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Departments of Neuroscience (Y.T., E.-K.K., G.V.R.), Pathology (J.N.T., M.L.P., F.P.K.), Psychiatry (T.H.M.), Neurology (G.V.R.), Biological Chemistry (F.P.K.), and Oncology (F.P.K.), The Johns Hopkins University School of Medicine, Baltimore, Maryland 21205
Address all correspondence and requests for reprints to: Dr. Gabriele V. Ronnett, Department of Neuroscience, 1006B Preclinical Teaching Building, The Johns Hopkins University School of Medicine, 725 North Wolfe Street, Baltimore, Maryland 21205. E-mail: gronnett{at}jhmi.edu.
| Abstract |
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| Introduction |
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C75, a compound designed as an inhibitor of fatty acid synthase (FAS), causes reduced food consumption and increased fatty acid oxidation in diet-induced obese (DIO) mice, leading to profound loss of adipose tissue (5). Studies performed by us and others have shown that the anorexigenic effects of C75 are mediated through alterations of hypothalamic neuropeptide expression (5, 6, 7, 8, 9). C75 reduces neuropeptide Y (NPY) and agouti-related protein (AGRP) expression in lean mice in acute treatment experiments (5, 6, 7). We and others have also shown that C75 affects hypothalamic neuropeptide expression in lean and obese (ob/ob) mice in acute treatment experiments (9) and in lean, obese (ob/ob), and DIO mice in multiple-day treatment experiments (5, 8). Moreover, the central effect of C75 on the expression of hypothalamic neuropeptides is probably mediated through C75 modulation of neuronal ATP levels and ensuing alterations in AMP-activated protein kinase phosphorylation and activity (10). The increased fatty acid oxidation noted both in vitro and in vivo has been shown to be due at least in part to direct C75 stimulation of carnitine palmitoyltransferase-1 (CPT-1), the pace-setting enzyme of mitochondrial fatty acid oxidation (11, 12).
In addition to affecting hypothalamic neuropeptide expression, C75 could potentially alter the expression of genes involved in fatty acid metabolism due to its direct effects on fatty acid synthesis and oxidation. In this study we used a 2-wk chronic C75 treatment model suitable for both DIO and lean mice and examined the effects of C75 on body weight, food intake, and energy expenditure. We also quantified the expression of key genes involved in fatty acid metabolism in liver, white adipose tissue (WAT) and skeletal muscle along with hypothalamic neuropeptide expression.
Our results showed that the 2-wk C75 treatment was more efficacious in DIO mice than in lean mice, as evidenced by the increased weight loss, decreased food intake, and increased energy expenditure in DIO mice. In the hypothalamus of DIO mice, C75 treatment caused a marked anorexigenic neuropeptide profile, with reduction of orexigenic neuropeptide expression and increased anorexigenic neuropeptide expression. In WAT obtained from DIO mice, C75 treatment altered the expression of genes involved in fatty acid metabolism to favor fatty acid oxidation, without increasing the expression of peroxisome proliferator-activated receptor
(PPAR
). Uncoupling protein 2 (UCP2) expression was also increased in liver, WAT, and skeletal muscle of C75-treated DIO mice. Thus, in addition to direct effects on FAS and CPT-1 enzyme activity, C75 alters central and peripheral gene expression, which may lead to the profound reduction of adipose tissue in DIO mice.
| Materials and Methods |
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Six DIO and lean mice were treated with C75 or vehicle every other day. An additional cohort of six mice was pair-fed to amounts consumed by the C75-treated animals in the prior 24 h. Body weight and food intake were measured daily. After completion of the treatment course, animals were euthanized by CO2 inhalation 4 h after the final dose of C75. Tissues were harvested immediately for RNA extraction.
Whole animal calorimetry
Oxygen consumption (VO2) and carbon dioxide production (VCO2) were measured in up to four mice at a time for each treatment group with indirect calorimetry (Oxymax Equal Flow System, Columbus Instruments, Columbus, OH). Measurements of VO2 (milliliters per kilogram per hour) and VCO2 (milliliters per kilogram per hour) were performed and recorded every 15 min. The respiratory exchange ratio (RER) was calculated using Oxymax software (version 5.9) and is defined as the ratio of VCO2 to VO2 (13). Calorimetry data are presented for the last 24 h of the 2-wk treatment, before collection of tissues for gene expression analysis.
