Endocrinology Vol. 140, No. 1 138-145
Copyright © 1999 by The Endocrine Society
Parabiosis between db/db and ob/ob or db/+ Mice
Ruth B. S. Harris
Pennington Biomedical Research Center, Baton Rouge, Louisiana
70808
Address all correspondence and requests for reprints to: Ruth Harris, Ph.D., Pennington Biomedical Research Center, 6400 Perkins Road, Baton Rouge, Louisiana 70808. E-mail: harrisrb{at}mhs.pbrc.edu
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Abstract
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Genetically obese C57Bl/6J-m db/db mice were parabiosed
with either lean male db/+ or obese female ob/ob mice. Male db/db mice
had lower serum leptin than females, and this was reflected in the
amount of protein that crossed the parabiotic union into their
partners. Eighteen days post operation, ob/ob partners of db/db mice
had increased body temperature, lost 50% body weight and 60% body
fat, but maintained carcass protein. The db/+ partners of db/db mice
had a normal gut content and (by implication) food intake, did not
raise their body temperature, but lost significant amounts of both lean
and fat tissue during 25 days of parabiosis. The differences between
the db/+ and ob/ob partners of db/db mice may be caused by leptin
inhibiting growth of male mice, but not of female mice that are on a
slower growth curve, or by the excess lipid in ob/ob mice sparing body
protein. The db/db partners of ob/ob mice lost a small amount of body
fat, but carcass protein was increased by 30%, compared with their
controls. These results imply that leptin stimulated release of a
circulating growth factor, possibly through activation of the long-form
leptin receptor, in ob/ob partners of db/db mice.
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Introduction
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THE PARABIOTIC preparation has been used to
demonstrate the involvement of circulating factors or hormones in the
regulation of physiological systems (1). An early parabiosis experiment
found that ob/ob partners of db/db mice experienced rapid weight loss,
ate little food, became hypoglycemic, and died within 26 days of
parabiosis surgery (2). Similar responses were reported for normal,
lean mice parabiosed to db/db mice (3), and it was concluded that both
lean and ob/ob mice had normal satiety centers that were responsive to
a satiety factor produced by db/db mice. The similarity of the obesity
syndromes observed in the ob/ob and db/db genotypes also led to the
conclusion that the two different genes influenced the same satiety
mechanism: ob/ob mice had a normal satiety center but were unable to
produce the humoral satiety signal, whereas db/db mice produced the
signal but had a defective satiety center (2). In 1994, Zhang et
al. (4) identified the mutated protein, leptin, in ob/ob mice,
which is assumed to be the circulating satiety signal. Since the
identification of this protein, many studies have demonstrated that
leptin suppresses food intake of ob/ob, but not db/db mice (5, 6).
Leptin has additional physiological activities, including activation of
the sympathetic nervous system (7), regulation of reproductive function
(8, 9), and activation of the immune system (10, 11, 12).
We have previously shown that leptin does exchange between parabiosed
mice, although the half-life of leptin and the rate of blood exchange
between parabiotics are such that a concentration gradient is
maintained when one animal in a pair has high circulating
concentrations of the protein and the other partner has none (13). We
confirmed previous observations (2) that ob/ob partners of lean mice
reduce their food intake, serum glucose, and insulin, and lose weight.
However, we also found that lean partners of ob/ob mice lost a
significant amount of body fat. Loss of fat is usually associated with
a reduction in leptin expression (14); but in the parabiosis
preparation, serum leptin concentrations and adipose leptin expression
in the lean partners of ob/ob mice were maintained despite a 30%
reduction in body fat content. These observations led to the conclusion
that ob/ob mice produced another circulating factor, or factors,
responsible for the inappropriate stimulation of leptin expression
(15).
