Abstract
c-Jun N-terminal kinase (JNK) 1-dependent signaling plays a crucial role in the development of obesity-associated insulin resistance. Here we demonstrate that JNK activation not only occurs in peripheral tissues, but also in the hypothalamus and pituitary of obese mice. To resolve the importance of JNK1 signaling in the hypothalamic/pituitary circuitry, we have generated mice with a conditional inactivation of JNK1 in nestin-expressing cells (JNK1ΔNES mice). JNK1ΔNES mice exhibit improved insulin sensitivity both in the CNS and in peripheral tissues, improved glucose metabolism, as well as protection from hepatic steatosis and adipose tissue dysfunction upon high-fat feeding. Moreover, JNK1ΔNES mice also show reduced somatic growth in the presence of reduced circulating growth hormone (GH) and insulin-like growth factor 1 (IGF1) concentrations, as well as increased thyroid axis activity. Collectively, these experiments reveal an unexpected, critical role for hypothalamic/pituitary JNK1 signaling in the coordination of metabolic/endocrine homeostasis.
Keywords: brain, diabetes, obesity, inflammation, insulin resistance
Obesity causes increased circulating concentrations of cytokines such as tumor necrosis factor (TNF) α and interleukin (IL) 6 in animal models as well as humans (1, 2). These proinflammatory mediators act on peripheral tissues, causing peripheral insulin resistance via inflammatory and stress signaling cascades including activation of c-Jun N-terminal kinase (JNK) signaling (3). Thus, cytokine and fatty acid-induced activation of JNK1 causes insulin resistance in vitro and in vivo (4, 5). JNKs are able to regulate transcription, survival, apoptosis, and other cellular events in response to diverse stimuli such as UV irradiation or cytokine stimulation (6). Interestingly, JNK1 plays an important role in obesity-associated pathologies, because conventional JNK1 but not JNK2 knockout mice are protected from obesity-induced hyperglycemia, hyperinsulinemia, and insulin resistance (4, 7). Moreover, fat cell-specific disruption of JNK1 provided evidence for an important role of adipose tissue JNK1 in glucose metabolism (8).
Glucose homeostasis and body weight are under control of hypothalamic circuits regulating food intake, energy expenditure, and hepatic glucose production (9). The hypothalamus has been identified as one of the main targets both for insulin and leptin (10). Consistently, insulin and leptin action on hypothalamic neuron subpopulations is necessary for normal body weight control and glucose homeostasis (11–15).
Recent findings indicate that obesity leads to activation of stress signaling cascades not only in peripheral, classical insulin target tissues such as skeletal muscle, liver, and adipose tissue, but also in the central nervous system thereby causing neuronal insulin and leptin resistance (16). Similar to findings in peripheral tissues, obesity causes an increase in NFκB activity in the hypothalamus, and neuronal inactivation or pharmacological inhibition of inhibitor of NFκB kinase (IKK) 2 signaling protects from insulin and leptin resistance (17, 18), in line with the notion that proinflammatory cytokines, fatty acids, or both activate the NFĸB pathway in neurons (18–20).
However, the role of central JNK1 signaling in insulin and leptin resistance is less clear. In rats, it has been shown that high-fat diet (HFD) feeding increases total hypothalamic JNK activity, and intracerebroventricular (ICV) application of a general JNK inhibitor ameliorated hyperphagia and obesity (21). Moreover, conventional JNK1 knockout mice showed reduced adiposity, potentially indicating improved central leptin and/or insulin action in these animals (4). In light of these findings, we ablated JNK1 specifically in the CNS and pituitary cells. We report an unexpected role of neuronal and pituitary JNK1 as a regulator of hypothalamic and peripheral insulin sensitivity as well as somatic growth.
Results
High-Fat Feeding Causes Neuronal and Pituitary JNK Activation.
To address the role of central JNK1 signaling in regulation of energy homeostasis, we analyzed the activation of the JNK signaling cascade in hypothalami of diet-induced obese mice. Hypothalamic JNK activity, as assessed by the ability of immunoprecipitated JNK to phosphorylate c-Jun in vitro, was significantly increased upon exposure to HFD (Fig. 1 A and B). Obesity is associated with numerous endocrine abnormalities affecting the somatotrophic, thyroid, and glucocorticoid axes (22–24). Thus, we asked whether obesity not only promotes JNK activation in the CNS, but also in the pituitary. Indeed, we detected significantly increased JNK activity in pituitaries of HFD-fed mice, indicating that JNK-dependent signaling may play a role in pituitary regulation of peripheral metabolism (Fig. 1 C and D).
