Abstract
Obesity is associated with increased ovarian inflammation and the establishment of leptin resistance. We presently investigated the role of impaired leptin signalling on transcriptional regulation in granulosa cells (GCs) collected from genetically obese mice. Furthermore, we characterised the association between ovarian leptin signalling, the activation of the NOD-like receptor protein 3 (NLRP3) inflammasome and macrophage infiltration in obese mice. After phenotype characterisation, ovaries were collected from distinct group of animals for protein and mRNA expression analysis: (i) mice subjected to a diet-induced obesity (DIO) protocol, where one group was fed a high-fat diet (HFD) and another a standard chow diet (CD) for durations of 4 or 16 weeks; (ii) mice genetically deficient in the long isoform of the leptin receptor (ObRb; db/db); (iii) mice genetically deficient in leptin (ob/ob); and (iv) mice rendered pharmacologically hyperleptinemic (LEPT). Next, GCs from antral follicles isolated from db/db and ob/ob mice were subjected to transcriptome analysis. Transcriptional analysis revealed opposing profiles in genes associated with steroidogenesis and prostaglandin action between the genetic models, despite the similarities in body weight. Furthermore, we observed no changes in the mRNA and protein levels of NLRP3 inflammasome components in the ovaries of db/db mice or in markers of M1 and M2 macrophage infiltration. This contrasted with the downregulation of NLRP3 inflammasome components and M1 markers in ob/ob and 16-wk HFD-fed mice. We concluded that leptin signalling regulates NLRP3 inflammasome activation and the expression of M1 markers in the ovaries of obese mice in an ObRb-dependent and ObRb-independent manner. Furthermore, we found no changes in the expression of leptin signalling and NLRP3 inflammasome genes in GCs from db/db and ob/ob mice, which was associated with no effects on macrophage infiltration genes, despite the dysregulation of genes associated with steroidogenesis in homozygous obese db/db. Our results suggest that: (i) the crosstalk between leptin signalling, NLRP3 inflammasome and macrophage infiltration takes place in ovarian components other than the GC compartment; and (ii) transcriptional changes in GCs from homozygous obese ob/ob mice suggest structural rearrangement and organisation, whereas in db/db mice the impairment in steroidogenesis and secretory activity.
Keywords: Leptin, Obesity, Ovary, Macrophage, NLRP3 inflammasome
Subject terms: Reproductive biology, Mechanisms of disease, Ovary, Experimental models of disease
Introduction
Obesity is recurrently associated with several comorbidities like diabetes, cardiovascular disease and dyslipidaemia1. Importantly, obesity also affects fertility2,3. Obese women present impaired ovulation, decreased oocyte quality and higher levels of embryonic arrest4. Overall, increased maternal body mass index (BMI) is a known risk factor for foetal death, stillbirth and perinatal and infant death5,6. At ovarian level, studies on granulosa cells (GCs) from obese women have shown increased mitochondrial damage, endoplasmic reticulum stress, and impaired steroidogenesis7. Ultimately, oocytes from obese mothers present higher levels of reactive oxygen species, oxidative stress, apoptosis, epigenetic changes, and telomere shortening8–10. Thus, obesity dramatically affects reproductive performance, particularly compromising oocyte quality.
Leptin is a main adipokine and its concentration rapidly increases in serum and follicular fluid of obese women11. Leptin is mostly known for its regulatory role on food intake and satiety12,13. At the ovarian level, leptin is known to control primordial follicle activation14,15, follicular growth and ovulation 16. Studies in mice lacking leptin (ob/ob) reported major perturbations in folliculogenesis, and prevalence of atretic follicles in the ovaries17. We have recently characterised the establishment of leptin resistance in the ovaries of diet-induced obese (DIO) mice18. The initial hyperactivation of leptin signalling after 4 weeks (wk) of high-fat diet (HFD) treatment contrasted with the failure in the activation of the isoform b of leptin receptor (ObRb) and the establishment of leptin resistance after 16 wk of HFD, a process mostly mediated by increased protein levels of the signalling inhibitor suppressor of cytokine signalling 3 (SOCS3)18. Therefore, obesity leads to dramatic changes in ovarian leptin signalling, with repercussions for folliculogenesis and ovarian function in general.
Mice lacking ObRb (db/db) and ob/ob mice have been largely used to study obesity and metabolic disorders19,20. Impaired leptin signalling in both models was shown to result in severe obesity, hyperphagia and compromised glucose metabolism21,22. Whereas ob/ob mice lack leptin production, db/db mice present systemic hyperleptinaemia in association with ObRb deficiency, which might result in noncanonical leptin signalling activation (ObRb-signalling independent). Importantly, the use of such models will elucidate how the dysregulation of different components of leptin signalling in the ovaries of obese mice might contribute to compromised folliculogenesis and oocyte quality23,24.
NOD-, LRR- and pyrin domain-containing protein 3 (NLRP3) is a large intracellular protein complex known to detect a broad range of endogenous (danger-associated molecular patterns, DAMPs) and environmental (pathogen-associated molecular patterns, PAMPs) signals, resulting in the formation and activation of the NLRP3 inflammasome. Apoptosis-associated speck-like protein containing a C-terminal caspase recruitment domain (ASC) is known to promote the interaction of NLRP3 with caspase-1 (CASP1) through an amino-terminal pyrin domain (PYD) and CARD domain25. Canonical NLRP3 inflammasome activation leads to the upregulation of pro-interleukin 1β (IL-1β) gene, through CASP1 activation and the release of the active proinflammatory cytokines IL-1β and IL-1826,27. Importantly, obesity has been associated with NLRP3 inflammasome activation28–30. Recent findings also revealed an important role of the NLRP3 inflammasome in follicular development in mice31. Hence, our recent work demonstrated the association between levels of ovarian leptin signalling and NLRP3 inflammasome activation in obese mice32. Nonetheless, the exact molecular mechanisms linking leptin signalling with NLRP3 inflammasome activation in the ovaries of obese mice, as well as the role of the aforementioned crosstalk on the modulation of inflammatory response, are yet to be fully understood.
