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Ghrelin modulates the activity and synaptic input organization of midbrain dopamine neurons while promoting appetite
Open accessAbstract
The gut hormone ghrelin targets the brain to promote food intake and adiposity. The ghrelin receptor growth hormone secretagogue 1 receptor (GHSR) is present in hypothalamic centers controlling energy metabolism as well as in the ventral tegmental area (VTA), a region important for motivational aspects of multiple behaviors, including feeding. Here we show that in mice and rats, ghrelin bound to neurons of the VTA, where it triggered increased dopamine neuronal activity, synapse formation, and dopamine turnover in the nucleus accumbens in a GHSR-dependent manner. Direct VTA administration of ghrelin also triggered feeding, while intra-VTA delivery of a selective GHSR antagonist blocked the orexigenic effect of circulating ghrelin and blunted rebound feeding following fasting. In addition, ghrelin- and GHSR-deficient mice showed attenuated feeding responses to restricted feeding schedules. Taken together, these data suggest that the mesolimbic reward circuitry is targeted by peripheral ghrelin to influence physiological mechanisms related to feeding.
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“neurons in the VTA and/or NAc express GLP-1 (24,25), ghrelin (26,27), leptin (28,29), insulin (30), orexin (31) and melanocortin receptors (32).”
From Obesity and addiction: Neurobiological overlaps (2013) · cites this paper as [26]
In the citing paper
“Moreover, neurons in VTA and/or nucleus accumbens (NAc) express glucagon-like peptide-1 (11,12), ghrelin (13,14), leptin (15,16), insulin (17), orexin (18), and melanocortin receptors (19).”
From The Addictive Dimensionality of Obesity (2013) · cites this paper as [13]
In the citing paper
“In contrast, ghrelin action directly within the VTA appears to activate dopamine neurons, increase accumbens dopamine turnover, and increase food intake”
From Food reward, hyperphagia, and obesity (2011) · cites this paper as [1]
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“Moreover, neurons in VTA and/or nucleus accumbens (NAc) express glucagon-like peptide-1 (11,12), ghrelin (13,14), leptin (15,16), insulin (17), orexin (18), and melanocortin receptors (19).”
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Ghrelin directly targets the ventral tegmental area to increase food motivation
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BackgroundMethodResultInfluentialPRECLINICAL STUDY: FULL ARTICLE: Ghrelin increases intake of rewarding food in rodents
Egecioglu, E., Jerlhag, E., Salomé, N., Skibicka, K. P., Haage, D., Bohlooly‐Y, M., Andersson, D. R., Bjursell, M., Perrissoud, D., Engel, J. A., et al. (2010) · Addiction Biology · doi:10.1111/j.1369-1600.2010.00216.x · Cited by 351
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ResultRole of astrocytes, microglia, and tanycytes in brain control of systemic metabolism
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Self-citationRapid sensing of circulating ghrelin by hypothalamic appetite-modifying neurons
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“Moreover, a recent study showed that ghrelin defends against depression (Lutter et al., 2008), which is mediated by ghrelin’s action on the midbrain dopaminergic system described herein and previously (Abizaid et al., 2006; Krishnan et al., 2007).”
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“For instance, the orexigenic ghrelin evokes feeding by increasing the activities of AGRP neurons through facilitating presynaptic release of glutamate (Abizaid et al., 2006; Yang et al., 2011).”
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“population of dopamine cells in this region (Abizaid et al. 2006).”
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“Secondly, direct microinjection of ghrelin in VTA or NAcc was shown to strongly enhance feeding behaviour (Naleid et al., 2005; Abizaid et al., 2006).”
BackgroundBlum, K., Gardner, E., Oscar-Berman, M., & Gold, M. (2012) · Current Pharmaceutical Design · doi:10.2174/138161212798919110 · Cited by 218
“Whereas ghrelin initially emerged as a stomach-derived hormone involved in energy balance, hunger, and meal initiation via action in food hunger-related hypothalamic circuits, it now seems clear that ghrelin also has a role in motivated reward-driven behaviors through activation of the so-called cholinergic-dopaminerg…”
BackgroundJerlhag, E., Egecioglu, E., Dickson, S. L., & Engel, J. A. (2010) · Psychopharmacology · doi:10.1007/s00213-010-1907-7 · Cited by 219
“ghrelin also activates key CNS pathways involved in reward, that include the mesolimbic dopamine system (Abizaid et al. 2006; Jerlhag et al. 2006) and, more specifically, the cholinergic–dopaminergic reward link (Jerlhag et al.”
