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Synaptic Glutamate Release by Ventromedial Hypothalamic Neurons Is Part of the Neurocircuitry that Prevents Hypoglycemia
Open accessAbstract
The importance of neuropeptides in the hypothalamus has been experimentally established. Due to difficulties in assessing function in vivo, the roles of the fast-acting neurotransmitters glutamate and GABA are largely unknown. Synaptic vesicular transporters (VGLUTs for glutamate and VGAT for GABA) are required for vesicular uptake and, consequently, synaptic release of neurotransmitters. Ventromedial hypothalamic (VMH) neurons are predominantly glutamatergic and express VGLUT2. To evaluate the role of glutamate release from VMH neurons, we generated mice lacking VGLUT2 selectively in SF1 neurons (a major subset of VMH neurons). These mice have hypoglycemia during fasting secondary to impaired fasting-induced increases in the glucose-raising pancreatic hormone glucagon and impaired induction in liver of mRNAs encoding PGC-1alpha and the gluconeogenic enzymes PEPCK and G6Pase. Similarly, these mice have defective counterregulatory responses to insulin-induced hypoglycemia and 2-deoxyglucose (an antimetabolite). Thus, glutamate release from VMH neurons is an important component of the neurocircuitry that functions to prevent hypoglycemia.
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“and play a main role in the regulation of energy balance (Tong et al., 2007).”
From A Functional Link between AMPK and Orexin Mediates the Effect of BMP8B on Energy Balance (2016) · cites this paper as Tong et al., 2007
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Glutamate in primary afferents is required for itch transmission
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“Deletion of the vesicular glutamate transporter gene from SF1 neurons reduces glutamate release from the VMH and results in impaired glucagon and epinephrine secretion during insulin-induced hypoglycemia [10].”
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“In particular, intracerebral glutamate administration is known to elicit an intense orexigenic response (Stanley et al., 1993) while knock out mice in glutamate or GABA vesicular transporters are known to exhibit altered feeding behavior (Tong et al., 2007; Xu et al., 2012).”
BackgroundInsulin action on GABA neurons is a critical regulator of energy balance but not fertility in mice.
Evans, M. C., Rizwan, M. Z., & Anderson, G. (2014) · Endocrinology · doi:10.1210/en.2014-1412 · Cited by 28
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MethodInfluentialThe hypothalamic regulation of metabolic adaptations to exercise
Fujikawa, T., Castorena, C. M., Lee, S., & Elmquist, J. K. (2017) · Journal of Neuroendocrinology · doi:10.1111/jne.12533 · Cited by 28
TRPCing around the hypothalamus
Kelly, M. J., Qiu, J., & Rønnekleiv, O. K. (2018) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2018.05.004 · Cited by 29
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BackgroundThe Role of Mediobasal Hypothalamic PACAP in the Control of Body Weight and Metabolism
Bozadjieva-Kramer, N., Ross, R., JOHNSON, D. Q., Fenselau, H., Haggerty, D. L., Atwood, B. K., Lowell, B. B., & Flak, J. N. (2021) · Endocrinology · doi:10.1210/endocr/bqab012 · Cited by 28
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BackgroundMethodInfluentialIon channels in the central regulation of energy and glucose homeostasis
Sohn, J. (2013) · Frontiers in Neuroscience · doi:10.3389/fnins.2013.00085 · Cited by 25
“Considering that glutamate release from SF1 neurons regulate glucose homeostasis (Tong et al., 2007), it will be worthwhile to study the role of iGluRs expressed by arcuate POMC neurons in glucose homeostasis.”
Backgroundvan der Heijden, M. E., Hipolito, A. G. R., Kim, L. H., Kizek, D. J., Perez, R. M., Lin, T., & Sillitoe, R. V. (2023) · Nature Communications · doi:10.1038/s41467-023-38475-9 · Cited by 29
Ablation of LMO4 in glutamatergic neurons impairs leptin control of fat metabolism
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Diabetes Mellitus and Disturbances in Brain Connectivity: A Bidirectional Relationship?
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“…that a decrease in the cerebral content of ATP results in glutamate release, HPA axis and sympathetic nervous system activation, as well as pancreatic b-cells inhibition and gluconeogenesis stimulation (Peters et al. 2004; Mulder et al. 2005; Pocai et al. 2005; Chan et al. 2007; Tong et al. 2007).”