Macrophages are key mediators of ovarian function33 and are known to present two main functional subtypes: the classically activated macrophages (M1), and the alternatively activated macrophages (M2). The M1 macrophages were shown to control folliculogenesis, ovulation and luteinisation34, whereas the M2 macrophages have been associated with vasculogenesis35, as well as profibrotic activity in advanced stages of ovarian cancer34,36. Importantly, previous studies have shown the macrophage infiltration of ovaries form obese mice37. Therefore, macrophage infiltration in the ovaries of obese mice might contribute to the pathophysiology of ovarian failure38. Importantly, the treatment of M1 human monocytes and macrophages with lipopolysaccharide (LPS) significantly induced the expression of NLRP3 and CASP139. Also, recent studies have revealed that leptin activates the NLRP3 inflammasome and promotes M1 polarisation via the NLRP3 inflammasome in vitro40. Thus, evidence shows the involvement of leptin not only on macrophage polarisation but also in NLRP3 inflammasome activation, highlighting the importance of the crosstalk between leptin signalling, NLRP3 inflammasome activation and macrophage infiltration for the pathophysiology of ovarian failure in obese mothers.
In the present work, we hypothesise that temporal fluctuations in ovarian leptin signalling throughout obesity affect the inflammatory response in the organ, through the modulation of NLRP3 inflammasome activity and macrophage infiltration. Furthermore, we used genetically obese mice, to interrogate whether transcriptional changes in GCs associated with distinctive perturbations of leptin signalling, affect the expression of genes regulating NLRP3 inflammasome and macrophage infiltration, in this particular cellular compartment. Thus, we firstly analysed and characterised the transcriptome of GCs collected from db/db and ob/ob mice. Subsequently, we characterised the expression of NLRP3 inflammasome components in whole ovary extracts from db/db mice, followed by the comparative analysis of M1 macrophage marker genes in ovarian extracts from mouse models for DIO, pharmacological hyperleptinemia, and the genetically obese db/db and ob/ob.
Materials and methods
Animals
The animal protocols were performed in the Animal Facility at the Institute of Animal Reproduction and Food Research, Polish Academy of Sciences in Olsztyn. Mice were housed at standard temperature (23 °C) and were maintained in ventilated rooms under a standard photoperiod (12-h L:12-h D cycle) and humidity (50 ± 10%) with unlimited access to food and water. The mice were sacrificed by cervical dislocation. All animal studies were approved by and performed in accordance with the guidelines of the Local Animal Care and Use Committee for the University of Warmia and Mazury, Olsztyn (Agreement no. 80/2015, 38/2018, 74/2018, 19/2020). Guidelines for animal experiments followed EU Directive 2010/63/EU. Furthermore, the study is reported in accordance with ARRIVE guidelines. Breeding pairs of C57BL/6J (B6), B6.BKS(D)-Leprdb/J (db/db) and B6.Cg-Lepob/J (ob/ob) mouse strains were purchased from Jackson Laboratories (Bar Harbor, ME). Offspring mice were weaned at 21 days and housed in groups of 3–5 in plastic cages with fresh and clean sawdust bedding. Animal welfare was monitored during all experiments. At 8 weeks of age, female B6 mice from the DIO group were randomly assigned to the chow diet (CD) group fed a diet containing 13% of calories provided by fat (#5053, Picolab Rodent diet 20) or the HFD group fed a diet providing 59% of calories from fat (AIN-76A, 33% hydrogenated coconut oil; LabDiet). Animals were maintained on the diet for 4 or 16 wk (n = 7/group). Female homozygous db/db mice functionally deficient for the long form leptin receptor (n = 6/group) and ob/ob mice functionally deficient for leptin (n = 6/group) were kept on the CD until 12 wk of age. Lean littermates of the mutants served as controls (CT). In the pharmacological hyperleptinaemia model (LEPT; n = 7/group), female B6 mice at 8 wk of age were intraperitoneally administered either saline (SAL) or leptin (Recombinant Mouse Leptin, GFM26, Cell Guidance Systems) twice a day at a total dosage of 100 µg (injected at 09:00 and 21:00).
Nuclear magnetic resonance
The body composition of the mice was analysed using a Bruker Minispec LF90 II (Bruker, Rheinstetten, Germany). The nuclear magnetic resonance (NMR) method is based on measurements with high contrast between tissues (fat, body free fluid, muscle)41. Measurements of the body weight (BW), fat mass (FM), lean mass (LM) and adiposity index (AI, fat mass/lean mass) were performed at 8, 12 and 24 wk of age for DIO mice; 8, 10, and 12 wk of age for db/db and ob/ob mouse models; and 8 and 10 wk of age for LEPT mice (Fig. 1A–D). For the measurements, the mice were inserted into plastic tubes, immobilised by a tight-fitting plunger and scanned for approximately 2 min.
Granulosa cell collection
Mouse ovaries were punctured with an insulin needle in M2 medium (M7167, Sigma–Aldrich) to release granulosa cell‒oocyte complexes from the antral follicles. Germinal vesicle stage oocytes were collected and denuded using size-specific glass needles and mouth pipettes. The released granulosa cells were collected into a tube, centrifuged (5 min, 600×g, 4 °C), washed with phosphate buffered saline (PBS) solution followed by centrifugation (5 min, 600×g, 4 °C) and resuspended in RLT buffer (1053393, Qiagen). The material was immediately frozen and stored at −80 °C until library preparation.
Tissue collection
Animals were sacrificed, and genitalia were collected. After gonadal fat removal and quick rinsing in PBS, ovaries were separated and placed in tubes filled with TRI Reagent (T9424, Sigma–Aldrich) or radioimmunoprecipitation assay (RIPA) buffer for further mRNA or protein isolation. Material was stored at −80 °C until the time of analysis.
