Abstract
The vagal afferent pathway is important in short-term regulation of food intake, and decreased activation of this neural pathway with long-term ingestion of a high-fat diet may contribute to hyperphagic weight gain. We tested the hypothesis that expression of genes encoding receptors for orexigenic factors in vagal afferent neurons are increased by long-term ingestion of a high-fat diet, thus supporting orexigenic signals from the gut. Obesity-prone (DIO-P) rats fed a high-fat diet showed increased body weight and hyperleptinemia compared with low-fat diet-fed controls and high-fat diet-induced obesity-resistant (DIO-R) rats. Expression of the type I cannabinoid receptor and growth hormone secretagogue receptor 1a in the nodose ganglia was increased in DIO-P compared with low-fat diet-fed controls or DIO-R rats. Shifts in the balance between orexigenic and anorexigenic signals within the vagal afferent pathway may influence food intake and body weight gain induced by high fat diets.
Keywords: cholecystokinin, diet-induced obesity, ghrelin
regulation of food intake and body weight involves both peripheral and central nervous systems, together with endocrine pathways (7). Both short- and long-term regulation of food intake occurs via complex, hierarchical control that maintains body weight within a narrow range. Signals initiated in the gastrointestinal (GI) tract in response to food ingestion are generally thought to be involved in short-term regulation of food intake. Thus the presence of nutrients in the gut lumen decreases food intake by meal termination and reduction in the size of individual meals, but with little or no effect on overall daily food intake (21). Cholecystokinin (CCK), released by fat and protein digestive products in the proximal small intestine, decreases meal size at least in part via activation of CCK1 receptors (CCK1R) expressed by vagal afferent neurons terminating in the gut wall (3, 9, 8). Peptide YY3–36 is an anorexigenic gut hormone released from the distal gut that reduces food intake following exogenous administration (2), possibly also acting at the level of vagal afferent nerve terminals (13).
However, there are hormones and bioactive molecules released by the GI tract that increase food intake and may stimulate appetite. These include ghrelin, a peptide released from the gastric corpus (14), and cannabinoids, such as anandamide (10). These factors are released during the intermeal interval, and plasma levels are highest right before meal initiation (7, 22). There is good evidence that exogenous ghrelin stimulates food intake, acting at least in part via the vagal afferent pathway (8), although this was not confirmed in another study (1).
It was recently shown that expression of peptide receptors by vagal afferent neurons is regulated by nutritional status. Prolonged fasting increases expression of receptors associated with anorexigenic mediators, the cannabinoid type 1 (CB1) and melanocortin concentrating hormone type 1 (MCH-1) receptors; this increase is reversed by feeding or administration of CCK (4, 5). Thus, under normal conditions, GI-derived anorexigenic and orexigenic signals interact to regulate expression levels; this is likely to be important in control of food intake and energy homeostasis. However, there is no information on whether this balance between anorexigenic and orexigenic receptor expression is altered by long-term changes in diet. Chronic ingestion of a high-fat (HF) diet leads to hyperphagia and weight gain. Numerous studies have shown adaptation at the level of the hypothalamus after chronic ingestion of a HF diet (7, 10), but there is evidence to suggest that adaptation to HF foods also can occur in the periphery at the level of the vagal afferent pathway. For example, ingestion of a HF diet decreases vagal afferent activation in response to CCK and to intestinal lipid (21) and diet-induced obesity in mice leads to attenuation of the synergistic action of urocortins and CCK to decrease food intake and delayed gastric emptying (12).
In the present study, we tested the hypothesis that adaptation to a HF diet alters expression of gut hormone receptors [CCK1R, Y2 receptor (Y2R), growth hormone secretagogue receptor (GHSR)], leptin receptor (ObR), and cannabinoid type 1 (CB1) receptor and fatty acid amide hydrolase (FAAH), both part of the endocannabinoid system, by vagal afferent neurons. We measured mRNA expression at the level of the vagal afferents by quantitative real-time RT-PCR. It is well established that distinct diet-induced obesity-prone (DIO-P) and -resistant (DIO-R) phenotypes of Sprague-Dawley rat can be revealed by maintenance on a HF diet (15, 16). We measured changes in the metabolic profile (body weight, adiposity, food intake, plasma insulin, and leptin) in rats fed a low-fat (LF) control diet or a HF diet for either 1 wk or following maintenance on the diets for 8 wk.