The objective of experiments described here was to examine the effects
of parabiosis between db/db and ob/ob or lean mice on body composition
and serum hormones of the mice. In Colemans study, body weight, serum
glucose, and insulin were measured; but body composition was not
determined (2). Our results confirm that ob/ob partners of db/db mice
experience a rapid weight loss (2), which is exclusively body fat in
ob/ob mice, whereas lean partners of db/db mice lose a combination of
fat and lean tissue. The results also suggest that leptin-infused ob/ob
mice produce a circulating factor that promotes growth of lean body
mass in the db/db parabiont.
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Materials and Methods
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Two experiments were completed. The first paired female db/db
and ob/ob mice, and the second paired male db/db and db/+ mice. The
limited availability of db/db mice from the breeding colony, together
with the high mortality rate of parabiosed obese mice, made it
unfeasible to include both sexes in both experiments.
Exp 1: Parabiosis between db/db and ob/ob female mice
Seven-week-old female C57Bl/6J-m db/db mice were
obtained from a breeding colony maintained at the Pennington Biomedical
Research Center and derived from breeding pairs supplied by Dr. Gary
Truett. Seven-week-old female C57Bl/6J ob/ob mice were purchased from
Jackson Laboratories (Bar Harbor, ME). The mice were housed in shoe-box
cages with free access to chow (Purina mouse chow 5015: Purina Mills,
St. Louis, MO) and water, in a room maintained at 80 F with the lights
on 12 h/day from 1100 h.
Body weights were recorded for 1 week and then mice matched into pairs.
Members of pairs containing two obese mice of the same genotype were
matched for body weight. The mice were joined surgically by parabiosis,
as described previously (13). The total number of pairs made and the
fate of those pairs are described in Table 1
. Disharmony, which represents an
immunological intolerance between partners, occurred within 11 days of
surgery. Many of the obese mice were unable to maintain body
temperature and died of hypothermia during the study. Experimental
pairs were housed two per cage, body weights were recorded daily, and
blood exchange was determined 15 days post operation on all surviving
pairs, as described previously (13). The rate of blood exchange ranged
from 1.04.0% of each animals blood volume exchanging in every
minute, consistent with values reported previously for mice and rats
(15, 16). Rectal temperatures of the mice were recorded every 2 days
for the first 2 weeks after surgery and then once per week. The pairs
were maintained for 18 days after surgery. All animal procedures were
approved by the Pennington Biomedical Research Center Institutional
Animal Care and Use Committee.
Mice were decapitated toward the end of the dark period, between 0700
and 1000 h. Trunk blood was collected from each mouse for
measurement of serum insulin (Rat RIA; Linco Research Inc., St.
Louis, MO), glucose (Diagnostics kit 510; Sigma Chemical Co., St. Louis, MO), corticosterone (RIA kit; ICN Biomedicals, Inc., Costa Mesa, CA), leptin (Mouse RIA; Linco
Research Inc., St. Louis, MO), and tumor necrosis factor-
(TNF
) (Mouse TNF
Quantikine kit; R&D Systems, Minneapolis,
MN). The two carcasses were separated; organs were dissected, weighed,
and returned to the carcass. The gastrointestinal tract was weighed,
cleaned, reweighed, and returned to the carcass. Gut content was used
as an index of food intake. Carcass composition of each member of a
pair was determined as described previously (17).
Statistically significant differences between body weights and rectal
temperatures of pairs in different treatment groups were determined by
repeated-measures ANOVA and post hoc Duncans
multiple-range test (P < 0.05). Differences in body
composition and serum hormones were determined by two-way ANOVA, with
genotype and genotype of partner as independent variables and pair
number as a covariate, and post hoc Duncans multiple-range
test at P < 0.05 (Statistica; StatSoft, Tulsa,
OK).
Exp 2: Parabiosis between db/db and db/+ male mice
Seven-week-old male C57Bl/6J-m db/db and db/+ mice
were obtained from a breeding colony maintained at the Pennington
Biomedical Research Center. The db/+ mice were identified by coat
color, given that wild-type mice had a misty coat. They were housed as
described above, and mice were joined in parabiotic pairs after 1 week.
