Gao S, Serra D, Keung W, Hegardt FG, Lopaschuk GD. Important role of ventromedial hypothalamic carnitine palmitoyltransferase-1a in the control of food intake. Am J Physiol Endocrinol Metab 305: E336 -E347, 2013. First published June 4, 2013 doi:10.1152/ajpendo.00168.2013.-Carnitine palmitoyltransferase-1 (CPT-1) liver isoform, or CPT-1a, is implicated in CNS control of food intake. However, the exact brain nucleus site(s) in mediating this action of CPT-1a has not been identified. In this report, we assess the role of CPT-1a in hypothalamic ventromedial nucleus (VMN). We stereotaxically injected an adenoviral vector containing CPT-1a coding sequence into the VMN of rats to induce overexpression and activation of CPT-1a. The VMN-selective activation of CPT-1a induced an orexigenic effect, suggesting CPT-1a in the VMN is involved in the central control of feeding. Intracerebroventricular administration of etomoxir, a CPT-1 inhibitor, decreases food intake. Importantly, in the animals with VMN overexpression of a CPT-1a mutant that antagonizes the CPT-1 inhibition by etomoxir, the anorectic response to etomoxir was attenuated. This suggests that VMN is involved in mediating the anorectic effect of central inhibition of CPT-1a. In contrast, arcuate nucleus (Arc) overexpression of the mutant did not alter etomoxir-induced inhibition of food intake, suggesting that Arc CPT-1a does not play significant roles in this anorectic action. Furthermore, in the VMN, CPT-1a appears to act downstream of hypothalamic malonyl-CoA action of feeding. Finally, we show that in the VMN CPT-1 activity was altered in concert with fasting and refeeding states, supporting a physiological role of CPT-1a in mediating the control of feeding. All together, CPT-1a in the hypothalamic VMN appears to play an important role in central control of food intake. VMN-selective modulation of CPT-1a activity may therefore be a promising strategy in controlling food intake and maintaining normal body weight.THE CENTRAL NERVOUS SYSTEM (CNS) regulates energy homeostasis by tightly balancing energy (food) intake, energy expenditure, and energy deposition (6,50,54). The hypothalamus in the CNS plays a crucial role in this process. Diverse neuronal, humoral, and nutrient signals indicating energy status converge at the hypothalamus, and the hypothalamus processes and integrates these signals to exert the controls of feeding and energy balance (18,47,50,51,54). It has been shown that fatty acid metabolism plays important roles in the intracellular signaling mechanisms underlying hypothalamic control of energy balance (12,32,34). Carnitine palmitoyltransferase-1 (CPT-1) is a key enzyme in shuttling fatty acid into mitochondria for -oxidation by converting fatty acyl-CoA to acylcarnitine (38, 48). Of relevance, it has been proposed that hypothalamic CPT-1 plays a key role in the central control of food intake (42). In the hypothalamus, the predominant CPT-1 isoform possessing acyltransferase activity is the CPT-1 liver isoform (CPT-1a). Previous studies have s...