processes
that appear adjacent to a blood vessel in the ventrolateral medulla
(arrowheads). No immunopositive cells were located in the AP
and the NTS (data not shown). In the hypothalamus, no immunoreactivity
of GKP was found, except for the ependymocytes and a few small cells
near the third ventricle (data not shown). Dual immunostaining with
anti-GKP and either anti-MAP2 or anti-GFAP antibodies in the raphe
obscurus (Fig. 2
, E and F) and the dorsal raphe nucleus (Fig. 2
, G and
H) identified cells that contain both MAP2-like (E, right,
or G, lower) and GKP-like (E, left, or G,
upper) immunoreactivities in the cytoplasm and the processes
of the cells in both nuclei. On the contrary, GFAP (F,
right, or H, lower) immunoreactivity was not
colocalized with GKP-like (F, left, or H, upper)
immunoreactivity (Fig. 2
, F and H). Colocalization of GKP and MAP2 was
also found in other raphe nuclei, including the raphe pallidus (Fig. 2I
). Figure 2J
represents a high magnification image of colocalization
of the MAP2- and GKP-like immunoreactivities in the raphe obscurus.
Vimentin immunoreactivity was not found in the cells of the raphe
nuclei (data not shown). These results strongly suggest that these
GK-like immunoreactive cells in raphe nuclei are most likely
neurons.

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Figure 2. GK-like immunoreactivity in the raphe nuclei and
ventrolateral medulla. The GK-like immunoreactivities were located in
the ventral part of medulla (A, immunoperoxidase histochemistry).
Insets highlight the positively stained cells
(black) in the raphe obscurus (B), the raphe pallidus
(C), and the ventrolateral area of medulla (D). Digital images from
colocalization studies (GK/MAP2 and GK/GFAP) are shown in EJ. MAP2
(white; E, G, I, and J), but not GFAP
(white; F and H), immunoreactivity was located in the
GK-like immunopositive (white) cells in the raphe
nuclei. Colocalization of MAP2- and GK-like immunoreactivities were
detected within the cytoplasm and processes of all GK-like
immunopositive cells in the raphe nuclei including the raphe obscurus
(E and J) and the dorsal raphe nucleus (G). GFAP immunoreactivities
were not colocalized with GK-like immunoreactivity in the cells in
raphe obscurus (F) and the dorsal raphe nucleus (H). The GK- and
MAP2-like immunoreactivities were also colocalized in the cells of the
raphe pallidus (I). Scale bar, 50 µm; except A, 100
µm.
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Small cells adjacent to blood vessels in the lower brain stem (Fig. 3J
) and hypothalamus (data not shown) were
also stained with anti-GKP antibody (green). GLUT1-like
immunoreactivity (red) surrounded the wall of microvessels,
whereas GKP-like immunoreactivity was seen in the cytoplasm of the
cells. These data suggest that the GKP-like immunoreactive cells
adjacent to the blood vessels are most likely endothelial cells.

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Figure 3. Glucose transporter-like immunoreactivities in
GK-like immunopositive ependymocytes and endothelial cells. The
GLUT2-like immunoreactivities were detected on the cilia of GK-like
immunopositive ependymocytes composing the wall of the central canal
(A), the aqueduct (B), the third ventricle (C), the lateral ventricle
(D), and the fourth ventricle (E). A three-dimensional image of whole
mount preparation constructed from the confocal laser scanning
microscopic sections revealed that GLUT2-like immunoreactivities
(white) were located along the wall of the fourth ventricle,
but not on the dorsal surface of area postrema (F). Precise
localization of the GLUT2 (black) on the cilia was revealed
by the immunoperoxidase histochemistry (G). GLUT2-like immunoreactivity
was eliminated by preincubation of anti-GLUT2 antibody with liver membrane fraction (H). GLUT1-like
immunoreactivity (red) was also identified on the cilia of
the ependymocytes lining the wall of the lateral ventricle (I). The
GLUT1-like immunoreactivity (red) was identified in the wall
of a microvessel, and GK-like immunoreactivity (green) was
present in the cytoplasm (J). GLUT4-like immunoreactivity
(red) was colocalized with GK-like immunoreactivity
(green) in the cytoplasmic area of ependymocytes surrounding
the central canal (K). Scale bar: AD, I, K, and H, 50
µm; E and G, 10 µm; F, 100 µm; J, 25 µm. 3V, Third ventricle;
4V, fourth ventricle; AP, area postrema; AQ, aqueduct; CC, central
canal; LV, lateral ventricle.