Members of pairs containing two obese or two lean mice were matched for
body weight. The total number of pairs made and the fate of those pairs
are described in Table 1
. Experimental design was exactly as described
for Exp 1, except that the mice were maintained for 25 days after
surgery.
The initial statistical analysis was as described above; however, ANOVA
failed to detect differences between db/+ partners of db/db mice and
their controls, because of the large variance contributed by db/db
mice. Therefore, statistically significant differences in body
composition and serum hormone concentration between groups of male db/+
mice or groups of male db/db mice were determined by unpaired
Students t test (P < 0.05).
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Results
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Exp 1
The daily body weights and rectal temperatures of parabiosed
female mice (ob/ob-db/db) are shown in Fig. 1
. Control pairs of ob/ob-ob/ob mice and
db/db-db/db mice maintained weight, whereas ob/ob-db/db pairs lost
weight continuously during the postoperative period. One-way ANOVA with
repeated measures (day) showed no effect of treatment group on body
weight but a significant effect of day (P < 0.0001)
and a significant interaction between treatment and day
(P < 0.0001). The ob/ob-db/db pairs weighed
significantly less than the ob/ob pairs by postoperative day 8, and
less than db/db pairs by postoperative day 11. Statistical analysis of
rectal temperature showed a significant effect of genotype
(P < 0.03), partner (P < 0.004), and
interactions of genotype x partner, partner x day, and partner x
day x genotype (P < 0.0001). All of the obese mice had
low rectal temperatures (approximately 35.5 C) during the week after
surgery; but by the end of the experiment, the temperatures of ob/ob
partners of db/db mice were significantly increased. Many of the pairs
that included obese mice died from hypothermia. The physiological basis
of impaired thermoregulation in the db/db mice is not clear but was
probably associated with the stressful aspects of surgery and
parabiosis. Organ weights of the mice are shown in Table 2
. ob/ob partners of db/db mice were
significantly smaller than their controls. A large portion of the
weight difference was caused by a reduction in body fat, with all fat
pads, including intrascapular brown adipose tissue (IBAT), responding
equally on a relative basis. In addition to loss of fat, there were
significant reductions in the weights of liver, pancreas, and spleen.
There was little effect of parabiosis to ob/ob mice on organ weights of
db/db mice; the only statistically significant effect was a reduction
in IBAT. There were many significant genotype effects and interactions
with treatment (parabiotic partner) on body composition, as summarized
in Table 3
. In ob/ob mice, parabiosis to
db/db mice caused a significant reduction in carcass weight, fat, ash,
and water but had no significant effect on protein. In contrast,
parabiosis of a db/db mouse to an ob/ob mouse caused a small, but
significant, reduction in carcass fat and a significant (30%) increase
in carcass protein. We have previously demonstrated that carcass gut
content is a good indicator of food intake during the previous 24
h in both ob/ob and lean mice (13). Based on this association,
parabiosis between an ob/ob and a db/db mouse caused a substantial
reduction in intake of the ob/ob mouse but had no effect on the intake
of the db/db parabiont.

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Figure 1. Daily body weights (A) and rectal temperatures (B)
of female ob/ob and db/db mice in parabiosis. Data are means with
SEM marked on every 3rd day for body weights, and every day
for rectal temperatures. Asterisks in panel A indicate
days on which the weight of ob/ob-db/db pairs were significantly lower
than those of either of the two control groups.
Asterisks in panel B indicate days on which temperatures
of ob/ob partners of db/db mice were significantly higher than those of
other mice. Significant differences were determined by two-way
repeated-measures ANOVA, with pair number as a covariant, and
post hoc Duncans multiple-range test at
P < 0.05.
