Abstract
Bone marrow adipose tissue (BMAT) is increased in both obesity and anorexia. This is unique relative to white adipose tissue (WAT), which is generally more attuned to metabolic demand. It suggests that there may be regulatory pathways that are common to both BMAT and WAT and also those that are specific to BMAT alone. The central nervous system (CNS) is a key mediator of adipose tissue function through sympathetic adrenergic neurons. Thus, we hypothesized that central autonomic pathways may be involved in BMAT regulation. To test this, we first quantified the innervation of BMAT by tyrosine hydroxylase (TH) positive nerves within the metaphysis and diaphysis of the tibia of B6 and C3H mice. We found that many of the TH+ axons were concentrated around central blood vessels in the bone marrow. However, there were also areas of free nerve endings which terminated in regions of BMAT adipocytes. Overall, the proportion of nerve-associated BMAT adipocytes increased from proximal to distal along the length of the tibia (from ~3–5 to ~14–24%), regardless of mouse strain. To identify the central pathways involved in BMAT innervation and compare to peripheral WAT, we then performed retrograde viral tract tracing with an attenuated pseudorabies virus (PRV) to infect efferent nerves from the tibial metaphysis (inclusive of BMAT) and inguinal WAT (iWAT) of C3H mice. PRV positive neurons were identified consistently from both injection sites in the intermediolateral horn of the spinal cord, reticular formation, rostroventral medulla, solitary tract, periaqueductal gray, locus coeruleus, subcoeruleus, Barrington's nucleus, and hypothalamus. We also observed dual-PRV infected neurons within the majority of these regions. Similar tracings were observed in pons, midbrain, and hypothalamic regions from B6 femur and tibia, demonstrating that these results persist across mouse strains and between skeletal sites. Altogether, this is the first quantitative report of BMAT autonomic innervation and reveals common central neuroanatomic pathways, including putative “command” neurons, involved in coordinating multiple aspects of sympathetic output and facilitation of parallel processing between bone marrow/BMAT and peripheral adipose tissue.
Introduction
Within the peripheral nervous system, sympathetic adrenergic signals are transmitted by several distinct sets of ganglia, which regulate regions in the head, trunk, viscera, and limbs. Common higher order processing centers are needed to ensure rapid, precise coordination of whole-body responses such as changes in vascular tone and energy metabolism. Consistent with this, the central nervous system (CNS) is recognized as a key mediator of peripheral adipose tissue function (–). The bone marrow is also an important site of peripheral adiposity with evidence for unique regulation and function [reviewed in ()]. However, to date, very little is known about the neural control of bone marrow adipose tissue (BMAT) or its relationship to other adipose tissue depots across the central neuraxis.
The existence and prevalence of sympathetic neurons within the skeleton and bone marrow is well established (–). Ducy et al. first functionally demonstrated that central leptin administration reduced bone mass (). This was later followed by other studies demonstrating that this effect was mediated via sympathetic nerves and modulation of β-adrenergic signaling (, ). Centrally, key neuropeptides associated primarily with the hypothalamus (e.g., NPY, CART, AgRP, POMC) have also been implicated in regulating bone homeostasis [reviewed in ()]. Despite current work linking both the hypothalamus and sympathetic nerves to modulation of the bone microenvironment, the central regulatory regions influencing the skeleton are still relatively undefined.
We hypothesized that shared central neural pathways, relative to white adipose tissue (WAT), may be involved in BMAT regulation. To test this hypothesis, we performed viral transneuronal tract tracing from bone marrow and inguinal WAT. Viral tract tracing is a tool used to identify neural circuits. In particular, attenuated pseudorabies virus (PRV) recombinants such as the PRV-Bartha strain are well-established tracers that can be used for multi-synaptic directional tracing (–). After local PRV injection, all exposed viral axons within the site are infected. The virus then traffics to the cell body, replicates, and spreads across retrograde efferent synapses. This facilitates multi-synaptic tracing through the spinal cord and CNS. Whilst sensory cell bodies can be infected with PRV, they will not sort viral particles into central axons across afferent synapses and thus, viral transmission terminates in these cells. These properties make PRV tracers ideal for identifying and mapping efferent pathways from peripheral tissues, inclusive of those within the sympathetic nervous system (SNS).
