Intranasal insulin increases regional cerebral blood flow in the insular cortex in men independently of cortisol manipulation

Insulin and cortisol play a key role in the regulation of energy homeostasis, appetite, and satiety. Little is known about the action and interaction of both hormones in brain structures controlling food intake and the processing of neurovisceral signals from the gastrointestinal tract. In this stud...

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Veröffentlicht in:Human brain mapping 2014-05, Vol.35 (5), p.1944-1956
Hauptverfasser: Schilling, Thomas M., Ferreira de Sá, Diana S., Westerhausen, René, Strelzyk, Florian, Larra, Mauro F., Hallschmid, Manfred, Savaskan, Egemen, Oitzl, Melly S., Busch, Hans-Peter, Naumann, Ewald, Schächinger, Hartmut
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container_end_page 1956
container_issue 5
container_start_page 1944
container_title Human brain mapping
container_volume 35
creator Schilling, Thomas M.
Ferreira de Sá, Diana S.
Westerhausen, René
Strelzyk, Florian
Larra, Mauro F.
Hallschmid, Manfred
Savaskan, Egemen
Oitzl, Melly S.
Busch, Hans-Peter
Naumann, Ewald
Schächinger, Hartmut
description Insulin and cortisol play a key role in the regulation of energy homeostasis, appetite, and satiety. Little is known about the action and interaction of both hormones in brain structures controlling food intake and the processing of neurovisceral signals from the gastrointestinal tract. In this study, we assessed the impact of single and combined application of insulin and cortisol on resting regional cerebral blood flow (rCBF) in the insular cortex. After standardized periods of food restriction, 48 male volunteers were randomly assigned to receive either 40 IU intranasal insulin, 30 mg oral cortisol, both, or neither (placebo). Continuous arterial spin labeling (CASL) sequences were acquired before and after pharmacological treatment. We observed a bilateral, locally distinct rCBF increase after insulin administration in the insular cortex and the putamen. Insulin effects on rCBF were present regardless of whether participants had received cortisol or not. Our results indicate that insulin, but not cortisol, affects blood flow in human brain structures involved in the regulation of eating behavior. Hum Brain Mapp 35:1944–1956, 2014. © 2013 Wiley Periodicals, Inc.
doi_str_mv 10.1002/hbm.22304
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Little is known about the action and interaction of both hormones in brain structures controlling food intake and the processing of neurovisceral signals from the gastrointestinal tract. In this study, we assessed the impact of single and combined application of insulin and cortisol on resting regional cerebral blood flow (rCBF) in the insular cortex. After standardized periods of food restriction, 48 male volunteers were randomly assigned to receive either 40 IU intranasal insulin, 30 mg oral cortisol, both, or neither (placebo). Continuous arterial spin labeling (CASL) sequences were acquired before and after pharmacological treatment. We observed a bilateral, locally distinct rCBF increase after insulin administration in the insular cortex and the putamen. Insulin effects on rCBF were present regardless of whether participants had received cortisol or not. Our results indicate that insulin, but not cortisol, affects blood flow in human brain structures involved in the regulation of eating behavior. 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Brain Mapp</addtitle><description>Insulin and cortisol play a key role in the regulation of energy homeostasis, appetite, and satiety. Little is known about the action and interaction of both hormones in brain structures controlling food intake and the processing of neurovisceral signals from the gastrointestinal tract. In this study, we assessed the impact of single and combined application of insulin and cortisol on resting regional cerebral blood flow (rCBF) in the insular cortex. After standardized periods of food restriction, 48 male volunteers were randomly assigned to receive either 40 IU intranasal insulin, 30 mg oral cortisol, both, or neither (placebo). Continuous arterial spin labeling (CASL) sequences were acquired before and after pharmacological treatment. We observed a bilateral, locally distinct rCBF increase after insulin administration in the insular cortex and the putamen. Insulin effects on rCBF were present regardless of whether participants had received cortisol or not. Our results indicate that insulin, but not cortisol, affects blood flow in human brain structures involved in the regulation of eating behavior. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Administration, Oral
Adult
Analysis of Variance
basal ganglia
Biological and medical sciences
Cardiovascular system
cerebral cortex
Cerebral Cortex - drug effects
Cerebrovascular Circulation - drug effects
Dose-Response Relationship, Drug
Double-Blind Method
Fasting
glucocorticoids
hippocampus
Humans
Hydrocortisone - administration & dosage
Hydrocortisone - metabolism
Hypoglycemic Agents - administration & dosage
Insulin - administration & dosage
Investigative techniques, diagnostic techniques (general aspects)
Magnetic Resonance Imaging
Male
Medical sciences
metabolism
Nervous system
pancreatic hormones
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Saliva - metabolism
Spin Labels
Time Factors
Visual Analog Scale
Young Adult
title Intranasal insulin increases regional cerebral blood flow in the insular cortex in men independently of cortisol manipulation
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