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BDNF mediates adaptive brain and body responses to energetic challenges

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Highlights

  • Energetic challenges (e.g., exercise and energy restriction) induce BDNF signaling.

  • BDNF enhances neuronal bioenergetics and promotes optimal brain health.

  • BDNF signaling improves peripheral energy metabolism and cardiovascular function.

  • Deficits in BDNF may contribute to metabolic morbidity and associated diseases.

Emerging findings suggest that brain-derived neurotrophic factor (BDNF) serves widespread roles in regulating energy homeostasis by controlling patterns of feeding and physical activity, and by modulating glucose metabolism in peripheral tissues. BDNF mediates the beneficial effects of energetic challenges such as vigorous exercise and fasting on cognition, mood, cardiovascular function, and on peripheral metabolism. By stimulating glucose transport and mitochondrial biogenesis BDNF bolsters cellular bioenergetics and protects neurons against injury and disease. By acting in the brain and periphery, BDNF increases insulin sensitivity and parasympathetic tone. Genetic factors, a ‘couch potato’ lifestyle, and chronic stress impair BDNF signaling, and this may contribute to the pathogenesis of metabolic syndrome. Novel BDNF-focused interventions are being developed for obesity, diabetes, and neurological disorders.

Section snippets

BDNF is a central regulator of energy homeostasis

BDNF, a member of the neurotrophin family of proteins, plays crucial roles in the development, maintenance, and plasticity of the central and peripheral nervous systems [1]. BDNF promotes the differentiation of neurons from stem cells, enhances neurite outgrowth and synaptogenesis, and can prevent programmed cell death/apoptosis. BDNF is expressed in neurons throughout the developing and adult mammalian nervous system, wherein it is produced in relatively low amounts but is highly potent,

BDNF synthesis, processing, and signaling

BDNF is synthesized as a pre-proneurotrophin that is cleaved into proBDNF and further processed to mature mBDNF (Figure 1). ProBDNF is converted to biologically active mBDNF by furin and proconvertases within secretory vesicles before release [1]. Neurons also release proBDNF, which is converted by the tissue plasminogen activator (tPA)/plasmin system to mBDNF [1]. The expression and release of BDNF are stimulated by excitatory synaptic activity and by particular neuropeptides and hormones [3].

Linking energy availability and physical activity to cognitive function

BDNF signaling may have evolved to play a role in cognition-enhancing effects of running and intermittent food deprivation [9]. Indeed, rodent and human studies show that cognitive function is enhanced by running and intermittent fasting, and BDNF may play a role in this [10]. Rats and mice will voluntarily run as much as 10–15 km in a 24 h period on a running wheel and, compared to more sedentary rodents, runners exhibit improved performance in tests of spatial learning and memory 11, 12. BDNF

Cellular bioenergetics and neuroplasticity

The activation of synapses and ‘firing’ of action potentials to propagate signals along axons are fundamental mechanisms by which neurons perform their functions; the amount of energy required to support this ongoing activity of neurons is considerably greater than in other cell types [30]. The major energy substrates utilized by neurons to generate the ATP and NAD+ required to support their diverse biochemical processes are glucose and ketones. BDNF can enhance neuronal ATP production in

BDNF signaling regulates energy metabolism

Whereas mice lacking BDNF die shortly after birth with severe abnormalities in their nervous system, BDNF haploinsufficient mice are hyperphagic, obese, and diabetic [43], and mice lacking BDNF in hippocampal and forebrain neurons develop obesity and an anxiety disorder [44]. Similarly, targeted deletion in mice of BDNF in the dorso- and ventro-medial hypothalamus results in increased food intake and obesity [45]. By contrast, fasting induces BDNF expression in the brain [46], and BDNF

Potential role for BDNF signaling in the regulation of heart rate

Heart-rate regulation is often linked strongly to metabolic status, such that exercise and energy restriction reduce resting heart rate and blood pressure by increasing parasympathetic tone, whereas obesity promotes elevated heart rate and blood pressure by increasing sympathetic tone. BDNF has emerged as a factor playing a role in the adaptive plasticity of the heart and the regulation of heart rate via the autonomic nervous system (ANS). Yang et al. [63] reported that, when ANS neurons are

Implications for the prevention and treatment of metabolic syndrome and associated diseases

The findings from studies of animal models and human subjects described above suggest roles for BDNF in some of the beneficial effects of exercise and energy restriction on brain and body. Interventions that target BDNF signaling are therefore being developed for a range of metabolic and neurological disorders (Table 1). BDNF or TrkB agonists can be administered peripherally, but this approach risks many adverse side effects because of the widespread pattern of TrkB expression. One example of

Concluding remarks and future perspectives

Emerging findings suggest that BDNF is a crucial player in adaptive responses of the brain and body to metabolic challenges such as intermittent fasting and exercise, as well as to intellectual challenges (see Box 3). Produced in a neuronal activity-dependent manner, BDNF signaling enhances synaptic plasticity and promotes neurogenesis, and may thereby mediate the beneficial effects of intermittent energetic challenges on cognition and mood. Activation of the BDNF receptor TrkB bolsters

Acknowledgments

This work was supported by the intramural research program of the National Institute on Aging. We thank KC (Kristen) Alexander for preparing the illustrations for Figures 1 and 2.

References (97)

  • Y. Kashiwaya

    A ketone ester diet exhibits anxiolytic and cognition-sparing properties, and lessens amyloid and tau pathologies in a mouse model of Alzheimer's disease

    Neurobiol. Aging

    (2013)
  • S. Vaynman

    The select action of hippocampal calcium calmodulin protein kinase II in mediating exercise-enhanced cognitive function

    Neuroscience

    (2007)
  • C.D. Wrann

    Exercise induces hippocampal BDNF through a PGC-1α/FNDC5 pathway

    Cell Metab.

