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Hypothalamic Brain Circuit Stabilizes Overnight Blood Sugar During Short Fasts

University of Michigan mouse data identify VMHCckbr neurons as regulators of early‑sleep glycemia via fat‑breakdown–derived glycerol.

Overview

  • The peer‑reviewed findings, published in Molecular Metabolism, show that a defined VMH neuron population maintains glucose under routine, non‑stress conditions.
  • Chronic silencing of VMHCckbr neurons in mice disrupted glucose stability during the early sleep fasting window, whereas acute activation raised circulating glycerol.
  • The neurons support hepatic gluconeogenesis by mobilizing glycerol through a β3‑adrenergic receptor–dependent pathway without depleting liver glycogen or boosting gluconeogenic gene expression.
  • Investigators suggest these cells may be overactive in prediabetes, potentially driving nocturnal lipolysis and elevated glucose, though this link remains unconfirmed in humans.
  • The team plans to map additional ventromedial hypothalamic circuits and investigate how brain pathways coordinate with the liver and pancreas to regulate blood sugar.