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Postpartum (PP) maternal mortality remains alarmingly high, with a rate of 32.9 per 100,000 live births in 2021 in the United States. Cardiovascular diseases, including peripartum/postpartum cardiomyopathy (PPCM) and coronary heart disease, are among the leading causes of PP morbidity and mortality. Although socioeconomic status and the level of PP care can influence the mortality rate, the underlying mechanisms leading to PPCM are not well understood. PPCM is clinically defined as (1) the development of the disease in the last month of pregnancy or within 5 months of delivery, (2) absence of pre-existing heart disease prior to the last month of pregnancy, (3) unknown cause of heart failure, and (4) left ventricular systolic dysfunction. Prognosis remains poor, with full recovery reported in only 23% of affected individuals and 50% experiencing heart failure-related mortality due to limited therapeutic options. Limited studies in both humans and mouse models of PPCM have proposed several potential mechanisms, including inflammation, viral myocarditis, autoimmune reactions, oxidative stress, and apoptosis, resulting from environmental as well as genetic factors. Studying these mechanisms in animal models, particularly those involving genetic causes, has been difficult due to the lack of severity or relevance of existing mouse models of PPCM to the human disease.

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Fructose-induced synaptic and neuronal adaptations at neuropeptide Y/agouti-related peptide neurons

Mikayla A. Payant, Aditi S. Sankhe, Persephone A. Miller, Sarah S. Vieira, ... Melissa J. Chee

Fructose-induced synaptic and neuronal adaptations at neuropeptide Y/agouti-related peptide neurons

Fructose is a naturally-occurring sugar, consumed in excess as sweeteners, and is linked to the development of obesity. Fructose is consumed with glucose (dextrose) in added sugars, but while dextrose produces satiety, excessive fructose intake promotes hyperphagia through the brain. However, the neurological effects of dietary fructose are not clearly defined. We fed male and female mice standard chow, a 60% high fructose, or 60% high dextrose diet and found that fructose- and dextrose-fed mice ate more calories and gained more body fat despite increasing fat oxidation and energy expenditure. Furthermore, their metabolic syndromes were more prominent in male mice, who also developed glucose intolerance. To define the neurological effects underlying the obesogenic actions of fructose, we performed ex vivo patch-clamp recordings from orexigenic Neuropeptide Y/agouti-related peptide (NPY/AgRP) neurons in the arcuate nucleus. Fructose feeding uniquely increased synaptic excitation at NPY/AgRP neurons, which remained elevated with sustained fructose exposure; this excitation may arise from glutamatergic neurons in the dorsomedial hypothalamic nucleus. Terminating fructose feeding reversed this synaptic excitation at male but not female NPY/AgRP neurons. Furthermore, chronic but not acute fructose feeding in male mice also irreversibly activated NPY/AgRP neurons even following fructose withdrawal. Interestingly, despite sex-dependent fructose-mediated plasticity at NPY/AgRP neurons, a prolonged fructose withdrawal increased innate fructose preference in both male and female mice. Taken together, these findings showed that fructose elicited synaptic and neuronal excitation at NPY/AgRP neurons that can be long-lasting. These actions are consistent with that seen during hunger and may thus promote hyperphagia in the expression of fructose-mediated obesity.

Articles in Press

Fructose-induced synaptic and neuronal adaptations at neuropeptide Y/agouti-related peptide neurons

Mikayla A. Payant, Aditi S. Sankhe, Persephone A. Miller, Sarah S. Vieira, ... Melissa J. Chee

Fructose-induced synaptic and neuronal adaptations at neuropeptide Y/agouti-related peptide neurons

Fructose is a naturally-occurring sugar, consumed in excess as sweeteners, and is linked to the development of obesity. Fructose is consumed with glucose (dextrose) in added sugars, but while dextrose produces satiety, excessive fructose intake promotes hyperphagia through the brain. However, the neurological effects of dietary fructose are not clearly defined. We fed male and female mice standard chow, a 60% high fructose, or 60% high dextrose diet and found that fructose- and dextrose-fed mice ate more calories and gained more body fat despite increasing fat oxidation and energy expenditure. Furthermore, their metabolic syndromes were more prominent in male mice, who also developed glucose intolerance. To define the neurological effects underlying the obesogenic actions of fructose, we performed ex vivo patch-clamp recordings from orexigenic Neuropeptide Y/agouti-related peptide (NPY/AgRP) neurons in the arcuate nucleus. Fructose feeding uniquely increased synaptic excitation at NPY/AgRP neurons, which remained elevated with sustained fructose exposure; this excitation may arise from glutamatergic neurons in the dorsomedial hypothalamic nucleus. Terminating fructose feeding reversed this synaptic excitation at male but not female NPY/AgRP neurons. Furthermore, chronic but not acute fructose feeding in male mice also irreversibly activated NPY/AgRP neurons even following fructose withdrawal. Interestingly, despite sex-dependent fructose-mediated plasticity at NPY/AgRP neurons, a prolonged fructose withdrawal increased innate fructose preference in both male and female mice. Taken together, these findings showed that fructose elicited synaptic and neuronal excitation at NPY/AgRP neurons that can be long-lasting. These actions are consistent with that seen during hunger and may thus promote hyperphagia in the expression of fructose-mediated obesity.

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13th
Helmholtz Diabetes Conference 

Munich, 21-23. Sep 2026                                                                                                                             

2024 impact factor: 6.6

You are what you eat

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