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Endocrinology, doi:10.1210/en.2006-0465
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Endocrinology Vol. 147, No. 9 4445-4453
Copyright © 2006 by The Endocrine Society

MyD88 Is a Key Mediator of Anorexia, But Not Weight Loss, Induced by Lipopolysaccharide and Interleukin-1ß

Kayoko Ogimoto, Marvin K. Harris, Jr. and Brent E. Wisse

Division of Metabolism, Endocrinology, and Nutrition, Harborview Medical Center, University of Washington, Seattle, Washington 98108

Address all correspondence and requests for reprints to: Brent E. Wisse, M.D., Harborview Medical Center, 325 Ninth Avenue, Box 359757, Seattle, Washington 98104-2499. E-mail: bewisse{at}u.washington.edu.


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Systemic inflammatory signals can disrupt the physiological regulation of energy balance, causing anorexia and weight loss. In the current studies, we investigated whether MyD88, the primary, but not exclusive, intracellular signal transduction pathway for Toll-like receptor 4 and IL-1 receptor I, is necessary for anorexia and weight loss to occur in response to stimuli that activate these key innate immune receptors. Our findings demonstrate that the absence of MyD88 signaling confers complete protection against anorexia induced by either lipopolysaccharide (LPS) (20 h food intake in MyD88–/– mice 5.4 ± 0.3 vs. 3.3 ± 0.4 g in MyD88+/+ control mice, P < 0.001) or IL-1ß (20 h food intake in MyD88–/– mice 4.9 ± 0.5 vs. 4.0 ± 0.3 g in MyD88+/+ control mice, P < 0.001). However, absent MyD88 signaling does not prevent these inflammatory mediators from causing weight loss (LPS, –0.4 ± 0.1 g; IL1ß, –0.1 ± 0.1 g, both P < 0.01 vs. vehicle-injected MyD88–/– mice, +0.4 ± 0.2 g). Furthermore, LPS-induced weight loss occurs in the absence of adipsia, fever, or hypothalamus-pituitary-adrenal axis activation in MyD88-deficient mice. In addition, the peripheral inflammatory response to LPS is surprisingly intact in mice lacking MyD88. Together, these observations indicate that LPS reduces food intake via a mechanism that is dissociated from its effect on peripheral cytokine production, and whereas the presence of circulating proinflammatory cytokines per se is insufficient to cause anorexia in the absence of MyD88 signaling, it may contribute to LPS-induced weight loss.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
UNDER PHYSIOLOGICAL CONDITIONS, energy balance is regulated by peripheral signals generated in proportion to body fat stores that act in the brain to adjust energy intake to match ongoing energy requirements over time (1, 2, 3). Through mechanisms that remain poorly understood, systemic inflammatory signals can disrupt neurocircuits responsible for energy homeostasis and cause profound anorexia and weight loss. These effects, in turn, increase the morbidity and mortality of a wide variety of acute and chronic disease states (4, 5, 6, 7, 8, 9, 10).

After the discovery of cytokines and the signal transduction pathways that mediate their cellular effects, mutant mouse models were generated to identify molecules that are necessary for inflammatory anorexia and weight loss. Among these is Toll-like receptor 4 (TLR4), a pattern recognition receptor involved in the host response to bacterial pathogens. Mice lacking TLR4 are resistant to anorexia caused by lipopolysaccharide (LPS), a major component of the Gram-negative bacterial cell wall (11) and a potent inducer of systemic inflammation. Similarly, IL-1 receptor I (IL1RI)-deficient mice resist negative energy balance induced by IL-1ß, a major proinflammatory cytokine (12). Both TLR4 and IL1RI share a common signal transduction pathway that uses the intracellular adaptor molecule MyD88 to rapidly elicit cellular inflammatory responses, including activation of the key transcription factor nuclear factor-{kappa}B (NF{kappa}B) (13, 14). In addition to the pathway involving MyD88, however, activation of either TLR4 or IL1RI can induce NF{kappa}B activation via MyD88-independent signaling pathways in some cells (15, 16).

To further clarify how inflammatory mediators affect energy balance, we investigated whether MyD88 signaling is necessary for anorexia and weight loss in response to stimuli that activate TLR4, IL1RI, or other inflammatory signal transduction pathways. Our findings demonstrate that although the absence of MyD88 signaling confers complete protection against anorexia induced by either LPS or IL1ß in mice, protection from weight loss is incomplete. In addition, our results show that the peripheral inflammatory response to LPS is surprisingly intact in mice lacking MyD88, suggesting that increased plasma levels of key cytokines, including several that do not signal through MyD88, are insufficient to cause anorexia in the absence of MyD88 signaling.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Animals
Studies were conducted using adult, male and female MyD88–/– mice and their wild-type (MyD88+/+) littermate controls (generously provided by Dr. R. Winn, Department of Surgery, University of Washington), which were backcrossed more than seven generations onto the C57BL/6 strain. All animals were housed individually in a temperature-controlled room (23 ± 2 C) and maintained on a 12-h light. 12-h dark cycle. All study protocols were approved by the Institutional Animal Care and Use Committee of the University of Washington (Seattle, WA) and were performed in accordance with the National Institutes of Health Guide for the Care and Use of Laboratory Animals. All animals were provided ad libitum access to water and pelleted rodent chow (Test Diet 5015; LabDiet Inc., Richmond, IN), except where otherwise indicated. All food intake studies were performed after a 4-h fast before the onset of the dark cycle.

