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APPETITE, OBESITY, DIGESTION, AND METABOLISM
1Neurology Service, Veterans Administration Medical Center, East Orange, New Jersey; 2Department of Neurology and Neurosciences, New Jersey Medical School, Newark, New Jersey; 3Universite Paris 7, Centre National de la Recherche Scientifique Unite Mixte de Recherche, Paris, France; 4Division of Molecular Genetics, Department of Pediatrics, Columbia University, New York, New York
Submitted 28 March 2005 ; accepted in final form 3 May 2005
| ABSTRACT |
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neuropeptide Y; proopiomelanocortin; orexin; diabetes; development
In an initial attempt to characterize the genotype of the DIO rat, we crossed selectively bred DIO rats with the obesity-resistant inbred Fischer F344 strain (24). After this first crossing, offspring were bred back against the F344 strain three times with selection for the DIO trait in male progeny. This N3 generation was slightly heavier but not more obese than the F344 parent strain when fed low-fat chow diet from weaning. We originally named these rats "F.DIO" to reflect their Fischer and DIO origins but have now renamed them "F-DIO," so as not to connote a congenic strain. When fed a 31% fat, high-energy (HE) diet for 3 wk, these F-DIO rats became more obese than the F344 parent strain. Unexpectedly, the F-DIO rats also had a markedly exaggerated insulin response to an oral glucose tolerance test before they became obese. Exaggerated insulin release was further amplified and accompanied by an exaggerated glucose response with development of obesity after 3 wk on HE diet. These data suggested that the F-DIO rat, besides retaining the DIO phenotype through several cycles of backcrosses, had also developed an inherent insulin resistance in the nonobese state, which was not present in either of the DIO or F344 parent strains (22). Since that original report (24), we have successively bred six generations of the N3 rats (F1F6) without selection for weight gain phenotype.
The current studies were carried out to further characterize this unique model by 1) establishing the stability of the DIO and insulin resistance phenotypes in the F-DIO rat; 2) confirming that preobese F-DIO rats are indeed insulin resistant by using the hyperinsulinemic euglycemic clamp technique; 3) assessing the expression of arcuate nucleus neuropeptide Y (NPY) and proopiomelanocortin (POMC) and lateral hypothalamic orexin mRNA for possible clues to the pathogenesis of the DIO and insulin resistance traits; 4) determining whether induction of maternal obesity would increase the development of obesity in F-DIO offspring as it did in the offspring of selectively bred DIO dams (26, 48); and 5) exploring the possibility that maternal caloric deprivation (10, 14, 15, 35) and dexamethasone treatment (32, 33, 46), both of which produce abnormal glucose metabolism in normal rats, would exacerbate the obesity and abnormal glucose metabolism of the F-DIO rat and produce a true type 2 diabetes mellitus model.
We found that the DIO phenotype was indeed preserved after six generations of random matings, that the nonobese F-DIO rat had both hepatic and generalized insulin resistance, that both arcuate nucleus (ARC) POMC and lateral hypothalamic orexin mRNA were regulated much differently in the F-DIO than in either parent strain and that a variety of perinatal environmental manipulations produced marked effects on the development of obesity and abnormal glucose metabolism in the F-DIO rat.
| METHODS |
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Unless otherwise specified, rats were fed Purina rat chow (#5001), drank water ad libitum from weaning, and were housed on a 12:12-h light-dark schedule with lights out at 1800. Purina rat chow contains 3.30 kcal/g with 23.4% as protein, 4.5% as fat and 72.1% as carbohydrate which is primarily in the form of complex polysaccharide (27). For the majority of experiments, rats were weighed weekly. At the end of each study, rats were decapitated in the fed state between 0800 and 1100 h, and the brains were removed and frozen quickly on powdered dry ice. Terminally, trunk blood was taken for glucose and/or hormone determinations. In some studies, epididymal, retroperitoneal, perirenal, and mesenteric fat pads were removed and weighed as visceral depots and inguinal pads as subcutaneous depots.