BackgroundTesting the role of preBötzinger Complex somatostatin neurons in respiratory and vocal behaviors
Tupal, S., Rieger, M. A., Ling, G., Park, T. J., Dougherty, J. D., Goodchild, A. K., & Gray, P. A. (2014) · European Journal of Neuroscience · doi:10.1111/ejn.12669 · Cited by 26
Inflammatory and Glutamatergic Homeostasis Are Involved in Successful Aging
Hascup, E. R., Wang, F., Kopchick, J. J., & Bartke, A. (2015) · The Journals of Gerontology Series A · doi:10.1093/gerona/glv010 · Cited by 26
Amo, R., Uchida, N., & Watabe‐Uchida, M. (2024) · Neuron · doi:10.1016/j.neuron.2023.12.019 · Cited by 23
Activation of hypothalamic RIP‐Cre neurons promotes beiging of WAT via sympathetic nervous system
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“First, RIP-Cre neurons in ARC are heterogeneous and GABAergic (i.e., release the inhibitory neurotransmitter GABA) in nature [38,51], whereas the majority of VMH neurons are glutamatergic (i.e., release the excitatory neurotransmitter glutamine) [52].”
Quenneville, S., Labouèbe, G., Basco, D., Metref, S., Viollet, B., Foretz, M., & Thorens, B. (2020) · Diabetes · doi:10.2337/db20-0577 · Cited by 24
“More recently, it has been shown that inactivation of the vesicular glutamate transporter (vGlut2) gene in Sf1 neurons, which represent most of the VMN neurons, suppresses glutamatergic synaptic transmission and prevents the normal counterregulatory response to hypoglycemia (9).”
BackgroundMethodRole of insulin in the neuroendocrine control of reproduction
Evans, M. C., Hill, J. W., & Anderson, G. M. (2021) · Journal of Neuroendocrinology · doi:10.1111/jne.12930 · Cited by 24
Hormonal Control of Metabolism by the Hypothalamus-Autonomic Nervous System-Liver Axis
Kalsbeek, A., Bruinstroop, E., Yi, C., Klieverik, L. P., Liu, J., & Fliers, E. (2014) · Frontiers of hormone research · doi:10.1159/000358312 · Cited by 25
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Diéguez, C., Boit, K. D., Novelle, M. G., de Morentin, P. B. M., Nogueiras, R., & López, M. (2010) · Frontiers of hormone research · doi:10.1159/000318511 · Cited by 28
Brain nuclear receptors and body weight regulation
Xu, Y., O’Malley, B. W., & Elmquist, J. K. (2017) · Journal of Clinical Investigation · doi:10.1172/jci88891 · Cited by 25
“Further, glutamate release from SF1 neurons has been implicated in the regulation of body weight, glucose balance (45), locomotor activity, and anxiety in mice (46).”
Chowdhury, G. M. I., Wang, P., Ciardi, A., Mamillapalli, R., Johnson, J., Zhu, W., Eid, T., Behar, K. L., & Chan, O. T. M. (2017) · Diabetes · doi:10.2337/db16-1589 · Cited by 21
Roccaro-Waldmeyer, D. M., Girard, F., Milani, D., Vannoni, E., Prétôt, L., Wolfer, D. P., & Celio, M. R. (2018) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2018.00146 · Cited by 24
“The efficacy of such a Cre-Lox approach, used in combination with Slc17a6-Loxmutant mice, has been confirmed previously (Tong et al., 2007; Wallén-Mackenzie et al., 2009; Birgner et al., 2010).”
MethodNeural Progenitor Cells and the Hypothalamus
Makrygianni, E. A., & Chrousos, G. P. (2023) · Cells · doi:10.3390/cells12141822 · Cited by 30
“Abbreviations ACTH: adrenocorticotropic hormone; AgRP: agouti-related peptide; α-MSH: α-melanocyte-stimulating hormone; AP; area postrema; ARC: arcuate nucleus; ASCL1: Achaete-Scute Family BHLH Transcription Factor 1; AVP: arginine vasopressin; AVPR: arginine vasopressin receptor; AV V-SVZ: anterior ventral ventricula…”
BackgroundInfluentialNeuronal regulation of glucagon secretion and gluconeogenesis
Thorens, B. (2022) · Journal of Diabetes Investigation · doi:10.1111/jdi.13745 · Cited by 25
Wang, X., & Li, H. (2022) · Frontiers in Molecular Neuroscience · doi:10.3389/fnmol.2022.1019446 · Cited by 24
Yu, Y., Liu, X., Jiang, D., Sun, Q., Zhou, T., Zhu, M., Jin, L., & Shi, G. (2010) · Biosensors and Bioelectronics · doi:10.1016/j.bios.2010.12.031 · Cited by 25
“It is also involved in the process of mediating energy xpenditure, insulin–glucose homeostasis, the sleep–awake cycle, nd the neuroendocrine output of the pituitary gland in the venromedial hypothalamus (Tong et al., 2007; Wilson and Johnson, 008).”
