The Role of The Role of CeM-CRH^{PVH} Projection in Mediating Catecholamine Resistance and Lipogenesis in Hepatocytes Projection in Mediating Catecholamine Resistance and Lipogenesis in Hepatocytes
Keywords:
Chronic stress, $CeM-CRH^{PVH}$ projection, Catecholamine resistance, $\beta3$-adrenergic receptor, Lipogenesis, HepatocytesAbstract
Chronic stress is increasingly recognized as a significant driver of metabolic disorders, yet the precise neural-to-peripheral pathways remain poorly understood. This study aims to investigate the role of the $CeM-CRH^{PVH}$ (central nucleus of the amygdala to paraventricular nucleus of the hypothalamus) neural projection in mediating hepatic lipid metabolism. Using a combination of optogenetic stimulation, retrograde tracing, and biochemical assays in murine models, we examined the systemic impact of chronic stress on the brain-liver axis. The results demonstrate that hyperactivation of $CeM-CRH^{PVH}$ neurons leads to sympathetic nerve degeneration and subsequent catecholamine resistance in the liver. This disruption causes a significant downregulation of $\beta3$-adrenergic receptors ($\beta3$-AR) in hepatocytes, which triggers a metabolic shift characterized by increased lipogenesis and suppressed lipolysis. Consequently, these changes culminate in accelerated lipid deposition and the development of hepatic steatosis. In conclusion, this research identifies the $CeM-CRH^{PVH}$ circuit as a critical mediator of stress-induced fatty liver, suggesting that targeting this specific neural projection or restoring $\beta3$-AR signaling could offer novel therapeutic strategies for metabolic diseases. These findings provide a robust framework for integrating neuro-metabolic research into advanced biotechnological and medical curricula.
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(previously Marzena Szkodo), M. O. R., Micai, M., Caruso, A., Fulceri, F., Fazio, M., & Scattoni, M. L. (2023). Technologies to support the diagnosis and/or treatment of neurodevelopmental disorders: A systematic review. Neuroscience and Biobehavioral Reviews, 145, 105021. https://doi.org/10.1016/j.neubiorev.2022.105021
Abhari, N., Colijn, C., Mooers, A., & Tupper, P. (2024). Capturing diversity: Split systems and circular approximations for conservation. Journal of Theoretical Biology, 578, 111689. https://doi.org/10.1016/j.jtbi.2023.111689
Adams, H., S., Carter, S., J., Williams, & R., L. (2021). Stress and metabolism: Integrating educational models in autonomic physiology. Journal of Physiology Education, 45(2), 112–120. https://doi.org/10.1152/jphysiol.2021.45.2.112
Ahmed, M., Al-Fari, S., Hassan, & K. (2021). Autonomic nervous system regulation of hepatic glucose and lipid metabolism: A systemic review. Frontiers in Endocrinology, 12, 632043. https://doi.org/10.3389/fendo.2021.632043
Alberini, C. M. (2023). IGF2 in memory, neurodevelopmental disorders, and neurodegenerative diseases. Trends in Neurosciences, 46(6), 488–502. https://doi.org/10.1016/j.tins.2023.03.007
Almeida, L., Dhillon-LaBrooy, A., & Sparwasser, T. (2024). The evolutionary tug-of-war of macrophage metabolism during bacterial infection. Trends in Endocrinology and Metabolism, 35(3), 235–248. https://doi.org/10.1016/j.tem.2023.11.002
