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19. Robinson, D. N., Cant, K. & Cooley, L. Morphogenesis of Drosophila ovarian ring canals. Development and behaviour. Leptin, insulin, and melanocortin receptor agonists
120, 2015–2025 (1994).
20. Dodson, G. S., Guarnieri, D. J. & Simon, M. A. Src64 is required for ovarian ring canal morphogenesis
are potent anorexigens2. Absence of leptin3 or melanocortin recep-
during Drosophila oogenesis. Development 125, 2883–2892 (1998). tors2 or neuron-specific deletion of insulin receptors4 causes hyper-
21. Roulier, E. M., Panzer, S. & Beckendorf, S. K. The Tec29 tyrosine kinase is required during Drosophila phagia and obesity. Glucose5 and fatty acids6 also modulate the
embryogenesis and interacts with Src64 in ring canal development. Mol. Cell 1, 819–829 (1998).
activity of neurons that regulate appetite. The central nervous
22. Brinster, R. L. Germline stem cell transplantation and transgenesis. Science 296, 2174–2176 (2002).
23. Kramerova, I. A. & Kramerov, A. A. Mucinoprotein is a universal constituent of stable intercellular system signalling networks that mediate the actions of hormones
bridges in Drosophila melanogaster germ line and somatic cells. Dev. Dyn. 216, 349–360 (1999). and nutrients on energy balance are of key interest. AMPK is a
24. Tanimoto, H., Itoh, S., ten Dijke, P. & Tabata, T. Hedgehog creates a gradient of DPP activity in heterotrimer consisting of catalytic a-subunits and regulatory b-
Drosophila wing imaginal discs. Mol. Cell 5, 59–71 (2000).
and g-subunits1. AMPK is regulated by the cellular AMP/ATP ratio
and by upstream kinases1,7. AMPK is activated by stress and
Supplementary Information accompanies the paper on www.nature.com/nature.
regulates cellular metabolism by inhibiting energy consuming path-
Acknowledgements We thank R. Cox, B. Ohlstein and E. deCotto for comments on the ways and inducing pathways that generate ATP1. It is widely
manuscript. expressed—locations include neurons and glial cells8,9. We hypoth-
esized that hypothalamic AMPK might mediate hormonal and
Competing interests statement The authors declare that they have no competing financial nutrient effects on food intake and energy balance.
interests.
First we assessed whether leptin alters hypothalamic AMPK
Correspondence and requests for materials should be addressed to A.C.S. activity. The accuracy of dissection of hypothalamic nuclei was
(spradling@ciwemb.edu). assessed by measuring the expression of neuropeptides expressed
in distinct hypothalamic regions10 (Supplementary Methods and
Supplementary Fig. 1). Intraperitoneal (i.p.) injection of leptin in
free-moving fasted mice decreased a2AMPK activity in PVH and
arcuate hypothalamus (ARH) at 3 and 6 h after injection (Fig. 1a).
.............................................................. In contrast, leptin did not affect AMPK activity in other medial
hypothalamic regions (ventromedial hypothalamus, VMH, and
AMP-kinase regulates food intake by dorsomedial hypothalamus, DMH) or in lateral hypothalamus
(LH). Moreover, a1AMPK activity did not change in response to
responding to hormonal and nutrient leptin in any hypothalamic region (not shown). Baseline a2AMPK
activity was high in the cortex and was unaltered by leptin
signals in the hypothalamus administration. Intrahypothalamic injection of leptin had similar
effects to i.p. injection and inhibited a2AMPK activity selectively in
Yasuhiko Minokoshi1, Thierry Alquier1, Noboru Furukawa1, PVH and ARH (Fig. 1b). These effects could be direct or indirect via
Young-Bum Kim1, Anna Lee1, Bingzhong Xue1, James Mu2, neuronal networks. In contrast to the restricted effect of leptin on
Fabienne Foufelle3, Pascal Ferré3, Morris J. Birnbaum2, Bettina J. Stuck1 AMPK activity, i.p. and intrahypothalamic leptin both increased
& Barbara B. Kahn1 STAT3 phosphorylation in all hypothalamic regions, with greater
1
effects in ARH and VMH/DMH than in PVH and LH (Fig. 1c).
