Studying Hibernation Biology to Gain Insights into Fatigue - Beyond the Symptom: The Biology of Fatigue

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Studying Hibernation Biology to Gain Insights into Fatigue - Beyond the Symptom: The Biology of Fatigue
Beyond the Symptom:
            The Biology of Fatigue
            September 27 – 28, 2021

    Studying
  Hibernation
   Biology to
  Gain Insights
  into Fatigue
Kelly L. Drew, PhD
Center for Transformative
Research in Metabolism,
University of Alaska Fairbanks
Studying Hibernation Biology to Gain Insights into Fatigue - Beyond the Symptom: The Biology of Fatigue
Disclaimer and Disclosures

Disclaimer
This certifies that the views expressed in this presentation are those of the author and do not
reflect the official policy of the NIH.

Disclosure
I have a financial interest in Be Cool Pharmaceutics.
Studying Hibernation Biology to Gain Insights into Fatigue - Beyond the Symptom: The Biology of Fatigue
Hibernation is energy conservation.
“Fatigue” is an adaptation to resource
              limitation.
Studying Hibernation Biology to Gain Insights into Fatigue - Beyond the Symptom: The Biology of Fatigue
Seasonal Cycle of the Arctic Ground Squirrel
Studying Hibernation Biology to Gain Insights into Fatigue - Beyond the Symptom: The Biology of Fatigue
Thermoregulatory changes anticipate hibernation onset by
              45 days – Free Ranging AGS

 Seasonal decrease in
 metabolism leads to a
 decrease in Tb and a
 decrease in food intake    Sheriff et al., 2012, J Comp Physiol B
Studying Hibernation Biology to Gain Insights into Fatigue - Beyond the Symptom: The Biology of Fatigue
A torpid (hibernating) Arctic
                                                                45
      ground squirrel.
                                                                40

                                        body temperature (°C)
                                                                35

                                                                30

                                                                25

                                                                20

                                                                15

                                                                10

                                                                 5

                                                                 0

                                                                -5
                    AGS (Urocitellus                                            8/1/99             12/1/99         4/1/00

                       parryii)
                       Apr   May     Jun           Jul               Aug     Sep         Oct     Nov   Dec   Jan       Feb   Mar

                     em ergence reproduction                natal    grow th &                           hibernation
                                                              em ergence fattening

9/21/2021                                                             This Photo by Unknown
                                                                                                                                   6
                                                                      Author is licensed under
                                                                      CC BY-NC
Studying Hibernation Biology to Gain Insights into Fatigue - Beyond the Symptom: The Biology of Fatigue
Laboratory housed animals – 22°C; 12:12 L:D
Winter sleepiness accompanies lower metabolic rate and body temperature (in animals that
are not hibernating)                          Decreased sensitivity to caffeine
                                                             Increased sensitivity to adenosine receptor agonists

                                                                                  Golden mantel
                                                                                  ground squirrel
                                                                                 (Callospermophi
                                                                                   lus lateralis)

            Walker et al., 1980, Hibernation and Circannual Rhythms of Sleep,
            Physiological Zoology, Vol. 53(1), pp. 8-11

9/21/2021
Studying Hibernation Biology to Gain Insights into Fatigue - Beyond the Symptom: The Biology of Fatigue
Human circannual
rhythms also revolve
  around resource
     availability
•    A seasonal rhythm modulates
     thermogenesis and underlies
     expression of hibernation and
     seasonal sleepiness.
•    Seasonal rhythm is associated with
     enhanced A1 adenosine receptor
     signaling.

       9/21/2021                                                                                        8
https://www2.ucar.edu/atmosnews/just-published/4279/interior-alaska-subsistence-hunting-warming-world
Studying Hibernation Biology to Gain Insights into Fatigue - Beyond the Symptom: The Biology of Fatigue
9/21/2021   9
Studying Hibernation Biology to Gain Insights into Fatigue - Beyond the Symptom: The Biology of Fatigue
The Adenosine Model of Hibernation
The Model
The Summer-Winter
transition increases
sensitivity to A1
adenosine receptor                             Sleep
signaling so that in
winter sleep extends
into torpor.

                        Summer-Winter Switch

                                                            Modified from Jinka et al., 2011
Adenosine is a retaliatory metabolite and inhibitory
                 neuromodulator at the heart of energy homeostasis
                       p-AMPK
                       (active)
                                     AMPKK
                       AMPK          
                       (inactive)     AMP/ATP
                                                               NT5E

                                    ATP ADP AMP                              Ado        S-adenosylhomocysteine

                                        cAMP                   AdK

                                     PKA      PKA
                                    (active) (inactive)
                                                           A1 A3
                                                          Go
                                                                                A2A A2B
                                                               Gi        Gi          Gs     Gs

                                                                               AC
                                           gCa2+;gK+              Inhibits          Excites

This Photo by
Unknown                                                              cAMP            ATP              CNS A1AR turn down the
Author is
licensed under            CNS A1AR increase homeostatic                                               thermostat
                          sleep drive
CC BY
Seasonal increase in sensitivity of A1AR in arctic ground squirrels
                housed at 20°C and 12:12 L:D

 9/21/2021                                                            12
CNS regulation of “fatigue” in the winter season
                                               requires A1 adenosine receptors
                  4:20 L:D; 2°C
                                                                                                        Summer                         Winter

                                                                   O2 Consumption (mLg-1h-1)

                                                                                                                                                               Core body temperature (°C)
Summer (off                    Winter
  season)
      A1AR agonist CHA or Veh (blinded) icv

    Off-season (summer): May- June
                                                                                                 0     6    12    18    24    0    6    12      18   24
    Early hibernation season: Sep-Oct
                                                                                                                       Time (h)
    Mid hibernation season (winter):
    December

    Study Design                                                                                    A1AR stimulation is necessary and sufficient to induce
                                                                                                            hibernation in arctic ground squirrels
                                                                                                Spontaneous hibernation reversed by A1AR antagonist (CPT),
                                                                                                 but not A2AAR antagonist (MSX-3)
                                                                                                A3AR agonist (2-CL-IB MECA) did not induce hibernation
9/21/2021                                     Jinka et al., 2011                                                                                          13
Seasonal modulation of              Median Preoptic
           thermoregulatory circuits explain      Nucleus
           seasonal response to CHA

                                               Raphe Pallidus

Frare et al.,
Energy homeostasis may be communicated from the periphery to the
           brain through retaliatory, signaling metabolites like adenosine

Rice et al., in
prep

                                                                n=7-10
Tanycytes may permit transport of adenosine from
             blood to brain through seasonal expression of
                           adenosine kinase

Frare and Drew, 2021                              J. Neuroanatomy, 113, 101920
Mechanisms regulating hibernation may
  underlie mechanisms relevant to fatigue
• In hibernation sleep transitions
  into torpor (extreme fatigue?)
• Regulated by increased gain
  in purinergic signaling
• Whole body metabolism
  communicates with brain
• Tanycytes are positioned to
  regulate body-brain
  communication.
Thank you!
 • Tulasi Jinka • Sarah Rice
 • Zac Carlson • Carla Frare

• Angelo D’Alessandro
• Julie Haines

  Funding
• P20GM130443
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