RNA preparation and RT
Hypothalamus, liver, WAT, and muscle of DIO and lean mice were harvested and immediately frozen in liquid nitrogen. Total RNA was isolated with TRIzol reagent (Invitrogen Life Technologies, Inc.), according to the manufacturers instructions. RNA was quantified spectrophotometrically, and its quality was checked by agarose gel electrophoresis. RNA samples were treated with deoxyribonuclease I (amplification grade; Invitrogen Life Technologies, Inc.) to remove genomic DNA contamination. First-strand cDNA was synthesized from 1 µg total RNA in a 20-µl reaction volume using the ThermoScript RT-PCR System (Invitrogen Life Technologies, Inc.), according to the manufacturers instructions.
Real-time RT-PCR
Real-time quantitative RT-PCR was performed in a 25-µl reaction volume containing 500 nM of each primer [250 nM for AGRP, proopiomelanocortin (POMC), the muscle isoform of CPT1, PPAR
, UCP2, and glyceraldehyde-3-phosphate dehydrogenase (GAPDH)], 12.5 µl 2x SYBR Green Supermix (Bio-Rad Laboratories, Hercules, CA), and 1 µl cDNA. Cycling conditions included an initial denaturation step at 95 C for 3 min, followed by 40 cycles of 95 C denaturation for 30 sec, 60 C (66 C for AGRP and POMC; 68 C for PPAR
) annealing for 30 sec, and 72 C extension for 30 sec. Amplification and detection were performed on an iCycler iQ Real-Time PCR Detection System (Bio-Rad Laboratories). A negative control reaction in the absence of template was also performed for each primer pair. After completion of the cycling process, samples were subjected to a melting curve analysis to confirm the amplification specificity. Gene-specific primer pairs were designed using Primer3 software (www-genome.wi.mit.edu/cgi-bin/primer/primer3_www.cgi/). The sequences of the primer pairs are listed in Table 1
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(
CT), where
CT = CT, target CT, gapdh and
(
CT) =
CT, treated
CT, control. To validate the real-time RT-PCR method used in this study, we compared the expression of key genes in fatty acid metabolic pathways in liver, WAT, and skeletal muscle in DIO mice treated with vehicle as a control to determine whether our PCR expression levels were in keeping with reported values. The relative mRNA level was normalized to the highest expressing tissue as 1.0.
Acetyl-coenzyme A (acetyl-CoA) carboxylase (ACC) isoforms, FAS, and malonyl-CoA decarboxylase (MCD), enzymes involved in fatty acid synthesis, and glycerol-3-phosphate acyltransferases (GPAT), were present in 2-fold abundance in both liver and WAT. The liver isoform of CPT-1 (L-CPT-1) was nearly 200-fold more abundant in liver (1.0522) than in muscle (0.0059). Conversely, the muscle isoform of CPT-1 was about 150-fold more abundant in muscle (0.9991) than in liver (0.0081), both in keeping with published reports (14, 15). As previously reported, L-CPT-1 was the predominant isoform in mouse WAT (16). PPAR
was most abundant in liver (1.0085 in liver, 0.0129 in WAT, and 0.0066 in muscle), with PPAR
expressed predominantly in WAT (1.0102 in WAT, 0.0210 in liver, and 0.0081 in muscle) as reported previously (17, 18). UCP2 was the most abundant UCP in WAT and liver (1.0034 in WAT, 0.2037 in liver, and 0.0181 in muscle), with UCP3 predominating in muscle (1.0080 in muscle, 0.0007 in liver, and 0.4112 in WAT) (19, 20). Taken together, the patterns of expression of these genes in DIO mice were consistent with published reports, which validates this method for studying gene expression level in C75-treated animals.
