RT Journal Article T1 Small extracellular vesicle targeting of hypothalamic AMPKα1 promotes weight loss in leptin receptor deficient mice A1 Milbank, Edward A1 Dragano, Nathalia A1 Vidal Gómez, Xavi A1 Rivas Limeres, Verónica A1 Garrido Gil, Pablo A1 Wertheimer, Mireille A1 Recoquillon, Sylvain A1 Pata, María P. A1 Labandeira García, José Luis A1 Diéguez González, Carlos A1 Nogueiras Pozo, Rubén A1 Martínez, Marie Carmen A1 Andriantsitohaina, Ramaroson A1 López Pérez, Miguel A. K1 Leptin receptor deficiency K1 db/db mice K1 Hypothalamus K1 AMPK K1 sEVs AB Background and aims: Leptin receptor (LEPR) deficiency promotes severe obesity and metabolic disorders. However, the current therapeutic options against this syndrome are scarce.Methods: db/db mice and their wildtypes were systemically treated with neuronal-targeted small extracellular vesicles (sEVs) harboring a plasmid encoding a dominant negative mutant of AMP-activated protein kinase alpha 1 (AMPKα1-DN) driven by steroidogenic factor 1 (SF1) promoter; this approach allowed to modulate AMPK activity, specifically in SF1 cells of the ventromedial nucleus of the hypothalamus (VMH). Animals were metabolically phenotyped. Results: db/db mice intravenously injected with SF1-AMPKα1-DN loaded sEVs showed a marked feeding-independent weight loss and decreased adiposity, associated with increased sympathetic tone, brown adipose tissue (BAT) thermogenesis and browning of white adipose tissue (WAT).Conclusion: Overall, this evidence indicates that specific modulation of hypothalamic AMPK using a sEV-based technology may be a suitable strategy against genetic forms of obesity, such as LEPR deficiency PB Elsevier SN 0026-0495 YR 2023 FD 2023 LK http://hdl.handle.net/10347/30307 UL http://hdl.handle.net/10347/30307 LA eng NO Metabolism 139 (2023) 155350. https://doi.org/10.1016/j.metabol.2022.155350 NO Ministerio de Ciencia y Universidades co-funded by the FEDER Program of EU (CD: BFU2017-87721; RN: RTI2018-099413-B-I00 and RED2018-102379-T; ML: RTI2018-101840-B-I00, PID2021-128145NB-I00 and PDC2022-133958-I00). “la Caixa” Foundation (ID100010434), under the agreement LCF/PR/HR19/52160022 (ML); EuroNanoMed III (RA & ML: EURONANOMED2019-050-ENAMEP); European Research Council (RN: ERC Synergy Grant-2019-WATCH-810331) DS Minerva RD 24 abr 2026