Experiment 1. Glucose metabolism and insulin sensitivity These studies were carried out in 7 chow-fed 360420 g (mean 378 ± 13 g) males of the F-DIO/F3 generation and 5 chow-fed 310360 g (mean 323 ± 9 g; P = 0.001) Fischer F344 males. Glucose turnover rate (GTR) was assessed under basal and euglycemic-hyperglycemic clamp conditions in the same rat by previously described methods (8). Rats were deprived of food for 4 h (from 0900 to 1300) and anesthetized with pentobarbital sodium (50 mg/kg ip). Catheters were inserted in the right jugular vein for blood sampling and infusions (insulin, labeled and unlabeled glucose) were carried out using butterfly needles inserted in the saphenous veins. To determine GTR in the basal state, a priming dose of [3-3H] glucose (4 µCi) was injected through the saphenous vein at 50 min, followed by a continuous infusion at a rate of 0.2 µCi/min throughout the study. Blood samples were drawn at 15, 10, and 0 min during the basal period and at time 70, 80, and 90 min during the evaluation of the steady state euglycemic clamp to determine the glucose disposal rate.
Euglycemic-hyperinsulinemic clamps were used to determine glucose kinetics. Before insulin infusion was begun, blood samples were drawn for determinations of basal blood glucose levels. Fasting glucose levels were 85 ± 6 mg/dl in F344 and 108 ± 7 mg/dl in F-DIO rats (P = 0.01). A priming dose of insulin (20 mU; Actrapid, Novo, Copenhagen, Denmark) dissolved in isotonic saline was then injected through the saphenous vein followed by a continuous infusion of insulin (0.4 U·kg1·h1) at a constant rate of 20 µl/min to maintain blood glucose levels at 90 mg/dl. Under these conditions, we have shown that insulin levels during the clamp procedure are maintained at
4 ng/ml (8). During the clamps, blood was sampled from the jugular catheters every 5 min to determine glucose levels and to adjust the rate of unlabeled glucose infusion to maintain euglycemia. The euglycemic conditions were attained within 3040 min and then maintained for 40 min thereafter. Steady-state specific glucose radioactivity and plasma glucose and insulin concentrations were determined during the last 20 min of the clamp. In the basal steady state, the rate of glucose appearance (Ra), which reflects hepatic glucose production, is equal to the glucose disposal rate (Rd), which reflects glucose utilization. Rd is calculated according to the formula Rd = Ra = [3-3H] glucose infusion rate [disintegrations per minute (dpm/min)] divided by blood glucose specific activity (dpm/mg). During the glucose clamp (5070 min after the onset of insulin infusion), Rd = Ra + Ra' (i.e., amount of glucose expressed in milligrams per minute per kilogram necessary to maintain euglycemia) (8).
Blood glucose was determined by automated glucose oxidase method (Beckman) and insulin determinations by radioimmunoassay (Linco). For the assay of [3-3H] glucose radioactivity, blood samples were deproteinized with Ba(OH)2 and ZnSO4, and the supernatant was evaporated to dryness at 50°C to remove tritiated water. The dry residue was dissolved in 0.5 ml water to which 10 ml scintillation solution was added (Aqualuma plus, Lumac, The Netherlands), and radioactivity was determined using a liquid scintillation counter.
Experiment 2. Effects of genotype and diet on ARC NPY and POMC and lateral hypothalamic orexin mRNA expression. Male Fischer F344 and F-DIO/F3 300325g rats were used for this study. They were weighed and then fed either chow (n = 6 per genotype) or HE diet (n = 6 per genotype) for 4 wk and then killed by rapid decapitation. The brains were quickly removed, frozen on dry ice, and kept at 80°C until being cut in 15-µm sections through the mid-portion of the ARC in a cryostat within 1 mo. Sections were processed for in situ hybridization by minor modifications of previously described methods (18, 28). Briefly, cRNA was synthesized, and radiolabeled probes for prepro-NPY (511-bp) (13), POMC (923-bp) (17), and prepro-orexin (287-bp) were made (42). The probes were hydrolyzed in 0.05 M Na2CO3 plus 0.033 M NaHCO3 for 1530 min and then subjected to our standard method for in situ hybridization (16, 21). After treatment with RNAase A (Calbiochem, San Diego, CA), sections were washed, dehydrated, dried and exposed to SB-5 X-ray film (Kodak, Rochester, NY). The resulting autoradiograms were read by an experimentally blinded observer using computer-assisted densitometry (Drexel University, Philadelphia, PA). The areas of NPY and POMC hybridization within the ARC, and orexin hybridization in the lateral hypothalamus at the same level, were measured from the autoradiograms. The three largest areas of hybridization in each brain were averaged for comparisons between groups.
