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Title [sv]
Stress, belöning och homeostas. Betydelse av hjärnans neurala nätverk och deras samspel med perifera vävnader vid utveckling av typ 2-diabetes
Title [en]
Stress, reward and homeostasis. Role of the brain´s neural networks and their interplay with peripheral tissues in type 2 diabetes development
Abstract [sv]
Typ 2-diabetes (T2D), som också benämns vuxendiabetes orsakas vanligen av en kombination av nedsatt känslighet för insulin samt en otillräcklig insulin-produktion i kroppen. Långvarig stress och ohälsosam livsstil ökar risken att få diabetes. Fetma bidrar till exempel ofta till uppkomst av T2D. Det har visat sig att fetma-kirurgi med så kallad gastric bypass (GBP) ger stor förbättring av ämnesomsättningen och kan förebygga (eller bota) T2D, men dagens diabetesläkemedel har otillräcklig effekt. Efter GBP sänks socker-nivån i blodet. Detta tycks orsakas av ändringar i hjärnans avkänning och reglering av kroppens socker-nivåer. Det kan ske via ändrad nervaktivitet i vissa nätverk i hjärnan som påverkar bl a stress-hormoner. Omvänt så kan hjärnan medverka till själva uppkomsten av T2D, och detta sker genom att hjärnans kontroll och reglering av kroppens sockernivåer förändras.Vi undersöker i detalj som störningar i hjärnans förmåga att reglera kroppens socker- och energi-omsättning kan medverka till utveckling av T2D. Med komplexa mätningar av nervaktivitet, blodcirkulation och sockeromsättning i hjärnan så hoppas vi få en bättre förståelse. På sikt förväntar vi oss att tidigare kunna upptäcka ökad risk för diabetes och dess följdsjukdomar i befolkning och att skräddarsy behandlingar som bäst passar individen. Det kan handla om särskild medicinering eller speciella livsstilsförändringar. I våra studier undersöker vi personer med T2D eller dess förstadier samt friska personer.  
Abstract [en]
PurposeTo explore whether an altered ‘glucostat’ function of the brain is instrumental in the development (and reversal) of type 2 diabetes (T2D). To elucidate the role of neural networks including hypothalamus, dopaminergic/serotonergic systems and neuroendocrine pathways communicating with peripheral organs.Research questions on T2D development:Role of the brain and specific neurocircuits, in particular monoaminergic?Increased activity in glucose-raising neuroendocrine pathways?Molecular mechanisms and targets: which neurotransmitters and receptors are involved and can point to novel treatments? MethodsNormal, overweight, prediabetic individuals, respectively, and patients with T2D are investigated during normo-, hyper- and hypoglycemic clamps:Neuroimaging using neurtransmitter-PET and functional MRIGlucose-raising hormonal responses Autonomic nerve activity Metabolic responses (glucose and lipid handling in vivo)In addition, rats and zebrafish will undergo diet and pharmacological interventions. Behavioral, metabolic, neurochemical and neuroendocrine profiling will provide mechanisms, causality and molecular drug targets. Later pilot interventions in humans will use approved medicines, targeting dopaminergic and other brain neurocircuits. This will validate exploratory findings. ImpactThis multidisciplinary project will define brain-mediated ‘glycemic resetting’ in T2D development. It will provide new mechanisms and tools for personalized prevention and treatment of T2D.
Publications (1 of 1) Show all publications
Kagios, C., Hetty, S., Hukema, F. W., Fanni, G., Roman, E. & Eriksson, J. (2025). Effects of cafeteria diet and caloric restriction on pituitary hormones and metabolic phenotype in male Wistar rats. Endocrine, 90, 1459-1471
Open this publication in new window or tab >>Effects of cafeteria diet and caloric restriction on pituitary hormones and metabolic phenotype in male Wistar rats
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2025 (English)In: Endocrine, ISSN 1355-008X, E-ISSN 1559-0100, Vol. 90, p. 1459-1471Article in journal (Refereed) Published
Abstract [en]

Purpose: Obesity is associated with neuroendocrine and metabolic dysregulation, yet the underlying mechanisms remain incompletely understood. This study aimed to investigate how pituitary hormonal axes and peripheral hormones respond to a cafeteria diet or a calorie-restricted diet in rats.

Methods: Ten-week-old male Wistar rats (n = 36) were randomized (1:1:1) to one of three diets for 12 weeks: an ad libitum standard rat chow diet (control group); an ad libitum cafeteria diet, containing cheese doodles, chocolate balls and salted peanuts, in addition to standard chow (diet-induced obesity group, DIO); or calorie-restriction (aiming at 85% body weight of controls; restricted group). We assessed endocrine gland weights, plasma levels of pituitary hormones and related peripheral signals, and explored their associations with metabolic and behavioral outcomes.

Results: While the DIO group exhibited increased body weight, insulin resistance, and altered metabolic markers, only modest changes in pituitary hormones were observed, with a reduction in luteinizing hormone (p < 0.05). Correlation analysis showed that when combining the control and DIO groups, prolactin inversely correlated with exploratory-activity (rho =-0.458, p < 0.05) from the behavioral test. In contrast, the restricted group showed more pronounced hormonal changes, including reduced levels of adrenocorticotropic hormone (p < 0.01), prolactin, and thyroid-stimulating hormone (both p < 0.05) as well as insulin-like growth factor-1 (p < 0.01). Multivariate data analysis showed a clear separation of the DIO group from the other groups, mainly driven by metabolic variables.

Conclusion: Despite notable metabolic perturbations in the DIO group, the absence of endocrine changes suggests a partly different phenotype than what is typically observed in humans with obesity.

Place, publisher, year, edition, pages
Springer Nature, 2025
Keywords
Calorie restriction, Diet-induced obesity, MCSF, Metabolism, Obesity, Pituitary hormones
National Category
Endocrinology and Diabetes
Identifiers
urn:nbn:se:uu:diva-582609 (URN)10.1007/s12020-025-04448-9 (DOI)001595127400001 ()41091300 (PubMedID)2-s2.0-105018888764 (Scopus ID)
Funder
Swedish Foundation for Strategic Research, CMP22-0014Swedish Research Council, 2024-03344Uppsala UniversityEU, Horizon Europe, 101080329Diabetesfonden, DIA2021–661Diabetesfonden, DIA2024-935Novo Nordisk Foundation, NNF20OC0063864Novo Nordisk Foundation, NNF23OC0084483Ernfors Foundation
Available from: 2026-03-19 Created: 2026-03-19 Last updated: 2026-04-10Bibliographically approved
Roman, Erika
Pereira, Maria
Lundqvist, Martin
Principal InvestigatorEriksson, Jan
Coordinating organisation
Uppsala University
Funder
Period
2025-01-01 - 2027-12-31
Identifiers
DiVA, id: project:9268Project, id: 2024-03344_VR

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