    (2013)
  • M.J. Chen et al.

    Exercise activates the phosphatidylinositol 3-kinase pathway

    Mol. Brain Res.

    (2005)
  • A.S. Aguiar

    Short bouts of mild-intensity physical exercise improve spatial learning and memory in aging rats: involvement of hippocampal plasticity via AKT, CREB and BDNF signaling

    Mech. Ageing Dev.

    (2011)
  • J.J. Harris

    Synaptic energy use and supply

    Neuron

    (2012)
  • O. Lazarov

    When neurogenesis encounters aging and disease

    Trends Neurosci.

    (2010)
  • G. Naert

    Continuous i.c.v. infusion of brain-derived neurotrophic factor modifies hypothalamic-pituitary-adrenal axis activity, locomotor activity and body temperature rhythms in adult male rats

    Neuroscience

    (2006)
  • M.A. Pelleymounter

    Characteristics of BDNF-induced weight loss

    Exp. Neurol.

    (1995)
  • M. Yamanaka

    Protective effect of brain-derived neurotrophic factor on pancreatic islets in obese diabetic mice

    Metabolism

    (2006)
  • L. Cao

    White to brown fat phenotypic switch induced by genetic and environmental activation of a hypothalamic-adipocyte axis

    Cell Metab.

    (2011)
  • R. Wan

    Intermittent food deprivation improves cardiovascular and neuroendocrine responses to stress in rats

    J. Nutr.

    (2003)
  • R. Wang

    Curcumin protects against glutamate excitotoxicity in rat cerebral cortical neurons by increasing brain-derived neurotrophic factor level and activating TrkB

    Brain Res.

    (2008)
  • U. Albrecht

    Timing to perfection: the biology of central and peripheral circadian clocks

    Neuron

    (2012)
  • C. Dolci

    Circadian variations in expression of the trkB receptor in adult rat hippocampus

    Brain Res.

    (2003)
  • R.C. Rodrigues Hell

    Local injection of BDNF producing mesenchymal stem cells increases neuronal survival and synaptic stability following ventral root avulsion

    Neurobiol. Dis.

    (2009)
  • S. Ramaswamy et al.

    Gene therapy for Huntington's disease

    Neurobiol. Dis.

    (2012)
  • A.A. Tahrani

    Management of type 2 diabetes: new and future developments in treatment

    Lancet

    (2011)
  • J.B. Johnson

    Alternate day calorie restriction improves clinical findings and reduces markers of oxidative stress and inflammation in overweight adults with moderate asthma

    Free Radic. Biol. Med.

    (2007)
  • M.V. Chao

    Neurotrophin signalling in health and disease

    Clin. Sci. (Lond.)

    (2006)
  • I. Koppel

    Tissue-specific and neural activity-regulated expression of human BDNF gene in BAC transgenic mice

    BMC Neurosci.

    (2009)
  • A.M. Marini

    Preconditioning and neurotrophins: a model for brain adaptation to seizures, ischemia and other stressful stimuli

    Amino Acids

    (2007)
  • C. Dean

    Distinct subsets of Syt-IV/BDNF vesicles are sorted to axons versus dendrites and recruited to synapses by activity

    J. Neurosci.

    (2012)
  • A. Cheng

    Involvement of PGC-1α in the formation and maintenance of neuronal dendritic spines

    Nat. Commun.

    (2012)
  • Yang, J.L. et al. BDNF and exercise enhance neuronal DNA repair by stimulating CREB-mediated production of...
  • S. Fargali

    Role of neurotrophins in the development and function of neural circuits that regulate energy homeostasis

    J. Mol. Neurosci.

    (2012)
  • S. Vaynman

    Hippocampal BDNF mediates the efficacy of exercise on synaptic plasticity and cognition

    Eur. J. Neurosci.

    (2004)
  • A.M. Stranahan

    Running induces widespread structural alterations in the hippocampus and entorhinal cortex

    Hippocampus

    (2007)
  • T. Kobilo

    Running is the neurogenic and neurotrophic stimulus in environmental enrichment

    Learn. Mem.

    (2011)
  • L. Marais

    Exercise increases BDNF levels in the striatum and decreases depressive-like behavior in chronically stressed rats

    Metab. Brain Dis.

    (2009)
  • M.C. Riddle

    Caloric restriction enhances fear extinction learning in mice

    Neuropsychopharmacology

    (2013)
  • A.M. Stranahan et al.

    Recruiting adaptive cellular stress responses for successful brain ageing

    Nat. Rev. Neurosci.

    (2012)
  • J.H. Kim

    Brain-derived neurotrophic factor uses CREB and Egr3 to regulate NMDA receptor levels in cortical neurons

    J. Neurochem.

    (2012)
  • J. Burkhalter

    Brain-derived neurotrophic factor stimulates energy metabolism in developing cortical neurons

    J. Neurosci.

    (2003)
  • A. Markham

    Brain-derived neurotrophic factor-mediated effects on mitochondrial respiratory coupling and neuroprotection share the same molecular signalling pathways

    Eur. J. Neurosci.

    (2012)
  • G.J. Kops

    Forkhead transcription factor FOXO3a protects quiescent cells from oxidative stress

    Nature

    (2002)
  • C. Robinet et al.

    Brain-derived neurotrophic factor enhances the expression of the monocarboxylate transporter 2 through translational activation in mouse cultured cortical neurons

    J. Cereb. Blood Flow Metab.

    (2010)
  • N. Takei

    Brain-derived neurotrophic factor induces mammalian target of rapamycin-dependent local activation of translation machinery and protein synthesis in neuronal dendrites

    J. Neurosci.

    (2004)
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