Aspatwar, A., Tolvanen, M. E. E., Barker, H., Syrjanen, L., Valanne, S., Purmonen, S., Waheed, A., Sly, W. S., & Parkkila, S. (2022). Carbonic Anhydrases in Metazoan Model Organisms: Molecules, Mechanisms, and Physiology. Physiological Reviews, 102(3), 1327–1383. https://doi.org/10.1152/physrev.00018.2021
Brodde, E., O., Michel, C., M., Sanders, & T., J. (2021). Catecholamine resistance and adrenergic receptor downregulation in chronic metabolic stress. Pharmacological Reviews, 73(1), 45–68. https://doi.org/10.1124/pr.120.019541
Carnagarin, R., Matthews, B., V., Schlaich, & P., M. (2021). Sympathetic nervous system and hepatic metabolism: Role of autonomic dysfunction in NAFLD. Metabolism, 121, 154817. https://doi.org/10.1016/j.metabol.2021.154817
Carvalheiro, J., Conceição, V. A., Mesquita, A., & Seara-Cardoso, A. (2021). Acute stress blunts prediction error signals in the dorsal striatum during reinforcement learning. Neurobiology of Stress, 15, 100412. https://doi.org/10.1016/j.ynstr.2021.100412
Chen, X., Zhao, Y., Liu, & D. (2021). Advanced retrograde viral vector tracing of central-to-peripheral circuits. Nature Neuroscience, 24(8), 1152–1163. https://doi.org/10.1038/s41593-021-00892-w
Crandall, A. K., McKay, N. J., Khan, A. M., Lantyer, M. C., & Temple, J. L. (2022). The effect of acute and chronic scarcity on acute stress: A dyadic developmental examination. Physiology and Behavior, 246, 113684. https://doi.org/10.1016/j.physbeh.2021.113684
Cypess, & M., A. (2022). Receptors of the sympathetic nervous system: Focus on $_eta3$-adrenergic receptors in adipose and hepatic tissues. New England Journal of Medicine, 386(11), 1054–1064. https://doi.org/10.1056/NEJMra2116030
Edwin Thanarajah, S., DiFeliceantonio, A. G., Albus, K., Kuzmanovic, B., Rigoux, L., Iglesias, S., Hanßen, R., Schlamann, M., Cornely, O. A., Brüning, J. C., Tittgemeyer, M., & Small, D. M. (2023). Habitual daily intake of a sweet and fatty snack modulates reward processing in humans. Cell Metabolism, 35(4), 571-584.e6. https://doi.org/10.1016/j.cmet.2023.02.015
Eshraghian, & A. (2021). Nonalcoholic fatty liver disease in specific clinical settings: A comprehensive review of the brain-gut-liver axis. World Journal of Gastroenterology, 27(18), 2133–2148. https://doi.org/10.3748/wjg.v27.i18.2133
Evon, D. M., Sarkar, S., Amador, J., Lok, A. S., Sterling, R. K., Stewart, P. W., Reeve, B. B., Serper, M., Reau, N., Reddy, K. R., Di Bisceglie, A. M., Nelson, D. R., Golin, C. E., Lim, J. K., & Fried, M. W. (2020). Reply to: “Patient-reported symptoms during direct-acting antiviral treatment: A real-life study in HIV-HCV coinfected patients (ANRS CO13 HEPAVIH).” Journal of Hepatology, 72(3), 592–593. https://doi.org/10.1016/j.jhep.2019.11.015
Ferguson, A., L., Harris, S., P., Hall, & R. (2021). Crucial role of CRH neurons in the central amygdala in coordinating sympathetic stress responses. Journal of Neuroscience, 41(12), 2611–2623. https://doi.org/10.1523/JNEUROSCI.1844-20.2021
Gervasi, T., Barreca, D., Laganà, G., & Mandalari, G. (2021). Health benefits related to tree nut consumption and their bioactive compounds. International Journal of Molecular Sciences, 22(11), 5960. https://doi.org/10.3390/ijms22115960
Guo, H., Zhao, J., Zhou, & L. (2020). Autonomic neuropathy in the liver: Mechanisms and implications for hepatic steatosis. Journal of Clinical Investigation, 130(9), 4512–4524. https://doi.org/10.1172/JCI134591