Haematoxylin and eosin (HE) staining
For paraffin sections, slides were incubated at 65 °C for 20 min to melt paraffin, followed by dewaxing in the first xylene solution (520860119, POCH) for 20 min and the second xylene solution for 5 min. Next, slides were rehydrated through incubation in a series of alcohols: absolute alcohol (396420113, POCH), 90% ethanol (EtOH) and 70% ethanol for 5 min each. After air drying, slides were stained with Mayer’s Haematoxylin solution (MHS16, Sigma–Aldrich) for 3 min in a Coplin jar, followed by rinsing in cool running water for 2 min. Then, the slides were stained with eosin water-based solution (HT110216, Sigma–Aldrich) for 1 min and dipped in running water until eosin stopped streaking. The slides were then dipped in 70% EtOH, 90% EtOH, absolute alcohol and xylene and finally mounted using DPX mounting medium (06522, Sigma–Aldrich). The next day, images were captured using an Axio Observer Systems Z1 microscope (Carl Zeiss Microscopy GmbH, Hannover, Germany) and analysed using Zeiss ZEN 2.5 lite Microscope Software (Carl Zeiss, Germany).
Immunofluorescent staining
In order to study the histological distribution of the macrophage marker cluster for differentiation 68 (CD68)42, immunofluorescent staining (IF) was performed in ovarian samples from mice treated with CD and HFD. Ovaries were fixed in 4% neutral buffered formalin (NBF, 432173427, Poch, Gliwice, Poland) at 4 °C for 24 h, and subsequently dehydrated in ethanol. Next, paraffin embedded ovarian tissues were sectioned into 5 μm slices. Cuts were then heated to remove paraffin (59 ℃, 120 min) and immersed in xylene and serious of ethanol solutions to rehydrate the tissue. Subsequently, tissues were permeabilised in 0.3% Triton X-100 (T8787, Sigma Aldrich) and heated in citrate buffer (10 mM, pH 6.0, 90 ℃, 40 min) for antigen retrieval. Tissues were maintained in blocking solution (2% BSA in PBS with 0.1% Tween20, PBST) for 2 h at RT followed by incubation in primary monoclonal anti-CD68 antibody (1:100, #14-0681-82, Thermo Fisher) overnight at 4 °C. The negative control sections were incubated with anti-immunoglobulin G (IgG, #A-11077, Thermo Fisher). On the next day slides were washed in PBST, followed by incubation with Alexa Fluor 594 (1:200, A21209, Thermo Fisher), and a series of washes in PBST. Finally, slides were covered with a drop of Prolong Gold medium with diamidino-2-phenylindole (DAPI) and sealed under cover slips. Images were captured using 40×/1.2A or 63×/1.4A oil immersion objectives on a LSM800 confocal microscope (Carl Zeiss, Germany).
RNA isolation and cDNA synthesis
For mRNA extraction, ovaries were collected and placed in TRI reagent (T9424; Sigma–Aldrich) following the manufacturer’s instructions. Tissue was disrupted with a lancet, pipetted and incubated for 5 min at room temperature (RT). After centrifugation (9400×g, 15 min, 4 °C), the supernatants were collected and placed in fresh tubes, mixed with 100 µl of 1-bromo-3-chloropropane (BCP, BP151, Molecular Research Centre), and incubated for 10 min at RT. After centrifugation (13,500×g, 15 min, 4 °C), the aqueous phase was transferred to a fresh tube without disturbing the interphase and mixed with an equivalent volume of isopropanol. Samples were incubated for 1 h at −80 °C and centrifuged (20,000×g, 15 min, 4 °C). Subsequently, the samples were washed 3 times with 1 ml of 75% ethanol and incubated overnight at −80 ℃. The following day, samples were again centrifuged (20,000×g, 15 min, 4 °C), and after removing the supernatant, the RNA pellet was air-dried for 10 min and dissolved in 20 µl of RNase-free water (W4502, Sigma–Aldrich). RNA samples were stored at −80 ℃. The RNA quality and concentration were assessed with a NanoDrop. The ratio of the absorbance at wavelengths of 260 nm and 280 nm (A260/280) was analysed to confirm RNA quality and purity. A total of 2 µg of RNA was reverse transcribed using the Maxima First Strand cDNA Synthesis Kit for Real-Time Polymerase Chain Reaction (PCR) (K1642, Thermo Scientific) following the manufacturer’s instructions. The cDNA was then stored at − 20 °C for subsequent analysis.
Real-time polymerase chain reaction
Real-time PCR relative analysis was performed in a 7900 Real-time System (Applied Biosystems) using a default thermocycler program for all genes: a 10-min preincubation at 95 °C was followed by 45 cycles of incubation for 15 s at 95 °C and 1 min at 60 °C, followed by a dissociation step (15 s at 95 °C, 15 s at 60 °C, and 15 s at 95 °C) to ensure single product amplification. Ribosomal protein L37 (Rpl37) was used as a housekeeping gene to normalise the results. Both the target gene and the housekeeping gene were run simultaneously in each run. The primers for Nlrp3, Casp1, Il-1β, Il-18, Adhesion G Protein-Coupled Receptor E1 (Adgre1), Cd80 antigen (Cd80), and Mannose receptor, C type 1 (Mrc1) were designed using Primer Express 3.0 software (Applied Biosystems) based on gene sequences in GenBank (National Centre for Biotechnology Information, sequences presented in Table 1). The primers were synthesised by Sigma–Aldrich. All reactions were carried out in duplicate in 384-well plates (4309849; Applied Biosystems) in a total solution volume of 12 µl 43. Relative mRNA quantification data were analysed with the Real-time PCR Miner algorithm44.
Table 1.
