A novel role for IL-6 in the suppression of hypothalamic glucose sensing

37th Congress of IUPS (Birmingham, UK) (2013) Proc 37th IUPS, PCA312

Poster Communications: A novel role for IL-6 in the suppression of hypothalamic glucose sensing

G. T. Denwood1, K. R. Watterson1, A. H. Gardiner1, K. L. Ward1, E. A. Haythorne1, L. Hamilton1, K. A. Wright1, F. B. Ashford1, M. L. Ashford1, R. J. McCrimmon1

1. Medical Research Institute, University of Dundee, Dundee, United Kingdom.

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Repeated exposure to hypoglycemia leads to suppression of normal counter-regulatory responses (CRR) to hypoglycemia; increasing severe hypoglycemia risk. The mechanism underlying this is unknown, but believed to result primarily from defective glucose-sensing within the ventromedial hypothalamus (VMH). Hypoglycemia evokes a significant systemic and local stress response with an increase in inflammatory mediators such as interleukin-6 (IL-6). In this study, we sought to determine if IL-6 affected hypothalamic glucose-sensing by examining its action on hypoglycemia-induced changes in membrane potential and AMPK activity in a mouse hypothalamic glucose-sensing cell line (GT1-7) and mouse hypothalamic ex vivo slices. Perforated-patch electrophysiological recordings of GT1-7 cells investigated the acute and chronic effects of IL-6 (5ng/ml and 20ng/ml) on acute hypoglycemia (0.5mM glucose)-induced membrane hyperpolarization. Acute exposure of GT1-7 cells to 5ng/ml and 20ng/ml IL-6 had no significant hyperpolarizing effect during hypoglycemia (0.5mM). Contrastingly, antecedent 3 hour exposure to 5ng/ml IL-6 followed by a 24 hour recovery period significantly attenuated the response of GT1-7 cells to 0.5mM (ΔVControl = 13.4 ± 1.3mV vs ΔVIL6 = 8.6 ± 2.0mV, p<0.05; n=10-13). Additionally, IL-6 was found to significantly increase acute AMPK activity in mouse VMH ex vivo slices and GT1-7 cells, as demonstrated by increased AMPK phosphorylation, increased phosphorylation of ACC and direct AMPK activity assay compared to controls. Moreover, antecedent 3 hour exposure of GT1-7 cells to 5ng/ml IL-6 attenuated subsequent hypoglycemia-induced AMPK phosphorylation. Thus, prior exposure of hypothalamic GT1-7 cells and VMH ex vivo slices to IL-6 reduced their responsiveness to a subsequent hypoglycemia challenge. We conclude that rises in systemic or local IL-6 may contribute, at least in part, to hypoglycemia-induced suppression of hypothalamic glucose-sensing.



Where applicable, experiments conform with Society ethical requirements.

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