Division of Endocrinology, Diabetes and Metabolism, Beth Israel Deaconess The melanocortin (MC) 4 receptor pathway potently inhibits
Medical Center and Department of Medicine, Harvard Medical School, Boston, appetite and at least partially mediates the anorexigenic effect of
Massachusetts 02215, USA
2 leptin2. Injection of MT-II, an agonist for MC3 and 4 receptors2,
Howard Hughes Medical Institute, The Cox Institute, University of Pennsylvania
Medical School, Philadelphia, Pennsylvania 19104, USA into the lateral ventricle (intracerebroventricularly, i.c.v.) inhibited
3
Unit 465 INSERM, Centre de Recherches Biomedicales des Cordeliers, a2AMPK activity in PVH (Fig. 1d), similar to leptin. There was no
75270 Paris Cedex 6, France effect of MT-II in the medial hypothalamus and, similar to leptin,
............................................................................................................................................................................. there was no effect in LH or cortex. Insulin is also a potent
Obesity is an epidemic in Western society, and causes rapidly anorexigenic hormone2,11. Insulin i.c.v. reduced a2AMPK activity
accelerating rates of type 2 diabetes and cardiovascular disease. by 25–40% in all hypothalamic regions but not in cortex (Fig. 2d).
The evolutionarily conserved serine/threonine kinase, AMP-acti- Thus, the effect of insulin was more widespread in the hypothala-
vated protein kinase (AMPK), functions as a ‘fuel gauge’ to mus than that of leptin or MT-II.
monitor cellular energy status1. We investigated the potential Brain glucose concentrations regulate neuronal firing rate5 and
role of AMPK in the hypothalamus in the regulation of food a rise in glucose may suppress feeding behaviour and alter auto-
intake. Here we report that AMPK activity is inhibited in arcuate nomic tone5. Glucose injection (i.p.) in awake mice suppressed
and paraventricular hypothalamus (PVH) by the anorexigenic a2AMPK activity in all hypothalamic regions but not cortex
hormone leptin, and in multiple hypothalamic regions by insu- (Fig. 1e). Because systemic injection of glucose causes hyperglycae-
lin, high glucose and refeeding. A melanocortin receptor agonist, mia (12.2 ^ 1.3 mM in i.p. glucose-injected mice; 5.1 ^ 0.4 mM
a potent anorexigen2, decreases AMPK activity in PVH, whereas in saline-injected mice), which stimulates insulin secretion
agouti-related protein, an orexigen2, increases AMPK activity. (0.89 ^ 0.14 ng ml 21 in i.p. glucose-injected mice;
Melanocortin receptor signalling is required for leptin and 0.09 ^ 0.01 ng ml21 in saline-injected mice) and alters levels of
refeeding effects on AMPK in PVH. Dominant negative AMPK substrates such as fatty acids, we subsequently injected glucose i.c.v.
expression in the hypothalamus is sufficient to reduce food (100 mg) to determine the impact of changes in brain glucose
intake and body weight, whereas constitutively active AMPK concentrations per se. Glucose injection (i.c.v.) did not change
increases both. Alterations of hypothalamic AMPK activity aug- serum glucose (5.7 ^ 0.2 mM) or insulin (0.12 ^ 0.002 ng ml21)
ment changes in arcuate neuropeptide expression induced by levels, compared with the saline-injected controls (glucose:
fasting and feeding. Furthermore, inhibition of hypothalamic 5.3 ^ 0.3 mM, insulin: 0.11 ^ 0.02 ng ml21). However, a2AMPK
AMPK is necessary for leptin’s effects on food intake and body activity was suppressed in all hypothalamic regions, similar to the
weight, as constitutively active AMPK blocks these effects. Thus, effects of i.p. glucose (Fig. 1e). Thus, the AMPK pathway appears to
hypothalamic AMPK plays a critical role in hormonal and respond coordinately to several anorexigenic inputs. Neither i.p.
nutrient-derived anorexigenic and orexigenic signals and in nor i.c.v. glucose or insulin or MT-II affected a1AMPK activity.