Generation of JNK1ΔNES Mice.
To unravel the functional role of JNK1 in the CNS and pituitary, we generated mice with targeted ablation of JNK1. It has recently been demonstrated that in addition to neurons, the Nestin gene is also expressed in pituitary stem cells, allowing deletion of target genes in all cell types of the adult pituitary using Nestin-Cre transgenic mice (25). Hence, after generation of mice with a loxP-flanked JNK1 allele (Fig. S1C), we crossed these animals with mice expressing the Cre recombinase under control of the Nestin promoter to subsequently generate mice homozygous for the loxP-flanked JNK1 allele and positive for the Nestin-Cre transgene (genotype JNK1fl/fl, Nestin-Cre+, i.e., JNK1ΔNES mice). Littermates negative for Cre were used as controls (JNK1fl/fl, called controls henceforth). As noted in similar studies, we assured that neither presence of the Nestin-Cre transgene nor loxP sites per se impaired control of body weight (Fig. S2A) (19).
Immunoblot analyses of JNK protein expression revealed unchanged JNK1 expression in peripheral tissues, whereas JNK1 expression was largely reduced in the brain of JNK1ΔNES mice compared to controls (Fig. S2B). Thus, hypothalamic expression of JNK1 was decreased by more than 95% in JNK1ΔNES mice, whereas expression of JNK2 or JNK3 remained unaltered (Fig. S2C). Importantly, we also detected pituitary JNK1 deletion in JNK1ΔNES mice using PCR-based analysis (Fig. S2D). Notably, CNS JNK1 ablation did not affect anxiety, motor control, or memory retrieval in behavioral tests (Fig. S3 A–F).
Reduced Body Weight but Unchanged Adiposity in JNK1ΔNES Mice.
To investigate the potential role of neuronal/pituitary JNK1 in control of energy homeostasis and metabolism, we analyzed male control and JNK1ΔNES mice exposed to normal diet (ND) and high-fat diet (HFD). Beginning at the age of 4 weeks, body weight of JNK1ΔNES mice on either diet was decreased compared to control animals (Fig. 1 E and F). Next, we measured epigonadal fat pad weight and body composition of control and JNK1ΔNES mice. Surprisingly, body composition was unchanged in JNK1ΔNES mice compared to control mice (Fig. S4A). Accordingly, although absolute weight of epigonadal fat pads was decreased in JNK1ΔNES mice (Fig. S4B), the relation of fat pad to body weight was unchanged between genotypes (Fig. S4C). Consistent with unaltered fat mass in JNK1ΔNES mice, we could not detect significant alterations in food intake (Fig. S4D), physical activity (Fig. S4E), or respiratory quotient (Fig. S4E) in JNK1ΔNES mice. We have previously demonstrated that JNK1ΔNES mice are not protected from obesity-induced leptin resistance (20). In line with unchanged leptin sensitivity also under ND conditions, intracerebroventricular (icv) injection of leptin reduced body weight and food intake to the same extent in lean control and JNK1ΔNES mice, indicating that homeostatic control by leptin is not changed upon central JNK1 ablation (Fig. 1G and Fig. S4F). Taken together, central JNK1 ablation affects body weight, but does not affect body composition or leptin action in mice.
Impaired Somatic Growth in JNK1ΔNES Mice.
As body composition was unchanged, but body weight was significantly decreased in JNK1ΔNES mice compared to control mice, we sought to determine whether somatic growth differed between these two groups of mice. Importantly, somatic growth and insulin sensitivity are interlinked, as reduced somatic growth induced either genetically or by caloric restriction (CR) improves glucose homeostasis and insulin sensitivity in mice, rats, apes, and humans, whereas caloric overabundance will lead to increased somatic growth (26–30). Strikingly, JNK1ΔNES mice showed significantly decreased naso-anal length on both diets (Fig. 2A). Although high-fat diet caused a significant increase in length (increase of 0.4 cm, P = 0.01) in control animals compared to control animals on normal diet, this diet-induced elongation was blunted in JNK1ΔNES mice (increase of 0.2 cm, not significant) (Fig. 2A).
