Calorie-restricted weight loss reverses high-fat diet-induced ghrelin resistance, which contributes to rebound weight gain in a ghrelin-dependent manner

DI Briggs, SH Lockie, Q Wu, MB Lemus, R Stark… - …, 2013 - academic.oup.com
DI Briggs, SH Lockie, Q Wu, MB Lemus, R Stark, ZB Andrews
Endocrinology, 2013academic.oup.com
Twelve weeks of high-fat diet feeding causes ghrelin resistance in arcuate neuropeptide Y
(NPY)/agouti-related protein (AgRP) neurons. In the current study, we investigated whether
diet-induced weight loss could restore NPY/AgRP neuronal responsiveness to ghrelin and
whether ghrelin mediates rebound weight gain after calorie-restricted (CR) weight loss. Diet-
induced obese (DIO) mice were allocated to one of two dietary interventions until they
reached the weight of age-matched lean controls. DIO mice received chow diet ad libitum or …
Twelve weeks of high-fat diet feeding causes ghrelin resistance in arcuate neuropeptide Y (NPY)/agouti-related protein (AgRP) neurons. In the current study, we investigated whether diet-induced weight loss could restore NPY/AgRP neuronal responsiveness to ghrelin and whether ghrelin mediates rebound weight gain after calorie-restricted (CR) weight loss. Diet-induced obese (DIO) mice were allocated to one of two dietary interventions until they reached the weight of age-matched lean controls. DIO mice received chow diet ad libitum or chow diet with 40% CR. Chow-fed and high-fat–fed mice served as controls. Both dietary interventions normalized body weight, glucose tolerance, and plasma insulin. We show that diet-induced weight loss with CR increases total plasma ghrelin, restores ghrelin sensitivity, and increases hypothalamic NPY and AgRP mRNA expression. We propose that long-term DIO creates a higher body weight set-point and that weight loss induced by CR, as seen in the high-fat CR group, provokes the brain to protect the new higher set-point. This adaptation to weight loss likely contributes to rebound weight gain by increasing peripheral ghrelin concentrations and restoring the function of ghrelin-responsive neuronal populations in the hypothalamic arcuate nucleus. Indeed, we also show that DIO ghrelin-knockout mice exhibit reduced body weight regain after CR weight loss compared with ghrelin wild-type mice, suggesting ghrelin mediates rebound weight gain after CR weight loss.
Oxford University Press