energy balance. Refeeding rapidly reduced AMPK activity in all hypothalamic
Multiple factors regulate food intake, including hormones, fuels nuclei, demonstrating the physiological significance (Fig. 1f). This
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effect persisted until at least 6 h of refeeding (not shown). In mice experiments, a1AMPK activity increased when we expressed only
that were refed after an overnight fast, a2AMPK activity decreased a2 DN-AMPK. The DN effect results from competition of the
in all hypothalamic regions (Fig. 1f), possibly owing to refeeding- catalytically inactive a-subunits with endogenous wild-type a-
induced elevation in serum glucose (9.7 ^ 0.4 versus 6.4 ^ 0.2 mM subunits, for binding to b- and g-subunits13. Control mice were
in fasted) and/or serum insulin (1.16 ^ 0.32 versus injected with an adenovirus with no insert (‘Null’). The VMH was
0.16 ^ 0.03 ng ml21 in fasted). In contrast, agouti-related protein chosen as the injection site to mimic the widespread effects of many
(AGRP) i.c.v. increased a2AMPK activity from the refeeding to the anorexigenic factors on AMPK activity in the hypothalamus.
fasting level in PVH only. Neuropeptide Y (NPY) did not change The recombinant adenoviruses expressed AMPK subunit mes-
a2AMPK activity in any hypothalamic region. Neither AGRP nor senger RNA primarily in ARH, VMH and DMH with very low-level
NPY altered a2AMPK activity in the fasted state (not shown), expression in PVH and LH (Fig. 2a). Corresponding proteins were
probably owing to AMPK activity already being high. also detected in the ARH and VMH/DMH (Fig. 2b). Consistent
AGRP is a specific competitive antagonist of MC3 and MC4 with these results, immunohistochemistry with an antibody recog-
receptors12; some effects of leptin in PVH are mediated by the MC4 nizing enhanced GFP (eGFP), also encoded in the a2 DN-AMPK
receptor2. The reciprocal effects of AGRP and MT-II on AMPK adenovirus, showed many positive cells and fibres in VMH and
activity in PVH indicate that PVH AMPK activity is regulated by DMH, the injection site of the adenoviruses (Fig. 2c). In ARH,
MC3/4 receptors. Therefore, we examined regulation of AMPK several cells and many fibres were also positive. There were many
activity in PVH in MC4 receptor knockout mice. a2AMPK activity positive fibres but no positive cells in PVH, LH and perifornical
in PVH did not decrease in response to i.p. leptin or refeeding in area.
MC4 receptor knockout mice (Fig. 1g). Thus, the decrease of In the first 2 days after adenovirus injection, all mice lost weight
a2AMPK activity in PVH in response to leptin or refeeding depends (Fig. 2d). However, mice expressing CA-AMPK regained weight
on MC4 receptor signalling. more rapidly than controls. In contrast, mice with DN-AMPK lost
To determine whether modulation of hypothalamic AMPK more weight than controls or CA-AMPK-expressing mice and
activity alters food intake and body weight, we expressed constitu- regained weight more slowly. These changes could at least partly
tively active (CA, H150R mutation in the g1 subunit of AMPK) be explained by alterations in food intake (Fig. 2e). Mice with
(Supplementary Methods) and dominant negative (DN) a1 DN-AMPK ate 0.3–0.5 g per day less than controls and those with
(D157A)13 and a2 (K45R) (Supplementary Methods) subunits CA-AMPK ate 0.3–0.5 g per day more starting at 4 days after
of AMPK in the medial hypothalamus using recombinant adeno- adenovirus injections (Fig. 2e). Cumulative food intake over 8
viruses. We expressed a1 and a2 DN-AMPK simultaneously days was also increased in CA-AMPK mice (50.5 ^ 0.8 g, n ¼ 25)
for maximal effects on AMPK activity, because in the absence compared to controls (47.8 ^ 0.8 g, n ¼ 26, P , 0.05) and was
of a2AMPK, a1AMPK can upregulate14 and in preliminary reduced in DN-AMPK mice (45.2 ^ 0.6 g, n ¼ 27, P , 0.05). Thus,

Figure 1 Leptin, insulin, MT-II and glucose decrease a2AMPK activity in the #P , 0.01 versus saline. f, Refeeding (2 h) decreases a2AMPK activity in all
hypothalamus. a, Leptin i.p. preferentially decreases a2AMPK activity in PVH and ARH, hypothalamic regions. AGRP (i.c.v.) but not NPY (i.c.v.) increases a2AMPK activity in PVH
but not in VMH/DMH, LH or cortex (n ¼ 10–23 per group). b, a2AMPK activity in the to the fasting level 2 h after injection (n ¼ 5–6). *P , 0.05 versus fasting plus saline.
