Evidence map›Paper›PMID 30996341›Full record

ArticleScientific reports2019

Hypoglycemia-activated Hypothalamic Microglia Impairs Glucose Counterregulatory Responses.

Zsuzsanna Winkler, Dániel Kuti, Ágnes Polyák, Balázs Juhász, Krisztina Gulyás, Nikolett Lénárt, Ádám Dénes, Szilamér Ferenczi, Krisztina J Kovács

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
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  6. Article
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  8. Article
  9. Article
  10. Acute severe hypoglycemia alters mouse brain microvascular proteome.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2024
    Article
  11. Review
  12. Microglia in Central Control of Metabolism.Physiology (Bethesda, Md.) · 2024
    Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Homeostatic Regulation of Glucose Metabolism by the Central Nervous System.Endocrinology and metabolism (Seoul, Korea) · 2022
    Article
  20. Regulation of the Fructose Transporter GeneInternational journal of molecular sciences · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Zsuzsanna WinklerLaboratory of Molecular Neuroendocrinology, Institute of Experimental Medicine, Budapest, Hungary.
Dániel KutiLaboratory of Molecular Neuroendocrinology, Institute of Experimental Medicine, Budapest, Hungary.
Ágnes PolyákLaboratory of Molecular Neuroendocrinology, Institute of Experimental Medicine, Budapest, Hungary.
Balázs JuhászLaboratory of Molecular Neuroendocrinology, Institute of Experimental Medicine, Budapest, Hungary.
Krisztina GulyásLaboratory of Molecular Neuroendocrinology, Institute of Experimental Medicine, Budapest, Hungary.ORCID http://orcid.org/0000-0003-0719-2124
Nikolett LénártLaboratory of Molecular Neuroendocrinology, Institute of Experimental Medicine, Budapest, Hungary.
Ádám DénesLaboratory of Molecular Neuroendocrinology, Institute of Experimental Medicine, Budapest, Hungary.
Szilamér FerencziLaboratory of Molecular Neuroendocrinology, Institute of Experimental Medicine, Budapest, Hungary.
Krisztina J KovácsLaboratory of Molecular Neuroendocrinology, Institute of Experimental Medicine, Budapest, Hungary. kovacs@koki.hu.
HUN-REN Institute of Experimental Medicine · HUSemmelweis University · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glucose is a major fuel for the central nervous system and hypoglycemia is a significant homeostatic stressor, which elicits counterregulatory reactions. Hypothalamic metabolic- and stress-related neurons initiate these actions, however recruitment of glia in control such adaptive circuit remain unknown. Groups of fed- and fasted-, vehicle-injected, and fasted + insulin-injected male mice were compared in this study. Bolus insulin administration to fasted mice resulted in hypoglycemia, which increased hypothalamo-pituitary-adrenal (HPA) axis- and sympathetic activity, increased transcription of neuropeptide Y (Npy) and agouti-related peptide (Agrp) in the hypothalamic arcuate nucleus and activated IBA1+ microglia in the hypothalamus. Activated microglia were found in close apposition to hypoglycemia-responsive NPY neurons. Inhibition of microglia by minocycline increased counterregulatory sympathetic response to hypoglycemia. Fractalkine-CX3CR1 signaling plays a role in control of microglia during hypoglycemia, because density and solidity of IBA1-ir profiles was attenuated in fasted, insulin-treated, CX3CR1 KO mice, which was parallel with exaggerated neuropeptide responses and higher blood glucose levels following insulin administration. Hypoglycemia increased Il-1b expression in the arcuate nucleus, while IL-1a/b knockout mice display improved glycemic control to insulin administration. In conclusion, activated microglia in the arcuate nucleus interferes with central counterregulatory responses to hypoglycemia. These results underscore involvement of microglia in hypothalamic regulation of glucose homeostasis.

Indexed as

Agouti-Related ProteinAnimalsArcuate Nucleus of HypothalamusBlood GlucoseFastingHomeostasisHypoglycemiaHypothalamo-Hypophyseal SystemInsulinInterleukin-1alphaInterleukin-1betaMaleMiceMice, Inbred C57BLMice, KnockoutMicrogliaagouti-related peptide, (Yc(CRFFNAFC)Y)Agouti-Related ProteinBlood GlucoseIl1a protein, mouseIL1B protein, mouseInsulinInterleukin-1alphaInterleukin-1betaNeuropeptide YPeptide Fragments

Identifiers

PMID30996341
PMCPMC6470310
OpenAlexW2942152473

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.