BackgroundNeurobiological characteristics underlying metabolic differences between males and females
Chowen, J. A., Freire‐Regatillo, A., & Argente, J. (2018) · Progress in Neurobiology · doi:10.1016/j.pneurobio.2018.09.001 · Cited by 24
Sex-Specific Control of Fat Mass and Counterregulation by Hypothalamic Glucokinase
Steinbusch, L. K. M., Picard, A., Bonnet, M. S., Basco, D., Labouèbe, G., & Thorens, B. (2016) · Diabetes · doi:10.2337/db15-1514 · Cited by 23
“For instance, inhibition of glutamatergic transmission by inactivation of the synaptic vesicular transporter vGLUT2 gene prevented the normal glucagon response to hypoglycemia (25), thereby supporting a glucose-sensing role of these neurons.”
BackgroundShao, Y.-Q., Fan, L., Wu, W., Zhu, Y.-J., & Xu, H. (2022) · Current Biology · doi:10.1016/j.cub.2022.05.029 · Cited by 21
Quantification of Behavioral Deficits in Developing Mice With Dystonic Behaviors
van der Heijden, M. E., Gill, J. S., Hipolito, A. G. R., Leon, L. E. S., & Sillitoe, R. V. (2022) · Dystonia · doi:10.3389/dyst.2022.10494 · Cited by 18
“For the experiments in this study, we crossed male mice that were heterozygous for Ptf1aCre (JAX #023329) (56) and homozygous for the LoxP-flanked glutamatergic vesicular transporter 2 gene, Vglut2fl (JAX #012898) (57), to female mice that were homozygous for Vglut2fl.”
MethodChao, D. H. M., Mercado, L. L., Foppen, E., Guzmán‐Ruiz, M. A., Basualdo, M. C., Escobar, C., & Buijs, R. M. (2016) · Endocrinology · doi:10.1210/en.2015-1751 · Cited by 22
Abarkan, M., Gaitan, J., Lebreton, F., Perrier, R., Jaffredo, M., Mulle, C., Magnan, C., Raoux, M., & Lang, J. (2019) · Molecular Metabolism · doi:10.1016/j.molmet.2019.09.011 · Cited by 20
“In this context glutamate plays a role in ventromedial hypothalamic neurons [64] and via kainate receptors in the dorsal motor nucleus of the vagus that regulates stimulatory parasympathetic output to the islets [65].”
BackgroundXu, Y., Chang, J. T., Myers, M. G., Xu, Y., & Tong, Q. (2016) · Diabetes · doi:10.2337/db15-1160 · Cited by 21
“A recent study (21,22) suggests that leptin action in the ventromedial hypothalamic (VMH) neurons, which are mainly glutamatergic, is also sufficient to mediate glucose-lowering effects of central leptin action, suggesting a role for glutamate release in mediating the leptin action.”
BackgroundSapkota, S., Ali, M. H., Alshamrani, A. A., Napit, P. R., Roy, S. C., Pasula, M. B., & Briski, K. P. (2023) · Neuroscience · doi:10.1016/j.neuroscience.2023.08.006 · Cited by 21
Jo, Y. (2011) · Journal of Neurophysiology · doi:10.1152/jn.00353.2011 · Cited by 21
“Mice lacking vesicular glutamate transporter in SF-1 neurons develop a modest increase in body weight when fed a high-fat and high-sucrose diet (Tong et al. 2007).”
BackgroundUddin, M. M., Ibrahim, M. M. H., & Briski, K. P. (2021) · ASN NEURO · doi:10.1177/17590914211035020 · Cited by 20
“Knockout of the neuron-specific vesicular glutamate transporter-2 was observed to suppress glucagon and epinephrine secretion and to inhibit hepatic gluconeogenic enzyme gene expression in the mouse (Tong et al., 2007).”
BackgroundTu, L., Bean, J. C., He, Y., Liu, H., Yu, M., Liu, H., Zhang, N., Yin, N., Han, J., Scarcelli, N. A., et al. (2023) · Journal of Clinical Investigation · doi:10.1172/jci163391 · Cited by 20
“Mice with genetic loss of glutamate release from VMH neurons exert a lower fasting glucose level and impaired counterregulatory response to insulin-induced hypoglycemia and glucopenia (14).”