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Serum hormones from members of female parabiotic pairs are shown in
Table 4
. The leptin RIA kit was not
specific, because it detected the same level of leptin in members of
ob/ob-ob/ob pairs as in db/+-db/+ pairs (see Table 7
). However,
assuming the values to be relative rather than absolute, db/db mice had
excessive levels of serum leptin that exchanged inefficiently across
the parabiotic union, so that a concentration gradient remained between
the two parabionts. Female db/db mice had higher leptin concentrations
than males (see Table 7
), and this resulted in ob/ob partners of db/db
mice having 3-fold higher leptin levels than db/+ partners of db/db
mice. ob/ob mice that received leptin from the db/db mice had
significantly reduced serum glucose and insulin but elevated
corticosterone concentrations. All of the obese mice had elevated serum
concentrations of TNF
.
Exp 2
The body weights and rectal temperatures of db/db-db/+ male
parabiotics are shown in Fig. 2
. There
was a significant (P < 0.0001) effect of treatment
group, day, and interaction between treatment and day, on body weights
of the mice. All treatment groups were significantly different from one
another on every day of the study. There was a significant effect of
genotype (P < 0.0001) and partner (P
< 0.005) on rectal temperature but no effect of day and no significant
interactions. Parabiosis to a db/+ mouse moderated the hypothermia of
db/db mice. The weights of organs from db/db-db/+ male pairs after 25
days of parabiosis are shown in Table 5
,
and body composition is shown in Table 6
.
Although the data were initially analyzed by two-way ANOVA, the large
variance contributed by db/db mice prevented detection of differences
between db/+ partners of db/db mice and their controls. Therefore,
statistically significant differences between groups of male db/+ mice
or groups of male db/db mice were determined by unpaired Students
t test (P < 0.05) and are marked by
superscripts in the tables. Parabiosis of a db/+ mouse to a
db/db partner caused significant reductions in the weights of the
carcass, liver, spleen, kidneys, white fat depots, IBAT, and femur, and
reduced femur density. These changes were reflected as significant
reductions in carcass fat, lean tissue, and ash, although gut content,
and (by implication) food intake, were not significantly changed. In
contrast, parabiosis of a db/db mouse to a db/+ animal inhibited some
of the weight loss experienced by members of db/db-db/db pairs and
caused a significant increase in liver weight and femur length. The
only significant changes in carcass composition were small increases in
carcass water and a 30% increase in gut content, implying increased
food intake.

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Figure 2. Daily body weights (A) and rectal temperatures (B)
of male db/db and db/+ mice in parabiosis. Data are means with
SEM marked on every 3rd day for body weights, and every day
for rectal temperatures. Repeated-measures ANOVA indicated that the
weights of each treatment group were significantly different on every
day of the experiment. ANOVA also showed that temperatures of db/+ mice
were higher than those of db/db mice and that db/db partners of db/+
had higher temperatures than members of db/db-db/db pairs.
Asterisks indicate days on which temperatures of members
of db/db-db/+ pairs were different from those of their respective
controls, determined by Duncans multiple-range test
(P < 0.05).
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Serum hormones from members of male parabiotic pairs are shown in Table 7
. db/+ partners of db/db mice had
significantly reduced serum glucose and insulin but elevated
corticosterone concentrations, compared with their controls. The db/+
partners of db/db mice also had elevated serum concentrations of
TNF
, compared with members of db/+-db/+ pairs.
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Discussion
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The results of Exp 1, in which db/db mice were parabiosed to ob/ob
mice, confirm the previous report by Coleman that ob/ob partners of
db/db mice experienced rapid weight loss, ate little food, and became
hypoglycemic (2). This study was ended after only 18 days of
parabiosis, during which time the weight of the ob/ob mice was halved
and body fat was reduced by 60%. Despite this extreme rate of fat
catabolism, lean tissue of the ob/ob mice was maintained, demonstrating
a tissue-specific energy mobilization. The loss of fat in ob/ob
partners of db/db mice was associated with a substantial reduction of
food intake, based on carcass gut content. In contrast, db/+ partners
of db/db mice in Exp 2 seemed to have maintained their food intake but
still experienced a halving of body fat content. Although it is
possible that there are phenotype differences in gut emptying, which
would explain why fat is lost without a substantial change in food
intake, we have previously demonstrated that gut content is a good
index of the previous 24-h food intake of both ob/ob and lean mice
(13). The elevation of rectal temperature in ob/ob, but not db/+,
partners of db/db mice confirms previous observations that leptin
corrects hypothermia but does not induce hyperthermia in an animal that
maintains a normal body temperature (5, 18).