Statistical analysis
All data are presented as the mean ± SE[SCAP];m of six independent measures/treatments. Data were analyzed by two-tailed unpaired t tests or one-way ANOVA where applicable, using PRISM 3.0 (GraphPad, San Diego, CA).
| Results |
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C75 treatment caused a persistent increase in fatty acid oxidation in DIO mice
DIO and lean mice treated with a single dose of C75 have been shown to increase fatty acid oxidation (13). In this study we monitored DIO and lean mice for the final 24 h after 2 wk of C75 treatment in the calorimeter to compare the in vivo metabolism with the gene expression profiling. In C75-treated DIO mice, VO2 averaged 4064 ± 48 ml/kg·h compared with 2725 ± 36 ml/kg·h for the pair-fed group, which represented an overall increase of 49% (Fig. 2A
; P < 0.0001, by unpaired two-tailed t test). The RER was lower for C75-treated mice (0.84) than that for pair-fed mice (0.88; Fig. 2B
; P < 0.0001, by unpaired two-tailed t test), indicating increased oxidation of fatty acids by the C75-treated animals. Taken together, these data indicate that 2-wk C75 treatment increased energy expenditure as fatty acid oxidation. Moreover, C75 maintained the ability to reduce food intake and increase energy expenditure throughout the 2-wk treatment regimen.
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, were also down-regulated. The expression of UCP3, the UCP selectively expressed in muscle, was increased by about 50% (Fig. 3C
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and GPAT were down-regulated in WAT. In addition to promoting adipogenesis (17, 23), PPAR
is thought to enhance postprandial triglyceride storage in adipocytes (24). GPAT, in particular the mitochondrial isoform, is the initial enzymatic step in the synthesis of triglycerides (25). Reduced expression of PPAR
and GPAT would tend to reduce triglyceride accumulation in adipocytes. In addition, UCP2, also expressed in adipocytes, was 4-fold elevated compared with that in controls and 2-fold increased compared with that in pair-fed animals. Thus, in the adipocyte, C75 channels fatty acids away from storage by down-regulating PPAR
and GPAT while enhancing fatty acid oxidation and mitochondrial uncoupling. The expression of this phenotype in the setting of reduced food consumption is responsible for the rapid loss of adipose tissue mass in C75-treated DIO mice.
In liver and muscle from DIO mice, C75 dramatically increased UCP2 expression, also accounting for the increased mitochondrial uncoupling (Fig. 4
, B and C). Surprisingly, PPAR
, which is responsible for the up-regulation of genes involved in fatty acid oxidation, was down-regulated by C75. This suggests that the increased expression of enzymes responsible for hepatic fatty acid oxidation seen with C75 is mediated via a mechanism distinct from PPAR
.
Gene expression changes restricted to C75-treated lean mice
As in the DIO mice, most of the C75-associated changes in gene expression occurred in WAT (Fig. 5A
). Genes responsible for fatty acid synthesis, FAS and ACC
, were significantly reduced compared with those in pair-fed controls. PPAR
expression was down-regulated 3-fold compared with that in pair-fed animals. GPAT expression was also reduced compared with that in both vehicle controls and pair-fed groups.
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expression was also reduced nearly 2-fold compared with that in pair-fed mice. GPAT expression in C75-treated mice was similar to that in controls, but was reduced nearly 2-fold compared with that in the pair-fed group. Taken together, these data show that in lean animals, C75 did not enhance the expression of genes responsible for fatty acid oxidation. Instead, the combined reduction of de novo fatty acid synthesis and GPAT inhibition would probably lead to a net reduction of fatty acids available for triglyceride synthesis.
Alterations in hypothalamic neuropeptide expression in C75-treated DIO and lean mice
Similar to our studies of ob/ob and lean mice acutely treated with C75 (6), there was a reduction of NPY expression after 2 wk of C75 administration compared with that in pair-fed controls (Fig. 6A
). In addition, AGRP expression was comparably reduced. Expression of the anorexigenic neuropeptides, POMC and cocaine-amphetamine-related transcript (CART), were increased compared with that in pair-fed animals, with no significant changes in melanin-concentrating hormone (MCH) expression. This hypothalamic profile of reduced orexigenic neuropeptide/increased anorexigenic neuropeptide expression is consistent with the significantly reduced food intake during the 2-wk treatment. In contrast, the hypothalamic profile of the lean mice (Fig. 6B
) was notable for no changes in all three orexigenic neuropeptides, with significantly decreased expression of POMC and CART. This is in keeping with the similar food intake in C75-treated and control mice by the end of the 2-wk treatment.
