Hypothalamic AMPK and fatty acid metabolism mediate thyroid regulation of energy balance

Miguel López (Corresponding Author), Luis Varela, María J. Vázquez, Sergio Rodríguez-Cuenca, Carmen R. González, Vidya Velagapudi, Donald A. Morgan, Erik Schoenmakers, Kristofor Agassandian, Ricardo Lage, Pablo Blanco Martínez de Morentin, Sulay Tovar, Rubén Nogueiras, David Carling, Christopher Lelliott, Rosalía Gallego, Matej Orešič, Krishna Chatterjee, Asish K. Saha, Kamal RahmouniCarlos Diéguez, Antonio Vidal-Puig (Corresponding Author)

Research output: Contribution to journalArticleScientificpeer-review

549 Citations (Scopus)


Thyroid hormones have widespread cellular effects; however it is unclear whether their effects on the central nervous system (CNS) contribute to global energy balance. Here we demonstrate that either whole-body hyperthyroidism or central administration of triiodothyronine (T3) decreases the activity of hypothalamic AMP-activated protein kinase (AMPK), increases sympathetic nervous system (SNS) activity and upregulates thermogenic markers in brown adipose tissue (BAT). Inhibition of the lipogenic pathway in the ventromedial nucleus of the hypothalamus (VMH) prevents CNS-mediated activation of BAT by thyroid hormone and reverses the weight loss associated with hyperthyroidism. Similarly, inhibition of thyroid hormone receptors in the VMH reverses the weight loss associated with hyperthyroidism. This regulatory mechanism depends on AMPK inactivation, as genetic inhibition of this enzyme in the VMH of euthyroid rats induces feeding-independent weight loss and increases expression of thermogenic markers in BAT. These effects are reversed by pharmacological blockade of the SNS. Thus, thyroid hormone–induced modulation of AMPK activity and lipid metabolism in the hypothalamus is a major regulator of whole-body energy homeostasis.
Original languageEnglish
Pages (from-to)1001-1008
JournalNature Medicine
Publication statusPublished - 2010
MoE publication typeA1 Journal article-refereed


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