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Ependymocytes
Most GKP-like immunoreactive ependymocytes contained GLUT1-,
GLUT2-, and GLUT4-like immunoreactivities. GKP-like (green)
and GLUT2-like (red) immunoreactivities were found in
ciliated ependymocytes (Fig. 3
, AE). A three-dimensional image of
whole mount preparation constructed from the confocal laser scanning
microscopic sections revealed that GLUT2-like immunoreactivities were
located along the wall of the fourth ventricle (Fig. 3F
, white), but not on the dorsal surface of the AP. GLUT2-like
immunoreactivities were located on the cilia (Fig. 3G
, black), whereas GKP-like immunoreactivities were located in
the cytoplasmic area (Fig. 3
, AE). GLUT2-like immunoreactivity was
eliminated when the antibody was preincubated with the plasma membrane
fraction of rat liver, which are known to be rich with GLUT2 (Fig. 3H
).
Similar to the distribution of GLUT2-like immunoreactivity, GLUT1-like
immunoreactivity (red) was also found in the cilia of the
ependymocytes surrounding the central canal, fourth ventricle, third
ventricle (data not shown), and lateral ventricle (Fig. 3I
). The
cytoplasmic area of ependymocyte was dually stained with anti-GKP
(green) and anti-GLUT4 (red) in both the lower
brain stem (Fig. 3K
) and the forebrain (data not shown). Slight
GLUT4-like immunoreactivities were also found in the plasma membrane,
but not in the cilia or the tapering processes of ependymocytes. The
subcellular localization of GLUT4 in ependymocytes is similar to that
in skeletal and cardiac muscle fibers, in which the immunoreactivities
are located in both the cytoplasmic area and the plasma membrane (data
not shown).
Neurons in the raphe nuclei
Results from dual immunohistochemistry using anti-GKP and
antiserotonin antibodies in raphe nuclei confirmed that serotonin
immunoreactivities were identified in all GKP-like immunoreactive
neurons in the raphe nuclei (Fig. 4
). This
colocalization includes the raphe obscurus, the raphe pallidus (data
not shown), the dorsal raphe nucleus (Fig. 4A
, white), the
median raphe nucleus (Fig. 4B
, white), the raphe magnus, and
the raphe pontis (data not shown). The GK-like immunopositive neurons
in the ventrolateral part of medulla oblongata also displayed serotonin
immunoreactivity (Fig. 4C
, arrowheads). Serotonin
immunoreactivity was expressed in both the cytoplasm and processes of
these neurons. GK-like immunoreactivity was not found in fine
serotonin-immunoreactive fibers, which might be axons. None of these
serotonergic neurons was positively stained with anti-GLUT1,
anti-GLUT2, or anti-GLUT4 antibodies (data not shown).

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Figure 4. Colocalization of GK-like and serotonin
immunoreactivities in raphe nuclei and ventrolateral medulla. Serotonin
immunoreactivity was expressed in the cytoplasm of all GK-like
immunopositive cells in the raphe nuclei including the dorsal raphe
nucleus (A) and the median raphe nucleus (B) and cells in the
ventrolateral medulla (C). Scale bar, 50 µm.
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Specificity of the anti-GKP antibody
To assess the tissue specificity of the anti-GKP antibody,
cryosections of rat pancreas and liver were processed for
immunohistochemistry. In the pancreas, many positively stained cells
were observed in the islets of Langerhans where immunofluorescence was
predominantly cytoplasmic (Fig. 5A
, white). By contrast, no pancreatic GK-like immunoreactivity
was found in the liver (Fig. 5B
). Using an anti-GK antibody raised
against liver type-GK (anti-GKL) on liver tissue sections, cell nuclei
of hepatocytes were intensely fluorescent (Fig. 5C
, white).
These subcellular localizations of GK in the islets of Langerhans and
hepatocytes are similar to those reported previously (13, 22, 27),
indicating that the anti-GKP antibody used in the
present study recognizes the pancreatic-type GK, but not the liver-type
GK. Positive immunoreactivities observed in the ependymocytes were
eliminated by the preadsorption of the anti-GKP antibody with the
synthetic peptide derived from the N-terminus of GK of pancreatic type
as described in Materials and Methods (Fig. 5D
, white). No positive immunoreactivity was found in these
regions using rabbit anti-GKL raised against the liver-type GK (data
not shown). The positive immunoreactivity found in neurons of the raphe
nuclei eliminated with preadsorption using the synthesized peptide
comprised of the N-terminus of pancreatic-type GK (Fig. 5E
, white).