Several previous reports have used tracing techniques to begin to map the higher order autonomic networks that regulate bone, adipose tissues, and other organs (, , –). However, shared regulatory regions between bone marrow/BMAT and peripheral WAT have not been identified. Thus, in this study, we first determined the proportion of BMAT adipocytes that are innervated by the SNS in C3H/HeJ (C3H) and C57BL/6J (B6) mice. Then, we used PRV to trace efferent neuroanatomical circuits from both tibial bone marrow (inclusive of BMAT) and inguinal WAT of C3H animals. Tracing from B6 femur/tibia was used as a control to examine strain- and skeletal site-specificity. To accomplish this, we used replication competent, isogenic, attenuated strains of the PRV virus (PRV-Bartha) in which the gG locus had been replaced with a fluorescent reporter ().
Methods
Mice
The Institutional Animal Care and Use Committee (IACUC) at Washington University in St. Louis approved all procedures, and these experiments were performed in AAALAC accredited facilities. For all experiments, C3H/HeJ (C3H, Stock:000659) and C57BL/6J (B6, Stock:000664) mice were obtained from Jackson Labs; mice were acclimatized for 1 week prior to experiments. Mice were housed on a 12-h light/dark cycle at 70 ± 2 degrees Fahrenheit and fed standard chow (LabDiet® 5053). Relative to B6 mice, C3H mice are known to have a significant expansion of BMAT in the proximal tibia by 12-weeks of age ().
Retrograde Viral Tract Tracing
Mice at 12-weeks of age underwent surgery and were euthanized for analysis 5–6 days after viral infection. This timing is sufficient to allow for retrograde transsynaptic transport of virus through 3 synaptic relays, up to 4 orders of neurons (). Two isogenic pseudorabies retrograde tracing viruses were obtained from the NIH Center for Neuroanatomy with Neurotropic Viruses (CNNV): PRV-152 (, ) and PRV-614 (). The PRV-152 virus has EGFP as the reporter, while mRFP is the reporter for PRV-614. C3H: Half the mice received PRV-152 into the tibia and PRV-614 into iWAT; whilst the other half received PRV-614 into the tibia and PRV-152 into iWAT. B6: Half the mice received PRV-152 into the proximal tibia and PRV-614 into distal femur; whilst the other half received PRV-614 into tibia and PRV-152 into femur. Figure 1A lists the viral loads injected at each site (fat vs. bone). A drilled bone defect model was used to place virus directly in bone using a pulled glass needle, microinjector, and stereotaxic apparatus to deliver 0.10 μL (PRV-152) or 0.15 μL (PRV-614) of viral solution at depths of 2.5, 3, and 3.5 mm from the top of the bone including the cartilage (Figures 1B–D). The injection site was sealed with bone wax to prevent leakage of the virus. For iWAT injections, 0.15 μL (PRV-152) or 0.20 μL (PRV-614) of virus was injected using a pulled glass needle at each of four sites along the length of the iWAT. All mice were given Buprenorphine SR (ZooPharm, 1.0 mg/kg) and monitored daily post-surgery until euthanasia. In our hands, 25% of injected C3H mice and 36% of injected B6 mice did not display evidence of infection in the brain. This could be due to failed ejection of the viral solution from the microinjector tip, failed viral infection, replication and/or spread, or mis-injection into the circulation. Previous work has shown that IV injection of PRV does not cause central neuronal infection ().
Figure 1
Tissue Collection
Mice were sedated with Ketamine/Xylazine and perfused through the left ventricle with 25 mL of phosphate buffered solution (PBS) followed by 25 mL 4% paraformaldehyde (PFA) at a rate of 5.0 mL per minute using a peristaltic pump. Tissues were post-fixed overnight in 4% PFA and then placed in PBS for storage or processed and analyzed as described below.
MicroCT
Post-fixation, bones were embedded in 2% agarose gel. The proximal ends of the tibiae were scanned at 20 μm voxel resolution using a Scanco μCT 40 (Scanco Medical AG) calibrated using a hydroxyapatite phantom. Scans were used to verify placement of the needle into the bone (Figures 1C,D).
