Michael Harrop
Active member
- https://english.elpais.com/science-tech/2024-12-23/the-brain-controls-body-weight-and-obesity-by-regulating-intestinal-fat-absorption.html
- https://www.nature.com/articles/s41586-024-07929-5
Chinese researchers have shown that, in addition to the vagus nerve's known regulation of gastric motility and digestive processes, chemically inactivating its dorsal motor nucleus in mice reduces intestinal fat absorption, causing them to lose body weight. Likewise, activating this same nucleus causes the opposite effect, increasing intestinal fat absorption and body weight.
But the most novel and surprising thing that researchers have observed is that when a certain group of neurons in that same nucleus is deactivated, specifically those that project to the jejunum, a part of the small intestine, the length of the microvilli in the intestinal wall is shortened, which reduces its surface area and thus the place in whose blood capillaries fat absorption occurs. The brain thus regulates this absorption by controlling the length and surface area of the intestinal spaces in which it takes place.
But that is not all, because the Shanghai researchers have completed their excellent and complex research by showing that puerarin, a substance used to treat vascular diseases of the brain, increases the excretion of fecal fats and weight loss by also inhibiting certain neurons in the dorsal motor nucleus of the vagus nerve, which makes this substance a regulator of intestinal fat absorption and, consequently, a promising treatment to control body weight in humans as well.
Abstract
Although fat is a crucial source of energy in diets, excessive intake leads to obesity. Fat absorption in the gut is prevailingly thought to occur organ-autonomously by diffusion. Whether the process is controlled by the brain-to-gut axis, however, remains largely unknown.
Here we demonstrate that the dorsal motor nucleus of vagus (DMV) plays a key part in this process. Inactivation of DMV neurons reduces intestinal fat absorption and consequently causes weight loss, whereas activation of the DMV increases fat absorption and weight gain. Notably, the inactivation of a subpopulation of DMV neurons that project to the jejunum shortens the length of microvilli, thereby reducing fat absorption.
Moreover, we identify a natural compound, puerarin, that mimics the suppression of the DMV–vagus pathway, which in turn leads to reduced fat absorption. Photoaffinity chemical methods and cryogenic electron microscopy of the structure of a GABAA receptor–puerarin complex reveal that puerarin binds to an allosteric modulatory site. Notably, conditional Gabra1 knockout in the DMV largely abolishes puerarin-induced intestinal fat loss.
In summary, we discover that suppression of the DMV–vagus–jejunum axis controls intestinal fat absorption by shortening the length of microvilli and illustrate the therapeutic potential of puerarin binding to GABRA1 in fat loss.
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