Objective
Proopiomelanocortin (POMC) neurons of the hypothalamic arcuate nucleus are essential regulators of energy balance. Selective loss of POMC production in these cells results in extreme obesity and metabolic comorbidities. Neurogenesis occurs in the adult hypothalamus, but it remains uncertain whether functional POMC neurons emerge in physiologically significant numbers during adulthood. Here, we tested whether
Rax
-expressing precursors generate POMC neurons in adult mice and rescue the metabolic phenotype caused by congenital hypothalamic POMC deficiency.
Methods
Initially, we identified hypothalamic
Rax
-expressing cell types using wild-type and
Rax-CreERT2:Ai34D
mice. Then we generated compound
Rax-CreERT2
:Arc
Pomc
loxTB/loxTB
mice in which endogenous hypothalamic
Pomc
expression is silenced, but can be restored by tamoxifen administration selectively in neurons derived from
Rax
+
progenitors. The number of POMC neurons generated by
Rax
+
progenitors in adult mice and their axonal projections was determined. The metabolic effects of these neurons were assessed by measuring food intake, bodyweight, and body composition, along with glucose and insulin levels.
Results
We found that
Rax
is expressed by tanycytes and a previously unrecognized cell type in the hypothalamic parenchyma of adult mice.
Rax
+
progenitors generated ~10% of the normal adult hypothalamic POMC neuron population within two weeks of tamoxifen treatment. The same rate and steady state of POMC neurogenesis persisted from young adult to aged mice. These new POMC neurons established terminal projections to brain regions that were involved in energy homeostasis. Mice with
Rax
+
progenitor-derived POMC neurons had reduced body fat mass, improved glucose tolerance, increased insulin sensitivity, and decreased bodyweight in proportion to the number of new POMC neurons.
Conclusions
These data demonstrate that
Rax
+
progenitors generate POMC neurons in sufficient numbers during adulthood to mitigate the metabolic abnormalities of hypothalamic POMC-deficient mice. The findings suggest that adult hypothalamic neurogenesis is a robust phenomenon in mice that can significantly impact energy homeostasis.