Study protocols
Protocol 1: effect of ip administration of inflammatory mediators on food intake and body weight in MyD88-deficient mice.
On consecutive days, MyD88–/– mice (n = 8–12) and MyD88+/+ littermate controls (n = 8–12) received a single daily ip injection, vehicle (0.3 ml normal saline), on d 1 and 2, followed by LPS (50 ng/g ip, Escherichia coli serotype 055:B5, trichloroacetic acid precipitated, filtrated by gel chromatography and {gamma}-irradiated; Sigma, St. Louis, MO) on d 3. All ip injections were given 30 min before the onset of the dark cycle. Food was returned at dark cycle onset and cumulative food intake was measured at 2 and 4 h into the dark cycle and again at 20 h after ip injections. Body weight was measured both before and 20 h after ip injections. To study the response to IL-1ß or TNF{alpha}, an identical protocol was used, except that IL-1ß (10 ng/g ip; Upstate Biotechnology, Lake Placid, NY) or TNF{alpha} (65 ng/g ip; Chemicon, Temecula, CA) were substituted for LPS in separate groups of mutant and wild-type mice.

Protocol 2: effects of LPS on determinants of energy expenditure in MyD88-deficient mice.
One week after surgery to implant ip temperature transponders (Mini Mitter, Sun River, OR), MyD88–/– mice (n = 8) and MyD88+/+ littermate controls (n = 8) were placed individually into metabolic cages equipped for continuous, online measurements of food intake, water intake, core body temperature, ambulatory activity (determined using infrared activity sensors), and the rate of oxygen consumption (Columbus Instruments, Columbus, OH). During these studies, mice were maintained on a 12-h light, 12-h dark cycle (1800 h/0600 h) in a temperature- (25 C) and humidity-controlled environment and had ad libitum access to pulverized standard chow (Pico Rodent D5053M; Animal Specialties, Inc., Hubbard, OR) and water. Ambulatory activity was measured as frequency with which two adjacent infrared beams were broken by the animal’s movement (17). Food and water intake, body temperature, and locomotor activity were all continuously recorded over 24 h except during calibration and when animals were briefly removed at the end of the light cycle for body weight measurements and ip injections of vehicle or test compounds as described. All animals were adapted to the novel environment for 48 h before study. On d 1 and 2 after habituation, mice received an ip injection of vehicle (0.3 ml normal saline), whereas on d 3 they received LPS (50 ng/g ip).

Protocol 3: effects of LPS on serum corticosterone and cytokine concentrations and hypothalamic and splenic cytokine mRNA expression in MyD88-deficient and wild-type mice.
MyD88–/– mice and MyD88+/+ littermate controls were injected with either vehicle (0.3 ml normal saline ip) or LPS (50 ng/g ip) 30 min before the onset of the dark cycle. At either 6 or 12 h after injections, mice were killed by decapitation after brief exposure to inhaled CO2, creating a total of seven groups of animals, as follows: 1) 6 h/vehicle/wild-type (n = 7); 2) 6 h/ vehicle/MyD88–/– (n = 4); 3) 6 h/LPS/wild-type (n = 5); 4) 6 h/LPS/MyD88–/– (n = 4); 5) 12 h/vehicle/wild-type (n = 6); 6) 12 h/LPS/MyD88–/– (n = 5); and 7) 12 h/LPS/wild-type (n = 5).

Blood collection and tissue processing
Brains were removed and immediately frozen under crushed dry ice. Mediobasal hypothalamus was dissected and stored at –80 C before RNA extraction as previously described (18). Trunk blood was collected in chilled heparinized tubes, centrifuged, and plasma collected and frozen at –80 C. Plasma cytokine concentrations were measured using a mouse cytokine multiplex immunoassay (Linco Research Inc., St. Charles, MO). Plasma corticosterone concentrations were determined using a mouse corticosterone RIA assay (MP Biomedical, Orangeburg, NY).