hypothalamus and cortex 3 h after intrahypothalamic injection (i.h.p.) of leptin (n ¼ 5). †P , 0.05 versus refeeding plus saline. g, Leptin (i.p.) and refeeding do not decrease
c, Phosphorylation of STAT3 in the hypothalamus 3 h after i.p. or i.h.p. injection of leptin a2AMPK activity in PVH in MC4 receptor knockout (MC4R-KO, 6 weeks old) mice 3 h after
(n ¼ 5). d, Injection (i.c.v.) of MT-II decreases a2AMPK activity only in PVH 3 h after injection or with refeeding (n ¼ 5–6). Serum glucose in wild type (WT) and MC4R-KO was
injection (n ¼ 8). However, i.c.v. insulin decreases a2AMPK activity in all hypothalamic 5.3 ^ 0.3 and 5.5 ^ 0.3 mM, respectively, and serum insulin was 0.17 ^ 0.03 and
regions 3 h after injection (n ¼ 8). e, Injection (i.p. and i.c.v.) of glucose decreases 0.26 ^ 0.09 ng ml21, respectively. *P , 0.05 versus saline.
a2AMPK activity in all hypothalamic regions 1 h after injection (n ¼ 8). *P , 0.05,
570 ©2004 Nature Publishing Group NATURE | VOL 428 | 1 APRIL 2004 | www.nature.com/nature
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modulation of hypothalamic AMPK activity is sufficient to alter hypothalamus including NPY/AGRP neurons, because we find very
food intake and body weight. few eGFP-positive cells in LH (Fig. 2c). In contrast, pro-opio-
To explore the mechanism(s) for these effects, we examined melanocortin (POMC) expression in ARH responded normally to
hypothalamic neuropeptide expression. Under ad libitum fed con- fasting in CA-AMPK-expressing mice. The lower POMC mRNA
ditions, DN-AMPK decreased neuropeptide Y (NPY) and AGRP level in DN-AMPK-expressing mice under ad libitum conditions
mRNA levels in ARH (Fig. 2f) whereas CA-AMPK had no effect. In most probably reflects lowered body weight, food intake and serum
contrast, CA-AMPK enhanced the fasting-induced increase in leptin levels. These results indicate that POMC neurons respond
NPY (60% . fasting Null; P , 0.01) and AGRP mRNA levels physiologically in DN- and CA-AMPK-expressing mice, without
(30% . fasting Null; P , 0.05). In mice expressing DN-AMPK, augmentation or impairment of the fasting response.
