Gut-brain communication, facilitated by the vagus nerve, is crucial for communication between the gastrointestinal endocrine system and the brain. However, whether intragastric glucose injection can change cortical activity is still not understood. Here, we offer a comprehensive protocol to observe changes in cortical activity after glucose injection into the duodenum.
Communication between the gastrointestinal tract and the brain after nutrient absorption plays an essential role in food preference, metabolism, and feeding behaviors. Particularly concerning specific nutrients, many studies have elucidated that the assimilation of glucose within gut epithelial cells instigates the activation of many signaling molecules. Hormones such as glucagon-like peptide-1 are renowned as quintessential signaling mediators. Since hormones predominantly influence the brain through circulatory pathways, they slowly modulate brain activity.
However, recent studies have shown two expeditious gut-brain pathways facilitated by the autonomic nervous system. One operates via the spinal afferent neural pathway, while the vagus nerve mediates the other. Consequently, brain responses following glucose assimilation in the gastrointestinal tract are complicated. Moreover, as intestinal stimulation finally induces diverse cortical activities, including sensory, nociceptive, reward, and motor responses, it is necessary to employ methodologies that facilitate the visualization of localized brain circuits and pan-cortical activities to comprehend gut-brain neural transmission fully. Some studies have indicated precipitous alterations in calcium ion (Ca2+) concentrations within the hypothalamus and ventral tegmental area independently through different pathways after intestinal stimulation. However, whether there are changes in cerebral cortex activity has not been known.
To observe cerebral cortex activity after intragastric glucose injection, we developed an imaging technique for real-time visualization of cortex wide Ca2+ dynamics through a fully intact skull, using transgenic mice expressing genetically encoded Ca2+ indicators. This study presents a comprehensive protocol for a technique designed to monitor intestinal stimulation-induced transcranial cortex wide Ca2+ imaging following intragastric glucose injection via an implanted catheter. The preliminary data suggest that administering glucose solution into the gut activates the frontal cortex, which remains unresponsive to water administration.
Primarily, gut sensing of glucose occurs via the sweet taste receptors (Tas1r2, Tas1r3) and the sodium-glucose cotransporter 1 (SGLT-1) located in enteroendocrine cells within the intestinal lumen1,2,3,4,5,6. The sensation of glucose in the brain is a process that typically spans from minutes to hours after its absorption from the gut, an occurrence principally based on increased levels of plasma blood sugar and the release of hormones7,8,9,10,11 (e.g., glucagon-like peptide-1 [GLP-1], Peptide YY (PYY), and glucose-dependent insulinotropic polypeptide [GIP]). They reach the arcuate nucleus of the hypothalamus (ARC), where they bind pro-opiomelanocortin (POMC) neurons and agouti-related protein (AgRP) neurons by blood flow and vagus nerve (parasympathetic nerve)12,13,14. The change in the activity of these neurons leads to control of metabolism and feeding behavior15,16.
Recent literature increasingly highlights the significance of gut-brain neural signaling following glucose absorption. This complex pathway can be broadly categorized into two primary mechanisms. The first involves the activation of spinal afferents, ultimately influencing AgRP neuronal activity in the ARC. The second mechanism entails stimulation of the vagus nerve through connections with epithelial cells. Given the multifaceted ways gut epithelial cells can activate the vagus nerve13, its role is considered versatile.
A significant proportion of gut vagus and spinal afferent nerve activities are associated with feeding behaviors17,18,19. However, emerging evidence suggests that certain vagus nerve fibers, projecting to "neuropod cells," are implicated in glucose preference. Neuropod cells, a subset of enteroendocrine cells, express SGLT-1 on their luminal side and convey sensory stimuli to a vagus nerve via glutamatergic synapses2,20,21,22. Activation of the vagus nerve triggers dopaminergic neurons in the ventral tegmental area (VTA) within seconds19. Notably, inhibiting vagal activation, particularly in the duodenum, using a glutamate antagonist reduces sucrose preference in mice1. This underscores the critical role of neuropod cell activation in modulating food choice behavior post-glucose intake2.