Determination of cytokine mRNA levels by real-time PCR
Splenic and hypothalamic RNA extraction, quantification, and reverse transcription were performed as previously described (18). PCR was optimized for IL-1ß, TNF{alpha}, proopiomelanocortin (POMC), neuropeptide Y (NPY), agouti gene-related peptide (Agrp), and glyceraldehyde-3-phosphate dehydrogenase (GAPDH), using the following primer sequences: IL-1ß: forward, 5'-tacaaggagagacaagcaacgaca-3'; IL-1ß reverse, 5'-gatccacactctccagctgca-3'; TNF{alpha}: forward, 5'-catcttctcaaaactcgagtgacaa-3', TNF{alpha} reverse, 5'-tgggagtagataaggtacagccc-3'; NPY forward, 5'-accaggcagagatatggcaaga-3', NPY reverse, 5'-ggacattttctgtgctttctctcatta-3'; POMC forward, 5'-cgctcctactctatggagcactt-3', POMC reverse, 5'-tcacctaccagctccctcttg-3'; Agrp forward, 5'-agggcatcagaaggcctgaccagg-3', Agrp reverse, 5'-cattgaagaagcggcagtagcacgt-3'; GAPDH forward, 5'-aacgaccccttcattgac-3', GAPDH reverse, 5'-tccacgacatactcagcac-3' as previously described (18) using an ABI prism 7900HT (Applied Biosystems, Foster City, CA) and ABI SYBR Green PCR master mix (Applied Biosystems). PCR data were analyzed using the Sequence Detection System software (SDS version 2.2; Applied Biosystems). IL-1ß and TNF{alpha} mRNA expression levels were normalized to Gapdh mRNA content, and nontemplate controls were incorporated into each PCR run. Correct amplification of IL-1ß mRNA by PCR was verified by sequencing of the PCR product (data not shown).

Statistical methods
Comparisons between group mean values were performed by two-way ANOVA using within-subjects comparison for treatment effect and between-subjects comparisons for genotype effect, and the Tukey honestly significant difference (HSD) post hoc test for multiple comparisons. Statistical analyses were performed using Statistica software (version 4.1; StatSoft Inc., Tulsa, OK). The null hypothesis of no difference between groups was rejected at P < 0.05. All values are presented as the mean ± SEM.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Effect of ip LPS administration on food intake and body weight in MyD88-deficient mice
At baseline, MyD88–/– and MyD88+/+ littermate mice were comparable with respect to body weight [MyD88–/–, 21.4 ± 0.5 g; MyD88+/+, 22.1 ± 0.8 g, P = not significant (ns)] and daily food intake (MyD88–/–, 4.3 ± 0.1 g; MyD88+/+, 4.3 ± 0.1 g, P = ns). As expected, LPS administration (50 ng/g ip) profoundly reduced cumulative food intake in MyD88+/+ mice at 2 h (0.5 ± 0.1 g), 4 h (0.6 ± 0.05 g), and 20 h (3.3 ± 0.4 g) (Fig. 1AGo) relative to vehicle-injected MyD88+/+ mice (2 h, 1.5 ± 0.1 g; 4 h, 2.3 ± 0.1 g; and 20 h, 5.2 ± 0.2 g) (Fig. 1AGo, P < 0.001 vs. LPS-treated MyD88+/+ mice at all time points). In contrast, administration of LPS to MyD88–/– mice had no effect on food intake at any of these three time points (2 h, 1.3 ± 0.1 g; 4 h, 2.3 ± 0.1 g; and 20 h, 5.4 ± 0.3 g) relative to vehicle-injected MyD88–/– mice (2 h, 1.5 ± 0.1 g; 4 h, 2.3 ± 0.1 g; and 20 h, 5.4 ± 0.3 g) (Fig 1AGo). Surprisingly, despite complete protection from anorexia, LPS administration resulted in weight loss in both genotypes, although weight loss of MyD88–/– mice was significantly less (–0.4 ± 0.1 g, P < 0.01 vs. vehicle) than in MyD88+/+ controls (–1.4 ± 0.1 g, P < 0.001 vs. LPS-treated MyD88–/– mice). Vehicle injection was associated with modest weight gain independent of genotype (+0.4 ± 0.2 g in MyD88–/– and +0.4 ± 0.2 g in MyD88+/+ mice). For all outcome measures described above, the response to vehicle injection did not differ according to genotype (Fig. 1Go, A and B).


Figure 1
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FIG. 1. Effect of LPS on food intake and body weight in MyD88-deficient mice. Both graphs show the results of LPS administration (50 ng/g ip) or vehicle injection in MyD88-deficient mice and wild-type littermate controls; MyD88-deficient vehicle-injected (KO-VEH, white bars); wild-type vehicle-injected (WT-VEH, light gray bars); MyD88-deficient LPS-treated (KO-LPS, dark gray bars); and wild-type LPS-treated (WT-LPS, black bars) (n = 8–11 animals for each of the four groups). A, Cumulative food intake in grams at 2, 4, and 20 h. B, Change in body weight (grams) at 20 h. Data presented are means ± SEM. Statistical analysis by two-way ANOVA with Tukey’s HSD post hoc comparison. *, P < 0.001 relative to vehicle injection; #, P < 0.05 relative to KO-LPS group.