The failure of leptin to suppress food intake of db/+ partners of db/db
mice is consistent with the results of an experiment in which female
mice were infused from Alzet pump (18). Lean mice are transiently
sensitive to the hypophagic effects of leptin and recover food intake
within a few days of initiation of leptin administration. This recovery
of a normal food intake may represent development of resistance to
leptin, similar to that reported for obese humans and dietary obese
mice (19, 20). In lean mice, parabiosis to a db/db mouse resulted in a
significant reduction in carcass protein, as well as carcass fat,
compared with db/+-db/+ controls. This reduction in lean mass may have
resulted from either protein breakdown or a failure to deposit protein,
because the db/+-db/db parabionts were male and would have continued to
grow throughout the experimental period, whereas ob/ob-db/db pairs were
female and would have been on a slower growth curve than the male mice.
However, other differences between the two sets of mice in this
experiment may also account for the loss of protein from db/+ partners
of db/db mice. It is possible that the loss of lean tissue occurred
during the later stages of parabiosis in male mice, a period that would
have been missed in the shorter experiment with female obese mice.
Alternatively, the excessive amount of fat in ob/ob mice provided an
abundant source of energy that was not available in the lean mice and
may have protected lean tissue in ob/ob partners of db/db mice.
In vitro studies have shown that adipocytes exposed to
leptin for an extended period of time become insulin resistant (21),
whereas leptin has an insulin-like effect on glucose uptake by cultured
myotubes (22). If these tissue-specific responses are maintained
in vivo they would also contribute the exclusive loss of fat
from ob/ob partners of db/db mice. However, the loss of protein from
lean mice suggests that in vivo, tissue-specific responses
to leptin are modulated by the size of energy stores available in
different tissues. The extreme nature of the weight loss in parabiosed
ob/ob mice and the weight loss in db/+ mice that had maintained food
intake implied that negative energy balance in these animals was
exaggerated by a stimulation of energy expenditure. No measures of
energy expenditure were made in this study, but others have shown an
increase in metabolic rate after either peripheral (5) or central (23)
leptin administration.
The most surprising result from this study was the small, but
significant, decrease in carcass fat content and the 30% increase in
carcass protein content of db/db partners of ob/ob mice. In
vitro studies have shown that leptin promotes nutrient uptake by
muscle tissue and cells, having an insulin-like effect on glucose
uptake (24) and inhibiting insulins down-regulation of lipid
utilization (22). There is no information available on the effect of
leptin on muscle protein synthesis or turnover in vivo, but
it has been reported that leptin inhibits protein breakdown in cultured
C2C12 myoblasts (25). The results from this
study imply that leptin infusion into ob/ob mice leads to the release
of another circulating factor that is carried back to the db/db mouse
and promotes protein deposition. Because the genetic abnormality in
db/db mice causes a mutation of the intracellular portion of the
long-form leptin receptor, these animals have substantial amounts of
leptin and functional short-form leptin receptors (26). In contrast,
ob/ob mice have functional long- and short-form receptors but do not
have any leptin. Therefore, the results from this experiment suggest
that release of the second factor is mediated by the long-form leptin
receptor, because mutation of this receptor is the only difference that
remains between db/db mice and ob/ob mice infused with leptin. There
are various possible reasons as to why this response was not observed
in db/db partners of db/+ mice. Male db/db mice had more lean tissue
and less fat than the female mice, and this gender difference may have
masked any changes that occurred in partners of db/+ mice.
