The gut signals to AGRP expressing cells of the pituitary to control glucose homeostasis

Glucose homeostasis can be improved after bariatric surgery that alters bile flow and stimulate gut hormone secretion, in particular FGF15/19. FGFR1 expression in AGRP expressing cells is required for bile acids's ability to improve glucose control. We show that the mouse Agrp gene has 3 promoter/enhancer regions that direct transcription of each of their own AGRP transcripts. One of these Agrp promoters/enhancers, Agrp B, is regulated by bile acids. We generated an Agrp B knock-in FLP/knockout allele. AGRP B expressing cells are found in endocrine cells the pars tuberalis (PT) and co-expressDAGLB (an endocannabinoid biosynthetic enzyme), distinct from PT thyrotropes. AGRP B expression is also found in the folliculostellate cells of the pituitary's anterior lobe. Mice without AGRP B are protected from high fat feeding induced glucose intolerance but not excess weight gain. Chemogenetic inhibition of AGRP B cells improves glucose tolerance by enhancing glucose stimulated insulin secretion. Inhibition of the AGRP B cells also caused weight loss. The improved glucose tolerance and reduced body weight persisted up to 6 weeks after cessation of the DREADD mediated inhibition, suggesting the presence of a biological switch for glucose homeostasis that is regulated by long term stability of food availability.