A Novel Rodent Model That Mimics the Metabolic Sequelae of Obese Craniopharyngioma Patients
Open accessAbstract
Patients with craniopharyngioma (CP), a tumor located in the pituitary and/or hypothalamus, are susceptible to developing obesity and many metabolic complications. The study aim was to create a rodent model that mimics the complex neuroanatomical and metabolic disturbances commonly seen in obese CP patients. We compared the metabolic phenotype of animals with three distinct types of hypothalamic lesions: 1) destruction of the arcuate nucleus (ARC) induced by monosodium glutamate (MSG), 2) electrolytic lesion of the adjacent ventromedial nucleus (VMN) alone, 3) both the VMN and dorsomedial nucleus (DMN), or a 4) combined medial hypothalamic lesion (CMHL) affecting the VMN, DMN, and the ARC. Only the CMHL model exhibited all key features observed in patients with hypothalamic obesity induced by CP. These features included excessive weight gain due to increased adiposity, increased food intake, and pronounced hyperinsulinemia and hyperleptinemia. Similar to characteristics of patients with CP, CMHL animals exhibited reduced plasma levels of alpha-melanocyte stimulating hormone and reduced ambulatory activity compared with weight-matched controls. Therefore, the CMHL model best mimics the complex metabolic abnormalities observed in obese CP patients compared with lesions to other hypothalamic areas and provides a foundation for future pharmacological approaches to treat obesity in children with hypothalamic damage.
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The hypothalamus, particularly the ventromedial and dorsomedial nuclei, integrates signals from the autonomic nervous system that govern heart rate, blood pressure, respiratory rate, body temperature, and digestion.
“First, the hypothalamus, in particular the ventromedial and dorsomedial hypothalamic nuclei, integrates signals from the autonomic nervous system that govern physiologic processes including heart rate, blood pressure, respiratory rate, body temperature, and digestion (53-56).”
From Approach to the patient with acquired hypothalamic syndrome (2026) · cites this paper as [55]
The Discussion (page unavailable) says hypothalamic pathways regulate autonomic outflow, and the Results (page unavailable) show that VMN and VMN/DMN lesions affect food intake and body weight. The paper does not say these nuclei integrate signals from the autonomic nervous system or link them to heart rate, blood pressure, respiratory rate, body temperature, and digestion. (LLM, conf=0.84)
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Hypothalamic obesity: prologue and promise
Abuzzahab, M. J., Roth, C. L., & Shoemaker, A. H. (2019) · Hormone Research in Paediatrics · doi:10.1159/000496564 · Cited by 71 · see citing works
Self-citationAcquired hypothalamic obesity: A clinical overview and update
Roth, C. L., & McCormack, S. E. (2024) · Diabetes, Obesity and Metabolism · doi:10.1111/dom.15530 · Cited by 42 · see citing works
Self-citationApproach to the patient with acquired hypothalamic syndrome
Grishman, E. K., & McCormack, S. E. (2026) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgag197
- Authors
- Roth, C. L., Blevins, J. E., Ralston, M., Elfers, C., Ogimoto, K., Kaiyala, K. J., & Morton, G. J.
- Affiliations
- University of Washington (US)
- VA Puget Sound Health Care System (US)
- Corresponding author
- Roth, Christian L
- Venue
- Pediatric Research
- Published
- 2011-03
- Volume
- 69
- Issue
- 3
- Pages
- 230-236
- ISSN
- 0031-3998 (ISSN-L)
- 1530-0447
- PMC
- PMC3673774
- OpenAlex
- W1963695250
- Cited by
- 35
- References
- 2
- Citations by year
- 2026: 2 · 2024: 1 · 2022: 11 · 2021: 3 · 2019: 2 · 2018: 1 · 2017: 1 · 2016: 2 · 2015: 3 · 2014: 1 · 2013: 2 · 2012: 3
- FWCI
- 1.16
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Pediatric Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- American Heart Association
- University of Washington (DK‐035816)
- Nutrition Obesity Research Center, University of North Carolina (DK035816)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK089056, DK 035816, P30DK035816)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pituitary Gland Disorders and Treatments
- Keywords
- craniopharyngioma, hypothalamic obesity, rodent models, hypothalamic lesions, arcuate nucleus, ventromedial hypothalamus, dorsomedial nucleus, hyperinsulinemia, hyperleptinemia, alpha-melanocyte-stimulating hormone, dietary intake, ambulatory activity, childhood obesity
- MeSH terms
- Animals, Arcuate Nucleus of Hypothalamus, Body Weight, Child, Craniopharyngioma, Disease Models, Animal, Dorsomedial Hypothalamic Nucleus, Eating, Energy Metabolism, Female, Homeostasis, Humans, Hypothalamic Neoplasms, Hypothalamus, Male, Obesity, Pituitary Neoplasms, Pregnancy, Sodium Glutamate, Ventromedial Hypothalamic Nucleus, Rats, Sprague-Dawley, Rats
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