Proximity proteomics of primary cilia in human hypothalamic neurons

Primary cilia are hair-like sensory organelles that project from the cell bodies of most cell types, including appetite-regulatory hypothalamic neurons where they likely help sense metabolic factors to regulate food intake. We hypothesized that characterising the proteins present in the primary cilia of hypothalamic neurons would shed mechanistic insights into their sensory role and identify new therapeutic targets for obesity. We therefore targeted the ascorbate peroxidase APEX2 to primary cilia in human induced pluripotent stem cells (hiPSC)-derived hypothalamic neurons to biotinylate and identify ciliary proteins. Among the cilia-enriched proteins, we identified synaptic proteins, neurotransmitter receptors, and cell-cell adhesion and axon guidance proteins, extending recent findings that primary cilia interact with neuronal synapses. We also found genes associated with increased body weight and metabolic phenotypes that could represent new therapeutic targets including the lysophosphatidic receptor 1 (LPAR1), which we validated is cilia-localized and we confirmed that its ligand (LPA) mediates ciliary shortening. These findings provide insights into the molecular mechanisms by which primary cilia functionally impact appetite-regulatory neurons.