Leptin Prevents Fasting-Induced Suppression of Prothyrotropin-Releasing Hormone Messenger Ribonucleic Acid in Neurons of the Hypothalamic Paraventricular Nucleus*
Abstract
Prolonged fasting is associated with a number of changes in the thyroid axis manifested by low serum T3 and T4 levels and, paradoxically, low or normal TSH. This response is, at least partly, caused by suppression of proTRH gene expression in neurons of the hypothalamic paraventricular nucleus (PVN) and reduced hypothalamic TRH release. Because the fall in thyroid hormone levels can be blunted in mice by the systemic administration of leptin, we raised the possibility that leptin may have an important role in the neuroendocrine regulation of the thyroid axis, through effects on hypophysiotropic neurons producing proTRH. Adult male, Sprague-Dawley rats were either fed normally, fasted for 3 days, or fasted and administered leptin at a dose of 0.5 μg/gm BW ip every 6 h. Fasted animals showed significant reduction in plasma total and free T4 and T3 levels compared with controls, that were restored toward normal by the administration of leptin. Percent free T4, but not percent free T3, increased during fasting, further suggesting a reduction in plasma transthyretin levels that did not return to fed levels after leptin administration. By semiquantitative analysis of in situ hybridization autoradiograms, proTRH messenger RNA in medial parvocellular PVN neurons was markedly suppressed in the fasting animals but was restored to normal by leptin administration [fed vs. fast vs. fast/leptin (density units × 108): 8.5 ± 0.4, 3.2 ± 0.2, 8.1 ± 0.8]. In contrast, proTRH messenger RNA in adjacent neurons in the lateral hypothalamus that do not have a hypophysiotropic function remained unchanged by any of the experimental manipulations. These findings indicate that leptin has a selective, central action to modulate the hypothalamic-pituitary-thyroid axis by regulating proTRH gene expression in the PVN but does not have peripheral effects on thyroid-binding proteins. We propose that the fall in circulating leptin levels during fasting resets the set point for feedback inhibition by thyroid hormones on the biosynthesis of hypophysiotropic proTRH, thereby allowing adaptation to starvation.
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Leptin administration prevents the suppression of pro-TRH mRNA in paraventricular nucleus neurons that occurs with fasting.
“and prevents the suppression of pro-TRH mRNA in paraventricular nucleus neurons that occurs with fasting (41).”
From The role of falling leptin levels in the neuroendocrine and metabolic adaptation to short-term starvation in healthy men (2003) · cites this paper as [41]
The mechanism by which hypophysiotropic TRH neurons sense changes in peripheral energy stores is orchestrated by leptin.
“The mechanism by which hypophysiotropic TRH neurons sense alterations in peripheral energy stores is orchestrated by leptin, a white adipose tissue-derived circulating hormone (148 -150), because fasting-induced central hypothyroidism can be completely prevented by the exogenous administration of leptin (Figure 11C) (148).”
From Central regulation of hypothalamic-pituitary-thyroid axis under physiological and pathophysiological conditions (2014) · cites this paper as [148]
Fasting-induced central hypothyroidism can be completely prevented by exogenous leptin administration.
“fasting-induced central hypothyroidism can be completely prevented by the exogenous administration of leptin (Figure 11C) (148)”
From Central regulation of hypothalamic-pituitary-thyroid axis under physiological and pathophysiological conditions (2014) · cites this paper as [148]
During fasting, circulating thyroid hormone levels decline, with low or normal TSH levels and inhibition of TRH gene expression in the PVN, characteristic of central hypothyroidism.
“During fasting, for example, circulating thyroid hormone levels decline, associated with low or normal TSH levels and inhibition of TRH gene expression in the PVN characteristic of central hypothyroidism (Figure 11, A and B) (148 -150)”
From Central regulation of hypothalamic-pituitary-thyroid axis under physiological and pathophysiological conditions (2014) · cites this paper as [148]
During fasting, the arcuato-paraventricular pathway is the most important pathway mediating leptin's effect on hypophysiotropic TRH neurons.
“During fasting, it seems clear that the arcuato-paraventricular pathway is the most important pathway that mediates the effect of leptin on hypophysiotropic TRH neurons.”
From Central regulation of hypothalamic-pituitary-thyroid axis under physiological and pathophysiological conditions (2014) · cites this paper as [148]
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- Authors
- Légrádi, G., Emerson, C. H., Ahima, R. S., Flier, J. S., & Lechan, R. M.
- Affiliations
- Tupper Research Institute and Department of Medicine, Division of Endocrinology, Diabetes, Metabolism and Molecular Medicine, New England Medical Center (G.L., R.M.L.), Boston, Massachusetts 02111
- University of Massachusetts Chan Medical School (US)
- Beth Israel Deaconess Medical Center (US)
- Tufts University (US)
- Corresponding author
- Lechan, Ronald M.
- Venue
- Endocrinology
- Publisher
- The Endocrine Society
- Published
- 1997-06-01
- Volume
- 138
- Issue
- 6
- Pages
- 2569-2576
- ISSN
- 0013-7227 (ISSN-L)
- 1945-7170
- OpenAlex
- W2024794762
- Cited by
- 505
- References
- 72
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 4 · 2023: 3 · 2022: 7 · 2021: 11 · 2020: 10 · 2019: 13 · 2018: 12 · 2017: 13 · 2016: 16 · 2015: 12 · 2014: 16 · 2013: 22 · 2012: 20
- FWCI
- 9.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Endocrinology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Eli Lilly and Company
- National Institute of Diabetes and Digestive and Kidney Diseases (DK 37021, DK28082)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
- Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
- Keywords
- leptin, fasting, paraventricular nucleus, hypothalamic-pituitary-thyroid axis, thyroid hormone feedback, thyroid-binding proteins, prealbumin, starvation adaptation, thyroid hormone levels
- MeSH terms
- Animals, Fasting, Hypothalamo-Hypophyseal System, Male, Neurons, Obesity, Paraventricular Hypothalamic Nucleus, Prealbumin, Protein Precursors, Proteins, Pyrrolidonecarboxylic Acid, RNA, Messenger, Thyroid Gland, Thyrotropin, Thyrotropin-Releasing Hormone, Thyroxine, Transcription, Genetic, Triiodothyronine, Rats, Sprague-Dawley, Leptin, Mice, Rats
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