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| Discussion |
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Both C75 treatment and pair-feeding dramatically impacted fatty acid metabolism gene expression in DIO mice. A set of genes showed expression changes common to both the C75-treated and pair-fed groups, consistent with a response to reduced food consumption. This group included dramatic reductions in the lipogenic genes, ACCß and FAS, in both liver and WAT. ACC carboxylates acetyl-CoA to produce malonyl-CoA, the primary substrate for FAS. In liver, the expression of L-CTP-1 and ACO was increased along with that of UCP3 in muscle, consistent with increased fatty acid oxidation. CPT-1 esterifies long-chain acyl-CoAs to carnitine, thus allowing their passage into the mitochondrion for fatty acid oxidation (11, 12); ACO is the rate-limiting enzyme of peroxisomal fatty acid oxidation (26). Although the primary function of UCP3 is unclear, it is up-regulated in muscle as a response to increased fatty acid oxidation (27). Collectively, these findings are consistent with a normal physiological response to food deprivation consisting of decreased lipogenesis and increased fatty acid oxidation.
There were a number of genes whose expression changes were restricted to the C75-treated DIO group, and these most commonly occurred in WAT. Many of these gene expression changes favored oxidation of fatty acid over its incorporation into structural lipids or triglyceride. ACCß was dramatically down-regulated by C75 along with GPAT, whereas L-CPT-1 expression was increased. By reducing ACCß expression, C75 may reduce malonyl-CoA production in the vicinity of L-CPT-1, thus increasing L-CPT-1 activity while concomitantly increasing L-CPT-1 expression. These changes would establish a permissive state for the entrance of fatty acid into the mitochondria for oxidation. GPAT is the initial committed step for fatty acid incorporation into structural lipids or triglycerides (25). C75 inhibition of GPAT expression would further promote fatty acid oxidation by routing fatty acids away from storage and toward transport by the CPT-1 system for oxidation. C75 thus promotes both the shunting of fatty acid to oxidation and the entry of fatty acid into the mitochondria in WAT.
C75 also increased the expression of UCP2 in WAT, liver, and muscle. In addition to promoting uncoupling of mitochondrial oxidative phosphorylation, UCP2 has a role in limiting free radical formation during fatty acid oxidation (28). Through its mitochondrial uncoupling, increased UCP2 expression could allow for increased fatty acid oxidation without the necessity of producing excess ATP.
C75 also affected the expression of both PPAR
and PPAR
. The PPARs are a group of three nuclear receptor isoforms, PPAR
, PPAR
, and PPAR
, encoded by different genes that regulate a variety of functions related to energy metabolism (29). PPAR
is mainly expressed in liver, whereas PPAR
is preferentially expressed in WAT. PPAR
has been shown to play a critical role in the regulation of cellular uptake, activation, and ß-oxidation of fatty acid (29). Activation of PPAR
directly up-regulates the transcription of both types of CPT-1 as well as ACO (30, 31, 32, 33). PPAR
serves as a key regulator of adipocyte differentiation and lipid storage (17, 34). In DIO mice, C75 reduced the expression of PPAR
in WAT, further promoting the reduction of lipid storage. In the liver, C75 reduced the expression of PPAR
despite the increased expression of both L-CPT-1 and ACO. These data suggest that the pattern of gene expression favoring fatty acid oxidation was not due to increased PPAR
activity, but was caused by an as yet undetermined mechanism. Accomplishing increased fatty acid oxidation without enhancing PPAR
expression could have a particular advantage to cardiac muscle. Increased PPAR
expression increases fatty acid transport beyond the capacity of increased fatty acid oxidation, leading to fatty acid deposition in cardiac muscle. This is thought to be the mechanism responsible for diabetic cardiomyopathy (35). Real-time RT-PCR measurements of cardiac muscle after 1 month of C75 treatment failed to show any increase in PPAR
expression (data not shown).
In the lean mice, there were no genes with expression changes common to both the C75 and pair-fed groups. A number of genes, however, showed expression changes restricted to C75 treatment. In response to C75, lipogenesis was reduced in WAT, as evidenced by decreased expression of ACC
and FAS. Although PPAR
expression was reduced, its significance is unknown, because it is not highly expressed in WAT. GPAT expression was reduced in WAT and also in liver along with PPAR
. Taken together, these changes indicate a C75-driven reduction in fatty acid synthesis, with a potential for increased fatty acid oxidation due to the reduction of GPAT expression.