Gene name | Gene symbol | GenBank accession no | Sequences 5′–3′ | Length (base pairs) |
---|---|---|---|---|
Adhesion G protein-coupled receptor E1 | Adgre1 (F4/80) | NM_010130.4 |
F: TCCTGCTGTGTCGTGCTGTT R: TGTAGGAATCCCGCAATGATG |
148 |
CD80 antigen | Cd80 | NM_009855.2 |
F: ACGACTCGCAACCACACCAT R: CTGCCCCAAAGAGCACAAGT |
130 |
Mannose receptor, C type 1 | Mrc1 (Cd206) | NM_008625.2 |
F: TGGCTTGGGCTACAGGAGAA R: CTGGTGTCGTGGGTGTGGTA |
177 |
NLR family pyrin domain containing 3 | Nlrp3 | NM_145827.4 |
F: TGGATGGGTTTGCTGGGATA R: TGCTTGGATGCTCCTTGACC |
190 |
Caspase 1 | Casp1 | NM_009807.2 |
F: CATGCCGTGGAGAGAAACAA R: GGTGTTGAAGAGCAGAAAGCAA |
151 |
Interleukin-1β | Il-1β | NM_008361.4 |
F: TTGACGGACCCCAAAAGATG R: GCTTCTCCACAGCCACAATGA |
144 |
Interleukin-18 | Il-18 | NM_008360.2 |
F: GAAGAAAATGGAGACCTGGAATCA R: TCTGGGGTTCACTGGCACTT |
157 |
Ribosomal protein L37 | Rpl37 | NM_026069.3 |
F:CTGGTCGGATGAGGCACCTA R: AAGAACTGGATGCTGCGACA |
108 |
Western blotting
The protein expression of NLRP3 was assessed by western blotting (n = 4–5/group). Ovaries were collected in RIPA supplemented with inhibitors and mechanically disrupted with a lancet. Then, lysates were incubated for 1 h on ice, mixing every 15 min. Subsequently, samples were centrifuged (20,000g, 4 ℃, 15 min) and the supernatant was collected and stored at −80 °C until the analysis was performed. The protein concentration was assessed using bicinchoninic acid assay (BCA, BCA1-1KT, Sigma Aldrich). A total of 20 μg of protein was loaded on 12% acrylamide gel, and after electrophoresis proteins were transferred to polyvinylidene difluoride (PVDF) membrane. Membranes were sectioned longitudinally in order to incubate each section with target and protein normaliser simultaneously. Next, membranes were blocked in 5% BSA (A2153, Sigma Aldrich) solution in PBST and incubated with mouse monoclonal anti- NLRP3 (1:1000, AG-20B-0014-C100, Adipogen), CASP1 (1:1000 ab108362, Abcam) and IL-18 (1:250 ab71495, Abcam) antibody solution overnight at 4 °C. Proteins were detected after incubation of the membranes with anti-mouse alkaline phosphatase-conjugated antibody (1:20,000, 31321, Thermo Scientific) for 2 h at RT. Immune complexes were visualised using the alkaline phosphatase or by enhanced chemiluminescence (ECL) substrate visualisation. Blots were scanned using the Molecular Imager VersaDoc MP 4000 System (BioRad, Hercules, California, USA) and specific bands quantified with ImageLab Software (BioRad). The results were normalised with β-actin (1:10,000, A2228, Sigma-Aldrich) or glyceraldehyde 3-phosphate dehydrogenase (GAPDH, 1:2500, ab9485, Abcam) run in the same membrane, as target protein.
RNA-seq library generation
GCs were collected in tubes with RLT buffer (1053393, Qiagen) and stored at −80 °C for further analysis. Afterwards, RNA sequencing (RNA-seq) libraries were generated as previously described, with minor changes. Magnetic beads with pre-annealed Smart-seq2 oligo-dT sequences (MyOne C1, Invitrogen) were used to capture mRNA. The beads were then diluted in 10 μl of reverse transcriptase mix (100 U, SuperScript II, Invitrogen; 10 U, RNAsin, Promega), 1× Superscript II First-Strand Buffer, 2.5 mM dithiothreitol (DTT, Invitrogen), 1 M betaine (Sigma–Aldrich), 9 mM magnesium chloride (MgCl2, Invitrogen), 1 μM Template-Switching Oligo (Exiqon), and 1 mM deoxyribonucleotide triphosphate (dNTP) mix (Roche) and incubated for 60 min at 42 °C, followed by 30 min at 50 °C and 10 min at 60 °C45,46. The amplification of the cDNA was performed after adding 11 μl of 2 × KAPA HiFi HotStart ReadyMix and 1 μl of 2 μM ISPCR primer (insert—Smart 2013, Full-length RNA-seq 2014) and incubating at 98 °C for 3 min, followed by nine cycles of 98 °C for 15 s, 67 °C for 20 s, 72 °C for 6 min and finally 72 °C for 5 min. cDNA was purified with AMPure beads (Beckman Coulter) and eluted into 20 μl of nuclease-free water (P1195; Promega). All libraries were prepared from 100 to 200 pg of cDNA using the Nextera XT Kit (Illumina) following the manufacturer’s instructions. The final cDNA libraries were pooled and sequenced on an Illumina NextSeq500 instrument in 75-base-pair (bp) single-read high output mode at the Babraham Institute Sequencing Facility.
Identification of differentially expressed genes
The quality of raw reads was evaluated by means of FASTQC (https://www.bioinformatics.babraham.ac.uk/projects/fastqc/). Low-quality reads and adapters were removed using cutadapt software (version 1.18)47. Then, reads were mapped to the mouse reference genome (GRCm39) using STAR software (version 2.7.10a)48. Afterwards, raw counts per gene were calculated using the feature Counts tool (version 2.0.1)49. The differentially expressed genes (DEGs) and corresponding P-adjusted values were determined by means of R statistical software (version 4.1.3) using the DESeq2 package (version 1.34.0)50. The threshold for significantly different expression was set at P-adjusted ≤ 0.05. Visual presentation of the results was performed in R software using the ggplot2 (version 3.3.6)51, Venn Diagram (version 1.7.3) and pheatmap (version 3.1.1)52 packages.
Functional enrichment analysis
Functional analysis of the DEGs was performed based on the Gene Ontology (GO) database using the clusterProfiler (version 4.2.2)53, DOSE (version 3.20.1)54, biomaRt (version 2.50.3)55 and org.Mm.eg.db (version 3.14.0)56) packages of R software, with the established criterion P-adjusted ≤ 0.05. The visual presentation of the results was prepared using R software with ggplot2.