METHODS
Animals: Diets and Experimental Procedures
Male Sprague-Dawley rats (6 wk of age; Harlan, San Diego, CA) were fed ad libitum a LF diet (Research Diets D12450B) or a HF diet (Research Diets D12451) for 1 or 8 wk. The LF diet provided 3.85 kcal/g of energy {70% carbohydrate, 20% protein, 10% fat [saturated fatty acids (SAT), 25.1%; monounsaturated fatty acids (MUFA), 34.7%; polyunsaturated fatty acids (PUFA), 40.2%]}, and the HF diet provided 4.73 kcal/g of energy [35% carbohydrate, 20% protein, 45% fat (SAT, 36.3%; MUFA, 45.3%; PUFA, 18.5%)]. Rats were initially housed in pairs for 1 wk and then housed individually in a temperature-controlled room with regular light conditions (lights on at 6:00 AM and off at 6:00 PM). Water was freely available throughout the experiments, and body weight was recorded daily. Food intake was measured daily for the first 3 wk and every 2–3 days thereafter for the duration of the experiment. The HF group weighed 177 ± 4 g (n = 15) and the LF group weighed 176 ± 7 g (n = 10) at the beginning of the experiment [no significant difference (NS)]. All experiments were performed in accordance with protocols reviewed and approved by the Institutional Animal Care and Use Committee (University of California, Davis, CA).
Measurement of Plasma Insulin and Leptin
Blood samples were collected from the tail (1 ml in 30 μl of heparin) following a 12-h fast during the light cycle (6:00 PM), at week 1, and at week 8. On a different day, 12-h-fasted rats were gavaged with 1 ml/100 g of lipid emulsion (Intralipid 20%; Baxter HealthCare, Deerfield, IL), and blood samples were collected 2 h after gavage. Blood was centrifuged (1,000 g for 10 min), and the plasma was removed and stored at −80°C. Leptin and insulin were measured by ELISA (catalog no. 22-LEP-E06, lot no. 090107 for leptin; catalog no. 80-INSRTU-E01, lot no. 00208 for insulin; ALPCO Diagnostics, Salem, NH).
Tissue Collection
After 1 or 8 wk on the diets, rats were fasted for 12 h during the light cycle, gavaged with 1 ml/100 g lipid emulsion (Intralipid 20%) and, after 2 h, deeply anesthetized with pentobarbital sodium (100 mg/kg ip, Nembutal; Abott Laboratories). The rationale for the use of lipid gavage in fasted rats 2 h before euthanasia was to ensure that all animals were in the same nutritional status. A blood sample (2 ml) was obtained from the descending aorta. Tissues were dissected with instruments cleaned with RNA Zap (Ambion, Austin, TX) and collected into 2-ml tubes previously decontaminated with RNA Zap, flash frozen in liquid nitrogen, and stored at −80°C. Left and right nodose ganglia were collected; epididymal, mesenteric, and retroperitoneal fat pads were dissected and weighed individually. An adiposity index consisting of the summed weight of the three fat pads divided by the final body weight was calculated.
Quantitative Real-Time PCR
Right and left nodose ganglia were pooled from each individual rat. Samples (10–20 mg) were ground with a mortar and pestle under liquid nitrogen. Once powdered, RNA extraction was executed with the RiboPure kit (Ambion); samples were extracted by adding 500 μl of Tri Reagent. Sample integrity was determined using an Agilent 2100 Bioanalyzer (Agilent Technologies, Palo Alto, CA), and RNA concentration was assayed with a NanoDrop (Thermo Fisher Scientific, Wilmington, DE).
