Smith-Magenis syndrome protein RAI1 regulates body weight homeostasis through hypothalamic BDNF-producing neurons and neurotrophin downstream signalling

Elife. 2023 Nov 13:12:RP90333. doi: 10.7554/eLife.90333.

Abstract

Retinoic acid-induced 1 (RAI1) haploinsufficiency causes Smith-Magenis syndrome (SMS), a genetic disorder with symptoms including hyperphagia, hyperlipidemia, severe obesity, and autism phenotypes. RAI1 is a transcriptional regulator with a pan-neural expression pattern and hundreds of downstream targets. The mechanisms linking neural Rai1 to body weight regulation remain unclear. Here we find that hypothalamic brain-derived neurotrophic factor (BDNF) and its downstream signalling are disrupted in SMS (Rai1+/-) mice. Selective Rai1 loss from all BDNF-producing cells or from BDNF-producing neurons in the paraventricular nucleus of the hypothalamus (PVH) induced obesity in mice. Electrophysiological recordings revealed that Rai1 ablation decreased the intrinsic excitability of PVHBDNF neurons. Chronic treatment of SMS mice with LM22A-4 engages neurotrophin downstream signalling and delayed obesity onset. This treatment also partially rescued disrupted lipid profiles, insulin intolerance, and stereotypical repetitive behaviour in SMS mice. These data argue that RAI1 regulates body weight and metabolic function through hypothalamic BDNF-producing neurons and that targeting neurotrophin downstream signalling might improve associated SMS phenotypes.

Keywords: brain-derived neurotrophic factor; mouse; neuroscience; obesity; paraventricular nucleus of hypothalamus; retinoic acid induced 1.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Body Weight
  • Brain-Derived Neurotrophic Factor* / metabolism
  • Homeostasis
  • Hypothalamus / metabolism
  • Mice
  • Nerve Growth Factors / metabolism
  • Neurons / metabolism
  • Obesity / genetics
  • Smith-Magenis Syndrome* / genetics
  • Smith-Magenis Syndrome* / metabolism
  • Trans-Activators* / metabolism
  • Transcription Factors* / metabolism

Substances

  • Brain-Derived Neurotrophic Factor
  • Trans-Activators
  • Transcription Factors
  • Rai1 protein, mouse
  • Nerve Growth Factors

Grants and funding

The funders had no role in study design, data collection and interpretation, or the decision to submit the work for publication.