Statistical analysis and data representation
Data were analysed using GraphPad Prism Software (Version 9.01, GraphPad Software, Inc.; La Jolla, CA, USA). One-way analysis of variance (ANOVA) was conducted when more than two groups were compared. The D’Agostino-Pearson omnibus normality test was performed followed by the nonparametric Mann‒Whitney test or multiple unpaired t tests with statistical significance determined using the Bonferroni-Sidak method, depending on the experiment. The statistical analysis of each experiment is presented in the figure legends. The error bars represent the standard error of the mean. Significance was defined as values of p < 0.05.
Results
Genetic and diet induced obesity, but not pharmacological hyperleptinemia, are associated with increased body weight and fat mass
To characterise the role of leptin in the modulation of NLRP3 inflammasome profile changes and subsequent macrophage activation in the ovary during obesity, we used two genetically obese db/db and ob/ob mice, DIO mice, and the leptin treated LEPT mice. The phenotype measurements were taken between 8 and 24 wks of age in comparison to the respective controls. The starting BWs of db/db and ob/ob mutants were approximately 40 g (g), whereas the remaining mice were approximately 20 g (Fig. 1A). As expected, both db/db and ob/ob mice were considerably fatter at 12 wk of age, with an average BW of 53 g for db/db mice and 49 g for ob/ob mice (Fig. 1A, p < 0.0001), whereas the HFD group weighted on average 33 g at 24 wk of age (Fig. 1A, p < 0.0001). Concerning the LEPT mice, BW decreased from 20 to 17 g on average between 8 and 10 wk of age (Fig. 1A, p < 0.05). The FM in db/db and ob/ob mice increased from 8 to 12 wk of age by approximately 11 g in both models, reaching a total of 32 g in db/db mice and 23 g in ob/ob mice greater than that in the control mice (Fig. 1B, p < 0.0001). The FM of the HFD group was significantly higher at 12 wk of age and was 9 g greater at 24 wk (Fig. 1B, p < 0.01 and p < 0.001 respectively), whereas in LEPT mice, FM was lower at 10 wk of age (Fig. 1B, p < 0.05). The AI in db/db and ob/ob mice increased from 8 to 12 wk of age, with a gain of approximately 0.5% in AI in both models that was 0.94% greater in db/db and 0.16% in ob/ob mice compared to that in the control mice (Fig. 1C, p < 0.0001 and p < 0.01 respectively). The HFD group presented a 1.17% increase in AI (Fig. 1C, p < 0.0001), and LEPT mice showed a decrease of 0.06% in AI compared to that of the control group (Fig. 1C, p < 0.05). The LM in db/db mice was lower by 2 g, while the LM in ob/ob mice was 4 g higher (Fig. 1D, p < 0.01) at the start of the protocol. In the HFD group, a gain in LM was observed between 8 and 24 wk of age, with a final gain of 3 g, compared to that in the controls (Fig. 1D, p < 0.001). Thus, our genetically obese db/db and ob/ob mice, as well as the DIO mice, presented an obese phenotype in contrast with the LEPT mice, which maintained a lean phenotype throughout the experimental protocol. All controls (CT) also maintained a lean phenotype as expected.
Transcriptional differences in in granulosa cells from obese db/db and ob/ob mice do not reflect phenotypic similarities
We first analysed the transcriptome of GCs collected from antral follicles isolated from db/db and ob/ob mice (Fig. 2A). RNA-seq provided 92.77 million raw reads, ranging from 3.59 million to 12.98 million reads per sample. After removing adapters and low-quality reads (Phread score < 20), the remaining 92.66 million high-quality reads (3.58 to 12.96 million per sample) were mapped to the mouse reference genome (GRCm39) with the number of aligned reads ranging from 3.41 to 12.45 million per sample. An average of 87.5% of reads were mapped to unique locations. The total number of genes expressed in mouse GCs ranged from 17,934 to 23,270 (Supplementary Fig. 1A, Table S1). Principal component analysis (PCA) revealed slight differences in the gene expression profile in GCs in the presented models, with no defined clustering pattern (Fig. 2B). Volcano plots presented significant changes (p-adjusted ≤ 0.05) in the gene expression profile of GCs from the controls (CT) compared to mutant (MUT; db/db and ob/ob) mice in both mouse strains (Supplementary Fig. 1B). A total of 44 genes were differentially expressed genes (DEGs) in the db/db model, with 11 up- and 33 downregulated genes (Table S2). In the ob/ob model, we found 82 DEGs, with 46 up- and 36 downregulated genes (Table S3). Among the DEGs from both models, only two genes, namely, aldo–keto reductase family 1, member C18 (Akr1c18) and heparan sulfate [glucosamine] 3-O-sulfotransferase (Hs3st3b1), overlapped and were downregulated in both mutants (Fig. 2C, D). Both models present dramatic changes in metabolism and are infertile, as loss-of-function studies of Akr1c18 showed abnormalities in the oestrous cycle 57. Conversely, the Hs3st3b1 gene is known to be involved in carbohydrate and protein metabolic processes 58. The heatmap shows the expression profile of DEGs across samples from each group and mouse model (Fig. 2D). To investigate the nature of the DEGs, gene ontology (GO) analysis was performed. Genes were classified into three main categories: “biological process”, “cellular component” and “molecular function”. The gene expression profiles of GCs from the ob/ob and db/db mouse models showed clear differences, which might be linked to the different patterns of impaired leptin signalling. In the db model, 33 downregulated genes were associated with “steroid metabolic process” and “progesterone metabolic process” (Table S4). Hence, the genes Akr1c18 and Akr1c13, which are known to be involved in progesterone metabolism in follicles 59,60, were downregulated in db/db mice compared to the control mice. Furthermore, the downregulation of prostaglandin F2 alpha receptor (Ptgfr) in db/db mice impaired follicular development, as prostaglandins are known