Abstract
Ghrelin, produced mainly by gastric X/A-like cells, triggers a hunger signal to the central nervous system to stimulate appetite. It remains unclear whether X/A-like cells sense gastric distention and thus regulate ghrelin production. Here we show that PIEZO1 expression in X/A-like cells decreases in patients with obesity when compared to controls, whereas it increases after sleeve gastrectomy. Male and female mice with specific loss of Piezo1 in X/A-like cells exhibit hyperghrelinaemia and hyperphagia and are more susceptible to overweight. These phenotypes are associated with impairment of the gastric CaMKKII/CaMKIV–mTOR signalling pathway. Activation of PIEZO1 by Yoda1 or gastric bead implantation inhibits ghrelin production, decreases energy intake and induces weight loss in mice. Inhibition of ghrelin production by Piezo1 through the CaMKKII/CaMKIV–mTOR pathway can be recapitulated in a ghrelin-producing cell line mHypoE-42. Our study reveals a mechanical regulation of ghrelin production and appetite by PIEZO1 of X/A-like cells, which suggests a promising target for anti-obesity therapy.
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Data availability
The data that support the findings of this study are available within the paper and Supplementary Information. Source data for Figs. 1–8 and Extended Data Figs. 1–10 are provided with the online version of the paper. Source data are provided with this paper.
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Acknowledgements
We thank J. Guo (The Chinese University of Hong Kong) for providing the Piezo1 plasmid and J. Lyu from Jinan University for providing CaMKKII and CaMKIV plasmids.
This work was supported by grants from the National Natural Science Foundation of China (82170818 and 81770794) and the Fundamental Research Funds for the Central Universities (21620423) to G.X.
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G.X. and W.Z. designed the research. Y.Z., Y.L., T.T., J.Z., W.G., H.D., M.H., H.M., X.T., S.L., J.Y., H.Z., Q.W., H.C. and Z.H. conducted the study. Y.Z., H.C. and G.X. analysed data. G.X., H.C. and Y.Z. wrote and edited the paper. All authors contributed to the discussion, revised the paper and approved the final versions of the paper. G.X. is responsible for the integrity of the work as a whole.
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Extended data
Extended Data Fig. 1 Body weight of pubs of control and Ghrl-Piezo1-/- mice.
a, A representative photograph showing 1-week-old Ghrl-Cre, Piezo1fl/fl, and Ghrl-Piezo1-/- mice. b, Genotyping PCR results for control and Ghrl-Piezo1-/- mice. Representative images of three replicates. c, Body weight of control and Ghrl-Piezo1-/- mice at one- and two- week after born (both male and females, n = 6 mice per group). Data are shown as mean values ± SEM, and are representative of six biological replicates, P values were calculated by one-way ANOVA with Tukey post-hoc test.
Extended Data Fig. 2 Glucose metabolism in male control and Ghrl-Piezo1-/- mice.
a, Intraperitoneal Glucose Tolerance Test (IPGTT) and associated area under the curve (AUC) values of Piezo1fl/fl and Ghrl-Piezo1-/- mice under NCD (n = 5 mice per group). b, Insulin tolerance tests (ITT) and AUC of Piezo1fl/fl and Ghrl-Piezo1-/- mice under NCD (n = 5 mice per group). Data are shown as mean values ± SEM, and are representative of five biological replicates, P values were calculated by two-sided t-tests. *p < 0.05, **p < 0.01, ***p < 0.001. c, IPGTT and AUC values of Piezo1fl/fl and Ghrl-Piezo1-/- mice under HFD (n = 6 mice per group). d, Insulin tolerance tests (ITT) and AUC values of Piezo1fl/fl and Ghrl-Piezo1-/- mice under HFD. Date are expressed as mean values ± SEM. Student’s t-test was used for comparison between two groups (n = 6 mice per group). Data are shown as mean values ± SEM, and are representative of six biological replicates, P values were calculated by two-sided t-tests.