 
Effect of ip LPS administration on body temperature and energy expenditure in MyD88-deficient and wild-type control mice
To further characterize the impact of LPS on determinants of energy balance in MyD88-deficient mice, separate groups of mice were housed in computerized, metabolic cages. Continuous computerized monitoring of water intake revealed no effect of LPS (50 ng/g ip) on water consumption in MyD88–/– mice (88% of control at 20 h, P = ns), whereas water intake in MyD88+/+ animals was markedly reduced (58% of control at 20 h, P < 0.001, Fig. 2AGo). Consistent with the results of experiment 1, MyD88–/–mice demonstrated complete resistance to LPS-induced anorexia (Fig 2BGo), but, as in the first experiment, these animals nonetheless exhibited significant weight loss (–0.5 ± 0.1 g, P < 0.05). In MyD88–/– mice, LPS administration had no effect on body temperature relative to vehicle, whereas MyD88+/+ littermate controls exhibited the expected febrile response (maximum 1.2 C higher than control) that was sustained for a period of 4 h (Fig. 2CGo) to LPS. Relative to vehicle injection, LPS administration also failed to reduce ambulatory activity, as measured by cumulative laser beam breaks, in MyD88–/– mice (103% of control at 20 h, P = ns, Fig. 2EGo), whereas LPS-treated MyD88+/+ mice showed a pronounced reduction in ambulatory activity (60% of control at 20 h, P < 0.001, Fig. 2EGo). Similarly, cumulative oxygen consumption over 20 h was not altered by LPS treatment in MyD88–/– mice relative to vehicle injection (98% of control at 20 h, P = ns, Fig. 2DGo), whereas in MyD88+/+ littermates, LPS administration caused a significant reduction in oxygen consumption (87% of control at 20 h, P < 0.001, Fig. 2DGo) that was detected within 1 h of LPS administration and remained below rates in the other three groups for 10 consecutive hours. Thus, MyD88–/– mice are completely protected against LPS-induced fever, anorexia, adipsia, and reductions of both ambulatory activity and oxygen consumption but not against LPS-induced weight loss.


Figure 2
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FIG. 2. Effect of LPS on energy balance in MyD88-deficient mice. The four graphs show the results of LPS administration (50 ng/g ip) or vehicle (VEH) injection in MyD88-deficient (KO) mice and wild-type (WT) littermate controls; MyD88-deficient vehicle-injected (open circles); wild-type vehicle-injected (cross); MyD88-deficient LPS-treated (closed circles); and wild-type LPS-treated (black squares with cross) (n = 4 animals for each of the four groups). All injections were given 1 h before the dark cycle (shaded area). Time scale on x-axis indicates hours after ip injection of VEH or LPS. A, Cumulative water intake in milliliters. B, Cumulative food intake in grams. C, Continuous body temperature recordings in degrees Celsius. LPS induced significant, continuous increase in body temperature in wild-type rats over a 4-h period indicated by the black bar. D, Cumulative oxygen consumption in liters. E, Cumulative ambulatory activity measured by the number of sequential laser beam breaks in two dimensions. In graphs A, B, and D, data points for the LPS-treated wild-type mice (black squares with cross) are significantly lower than for all three other groups at all time points past 2 h (P < 0.001). Data presented are means ± SEM. Statistical analysis by two-way ANOVA with Tukey’s HSD post hoc comparison. For graph C, statistical significance vs. vehicle treated animals indicated by asterisk is P < 0.05.

 
Effect of ip LPS administration on plasma corticosterone concentration in MyD88-deficient mice
To evaluate the role of MyD88 signaling in the hypothalamus-pituitary-adrenal (HPA) axis activation induced by an inflammatory stimulus, trunk blood was collected from MyD88–/– mice and MyD88+/+ littermates 6 and 12 h after administration of LPS (50 ng/g ip) or vehicle. As previously demonstrated for food intake, body temperature and ambulatory activity, MyD88–/– mice were largely protected from LPS-induced activation of the HPA axis (Fig. 3Go). At 6 h after LPS administration, corticosterone levels were not significantly different in MyD88–/– mice (93 ± 33 ng/ml) relative to vehicle-injected animals (43 ± 15 ng/ml and 56 ± 24 ng/ml, respectively, for MyD88–/– and MyD88+/+ animals injected with vehicle; P = 0.1), whereas LPS-treated MyD88+/+ mice showed the expected, pronounced increase of circulating corticosterone levels (459 ± 120 ng/ml, P < 0.05 vs. all other groups). At 12 h after LPS administration, plasma corticosterone levels remained elevated in MyD88+/+ animals (106 ± 58 ng/ml), compared with MyD88–/–, LPS-treated mice (30 ± 11 ng/ml), and vehicle-injected wild-type animals (33 ± 21 ng/ml), although this difference was no longer statistically significant (P = 0.1 vs. both groups).


Figure 3
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FIG. 3. Effect of LPS on plasma corticosterone in MyD88-deficient mice. Four groups of mice were killed either 6 or 12 h after LPS administration (50 ng/g ip) or vehicle injection; MyD88-deficient vehicle-injected (KO/VEH, white bars); wild-type vehicle-injected (WT/VEH, light gray bars); MyD88-deficient LPS-treated (KO/LPS, dark gray bars); and wild-type LPS-treated (WT/LPS, black bars). No KO/VEH was included at 12 h (n = 4–7 animals for each of the groups at each time point). Data presented are means ± SEM. *, P < 0.05 relative to all other groups. Corticosterone was measured using a mouse-specific RIA. VO2, Oxygen consumption.