BackgroundInfluentialHao, J., Liu, R., Piao, W., Zhou, Q., Vollmer, T. L., Campagnolo, D. I., Xiang, R., Cava, A. L., Kaer, L. V., & Shi, F. (2010) · The Journal of Experimental Medicine · doi:10.1084/jem.20092749 · Cited by 222
“Implantation was performed as previously described with some modifi cations (see Supplemental material; Abizaid et al., 2006; Hemsley et al., 2009).”
MethodHomeostasis Meets Motivation in the Battle to Control Food Intake
Ferrario, C. R., Labouèbe, G., Liu, S., Nieh, E. H., Routh, V. H., Xu, S., & O’Connor, E. C. (2016) · Journal of Neuroscience · doi:10.1523/jneurosci.2338-16.2016 · Cited by 227
“…2011), whereas ghrelin increases VTA DA neuron activity and promotes food intake, effortful food seeking and favors consumption of palatable food over regular chow (Naleid et al., 2005; Abizaid et al., 2006; Zigman et al., 2006; Egecioglu et al., 2010; King et al., 2011; Skibicka et al., 2011).”
BackgroundKanoski, S. E., Fortin, S. M., Ricks, K. M., & Grill, H. J. (2012) · Biological Psychiatry · doi:10.1016/j.biopsych.2012.07.002 · Cited by 210
Hypothalamic arcuate nucleus tyrosine hydroxylase neurons play orexigenic role in energy homeostasis
Zhang, X., & van den Pol, A. N. (2016) · Nature Neuroscience · doi:10.1038/nn.4372 · Cited by 215
Limitations in anti-obesity drug development: the critical role of hunger-promoting neurons
Dietrich, M. O., & Horváth, T. L. (2012) · Nature Reviews Drug Discovery · doi:10.1038/nrd3739 · Cited by 205
The extra-hypothalamic actions of ghrelin on neuronal function
Andrews, Z. B. (2010) · Trends in Neurosciences · doi:10.1016/j.tins.2010.10.001 · Cited by 199
Self-citationRole for insulin signaling in catecholaminergic neurons in control of energy homeostasis
Könner, A. C., Hess, S., Tovar, S., Mesaros, A., Sánchez-Lasheras, C., Evers, N., Verhagen, L. A. W., Brönneke, H. S., Kleinridders, A., Hampel, B., et al. (2011) · Cell Metabolism · doi:10.1016/j.cmet.2011.03.021 · Cited by 194
Monteleone, P., & Maj, M. (2013) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2012.10.021 · Cited by 199
Addiction science: Uncovering neurobiological complexity
Volkow, N. D., & Baler, R. (2013) · Neuropharmacology · doi:10.1016/j.neuropharm.2013.05.007 · Cited by 205
“…and hormones that regulate homeostatic food signals, such as glucagon-like peptide or GLP-1 (Alhadeff et al., 2012; Rinaman, 2010), ghrelin (Abizaid et al., 2006; Jerlhag et al., 2007), leptin (Figlewicz et al., 2003; Leshan et al., 2010), insulin (Figlewicz et al., 2008), orexin (Fadel…”
BackgroundNew Insights in Anorexia Nervosa
Gorwood, P. A. P. M., Blanchet, C., Chartrel, N., Duclos, J., Déchelotte, P., Hanachi, M., Fetissov, S. O., Godart, N. T., Melchior, J., Ramoz, N., et al. (2016) · Frontiers in Neuroscience · doi:10.3389/fnins.2016.00256 · Cited by 206
“Detailed mapping of GPR103 mRNA in the brain revealed that the 26RFa receptor is expressed in the VTA, the amygdala, and the NAc (Bruzzone et al., 2007), suggesting that, in as much the same way as orexins and MCH, 26RFa may be involved in reward-based food intake.”
BackgroundInfluentialThe role of reward circuitry and food addiction in the obesity epidemic: An update
Leigh, S.-J., & Morris, M. J. (2018) · Biological Psychology · doi:10.1016/j.biopsycho.2016.12.013 · Cited by 191
Ferrini, F., Salio, C., Lossi, L., & Merighi, A. (2009) · Current Neuropharmacology · doi:10.2174/157015909787602779 · Cited by 198
“The effect of ghrelin in midbrain has been recently described in ventral tegmental area (VTA) and nucleus accumbens (Nacc) [1, 104].”
