Hypothalamic innate immune reaction in obesity
Open accessAbstract
Findings from rodent and human studies show that the presence of inflammatory factors is positively correlated with obesity and the metabolic syndrome. Obesity-associated inflammatory responses take place not only in the periphery but also in the brain. The hypothalamus contains a range of resident glial cells including microglia, macrophages and astrocytes, which are embedded in highly heterogenic groups of neurons that control metabolic homeostasis. This complex neural-glia network can receive information directly from blood-borne factors, positioning it as a metabolic sensor. Following hypercaloric challenge, mediobasal hypothalamic microglia and astrocytes enter a reactive state, which persists during diet-induced obesity. In established mouse models of diet-induced obesity, the hypothalamic vasculature displays angiogenic alterations. Moreover, proopiomelanocortin neurons, which regulate food intake and energy expenditure, are impaired in the arcuate nucleus, where there is an increase in local inflammatory signals. The sum total of these events is a hypothalamic innate immune reactivity, which includes temporal and spatial changes to each cell population. Although the exact role of each participant of the neural-glial-vascular network is still under exploration, therapeutic targets for treating obesity should probably be linked to individual cell types and their specific signalling pathways to address each dysfunction with cell-selective compounds.
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- Authors
- Kälin, S., Heppner, F. L., Bechmann, I., Prinz, M., Tschöp, M. H., & Yi, C.-X.
- Affiliations
- Helmholtz Munich (DE)
- Charité – Universitätsmedizin Berlin (DE)
- Leipzig University (DE)
- University of Freiburg (DE)
- Amsterdam UMC Location University of Amsterdam (NL)
- Corresponding author
- Tschöp, Matthias H.
- Venue
- Nature Reviews Endocrinology
- Published
- 2015-03-31
- Volume
- 11
- Issue
- 6
- Pages
- 339-351
- ISSN
- 1759-5029 (ISSN-L)
- 1759-5037
- OpenAlex
- W2085158900
- Cited by
- 167
- References
- 146
- Citations by year
- 2026: 7 · 2025: 10 · 2024: 12 · 2023: 11 · 2022: 16 · 2021: 13 · 2020: 16 · 2019: 16 · 2018: 18 · 2017: 28 · 2016: 15 · 2015: 5
- FWCI
- 2.39
- Type
- journal article
- Language
- en
- Open access
- green
- pure.amsterdamumc.nl
- Licence
- other-oa
- www.springer.com/tdm (tdm)
- Locations
- Nature Reviews Endocrinology (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- FreiDok plus (Universitätsbibliothek Freiburg) (submittedVersion)
- mediaTUM – the media and publications repository of the Technical University Munich (Technical University Munich) (submittedVersion)
- Site cant be reached (submittedVersion)
- Pure Amsterdam UMC (submittedVersion, other-oa)
- PuSH - Publication Server of Helmholtz Zentrum München (submittedVersion)
- Funders
- Alexander von Humboldt-Stiftung
- Deutsche Forschungsgemeinschaft (SFB 1052, NeuroCure EXC257, EXC257, HE 3130/6‐1)
- Bundesministerium für Bildung und Forschung
- Berlin Institute of Health
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Keywords
- obesity, hypothalamus, innate immunity, neuroinflammation, microglia, astrocytes, macrophages, proopiomelanocortin neurons, arcuate nucleus, diet-induced obesity, metabolic syndrome, angiogenesis, food intake regulation, energy expenditure, therapeutic target
- MeSH terms
- Animals, Arcuate Nucleus of Hypothalamus, Astrocytes, Eating, Energy Metabolism, Humans, Hypothalamus, Immunity, Innate, Macrophages, Neuroglia, Neurons, Obesity, Tumor Necrosis Factor-alpha, NF-kappa B, Microglia, Mice, I-kappa B Kinase
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