to tightly control late follicular development 61 and ovulation 62. Concerning the upregulated genes in db/db mice, terms such as “cardiac muscle tissue development” presented high significance (Supplementary Fig. 1C), being associated with the genes platelet-derived growth factor receptor beta (Pdgfrb), collagen type XI alpha 1 (Col11a1), and A disintegrin-like and metallopeptidase reprolysin type with thrombospondin type 1 motif 9 (Adamts9). Importantly, Pdgfrb is known to mediate the effects of platelet-derived growth factor BB (PDGF-BB), an oocyte-specific ligand responsible for the control of follicular development, angiogenesis, and vascular permeability 63–65. Furthermore, Col11a1 and Adamts9 are well-established regulators of extracellular matrix (ECM) remodelling during follicular development. With regard to the ob model, GO analysis of downregulated genes revealed highly significant terms such as “collagen-containing extracellular matrix”, comprising the genes Col4a2 and Col16a1 (Supplementary Fig. 1C), which are important components of the ECM necessary for follicular development and ovulation 66. Furthermore, developmental genes from the Hox family, such as homeobox C10 (Hoxc10) and Hoxd11, known to regulate GC function, ovarian follicle maturation 67, were also downregulated. Regarding the ob model, the term “negative regulation of small molecule metabolic process” from GO analysis was associated particularly with the upregulated genes diacylglycerol acyltransferase 2 (Dgat2) and fructose-1,6-bisphosphatase 1 (Fbp1) (Table S7), which were previously associated with lipid metabolism in GCs 68–70. Finally, we tested a particular subset of genes regulating steroidogenesis in GCs and observed opposing trends in gene expression between the models (Fig. 2E). Specifically, the genes follicle stimulating hormone receptor (Fshr), insulin-like growth factor I receptor (Igf1r), cytochrome P450, family 19, subfamily (Cyp19a1), insulin receptor substrate 1 (Insr1), hydroxysteroid 17-beta-dehydrogenase 3 (Hsd17b3) and cytochrome P450 family 1 subfamily B member 1 (Cyp1b1) tended to be downregulated in db/db mice but upregulated in ob/ob mice compared to the controls (Fig. 2E, p < 0.05). Thus, in both genetically obese mice, follicular development is impaired, with metabolic dysregulation in the ob/ob mice resulting from the lack of leptin signalling, whereas in the db/db mice, noncanonical leptin action was associated with the upregulation of genes controlling vasculogenesis. Ultimately, noncanonical leptin activity in GCs from db/db mice leads to inhibition of steroidogenesis genes expression, in comparison with the ob/ob mice which lacks leptin signalling.
Leptin signalling modulates the NLRP3 inflammasome profile and macrophage M1 polarisation in the ovaries of obese mice
In order to further characterise the role of leptin in the modulation of NLRP3 inflammasome profile changes and subsequent macrophage activation in the ovary during obesity, we started by characterising the expression of NLRP3 components in the ovaries of db/db mice. We observed no changes in the mRNA and protein levels of NLRP3, CASP1 and IL-18 in the ovaries of db/db mice, except for mRNA levels of Il-1β which were decreased in db/db (Fig. 3A, B, Supplementary Fig. S2). We also confirmed the presence of antral follicles in the ovaries of db/db after staining with haematoxylin and eosin (Fig. 3C). Subsequently, we used our previous results on NLRP3 inflammasome components at mRNA and protein levels from DIO, LEPT, and ob/ob mice 32 and reanalysed the data together with the db/db datasets (n = 4–8/group) (Fig. 4A). We observed that NLRP3 protein expression was upregulated after 4 wk of HFD feeding but downregulated after 16 wk of HFD feeding (Fig. 4B, p < 0.05, Supplementary Fig. S3A) or in ovaries from ob/ob mice (Fig. 4B, p < 0.05, Supplementary Fig. S3C). Moreover, the ovaries of LEPT mice presented increased protein levels of NLRP3 (Fig. 4B, p < 0.05, Supplementary figure S3D). Nonetheless, in the db model, no changes in NLRP3 levels were observed in the db/db mice (Fig. 4B, p > 0.05, Supplementary Fig. S3B). Subsequently, we assessed the potential cross-talk between ovarian leptin signalling, NLRP3 inflammasome activation, and macrophage phenotype characterisation. We analysed the expression of the macrophage markers Adgre1, a pan-macrophage marker; Cd80, an M1 macrophage surface marker; and Mrc1, an M2 macrophage surface marker. Real-time PCR analysis (n = 6/group) revealed increased mRNA expression of Adgre1 and Cd80 after 4 wk of HFD compared to the control group (Fig. 4C, p < 0.05). Furthermore, the mRNA levels of Adgre1 and Cd80 were increased in the ovaries of the LEPT model (Fig. 4C, p < 0.05 and p = 0.052, respectively). The mRNA levels of Adgre1 and Cd80 were significantly decreased in the ob/ob mice compared to the controls (Fig. 4C, p < 0.05 and p < 0.01, respectively). No significant changes were observed in the db/db group for all chosen markers or for Mrc1 mRNA levels in all analysed groups (Fig. 4C). Finally, we characterised the distribution of the macrophage marker CD68 42 in the ovarian tissue by IF (n = 3, samples from CD and HFD treated mice randomly presented), and confirmed that macrophages were mostly visualised in the interstitial tissue surrounding the follicles (Fig. 4D, CD68 staining in orange; nuclear staining by DAPI in blue). No signal was obtained for IgG staining (Fig. 3D). In the present experiment, we confirmed that during obesity progression, ovarian leptin signalling regulates NLRP3 inflammasome activation and the expression of genes regulating M1 macrophage infiltration. In the later stages of obesity, failure in NLRP3 inflammasome activation and M1 macrophage regulation is associated with the establishment of ovarian leptin resistance, which is associated with the disruption of ObRb-dependent (canonical) and ObRb-independent (noncanonical) signalling.
