Evidence map›Paper›PMID 40935321›Full record

ArticleMetabolism: clinical and experimental2025

SerpinA3N in leptin-sensitive neurons is required for energy and glucose homeostasis and autonomic regulation.

Deng Fu Guo, Zili Luo, Alexis Olson, Donald A Morgan, Elizabeth A Newell, Kamal Rahmouni

Abstract read
In one paragraph

Article in Metabolism: clinical and experimental, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Deng Fu GuoDepartment of Neuroscience and Pharmacology, University of Iowa Carver College of Medicine, Iowa City, Iowa, United States of America; Veterans Affairs Health Care System, Iowa City, Iowa, United States of America.
Zili LuoDeparment of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, Iowa, United States of America.
Alexis OlsonDepartment of Neuroscience and Pharmacology, University of Iowa Carver College of Medicine, Iowa City, Iowa, United States of America.
Donald A MorganDepartment of Neuroscience and Pharmacology, University of Iowa Carver College of Medicine, Iowa City, Iowa, United States of America; Veterans Affairs Health Care System, Iowa City, Iowa, United States of America.
Elizabeth A NewellDeparment of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, Iowa, United States of America.
Kamal RahmouniDepartment of Neuroscience and Pharmacology, University of Iowa Carver College of Medicine, Iowa City, Iowa, United States of America; Veterans Affairs Health Care System, Iowa City, Iowa, United States of America; Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa, United States of America; Fraternal Order of Eagles Diabetes Research Center, University of Iowa Carver College of Medicine, Iowa City, Iowa, United States of America; Obesity Research and Education Initiative, University of Iowa Carver College of Medicine, Iowa City, Iowa, United States of America; Iowa Neuroscience Institute, University of Iowa Carver College of Medicine, Iowa City, Iowa, United States of America. Electronic address: kamal-rahmouni@uiowa.edu.

Funding

Role of FGF21 Action in Hypothalamic Neurons in Obesity-Associated HypertensionR01HL162773 · NHLBI · UNIVERSITY OF IOWA · PI KAMAL RAHMOUNI · 2023 to 2026
$2.4M
Neuronal Cilia in HypertensionR01HL172944 · NHLBI · UNIVERSITY OF IOWA · PI KAMAL RAHMOUNI · 2025 to 2026
$1.4M
BLRD VA I01 BX004249BLRD VA IK6 BX006040NHLBI NIH HHS R01 HL162773NHLBI NIH HHS R01 HL172944
6 · The paper itself

Abstract

aimsSerpinA3N (Serpin peptidase inhibitor clade A member 3) is a serine protease inhibitor upregulated in the hypothalamus by leptin and obesity, yet its role in physiological regulation remains poorly understood. This study aims to elucidate the role of hypothalamic SerpinA3N in regulation of energy balance, glucose homeostasis, and autonomic and cardiovascular functions. METHODS AND

resultsImmunostaining revealed that SerpinA3N is primarily expressed in neurons, including those expressing the leptin receptor (LepRb). Targeted deletion of SerpinA3N in LepRb neurons reduced body weight and adiposity and improved insulin sensitivity in female mice. SerpinA3N deficiency also enhanced leptin sensitivity, evidenced by amplified leptin-induced anorexia, weight loss, and LepRb signaling in the hypothalamic arcuate nucleus. Upon exposure to an obesogenic diet, mice lacking SerpinA3N in LepRb neurons exhibited attenuated weight gain, hepatic lipid accumulation and microgliosis. Notably, SerpinA3N deletion in LepRb neurons impaired baroreflex sensitivity and elevated renal sympathetic nerve activity, with dietary obesity further exacerbating sympathetic tone.

conclusionsThese findings identify neuronal SerpinA3N as a key regulator of energy balance, leptin and insulin sensitivity, and autonomic function.

Indexed as

Autonomic Nervous SystemEnergy MetabolismGlucoseHomeostasisLeptinNeuronsSerpinsAcute-Phase ProteinsAnimalsFemaleHypothalamusInsulin ResistanceMaleMiceMice, Inbred C57BLMice, KnockoutAcute-Phase ProteinsGlucoseLeptinReceptors, LeptinSerpina3n protein, mouseSerpinsBaroreflex sensitivityBody weightGlucose metabolismHypothalamusLeptinSympathetic nervous system

Identifiers

PMID40935321
PMCPMC12667195

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.