Immunostaining and Analysis
Tibia
To assess skeletal innervation, whole tibiae from 13-week old C3H and B6 male mice were sectioned transversely at 50 μm along the length of the bone. Tissues were processed in 30% sucrose and embedded in Tissue-Plus OCT compound (Fisher Scientific, Hampton, New Hampshire, USA, 23-730-571) prior to cutting. Sections were blocked in 10% normal donkey serum (Sigma, St. Louis, MO, USA, D9663) in TNT buffer (0.1M Tris-HCl pH 7.4; 0.15 NaCl; 0.05% Tween-20). The sections were then incubated for 48-h with primary antibodies to tyrosine hydroxylase (TH) and perilipin (Supplemental Table 1). Following three rinses in TNT buffer, primary antibody staining was visualized using fluorescently-tagged secondary antibodies. The sections were rinsed again with TNT buffer and incubated in DAPI (1:1,000 dilution; Sigma, St. Louis, MO, USA, D9542) for 5-min before mounting with Fluoromount-G (ThermoFisher Scientific, Waltham, Massachusetts, USA, 00-4958-02). Tiled sections were imaged at 10X on a Nikon spinning disk confocal microscope. Images were reconstructed and analyzed in ImageJ/FIJI (). The number of perilipin positive adipocytes was counted manually in each section and the proportion adjacent to a TH+ axon was recorded (<5 μm spacing). It is important to note that only TH+ structures the bone marrow with a size and morphology that was consistent with an autonomic axon fiber were considered in our analysis (size ~1 μm in diameter, fibrous/branching, no nuclei—see Figure 2A as an example).
Figure 2
Spinal Cord
After perfusion, processing in 30% sucrose, and embedding in Tissue-Plus OCT compound, whole embedded spines were stored at −80°C until sectioning. The entire spinal cord was sectioned at 50 μm on a cryostat (Leica CM1850) and then collected onto Superfrost charged slides (Fisher Scientific, Hampton, New Hampshire, USA, 12-550-15). Every 8th section was stained. The sections were thawed at room temperature for 10-min, prior to immunostaining. Sections were first blocked in 10% normal donkey in TNT buffer. The sections were then incubated for 48-h in primary antibodies against RFP and GFP (Supplemental Table 1). Following three rinses in TNT buffer, primary antibody staining was visualized using fluorescently-tagged secondary antibodies. The sections were rinsed again with TNT buffer and incubated in DAPI for 5 min before mounting with Fluoromount-G. The sections were imaged with a Hamamatsu 2.0-HT NanoZoomer at 20x magnification. Spinal cord sections were analyzed using the Allen Spinal Cord Atlas as a reference database (
Brain
Dry ice (solid CO2) was crushed to make a powder; each brain was rolled in the CO2 and then left to freeze solid on dry ice. Each sample was mounted using Tissue-Plus OCT compound to a H/I Cryo-Histomat MK-3 (Hacker Instruments, Winnsboro, South Carolina, USA) and cut into slices of 30 μm thickness. Sections were split into six series and stored in cryoprotectant solution (0.2M phosphate buffer pH 7.4, ethylene glycol, sucrose) until stained. Sections were washed in TNT buffer and blocked in 0.1M PBS with 0.05% Tween 20 and 5% normal donkey serum. Primary antibodies to GFP, RFP, and/or TH were diluted in 0.1M PBS with 0.05% Tween 20 and 1% normal donkey serum and were incubated overnight at 4°C (Supplemental Table 1). Following rinsing in TNT buffer, sections were incubated with secondary antibody for 1-h at room temperature (Supplemental Table 1). Sections were then incubated with DAPI (1:1,000) and then arranged onto slides and coverslipped with Fluoromount-G. Imaging was performed with a Hamamatsu 2.0-HT NanoZoomer at 20x magnification. Sections spanning the entire brain were matched to images in The Mouse Brain in Stereotaxic Coordinates Brain by Paxinos and Franklin (
Statistics
Statistics were performed in GraphPad Prism®. Statistical tests are indicated in the figure legends. An unpaired t-test was used to assess differences in body mass.