Obesity: Pathophysiology and Intervention
Zhang, Y., Liu, J., Yao, J., Ji, G., Qian, L., Wang, J., Zhang, G., Tian, J., Nie, Y., Zhang, Y., et al. (2014) · Nutrients · doi:10.3390/nu6115153 · Cited by 204
“Dopamine is a neurotransmitter critical for reward processing, motivation, and positive behavior reinforcement [31,61], and plays an important role in the reward-saliency circuit.”
BackgroundThe central GLP-1: implications for food and drug reward
Skibicka, K. P. (2013) · Frontiers in Neuroscience · doi:10.3389/fnins.2013.00181 · Cited by 188
Obesity: Current and potential pharmacotherapeutics and targets
Narayanaswami, V., & Dwoskin, L. P. (2016) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2016.10.015 · Cited by 188
“…intra-VTA infusions of GHSR antagonist, BIM28163 (4-[[(2S)-2-[[(2R)-2-[[(2R)-3-(1-benzothiophene-3-yl)-2-(piperidine-3carbonylamino)propanoyl]amino]-3-(1H-indol-3-yl)propanoyl]amino]-3phenylpropanoyl]amino]piperidine-4-carboxamide; 0.5 μg/0.5 μl) given 1 h prior to ghrelin (Abizaid et al., 2006).”
InfluentialGhrelin Acts as an Interface between Physiological State and Phasic Dopamine Signaling
Cone, J. J., McCutcheon, J. E., & Roitman, M. F. (2014) · Journal of Neuroscience · doi:10.1523/jneurosci.4404-13.2014 · Cited by 187
“Ghrelin receptors are present on VTA dopamine neurons (Abizaid et al., 2006) and previous evidence suggests that administration of ghrelin into the VTA increases dopamine in the NAc shell (Jerlhag et al., 2007).”
BackgroundInfluentialJerlhag, E. (2008) · Addiction Biology · doi:10.1111/j.1369-1600.2008.00125.x · Cited by 186
“Additionally, ventral tegmental administration of ghrelin increases food intake in mice, implying that ghrelin may also regulate elemental feeding behaviour via activation of the mesolimbic DA system (Naleid et al. 2005; Abizaid et al. 2006).”
BackgroundResultInfluentialSimultaneous deletion of ghrelin and its receptor increases motor activity and energy expenditure
Pfluger, P. T., Kirchner, H., Günnel, S., Schrott, B., Pérez–Tilve, D., Fu, S., Benoit, S. C., Horváth, T. L., Joost, H., Wortley, K. E., et al. (2007) · American Journal of Physiology-Gastrointestinal and Liver Physiology · doi:10.1152/ajpgi.00321.2007 · Cited by 184
Self-citationCircadian Rhythms and Hormonal Homeostasis: Pathophysiological Implications
Gnocchi, D., & Bruscalupi, G. (2017) · Biology · doi:10.3390/biology6010010 · Cited by 193
Tauber, M., & Höybye, C. (2021) · The Lancet Diabetes & Endocrinology · doi:10.1016/s2213-8587(21)00002-4 · Cited by 187
From Belly to Brain: Targeting the Ghrelin Receptor in Appetite and Food Intake Regulation
Howick, K., Griffin, B. T., Cryan, J. F., & Schellekens, H. (2017) · International Journal of Molecular Sciences · doi:10.3390/ijms18020273 · Cited by 188
“Central ghrelin administration recruits dopaminergic neurons in the VTA and results in an elevated dopaminergic tone in the nucleus accumbens (NAcc) of mice, while more targeted intra-VTA administration robustly increases the intake of both standard chow [17,345] and palatable food [265,346].”
BackgroundCircadian rhythms and mood regulation: insights from pre-clinical models
McClung, C. A. (2011) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2011.07.008 · Cited by 169
“enhance the firing of VTA dopamine neurons (Abizaid et al. 2006).”
