Critical changes in hypothalamic gene networks in response to pancreatic cancer as found by single-cell RNA sequencing.

Critical changes in hypothalamic gene networks in response to pancreatic cancer as found by single-cell RNA sequencing.
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DOI:
10.1016/j.molmet.2022.101441
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发表时间:
2022-04
影响因子:
8.1
通讯作者:
Marks DL
Marks DL
中科院分区:
医学1区
文献类型:
--
作者:
Huisman C;Norgard MA;Levasseur PR;Krasnow SM;van der Wijst MGP;Olson B;Marks DL

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Cancer cachexia is a devastating chronic condition characterized by involuntary weight loss, muscle wasting, abnormal fat metabolism, anorexia, and fatigue. However, the molecular mechanisms underlying this syndrome remain poorly understood. In particular, the hypothalamus may play a central role in cachexia, given that it has direct access to peripheral signals because of its anatomical location and attenuated blood–brain barrier. Furthermore, this region has a critical role in regulating appetite and metabolism. To provide a detailed analysis of the hypothalamic response to cachexia, we performed single-cell RNA-seq combined with RNA-seq of the medial basal hypothalamus (MBH) in a mouse model for pancreatic cancer. We found many cell type-specific changes, such as inflamed endothelial cells, stressed oligodendrocyes and both inflammatory and moderating microglia. Lcn2, a newly discovered hunger suppressing hormone, was the highest induced gene. Interestingly, cerebral treatment with LCN2 not only induced many of the observed molecular changes in cachexia but also affected gene expression in food-intake decreasing POMC neurons. In addition, we found that many of the cachexia-induced molecular changes found in the hypothalamus mimic those at the primary tumor site. Our data reveal that multiple cell types in the MBH are affected by tumor-derived factors or host factors that are induced by tumor growth, leading to a marked change in the microenvironment of neurons critical for behavioral, metabolic, and neuroendocrine outputs dysregulated during cachexia. The mechanistic insights provided in this study explain many of the clinical features of cachexia and will be useful for future therapeutic development. Single-cell RNA-sequencing reveals hypothalamic response to cancer cachexia. Tumor-derived factors induce endothelial inflammation in the hypothalamus. Plin4 is a novel cachexia marker in oligodendrocytes for cancer cachexia. Novel hunger hormone LCN2 activates food-intake decreasing POMC neurons. Inflammatory and a moderating microglia in the hypothalamus respond to cancer cachexia.
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