 
Effect of ip LPS administration on plasma cytokine concentration in MyD88-deficient mice
To further characterize the diverse effects of LPS administration in MyD88–/– and MyD88+/+ littermate control mice, we evaluated the plasma concentration of proinflammatory and antiinflammatory cytokines 6 and 12 h after administration of LPS (50 ng/g ip) or vehicle (Fig. 4Go). Despite the absence of MyD88 signaling, LPS induced markedly increased plasma levels of several key cytokines in MyD88–/– mice. For example, the plasma concentration of the proinflammatory cytokine IL-6 was increased at both 6 and 12 h to the same degree in MyD88+/+ and MyD88–/– mice, rising 30- to 50-fold above the IL-6 values measured in vehicle-injected MyD88+/+ mice. The plasma concentration of TNF{alpha} was also increased 6 h after LPS administration in MyD88–/– mice relative to vehicle-injected mice and remained elevated in MyD88–/– mice at 12 h, a time point at which the plasma TNF{alpha} concentration in the majority of LPS-treated MyD88+/+ mice was no longer detectable. Interestingly, a similar pattern of sustained (12 h) elevation of circulating cytokine concentrations after LPS administration in MyD88–/– mice was seen for the antiinflammatory cytokine IL-10 and the chemokine monocyte chemotactic protein (MCP)-1. Unlike for IL-6 and TNF{alpha}, however, plasma concentration of MCP-1 at 6 h was higher in LPS-treated MyD88+/+ animals than MyD88–/– mice, although MCP-1 values for both LPS-treated groups were greater than those in vehicle-injected mice. No effect of LPS on plasma values of IL-2, IL-4, and IL-15 was evident in either genotype, and whereas LPS-stimulated IL-1 and interferon-{gamma} values were 2- to 3-fold greater in MyD88+/+ mice than LPS-treated MyD88–/– mice and vehicle-injected groups, these differences failed to reach statistical significance.


Figure 4
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FIG. 4. Effect of LPS on the plasma cytokine response in MyD88-deficient mice. Groups of mice were killed either 6 h (A) or 12 h (B) after LPS administration (50 ng/g ip) or vehicle injection; MyD88-deficient vehicle-injected (KO/VEH, white bars); wild-type vehicle-injected (WT/VEH, light gray bars); MyD88-deficient LPS-treated (KO/LPS, dark gray bars); and wild-type LPS-treated (WT/LPS, black bars). Experimental groups are the same for all measured cytokines presented. Group labels are included on the top left panel at each time point. No KO/VEH was included at 12 h (n = 4–7 animals for each of the groups at each time point). Data presented are means ± SEM. *, P < 0.05 relative to all other groups; #, P < 0.05 relative to KO/LPS. Plasma cytokines were measured using a Linco mouse cytokine multiplex immunoassay.

 
Effect of ip LPS administration on splenic and hypothalamic cytokine mRNA expression and hypothalamic neuropeptide mRNA expression in MyD88-deficient mice
To further characterize the inflammatory response to LPS in MyD88-deficient mice, we measured levels of mRNA encoding IL-1ß and TNF{alpha} in both spleen and mediobasal hypothalamus of LPS-treated mutant and wild-type mice (Fig. 5Go). Among MyD88–/– mice, LPS failed to induce IL-1ß mRNA expression in either spleen or hypothalamus, whereas LPS injection increased IL-1ß mRNA expression by 4-fold in the spleen and 8-fold in the hypothalamus of MyD88+/+ animals. In contrast, the effect of LPS to increase splenic TNF{alpha} mRNA expression did not differ by genotype (Fig. 5AGo). Hypothalamic TNF{alpha} mRNA expression was also induced by LPS in MyD88–/– mice but to a lesser degree (3-fold) than was observed in MyD88+/+ mice (8-fold, P < 0.01, Fig. 5BGo). Reduced hypothalamic proinflammatory cytokine production could therefore contribute to protection against LPS-induced anorexia in mice lacking MyD88.


Figure 5
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FIG. 5. LPS-mediated cytokine mRNA expression in spleen and hypothalamus of MyD88-deficient mice. RNA was extracted from groups of mice killed 12 h after LPS administration (50 ng/g ip) or vehicle injection. The graphs demonstrate relative mRNA expression in splenocytes (A) and mediobasal hypothalamus (B) from wild-type vehicle-injected (WT/VEH, light gray bars), MyD88-deficient LPS-treated (KO/LPS, dark gray bars), and wild-type LPS-treated (WT/LPS, black bars) mice. Relative mRNA expression was determined by RT-PCR and is expressed in arbitrary units normalized to tissue GAPDH mRNA content (n = 4–7 animals for each of the groups at each time point). Data presented are means ± SEM. *, P < 0.05 relative to vehicle-injected wild-type mice; #, indicates P < 0.05 vs. both vehicle-injected and LPS-treated wild-type mice.

 
Evaluation of hypothalamic neuropeptide expression revealed that Agrp mRNA content was increased in MyD88–/– mice at 6 and 12 h after LPS treatment (150 and 200% of control values, respectively; both P < 0.05 vs. all other groups) relative to both LPS-treated knockout mice and vehicle-injected animals (Table 1Go). Hypothalamic NPY mRNA content was increased in LPS-treated MyD88–/– mice only at 6 h after LPS administration (150% of vehicle-injected MyD88–/– mice, P < 0.05). LPS-induced NPY mRNA content at 12 h and POMC mRNA expression at both time points were no different from vehicle-injected controls for both genotypes (Table 1Go).