The association between leptin signalling, NLRP3 inflammasome activation and macrophage infiltration genes is not preserved in granulosa cell compartment
Finally, we asked whether the association among leptin signalling, NLRP3 inflammasome activation, and mediation of M1 macrophage infiltration previously observed in the whole ovary was preserved in the GC compartment. After plotting leptin signalling components gene expression from our RNA-seq datasets, we observed that leptin signalling genes were consistently upregulated in GCs from ob/ob (Fig. 5A, p < 0.05), in comparison with the db/db mice but no changes were found between controls and mutants (Fig. 5A) or in NLRP3 inflammasome genes (Fig. 5B). No differences were found in the expression of genes regulating M1 (Fig. 6A), M2 (Fig. 6B) or general markers of macrophage infiltration (Fig. 6C). Generally, the present experiment revealed that in addition to the contrasting profiles of gene expression in GCs between db/db and ob/ob models, which were particularly evidenced by the discrepancies in steroidogenesis regulation, no differences were observed in the crosstalk between leptin signalling, the NLRP3 inflammasome and the regulation of M1 macrophage infiltration in the GC compartment.
Discussion
The present report describes the link between changes in ovarian leptin signalling and the mounting inflammatory response in obese mice, particularly concerning the regulation of NLRP3 inflammasome activation and the mediation of M1 macrophage infiltration. Obese women show reduced fertility, often associated with ovarian failure characterised by altered folliculogenesis and decreased oocyte quality 4,7. Hence, the complexity of ovarian pathophysiology in obese mothers substantiates the importance of molecular studies characterising GC dysfunction during obesity. Therefore, we analysed the transcriptome of GCs collected from antral follicles isolated from genetically obese db/db and ob/ob mice to pinpoint the effects of ObRb (canonical) and non-ObRb (noncanonical)-mediated leptin signalling on GC function regulation during obesity. We observed that in the ovaries of obese mice, increased canonical and noncanonical leptin signalling regulates NLRP3 inflammasome activation and concomitant increased expression of genes mediating M1 macrophage infiltration. Furthermore, IF for the macrophage marker CD68 in ovarian samples from DIO mice and gene expression analysis of GCs collected from genetically obese mice revealed that the aforementioned relationship is seen exclusively in ovarian compartments other than the GC compartment.
We have recently characterised the link between the levels of ovarian leptin signalling and NLRP3 inflammasome activation in obese mice 32. Hence, with the establishment of leptin resistance in the ovaries after 16 wk of HFD treatment, the association between increased ovarian leptin signalling and activation of the NLRP3 inflammasome observed at 4 wk of HFD and after LEPT treatment was lost. The importance of active leptin signalling for NLRP3 inflammasome regulation in the ovaries during obesity progression was corroborated by the downregulation of NLRP3 protein in the ovaries of genetically obese ob/ob mice, a model known for its extreme obesity but absence of circulating leptin71. However, the extent to which leptin actions are mediated through the ObRb receptor (canonically) or through any other cellular receptor (noncanonically) remains unknown. We presently used the db/db mouse, known to have circulating leptin present but no expression of ObRb72, rendering any putative leptin signalling possible through receptors other than ObRb (noncanonically). Hence, NLRP3 protein levels were unchanged in the ovaries of db/db mice, suggesting that leptin can regulate the NLRP3 inflammasome through receptors other than ObRb (noncanonically). As a result, the disruption of ovarian leptin signalling during DIO possibly comprises not only ObRb (canonical) but also other receptors mediating leptin signalling (noncanonical). Thus, ovarian canonical and noncanonical leptin signalling control the activity of the NLRP3 inflammasome in the course of obesity in mice.
Macrophages are abundantly present in the ovary and exhibit different phenotypes and stages of activation, which are mostly modulated in response to endocrine changes throughout the oestrous cycle33. Presently, we sought to uncover the link between the changes in ovarian leptin signalling observed during obesity progression and the phenotypes of macrophages present locally. Previous studies have shown that the expression of the macrophage markers F4/80 (Adgre1) and Cd11c (M1 macrophage markers) at the mRNA level was significantly increased in the ovaries of mice treated for 16 wk with HFD, whereas no changes were observed for Cd206 (M2 macrophage marker)73. Furthermore, DIO and ageing have been associated with increased M1 macrophages in B6 mouse ovaries but without changes in M2 macrophages74. Presently, we have used the conserved marker genes Adgre1 (pan-macrophage marker) and Cd80, which are expressed in proinflammatory macrophages75 (hereafter named M1 markers), and the gene Mrc1, known to be expressed in anti-inflammatory macrophages42,76 (hereafter named M2 marker). Previous studies have characterised the involvement of M1 macrophages in folliculogenesis and ovulation34, whereas M2 macrophages are associated with the regulation of angiogenesis35. We found an increase in the mRNA levels of M1 markers after 4 wk of HFD feeding but no changes in the M2 marker. Thus, dysregulation of M1 macrophages in the ovary may impair folliculogenesis and adequate oocyte development34,77. Additionally, our LEPT mouse model evidenced the crosstalk between leptin signalling and putative M1 macrophage regulation in the ovaries, which corroborated similar observations at 4 wk of HFD feeding, with the upregulation of M1 markers. Previous reports have established the association between leptin signalling and macrophage activation and polarisation through metabolic and immunological changes that support the desired macrophage phenotype78. Han et al. (2022) also showed that leptin activated the NLRP3 inflammasome and promoted M1 polarisation by the NLRP3 inflammasome40. Hence, our results corroborated previous observations, evidencing the importance of active leptin signalling for the regulation of marker genes for the infiltration of M1 macrophages, along with NLRP3 inflammasome activation.