Despite these advancements, a thorough understanding of the rapid intestinal glucose sensing mechanisms and their effect on cortical activities remains a complex enigma. Though brain activation controlled by AgRP neurons does not include the cerebral cortex23, it is known that dopaminergic neurons in the VTA project to the cerebral cortex. However, whether rapid VTA dopaminergic neuronal activation after glucose sensing truly activates the cerebral cortex is unknown. To elucidate this mechanism, we investigated the potential for intragastric glucose administration to rapidly influence cortical Ca2+ dynamics in transgenic mice expressing a genetically encoded calcium indicator.
This paper presents a low-cost and less invasive method to comprehensively understand the changes in cortical activity following intragastric glucose administration using cortex wide Ca2+ imaging in mice Recently, the transcranial cortex wide Ca2+ imaging technique through an intact skull, using transgenic mice expressing genetically encoded calcium indicators, has gained popularity24. Notably, the BAC GLT-1-G-CaMP7 #817 transgenic mouse line (also known as G7NG817 mouse) employed in this study expresses the Ca2+ sensor, G-CaMP7, in neurons and astrocytes25. Due to its high expression density in the cerebral cortex, this transgenic mouse line is especially suitable for transcranial cortex wide Ca2+ imaging using a standard epifluorescence microscope.
This article presents how to attach a catheter to the gut and observe transcranial cortex wide Ca2+ signals with transgenic mice that express a genetically encoded Ca2+ indicator. In this experiment, we did not get the imaging data that use a secondary wavelength of the light source. This is because the transgenic mice we employed in this study exhibit a very high fluorescence intensity change rate (~several tens of percent) in response to sensory stimuli due to the properties of the Ca2+ indicator protein (G-CaMP7) employed. Hence, we thought that contamination from hemodynamics was negligible. Furthermore, the neural responses we focused on occurred rapidly within a few seconds, so we considered it unnecessary to account for subsequently generated local functional hyperemia. This catheter implantation method is able to combine with other genetically modified mice to observe neuronal activity in other brain regions and on different timescales. However, if other genetically modified mice are used, the control experiment described above should be performed.
This method of attaching the catheter to the gut is suitable for single-dose injection at low cost and is easy and less invasive than the method proposed earlier29. Traditionally, absorbent cotton is applied to the digestive organ and sutured. However, suturing can impair post-operative recovery in mice. Therefore, we adopted the method of attaching. The reason that we chose plastic beads is they adhered better to the silicone with the cyanoacrylate glue we use.
It has traditionally been postulated that the brain perceives glucose based on the escalation in plasma blood glucose levels and the concomitant hormone release. Consequently, the brain requires several minutes to hours to detect glucose following its absorption from the gut4. Some research has suggested that gut sensing controls mice's taste preference in addition to oral sweet taste reception1,3,17,22. As an illustrative example, researchers have provided evidence that intragastric (IG) glucose-paired flavored non-nutritive solution and IG nonmetabolizable α-methyl-d-glucopyranoside (MDG)-paired flavored non-nutritive solution can elicit preference for each flavored non-nutritive solution compared to the IG water-paired group. As intraperitoneal glucose injection did not stimulate non-nutritive solution intake30, it was anticipated that gut nutrient sensing would play a crucial role in the food choices of the mice1,19,22.
A recent study has revealed the presence of an electrically excitable cell in the gut, referred to as a "Neuropod cell," which employs molecular receptors to detect and transduce sensory stimuli onto a vagus nerve via a glutamatergic synapse. While previous studies have primarily focused on the role of GLP-1 in controlling mice's food feeding, recent investigations have demonstrated that vagus nerve activation by neuropod cells modulates mouse appetite. The vagus nerve subsequently activates the Nucleus Tractus Solitarius, leading to the subsequent activation of dopaminergic neurons19. However, it is unknown if dopaminergic neuron activation also activates the cortex. To categorize cerebral responses following intragastric glucose infusion, we refined the catheter attachment technique for imaging purposes. When employing this technology, it is imperative to exercise caution to prevent organ damage, with particular regard to the liver, which is susceptible to injury during the manipulation required to ascertain the stomach's location.
