GLP-1 and nicotine combination therapy engages hypothalamic and mesolimbic pathways to reverse obesity

Cell Rep. 2023 May 30;42(5):112466. doi: 10.1016/j.celrep.2023.112466. Epub 2023 May 5.

Abstract

Glucagon-like peptide-1 receptor (GLP-1R) agonists promote nicotine avoidance. Here, we show that the crosstalk between GLP-1 and nicotine extends beyond effects on nicotine self-administration and can be exploited pharmacologically to amplify the anti-obesity effects of both signals. Accordingly, combined treatment with nicotine and the GLP-1R agonist, liraglutide, inhibits food intake and increases energy expenditure to lower body weight in obese mice. Co-treatment with nicotine and liraglutide gives rise to neuronal activity in multiple brain regions, and we demonstrate that GLP-1R agonism increases excitability of hypothalamic proopiomelanocortin (POMC) neurons and dopaminergic neurons in the ventral tegmental area (VTA). Further, using a genetically encoded dopamine sensor, we reveal that liraglutide suppresses nicotine-induced dopamine release in the nucleus accumbens in freely behaving mice. These data support the pursuit of GLP-1R-based therapies for nicotine dependence and encourage further evaluation of combined treatment with GLP-1R agonists and nicotinic receptor agonists for weight loss.

Keywords: CP: Metabolism; CP: Neuroscience; GLP-1; body weight; energy balance; food intake; nicotine; obesity; pharmacology; reward.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Dopamine
  • Glucagon-Like Peptide 1* / pharmacology
  • Liraglutide* / pharmacology
  • Mice
  • Nicotine / pharmacology
  • Obesity / drug therapy
  • Obesity / metabolism

Substances

  • Glucagon-Like Peptide 1
  • Liraglutide
  • Nicotine
  • Dopamine