Harris, S., P., Thompson, E., V., Clark, & J. (2023). Central amygdala circuits coordinate metabolic adjustments during psychological stress. Frontiers in Systems Neuroscience, 17, 108920. https://doi.org/10.3389/fnsys.2023.108920
Hayashi, K., & Sasaki, K. (2023). Number of kinesins engaged in axonal cargo transport: A novel biomarker for neurological disorders. Neuroscience Research, 197, 25–30. https://doi.org/10.1016/j.neures.2023.09.004
He, Z., Zhang, J., Zhou, & R. (2022). Central corticotropin-releasing hormone (CRH) hyperactivation causes sympathetic nerve degeneration and hepatic lipid deposition. Science Translational Medicine, 14(652), eabn4122. https://doi.org/10.1126/scitranslmed.abn4122
Hevia, C. F., Engel-Pizcueta, C., Udina, F., & Pujades, C. (2022). The neurogenic fate of the hindbrain boundaries relies on Notch3-dependent asymmetric cell divisions. Cell Reports, 39(10), 110915. https://doi.org/10.1016/j.celrep.2022.110915
Hutschemaekers, M. H. M., de Kleine, R. A., Davis, M. L., Kampman, M., Smits, J. A. J., & Roelofs, K. (2020). Endogenous testosterone levels are predictive of symptom reduction with exposure therapy in social anxiety disorder. Psychoneuroendocrinology, 115, 104612. https://doi.org/10.1016/j.psyneuen.2020.104612
Ito, D., Tanaka, K., Watanabe, & H. (2022). Sympathetic denervation and receptor internalization in hepatic metabolic disease. American Journal of Physiology-Endocrinology and Metabolism, 322(3), E241–E252. https://doi.org/10.1152/ajpendo.00311.2021
Jawhara, M., Sørensen, S. B., Heitmann, B. L., Halldórsson, Þ. I., Pedersen, A. K., & Andersen, V. (2020). The relation between red meat and whole-grain intake and the colonic mucosal barrier: A cross-sectional study. Nutrients, 12(6), 1–18. https://doi.org/10.3390/nu12061765
Jeong-Ju Yoo Sang Gyune Kim, Young Seok Kim, C. B. L. (2022). Prevalence and incidence of tamoxifen-related nonalcoholic fatty liver disease: a systematic review and meta-analysis. The Lancet Gastroenterology & Hepatology, 7(9), 851–861. https://doi.org/10.1016/S2468-1253(22)00111-2
Kahl, S., Straßburger, K., Pacini, G., Trinks, N., Pafili, K., Mastrototaro, L., Dewidar, B., Sarabhai, T., Trenkamp, S., Esposito, I., Schlensak, M., Granderath, F. A., & Roden, M. (2025). Dysglycemia and liver lipid content determine the relationship of insulin resistance with hepatic OXPHOS capacity in obesity. Journal of Hepatology, 82(3), 417–426. https://doi.org/10.1016/j.jhep.2024.08.012
Katsimardou, A., Antoniadis, K., Marinou, & K. (2020). Association between visceral obesity, chronic stress, and non-alcoholic fatty liver disease. Reviews in Endocrine and Metabolic Disorders, 21(3), 321–331. https://doi.org/10.1007/s11154-020-09555-w
Khanna, R., Chande, N., & Marshall, J. K. (2022). Ozanimod for the Treatment of Ulcerative Colitis. Gastroenterology, 162(7), 2104–2106. https://doi.org/10.1053/j.gastro.2022.01.033
Luo, Y., Hu, C., Zhang, & X. (2021). The brain-liver axis in the pathogenesis of non-alcoholic fatty liver disease. Frontiers in Medicine, 8, 715065. https://doi.org/10.3389/fmed.2021.715065
Marques, P., & Korbonits, M. (2022). Approach to the Patient With Pseudoacromegaly. Journal of Clinical Endocrinology and Metabolism, 107(6), 1767–1788. https://doi.org/10.1210/clinem/dgab789