Experiment 3. Effect of perinatal manipulations on offspring body weight gain, glucose, insulin and leptin levels. Because F-DIO rats have abnormal glucose metabolism even before they develop obesity, these studies were carried out with the hypothesis that manipulations reported to produce obesity and/or abnormal glucose metabolism in otherwise normal rats might produce a true picture of type 2 diabetes mellitus with eventual islet cell fatigue and death in F-DIO offspring. Toward this end, matings were carried out for each study with 6 female and 3 male F-DIO/F3 rats. At birth, all litters were adjusted to 10 pups/dam. Four sets of maternal conditions were used: 1) Chow-fed (lean) dams were mated with males and carried through gestation and weaning. They were injected with dexamethasone vehicle (see Experiment 4 below) during the third week of gestation; 2) obese dams were produced by feeding them on a HE diet for 1 mo before mating. They were kept on the HE diet through gestation and until their pups were weaned at 3 wk; 3) maternal caloric deprivation was produced by mating chow-fed dams and then restricting their intake during the third week of gestation to 70% of their intake during the preceding 2 wk of gestation. At birth, dams were allowed unrestricted access to chow; and 4) pregnant females were treated daily during the third week of pregnancy with dexamethasone (100 µg·kg1·day1 dissolved in 4% ethanol-0.9% saline, 200 µg/ml sc) (32). Male offspring from all four groups were weaned onto chow at 3 wk of age and carried out to 65 days of age. Tail blood samples for glucose were taken at weekly intervals after an overnight fast between 0900 and 1100 and terminally glucose, leptin, and insulin were assayed from trunk blood in overnight fasted animals.
Experiment 4. Persistence of the F-DIO phenotype. To ensure that the F-DIO phenotype was conserved after repeated cycles of random breeding without selection for the DIO phenotype, F-DIO/F6 (n = 10) and F344 rats (n = 10) were fed chow from weaning and were studied beginning at 6 wk of age. At that time, they were fasted overnight and, from 0800 to 1100, a baseline tail blood sample was taken for glucose and insulin levels. They were then gavaged with glucose (0.5 g/kg body wt), and repeated tail blood samples were taken at 30, 60, 90, and 120 min. They were then placed on HE diet for 6 wk. They were weighed weekly and, after 6 wk on HE diet, the glucose tolerance test was repeated. Terminally their epididymal, perirenal, retroperitoneal, mesenteric, and inguinal adipose depots were removed bilaterally and weighed.
Statistics. Parameters were compared among various genotypes, diet and perinatal manipulation groups by one- or two-way ANOVA with post hoc Bonferroni comparisons. For the glucose tolerance test and glucose infusion rates during the hyperinsulinemic clamps, areas under the curve (AUC) for glucose and/or insulin were calculated using GraphPad Prizm software. Glucose and insulin curves were also compared using repeated-measures ANOVA.
| RESULTS |
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As opposed to maternal obesity and third-trimester caloric restriction, offspring of dams given third-trimester dexamethasone were 14% lighter at 30 days and 10% lighter at 65 days than offspring of lean dams. However, unlike maternal obesity and maternal deprivation, the offspring of dexamethasone-treated dams had a slightly higher (6%) rate of weight gain than offspring of lean dams from 30 to 65 days. Despite their reduced body weights, offspring of dexamethasone-treated dams had 45% higher leptin levels at 65 days than offspring of lean dams. Their fasting glucose levels were 62% higher at 30 days and 11% higher in association with 161% higher fasting insulin levels at 65 days.
Thus maternal obesity and third-trimester caloric restriction and dexamethasone treatment produced offspring that were hyperleptinemic and hyperinsulinemic compared with offspring of lean F-DIO dams. Although offspring of obese and maternally deprived dams were heavier, offspring of dexamethasone-treated dams had lower body weights but higher leptin and insulin levels, suggesting that they were obese but also possibly stunted in growth.
