Dorsomedial Hypothalamic Nucleus
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The dorsomedial hypothalamic nucleus is a
nucleus Nucleus ( : nuclei) is a Latin word for the seed inside a fruit. It most often refers to: *Atomic nucleus, the very dense central region of an atom *Cell nucleus, a central organelle of a eukaryotic cell, containing most of the cell's DNA Nucle ...
of the
hypothalamus The hypothalamus () is a part of the brain that contains a number of small nuclei with a variety of functions. One of the most important functions is to link the nervous system to the endocrine system via the pituitary gland. The hypothalamu ...
. It is involved in feeding, drinking, body-weight regulation and circadian activity. More specifically, it is a necessary component for the expression of numerous behavioral and physiological circadian rhythms. The dorsomedial hypothalamic nucleus receives information from neurons and humors involved in feeding regulation, body weight and energy consumption, and then passes this information on to brain regions involved in sleep and wakefulness regulation, body temperature and corticosteroid secretion.


Function

The dorsomedial hypothalamic nucleus (DMH) receives its circadian information from the
suprachiasmatic nucleus The suprachiasmatic nucleus or nuclei (SCN) is a tiny region of the brain in the hypothalamus, situated directly above the optic chiasm. It is responsible for controlling circadian rhythms. The neuronal and hormonal activities it generates regula ...
, both directly and via subparaventricular zone, and senses
leptin Leptin (from Ancient Greek, Greek λεπτός ''leptos'', "thin" or "light" or "small") is a hormone predominantly made by adipose cells and enterocytes in the small intestine that helps to regulate Energy homeostasis, energy balance by inhib ...
and other feeding cues, but it is also possible that it contains its own feeding-entrained oscillator (FEO). This still has yet to be proven ''
in vitro ''In vitro'' (meaning in glass, or ''in the glass'') studies are performed with microorganisms, cells, or biological molecules outside their normal biological context. Colloquially called "test-tube experiments", these studies in biology an ...
''. The DMH sends information to the
ventrolateral preoptic area The ventrolateral preoptic nucleus (VLPO), also known as the intermediate nucleus of the preoptic area (IPA), is a small cluster of neurons situated in the anterior hypothalamus, sitting just above and to the side of the optic chiasm in the brain ...
,
locus coeruleus The locus coeruleus () (LC), also spelled locus caeruleus or locus ceruleus, is a nucleus in the pons of the brainstem involved with physiological responses to stress and panic. It is a part of the reticular activating system. The locus coerule ...
, and
orexinergic Orexin (), also known as hypocretin, is a neuropeptide that regulates arousal, wakefulness, and appetite. The most common form of narcolepsy, type 1, in which the individual experiences brief losses of muscle tone ("drop attacks" or cataplexy), ...
neurons in order to aid in the regulation of wakefulness. The DMH is also involved in the regulation of hypothalamic outflow to the autonomic nervous and endocrine systems. Almost all major nuclei and areas of the hypothalamus feed information to the DMH. The inhibition of neuronal activation using muscimol in the DMH inhibited 85% of heart rate response and 68% of blood pressure response to air stress. This displays that the DMH also plays a role in the increase of heart rate and blood pressure as cardiovascular responses to stress. The DMH is also a part of the pathway corticotrophin-releasing hormone (CRH) takes when it is secreted by the
paraventricular nucleus The paraventricular nucleus (PVN, PVA, or PVH) is a nucleus in the hypothalamus. Anatomically, it is adjacent to the third ventricle and many of its neurons project to the posterior pituitary. These projecting neurons secrete oxytocin and a smaller ...
of the hypothalamus, and it is involved in the flow from the
sympathetic nervous system The sympathetic nervous system (SNS) is one of the three divisions of the autonomic nervous system, the others being the parasympathetic nervous system and the enteric nervous system. The enteric nervous system is sometimes considered part of th ...
to the
adrenal gland The adrenal glands (also known as suprarenal glands) are endocrine glands that produce a variety of hormones including adrenaline and the steroids aldosterone and cortisol. They are found above the kidneys. Each gland has an outer cortex which ...
.


Clinical significance


Damage

It was found in the study done by Gooley et al. that lesions in DMH neurons in rats prevented food entrainment of wakefulness, locomotor activity, and core body temperature. This further verifies its role in oscillation between feeding and circadian rhythm. Lesions in the DMH of rats also caused a weakened level of response to the feeding-stimulant insulin.


References

{{DEFAULTSORT:Dorsomedial Hypothalamic Nucleus Hypothalamus