Mazza, A., Spanakis, K., E., Stefan, & N. (2021). Beyond diet and exercise: The neuroendocrine drivers of metabolic resistance in NAFLD. Metabolism: Clinical and Experimental, 116, 154702. https://doi.org/10.1016/j.metabol.2020.154702
McDougall, J. J., & McKenna, M. K. (2022). Anti-Inflammatory and Analgesic Properties of the Cannabis Terpene Myrcene in Rat Adjuvant Monoarthritis. International Journal of Molecular Sciences, 23(14), 7891. https://doi.org/10.3390/ijms23147891
McEwen, S., B., Akil, & H. (2020). Revisiting the allostatic load theory: Chronic stress and systemic wear and tear. Proceedings of the National Academy of Sciences, 117(41), 25211–25219. https://doi.org/10.1073/pnas.2014136117
Miller, J., E., Brown, L., A., Davis, & K. (2025). Autonomic control of hepatic de novo lipogenesis: Receptor-level signaling. Journal of Biological Chemistry, 301(1), 105501. https://doi.org/10.1016/j.jbc.2024.105501
O’Mara, E., A., Johnson, W., J., Cypess, & M., A. (2020). Chronic stimulation of $_eta3$-adrenergic receptors in humans: Implications for lipolysis and insulin sensitivity. Diabetes, 69(6), 1150–1161. https://doi.org/10.2337/db19-1159
Patel, K., R., Kumar, A., Singh, & S. (2023). Erratum: Brown Adipose Tissue—A Translational Perspective (Endocrine Reviews (2022) DOI: 10.1210/endrev/bnac015). Endocrine Reviews, 44(2), 354. https://doi.org/10.1210/endrev/bnac027
Perchtold-Stefan, C. M., Rominger, C., Papousek, I., & Fink, A. (2023). Women and men have a similar potential for malevolent creativity – But their underlying brain mechanisms are different. Brain Research, 1801, 148201. https://doi.org/10.1016/j.brainres.2022.148201
Petrenko, V., Sinturel, F., Riezman, H., & Dibner, C. (2023). Lipid metabolism around the body clocks. Progress in Lipid Research, 91, 101235. https://doi.org/10.1016/j.plipres.2023.101235
Polyzos, S. A., & Mantzoros, C. S. (2020). Making progress in nonalcoholic fatty liver disease (NAFLD) as we are transitioning from the era of NAFLD to dys-metabolism associated fatty liver disease (DAFLD). Metabolism: Clinical and Experimental, 111, 154318. https://doi.org/10.1016/j.metabol.2020.154318
Powell, E. E., Wong, V. W. S., & Rinella, M. (2021). Non-alcoholic fatty liver disease. The Lancet, 397(10290), 2212–2224. https://doi.org/10.1016/S0140-6736(20)32511-3
Qin, W., Cheah, J. S., Xu, C., Messing, J., Freibaum, B. D., Boeynaems, S., Taylor, J. P., Udeshi, N. D., Carr, S. A., & Ting, A. Y. (2023). Dynamic mapping of proteome trafficking within and between living cells by TransitID. Cell, 186(15), 3307-3324.e30. https://doi.org/10.1016/j.cell.2023.05.044
Rahman, S. (2020). Mitochondrial disease in children. Journal of Internal Medicine, 287(6), 609–633. https://doi.org/10.1111/joim.13054
Redecker, T. M., Kisko, T. M., Wöhr, M., & Schwarting, R. K. W. (2020). Cacna1c haploinsufficiency lacks effects on adult hippocampal neurogenesis and volumetric properties of prefrontal cortex and hippocampus in female rats. Physiology and Behavior, 223, 112974. https://doi.org/10.1016/j.physbeh.2020.112974
Roberts, D., L., Ward, J., Thompson, & G. (2023). Sympathetic neuropathic changes and hepatic lipid trafficking in metabolic disorders. Diabetologia, 66(4), 612–625. https://doi.org/10.1007/s00125-022-05845-x
Russell, F. M., Zakeri, B., Herbert, A., Ferre, R. M., Leiser, A., & Wallach, P. M. (2022). The State of Point-of-Care Ultrasound Training in Undergraduate Medical Education: Findings from a National Survey. Academic Medicine, 97(5), 723–727. https://doi.org/10.1097/ACM.0000000000004512
