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Leona Plum, Xiaosong Ma, Brigitte Hampel, Nina Balthasar, Roberto Coppari, Heike Münzberg, Marya Shanabrough, Denis Burdakov, Eva Rother, Ruth Janoschek, Jens Alber, Bengt F. Belgardt, Linda Koch, Jost Seibler, Frieder Schwenk, Csaba Fekete, Akira Suzuki, Tak W. Mak, Wilhelm Krone, Tamas L. Horvath, Frances M. Ashcroft, Jens C. Brüning
Published in Volume 116, Issue 7
J Clin Invest. 2006; 116(7):1886–1901 doi:10.1172/JCI27123
Abstract | Full text | PDF
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Figure 11
Proposed model of insulin and leptin action in POMC neurons.

Insulin hyperpolarizes POMC neurons via robust (solid line) activation of PI3K (p85, regulatory subunit; p110, catalytic subunit) and generation of PIP3. PIP3 activates KATP channels, resulting in hyperpolarization and a decreased neuronal firing rate. By contrast, leptin depolarizes POMC neurons, probably by opening nonspecific cation channels (36). Activation of the leptin receptor produces relatively weak (dashed line) stimulation of PI3K via IRS proteins but strong Stat3 phosphorylation via activation of Jak2, thereby leading to increased expression of POMC. KATP channel activity is also regulated by metabolically generated ATP and adenosine diphosphate (ADP) (44). This has been proposed to play a role in sensing ambient glucose concentrations (56), thereby regulating neuroendocrine sensitivity to glucose and metabolic efficiency (57). Other hormonal receptors that activate the PI3K pathway are shown by an ×. GP, glucose-6-phosphate; GK, glucokinase; PIP2, phosphatidylinositol4,5-biphosphate.