001     165605
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024 7 _ |a 10.1016/j.celrep.2022.111698
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024 7 _ |a 2211-1247
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037 _ _ |a DZNE-2022-01738
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Bakker, Wineke
|b 0
245 _ _ |a Acute changes in systemic glycemia gate access and action of GLP-1R agonist on brain structures controlling energy homeostasis.
260 _ _ |a [New York, NY]
|c 2022
|b Elsevier
336 7 _ |a article
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336 7 _ |a ARTICLE
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520 _ _ |a Therapies based on glucagon-like peptide-1 (GLP-1) long-acting analogs and insulin are often used in the treatment of metabolic diseases. Both insulin and GLP-1 receptors are expressed in metabolically relevant brain regions, suggesting a cooperative action. However, the mechanisms underlying the synergistic actions of insulin and GLP-1R agonists remain elusive. In this study, we show that insulin-induced hypoglycemia enhances GLP-1R agonists entry in hypothalamic and area, leading to enhanced whole-body fat oxidation. Mechanistically, this phenomenon relies on the release of tanycyctic vascular endothelial growth factor A, which is selectively impaired after calorie-rich diet exposure. In humans, low blood glucose also correlates with enhanced blood-to-brain passage of insulin, suggesting that blood glucose gates the passage other energy-related signals in the brain. This study implies that the preventing hyperglycemia is important to harnessing the full benefit of GLP-1R agonist entry in the brain and action onto lipid mobilization and body weight loss.
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650 _ 7 |a CP: Metabolism
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650 _ 7 |a brain access
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650 _ 7 |a diabetes
|2 Other
650 _ 7 |a glucagon-like peptide 1 analogs
|2 Other
650 _ 7 |a glycemic control
|2 Other
650 _ 7 |a metabolism
|2 Other
650 _ 7 |a nutrient partitioning
|2 Other
650 _ 7 |a obesity
|2 Other
650 _ 7 |a tanycyte
|2 Other
650 _ 7 |a Blood Glucose
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650 _ 7 |a Vascular Endothelial Growth Factor A
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650 _ 7 |a Glucagon-Like Peptide 1
|0 89750-14-1
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650 _ 7 |a Insulin
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650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a Blood Glucose: metabolism
|2 MeSH
650 _ 2 |a Vascular Endothelial Growth Factor A: metabolism
|2 MeSH
650 _ 2 |a Glucagon-Like Peptide 1: metabolism
|2 MeSH
650 _ 2 |a Insulin: metabolism
|2 MeSH
650 _ 2 |a Homeostasis
|2 MeSH
650 _ 2 |a Brain: metabolism
|2 MeSH
700 1 _ |a Imbernon, Monica
|b 1
700 1 _ |a Salinas, Casper Gravesen
|b 2
700 1 _ |a Moro Chao, Daniela Herrera
|b 3
700 1 _ |a Hassouna, Rim
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700 1 _ |a Morel, Chloe
|b 5
700 1 _ |a Martin, Claire
|b 6
700 1 _ |a Leger, Caroline
|b 7
700 1 _ |a Denis, Raphael G P
|b 8
700 1 _ |a Castel, Julien
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700 1 _ |a Peter, Andreas
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700 1 _ |a Heni, Martin
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700 1 _ |a Maetzler, Walter
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700 1 _ |a Nielsen, Heidi Solvang
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700 1 _ |a Duquenne, Manon
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700 1 _ |a Schwaninger, Markus
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700 1 _ |a Lundh, Sofia
|b 16
700 1 _ |a Johan Hogendorf, Wouter Frederic
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700 1 _ |a Gangarossa, Giuseppe
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700 1 _ |a Secher, Anna
|b 19
700 1 _ |a Hecksher-Sørensen, Jacob
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700 1 _ |a Pedersen, Thomas Åskov
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700 1 _ |a Prevot, Vincent
|b 22
700 1 _ |a Luquet, Serge
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773 _ _ |a 10.1016/j.celrep.2022.111698
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