In light of these findings, we examined somatotrophic regulation in both groups of mice. Somatic growth is controlled via growth hormone releasing hormone (GHRH), which is secreted by hypothalamic neurons, and acts on somatotrophs in the pituitary to produce and release growth hormone (GH). GH in turn acts on GH receptors on the liver, inducing insulin-like growth factor 1 (IGF1) transcription and release, which acts on chondrocytes to increase longitudinal growth (for review see ref. 31). Strikingly, serum IGF1 levels were decreased by 50% in JNK1ΔNES mice (Fig. 2B), as was hepatic IGF1 mRNA expression (Fig. S4G). Despite considerable variation of GH concentrations in control mice, presumably due to the pulsatile secretion pattern of GH (32), JNK1ΔNES mice showed decreased circulating GH concentrations (Fig. S4H).
However, hypothalamic mRNA expression of both GHRH and somatostatin, which can inhibit GH release, was unchanged, indicating that JNK1-mediated regulation of the somatotrophic axis does not occur in the hypothalamus (Fig. S4I). Thus, we assessed expression of GH mRNA directly in the pituitary and found decreased GH mRNA expression in pituitaries of JNK1ΔNES mice (Fig. 2C). However, immunohistochemical analysis of GH expression revealed unaltered pituitary structure, indicating that cell loss does not account for the decrease in GH mRNA (Fig. 2D).
On the other hand—consistent with unchanged GHRH expression but decreased GH production—GHRH receptor (GHRHR) expression was decreased in pituitaries from JNK1ΔNES mice compared to control mice, indicating that decreased GHRHR signaling may account for the decreases in circulating GH and subsequently IGF1 (Fig. 2E). Taken together, JNK1ΔNES mice show decreased pituitary GHRHR expression, and subsequently reduced GH and IGF1 serum levels, and ultimately impaired somatic growth, revealing an unexpected critical role for pituitary JNK1 signaling in control of somatic growth and body length.
JNK1ΔNES Mice Show Increased Central Insulin Sensitivity.
We next asked whether central insulin action may be altered in JNK1ΔNES mice (18). Intracerebroventricular administration of insulin at a dosage that had no effect on food intake and body weight in control animals reduced food intake and triggered significant weight loss in JNK1ΔNES mice fed ND (Fig. 3 A and B). Insulin’s anorexigenic effect was also retained under HFD conditions in JNK1ΔNES mice (Fig. 3 C and D), indicating that central JNK1 ablation improves central insulin sensitivity under ND and HFD conditions. Importantly, improved hypothalamic insulin action in the absence of JNK1 was additionally confirmed by increased AKT activation (phosphorylation) upon icv. insulin treatment in JNK1ΔNES mice (Fig. 3 E and F).
JNK1ΔNES Mice Are Protected from Diet-Induced Glucose Intolerance and Insulin Resistance.
We next addressed whether elevated CNS insulin sensitivity as well as reduced GH levels altered peripheral glucose homeostasis and insulin sensitivity. Indeed, random fed and fasted blood glucose concentrations were significantly reduced in lean (Fig. S5A) and obese JNK1ΔNES mice compared to controls (Fig. 4A). Concomitantly, these mice performed significantly better in glucose tolerance tests (Fig. 4B), exhibited decreased serum insulin concentrations (Fig. 4C) and a significantly improved performance in insulin tolerance tests (ITTs) (Fig. S5B and Fig. 4D).
To identify the tissues responsible for the improved glucose homeostasis, we directly determined liver insulin sensitivity, because hepatic glucose production is under both direct (hepatic) and indirect (CNS) control of insulin action (9, 11). Intraperitoneal insulin injections led to enhanced AKT phosphorylation in obese JNK1ΔNES mice (Fig. 4 E and F), indicating that JNK1ΔNES mice are protected from diet-induced hepatic insulin resistance. Moreover, in line with previous reports that CNS insulin action up-regulates hepatic IL6 expression to reduce gluconeogenesis, we detected 1.6-fold elevated IL6 expression in livers of JNK1ΔNES mice compared to controls (Fig. S5C) (11). Besides enhanced insulin sensitivity, we also noted reduced hepatic glucose production as measured by pyruvate tolerance test, possibly due to reduced GH stimulation (Fig. S5D). Collectively, central JNK1 ablation enhances hypothalamic and hepatic insulin sensitivity.
JNK1ΔNES Mice Show Enhanced Thyroid Activation.