cDNA was synthesized by reverse transcription from 500 ng of total RNA using a cDNA synthesis kit (SuperScript III First-Strand Synthesis System; Invitrogen, Carlsbad, CA). Quantitative real-time PCR was performed using TaqMan Gene Expression Assays (Applied Biosystems, Foster City, CA) and TaqMan Universal PCR Master Mix (Applied Biosystems). The TaqMan Gene Expression Assay consisted of a FAM dye-labeled TaqMan MGB probe and two PCR primers formulated into a single tube for each target gene (GenBank accession numbers: CCK1R, M88096; Y2R, AY004257; CB1, X55812; FAAH, U72497; Fa, D84550; GHSR, AB001982; and 18S ribosomal, X03205). cDNA (6 μl) diluted 30-fold after reverse transcription was added to each well and allowed to dry overnight. Each PCR was run with 8 μl of a mix containing PCR mix (TaqMan Universal PCR Master Mix) using a TaqMan Gene Expression Assay on the ABI PRISM 7700 Sequence Detection System according to the manufacturer's instructions (Applied Biosystems). Expected amplicon sizes were confirmed by high-resolution agarose gel electrophoresis.
Analysis of relative gene expression was performed using the 2{↑−ΔΔCT} method (17) using 18S as mRNA loading control. Briefly, the CT (threshold cycle when fluorescence intensity exceeds 10 times the standard deviation of the baseline fluorescence) value for the target amplicon (CCK1R, Y2R, CB1, FAAH, and GHSR) and endogenous control (18S) was determined for each PCR reaction. Each PCR reaction was repeated in triplicate (17). The sample expression levels are expressed as an n-fold difference relative to those found in the average low-fat (week 1) nodose ganglia expression level.
Statistical Analysis
Body weight and composition, plasma leptin, and insulin.
A two-way repeated-measures ANOVA was performed with time, diet, and time-diet interactions as independent variables. All analyses were conducted using SigmaStat (version 3.11; Systat Software). Differences among group means were analyzed using multiple comparison procedures (Holm-Sidak method) and were considered significant if P < 0.05. One HF week 1 and one LF week 8 rat died during gavage, explaining the difference in group size between body weight data and gene expression data.
Quantitative real-time PCR.
Data are presented as the adjusted mean 2{↑−ΔΔCT} ± SE. Statistical analysis of the differences in mRNA levels was performed using two-way ANOVA with time, diet, and time-diet interactions as independent factors. Differences among group means were analyzed using multiple comparison procedures (Holm-Sidak method) and were considered significant if P < 0.05 (SigmaStat version 3.11).
Principal component analysis.
Principal components analyses (PCA) were performed on data sets using the Excel add-in developed by the Bristol Centre for Chemometrics (http://www.chm.bris.ac.uk/org/chemometrics/index.html). Before PCA were performed, quantitative results for each variable were transformed by vast scaling as described previously (23) using the following equation:
(1) |
This transformation provided better separation of experimental groups than either autoscaling, i.e., data transformed to unit standard deviation, or pareto scaling, i.e., data transformed to unit standard error of the mean.
RESULTS
Within the HF group, two distinct phenotypes emerged by week 3; in a subgroup of HF rats, there was a significant increase in body weight gain compared with LF rats (Fig. 1A). HF rats with the highest terminal body weight were designated DIO-P; body weight was significantly greater in this group than in both DIO-R and LF groups (P < 0.05). There were no differences in body weight between DIO-R and LF groups at any time point (NS).
There was no significant difference in the adiposity index between the LF or HF rats at week 1. At week 8, the DIO-P group had a higher adiposity index than the LF rats (P = 0.005), whereas the DIO-R group did not ( P = 0.06; Fig. 1B); there was no significant difference in the adiposity index between the DIO-P and DIO-R groups (P = 0.3). However, there were significant differences in the weights of individual fat pads between groups (Fig. 1C). DIO-P rats had significantly larger mesenteric fat pad weight than either the DIO-R or LF rats (LF vs. DIO-P, P < 0.001; DIO-R vs. DIO-P, P < 0.05). Both DIO-R and DIO-P rats had significantly larger epididymal fat pad weight than LF rats (P < 0.05). There were no significant differences in the retroperitoneal fat pad weight among any groups (P ≥ 0.09).