BackgroundLaflamme, O. D., Markin, S. N., Deska‐Gauthier, D., Banks, R. A., Zhang, Y., Danner, S. M., & Akay, T. (2023) · Current Biology · doi:10.1016/j.cub.2023.07.014 · Cited by 20
Expanding neurotransmitters in the hypothalamic neurocircuitry for energy balance regulation
Xu, Y., & Tong, Q. (2011) · Protein & Cell · doi:10.1007/s13238-011-1112-4 · Cited by 20
“Using deletion of VGLUT2 or VGAT as a means to disrupt glutamate or GABA release, studies are beginning to reveal their roles in leptin neural pathways (Tong et al., 2007, 2008).”
BackgroundMethodInfluentialThe corpulent phenotype—how the brain maximizes survival in stressful environments
Peters, A., Kubera, B., Hubold, C., & Langemann, D. (2013) · Frontiers in Neuroscience · doi:10.3389/fnins.2013.00047 · Cited by 22
“Keywords: mortality, obesity, phenotypic plasticity, selfish brain theory, stress reactivity”
BackgroundMcNeilly, A. D., Gallagher, J. R., Huang, J. T.-J., Ashford, M. L. J., & McCrimmon, R. J. (2017) · Diabetes · doi:10.2337/db16-1533 · Cited by 20
“Loss of VMH glutamatergic Steroidogenic Factor 1 (SF1) activity suppresses the CRR to hypoglycemia (21), while specific deletion of BDNF in VMH SF1 neurons also results in a reduced CRR to hypoglycemia (22).”
BackgroundRemote control of glucose-sensing neurons to analyze glucose metabolism
Alvarsson, A., & Stanley, S. A. (2018) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00469.2017 · Cited by 22
Hypoglycemia: Role of Hypothalamic Glucose-Inhibited (GI) Neurons in Detection and Correction
Zhou, C., Teegala, S. B., Khan, B. A., Gonzalez, C., & Routh, V. H. (2018) · Frontiers in Physiology · doi:10.3389/fphys.2018.00192 · Cited by 19
“Strong evidence in rodents supports a role for ventromedial hypothalamus (VMH) glucose sensors in the hormonal CRR (Borg et al., 1994, 1995, 1997; Tong et al., 2007) as well as in glucoprivic feeding (Dunn-Meynell et al., 2009).”
BackgroundRouth, V. H., Donovan, C. M., & Ritter, S. (2012) · Translational endocrinology & metabolism · doi:10.1210/team.9781936704200.ch2 · Cited by 19
Peters, A., Sprengell, M., & Kubera, B. (2022) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2022.104847 · Cited by 19
“In turn, these VMH neurons release glutamate (Tong et al., 2007) and in so doing activate the sympathetic nervous system (SNS) and the hypothalamuspituitary-adrenal (HPA) axis.”
van der Heijden, M. E., Brown, A. M., Kizek, D. J., & Sillitoe, R. V. (2024) · eLife · doi:10.7554/elife.91483.3 · Cited by 18
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Running the Female Power Grid Across Lifespan Through Brain Estrogen Signaling
Ingraham, H. A., Herber, C. B., & Krause, W. C. (2021) · Annual Review of Physiology · doi:10.1146/annurev-physiol-061121-035914 · Cited by 18
Pedroso, A. P., Dornellas, A. P. S., de Souza, A. P., Pagotto, J. F., Oyama, L. M., do Nascimento, C. M. O., Klawitter, J., Christians, U., Tashima, A. K., & Ribeiro, E. B. (2018) · European Journal of Nutrition · doi:10.1007/s00394-018-1851-6 · Cited by 17
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Dopaminergic signaling to ventral striatum neurons initiates sniffing behavior
Johnson, N. L., Cotelo-Larrea, A., Stetzik, L. A., Akkaya, U. M., Zhang, Z., Gadziola, M. A., Varga, A. G., Ma, M., & Wesson, D. W. (2025) · Nature Communications · doi:10.1038/s41467-024-55644-6 · Cited by 19
Wang, J., Sun, X., Gong, X., Dai, W., Hong, H., Jiang, L., Wang, Z., Tang, Z., Wu, X., Sun, P., et al. (2025) · Cell Metabolism · doi:10.1016/j.cmet.2025.09.006 · Cited by 18
Brain-Body Control of Glucose Homeostasis—Insights From Model Organisms
MacDonald, A. J., Yang, Y. H. C., Cruz, A. M., Beall, C., & Ellacott, K. L. J. (2021) · Frontiers in Endocrinology · doi:10.3389/fendo.2021.662769 · Cited by 16
“However, evidence suggests that hindbrain-limited recurrent glucoprivation does not alter CRR (62), suggesting that adaptations to hypoglycemia that cause defective CRR are likely forebrainmediated.”
