Overeating makes the brain go haywire,
prompting a cascade of damage that may cause diabetes, heart
disease and other ills, U.S. researchers recently reported.
Eating too much appears to activate a usually dormant immune
system pathway in the brain, sending out immune cells to attack
and destroy invaders that are not there, Dongsheng Cai of
the University of Wisconsin-Madison and colleagues found.
The finding, reported in the journal Cell, could help explain
why obesity causes so many different diseases. It might also
offer a way to prevent obesity itself.
"This pathway is usually present but inactive in the brain,"
Cai said in a statement.
Obesity is a growing global problem, with 1.8 billion people
estimated to be overweight or obese in 2007. Drugs marketed
so far to fight obesity have only limited success and, often,
severe side-effects.
Cai's team worked in mice, seeking to explain studies that
have shown that obesity causes chronic inflammation throughout
the body. This inflammation is found in a range of diseases
related to obesity, including heart disease and diabetes.
They homed in on a compound known as IKKbeta/NK-kappaB.
Immune cells such as macrophages and leukocytes use it but
Cai's team found it in the hypothalamus, a part of the brain
linked with metabolism in mice and humans alike.
"The hypothalamus is the 'headquarters' for regulating
energy," they wrote.
They found high levels of the compound there but it was normally
inactive.
When they fed mice a high-fat diet, it became extremely active.
And when it was active, the body ignored signals from leptin,
a hormone that normally helps regulate appetite, and insulin,
which helps convert food into energy.
Stimulating IKKbeta/NK-kappaB made the mice eat more, while
suppressing it made them eat less.
Cai believes his team has discovered a master switch for
the diseases caused by overeating.
"Hypothalamic IKKb/NF-kB could underlie the entire family
of modern diseases induced by overnutrition and obesity,"
his team wrote.
Cai does not know why this compound would be in the brain
and in the immune system but suspects it evolved long ago
in primitive animals that do not have the same sophisticated
immune system as modern animals, including mice and humans.
"Presumably it played some role to guide the immune
defense," Cai said in a telephone interview. "In
today's society, this pathway is mobilized by a different
environmental challenge -- overnutrition."