Next, we analysed the transcriptional profile of GCs collected from genetically obese mice. We confirmed that despite the phenotypic similarities between the db/db and ob/ob models, profound differences characterised the transcriptional programme of GCs in homozygous mice in both strains. In db/db mice, the downregulated genes were linked to steroid metabolism and prostaglandin action, denoting a clear dysregulation in hormonal coordination of follicular growth. Furthermore, the upregulation of Pdgfrb might indicate a compensatory response associated with the disruption of follicular developmental progression. In fact, PDGFRB is the GC receptor known to modulate the signal of the oocyte secreted factor PDGF-BB, and the complex has been described as a major component controlling follicular growth64,65. Overall, follicular growth seemed to arrest at the antral stage, as shown by the microscopic sections of db/db mice. Concerning the ob/ob mice, genes regulating ECM and ovulation were consistently downregulated, along with genes from the Hox family, which were previously associated with follicular growth. Finally, a contrasting profile was observed for steroidogenesis regulation, with db/db mice showing a consistent downregulation of genes controlling steroidogenesis in GCs, whereas ob/ob mice revealed an upregulation of the same genes. This observation substantiates previous findings supporting the inhibitory role of leptin on steroidogenesis79 and the potential inhibition of the ovulatory process80, since the db/db mice present hyperleptinaemia, whereas ob/ob mice lack leptin71. Other studies have shown increased aromatase activity (Cyp17a1) in endocrine theca cells of ob/ob and db/db mice, a feature also observed in DIO models81. Despite presenting divergent genes, both models showed major disruptions in steroidogenesis and pathways controlling follicular growth and expansion and potentially ovulation.
Another important observation in our work was the lack of changes in the proinflammatory response in GCs from genetically obese mice, as no differences were found in either NLRP3 inflammasome gene expression or markers of macrophage infiltration. Based on previous studies undertaken in the ovary and other organs, we selected the chemokine (C-X3-C motif) ligand 1 (Cx3cl1), chemokine (C-X-C motif) ligand 1 (Cxcl1), Cxcl16, Cxcl5, Il-18, and Il-23a genes as M1 markers82,83. For M2 macrophage markers, we selected chemokine (C–C motif) ligand 17 (Ccl17), Il-4, and transforming growth factor, beta 1 (Tgfb1) 84, while markers of macrophage M2 infiltration comprised Ccl25, colony stimulating factor 1 (Csf1), Cxcl12, intercellular adhesion molecule 1 (Icam1), inhibin beta-B (Inhbb), macrophage migration inhibitory factor (Mif), and retinoic acid receptor responder protein 2 (Rarres2)82,85–87. Overall, none of the selected factors were differentially regulated in GCs of db/db and ob/ob mice. These observations were corroborated by the localisation of the macrophage marker CD68 in the ovarian interstice and mostly in perifollicular areas. Moreover, the expression of genes associated with leptin signalling in the GCs was unchanged in mutants (db/db and ob/ob) comparing to control mice, nor was there any difference in the expression of genes regulating NLRP3 inflammasome activation. Previous studies have reported that ovulation involves many inflammatory genes in GCs, without specific leucocyte markers88. Additionally, GCs can produce chemokines such as monocyte chemoattractant protein-1 (MCP-1), which has been shown to regulate follicular development and ovulation. However, high levels of MCP-1 can also be associated with inflammatory conditions such as polycystic ovary syndrome (PCOS). Furthermore, NLRP3 protein expression was shown to be upregulated in preovulatory follicles31. The present lack of changes in the expression of genes regulating the immune-mediated response, as well as those in leptin signalling in GCs of ob/ob and db/db mice may result in impaired late folliculogenesis and failed ovulation. These results suggest that the absence of changes in leptin signalling, alongside with NLRP3 inflammasome activation in GCs from genetically obese mice, fails to promote the macrophage phenotype switch or infiltration of macrophages and that there are other factors that can modulate their function in late folliculogenesis.
Conclusion
In summary, our work shows the three-armed relationship among leptin signalling, NLRP3 inflammasome activation and the expression of M1 macrophages in the ovaries of obese mice. In early obesity, leptin signalling regulates NLRP3 inflammasome activation that supports M1 macrophage infiltration. Conversely, in late obesity, after the establishment of leptin resistance at 16 wk of HFD feeding, the disruption of canonical and noncanonical leptin signalling leads to failure in NLRP3 inflammasome activation and M1 macrophage regulation. Finally, the aforementioned relationship was not observed in GCs of genetically obese mice, as genes regulating leptin signalling, NLRP3 inflammasome activation or infiltration of M1 macrophages were unchanged. Nonetheless, transcriptomic analysis revealed changes in steroidogenesis, prostaglandin action and genes regulating ECM, which are known to critically regulate follicular growth. Thus, the present findings suggest a critical role of leptin signalling in the regulation of NLRP3 inflammasome activity and M1 macrophage infiltration, particularly in the theca/stromal ovarian compartment of obese mice.
Supplementary Information
Acknowledgements
We would like to thank Dr Leslie Paul Kozak and Dr Magdalena Jura for their support in the validation and characterisation of the mouse obese phenotype and Dr Katarzyna Jankowska for the support with imaging and microscopy analysis.
Author contributions
M.A. performed data acquisition, analysis and interpretation of the data and wrote the manuscript. Y.S. performed bioinformatic analysis and interpretation of the data, and wrote the manuscript. K.W. performed data acquisition and analysis and revised and edited the manuscript. T.M. performed the bioinformatic analysis of the sequencing data. G.K. revised and edited the manuscript. A.G. conceptualised and designed the study; acquired the funding; participated in data acquisition, analysis and interpretation; and wrote and edited the manuscript. All authors reviewed the manuscript.
Funding
Work in A.G.’s laboratory was supported by a grant (2019/34/E/NZ4/00349) from the Polish National Science Centre; A.G. was supported by a Horizon 2020 Marie Curie Individual Fellowship (MOBER, 2017–2019). Work in G.K.’s laboratory was funded by the UK Biotechnology and Biological Sciences Research Council (BBS/E/B/000C0423) and the Medical Research Council (MR/S000437/1).
Data availability
Datasets we submitted to Gene Expression Omnibus with the number GSE236196.
Competing interests
The authors declare no competing interests.
Footnotes
Publisher's note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
These authors contributed equally: Marek Adamowski and Yashaswi Sharma.
Supplementary Information
The online version contains supplementary material available at 10.1038/s41598-024-58181-w.
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Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Supplementary Materials
Data Availability Statement
Datasets we submitted to Gene Expression Omnibus with the number GSE236196.