Extended Data Fig. 3 Double immunofluorescence staining of pCaMKIV and GHRELIN in the mouse gastric mucosa of Piezo1fl/fl and Ghrl-Piezo1-/- mice under NCD.
a, Co-localization of pCaMKIV(red) and GHRELIN (green) in the mouse gastric mucosa of Piezo1fl/fl and Ghrl-Piezo1-/- mice under NCD (n = 6 mice per group). b, Quantitative analysis of pCaMKIV-positive X/A-like cells in the stomach of male mice. 294 Piezo1-positive cells and 177 Ghrelin-positive cells from six control mice, 241 pCaMKIV-positive cells and 295 Ghrelin-positive cells from six Ghrl-Piezo1-/- mice were quantified (n = 6 mice per group). c, Quantitative analysis of ghrelin intensity. Three typical images from each mice (six Piezo1fl/fl and six Ghrl-Piezo1-/- mice) were chose for quantitative analysis of ghrelin intensity (n = 6 mice per group). Data are shown as mean values ± SEM, and are representative of six biological replicates, P values were calculated by two-sided t-tests, *p < 0.05, **p < 0.01, ***p < 0.001,****p < 0.0001.
Extended Data Fig. 4 Quantitative analysis of Piezo1 and ghrelin in the gastric mucosa of Piezo1fl/fl and Ghrl-Piezo1-/- mice under NCD in Fig. 2k,l.
a, Quantitative analysis of Piezo1-positive X/A-like cells in the stomach of male mice under NCD. 342 Piezo1-positive cells and 153 ghrelin-positive cells from 6 Piezo1fl/fl mice, 305 Piezo1-positive cells and 271 Ghrelin-positive cells from 6 Ghrl-Piezo1-/- mice were quantified for double-labelling immunofluorescence (n = 6 mice per group). 325 Piezo1-positive cells and 145 Ghrelin-positive cells from six control mice, 297 Piezo1-positive cells and 245 Ghrelin-positive cells from six Ghrl-Piezo1-/- mice were quantified for in situ hybridization. b, Quantitative analysis of ghrelin intensity in the stomach of mice of indicated genotypes fed NCD. Three view from each mice (six Piezo1fl/fl and six Ghrl-Piezo1-/- mice) were chose for quantitative analysis of ghrelin intensity (n = 6 mice per group). Data are shown as mean values ± SEM, and are representative of six biological replicates, P values were calculated by two-sided t-tests, *p < 0.05, **p < 0.01, ***p < 0.001,****p < 0.0001.
Extended Data Fig. 5 Female Ghrl-Piezo1-/- mice presented hyperghrelinmia and body weight gain.
a, Female Piezo1fl/fl and Ghrl-Piezo1-/- mice were fed an NCD and then placed into metabolic cages. Food intake was monitored in 24 h (n = 5 mice per group). b, Food consumption in light/dark cycle relative to body weight (g/g BW) (n = 5 mice per group). c, Body weight curves of female Piezo1fl/fl and Ghrl-Piezo1-/- mice (n = 5 mice per group). d, Respiratory exchange rate (n = 5 mice per group). e, Energy expenditure were monitored (n = 5 mice per group). f, Intraperitoneal Glucose Tolerance Test (IPGTT) and associated area under the curve (AUC) values of female Piezo1fl/fl and Ghrl-Piezo1-/- mice (n = 6 mice per group). g, Insulin tolerance tests (ITT) and AUC (n = 6 mice per group). h, Piezo1, Piezo2 and Ghrl mRNA levels in gastric corpus mucosa (n = 6 mice per group). i, Plasma des-acyl Ghrelin and acylated Ghrelin of female Piezo1fl/fl and Ghrl-Piezo1-/- mice (n = 6 mice per group). j, Representative Western blots for PIEZO1, CaMKKII, pCaMKIV, CaMKIV, pmTOR, mTOR, pS6K, S6K, pS6, S6, Pro-GHRELIN and β-ACTIN (n = 6 mice per group). Data are shown as mean values ± SEM, and are representative of five or six biological replicates, P values were calculated by two-sided t-tests. *p < 0.05, **p < 0.01, ***p < 0.001,****p < 0.0001.