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Figure 5. Digital images of confocal laser microscopy
showing GK immunoreactivities (white) in the pancreas
and liver. GK immunoreactivities were detected in cells of the islet of
Langerhans (A), but not in hepatocytes (B), using anti-GKP antibody. On
the other hand, the nuclei of hepatocytes were positively stained with
anti-GKL antibody, which recognize GK of liver type (C). Positive
immunoreactivities observed in the ependymocytes were eliminated by the
preadsorption of the anti-GKP antibody with the synthetic peptide
composed of the N-terminus of GK of pancreatic type (D). Positive
immunoreactivities observed in the raphe nuclei including the raphe
pallidus were eliminated by preadsorption of the anti-GKP antibody with
the synthetic peptide composed of the N-terminus of GK of pancreatic
type (E). Scale bar, 50 µm.
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Discussion
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In the present study GK-like immunoreactivity was found in
specific cell types of the brain, including ependymocytes, serotonergic
neurons, and endothelial cells (Fig. 6
). Ciliated ependymocytes also
contain specific types of glucose transporter immunoreactivities,
i.e. GLUT2 and GLUT1 on cilia and GLUT4 predominantly in
the cytoplasmic area. In the pancreas, GK is thought to play an
important role in glucose sensing, as point mutations in the
glucokinase gene produces mice that lack normal insulin secretory
responses (17, 18). Further, homozygous GK null mice cannot survive
after birth (19). GK due to its comparatively lower affinity for
glucose creates an intracellular ATP/ADP ratio based upon intercellular
glucose levels (11). It is a change in ATP concentrations in response
to increased glucose that is thought to alter the
K+-ATP channel, which, in turn, stimulates
insulin secretion from the ß-cells (28). In this context, the
GKP-like immunoreactive cells in the brain, i.e.
ependymocytes, serotonergic neurons, and endothelial cells, may
represent components of another glucose-sensing system similar to that
seen in pancreatic ß-cells.

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Figure 6. The schematic representation of the distribution
of GK-like immunoreactive cells in the brain. In addition to the
schema, GK-like immunopositive ependymocytes showed the GLUT2-like and
GLUT1-like immunoreactivities on the cilia and the GLUT4-like
immunoreactivity predominantly in cytoplasmic area (see Fig. 3 , AE).
Endothelial cells also showed the GLUT1-like immunoreactivity lining
the wall of microvessel (see Fig. 3J ). 3V, Third ventricle; 4V, fourth
ventricle; AP, area postrema; AQ, aqueduct; CC, central canal; DRn,
dorsal raphe nucleus; Hip, hippocampus; LV, lateral ventricle; MRn,
median raphe nucleus; RMg, raphe magnus; RO, raphe obscurus; RP, raphe
pallidus; RPo, raphe pontis; Sep, septum.
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No GK-immunopositive cells were found in the AP and the NTS in the
present experiment. This was very surprising, because the AP and the
NTS have been thought to play an important role in glucose sensing
based upon the results that the AP/NTS lesion inhibits the 2-DG-induced
feeding (8) and 2-DG-induced suppression of estrous cycles (9). It
might be possible to explain the contradiction that the GK in the
AP/NTS could not be detected by anti-GKP antibody due to its low
sensitivity to the GK. If we concur with this explanation, it would be
probable that the AP/NTS could sense the glucose level by other
mechanisms than GK does. On the other hand, the second explanation that
these areas are not glucose sensors but, rather, serve as relay
stations for signals sensed elsewhere could not be excluded, because
the AP and the NTS are known to receive much sensory input from other
ganglia and brain nuclei (8). The GKP-like immunoreactivity in the
hypothalamus as well as the AP/NTS was not detected, except for
ependymocytes and few small cells. The hypothalamus has been considered
the center of glucose sensing (3), but some reports have found that
glucose availability related to feeding and reproduction is mainly
sensed by the hindbrain, based upon pharmacological glucoprivation
studies (6, 7). The lack of GKP-like immunoreactivities in the
hypothalamic neurons might support the importance of glucose-sensing
mechanism in the hindbrain. Physiological experiments will be needed to
clarify these points.
Several lines of evidence suggest that ependymocytes play a role in
transporting nutrients from the cerebrospinal fluid (CSF) to the
underlying neuropil. GKP-like immunoreactivities in ependymocytes in
the wall of third cerebroventricle have been described briefly (29),
like our observation in third cerebroventricle. Due to the presence of
monocarboxylate transporter-1 and -2, ependymocytes appear capable of
transporting lactate and other monocarboxylates (30, 31). Further,
GLUT1- and GLUT2-like immunoreactivities and GLUT4 messenger RNA
expression have been identified in ependymocytes (Refs. 32, 33 and
the present results). The presence of GLUT1- and GLUT2-like
immunoreactivities on cilia of these ependymocytes, documented in the
present study, suggests that these transporters are localized to cell
surfaces where efficient transport of glucose would take place. On the
other hand, GKP-like immunoreactivity was found in the cytoplasm of
GLUT1- or GLUT2-positive ependymocytes as in pancreatic ß-cells (24).
