Article
Author: Maiuri, Maria Chiara ; Pan, Yuhong ; Pan, Hui ; Mailliet, Francois ; Lachkar, Sylvie ; Nogueira-Recalde, Uxía ; Oury, Franck ; Cerone, Alexandra ; Joseph, Adrien ; Stoll, Gautier ; Moriceau, Stéphanie ; Derosa, Lisa ; Li, Sijing ; Tolle, Virginie ; Anagnostopoulos, Gerasimos ; Ramoz, Nicolas ; Marmorino, Federica ; Gouveia, Zelia L. ; Cremolini, Chiara ; Gorwood, Philip ; Bourgin, Mélanie ; Dardennes, Roland ; Kepp, Oliver ; Duriez, Philibert ; Motiño, Omar ; Aprahamian, Fanny ; López-Otín, Carlos ; Zitvogel, Laurence ; Lambertucci, Flavia ; Sauvat, Allan ; Martins, Isabelle ; Carbonnier, Vincent ; Perez, Franck ; Montégut, Léa ; Alves Costa Silva, Carolina ; Boedec, Erwan ; Mao, Misha ; Chen, Hui ; Durand, Sylvère ; Kroemer, Guido
Extracellular acyl-coenzyme A binding protein [ACBP encoded by diazepam binding inhibitor (DBI)] is a phylogenetically ancient appetite stimulator that is secreted in a nonconventional, autophagy-dependent fashion. Here, we show that low ACBP/DBI plasma concentrations are associated with poor prognosis in patients with anorexia nervosa, a frequent and often intractable eating disorder. In mice, anorexia induced by chronic restraint stress (CRS) is accompanied by a reduction in circulating ACBP/DBI concentrations. We engineered a chemical-genetic system for the secretion of ACBP/DBI through a biotin-activatable, autophagy-independent pathway. In transgenic mice expressing this system in hepatocytes, biotin-induced elevations in plasma ACBP/DBI concentrations prevented anorexia induced by CRS or chemotherapeutic agents including cisplatin, doxorubicin, and paclitaxel. ACBP/DBI reversed the CRS or cisplatin-induced increase in plasma lipocalin-2 concentrations and the hypothalamic activation of anorexigenic melanocortin 4 receptors, for which lipocalin-2 is an agonist. Daily intravenous injections of recombinant ACBP/DBI protein or subcutaneous implantation of osmotic pumps releasing recombinant ACBP/DBI mimicked the orexigenic effects of the chemical-genetic system. In conclusion, the supplementation of extracellular and peripheral ACBP/DBI might constitute a viable strategy for treating anorexia.