BackgroundMethodInfluentialPopulation coding of predator imminence in the hypothalamus
Cheung, K. Y. M., Nair, A., Li, L.-Y., Shapiro, M. G., & Anderson, D. J. (2025) · Neuron · doi:10.1016/j.neuron.2025.02.003 · Cited by 16
CB1Rs in VMH neurons regulate glucose homeostasis but not body weight
Castorena, C. M., Caron, A., Michael, N. J., Ahmed, N. I., Arnold, A. G., Lee, J., Lee, C., Limboy, C., Tinajero, A., Granier, M., et al. (2021) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00044.2021 · Cited by 16
Gorton, L. M., Khan, A. M., Bohland, M., Sanchez‐Watts, G., Donovan, C. M., & Watts, A. G. (2007) · Endocrinology · doi:10.1210/en.2007-0194 · Cited by 16
“However, glucose-sensing mechanisms located in the hypothalamus, particularly those in the region of the ventromedial and arcuate nuclei, seem much less important for the ACTH response to hypoglycemia (18, 46, 47).”
P110β in the ventromedial hypothalamus regulates glucose and energy metabolism
Fujikawa, T., Choi, Y., Yang, D. J., Shin, D. M., Donato, J., Kohno, D., Lee, C. E., Elias, C. F., Lee, S., & Kim, K. W. (2019) · Experimental & Molecular Medicine · doi:10.1038/s12276-019-0249-8 · Cited by 18
Szepietowska, B., Zhu, W., Czyzyk, J. K., Eid, T., & Sherwin, R. S. (2012) · Diabetes · doi:10.2337/db12-0982 · Cited by 16
“Mice with impaired glutamatergic neurotransmission secondary to the loss the glutamate transporter, VGLUT2, selectively in SF1 VMH neurons exhibit a modest reduction in fasting glucose levels, marked suppression of glucagon secretion, and diminished catecholamine responses during insulin-induced hypoglycemia (37).”
BackgroundMethodYong, H. J., Ha, N., Cho, E. B., Yun, S., Kim, H., Hwang, J., & Seong, J. Y. (2020) · Scientific Reports · doi:10.1038/s41598-020-60266-1 · Cited by 15
Clapp, R., & Luckman, S. M. (2012) · British Journal of Pharmacology · doi:10.1111/j.1476-5381.2012.02056.x · Cited by 15
“…still relatively little is known about the phenotypes of the neurones involved, although pituitary adenylate cyclase-activating polypeptide (Hawke et al., 2009), brainderived neurotrophic factor (Unger et al., 2007) and glutamate-containing (Tong et al., 2007) neurones are clearly involved.”
Backgroundvan der Heijden, M. E., Brown, A. M., Kizek, D. J., & Sillitoe, R. V. (2023) · eLife · doi:10.7554/elife.91483 · Cited by 33
“…( Tong et al., 2008 ), Ptf1a Cre (gift from Dr. Chris Wright) ( Kawaguchi et al., 2002 ), Slc17a6 fl (also known as Vglut2 fl ; JAX:012898) ( Tong et al., 2007 ), Pdx1 Cre (gift from Dr. Qingchun Tong) ( Gu et al., 2002 ), Car8 wdl/wdl (JAX:004625) ( Jiao et al., 2005 ), Atxn1 154Q…”
de Miera, C. S., Bellefontaine, N., Allen, S. J., Myers, M. G., & Elias, C. F. (2024) · eLife · doi:10.7554/elife.93204 · Cited by 16
“…), the Lepr Cre knock-in ( Lepr - Cre, JAX; stock 032457) ( Leshan et al., 2006 ), Kiss1 hrGFP ( Kiss1 - hrGFP; JAX, stock 023425) ( Cravo et al., 2013 ), Vglut2 flox ( Slc17a6 or Vglut2 gene, JAX; Stock 012898) ( Tong et al., 2007 ), and C57BL/6 (JAX; Stock 000664) mice were used for experiments.”
