words) 39Heat defense is crucial for survival and fitness, and its dysregulation may result in 40 deaths due to poor management. Transmission of thermosensory signals into 41 hypothalamic thermoregulation centers represent a key layer of regulation in heat 42 defense. However, the mechanism by which these signals are transmitted into the 43 hypothalamus remains poorly understood. Here, we reveal that glutamatergic 44 prodynorphin and cholecystokinin neuron populations in the lateral parabrachial 45 (LPB) are progressively recruited to defend elevated body temperature. These two 46 nonoverlapping neuron types form circuitries with downstream preoptic 47 hypothalamic neurons to inhibit BAT thermogenesis and activate tail vasodilation, 48respectively. Both circuitries are selectively activated by warm temperatures and 49 are required for fever limiting. The prodynorphin circuitry is further required for 50 regulation of energy expenditure and weight homeostasis. Thus, these findings 51 establish that the genetic and functional specificity of heat defense neurons occurs 52 as early as in the LPB and uncover categorical neuron types for encoding two heat 53 defense variables, which may provide targets for treating thermoregulation 54 disorders. 55
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INTRODUCTION 57Homeostatic control of body temperature during heat defense is crucial for the 58 survival and fitness in mammals. Heat defense-related disorders include 59 heatstroke (1, 2) that causes hundreds of death each year in the US (3), and 60 menopause thermal disequilibrium (MTD) (4, 5) that affects 75% of menopaused 61 women (5, 6). Unfortunately, treatment is very limited against these disorders (3, 62 7), such as physical methods for heatstroke and hormone therapy for MTD, 63 respectively. Heat defense is achieved by precise coordination between dedicated 64 brain pathways and peripheral effector organs (4, 8, 9). Perturbation of these 65 pathways may lead to temperature dysregulation (4, 10), and aggravate obesity 66 and type 2 diabetes (11, 12). Previous findings have suggested that feed-forward 67 temperature signals are detected by thermoreceptors expressed in dorsal root 68 ganglion neurons (13, 14) and are transmitted into the spinal cord (15), which then 69 3 are relayed by brain stem neurons the lateral parabrachial (LPB) (16-18) and reach 70 the thermoregulation center the preoptic area (POA) (4, 8, 9). Several key types of 71 POA neurons have been identified recently to control different aspects of heat-72 defense activities (19)(20)(21)(22)(23)(24)(25)(26)(27). For example, activation of neurons expressing the leptin 73 receptor in the ventromedial preoptic area (VMPO) induces hypothermia along with 74 a reduction of physical activities and energy expenditure (EE) (23). Neurons 75 expressing brain-derived neurotrophic factor/pituitary adenylate cyclase-activating 76 polypeptide (BDNF/PACAP) in the anterior ventromedial preoptic area (VMPO) 77 induce hypothermia, reduce thermogenesis by interscapular brown fat tissues 78 (iBATs), impair nest buildi...