Extended Data Fig. 6 Quantification for double-labelling immunofluorescence in male Piezo1fl/fl and Ghrl-Piezo1-/-mice under HFD in Fig. 3i.
a, Quantitative analysis of Piezo1-positive ghrelin cells in the stomach of male Piezo1fl/fl and Ghrl-Piezo1-/-mice fed HFD (n = 6/group). 358 Piezo1-positive cells and 190 Ghrelin-positive cells from six control mice, 280 Piezo1-positive cells and 229 Ghrelin-positive cells from six Ghrl-Piezo1-/- mice under HFD were quantified (n = 6 mice per group). b, Quantitative analysis of Ghrelin intensity of male mice of indicated genotypes fed HFD (n = 6 mice per group). Three typical images from each mice were chosen for quantitative analysis of ghrelin intensity. c, Quantitative analysis of pCaMKIV-positive X/A-like cells in the stomach of male mice. 356 pCaMKIV-positive cells and 176 Ghrelin-positive cells from six control mice, 181 pCaMKIV-positive cells and 189 Ghrelin-positive cells from six Ghrl-Piezo1-/- mice under HFD were quantified for double-labelling immunofluorescence (n = 6 mice per group). d, Quantitative analysis of Ghrelin intensity in the stomach male mice of indicated genotypes fed HFD. Three typical images from each mice (n = 6 mice per group) were chosen for quantitative analysis of ghrelin intensity. Data are shown as mean values ± SEM, and are representative of six biological replicates, P values were calculated by two-sided t-tests.*p < 0.05, **p < 0.01, ***p < 0.001,****p < 0.0001.
Extended Data Fig. 7 Double immunofluorescence staining of chromogranin A (ChrA) and Ghrelin in the gastric mucosa of mice treated with yoda1 and/or GsMTx4.
a, Co-localization of chromogranin A (red) and Ghrelin (green) in the mouse gastric mucosa. b, Quantitative analysis of Ghrelin intensity. Three typical images from each mice were chosen for quantitative analysis of ghrelin intensity (n = 6 mice per group). Data are shown as mean values ± SEM, and are representative of six biological replicates, P values were calculated by two-sided t-tests.*p < 0.05, **p < 0.01, ***p < 0.001,****p < 0.0001.
Extended Data Fig. 8 Evaluation of mouse comfort.
a, Assessment of abdominal mechanical sensitivity. Mechanical sensitivity of the abdomen was assessed with calibrated (0.07, 0.16, and 1 g) von Frey flaments (VFFs) in sham and bead implanted mice (n = 4 mice per group). b and c, Bars show the time spent in the centre and the total distance moved in sham and bead implanted mice (n = 4 mice per group). Data are shown as mean values ± SEM, and are representative of four biological replicates, P values were calculated by two-sided t-tests.
Extended Data Fig. 9 Quantitative analysis of Ghrelin intensity of male mice receiving sham or bead operation.
a, Quantitative analysis of Ghrelin intensity of male mice receiving sham or bead operation under NCD (n = 5 mice per group).Three images from each mice (five sham and five bead implanted mice) were chose for quantitative analysis of ghrelin intensity. b, Quantitative analysis of ghrelin intensity o of male mice receiving sham or bead operation under HFD (n = 6 mice per group). Three images from each mice (six sham and six bead implanted mice) were chose for quantitative analysis of ghrelin intensity. Data are shown as mean values ± SEM, and are representative of five or six biological replicates, P values were calculated by two-sided t-tests. *p < 0.05, **p < 0.01, ***p < 0.001,****p < 0.0001.
Extended Data Fig. 10 Gastric bead implantation in Ghrl-Piezo1-/- mice.
a, Food intake(n = 5 mice per group). b, Body weight(n = 5 mice per group). c, Western blot analysis of gastric corpus mucosal extracts with the indicated antibodies. d, Ghrl mRNA levels(n = 5 mice per group). e, Plasma des-acyl ghrelin. f, plasma acylated ghrelin levels of male Ghrl-Piezo1-/- mice receiving sham or intra-gastric bead implantation(n = 5 mice per group). Data are shown as mean values ± SEM, and are representative of five or six biological replicates, P values were calculated by two-sided t-tests.
Supplementary information
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Zhao, Y., Liu, Y., Tao, T. et al. Gastric mechanosensitive channel Piezo1 regulates ghrelin production and food intake. Nat Metab 6, 458–472 (2024). https://doi.org/10.1038/s42255-024-00995-z
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DOI: https://doi.org/10.1038/s42255-024-00995-z
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