BackgroundD’Souza, S. P., Upton, B. A., Eldred, K. C., Glass, I. A., Nayak, G., Grover, K. E., Ahmed, A., Nguyen, M., Hu, Y., Gamlin, P. D., et al. (2024) · Developmental Cell · doi:10.1016/j.devcel.2024.07.018 · Cited by 17
Coupé, B., Leloup, C., Asiedu, K., Maillard, J., Pénicaud, L., Horváth, T. L., & Bouret, S. G. (2021) · Molecular Metabolism · doi:10.1016/j.molmet.2021.101186 · Cited by 14
“Previous studies reported a role for SF1 neurons in glucose metabolism [16; 19; 26; 27].”
BackgroundBrain More Resistant to Energy Restriction Than Body: A Systematic Review
Sprengell, M., Kubera, B., & Peters, A. (2021) · Frontiers in Neuroscience · doi:10.3389/fnins.2021.639617 · Cited by 16
“, 2007), and via glutamatergic mechanisms these VMH neurons activate the sympathoadrenal system (Tong et al., 2007; Lindberg et al., 2013).”
BackgroundResponses to cholecystokinin in the ventromedial nucleus of the rat hypothalamus in vivo
Sabatier, N., & Leng, G. (2010) · European Journal of Neuroscience · doi:10.1111/j.1460-9568.2010.07144.x · Cited by 14
“Recent studies showed that many neurons in the VMN express the orphan nuclear receptor steroidogenic factor-1 (SF-1), which appears to be crucial for appetite inhibition in mice (Majdic et al., 2002; Liu et al., 2006).”
BackgroundInfluentialRau, A. R., & Hentges, S. T. (2021) · Journal of Neurophysiology · doi:10.1152/jn.00359.2020 · Cited by 13
Pedroso, J. A. B., da Silva, I. B., Zampieri, T. T., Totola, L. T., Moreira, T. S., Taniguti, A. P. T., Diniz, G. P., Barreto‐Chaves, M. L. M., & Donato, J. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms23126484 · Cited by 13
“The prevention of glutamatergic neurotransmission from VMH neurons also reduces fasting glycemia and the counterregulatory response to hypoglycemia [80].”
BackgroundHypothalamic ventromedial COUP-TFII protects against hypoglycemia-associated autonomic failure
Sabra-Makke, L., Maritan, M., Planchais, J., Boutant, M., Pégorier, J. P., Even, P. C., Vasseur-Cognet, M., & Bossard, P. (2013) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1219262110 · Cited by 13
Georgescu, M., Cyr, D., & Pfaus, J. G. (2012) · Pharmacology Biochemistry and Behavior · doi:10.1016/j.pbb.2012.04.001 · Cited by 13
“Studies on hypoglycemia have found that glutamate release from steroidogenic factor-1 neurons within the VMH is an important mechanism within the neurocircuitry that underlies prevention of hypoglycemia (Tong et al., 2007).”
BackgroundByerly, M. S., Swanson, R. D., Wong, G. W., & Blackshaw, S. (2013) · PLoS ONE · doi:10.1371/journal.pone.0080781 · Cited by 13
“Many key physiological processes are regulated by the VMH, including glucose homeostasis and appetite control [44–47].”
BackgroundFoster, N. N., Azam, S., & Watts, A. G. (2016) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.00042.2016 · Cited by 12
“Many studies implicate the ventromedial nucleus of the hypothalamus (VMH) as a key nucleus for sensing glucose deficits and controlling epinephrine and glucagon CRRs during the rapid-onset hypoglycemia that develops between 20 and 30 min after insulin treatment (13, 16, 27, 28, 34, 49, 53).”
BackgroundHaspula, D., & Cui, Z. (2023) · Cells · doi:10.3390/cells12131801 · Cited by 12
BAD Modulates Counterregulatory Responses to Hypoglycemia and Protective Glucoprivic Feeding
Osundiji, M. A., Godes, M., Evans, M. L., & Danial, N. N. (2011) · PLoS ONE · doi:10.1371/journal.pone.0028016 · Cited by 12
“In addition, neurotransmitters such as c-amino butyric acid (GABA) [26,27,28,29], glutamate [30], N-methyl Daspartate (NMDA) [31], as well as corticotrophin-releasing factor receptors [32] have been implicated in hypoglycemia counterregulation.”
