Null mutations of the proopiomelanocortin gene (Pomc -/-) cause obesity in humans and rodents, but the contributions of central versus pituitary POMC deficiency are not fully established. To elucidate these roles, we introduced a POMC transgene (Tg) that selectively restored peripheral melanocortin and corticosterone secretion in Pomc -/-mice. Rather than improving energy balance, the genetic replacement of pituitary POMC in Pomc -/-Tg + mice aggravated their metabolic syndrome with increased caloric intake and feed efficiency, reduced oxygen consumption, increased subcutaneous, visceral, and hepatic fat, and severe insulin resistance. Pair-feeding of Pomc -/-Tg + mice to the daily intake of lean controls normalized their rate of weight gain but did not abolish obesity, indicating that hyperphagia is a major but not sole determinant of the phenotype. Replacement of corticosterone in the drinking water of Pomc -/-mice recapitulated the hyperphagia, excess weight gain and fat accumulation, and hyperleptinemia characteristic of genetically rescued Pomc -/-Tg + mice. These data demonstrate that CNS POMC peptides play a critical role in energy homeostasis that is not substituted by peripheral POMC. Restoration of pituitary POMC expression to create a de facto neuronal POMC deficiency exacerbated the development of obesity, largely via glucocorticoid modulation of appetite, metabolism, and energy partitioning.
IntroductionDeciphering the complex regulatory mechanisms for energy balance is a health-care priority because of the rapidly growing prevalence of obesity (1). Energy homeostasis is enabled by peripheral signals informing the CNS about energy storage levels and metabolic status. Vagal afferents and hormones including leptin, insulin, ghrelin, and glucocorticoids relay this interoceptive information to hypothalamic and brainstem nuclei that in turn regulate energy consumption, utilization, and storage (2, 3). Peripheral information processed centrally is used to elicit appropriate feeding, endocrine, and autonomic motor responses.Neurons in the arcuate nucleus of the hypothalamus that express the gene encoding proopiomelanocortin (POMC) play a major role in this physiological network (4-6). Genetic disruption of either the mouse Pomc or the human POMC gene causes early-onset obesity (7-9), suggesting that endogenous POMC pathways are essential for the regulation of energy homeostasis. POMC is processed posttranslationally to the endogenous opioid β-endorphin and the melanocortin peptides ACTH, α-melanocyte-stimulating hormone (αMSH), βMSH, and γMSH. Absence of some or all of these peptides could potentially contribute to the obesity syndrome. In the CNS, energy balance is profoundly modulated by the anorexigenic peptide αMSH via melanocortin receptor-4 (MC4-R) activation. Central administration of αMSH (10, 11) or a synthetic analog, MTII (12, 13), reduces food intake in rodents. Conversely, mutations of MC4-R, the most abundant melanocortin receptor