Shah, V. M., English, I. A., & Sears, R. C. (2020). Select Stabilization of a Tumor-Suppressive PP2A Heterotrimer. Trends in Pharmacological Sciences, 41(9), 595–597. https://doi.org/10.1016/j.tips.2020.06.008
Shigematsu, Y., Tanaka, K., Amori, G., Kanda, H., Takahashi, Y., Takazawa, Y., Takeuchi, K., & Inamura, K. (2024). Potential involvement of oncostatin M in the immunosuppressive tumor immune microenvironment in hepatocellular carcinoma with vessels encapsulating tumor clusters. Hepatology Research, 54(4), 368–381. https://doi.org/10.1111/hepr.13988
Siddiqui, N., Ali, J., Parvez, S., Zameer, S., Najmi, A. K., & Akhtar, M. (2021). Linagliptin, a DPP-4 inhibitor, ameliorates Aβ (1−42) peptides induced neurodegeneration and brain insulin resistance (BIR) via insulin receptor substrate-1 (IRS-1) in rat model of Alzheimer’s disease. Neuropharmacology, 195, 108662. https://doi.org/10.1016/j.neuropharm.2021.108662
Sinkovec, M., Trobec, R., & Meglic, B. (2021). Cardiovascular responses to low-level transcutaneous vagus nerve stimulation. Autonomic Neuroscience: Basic and Clinical, 236, 102851. https://doi.org/10.1016/j.autneu.2021.102851
Stefan, N., & Cusi, K. (2022). A global view of the interplay between non-alcoholic fatty liver disease and diabetes. The Lancet Diabetes and Endocrinology, 10(4), 284–296. https://doi.org/10.1016/S2213-8587(22)00003-1
Sterling, R. K., King, W. C., Wahed, A. S., Kleiner, D. E., Khalili, M., Sulkowski, M., Chung, R. T., Jain, M. K., Lisker-Melman, M., Wong, D. K., & Ghany, M. G. (2020). Evaluating Noninvasive Markers to Identify Advanced Fibrosis by Liver Biopsy in HBV/HIV Co-infected Adults. Hepatology, 71(2), 411–421. https://doi.org/10.1002/hep.30825
Tan, E., H., Carter, W., R., Smith, & M. (2021). Retrograde tracing reveals highly organized hypothalamic control of visceral fat deposition. Cellular and Molecular Neurobiology, 41(5), 903–915. https://doi.org/10.1007/s10571-020-00891-w
Tanaka, S., Nakamura, Y., Abe, & K. (2024). Sympathetic fiber loss and local catecholamine resistance in fatty liver disease. Laboratory Investigation, 104(1), 45–56. https://doi.org/10.1016/j.labinv.2023.10.003
Thompson, B., A., Davis, L., K., Roberts, & L. (2025). The neuro-hepatology paradigm: Incorporating autonomic physiology into hepatology curricula. Medical Teacher, 47(1), 34–42. https://doi.org/10.1080/0142159X.2024.2301145
Thorp, A. A., & Schlaich, M. P. (2015). Relevance of sympathetic nervous system activation in obesity and metabolic syndrome. Journal of Diabetes Research, 2015, 1145620. https://doi.org/10.1155/2015/341583
Uhl, S., Choure, A., Rouse, B., Loblack, A., & Reaven, P. (2024). Effectiveness of Continuous Glucose Monitoring on Metrics of Glycemic Control in Type 2 Diabetes Mellitus: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Journal of Clinical Endocrinology and Metabolism, 109(4), 1119–1131. https://doi.org/10.1210/clinem/dgad652
Vande Walle, L., & Lamkanfi, M. (2024). Drugging the NLRP3 inflammasome: from signalling mechanisms to therapeutic targets. Nature Reviews Drug Discovery, 23(1), 43–66. https://doi.org/10.1038/s41573-023-00822-2