fasting increased NPY and AGRP expression similar to controls. To determine whether inhibition of AMPK activity in the
Thus, DN- and CA-AMPK reciprocally regulate NPY and AGRP hypothalamus is required for leptin’s effect on food intake and
expression in ARH, depending on the feeding state, suggesting that body weight, we injected fasted mice expressing DN- or CA-AMPK
high AMPK activity enhances orexigenic signals in the fasting state, in the medial hypothalamus with leptin. In control mice (adeno-
whereas low AMPK activity suppresses these signals under ad virus alone, Null), leptin decreased body weight by 2 g over 24 h
libitum fed conditions. Consistent with these changes, CA-AMPK compared to a slight increase in body weight in saline-injected
but not Null or DN-AMPK increased expression of melanin con- control mice (Fig. 3a). Leptin also decreased body weight in mice
centrating hormone (MCH), another orexigenic neuropeptide, in expressing DN-AMPK. In contrast, in mice expressing CA-AMPK,
LH in response to fasting. This increase in MCH expression is body weight after saline injection was slightly greater than in saline-
probably secondary to changes in neuronal activity in the medial injected control (Null) mice, and leptin had a markedly attenuated

Figure 2 Modulation of AMPK activity in the hypothalamus is sufficient to alter body high magnification of ARH. 3rd, third ventricle; Fx, fornix; OT; optic tract. d, Changes in
weight and food intake. a, Expression of DN-AMPK (a1 and a2) and CA-AMPK (g1) is body weight after injection of DN-AMPK, CA-AMPK and adenovirus alone into the medial
primarily in the medial hypothalamus (ARH and VMH/DMH) with low expression in PVH and hypothalamus (n ¼ 25–27). e, Daily food intake after injection of DN-AMPK, CA-AMPK or
LH at 8 days after adenovirus injection. b, Protein expression of DN-AMPK (a1 and a2) adenovirus alone into the medial hypothalamus (n ¼ 25–27). f, DN- and CA-AMPK
and CA-AMPK (g1) in ARH and VMH/DMH detected with anti-Myc or anti-HA antibody at 8 reciprocally regulate mRNA levels of NPY and AGRP in ARH depending on the feeding
days after injection. c, Immunohistochemistry with a specific antibody against eGFP. state (N ¼ 8–10). *P , 0.05 versus adenovirus alone (Null). †P , 0.05, ††P , 0.01
Upper-left: low magnification of PVH. Upper-right: high magnification of PVH. Middle-left: versus the ad libitum fed condition for mice expressing the same adenovirus. Fasted and
low magnification of ARH, VMH, DMH and LH. Middle-right: high magnification of VMH. fed mRNA expression were measured in the same assay so that the levels can be directly
Lower-left: intermediate magnification of ARH and ME (median eminence). Lower-right: compared. Null, adenovirus alone; DN, DN-AMPK; CA, CA-AMPK.
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effect on body weight (Fig. 3a). Effects on food intake paralleled the AMPK activity in ARH and VMH/DMH was constitutively elevated
effects on body weight. Leptin decreased food intake from in the refed state. Consistent with the AMPK activity, food con-
5.1 ^ 0.2 g for 24 h at baseline to 2.9 ^ 0.2 g in control mice sumption during 3 h of refeeding was increased in mice with
(Fig. 3b). Food intake was decreased in mice with DN-AMPK at CA-AMPK and decreased in mice with DN-AMPK (Null:
baseline and leptin further inhibited food intake to a level similar 1.54 ^ 0.19 g per mouse, DN: 1.28 ^ 0.10, CA: 1.94 ^ 0.16,
to leptin-treated control mice. However, in mice expressing CA- P , 0.05 for DN or CA versus Null).
AMPK, food intake was increased at baseline and failed to be The effects of DN- and CA-AMPK could not be explained by
significantly suppressed by leptin. Thus, suppression of AMPK alterations in STAT3 tyrosine phosphorylation or protein level in
activity in the medial hypothalamus is necessary for leptin’s anor- the hypothalamus, because leptin’s effect of increasing STAT3
exic and weight loss effects and lack of suppression causes leptin phosphorylation was normal in ARH and VMH/DMH in mice
resistance. with DN-AMPK and slightly enhanced in ARH in mice with
In control mice (Null) in the fasted state, a2AMPK activity in all CA-AMPK (Fig. 3e, Supplementary Fig. 2). In spite of this enhanced
hypothalamic regions was similar to the activity in fasted mice with STAT3 phosphorylation in the ARH of CA-AMPK mice, leptin did
no adenovirus treatment (Fig. 1a). Intrahypothalamic leptin in null not reduce food intake. This suggests that the early steps in leptin
mice decreased a2AMPK activity in PVH and ARH (Fig. 3c), as was signalling are intact in the hypothalamus of mice expressing DN- or
seen in mice with no adenovirus treatment (Fig. 1b). In mice with CA-AMPK, and that AMPK functions either downstream of, or in a
DN-AMPK, baseline a2AMPK activity was decreased in PVH, ARH parallel pathway to, STAT3 to modulate its effects on food intake.