Results
Sympathetic Adrenergic Innervation of Tibial BMAT Adipocytes in C3H and B6 Mice
Sympathetic adrenergic axons in bone and adipose tissues are rich in TH+ varicosities and terminate as free nerve endings (
PRV Tracing Identifies Central Pathways Mediating Efferent Innervation of Bone Marrow (Inclusive of BMAT) and iWAT
Infection Rate and Viral Characteristics
Male C3H mice at 12-weeks of age were injected with isogenic PRV viruses as detailed in Figures 1A,B. Half received PRV-152 (EGFP) into tibia and PRV-614 (mRFP) into iWAT, and the other half had PRV-614 (mRFP) into tibia and PRV-152 (EGFP) into iWAT. Though not uniformly reported or discussed in previous publications, PRV infection causes weight loss, lethargy, and eventually death in experimental animals (
Spinal Cord
Autonomic pathways consist of a two-neuron relay, which connects the tissue of interest to the spinal cord. In our experiments, the spinal cord was examined using serial thick frozen sections from the upper thoracic to the lower sacral regions. Labeling was observed to some extent at all levels of the thoracic, lumbar, and sacral spinal cord, except for the lowest sacral portions. Though a unilateral predominance was generally noted, the majority of the cases had progressed to a point where bilateral spread was evident. In all cases, cellular staining was notable in the sympathetic preganglionic neurons (SPNs) of the intermediolateral (IML) nuclei (Figure 3A). Connections from the IML were commonly present across the intercalated nucleus and labeling was also prominent within the central autonomic nucleus (lamina X). In the surrounding white matter, positive axons were noted to be crossing the lateral funiculus from the surface of the spinal cord (Figure 3B).
Figure 3

Spinal cord. The axon of the most distal neuron within bone or fat, also known as the postganglionic autonomic neuron, connects to its cell body in the sympathetic chain ganglia. Within the ganglion, this cell body synapses with a new neuron, the sympathetic preganglionic neuron (SPN). The cell bodies of the SPNs are located in the spinal cord in the intermediolateral (IML) nuclei. Spinal cord neurons are then controlled by supraspinal circuits from the brain, which send target axons to synapse on SPNs through descending pathways. These are ultimately responsible for the coordinated regulation of neuro-skeletal and neuro-adipose tissue interactions. (A,B) In the presented case, PRV-614 (RFP) was injected into the tibia, whilst PRV-152 (GFP) was injected into iWAT. Yellow neurons are neurons that have become infected with both viruses (arrow). Scale bar = 500 μm (A) and 100 μm (B). Lf, lateral funiculus. (C) We observed positive cells within dorsal root ganglia (DRG) ipsilateral to the site of infection. In some cases, we also observed positive DRG cells on the contralateral side. However, spread to the brain through ascending spinal cord pathways was not noted. Representative image, PRV-614 (RFP) into iWAT. Scale bar = 500 μm.
Positive axons were also observed in the lateral reticulospinal tract just outside of the IML, in laminae II, V, and VII, and occasionally in the ventral horn. In mice where dual labeling was present in the brain, the staining pattern was the same as described above. In addition, though the majority of labeled neurons in the spinal cord were of a single color/origin, a small subset of dual-labeled neurons was present.
Lastly, given our cross-sectional analysis paradigm, we were able to observe several of the dorsal root ganglia. Though the PRV virus used is only capable of crossing between neurons at retrograde synapses of efferent axons, it initially infects all axons within the target tissue, including sensory afferent neurons. Consistent with this, we observed positive staining in a subset of the dorsal root ganglia; infection within contralateral ganglia was also present in some cases (Figure 3C). However, further spread from these neurons through anterograde spinal cord pathways was not noted.
Medulla, Pons, and Midbrain
The spinal cord connects to the brainstem at the base of the skull, transitioning into the medulla. Consistent with previous studies (
Table 1
| Region of the brain | Abbreviation | Tibia (N = 5) | iWAT (N = 5) | Dual labeled neurons |
|---|---|---|---|---|
| MEDULLA AND RETICULAR FORMATION | ||||
| Raphe obscurus nucleus | ROb | 4 | 4 | Yes |