Experiment 4. Persistence of the F-DIO phenotype. To ensure that the DIO- and insulin-resistant traits first described in the N3 F-DIO rats (24) were not lost by further breeding without selection for body weight gain phenotype, male F-DIO/F6 rats were assessed for their body weight and fat pad weights and responses to an oral glucose load. As in the original N3 generation, chow-fed F-DIO/F6 males were heavier (27%) and gained 19% more body weight over 6 wk on a HE diet than F344 males of the same age (Table 3). This increased body weight gain was associated with a 5060% greater weight of total, visceral, and subcutaneous adipose depots. However, as a percent of body weight, total fat pad weights were only 23% higher in F-DIO than F344 rats. Also similar to the original N3 F-DIO rats, chow-fed F-DIO/F6 rats had 18% higher fasting glucose levels but no difference in the glucose AUC during the oral glucose tolerance test (Table 3, Fig. 3A). Importantly, chow-fed F-DIO/F6 rats also maintained their exaggerated insulin response to the glucose load compared with F344 rats. Fasting levels were 55% higher, and the insulin AUC during the glucose tolerance test was 37% higher than chow-fed F344 rats. After 6 wk on the HE diet, fasting glucose levels were comparable, but the glucose AUC was 39% higher than F344 rats. Fasting insulin levels were 27% higher, and the AUC during the glucose tolerance test was 35% higher than F344 rats. Thus, with only minor differences from the original N3 generation, male F-DIO/F6 rats still maintained apparent insulin resistance before onset of obesity and sustained the clear development of DIO associated with worsening of apparent insulin resistance after 6 wk on HE diet.
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| DISCUSSION |
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In addition to their insulin resistance in the nonobese state, F-DIO rats had very different expression of hypothalamic neuropeptides than the DIO and F344 parent strains. Outbred DIO rats have increased ARC NPY expression before they become obese (18). These elevated levels fall to levels seen in diet-resistant (DR) rats after 4 wk on HE diet in parallel with a 70% increase of leptin levels above those in DR rats (20). Also, NPY levels in outbred DIO rats were reduced by 17%, but only after developing marked hyperleptinemia during 14 wk on HE diet (16). Since leptin reduces ARC NPY expression (43), these results suggested that DIO rats might be leptin resistant. In fact, both outbred (20) and selectively bred DIO rats (23) do have central leptin resistance. Although the elevated ARC NPY expression of preobese outbred DIO rats was not carried forward in either the selectively bred DIO (16, 40) or the F-DIO rats studied here, it is possible that F-DIO rats may also have central leptin resistance since F344 and F-DIO rats comparably reduced their ARC NPY expression by
15% after 4 wk on HE diet, while F-DIO leptin levels were 90% higher in F-DIO than F344 rats (24).
The finding of elevated ARC POMC expression in chow-fed F-DIO vs. F344 rats and a selective reduction in F-DIO POMC levels after 4 wk on the HE diet suggests that F-DIO rats might retain normal sensitivity to leptin-induced regulation of POMC expression (44). F-DIO rats had 45% higher leptin levels on chow and those levels increased by 90% more than F344 rats after 3 wk on the HE diet (24). The supposition that F-DIO POMC neurons could retain their leptin sensitivity, while NPY neurons do not is supported by the recent finding that leptin may differentially affect signaling in NPY vs. POMC neurons (52). Finally, since leptin reduces orexin expression (30), the lower levels of lateral hypothalamic orexin mRNA expression in chow-fed F-DIO suggests that these neurons might also retain normal leptin sensitivity. However, the selective increase in orexin expression after HE diet in F-DIO vs. F344 rats suggests that there are other factors that regulate orexin. For example, high-fat diet alone can increase orexin expression (51).
