Maximilian Kleinert, Josefine Reber, Tim Gruber, Emmani B.M. Nascimento, Timo D. Müller, Stephan Sachs, Patrick Schrauwen, Martin Jastroch, Susanna M. Hofmann, Brian Finan, Vasilis Ntziachristos, Christoffer Clemmensen, Matthias H. Tschöp, Gerald Grandl, Annette Feuchtinger, Michael A. Cowley, Carmelo Quarta, Stephanie E. Simonds, Sigrid Jall, Angelos Karlas, Susanne Keipert, Daniela Loher, Eva Sanchez-Quant, Katrin Fischer, Nutrition and Movement Sciences, and RS: NUTRIM - R1 - Obesity, diabetes and cardiovascular health
Pharmacological stimulation of brown adipose tissue (BAT) thermogenesis to increase energy expenditure is progressively being pursued as a viable anti-obesity strategy. Here, we report that pharmacological activation of the cold receptor transient receptor potential cation channel subfamily M member 8 (TRPM8) with agonist icilin mimics the metabolic benefits of cold exposure. In diet-induced obese (DIO) mice, treatment with icilin enhances energy expenditure, and decreases body weight, without affecting food intake. To further potentiate the thermogenic action profile of icilin and add complementary anorexigenic mechanisms, we set out to identify pharmacological partners next to icilin. To that end, we specifically targeted nicotinic acetylcholine receptor (nAChR) subtype alpha3beta4 (α3β4), which we had recognized as a potential regulator of energy homeostasis and glucose metabolism. Combinatorial targeting of TRPM8 and nAChR α3β4 by icilin and dimethylphenylpiperazinium (DMPP) orchestrates synergistic anorexic and thermogenic pathways to reverse diet-induced obesity, dyslipidemia, and glucose intolerance in DIO mice.