BackgroundMetabolic hormones, dopamine circuits, and feeding
Narayanan, N. S., Guarnieri, D. J., & Dileone, R. (2009) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2009.10.004 · Cited by 182
“Considering this broad literature, it is difficult to really specify the role of mesolimbic dopamine in free feeding: whereas mesolimbic dopamine neuron depletions do not specifically impact free feeding, neurochemical manipulations of the VTA and NAc [25;26] as well as infusions of opioid, leptin or ghrelin directly…”
BackgroundInfluentialHedonic and incentive signals for body weight control
Egecioglu, E., Skibicka, K. P., Hansson, C., Álvarez-Crespo, M., Friberg, P. A., Jerlhag, E., Engel, J. A., & Dickson, S. L. (2011) · Reviews in Endocrine and Metabolic Disorders · doi:10.1007/s11154-011-9166-4 · Cited by 192
“This link includes a cholinergic afferent projection from the LDTg onto the VTA dopamine cells.”
BackgroundInfluentialAn update on the connections of the ventral mesencephalic dopaminergic complex
Yetnikoff, L., Lavezzi, H. N., Reichard, R. A., & Zahm, D. S. (2014) · Neuroscience · doi:10.1016/j.neuroscience.2014.04.010 · Cited by 189
“…that the sensitivity with which neurons in the midbrain DA complex respond to physiological stimuli is dependent on concentrations of circulating hormones (e.g., Deroche et al., 1995; Rougé-Pont et al., 1995) and peptides (e.g., Abizaid et al., 2006; Fulton et al., 2006; Hommel et al., 2006).”
BackgroundGhrelin Signalling on Food Reward: A Salient Link Between the Gut and the Mesolimbic System
Perelló, M., & Dickson, S. L. (2014) · Journal of Neuroendocrinology · doi:10.1111/jne.12236 · Cited by 177
Brain circuits regulating energy homeostasis
Abizaid, A. B., & Horváth, T. L. (2008) · Regulatory Peptides · doi:10.1016/j.regpep.2007.10.006 · Cited by 171
Self-citationBrain regulation of energy balance and body weight
Rui, L. (2013) · Reviews in Endocrine and Metabolic Disorders · doi:10.1007/s11154-013-9261-9 · Cited by 168
“In contrast, ghrelin directly binds to neurons in the VTA, increasing dopamine transmission from VTA to NAc neurons [184].”
BackgroundThe brain’s reward system in health and disease
Lewis, R. G., Florio, E., Punzo, D., & Borrelli, E. (2021) · Advances in experimental medicine and biology · doi:10.1007/978-3-030-81147-1_4 · Cited by 170
“Clock is expressed in the VTA and NAcc and has been implicated in modulating reward processing.”
BackgroundInfluentialÁlvarez-Crespo, M., Skibicka, K. P., Farkas, I., Molnár, C. S., Egecioglu, E., Hrabovszky, E., Liposits, Z., & Dickson, S. L. (2012) · PLoS ONE · doi:10.1371/journal.pone.0046321 · Cited by 169
“For electrophysiological studies, the selected dose was 4 mM for ghrelin [11,32] and 10 mM for”
MethodImaging of Brain Dopamine Pathways
Wang, G., Volkow, N. D., Thanos, P. K., & Fowler, J. S. (2009) · Journal of Addiction Medicine · doi:10.1097/adm.0b013e31819a86f7 · Cited by 176
Palatability Can Drive Feeding Independent of AgRP Neurons
Denis, R. G. P., Joly-Amado, A., Webber, E., Langlet, F., Schaeffer, M., Padilla, S. L., Cansell, C., Dehouck, B., Castel, J., Delbès, A.-S., et al. (2015) · Cell Metabolism · doi:10.1016/j.cmet.2015.07.011 · Cited by 164
“Although the direct access of circulating hormones such as ghrelin or leptin to these structures lying away from the blood brain barrier (BBB) entry point is still a matter of debate, injection of these hormones into the ventral tegmental area (VTA) or parabrachial nucleus (PBN) can inhibit feeding (Abizaid et al., 20…”
BackgroundCircadian adaptations to meal timing: neuroendocrine mechanisms
Patton, D. F., & Mistlberger, R. E. (2013) · Frontiers in Neuroscience · doi:10.3389/fnins.2013.00185 · Cited by 176
“Mc3R receptors are predominantly expressed in hypothalamic and limbic structures, with high levels in areas implicated in feeding and reward (VMH and VTA) (Roselli-Rehfuss et al., 1993), while Mc4R are more widely distributed within the brain.”