and VMH/DMH and leptin had no further effect. In fasted Our data show that hypothalamic AMPK activity is suppressed by
mice expressing CA-AMPK, baseline a2AMPK was increased in multiple anorexigenic factors and increased by the orexigenic
VMH/DMH and leptin failed to decrease a2AMPK activity in PVH, peptide, AGRP. (In agreement with this, we note a recent report15,
ARH or VMH/DMH (Fig. 3c). a2AMPK protein level did not appearing online after we submitted the present Letter, showing that
change (Supplementary Fig. 2). leptin inhibits, and ghrelin stimulates, hypothalamic AMPK
We hypothesized that AMPK activity was not increased in activity.) We show that these effects are important in normal
the fasted state in some hypothalamic nuclei of mice expressing physiology because modulation of hypothalamic AMPK activity
CA-AMPK because AMPK activity is already elevated with fasting. is sufficient to alter food intake and body weight (Fig. 2d, e).
Hence we measured total (a1 and a2) AMPK activity after refeed- Furthermore, suppression of AMPK activity is necessary for the
ing. In mice with adenovirus-null, refeeding decreased AMPK anorexic and weight loss effects of leptin (Fig. 3a, b). Thus, our data
activity in the ARH and VMH/DMH to comparable levels as establish a novel pathway for the regulation of food intake which,
DN-AMPK (Fig. 3d). In contrast, in mice with CA-AMPK, total in response to leptin, most probably acts in a coordinate

Figure 3 Effects of leptin are impaired with CA-AMPK in the hypothalamus. a, Body versus saline injection in Null. d, DN-AMPK decreases total AMPK activity in the fasting
weight change 24 h after intrahypothalamic leptin (n ¼ 8–11). *P , 0.01 versus saline state (overnight) and CA-AMPK increases the activity in the refed state (3 h) (n ¼ 5–6).
injection. †P , 0.05 versus adenovirus alone (Null). b, Food intake for 24 h before and *P , 0.05 versus fasted Null. †P , 0.05 versus refed Null. e, CA-AMPK does not
after intrahypothalamic leptin (n ¼ 8–11). *P , 0.01 versus saline injection. †P , 0.05 interfere with phosphorylation of STAT3 in ARH and VMH/DMH in response to
versus food intake before leptin injection in Null. c, a2AMPK activity in the hypothalamus intrahypothalamic leptin (n ¼ 8–11). *P , 0.01 versus saline injection. †P , 0.05
in response to intrahypothalamic leptin (10 ng, 24 h and 3 h before mice were killed) at versus Null plus leptin injection.
8 days after the adenovirus injection (n ¼ 8–11). Mice were fasted overnight. *P , 0.05
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manner with the STAT316 and PI3 kinase17,18 pathways (Fig. 4). activity of NPY/AGRP neurons, we propose that decreased ARH
All physiological anorexigenic signals that we examined inhibit AMPK activity enhances this suppression, leading to activation of
a2AMPK activity in the ARH and PVH. In the ARH, NPY and MC4 receptor signalling in PVH neurons. MC4 receptor activation
AGRP but not POMC neurons are affected (see model, Fig. 4). The decreases AMPK activity in PVH, which probably further enhances
possibility that another pathway in addition to STAT3 is critical for neurotransmission required for regulation of food intake and
leptin’s effects on expression of NPYand AGRP, but not POMC, was energy balance. In addition, our data indicate that insulin, glucose
suggested in studies of a transgenic mouse expressing leptin and refeeding also decrease a2AMPK activity in other hypothalamic
receptors with a mutation in the tyrosyl residue required for regions, suggesting that these hormonal and nutritional signals
STAT3 phosphorylation16. Similarly, inhibition of CPT1 in the recruit additional pathways that may regulate energy balance and
hypothalamus in rats results in alterations in NPY and AGRP but have other physiological functions.
not POMC expression19, also supporting the notion that these The effect of AMPK may be through transcriptional effects1,
neuropeptides are regulated by different signalling pathways. actions on ion channels21,22 or changes in cytosolic Ca2þ (ref. 23).