Because POMC is the precursor for
-MSH, which improves peripheral insulin sensitivity (12, 34), increased expression in chow-fed F-DIO rats should lower their insulin levels and increase their insulin sensitivity. In fact, we found just the opposite. On the other hand, the further deterioration of insulin sensitivity after 4 wk on HE diet in F-DIO rats can be attributed to the deleterious effects of high-fat diets on leptin (11, 23), insulin (6), and melanocortin signaling (5). However, measurement of mRNA expression does not necessarily reflect the amount of active peptide released at the nerve terminal. In the case of POMC, mRNA expression does not even predict which of its many peptide products will be produced and released. In addition to
-MSH, POMC also is a prohormone for
-endorphin, a hormone which increases intake of palatable diets (7). Central administration of
-endorphin also produces a strain- and site-dependent elevation of blood glucose and possibly insulin levels (2, 37). Thus, if elevated ARC POMC expression were associated with increased
-endorphin production and release, this might predispose nonobese F-DIO rats to develop abnormal glucose metabolism and to eat more and gain more weight when exposed to the high corn oil and sucrose content of the HE diet.
The selectively bred DIO rat shows a strong interaction between maternal obesity and genetic background in the development of obesity in offspring. Offspring of obese DIO dams become more obese and insulin resistant than those of lean DIO dams, while maternal obesity in diet-resistant rats has no impact on adiposity or insulin sensitivity in their offspring (26). Such manipulations also have selective effects on the development of monoamine systems in the forebrains of offspring of DIO rats (19). Because F-DIO rats were bred from DIO rats and because they were demonstrably insulin resistant before the development of obesity, we reasoned that exposing them to perinatal manipulations that increase obesity and insulin resistance in offspring of normal rats might provoke a true type 2 diabetes mellitus phenotype in F-DIO offspring. The expectation was that offspring would become both hyperinsulinemic and hyperglycemic and that this would lead to eventual exhaustion of
-cells with resultant hypoinsulinemia. This did not turn out to be the case for the F-DIO offspring of dams made obese during pregnancy and lactation; here, the offspring developed fasting hyperinsulinemia without hyperglycemia.
Somewhat paradoxically, maternal undernutrition predisposes offspring to develop both obesity and insulin resistance. Generally, undernutrition throughout pregnancy or during the first two trimesters is associated with obesity in human (10, 38, 39) and rat offspring (14, 15, 35). However, we demonstrate here that 70% third-trimester caloric restriction increased the body weight gain, plasma leptin, and insulin and glucose levels of chow-fed offspring of F-DIO dams. Similarly, third-trimester dexamethasone treatment induced offspring hyperleptinemia, hyperglycemia, and hyperinsulinemia. Thus, even though they gained less weight than those of lean dams, their elevated leptin levels suggest that they were much more obese but possibly growth retarded. Similar results have been demonstrated in other rat strains (33, 46). Therefore, the third trimester of pregnancy in F-DIO rats appears to be a particularly sensitive one for interventions that can produce changes in both energy homeostasis and neural development (29, 36, 50). Despite the fact that both maternal caloric restriction and dexamethasone produced hyperinsulinemia and hyperglycemia compared with offspring of lean F-DIO dams, neither resulted in
-cell exhaustion and hypoinsulinemia as we had originally expected. Although it is possible that this might have occurred over a longer period of time, we actually did carry the offspring of maternally deprived dams out to 6 mo of life and found no reduction in plasma insulin levels or deterioration of fasting glucose levels (data not shown).
In summary, the F-DIO rat represents an obesity-prone strain that is also quite insulin resistant before exposure to a high-fat diet and the development of obesity. The persistence of the DIO phenotype through three backcrosses against obesity-resistant F344 rats and 6 subsequent cycles of breeding without selection for weight gain strongly supports our contention that the DIO trait is indeed polygenic in nature. Unlike the parent DIO or F344 strains, the lean and obese F-DIO rats also exhibit alterations in their expression of ARC POMC and lateral hypothalamic orexin expression. These alterations might provide some clue as to the pathogenesis of their insulin resistance. These differences in hypothalamic peptide expression are less likely to be responsible for the DIO phenotype, as they are not seen in the DIO parent strain. In conclusion, we suggest that the F-DIO rat provides an excellent model for the study of factors that predispose rats to develop DIO and insulin resistance in the nonobese state.
| GRANTS |
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| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
| REFERENCES |
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