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TABLE 1. LPS-induced hypothalamic neuropeptide mRNA expression. Neuropeptide

 
Effect of ip IL-1ß administration on food intake and body weight in MyD88-deficient and wild-type mice
To further define the role of MyD88 in the response to inflammation, we evaluated the effects of IL-1ß, a second MyD88-dependent inflammatory stimulus, on energy balance in MyD88-deficient mice and controls. As expected, IL-1ß administration (10 ng/g ip) decreased cumulative food intake in MyD88+/+ mice at 2 h (0.5 ± 0.1 g), 4 h (1.1 ± 0.1 g), and 20 h (4.0 ± 0.3 g) (Fig. 6AGo) relative to vehicle: 2 h (1.2 ± 0.1 g), 4 h (2.1 ± 0.1 g), and 20 h (4.6 ± 0.2 g) (Fig. 6AGo, P < 0.001 vs. IL-1ß-treated MyD88+/+ mice for all time points). In contrast, IL-1ß-administration had no effect on food intake in MyD88–/– mice at 2 h (1.1 ± 0.1 g), 4 h (2.2 ± 0.2 g), or 20 h (4.9 ± 0.5 g) (Fig. 6AGo) relative to vehicle-injected MyD88–/– mice: 2 h (1.0 ± 0.1 g), 4 h (2.0 ± 0.2 g), and 20 h (4.5 ± 0.4 g) (Fig. 6AGo). By comparison, despite complete protection from anorexia, IL-1ß-administration caused weight loss in MyD88–/– mice (–0.1 ± 0.1 g, P < 0.01 vs. vehicle-injected MyD88–/– mice, Fig. 6BGo), although this effect was attenuated, compared with weight loss caused by IL-1ß in MyD88+/+ littermate controls (–0.5 ± 0.1 g, P < 0.001 vs. IL-1ß-treated MyD88–/– mice). As in experiment 1, vehicle injection was associated with modest weight gain independent of genotype (+0.1 ± 0.1 g in MyD88–/– and +0.2 ± 0.1 g in MyD88+/+ mice). Thus, as for LPS, MyD88 deficiency confers complete protection from anorexia, but not weight loss, induced by IL-1ß.


Figure 6
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FIG. 6. Effect of IL-1ß on food intake and body weight in MyD88-deficient mice. Both graphs show the results of IL-1ß administration (10 ng/g ip) or vehicle injection in MyD88-deficient mice and wild-type littermate controls; MyD88-deficient vehicle-injected (KO-VEH, white bars); wild-type vehicle-injected (WT-VEH, light gray bars); MyD88-deficient IL1ß-treated (KO-IL-1b, dark gray bars); and wild-type IL1ß-treated (WT-IL1b, black bars) (n = 8 animals for each of the four groups). A, Cumulative food intake in grams at 2, 4, and 20 h. B, Change in body weight in grams at 20 h. Data presented are means ± SEM. Statistical analysis by two-way ANOVA with Tukey’s HSD post hoc comparison. *, P < 0.05 relative to vehicle injection; #, P < 0.05 relative to MyD88-deficient group.

 
Effect of ip TNF{alpha} administration on food intake and body weight in MyD88-deficient and wild-type mice
To assess the specificity with which MyD88 contributes to inflammatory anorexia, we evaluated the effects of TNF{alpha}, a MyD88-independent inflammatory stimulus, on energy balance in MyD88-deficient mice and controls. As expected, TNF{alpha} administration (65 ng/g ip) reduced cumulative food intake in MyD88+/+ mice at 2 h (0.5 ± 0.1 g), 4 h (1.1 ± 0.2 g), and 20 h (3.4 ± 0.3 g) (Fig. 7AGo) relative to vehicle-injected MyD88+/+ mice: 2 h (1.3 ± 0.1 g), 4 h (1.9 ± 0.1 g), and 20 h (4.7 ± 0.1 g) (Fig. 7AGo, P < 0.001 vs. TNF{alpha}-treated MyD88+/+ mice at all time points). Unlike the response to LPS or IL-1ß, however, TNF{alpha} administration reduced food intake comparably in MyD88–/– mice: 2 h (0.8 ± 0.1 g), 4 h (1.2 ± 0.1 g), and 20 h (3.4 ± 0.1 g) (Fig. 7AGo) relative to vehicle at 2 h (1.4 ± 0.1 g), 4 h (1.8 ± 0.1 g), and 20 h (4.5 ± 0.2 g) (Fig. 7AGo). Similarly, the weight-reducing effect of TNF{alpha} administration was comparable between MyD88+/+ (–0.4 ± 0.1 g) and MyD88–/– mice (–0.4 ± 0.1 g, Fig. 7BGo), whereas vehicle injection was associated with weight gain in both genotypes (+0.5 ± 0.1 g in MyD88–/– and +0.6 ± 0.1 g in MyD88+/+ mice). Thus, MyD88-deficient mice are fully sensitive to TNF{alpha}-induced anorexia and weight loss, consistent with the MyD88-independent signaling mechanisms that mediate the response to this cytokine.


