The answer was a resounding yes. When Otp was disrupted, the mice’s stress systems went into overdrive. They released extra corticosterone and other stress hormones and showed depression-like behavior: The mice developed poor stress-coping behaviors, seemed to withdraw and quickly gave up in the face of stressful challenges. Their resilience to stress appeared to collapse.
At the same time, their metabolism went off balance. Their thyroid hormone levels fell and, as a result, body temperature dropped and cholesterol levels increased. The mice ate normally and weighed about the same as controls, yet they accumulated more body fat and their response to hunger signals weakened.
“We found that Otp acts like a central control hub in the adult brain,” says Kuperman. “It operates in stress-related cells and in cells that control the thyroid system, which affects metabolism throughout the body.”
In humans, Levkowitz notes, these systems often go hand in hand. “Depression or anxiety can look purely psychological, but in some cases, a blood test reveals low thyroid hormone levels. That can influence stress, but also cholesterol, blood sugar and overall metabolism.”
At the cellular level, Otp works like a switchboard operator. It picks up signals arriving from the body and from the outside world and routes them to DNA, deciding which hormonal systems to activate and how to respond to changing conditions. “It is a multitasker that integrates incoming signals in the nuclei of cells,” Levkowitz explains.
From an evolutionary point of view, the findings reveal remarkable efficiency. During development, Otp controls the production of substances that help brain cells specialize. Later in life, the same machinery is repurposed – now to deal with daily challenges, from stress to shifts in energy balance. “A molecule we once thought of purely as a developmental regulator turns out to be a master regulator of physiological balance throughout life,” Levkowitz says. “It’s not just building the system – it keeps it running.”
At the same time, the study revealed a great level of complexity, showing that Otp helps preserve a delicate balance among a multitude of components. It does not control a single pathway but several at once, sometimes producing opposing effects. In the hypothalamus, for example, it can stimulate the expression of peptides that drive hunger as well as those that call for energy expenditure, while maintaining the system’s equilibrium.
“Otp is part of a complex network,” Kuperman explains. “It can affect antagonistic cell populations in different regions of the hypothalamus, and it seems to help maintain the balance between them.”
The study opens a new perspective on disorders of brain and metabolism. It suggests examining them in light of a basic question: Are certain problems with stress resilience or metabolism rooted in early development, or do they result from a regulatory breakdown that emerges later in life?
Looking ahead, scientists may be able to target specific branches of the network controlled by Otp, rather than trying to fix the whole system at once. “We have identified a new master regulator of balance in the brain and body,” Levkowitz says. “Understanding in greater detail how it works may one day lead to more precise ways of treating different aspects of stress and metabolic dysfunction – not by shutting the system down when something is not working properly, but by nudging it back into balance.”