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ABSTRACT: Objective
Central melanocortin pathways are well-established regulators of energy balance. However, scant data exist about the role of systemic melanocortin peptides. We set out to determine if peripheral ?-melanocyte stimulating hormone (?-MSH) plays a role in glucose homeostasis and tested the hypothesis that the pituitary is able to sense a physiological increase in circulating glucose and responds by secreting ?-MSH.Methods
We established glucose-stimulated ?-MSH secretion using humans, non-human primates, and mouse models. Continuous ?-MSH infusions were performed during glucose tolerance tests and hyperinsulinemic-euglycemic clamps to evaluate the systemic effect of ?-MSH in glucose regulation. Complementary ex vivo and in vitro techniques were employed to delineate the direct action of ?-MSH via the melanocortin 5 receptor (MC5R)-PKA axis in skeletal muscles. Combined treatment of non-selective/selective phosphodiesterase inhibitor and ?-MSH was adopted to restore glucose tolerance in obese mice.Results
Here we demonstrate that pituitary secretion of ?-MSH is increased by glucose. Peripheral ?-MSH increases temperature in skeletal muscles, acts directly on soleus and gastrocnemius muscles to significantly increase glucose uptake, and enhances whole-body glucose clearance via the activation of muscle MC5R and protein kinase A. These actions are absent in obese mice, accompanied by a blunting of ?-MSH-induced cAMP levels in skeletal muscles of obese mice. Both selective and non-selective phosphodiesterase inhibition restores ?-MSH induced skeletal muscle glucose uptake and improves glucose disposal in obese mice.Conclusion
These data describe a novel endocrine circuit that modulates glucose homeostasis by pituitary ?-MSH, which increases muscle glucose uptake and thermogenesis through the activation of a MC5R-PKA-pathway, which is disrupted in obesity.
SUBMITTER: Enriori PJ
PROVIDER: S-EPMC5034615 | biostudies-literature | 2016 Oct
REPOSITORIES: biostudies-literature
Enriori Pablo J PJ Chen Weiyi W Garcia-Rudaz Maria C MC Grayson Bernadette E BE Evans Anne E AE Comstock Sarah M SM Gebhardt Ursel U Müller Hermann L HL Reinehr Thomas T Henry Belinda A BA Brown Russell D RD Bruce Clinton R CR Simonds Stephanie E SE Litwak Sara A SA McGee Sean L SL Luquet Serge S Martinez Sarah S Jastroch Martin M Tschöp Matthias H MH Watt Matthew J MJ Clarke Iain J IJ Roth Christian L CL Grove Kevin L KL Cowley Michael A MA
Molecular metabolism 20160805 10
<h4>Objective</h4>Central melanocortin pathways are well-established regulators of energy balance. However, scant data exist about the role of systemic melanocortin peptides. We set out to determine if peripheral α-melanocyte stimulating hormone (α-MSH) plays a role in glucose homeostasis and tested the hypothesis that the pituitary is able to sense a physiological increase in circulating glucose and responds by secreting α-MSH.<h4>Methods</h4>We established glucose-stimulated α-MSH secretion us ...[more]