In Nature Neuroscience

New target in the brain discovered to treat anxiety and anorexia

A team from the University of Cologne has identified a group of leptin-sensitive neurons in the hypothalamus that enable us to overcome fear and perform vital behaviours such as eating

by Francesca Cerati

3' min read

Translated by AI
Versione italiana

3' min read

Translated by AI
Versione italiana

A circuit has been discovered in the brain that helps calm anxiety and allows one to cope with potentially risky situations without blocking vital behaviours such as eating, resting or exploring new environments.

The discovery comes from the University of Cologne, where a team of neuroscientists led by Tatiana Korotkova, director of the Institute of Systems Physiology at the University of Cologne, has identified, in mice, a population of neurons located in the lateral part of the hypothalamus, a key region of the brain that controls essential functions such as appetite, sleep and stress response.

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The role of leptin

These neurons are activated by leptin, a hormone produced by adipose tissue that regulates hunger and energy balance. When leptin stimulates this circuit, animals become less anxious and are able to eat or explore even in environments they would normally perceive as threatening.

"We observed," says researcher Rebecca Figge-Schlensok, the first signatory of the study together with Anne Petzold, "that leptin-sensitive neurons fire precisely when mice overcome fear and enter exposed spaces or approach food.

Microscopes that look inside the brain

To study this phenomenon, the researchers used mini-microscopes capable of recording the activity of individual neurons in the brains of the animals as they moved freely. The increased activity of this circuit made the mice more likely to explore and less prone to 'escape' behaviour such as compulsively running on the wheel, a mechanism similar to that observed in people with anorexia nervosa, where anxiety manifests itself in physical hyperactivity.

"We visualised the activity of the leptin-sensing neurons as the mice faced situations that could cause anxiety. We saw that these neurons were activated whenever the animals overcame anxiety and freely explored exposed areas or approached food within them," specifies Rebecca Figge-Schlensok , researcher at the University of Cologne. "When we enhanced this activity, the mice explored more and were able to eat in difficult contexts: clear signs that this circuit helps overcome anxiety to support adaptive, goal-oriented behaviour.

A bridge between anxiety and eating behaviour

Anxiety is a natural reaction that protects against danger, but when it is excessive, it can hinder basic needs such as eating or resting. The study, published in Nature Neuroscience, shows how the brain balances these needs: leptin, signalling the need for energy, 'lowers the volume' of anxiety to allow actions necessary for survival.

The researchers also observed an increase in input from the prefrontal cortex, a region that mediates cognitive control, in the more anxious animals. This input suppressed the activity of cells that reduce anxiety, thus preventing relief from anxiety. This demonstrates the role of cognitive control in the regulation of emotional states.

New therapeutic perspectives

According to Korotkova, understanding how this mechanism works could lead to new treatments for disorders in which anxiety and eating are intertwined, such as anorexia and bulimia, but also for severe forms of generalised anxiety. 'Anxiety and anorexia nervosa often go hand in hand, and anorexia has the highest mortality rate of all psychiatric disorders, and to date, with no effective drug treatment,' Korotkova says. 'By identifying a leptin-sensitive hypothalamic node that limits anxiety-induced locomotion without suppressing normal activity, we begin to understand how emotional state and energy balance intersect in the brain. The next step will be to test whether pharmacological modulation of these neurons can help treat anxiety and eating disorders.

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