| Raphe magnus nucleus | RMg | 5 | 3 | Yes |
| Raphe pallidus nucleus | RPa | 5 | 4 | Yes |
| Gigantocellular reticular nucleus | GRN | 5 | 4 | Yes |
| Lateral paragigantocellular nucleus | LPGi | 4 | 4 | Yes |
| Rostroventral medulla | RVLM | 3 | 2 | – |
| Nucleus of the solitary tract | NTS | 5 | 4 | Yes |
| Area postrema | AP | 4 | 2 | – |
| PONS | ||||
| Barrington's Nucleus | BN | 5 | 5 | Yes |
| Locus coeruleus | LC | 5 | 5 | Yes |
| Subcoeruleus nucleus | SLC | 5 | 5 | Yes |
| MIDBRAIN | ||||
| Dorsomedial periaqueductal gray | DMPAG | 5 | 3 | Yes |
| Lateral periaqueductal gray | LPAG | 5 | 3 | Yes |
| Ventrolateral periaqueductal gray | VLPAG | 4 | 3 | Yes |
| HYPOTHALAMUS | ||||
| Paraventricular hypothalamic nucleus, dorsal cap | PaDC | 4 | 4 | Yes |
| Paraventricular hypothalamic nucleus, lateral magnocellular part | PaLM | 5 | 4 | Yes |
| Paraventricular hypothalamic nucleus, medial magnocellular part | PaMM | 5 | 3 | Yes |
| Paraventricular hypothalamic nucleus, posterior part | PaMP | 5 | 4 | |
| Paraventricular hypothalamic nucleus, medial parvicellular part | PaPo | 4 | 4 | Yes |
| Lateral hypothalamus | LH | 5 | 2 | Yes |
| Posterior hypothalamic area | PH | 4 | 1 | – |
| Arcuate nucleus | Arc | 3 | 1 | – |
| Dorsomedial hypothalamus | DMH | 2 | 2 | Yes |
| Ventromedial hypothalamus | VMH | 2 | 0 | – |
| Suprachiasmatic nucleus | SCN | 2 | 0 | – |
| OTHERS | ||||
| Amygdala | Me | 3 | 2 | – |
| Pyriform cortex | Pir | 2 | 2 | – |
Traced brain regions from C3H tibial bone marrow [tibia, inclusive of bone marrow adipose tissue (BMAT)] and inguinal white adipose tissue (iWAT).
Figure 4

Co-infection of neurons from bone marrow/BMAT and iWAT in the medulla and pons. In the presented case, green neurons are traced from the tibia, whilst red neurons are from iWAT. Yellow neurons are those that have become infected with both viruses (white arrows). (A,B) Brainstem medulla, scale bar = 1 mm. (C) Pons, scale bar = 1 mm. Insets, scale = 100 μm: (1) Raphe obscurus (ROb), (2) nucleus of the solitary tract (NTS), (3) gigantocellular reticular nucleus (GRN), lateral paragigantocellular nucleus (LPGi) and rostral ventrolateral medulla (RVLM), (4) raphe pallidus (RPa), and (5) locus coeruleus (LC). RMg, raphe magnus.
Figure 5

Tyrosine hydroxylase staining identifies co-infected ‘command neurons' in the locus coeruleus (LC), subcoeruleus (SLC), and Barrington's nucleus (BN). In the presented case, green neurons are traced from the tibia, whilst red neurons are from iWAT. A co-stain for tyrosine hydroxylase (TH) was used to define the boundaries of the locus coeruleus and subcoeruleus (LC and SLC, TH+) relative to Barrington's nucleus (BN, TH–). Yellow neurons are those that have become infected with both viruses without co-staining for tyrosine hydroxylase (TH) (white arrow). White neurons are those that are triple positive for GFP, RFP, and TH—indicating co-infection of a TH+ neuron within the LC or SLC as indicated (white arrowheads with black borders). (A) Overview of pons including the locus coeruleus (LC) and Barringtons nucleus (BN) at −5.52 mm from bregma. Scale bars: 1 mm and 200 μm (inset). (B) Overview of pons including the subcoeruleus (SLC) at −5.02 mm from bregma. Scale bars: 1 mm and 200 μm (inset). Individual channels for GFP (green), RFP (red), and TH (magenta) are shown for reference.
Figure 6

Co-infection of neurons from bone marrow/BMAT and iWAT in the periaqueductal gray (PAG). In the presented case, green neurons are traced from the tibia, whilst red neurons are from iWAT. Yellow neurons are those that have become infected with both viruses (white arrows). (A–C) Overview of tracing around the central aqueduct (Aq) at three regions including −2.92, −4.16, and −4.72 mm from bregma. Scale bar = 1 mm. (A'–C') Magnified insets showing individually traced neurons and those with co-infection from both sites (arrowheads). Scale bar = 200 μm. Green boxes on the sagittal sections denote the relative location of the displayed regions.
In multi-labeled samples, dual infected neurons from both injection sites were present in the medullary reticular formation (ROb, RMg, RPa, GRN, LPGi) and NTS (Figure 4). We similarly observed a subset of pontine LC, SLC, and BN neurons that were co-infected with viruses originating from bone marrow and iWAT (Figure 5). Lastly, several dual traced neurons were present in the PAG (Figure 6).