Figure 7
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FIG. 7. Effect of TNF{alpha} on food intake and body weight in MyD88-deficient mice. Both graphs show the results of TNF{alpha} administration (65 ng/g ip) or vehicle injection in MyD88-deficient mice and wild-type littermate controls; MyD88-deficient vehicle-injected (KO-VEH, white bars); wild-type vehicle-injected (WT-VEH, light gray bars); MyD88-deficient TNF{alpha}-treated (KO-TNF-{alpha}, dark gray bars); and wild-type TNF{alpha}-treated (WT-TNF{alpha}, black bars) (n = 8 animals for each of the four groups). A, Cumulative food intake in grams at 2, 4, and 20 h. B, Change in body weight in grams at 20 h. Data presented are means ± SEM. Statistical analysis by two-way ANOVA with Tukey’s HSD post hoc comparison. *, P < 0.05 relative to vehicle injection.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The current studies were undertaken to clarify the role played by MyD88 signaling in the effects of LPS and IL-1ß on energy homeostasis. Our results demonstrate that in the absence of MyD88, neither LPS nor IL-1ß elicits a detectable anorexic response, and mice lacking MyD88 are similarly protected against fever, adipsia, reduced locomotor activity, and HPA axis activation in response to LPS. Whereas these findings therefore identify MyD88 is an essential mediator of these components of the sickness response to LPS, the effect of LPS and IL-1ß to induce weight loss was partially retained in mice lacking MyD88. Thus, although the extent of weight loss in MyD88–/– mice was far less than in MyD88+/+ controls, a component of LPS-induced weight loss involves a mechanism that is independent of anorexia, fever, or elevated glucocorticoids. Similarly, LPS-induced increases in the circulating concentration of various cytokines were largely intact in mice lacking MyD88, demonstrating that this protein is not required for a robust peripheral inflammatory response to LPS. Thus, LPS reduces food intake via a mechanism distinct from that responsible for the peripheral cytokine response. Together, these results suggest that although a marked increase in the level of circulating proinflammatory cytokines per se is insufficient to cause anorexia in the absence of MyD88 signaling, this response may contribute to LPS-induced weight loss.

Circulating cytokines are widely viewed as key mediators of inflammatory anorexia (19, 20, 21, 22), and based on evidence that the presence of cytokines in the central nervous system (CNS) is a prerequisite for inflammatory anorexia to occur (7, 23), several studies have sought to explain how peripheral cytokines enter the brain and affect neuronal pathways involved in food intake regulation (24, 25). However, blocking individual cytokine signaling pathways in the CNS has not proven effective in preventing inflammatory anorexia (12), presumably because of the wide variety of cytokines that are able to participate in this response. A logical extension of this model is that the protective effect of genetic deletion of TLR4 or IL1RI on LPS- or IL-1ß-induced anorexia, respectively, arises from blockade of the peripheral inflammatory response to these potent stimulators of cytokine production, rather than by interfering with the CNS response to anorexigenic cytokines. Consistent with this model is the observation that genetic deletion of IL1RI or IL-1 converting enzyme does not block peripheral LPS-mediated sickness, suggesting that TLR4-mediated stimulation of the cytokine cascade overwhelms the downstream protective effect of impaired IL-1ß signaling (12, 26).

Our finding that LPS stimulates circulating cytokines in MyD88–/– mice without causing anorexia challenges this view. Whereas the cytokine response to LPS in mutant animals is different from that in MyD88+/+ mice and may be missing critical inflammatory factors, the pronounced increases in several serum cytokines, including MyD88-independent, anorexia-causing mediators such as IL-6 and TNF{alpha}, suggest that MyD88 deficiency protects mice against LPS-induced anorexia by a mechanism other than impaired cytokine synthesis. Rather, MyD88-dependent signaling appears to play a vital role in the perception of inflammatory signals within the CNS.

Our finding that LPS triggers cytokine production in the absence of MyD88 signaling is compatible with previous work demonstrating that in inflammatory cells, LPS activates both MyD88-dependent and MyD88-independent signal transduction pathways (14). The latter pathway involves coupling between TLR4 and the Toll/IL-1 receptor domain-containing adaptor-inducing interferon-ß (TRIF) pathway, a second messenger system initially discovered as a mediator of interferon signaling (15). The TRIF pathway is capable of activating the transcription factor NF{kappa}B (27), albeit in a delayed fashion relative to MyD88-dependent signaling, consistent with our finding that LPS-induced plasma cytokine concentration elevations in mice lacking MyD88 appear to lag behind the response seen in animals with intact MyD88 signaling. One previous in vivo study has also documented that IL-18 production can occur in mice lacking MyD88 in response to LPS (28), and whereas an earlier study reported an attenuated peripheral cytokine response to LPS in MyD88-deficient mice (27), this assessment was based principally on data obtained from early time points and, unlike our study, did not measure the delayed plasma cytokine response in these mice. Thus, whereas diminished peripheral cytokine production may account for protection from inflammatory anorexia in MyD88–/– mice at early time points (2 and 4 h), the sustained protection from anorexia demonstrated at time points when circulating proinflammatory cytokines are stimulated by LPS suggests that other MyD88-dependent signals are critical to the transmission of inflammatory signals into the CNS.