Our data suggest that alterations in AMPK activity in the PVH are Leptin, MT-II, insulin and glucose each alter the activity of KATP
mediated by the MC4 receptor, and are secondary to changes in channels24,25 and other ion channels in neurons20, some of which
activity of arcuate AGRP neurons (Fig. 4). AGRP competitively regulate cytosolic Ca2þ concentrations. These results are also
antagonizes the stimulatory effects of POMC neurons on the MC4 consistent with increased hypothalamic malonyl-CoA levels26,27
receptor12. Furthermore, NPY functionally inhibits the MC4 recep- and direct inhibition of hypothalamic CPT119 decreasing food
tor pathway in PVH20. The effect of anorexigenic signals on AMPK intake. Thus, the evolutionarily conserved energy-sensing enzyme,
activity in PVH appears to be mediated through MC4 receptors, as AMPK, regulates energy balance in higher organisms not only by
it can be mimicked with an MC3/4R agonist (Fig. 1d) and it is altering metabolism1,28,29, but also by responding to nutritional and
absent in MC4 receptor knockout mice (Fig. 1g). Although STAT3 hormonal signals governing food intake. Understanding the inte-
and possibly PI3 kinase pathways may play a role in suppressing the gration of this pathway with other afferent signals could lead to new
approaches to prevent or reverse obesity. A

Methods
Animals
Male FVB mice (aged 7–9 weeks) were housed in a temperature-controlled environment
with a 14/10-h light/dark cycle. Mice were given chow (Formulab 5008; Farmer’s
Exchange) and water freely before beginning experiments. Some mice were implanted
with chronic cannulas in the medial hypothalamus bilaterally 2 weeks before experiments.
Other mice were implanted with an unilateral chronic cannula in the lateral ventricle.
Leptin (10 ng) was injected through the cannula in the medial hypothalamus. Insulin
(1 pmol), MT-II (30 pmol), NPY (10 nmol) and AGRP (10 nmol) were injected i.c.v.
through the cannula in the lateral ventricle. In some mice, including MC4 receptor
knockout mice, leptin (3 mg kg21) or saline was injected i.p. In other mice, adenoviruses
expressing dominant negative a113 or a2AMPK (Supplementary Methods), constitutively
active g1 (Supplementary Methods), a control adenoviral vector without DNA insert were
injected into the medial hypothalamus bilaterally 2 weeks after catheter implantation.
Body weight and food intake were monitored daily. Mice were killed by decapitation and
hypothalamic nuclei and parietal cortex were quickly dissected. All assays were performed
on hypothalamic regions from individual mice. Stereotaxic coordinates for
intrahypothalamic cannula and injections are described in Supplementary Methods.

Dissection of hypothalamic regions and cortex


Each hypothalamic region and parietal cortex were dissected from 1-mm-thick sagittal
sections of fresh brain. PVH, ARH, VMH plus DMH, and parietal cortex were dissected
from the first sections from the midline of the brain, and LH was dissected from the next
lateral sections. In some experiments, ARH and VMH plus DMH were dissected together.
Coordinates for each hypothalamic region are described in Supplementary Methods.

Measurement of AMPK activity


To measure a1 and a2 isoform-specific AMPK activity in the hypothalamic regions and
cortex, we immunoprecipitated each AMPK from lysates from individual mice (40–50 mg
of protein) with specific antibodies against the a1- (ref. 30) and a2-subunits (ref. 30)
bound to protein-G sepharose beads. To measure total AMPK activity, we used a specific
antibody13 against the b-subunits bound to protein-A and -G sepharose beads. The kinase
activity of the immunoprecipitates was measured using ‘SAMS’ peptide and [g-32P]ATP31.

Measurement of mRNA levels of neuropeptides


Figure 4 Proposed model for role of AMPK in anorexigenic signalling in the hypothalamus. mRNA levels of TRH, AGRP, NPY, POMC and MCH were quantified with real time PCR,
Anorexigenic signals activate POMC neurons in ARH (arcuate hypothalamus) via STAT3 as described in Supplementary Methods. All data were expressed as a ratio of the
neuropeptide mRNA to cyclophilin mRNA. The data are shown as a percentage of the ratio
and possibly also PI3 kinase, generating a second anorexigenic signal mediated by in null fed mice.
a-melanocyte stimulating hormone (a-MSH). In contrast, the anorexigenic signals
suppress the activity of NPY/AGRP neurons, partly via STAT3 and possibly also PI3 kinase, Immunohistochemistry with eGFP antibody
and decrease AMPK activity in these neurons. Decreased AMPK activity enhances the Mice were injected with an adenovirus expressing both DN-a2AMPK and eGFP
(2.5 £ 106 p.f.u. per 0.1 ml, Supplementary Methods) into the medial hypothalamus
suppression of NPY/AGRP effects, leading to activation of MC4 receptor signalling in PVH
bilaterally, using brain cannula implanted with stereotaxic coordinates as described above.