Hypothalamus and Forebrain
PRV infection was prominent within the hypothalamus, most notably within the paraventricular hypothalamus (PVH) (Figure 7; Supplemental Figures 1, 2). Infection of the PVH was bilateral from both bone marrow and iWAT; however, there was typically a discernable difference with a greater number of neurons stained on one side than the other (Supplemental Figure 1). This may be due to the virus crossing the midline via interneurons and then proceeding up into the brain, thus viral infection may lag on contralateral side, leading to the observed difference. In dual positive-infected mice, we observed a substantial number of neurons arising from the tibial injection and a number of neurons arising from iWAT in both posterior and medial parts of the PVH (Figures 7A–C). Again, similar to regions of the medulla and pons, we also identified neurons that were co-infected with both viruses (Figure 7; Table 1). Other regions of the hypothalamus with positive PRV infection include the lateral hypothalamus (LH), posterior hypothalamic area (PH), arcuate nucleus (ARC), dorsomedial hypothalamus (DMH), ventromedial hypothalamus (VMH), and suprachiasmatic nucleus (SCN) (Figure 7; Table 1). Lastly, we found robust labeling of neurons in the amygdala in a subset of animals (Figure 7B; Supplemental Figure 3). In close proximity to the amygdala, PRV-infected neurons were also present in the pyriform cortex in a 2/5 tracings from bone marrow/BMAT and iWAT (Table 1; Supplemental Figure 3).
Figure 7

Co-infection of neurons from bone marrow/BMAT and iWAT in the hypothalamus. In the presented case, green neurons are traced from the tibia, whilst red neurons are from iWAT. Yellow neurons are those that have become infected with both viruses (white arrows). (A) Overview of hypothalamic tracing at −1.94 mm from bregma. Scale bar = 1 mm. (B) Overview of hypothalamic tracing, including amygdala, at −1.06 mm from bregma. Scale bar = 1 mm. (C) Medial portion of the paraventricular hypothalamus and suprachiasmatic nucleus at −0.82 mm from bregma. Scale bar = 1 mm. Insets: (1) dorsomedial hypothalamus (DMH), scale = 100 μm, (2) lateral hypothalamus (LH), scale = 100 μm, (3) amygdala (Me), scale = 200 μm and (4) paraventricular hypothalamus (PVH), scale = 200 μm. Regions identified include: third ventricle (3V), arcuate nucleus (Arc), dorsomedial hypothalamus (DMH), lateral hypothalamus (LH), amygdala (Me), posterior hypothalamus (PH), paraventricular hypothalamus (PVH), and suprachiasmatic nucleus (SCN).
PRV Tracing From B6 Femur and Tibia Mimics That Observed From C3H Mice
To examine the strain- and skeletal site-specificity of PRV, we traced to the brain from the proximal tibia and distal femur of a matched set of male 12-week-old, B6 mice. As above, some mice received PRV-152 (EGFP) into tibia and PRV-614 (mRFP) into femur while in others this was reversed. At the end of the experiment, needle placement was confirmed with μCT. Due to minor issues with tissue processing, the medulla and reticular formation could not be included in these analyses. However, in the pons, infection from the tibia and femur was observed in the BN, LC, and SLC (Table 2). Staining from both sites was also identified in the midbrain, specifically within the PAG (Table 2). As in C3H mice, the hypothalamus contained positive PRV infection predominantly in the PVH (Table 2; Supplemental Figure 4). Additional traced neurons were identified in the LH, PH, DMH, and SCN from a subset of animals (Table 2). Lastly, one of four cases from the tibia and two of three from the femur resulted in PRV infection in the amygdala (Table 2).
Table 2
| Region of the brain (from B6 mice) | Abbreviation | Tibia (N = 4) | Femur (N = 3) |
|---|---|---|---|
| PONS | |||
| Barrington's Nucleus | BN | 4 | 2 |
| Locus coeruleus | LC | 4 | 3 |
| Subcoeruleus nucleus | SLC | 3 | 3 |
| MIDBRAIN | |||
| Dorsomedial periaqueductal gray | DMPAG | 0 | 1 |
| Lateral periaqueductal gray | LPAG | 1 | 2 |
| Ventrolateral periaqueductal gray | VLPAG | 3 | 2 |
| HYPOTHALAMUS | |||
| Paraventricular hypothalamic nucleus, dorsal cap | PaDC | 4 | 3 |
| Paraventricular hypothalamic nucleus, lateral magnocellular part | PaLM | 3 | 3 |
| Paraventricular hypothalamic nucleus, medial magnocellular part | PaMM | 3 | 3 |
| Paraventricular hypothalamic nucleus, posterior part | PaMP | 4 | 3 |
| Paraventricular hypothalamic nucleus, medial parvicellular part | PaPo | 4 | 3 |
| Lateral hypothalamus | LH | 2 | 2 |
| Posterior hypothalamic area | PH | 2 | 2 |
| Arcuate nucleus | Arc | 0 | 2 |
| Dorsomedial hypothalamus | DMH | 2 | 2 |
| Ventromedial hypothalamus | VMH | 0 | 2 |
| Suprachiasmatic nucleus | SCN | 2 | 2 |
| OTHERS | |||
| Amygdala | Me | 1 | 2 |
| Pyriform cortex | Pir | 0 | 2 |
Traced brain regions—B6 tibia and femur bone marrow (inclusive of BMAT).