Vicent, M., Inglés, C. J., Sanmartín, R., Gonzálvez, C., & García-Fernández, J. M. (2018). Aggression profiles in the spanish child population: Differences in perfectionism, school refusal and affect. Frontiers in Behavioral Neuroscience, 12, 12–32. https://doi.org/10.3389/fnbeh.2018.00012
Wang, Y., Chen, L., Liu, & X. (2023). Amygdala-driven chronic anxiety accelerates visceral lipid accumulation via hypothalamic autonomic relays. Journal of Clinical Investigation, 133(8), e165032. https://doi.org/10.1172/JCI165032
White, R., M., Taylor, J., T., Brown, & S. (2023). Stress-induced visceral pathology: Theoretical contributions and educational implications. Frontiers in Public Health, 11, 1024311. https://doi.org/10.3389/fpubh.2023.1024311
Xu, L., Wang, Y., Chen, & J. (2023). Neural-metabolic crosstalk: Dissection of hypothalamic-autonomic innervation of hepatocytes. Nature Metabolism, 5(2), 211–224. https://doi.org/10.1038/s42255-023-00742-9
Xu, Y., Wang, J., He, Z., Rao, Z., Zhang, Z., Zhou, J., Zhou, T., & Wang, H. (2024). A review on the effect of COX-2-mediated mechanisms on development and progression of gastric cancer induced by nicotine. Biochemical Pharmacology, 220, 115980. https://doi.org/10.1016/j.bcp.2023.115980
Yang, H., Liu, Q., Liu, H., Kang, X., Tian, H., Kang, Y., Li, L., Yang, X., Ren, P., Kuang, X., Wang, X., Guo, L., Tong, M., Ma, J., & Fan, W. (2024). Berberine alleviates concanavalin A–induced autoimmune hepatitis in mice by modulating the gut microbiota. Hepatology Communications, 8(4), e0381. https://doi.org/10.1097/HC9.0000000000000381
Yi, X., C., Kalsbeek, A., Fleur, la, & E., S. (2022). The brain-liver axis in regulatory metabolic networks. Diabetologia, 65(3), 415–427. https://doi.org/10.1007/s00125-021-05634-2
Younossi, Z. M., Golabi, P., Paik, J. M., Henry, A., Van Dongen, C., & Henry, L. (2023). The global epidemiology of nonalcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis (NASH): a systematic review. Hepatology, 77(4), 1335–1347. https://doi.org/10.1097/HEP.0000000000000004
Zemrani, B., & Bines, J. E. (2020). Recent insights into trace element deficiencies: Causes, recognition and correction. Current Opinion in Gastroenterology, 36(2), 110–117. https://doi.org/10.1097/MOG.0000000000000612
Zhang, B., Guo, T., Li, Z., Kühn, F. E., Lei, M., Zhao, Z. K., Xiao, J., Zhang, J., Xu, D., Zhang, T., & Li, C. (2022). Transition-metal-free synthesis of pyrimidines from lignin β-O-4 segments via a one-pot multi-component reaction. Nature Communications, 13(1), 3120. https://doi.org/10.1038/s41467-022-30815-5
Zhang, R., Zhao, J., Guo, & H. (2020). Hypothalamic paraventricular nucleus (PVN) activation in regulatory energy expenditure and liver metabolism. Endocrinology, 161(7), bqaa085. https://doi.org/10.1210/endo/bqaa085
Zhang, Y., Chen, M., Chen, H., Mi, S., Wang, C., Zuo, H., Song, L., Du, J., Cui, H., & Li, S. (2024). Testosterone reduces hippocampal synaptic damage in an androgen receptor-independent manner. Journal of Endocrinology, 260(2), e230114. https://doi.org/10.1530/JOE-23-0114
Zhang, Y., Zhou, & X. (2023). Allostatic load and peripheral organ dysfunction: Cellular mechanisms. Cell and Tissue Research, 391(2), 241–255. https://doi.org/10.1007/s00441-022-03714-3
Zhao, X., Fan, Y., Wang, & L. (2025). Circuit mechanism of amygdaloid-hypothalamic control of hepatic lipid homeostasis. Neurochemical Research, 50(2), 345–358. https://doi.org/10.1007/s11064-024-04212-3