BackgroundMcCall, A. L. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-813146-6.00022-9 · Cited by 12
Central and peripheral neural circuits regulating glucose homeostasis
Espinoza, D., Seibold, F., & Stanley, S. A. (2025) · npj Biomedical Innovations. · doi:10.1038/s44385-025-00036-8 · Cited by 13
“In contrast, deletion of the glutamate transporter vGlut2 to block glutamate release from SF-1 neurons blunted glucagon release and lowered blood glucose in response to insulin-induced hypoglycemia 34 .”
Canonical transient receptor potential channels and hypothalamic control of homeostatic functions
Kelly, M. J., & Wagner, E. J. (2024) · Journal of Neuroendocrinology · doi:10.1111/jne.13392 · Cited by 11
“84,85 Similar to Kiss1 ARH neurons, TRPC 5 channels are also an effector target for multiple peptide receptors in POMC neurons.”
Defining spatial nonuniformities of all ipRGC types using an improved Opn4 recombinase mouse line
Dyer, B., Yu, S. O., Brown, R. L., Lang, R. A., & D’Souza, S. P. (2024) · Cell Reports Methods · doi:10.1016/j.crmeth.2024.100837 · Cited by 11
Hypothalamic cannabinoid signaling: Consequences for eating behavior
Lord, M. N., & Noble, E. E. (2024) · Pharmacology Research & Perspectives · doi:10.1002/prp2.1251 · Cited by 10
Zieba, D. A., Biernat, W., Szczęsna, M., Kirsz, K., & Misztal, T. (2019) · Nutrients · doi:10.3390/nu11092180 · Cited by 11
“The VMH, which is rich in glucose-sensing neurons, and the LeptRb neurons in this nucleus may also participate in glucose homeostasis regulation [31,32].”
BackgroundInfluence of data sampling methods on the representation of neural spiking activity in vivo
van der Heijden, M. E., Brown, A. M., & Sillitoe, R. V. (2022) · iScience · doi:10.1016/j.isci.2022.105429 · Cited by 11
Hypothalamic Neurones Governing Glucose Homeostasis
Coppari, R. (2015) · Journal of Neuroendocrinology · doi:10.1111/jne.12276 · Cited by 12
Mulvey, B., Wang, Y., Divecha, H. R., Bach, S. V., Montgomery, K. D., Cinquemani, S., Chandra, A., Du, Y., Miller, R. A., Kleinman, J. E., et al. (2026) · Cell Reports · doi:10.1016/j.celrep.2025.116877 · Cited by 10
“Further, “regulation of insulin secretion” genes were enriched among highly expressed genes in vVMH, consistent with its glucoregulatory function in rodents ( 90 ) ,( 91 , 92 ) .”
Sapkota, S., & Briski, K. P. (2024) · ACS Chemical Neuroscience · doi:10.1021/acschemneuro.4c00206 · Cited by 9
An alternative neural basis underlying leptin resistance
Li, H., Su, C., Xu, Y., Ludwig, M. Q., Davis, J. F., & Tong, Q. (2025) · Cell Reports · doi:10.1016/j.celrep.2025.115863 · Cited by 11
“Since the ventromedial hypothalamus surrounds the Arc and mostly consists of glutamatergic neurons with Vglut2 expression, 23 the presence of Vglut2-Cre will limit NachBac expression in GABAergic neurons within the Arc (Figure 2B).”
Steroidogenic Factor-1 form and function: From phospholipids to physiology
Campbell, A. N., Choi, W. J., Ethan, S., Orun, A. R., Poland, J. C., Stivison, E., Kubina, J. N., Hudson, K. L., Loi, M. N. C., Bhatia, J. N., et al. (2023) · Advances in Biological Regulation · doi:10.1016/j.jbior.2023.100991 · Cited by 9
Hypothalamic Irak4 is a genetically controlled regulator of hypoglycemia-induced glucagon secretion
Picard, A., Berney, X. P., Castillo‐Armengol, J., Tarussio, D., Jan, M., Sánchez-Archidona, A. R., Croizier, S., & Thorens, B. (2022) · Molecular Metabolism · doi:10.1016/j.molmet.2022.101479 · Cited by 9
van der Heijden, M. E., Brown, A. M., & Sillitoe, R. V. (2022) · Neuromethods · doi:10.1007/978-1-0716-2026-7_3 · Cited by 9
Energy Partitioning, Ingestive Behavior, and Reproductive Success
Schneider, J. E., & Watts, A. G. (2009) · Elsevier eBooks · doi:10.1016/b978-008088783-8.00006-1 · Cited by 9
Wang, S., Zou, M., Zhu, Z., Wang, Z., Li, K., Ruan, J., Zhao, B., Pan, C., Lan, X., Zhang, S., et al. (2024) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2024.177077 · Cited by 8
Investigating metabolic regulation using targeted neuromodulation
Devarakonda, K., & Stanley, S. A. (2017) · Annals of the New York Academy of Sciences · doi:10.1111/nyas.13468 · Cited by 7
Remembrance of things past: The consequences of recurrent hypoglycaemia in diabetes
McCrimmon, R. J. (2022) · Diabetic Medicine · doi:10.1111/dme.14973 · Cited by 7
Chu, P., Guo, W., You, H., & Lu, B. (2023) · Biomolecules · doi:10.3390/biom13050822 · Cited by 8
“Indeed, the expression of BDNF or VGLUT2 in ventrolateral part of VMH seemed undisrupted in these SF1-neuron specific knockout mice [52,53].”