After 8 wk on a HF diet, DIO-P rats had a significantly higher caloric intake than DIO-R or LF rats (week 1: LF vs. HF, 67 ± 4 vs. 60 ± 6 kcal/day, P = 0.04; week 8: LF vs. DIO-R, 73 ± 4 vs. 66 ± 9 kcal/day, P = 0.2, and LF vs. DIO-P, 73 ± 4 vs. 94 ± 7 kcal/day, P < 0.001; n = 5 in each group). There was no significant difference in fasting plasma level of leptin at 1 wk; however, after 8 wk on the diets, DIO-R and DIO-P had higher fasting plasma leptin level compared with LF rats, consistent with higher adiposity (week 1: LF, 339 ± 80 pg/ml; HF, 431 ± 101 pg/ml; week 8: LF, 372 ± 49 pg/ml; DIO-R, 816 ± 67 pg/ml; DIO-P, 755 ± 136 pg/ml; P = 0.003). The increase in plasma leptin between the fasted state and 2 h after gavage with a lipid load was significantly higher in the DIO-P rats compared with LF (P < 0.05) but not DIO-R rats (P = 0.2; Fig. 2). There was no significant difference in fasting insulin between LF rats or DIO-R and DIO-P rats at 8 wk (week 8: LF vs. DIO-R vs. DIO-P, 0.97 ± 0.11 vs. 1.07 ± 0.18 vs. 1.01 ± 0.13 ng/ml; NS).
Nodose Ganglion Receptor Expression
After 8 wk on the LF or HF diet, there was an increased expression of CB1 (2 ± 0.7-fold), CCK1R (3 ± 1-fold), and GHSR1a (5 ± 3-fold) in the DIO-P rats compared with either the DIO-R or LF rats (Fig. 3). There was no significant difference in the gene expression of Ob1R and Y2R among any groups.
Discrimination of DIO-P and DIO-R Phenotype
As shown above, multiple differences were identified among the experimental groups. By using the aggregated data set and the unsupervised multivariate analysis PCA to discriminate experimental groups, the relative weight each factor has in separating these groups was evaluated within a single analysis. Considering the entire data matrix, rats at week 1 could not be discriminated, despite maintenance on the different diets, but were distinct from rats at week 8 (Figs. 4 and 5). The daily caloric intake, mass specific caloric intake (i.e., kcal·day−1·g body wt−1), and adiposity index were the most powerful discriminates of animals by age and diet, discriminating LF and DIO-R from DIO-P animals at 8 wk. Moreover, the changes in nodose ganglion expression profiles were powerful factors separating the experimental groups, and in this aggregate analysis, the variance within the data set after vast scaling was not different among groups (F test, P > 0.05).
DISCUSSION
The results from the present study demonstrate that expression of receptors for gut-derived orexigenic factors (ghrelin and cannabinoids) in the nodose ganglion increase in rats chronically ingesting a HF diet and prone to obesity, but not in rats fed the same diet but resistant to the obesigenic effects of the HF diet. This increase in receptor expression is accompanied by an increase in food intake in DIO-P rats compared with DIO-R rats; these data suggest that an increase in expression of orexigenic receptors by vagal afferent neurons may increase food intake via peripherally acting ghrelin and endogenous cannabinoids. This increase in receptor expression is not dependent solely on the ingestion of a HF diet but is only evident in rats susceptible to the obesigenic effects of ingesting HF diets, that is, rats with an increase in body weight and circulating leptin and a significantly greater mesenteric fat pad mass. Whether this change in receptor expression is driving the hyperphagia and weight gain or is secondary to these metabolic changes is not clear from the present study. We have previously shown that rats fed a HF diet became hyperphagic on a HF diet predominantly via an increase in meal size (18), suggesting a decreased satiation. The predominant effect of exogenous ghrelin on food intake is to decrease latency to feeding; ghrelin action is mediated at least in part via the vagal afferent pathway (8), although other investigators have not been able to confirm this finding (1). It was recently shown that there is considerable short-term regulation of receptor expression, at the level of both RNA and protein, in vagal afferents (4, 5). Prolonged (48 h) fasting increases expression of CB1 and MCH-1 receptors; this is reversed by feeding or by exogenous CCK acting via a CCK1R mechanism. Prolonged fasting did not change expression of GHSRs, but administration of ghrelin counteracted the decrease in the CB1/MCH1 receptors in response to refeeding or CCK (4). Thus an increase in GHSR expression in response to high fat feeding might result in an increased orexigenic drive and an increase in food intake due to an increase in CB1 receptor expression and possibly MCH-1 receptor. Levels of protein were not measured in the current study; however, there is good agreement between levels of mRNA and protein for these receptors (4, 5). It is interesting to note there is evidence from the ghrelin or GHSR null mice model to suggest that ghrelin signaling is required for development of the full phenotype of diet-induced obesity (24, 25).
