A hypothalamic circuit for anticipating future changes in energy balance.

AgRP neurons cause hunger, the drive to seek and consume food. Their activation by fasting is key for survival and is thought to be triggered by feedback when energy stores are low. However, we know that environmental cues can also regulate AgRP neurons, since cues that predict future food intake rapidly inhibit AgRP neurons. But is the converse true: can the prediction of future fasting rapidly activate AgRP neurons? Here we show that such rapid fasting activation of AgRP neurons does occur. This fasting response is driven by excitatory input from paraventricular hypothalamic neurons expressing Sim2, which are bidirectionally sensitive to predictions of future energy state. In this way, cognitively-processed contextual information conveyed by PVHSim2 neurons strongly activates AgRP neurons. Lastly, chronic silencing of PVHSim2 neurons causes persistent hypophagia. This PVHSim2 to AgRP neuron circuit, by anticipating and preventing negative energy balance, provides an important new dimension of hunger regulation.