Discussion
Shared innervation has been established between peripheral WAT and BAT adipose tissues (
Innervation of BMAT
The presence of sympathetic neurons in the skeleton is well established (
Shared Pathways—Vasoregulatory Responses
A key strength of these experiments is our ability to examine the results within the context of the extensive range of previously published PRV tracing studies across most major organ systems. Upon doing so, several patterns emerge. First, there are multiple regions that have been traced in nearly all studies to date. This includes early infection in areas of the pontine and medullary reticular formation, RVLM, raphe nuclei, and PVH from organs including spleen (
Figure 8

Summary and model. (1) Nerve endings were infected by PRV-bartha virus after local injection into inguinal white adipose tissue (iWAT) or regions of BMAT in the proximal tibia. (2) Infection of sympathetic post-ganglionic axons and their ganglionic cell bodies progressed to infect the sympathetic preganglionic neurons (SPNs) within the intermediolateral nucleus (IML) of the spinal cord. Infection within the spinal cord was also noted across the intercalated nucleus and in laminae V, VII, and X. *Infection was also present in the dorsal root ganglia. This is due to the ability of PRV-Bartha to infect free endings of afferent neurons. However, after this, it is not able to traffic across afferent synapses toward the brain. (3) Viral tracing ascended through efferent pathways to central brain regions (4). The full list of traced regions is available in Tables 1, 2. Functionally, traced central regions are capable of coordinating autonomic signals through shared pathways, which descend to the target tissues. These regions have previously been implicated in regulation of vascular tone, lipolysis, and bone turnover.
Many of these areas have also been implicated in reflex autonomic control of vascular tone, a collection of diverse mechanisms by which the body integrates information from peripheral sensory inputs to subsequently coordinate autonomic responses. Within the spinal cord, for example, stimulation of sensory roots can influence the activity of autonomic SPNs (
Shared Pathways—Energy Utilization and Lipolysis
Nerve endings in both WAT and bone marrow exist as free terminals and lack conventional synapses with surrounding cells [reviewed in (
Central integration of peripheral inputs is similarly critical to ensure optimal autonomic contributions to energy partitioning. A key mediator of this relationship is the adipocyte-secreted hormone leptin. Our viral tracing demonstrated prominent labeling from iWAT and bone marrow/BMAT in leptin-responsive regions such as the PVH, ARC, DMH, VMH, and AP. In addition to known actions on food intake, leptin has been implicated in the central regulation of bone marrow and peripheral adipocytes. Studies examining leptin deficient models (ob/ob) have found increased BMAT (
Regulation of Skeletal Homeostasis
While our focus is on adipose tissue comparisons, it should be noted that the bone injections would label nerves that interact with a heterogeneous population of cells: bone cells, bone marrow, and BMAT. Signaling in the VMH, for example, may link bone marrow with splenic innervation. Functionally, the VMH has been shown to suppress splenic lymphocyte activity (
In addition to hematopoiesis, for the past two decades, there have been numerous studies demonstrating the effects of central regulation on bone mass; interactions between the brain and bone mass have primarily focused on the hypothalamus (
Similar to other adipose tissues, the bone microenvironment is also influenced by circulating cues such as leptin, which can influence sympathetic tone and also act directly on progenitor cells within the skeleton [reviewed in (
In addition to the hypothalamus, the area postrema (AP) is another region that can respond to physiological factors as they enter the CNS and can influence autonomic control (
Other factors also implicated in energy homeostasis have been shown to influence the bone microenvironment via central signaling. Kajimura et al. (
Limitations
While we hypothesize that there may be unique sites that signal to the BMAT environment in a context-specific manner, our viral tract tracing is limited as it is only able to establish the presence of infection and co-infection vs. iWAT. For example, we identified infected neurons from bone marrow/BMAT in only 2 out of 5 cases of positive PRV infection in the VMH, but not when traced from iWAT (Table 1). However, previous work has shown that stimulation of the leptin-responsive neurons in the VMH significantly affects both WAT and BMAT adipose tissue depots (
Prospectus and Conclusion
A large proportion of work into understanding the neural regulation of adipose tissue was originally performed in Siberian hamsters. Siberian hamsters (Phodopus sungorus) display large variations in body composition depending on the photoperiod they are exposed to: hamsters exposed to long days can have around 50% adiposity whilst exposure to shorter days leads to around 20% adiposity (
Statements
Data availability statement
The datasets generated for this study are available on request to the corresponding author.