Another finding of interest from our study was the absence of an LPS-induced increase in circulating corticosterone levels in mice lacking MyD88. Because this response originates within the brain, this finding supports our interpretation that MyD88-dependent signaling is required for the perception of inflammatory signals within the CNS of animals treated with LPS. In addition, it is possible that reduced plasma concentrations of corticosterone, a potent antiinflammatory hormone, may contribute to the prolonged time course of inflammatory cytokine expression exhibited by MyD88–/– mice.

Our finding that weight loss induced by LPS or IL-1ß can be dissociated from the feeding effects of these inflammatory mediators sheds new light on mechanisms whereby inflammatory mediators affect energy balance. Collectively, our findings indicate that although MyD88-dependent inflammatory effects including anorexia, adipsia, and fever, are important contributors to weight loss, MyD88-independent signals can induce weight loss even in the absence of other sickness characteristics. Furthermore, because water intake remained normal in LPS-treated MyD88-deficient mice, the possibility that weight loss was principally due to dehydration seems unlikely, although further work is need to determine whether weight loss induced by LPS or IL-1ß in mice lacking MyD88 is a consequence of reduced fat mass, lean mass, or free fluid. An interesting possibility is that this weight loss was caused by inflammatory cachexia, the specific wasting of lean tissue, and future studies examining skeletal muscle physiology in these animals are warranted to investigate this hypothesis.

As described for TLR4 above, IL-1ß signaling through IL1RI can also occur via a MyD88-independent mechanism, evidently via activation of phosphatidylinositol 3 kinase, an enzyme which can also activate NF{kappa}B signaling (16). Because NF{kappa}B activation is proposed to be a critical determinant of muscle wasting (29), it will be of interest to determine whether LPS and IL-1ß activate NF{kappa}B in skeletal muscle in mice lacking MyD88.

As expected, we found that the presence or absence of MyD88 signaling does not alter the ability of a pharmacological dose of TNF{alpha} to cause anorexia and weight loss. Thus, the inflammatory response to pharmacological administration of this cytokine overcame the protective effect conferred by deficiency of MyD88, at least where anorexia and weight loss are concerned. This conclusion has interesting implications for our finding that in MyD88-deficient animals, LPS administration increased TNF{alpha} mRNA expression in both the spleen and hypothalamus, and markedly increased circulating TNF{alpha} concentrations. How does the absence of MyD88 signaling protect against LPS-mediated anorexia, despite pronounced activation of TNF{alpha} signaling, if the anorexic response to exogenous TNF{alpha} is intact in this setting? One possibility is that ip TNF{alpha} administration triggers neural responses distinct from those generated by endogenous TNF{alpha} production from circulating cells, e.g. activation of vagal afferent fibers. Alternatively, the ability of exogenous TNF{alpha} to cause anorexia in our study may reflect a pharmacological effect that is not recapitulated by more physiological increases of TNF{alpha} induced by LPS. A third possibility is that the delayed time course of endogenous TNF{alpha} production in MyD88-deficient animals may block the anorexic response.

In conclusion, we report that anorexia can be dissociated from weight loss in an acute model of inflammatory sickness and that the absence of MyD88 signaling protects against LPS-induced anorexia, even when known anorexia-inducing inflammatory cytokines are present in the circulation. These findings imply a key role for MyD88 signaling in the CNS as a mediator of changes of body weight and appetite related to inflammatory conditions, a concept that may lead to novel therapies for patients with inflammatory anorexia and wasting illness.


    Acknowledgments
 
We are grateful to H. Nguyen, I. David and A. Cubelo for their technical assistance.


    Footnotes
 
This work was supported by Grant DK61384 from the National Institutes of Health (to B.E.W.), Grant 03B051 from the American Institute of Cancer Research (to B.E.W.), Pilot and Feasibility Awards (P30DK035816) from the Clinical Nutrition and Research Unit, and the Diabetes Endocrinology Research Center (P30DK17047) at the University of Washington (to B.E.W.).

Disclosure summary: The authors have nothing to disclose.

First Published Online June 15, 2006

Abbreviations: Agrp, Agouti gene-related peptide; CNS, central nervous system; GAPDH, glyceraldehyde-3-phosphate dehydrogenase; HPA, hypothalamus-pituitary-adrenal; HSD, honestly significant difference; IL1RI, IL-1 receptor I; LPS, lipopolysaccharide; MCP, monocyte chemotactic protein; NF{kappa}B, nuclear factor-{kappa}B; NPY, neuropeptide Y; ns, not significant; POMC, proopiomelanocortin; TLR4, Toll-like receptor 4.

Received April 11, 2006.

Accepted for publication May 30, 2006.


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 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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