Alternatively, the release of the growth factor may be dependent on a
reproductive hormone that is present only in the female mice. However,
a more likely explanation is related to the enhanced responsiveness of
ob/ob mice to leptin. We have demonstrated not only that ob/ob mice are
much more responsive to leptin than lean mice but also that they do not
adapt to leptin administration and will continue to respond for as long
as leptin is administered (18). In this study, the ob/ob partners of
female db/db mice received large quantities of leptin and would have
produced relatively large amounts of the factor that influenced lean
tissue in their db/db partners. In the lean partners of db/db mice, not
only was less leptin crossing the parabiotic union, but the lean mice
may have down-regulated peripheral aspects of their response to leptin
in addition to becoming resistant to the satiating effects of leptin.
Although db/db partners of db/+ did not gain lean tissue, compared with
their controls, they did maintain a slightly higher body temperature,
seemed to eat more, and lost less weight than members of db/db-db/db
pairs, indicative of beneficial aspects of parabiosis to a lean mouse.
We did not attempt to identify the factor in this study, but others
have reported that GH secretion can be modulated by leptin (27, 28) and
that there is a correlation between serum leptin and IGF-1
concentrations in very old men (29).
The measurements of serum hormones in the parabiosed mice demonstrate
that, as with humans (30), leptin is present at higher concentrations
in female than male db/db mice. The amount of leptin present in ob/ob
partners of female db/db mice was substantially greater than that in
db/+ partners of male db/db mice. It is impossible to determine from
this study whether the differences in concentration were totally
accounted for by the difference in serum leptin concentrations in male
and female db/db mice, or whether ob/ob mice have a reduced ability to
clear leptin from the circulation. The maintenance of a concentration
gradient in serum leptin for both types of pairs confirms our previous
observation that the 30-min half-life of leptin is too short to allow
equilibrium across the parabiotic union, because clearance rates exceed
the slow rate of blood exchange between partners (13). The infusion of
leptin into ob/ob partners of db/db mice caused a substantial drop in
serum insulin and glucose concentrations. Although it has been
demonstrated in vitro that leptin has a direct inhibitory
effect on pancreatic insulin secretion (31, 32), it is likely that
reduced food intake and weight loss contributed to the drop in both
insulin and glucose in the mice in this study. Leptin also caused a
significant elevation of corticosterone in both ob/ob and db/+ partners
of db/db mice, which may have been caused either by direct activation
of the hypothalamic-pituitary-adrenal axis by leptin or by stress
associated with parabiosis to db/db mice and the resulting changes in
physiology and metabolism.
In this experiment, serum TNF
was measured in the parabionts. This
cytokine is released both by adipose tissue and by macrophages and is
present at elevated concentrations in genetically obese mice (33). It
has been demonstrated that leptin promotes cytokine production by
murine peritoneal macrophages (10), and TNF
has been shown to
suppress food intake, increase thermogenesis, promote lipolysis, and
induce peripheral insulin resistance (34). Because all of these
activities would promote weight loss, TNF
was measured to determine
whether leptin stimulated release of this cytokine, which then
contributed to weight loss in parabiotic partners of db/db mice. The
results showed that TNF
was elevated in all obese parabionts,
including members of ob/ob-ob/ob pairs, making it unlikely that it
contributed to the weight loss in partners of db/db mice. TNF
concentrations were greatly increased in db/+ partners of db/db mice,
compared with members of db/+-db/+ pairs, but it was not possible to
determine whether the TNF
was transferred across the parabiotic
union from the db/db mouse or whether release was stimulated in the
db/+ parabiont by the leptin that was carried across the parabiotic
union.
In conclusion, these experiments confirm that the exchange of leptin
between parabiosed db/db and ob/ob mice inhibits food intake of ob/ob
mice and causes an extremely rapid loss of weight that is exclusively
adipose tissue. In contrast, db/+ partners of db/db mice maintain a
normal food intake but lose both fat and lean tissue, presumably
because of an increase in energy expenditure. The increase in carcass
protein content of db/db partners of ob/ob mice suggests that leptin
infusion into ob/ob mice causes release of a second factor that is
carried back into the db/db mouse, where it promotes muscle protein
synthesis or inhibits protein breakdown.
Received May 6, 1998.
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