BackgroundThibault, D., Giguère, N., Loustalot, F., Bourque, M.-J., Ducrot, C., Mestikawy, S. E., & Trudeau, L. (2015) · Brain Structure and Function · doi:10.1007/s00429-015-1029-4 · Cited by 8
Kiss, J., Csáki, Á., & Halász, B. (2011) · Neuroscience · doi:10.1016/j.neuroscience.2010.12.047 · Cited by 8
Sabra-Makke, L., Tourrel‐Cuzin, C., Denis, R., Moldes, M., Pégorier, J. P., Luquet, S. H., Vasseur-Cognet, M., & Bossard, P. (2010) · PLoS ONE · doi:10.1371/journal.pone.0013464 · Cited by 8
“Among the identified VMH markers, the nuclear receptor steroidogenic factor 1 (SF1) is expressed in a large subpopulation of neurons involved in the central control of glucose homeostasis [21,22].”
Background
Metadata
- Authors
- Tong, Q., Ye, C., McCrimmon, R. J., Dhillon, H., Choi, B., Kramer, M. D., Yu, J., Yang, Z., Christiansen, L. M., Lee, C. E., Choi, C. S., Zigman, J. M., Shulman, G. I., Sherwin, R. S., Elmquist, J. K., & Lowell, B. B.
- Affiliations
- Beth Israel Deaconess Medical Center (US)
- Yale University (US)
- The University of Texas Southwestern Medical Center (US)
- Howard Hughes Medical Institute (US)
- Corresponding author
- Lowell, Bradford B.
- ORCID
- Venue
- Cell Metabolism
- Publisher
- Elsevier BV
- Published
- 2007-05
- Volume
- 5
- Issue
- 5
- Pages
- 383-393
- ISSN
- 1550-4131 (ISSN-L)
- PMC
- PMC1934926
- OpenAlex
- W1995998852
- Cited by
- 413
- References
- 62
- Citations by year
- 2026: 10 · 2025: 20 · 2024: 32 · 2023: 23 · 2022: 23 · 2021: 30 · 2020: 22 · 2019: 10 · 2018: 25 · 2017: 27 · 2016: 16 · 2015: 19 · 2014: 20 · 2013: 26 · 2012: 27
- FWCI
- 7.89
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cell Metabolism (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Discovery Research Portal (University of Dundee) (submittedVersion)
- Funders
- American Diabetes Association Research Foundation
- Richard and Susan Smith Family Foundation
- Boston Area Diabetes Endocrinology Research Center
- National Institutes of Health
- National Institute of Diabetes and Digestive and Kidney Diseases (P30DK057521, P01DK56116, R01DK071051, P01DK056116, P30DK046200, R01DK040936, R01DK071320, U24DK059635, DK071320, R01DK069831, R01DK072409, R37DK020495)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pancreatic function and diabetes
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Keywords
- ventromedial hypothalamus, glutamate release, VGLUT2, glucagon, hypoglycemia, insulin-induced hypoglycemia, PGC-1α, gluconeogenesis, phosphoenolpyruvate carboxykinase, glucose-6-phosphatase, 2-deoxyglucose, hypothalamic neurons, glucose homeostasis
- MeSH terms
- Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha, Animals, Electrophysiology, Glucagon, Glucose-6-Phosphatase, Hypoglycemia, Hypothalamus, Insulin, Liver, Mice, Transgenic, Neurons, Synapses, Transcription Factors, Trans-Activators, In Situ Hybridization, Glutamic Acid, Vesicular Glutamate Transport Protein 2, Mice
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