Investigating the role of arcuate nucleus and paraventricular nucleus glucokinase in glucose homeostasis
File(s)
Author(s)
Ratnasabapathy, Risheka
Type
Thesis
Abstract
The brain is as an important regulator of appetite and metabolism. Glucokinase (GK) is a key component of glucose sensing, and is expressed in many glucose sensitive neurones (Rosario et al., 2016, Pocai et al., 2005b). Two regions where glucokinase is expressed are the arcuate nucleus and the paraventricular nucleus of the hypothalamus (Jetton et al., 1994b). Using viral techniques to specifically alter glucokinase expression, I show that upregulation of glucokinase in these nuclei individually, significantly improves glucose tolerance and increases insulin secretion. Conversely down regulation significantly worsens glucose tolerance and reduces insulin secretion. Interestingly the incretin effect is negligible within the arcuate nucleus but within the paraventricular nucleus, glucagon like peptide-1 (GLP-1) secretion is blunted when glucokinase expression is reduced. GLP-1 secretion has been believed to be entirely regulated by the enteroendocrine L-cells of the small intestine however these results suggest that the brain may play a role. The pathway of action of both the arcuate and paraventricular GK appears to be via ATP-sensitive potassium channels (KATP) channels (Maekawa et al., 2000, Hussain et al., 2015b, Ma et al., 2018a). These results suggest an important role for arcuate and paraventricular nuclei glucokinase in glucose homeostasis via KATP channels.
Version
Open Access
Date Issued
2019-09
Date Awarded
2020-01
Copyright Statement
Creative Commons Attribution NonCommercial Licence
Advisor
Dhillo, Waljit
Sponsor
Medical Research Council (Great Britain)
Grant Number
MR/N020472/1
Publisher Department
Department of Metabolism, Digestion and Reproduction
Publisher Institution
Imperial College London
Qualification Level
Doctoral
Qualification Name
Doctor of Philosophy (PhD)