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Obesity Research Breakthrough Allows Fat Loss While Eating All You Want

Hypothalamic GABRA5-positive Neurons Control Obesity via Astrocytic GABA

Published: 2023-09-02 - Updated: 2023-09-03
Author: Institute for Basic Science - Contact: ibs.re.kr/eng.do
Peer-Reviewed: Yes - Publication Type: Experimental Study
Journal Reference: DOI Link to the Study Paper
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On This Page: Summary - Defining GABRA5 - Main Article - About/Author

Synopsis: Researchers have major breakthrough in obesity research, discovering astrocytes control a cluster of neurons in the brain that regulates energy expenditure. The complex balance between food intake and energy expenditure is overseen by the hypothalamus in the brain. The researchers discovered a cluster of neurons in the hypothalamus that specifically express the receptor for the inhibitory neurotransmitter 'GABA (Gamma-Aminobutyric Acid)'.

Definition

GABRA5

Alternate Names and Synonyms: EIEE79; GABA(A) receptor subunit alpha-5; GABRA5; gamma-aminobutyric acid (GABA) A receptor, alpha 5; Gamma-aminobutyric acid receptor subunit alpha-5; gamma-aminobutyric acid type A receptor alpha5 subunit; gamma-aminobutyric acid type A receptor subunit alpha5; GBRA5.

Gamma-aminobutyric acid (GABA) A receptor, alpha 5, also known as GABRA5, is a protein which in humans is encoded by the GABRA5 gene. GABA is the major inhibitory neurotransmitter in the mammalian brain where it acts at GABAA receptors, which are ligand-gated chloride channels. At least 16 distinct subunits of GABAA receptors have been identified. Transcript variants utilizing three different alternative non-coding first exons have been described.

Main Digest

"Hypothalamic GABRA5-positive Neurons Control Obesity via Astrocytic GABA" - Nature Metabolism.

This is a significant development that brings hope to the one billion individuals with obesity worldwide. Researchers led by Director C. Justin LEE from the Center for Cognition and Sociality (CCS) within the Institute for Basic Science (IBS) have discovered new insights into the regulation of fat metabolism. The focus of their study lies within the star-shaped non-neuronal cells in the brain, known as 'astrocytes'. Furthermore, the group announced successful animal experiments using the newly developed drug 'KDS2010', which allowed the mice to successfully achieve weight loss without resorting to dietary restrictions.

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The complex balance between food intake and energy expenditure is overseen by the hypothalamus in the brain. While it has been known that the neurons in the lateral hypothalamus are connected to fat tissue and are involved in fat metabolism, their exact role in fat metabolism regulation has remained a mystery. The researchers discovered a cluster of neurons in the hypothalamus that specifically express the receptor for the inhibitory neurotransmitter 'GABA (Gamma-Aminobutyric Acid)'. This cluster has been found to be associated with the α5 subunit of the GABAA receptor and was hence named the GABRA5 cluster.

In a diet-induced obese mouse model, the researchers observed significant slowing in the pacemaker firing of the GABRA5 neurons. Researchers continued with the study by attempting to inhibit the activity of these GABRA5 neurons using chemogenetic methods. This in turn caused a reduction in heat production (energy consumption) in the brown fat tissue, leading to fat accumulation and weight gain. On the other hand, when the GABRA5 neurons in the hypothalamus were activated, the mice were able to achieve a successful weight reduction. This suggests that the GABRA5 neurons may act as a switch for weight regulation.

Article continues below image.
Figure 1. Left) Reactive astrocytes express a high level of MAOB and release a high level of GABA, which results in the inhibition of GABRA5 neurons. This results in decreased thermogenesis in brown fat tissues, and an increase in white fat storage. Right) When the GABRA5 neuron activity is restored, brown fat thermogenesis is increased and white fat storage is decreased. In both cases, mice are fed a high-fat diet.
Figure 1. Left) Reactive astrocytes express a high level of MAOB and release a high level of GABA, which results in the inhibition of GABRA5 neurons. This results in decreased thermogenesis in brown fat tissues, and an increase in white fat storage. Right) When the GABRA5 neuron activity is restored, brown fat thermogenesis is increased and white fat storage is decreased. In both cases, mice are fed a high-fat diet.
Continued...

In a new surprising and unexpected turn of events, the research team discovered that the astrocytes in the lateral hypothalamus regulate the activity of the GABRA5 neurons. The numbers and sizes of the reactive astrocytes are increased, and they begin to overexpress the MAO-B enzyme (Monoamine Oxidase B). This enzyme plays a crucial role in the metabolism of neurotransmitters in the nervous system and is more predominantly expressed in reactive astrocytes. This ends up in the production of a large amount of tonic GABA (Gamma-Aminobutyric Acid), which inhibits the surrounding GABRA5 neurons.

It was also discovered that suppressing the expression of the MAO-B gene in reactive astrocytes can decrease GABA secretion, thereby reversing the undesirable inhibition of the GABRA5 neurons. Using this approach the researchers were able to increase the heat production in the fat tissue of the obese mice, which allowed them to achieve weight loss even while consuming a high-calorie diet. This experimentally proves that the MAO-B enzyme in reactive astrocytes can be an effective target for obesity treatment without compromising appetite.

Furthermore, a selective and reversible MAO-B inhibitor, 'KDS2010', which was transferred to a biotech company Neurobiogen in 2019 and is currently undergoing Phase 1 clinical trials, was tested on an obese mouse model. The new drugs yielded remarkable results, demonstrating a substantial reduction in fat accumulation and weight without any impacts on the amount of food intake.

Postdoctoral researcher SA Moonsun said:

"Previous obesity treatments targeting the hypothalamus mainly focused on neuronal mechanisms related to appetite regulation." She added, "To overcome this, we focused on the non-neuronal 'astrocytes' and identified that reactive astrocytes are the cause of obesity."

Center Director C. Justin LEE also said:

"Given that obesity has been designated by the World Health Organization (WHO) as the '21st-century emerging infectious disease,' we look to KDS2010 as a potential next-generation obesity treatment that can effectively combat obesity without suppressing appetite."

The research results were in 'Nature Metabolism', a globally renowned academic journal in the field of metabolism with an Impact Factor of 20.8.

Attribution/Source(s):

This peer reviewed experimental study article relating to our Fitness and Nutrition section was selected for publishing by the editors of Disabled World due to its likely interest to our disability community readers. Though the content may have been edited for style, clarity, or length, the article "Obesity Research Breakthrough Allows Fat Loss While Eating All You Want" was originally written by Institute for Basic Science, and published by Disabled-World.com on 2023-09-02 (Updated: 2023-09-03). Should you require further information or clarification, Institute for Basic Science can be contacted at ibs.re.kr/eng.do. Disabled World makes no warranties or representations in connection therewith.

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