Our findings indicate that intragastric glucose injection activates the prefrontal cortex within seconds. However, intragastric glucose administration initiates multiple signaling pathways simultaneously, such as hormonal routes, the vagus nerve, and the spinal afferent nerve. These signals are processed in the brain stem on different timescales. Therefore, future studies should explore how these intricate signals are processed and integrated within the brain.
Moreover, the BAC GLT-1-G-CaMP7 transgenic mouse line we employed in the present study expresses the Ca2+ sensor, G-CaMP7, in both neurons and astrocytes. In principle, the prefrontal Ca2+ elevation obtained by transcranial cortex wide Ca2+ imaging is derived from neurons and/or astrocytes. However, since astrocytes express dopamine receptors if dopamine signaling is involved, it suggests the potential activation of astrocytic IP3/Ca2+ signaling. Since astrocytic IP3/Ca2+ signaling regulates synaptic plasticity, it may also play an important role in changes in sucrose preference and alterations in feeding behavior after glucose reception. Consequently, imaging at cellular resolution using two-photon microscopy would be required to identify whether the response observed in the prefrontal cortex following glucose administration originated from neurons or astrocytes in future studies. Another effective method involves observing cell-specific Ca2+ indicator expression in mice using adeno-associated virus (AAV) through fiber photometry. Furthermore, it is necessary to verify, using electrophysiological techniques, whether the glucose stimulus to the intestine genuinely stimulated the vagus nerve. If neuropod cells are transmitting signals to the vagus nerve by receiving glucose, we anticipate no response from the vagus nerve when an SGLT-1 inhibitor is administered. Finally, validation using various dopamine receptor antagonists would be necessary to confirm whether the vagus nerve projections to the Nucleus Tractus Solitarii (NTS) activated dopaminergic neurons, increasing prefrontal cortex Ca2+ signals. Overall, this system enables a comprehensive investigation of the rapid neural transmission effects from the gut to the brain. It presents a highly promising methodology that could potentially elucidate mechanisms, such as how stress alters sucrose preference regarding gut-brain interactions.
The authors have nothing to disclose.
This work was supported by Ochanomizu University, KAKENHI grants (18K14859, 20K15895), JST FOREST Program, Grant Number JPMJFR204G, Research Foundation for Opto-Science and Technology, Kao Research Council for the Study of Healthcare Science, The Japan Association for Chemical Innovation, and TERUMO life science foundation. The author thanks Dr. Takashi Tsuboi, Kazuki Harada, and Akiyo Natsubori for their supervision of the experiments. The author also thanks members of the laboratory for their support.
2.5 mL TERUMO syringe | TERUMO | ss-02Sz | |
23 G injection needle | TERUMO | 4987350390691 | |
5/0 Braid silk suture | ELP | 20500BZZ00146000 | |
Anesthetic (ISOFLURANE Inhalation Solution) | viatris | 871119 | |
cotton swab | local company | ||
Cyanoacrylate glue (AronArufa A) | TOAGOSEI | 7990700Q1022 | |
dental acrylic cement C&B | Sun Medical | 221AABZX00115000 | |
Depilatory cream | Kracie | local company | |
Digital CMOS camera | Hamamatsu Photonics | ORCA-Spark | |
Ear bar | NARISHIGE | EB-5N | |
Filter set (U-MWB2) | Evident | U-MWB2 | |
Fine Scissors | Fine Dcience Tools | 14040-10 | |
G7NG817 mice | RIKEN BRC | RBRC09650 | |
Image software | Hamamatsu Photonics | HC Image software | |
Isoflurane vapolizer | shinanoseisakusyo | SN-487-0T | |
Light source (U-HGLGPS) | Evident | U-HGLGPS | |
microscopy (MVX10) | Evident | ||
Plastic beads (inner diameter 3 mm, outer diameter 5 mm) | local company | ||
Pliers | local company | ||
Round ended forceps | F.S.T. | 11617-12 | |
saline | Otsuka Pharmaceutical Factory | 35061311 | |
Silicon tube (inner diameter 0.5 mm, outer diameter 1.0 mm) | AS ONE CORPORATIO | 33151413 | local company |
small surgery needle | Natsume Seisakusho Co., Ltd. | AC03DNT | |
Stereotaxic stage | NARISHIGE | MA-6N |
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