Ethics statement
The Institutional Animal Care and Use Committee (IACUC) at Washington University in St. Louis approved all procedures, and these experiments were performed in AAALAC accredited facilities.
Author contributions
NW and ES conception of the work. NW, ML, YB, MJ, and ES acquisition and analysis of data, approved final copy of manuscript. NW, MJ, and ES interpretation of the data and drafting of the manuscript.
Funding
This work was funded by grants from the National Institutes of Health including R01NS091439, P40-RR018604, R00-DE024178, U01-DK116317, and P30-AR057235.
Acknowledgments
We would like to thank Ron Perez and the Hope Center Neurosurgical Core at Washington University in St. Louis for assistance with the viral injections. Thank you to Zhaohua Wang for technical assistance with the dissections. We would like to thank the Hope Center Alafi Neuroimaging Core for access to the Nanozoomer. Viruses were obtained from the CNNV and we appreciate the feedback received from Dr. Lynn Enquist (cnnv.pitt.edu, funded by P40-RR018604).
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Supplementary material
The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fendo.2019.00668/full#supplementary-material
Supplemental Figure 1Paraventricular hypothalamus from all C3H mice injected with PRV into the tibia or iWAT. Medial portion of the paraventricular hypothalamus from each mouse injected with either PRV-152 (GFP) or PRV-614 (RFP) and the site of injection, tibia or iWAT. Scale bar: 1 mm.
Supplemental Figure 2PRV infection from bone marrow/BMAT traces to various parts within paraventricular hypothalamus. PRV-152 (GFP) was injected into the tibia and the following sites showed PRV infection: (A) Suprachiasmatic nucleus (SCN) and paraventricular hypothalamic nuclei: dorsal cap (PaDC), lateral magnocellular part (PaLM), and medial magnocellular part (PaMM); (B) Posterior paraventricular hypothalamic nuclei: posterior part (PaMP) and medial parvicellular part (PaPo).
Supplemental Figure 3Amygdala and pyriform cortex traced from tibia. (A) Overview of brain slice. (B) Amygdala. (C) Overview of pyriform cortex relative to amygdala. (D) Pyriform cortex.
Supplemental Figure 4Paraventricular hypothalamus from all B6 mice injected with PRV into the tibia or iWAT. Medial portion of the paraventricular hypothalamus from each mouse injected with either PRV-152 (GFP) or PRV-614 (RFP) and the site of injection, tibia or iWAT. Scale bar: 1 mm.
Supplemental Table 1Antibodies used for immunostaining.
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Summary
Keywords
bone marrow adipose tissue, fat, brain-bone interactions, pseudorabies virus, viral tract tracing, energy metabolism, sympathetic nerve, autonomic nervous system
Citation
Wee NKY, Lorenz MR, Bekirov Y, Jacquin MF and Scheller EL (2019) Shared Autonomic Pathways Connect Bone Marrow and Peripheral Adipose Tissues Across the Central Neuraxis. Front. Endocrinol. 10:668. doi: 10.3389/fendo.2019.00668
Received
26 April 2019
Accepted
16 September 2019
Published
27 September 2019
Volume
10 - 2019
Edited by
Stephanie Lucas, Université du Littoral Côte d'Opale, France
Reviewed by
Christopher J. Madden, Oregon Health & Science University, United States; Kristy Townsend, University of Maine, United States
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© 2019 Wee, Lorenz, Bekirov, Jacquin and Scheller.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Erica L. Scheller scheller@wustl.edu
This article was submitted to Bone Research, a section of the journal Frontiers in Endocrinology
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