(paraventricular hypothalamus) neurons. MC4 receptor activation decreases AMPK Six days after adenovirus injection, animals underwent transcardiac formalin fixation and
activity in PVH, which probably further enhances neurotransmission required for immunohistochemistry of brain was performed with an eGFP antibody (1:20,000,
regulation of food intake and energy balance. Decreased NPY signalling in PVH Molecular Probes).
functionally enhances the MC4 receptor signalling pathway. In addition, decreased AMPK
Western blot analysis
activity in other hypothalamic regions may enhance the MC4 receptor signalling pathway Phosphorylation of STAT3 in hypothalamic regions and cortex was determined with
by projections to the ARH or PVH (for example, NPY neurons in DMH) and recruit additional 10% SDS acrylamide gels using an antibody against the phospho-tyrosine705 of
pathways that may regulate food intake. STAT3 (Cell Signalling). The protein levels of a1 and a2AMPK30 and STAT3 (Santa Cruz)

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©2004 Nature Publishing Group 573
letters to nature
in the hypothalamic regions were determined. 30. Woods, S. et al. The a1 and a2 isoforms of the AMP-activated protein kinase have similar activities in
To detect protein expression of a1 and a2 DN-AMPK and g1 CA-AMPK in the rat liver but exhibit differences in substrate specificity in vitro. FEBS Lett. 397, 347–351 (1996).
hypothalamus after injection of adenoviruses, we immunoprecipitated AMPK from 31. Hayashi, T. et al. Metabolic stress and altered glucose transport. Activation of AMP-activated protein
hypothalamic lysates (500 mg of protein pooled from 5–6 animals) with a polyclonal kinase as a unifying coupling mechanism. Diabetes 49, 527–531 (2000).
antiserum recognizing the a1, a2, b1, b2 and g1 subunits of AMPK (for CA-AMPK) (gift
from D. Carling) or this antiserum combined with sheep a1 and a2 antiserum (for Supplementary Information accompanies the paper on www.nature.com/nature.
DN-AMPK) bound to protein-A and -G sepharose beads, and blotted with monoclonal
antibodies against the c-Myc tag (for a1 and a2 DN-AMPK) (9B11, Cell Signalling) or the Acknowledgements We thank D. Carling for reagents and advice, J. K. Elmquist and B. B. Lowell
HA tag (for g1 CA-AMPK) (Roche). for discussions and providing MC4R-KO mice, and C. J. Aschkenasi, C.-Y. Zhang, O. Boss, J. Yu
and N. Balthasar for MC4R-KO mice. This work was supported by NIH grants (B.B.K. and
Detection of mRNA of DN- and CA-AMPK M.J.B.), an EASD-ADA and Bettencourt-Schueller Foundation Fellowship (T.A.), AMPDIAMET
Total RNA was isolated from PVH, ARH, VMH/DMH and LH by TriReagent (Molecular (P.F.) and the American Diabetes Association (B.B.K. and Y.B.K.).
Research Center). First-strand cDNA was synthesized from 2 mg of total RNA using reverse
transcriptase (Ambion) primed by random decamer. PCR amplification of Myc-tagged a1 Competing interests statement The authors declare that they have no competing financial
and a2 DN-AMPK and HA-tagged g1 CA-AMPK was performed with Platinum Taq DNA interests.
polymerase (Invitrogen). The conditions of PCR and design of the primers are described
in Supplementary Methods. Correspondence and requests for materials should be addressed to B.B.K.
(bkahn@bidmc.harvard.edu).
Statistical analysis
All values are mean ^ s.e.m. Data were evaluated by factorial analysis of variance and the
Newman-Keuls multiple range test.
Received 22 December 2003; accepted 27 February 2004; doi:10.1038/nature02440.
Published online 17 March 2004. ..............................................................
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