TY - JOUR
T1 - Habenular TCF7L2 links nicotine addiction to diabetes
AU - Duncan, Alexander
AU - Heyer, Mary P.
AU - Ishikawa, Masago
AU - Caligiuri, Stephanie P.B.
AU - Liu, Xin an
AU - Chen, Zuxin
AU - Vittoria Micioni Di Bonaventura, Maria
AU - Elayouby, Karim S.
AU - Ables, Jessica L.
AU - Howe, William M.
AU - Bali, Purva
AU - Fillinger, Clementine
AU - Williams, Maya
AU - O’Connor, Richard M.
AU - Wang, Zichen
AU - Lu, Qun
AU - Kamenecka, Theodore M.
AU - Ma’ayan, Avi
AU - O’Neill, Heidi C.
AU - Ibanez-Tallon, Ines
AU - Geurts, Aron M.
AU - Kenny, Paul J.
N1 - Publisher Copyright:
© 2019, The Author(s), under exclusive licence to Springer Nature Limited.
PY - 2019/10/17
Y1 - 2019/10/17
N2 - Diabetes is far more prevalent in smokers than non-smokers, but the underlying mechanisms of vulnerability are unknown. Here we show that the diabetes-associated gene Tcf7l2 is densely expressed in the medial habenula (mHb) region of the rodent brain, where it regulates the function of nicotinic acetylcholine receptors. Inhibition of TCF7L2 signalling in the mHb increases nicotine intake in mice and rats. Nicotine increases levels of blood glucose by TCF7L2-dependent stimulation of the mHb. Virus-tracing experiments identify a polysynaptic connection from the mHb to the pancreas, and wild-type rats with a history of nicotine consumption show increased circulating levels of glucagon and insulin, and diabetes-like dysregulation of blood glucose homeostasis. By contrast, mutant Tcf7l2 rats are resistant to these actions of nicotine. Our findings suggest that TCF7L2 regulates the stimulatory actions of nicotine on a habenula–pancreas axis that links the addictive properties of nicotine to its diabetes-promoting actions.
AB - Diabetes is far more prevalent in smokers than non-smokers, but the underlying mechanisms of vulnerability are unknown. Here we show that the diabetes-associated gene Tcf7l2 is densely expressed in the medial habenula (mHb) region of the rodent brain, where it regulates the function of nicotinic acetylcholine receptors. Inhibition of TCF7L2 signalling in the mHb increases nicotine intake in mice and rats. Nicotine increases levels of blood glucose by TCF7L2-dependent stimulation of the mHb. Virus-tracing experiments identify a polysynaptic connection from the mHb to the pancreas, and wild-type rats with a history of nicotine consumption show increased circulating levels of glucagon and insulin, and diabetes-like dysregulation of blood glucose homeostasis. By contrast, mutant Tcf7l2 rats are resistant to these actions of nicotine. Our findings suggest that TCF7L2 regulates the stimulatory actions of nicotine on a habenula–pancreas axis that links the addictive properties of nicotine to its diabetes-promoting actions.
UR - http://www.scopus.com/inward/record.url?scp=85073431118&partnerID=8YFLogxK
U2 - 10.1038/s41586-019-1653-x
DO - 10.1038/s41586-019-1653-x
M3 - Article
C2 - 31619789
AN - SCOPUS:85073431118
SN - 0028-0836
VL - 574
SP - 372
EP - 377
JO - Nature
JF - Nature
IS - 7778
ER -