Differences between the effects of C75 on DIO and lean mice might be due to different peripheral metabolisms. In DIO mice, C75 increased energy expenditure as fatty acid oxidation manifested as increased VO2 and reduced RER compared with those in pair-fed animals. These data indicate that energy expenditure in DIO mice was mainly from fatty acid oxidation. In lean mice, the diet was high in carbohydrates, consistent with the high RER levels. Although there was no significant increase in energy expenditure with C75, there was a modest reduction in RER compared with pair-fed animals, indicating increased oxidation of fatty acids over glucose. This is in keeping with the gene expression analysis showing that genes involved in fatty acid oxidation were only induced by C75 in DIO mice, not in lean mice. The combination of altered gene expression and the high fat diet in DIO mice is probably responsible for the metabolic differences between lean and DIO mice.
Studies have demonstrated fundamental differences in hypothalamic neuropeptide responses between DIO and lean rodents (36, 37, 38, 39, 40). Consistent with these models, C75 treatment had qualitatively different effects on hypothalamic neuropeptide expression in DIO and lean mice in this study. C75 dramatically inhibited orexigenic neuropeptides (NPY and AGRP) expression and induced anorexigenic neuropeptides (POMC and CART) expression in DIO mice. In lean mice, C75 decreased the expression of anorexigenic neuropeptides (POMC and CART) without changes in the expression of orexigenic neuropeptides (NPY and AGRP). Despite the difference in methodology and number of samples, the overall pattern of expression is similar to that in our prior study (5) and reflects the levels of food consumption. The DIO mice continued to exhibit reduced food intake during the entire duration of treatment, and they displayed a strongly anorexigenic neuropeptide profile. In contrast, by the conclusion of treatment, the lean mice were eating an amount nearly equivalent to controls, and they had a modestly orexigenic hypothalamic profile.
The results of our fatty acid metabolism gene expression analysis advance our understanding of the selectivity of C75 in reducing adipose tissue mass. Conceptually, the dramatic increase in fatty acid oxidation in C75-treated DIO mice would probably require more than competitive stimulation of CPT-1. The gene expression changes in WAT from C75-treated DIO mice increase the expression of enzymes responsible for both the transport of fatty acid into the mitochondria and the shunting of fatty acids away from anabolic pathways to oxidative catabolism. Moreover, the increase in UCP2 expression in liver, WAT, and muscle would allow for increased fatty acid oxidation by mitochondrial uncoupling without requiring superphysiological production of ATP and excessive free radical generation. Interestingly, additional studies have shown that the weight loss effect of C75 treatment persists for nearly 2 wk beyond cessation of therapy (data not shown), also supporting the importance of these gene expression changes for C75 weight maintenance. The exploration of the mechanism of action of C75 serves to further our understanding of the biological consequences of fatty acid synthesis inhibition and fatty acid oxidation stimulation in vivo.
| Acknowledgments |
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| Footnotes |
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First Published Online October 21, 2004
1 G.V.R. and F.P.K. contributed equally to this study. ![]()
Abbreviations: ACC, Acetyl-coenzyme A carboxylase; ACO, acyl-coenzyme A oxidase; AGRP, agouti-related protein; CART, cocaine-amphetamine-related transcript; CoA, coenzyme A; CPT-1, carnitine palmitoyltransferase-1; CT, threshold cycle; DIO, diet-induced obese; FAS, fatty acid synthase; GAPDH, glyceraldehyde-3-phosphate dehydrogenase; GPAT, glycerol-3-phosphate acyltransferase; L-CPT-1, liver isoform of carnitine palmitoyltransferase-1; MCD, malonyl-coenzyme A decarboxylase; MCH, melanin-concentrating hormone; NPY, neuropeptide Y; POMC, proopiomelanocortin; PPAR
, peroxisome proliferator-activated receptor
; RER, respiratory exchange ratio; UCP2, uncoupling protein 2; VCO2, carbon dioxide production; VO2, oxygen consumption; WAT, white adipose tissue.
Received July 28, 2004.
Accepted for publication October 12, 2004.
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