The increase in CCK1R expression was surprising given functional data to suggest a decrease in activation of the vagal afferent pathway by CCK when rats are maintained on a HF diet (21). It is possible that there is altered coupling between receptor and intracellular signaling pathways or changes in synaptic activity at the level of the nucleus of the solitary tract, where vagal afferents terminate. There is data to suggest decreased FAAH expression and/or activity as a result of obesity or high fat intake (10); in the current study, we have shown that FAAH is correlated with CB1 expression in the nodose ganglia. It is interesting to note the expression of FAAH in the nodose ganglia, suggesting that there may be regulation of the endocannabinoids at the level of the vagal afferents in conjunction with the CB1 receptor.
It is well-documented that Sprague-Dawley rats fall into two broad groups, those that gain significant weight on a HF diet and those that seem relatively resistant to the obesigenic effects of a HF diet (15, 16). In the current study, we have presented an original way to discriminate DIO-P from DIO-R rats beyond using body weight gain alone. We performed a PCA using a variety of phenotypic outcomes successfully differentiating cohorts, highlighting that phenotypic “signatures” may be used as a tool to predict diet-induced obesity. It is interesting to note that there were no significant differences in the overall adiposity of the two groups of HF rats, which were both significantly increased over that of the LF rats. However, if the different fat depots are examined separately, it can be seen that there is an increase in mesenteric, but not epididymal or retroperitoneal, fat mass in the DIO-P animals. Mesenteric fat is thought to be a source of inflammatory mediators that can influence the GI tract and distant organs (6). It is also interesting to note that fasting plasma levels of leptin did not reflect the overall increase in adiposity; in the DIO-R rats, there was a tendency for an increase in plasma levels of leptin as would be expected with an increase in fat pad mass; however, this did not reach significance. There was no difference in fasting plasma levels of insulin in either high fat-fed group, suggesting that the animals were not insulin resistance after 8 wk on the diets. Although the mechanism by which receptor expression in vagal afferent neurons is changed in response to the HF diets in DIO-P is not the focus of the present study, it is interesting to speculate on the role of inflammatory mediators released from the mesenteric fat on vagal afferent nerve terminals.
Together, these data suggest that the gut-brain axis, in addition to metabolic changes associated with a chronic ingestion of a HF diet, is modified by the diet, leading to altered short-term control of food intake toward an orexigenic system and an increase in food intake. The increase in the expression of orexigenic receptors CB1 and GHSR1a might lead to an increase peripheral hunger signals and thus contribute to hyperphagia when ingesting a HF diet. The data also show a paradoxical increase in expression of CCK1Rs; however, it remains to be determined whether this is associated with altered receptor signaling as several studies have shown a decrease in vagal afferent response to CCK in rats maintained on HF diets.
GRANTS
This work was supported by National Institute of Diabetes and Digestive and Kidney Diseases Grant DK-41004 (to H. E. Raybould), U.S. Department of Agriculture/Agricultural Research Service (USDA/ARS) Intramural Current Research Information System Grant 5306-51530-016-00D (to S. H. Adams and J. W. Newman), and a USDA/ARS Postdoctoral Fellowship (to T. A. Knotts).
The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked “advertisement” in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
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