Given this anatomical localization of glucose transporters and GK, it
seems reasonable to propose that glucose would be converted to
glucose-6-phosphate (the rate-limiting conversion of glucose to ATP)
soon after its entry into the ependymocytes. Taken together, it is
possible that ciliated ependymocytes detect metabolic alternations in
nutrients in CSF per se. It has been shown that glucose
passes from blood to CSF at low affinity with a concentration gradient
(34). The brain, therefore, could monitor the CSF glucose levels to
detect the changes in blood glucose levels. The present study also
demonstrated that GLUT4-like immunoreactivity was found within the
cytoplasm of ependymocytes in ad libitum-fed rats. It is
well established that GLUT4 is located in skeletal muscle and
adipose tissue and translocates from cytoplasm to plasma membrane in
response to insulin (35), whereas pancreatic ß-cells and hepatocytes
do not have GLUT4 (24). Although the precise function of GLUT4 remains
to be fully elucidated, it is tempting to speculate that this GLUT4
plays an important role in the transport of glucose from the CSF to the
neuropil when insulin concentrations in blood are high and composes
part of the insulin-dependent glucose-sensing mechanism.
If ependymocytes serve to sense nutrients in the CSF, how is this
system regulated? Some possible counterregulatory processes come from
previous evidence demonstrating that particular growth factors
suggested to be satiety factors (36, 37) increase in the CSF after
feeding or glucose administration (38). Importantly, fibroblast growth
factor I (FGF-I) and FGF-I messenger RNA have been detected in
ependymocytes after glucose treatments (38). Perhaps the ependymocytes
send nutritional information to other cells through secretion of
specific peptides such as FGF-I.
The present study found that serotonergic neurons in the raphe nuclei
contain GK-like immunoreactivities. The serotonergic system is known to
be involved in the regulation of feeding behavior. Serotonin-1B and -2C
receptor agonists suppress food intake in rats (39), and mice lacking
serotonin-2C receptor display overweight (40). Furthermore, some
reports have suggested that particular raphe nuclei are related to
glucose sensing: Dinh et al. demonstrated that food intake
increases after a local injection of 5-thioglucose into the ventral
medulla in which the raphe obscurus and the raphe pallidus is located
(41). Blood insulin increases when the raphe obscurus is chemically
stimulated (42). Leurope et al. found GLUT2 immunoreactivity
in the raphe obscurus (43). These findings emphasize the importance of
raphe obscurus as a glucose-sensing area. On the other hand, peripheral
nutritional information might be relayed by the serotonergic neurons in
the dorsal raphe nucleus, because the dorsal raphe nucleus has been
reported to contain receptors for the fat hormone, leptin (44). These
considerations together with the present results raise the possibility
that specific populations of serotonergic neurons are equipped with a
glucose-sensing mechanism and therefore may be capable of relaying
nutritional information. In the present study a large number of GK-like
immunoreactive processes were found closely associated with the blood
vessels. In addition, numerous serotonergic fibers have been found to
be in contact with CSF and ependymocytes (45), reinforcing the idea
that serotonergic neurons could receive nutritional signals from both
blood and CSF.
In conclusion, GK-like immunoreactivity is located in three types of
cells in the brain, namely ciliated ependymocytes, serotonergic
neurons, and endothelial cells. Ciliated ependymocytes also displayed
GLUT2- and GLUT1-like immunoreactivities on the cilia and GLUT4-like
immunoreactivity in the cytoplasm. Overall, the present study provides
strong evidence for pancreatic GK-like immunoreactivity in the brain
being closely associated with glucose-sensing mechanisms.
 |
Acknowledgments
|
|---|
We are grateful to the Imamichi Institute for Animal
Reproduction for the animals, and to Y. Niwa for her technical
assistance. We also thank Drs. S. and R. C. Ritter, M. Kakeyama,
T. Funabashi, A. Caraty, and K. Hirunagi and Mr. R. Moriyama for their
numerous suggestions.
 |
Footnotes
|
|---|
1 This work was supported in part by grants-in-aid from the Ministry of
Education, Science, Sports, and Culture of Japan (no. 08660342 and
10460131; to H.T. and K.M.); a grant-in-aid for International
Scientific Research (Joint Research No. 09044215; to K.M.); the
U.S.-Japan Cooperative Science Program [to D.L.F. and R.C.T. from the
NSF (INT-9603310) and to K.M. from the NSF and JSPS]; and the
Science Research Promotion Fund (to Y.T.) from the Promotion and Mutual
Aid Corporation for Private Schools of Japan. 
Received May 12, 1999.
 |
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