BackgroundInfluentialOswal, A., & Yeo, G. S. H. (2009) · Obesity · doi:10.1038/oby.2009.228 · Cited by 170
“Although this re-wring of synaptic inputs occurs over a much shorter time course than the observed change in feeding behavior, its importance to normal energy homeostasis is highlighted by the fact that another appetite regulatory hormone, ghrelin, has a similar effect (79).”
BackgroundFulton, S. (2009) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2009.10.003 · Cited by 172
“Illustrating the direct action of ghrelin on VTA DA neurons, Abizaid and coworkers demonstrated that ghrelin binds to VTA cells and increases DA firing [3].”
BackgroundStrasser, F., Lutz, T. A., Maeder, M. T., Thuerlimann, B., Bueche, D., Tschöp, M. H., Kaufmann, K., Holst, B., Brändle, M., von Moos, R., et al. (2008) · British Journal of Cancer · doi:10.1038/sj.bjc.6604148 · Cited by 161
Self-citationLoeber, S., Grosshans, M., Herpertz, S., Kiefer, F., & Herpertz, S. C. (2013) · Appetite · doi:10.1016/j.appet.2013.07.008 · Cited by 159
“Thus, ghrelin receptors are located in dopaminergic neurons within the ventral tegmentum of the midbrain and stimulate the firing rate of neurons projecting to the nucleus accumbens (Abizaid et al. 2006).”
BackgroundRouach, V., Bloch, M., Rosenberg, N., Gilad, S., Limor, R., Stern, N., & Greenman, Y. (2007) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2007.04.010 · Cited by 159
“Ghrelin directly activates dopaminergic neurons in the VTA and increases synapse formation and dopamine turnover in the nucleus accumbens (Abizaid et al., 2006).”
Metadata
- Authors
- Abizaid, A., Liu, Z.-W., Andrews, Z. B., Shanabrough, M., Borok, E., Elsworth, J. D., Roth, R. H., Sleeman, M. W., Picciotto, M. R., Tschöp, M. H., Gao, X.-B., & Horvath, T. L.
- Affiliations
- Yale University (US)
- Regeneron (United States) (US)
- University of Cincinnati (US)
- ORCID
- Venue
- Journal of Clinical Investigation
- Published
- 2006-12-01
- Volume
- 116
- Issue
- 12
- Pages
- 3229-3239
- ISSN
- 0021-9738 (ISSN-L)
- OpenAlex
- W2086950122
- Cited by
- 984
- References
- 58
- Citations by year
- 2026: 23 · 2025: 33 · 2024: 31 · 2023: 34 · 2022: 46 · 2021: 53 · 2020: 44 · 2019: 40 · 2018: 56 · 2017: 66 · 2016: 51 · 2015: 57 · 2014: 60 · 2013: 73 · 2012: 78
- FWCI
- 15.69
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Clinical Investigation (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Yale University
- Ipsen
- National Institutes of Health (5r01mh057483-13, DK056863)
- Raymond and Beverly Sackler Institute for Biological, Physical and Engineering Sciences, Yale University
- National Institute on Alcohol Abuse and Alcoholism (P50AA015632)
- National Institute on Aging (R01AG022880, AG-022880)
- National Institute of Mental Health (R01-MH057483, R01MH014092, MH014092, MH057483, R37MH014092)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK070723, DK-056863, DK-069987, DK 060711, DK 070723, P01DK056863, DK074386, R01DK069987, R01DK074386, R01DK060711)
- National Institute of Neurological Disorders and Stroke (R01NS041725, NS-041725)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
- Keywords
- ghrelin, ventral tegmental area, dopaminergic neurons, nucleus accumbens, synaptic plasticity, feeding behavior, appetite, mesolimbic reward circuitry, energy metabolism
- MeSH terms
- Action Potentials, Animals, Appetite, Dopamine, Fluorescent Antibody Technique, Male, Mesencephalon, Mice, Inbred C57BL, Neurons, Nucleus Accumbens, Time Factors, Rats, Sprague-Dawley, Ventral Tegmental Area, Mice, Knockout, Patch-Clamp Techniques, Peptide Hormones, Receptors, G-Protein-Coupled, Mice, Rats, Ghrelin, Receptors, Ghrelin
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