We examined whether other pituitary functions besides the somatrophic axis were affected in JNK1ΔNES mice. Although corticosterone concentrations were unchanged between control and JNK1ΔNES mice (Fig. S6A), serum T3 levels were surprisingly increased in the latter (Fig. 5A). In line with increased T3 levels, we detected increased O2 consumption in JNK1ΔNES mice (Fig. S6B), and additionally lipid load of brown adipocytes in interscapular brown adipose tissue (BAT) of JNK1ΔNES mice appeared less (Fig. 5B) and UCP1 mRNA expression tended to be increased (Fig. S6C).
We next asked whether hypothalamic mRNA expression of thyrotropin-releasing hormone (TRH) was also increased. Real-time analysis revealed no consistent change in TRH mRNA expression on either diet, again pointing to a pituitary autonomous dysregulation of thyroid control in these mice (Fig. S6D). In line with the finding of increased circulating T3 concentrations, we observed a more than 3-fold increase in thyroid-stimulating hormone β (TSHβ) mRNA expression in JNK1ΔNES mice (Fig. 5C). Also TRH receptor (TRHR) expression was increased in pituitaries of JNK1ΔNES mice (Fig. 5D). Immunohistological analysis of TSHβ positive cells did not show significant structural alterations in pituitaries of JNK1ΔNES mice, indicating that TRHR expression, but not a change in TSHβ cell number, underlies the increased expression of TSHβ mRNA (Fig. S6E).
To further study the pituitary cell-autonomous regulation of TRHR expression, we employed a rat pituitary cell line (GH4C1), which has been previously used to study TRHR expression (33). Although incubation with either a PI3K or an ERK inhibitor did not have an effect on TRHR expression, incubation with a JNK inhibitor significantly increased TRHR expression by 70% (Fig. 5E). Thus, in line with the increase in pituitary TRHR expression of JNK1ΔNES mice, this finding highlights the importance of JNK-dependent signaling in pituitary, cell-autonomous regulation of the thyroid axis. Taken together, JNK1ΔNES mice show increased thyroid action caused by an increase in pituitary TSHβ and TRHR expression.
Discussion
Our study identifies JNK1 as a specific inhibitor of hypothalamic insulin action and thus together with earlier findings in adipose tissue-specific JNK1-deficient mice partially explains the improved glucose homeostasis and systemic insulin sensitivity in conventional JNK1 knockout mice (4, 8). Moreover, JNK1ΔNES mice are protected from obesity-associated hepatic steatosis and adipose tissue inflammation (Fig. S7), further underlining the comprehensive protection from obesity-associated pathologies.
Moreover, the current study reveals unique important insights into the role of JNK1 in pituitary control of somatic growth and thyroid function. We show that similar to the hypothalamus and peripheral tissues, JNK activation in the pituitary is increased upon HFD feeding. This finding has profound effects on somatic growth, energy expenditure, and glucose metabolism, as demonstrated in JNK1ΔNES mice. Here, we show that JNK1 deficiency in somatotroph pituitary cells reduces GHRH receptor and subsequently GH mRNA expression, translating into significantly decreased circulating GH and IGF1 serum concentrations ultimately resulting in mildly reduced somatic growth.
As indicated in multiple studies of dwarfism and caloric restriction, mice with reduced GH and IGF1 levels are insulin sensitive, demonstrate decreased serum glucose concentrations, and interestingly, show increased life span and decreased aging-associated pathologies (26–29). Notably, caloric restriction does not further improve insulin sensitivity (and life span) in growth hormone receptor-deficient mice, indicating that caloric restriction elicits its beneficial effects by dampening of the somatotrophic axis (34). It is conceivable that JNK activation in times of nutritional surplus evokes hormonal changes resulting in somatic growth, i.e., increased GH expression. In line with this model, overfeeding and/or obesity, induced by mutations in genes essential for weight control, increases and accelerates somatic growth in rodents and humans, and we show that in control animals, HFD feeding significantly increases pituitary expression of GHRHR, offering a unique mechanism for obesity-associated overgrowth (24, 30, 35). Taken together, pituitary JNK1 deficiency in control of somatotrophic function can cooperate with the insulin-sensitizing effect of JNK1 deficiency in the CNS to improve peripheral glucose metabolism (Fig. 5G).
Furthermore, our study reveals a critical role for JNK1 in pituitary control of thyroid function, as demonstrated by increased T3 serum concentrations, pituitary TSHβ expression, and energy expenditure in JNK1ΔNES mice especially under HFD conditions. Although corrected for lean mass, the energy expenditure in obese JNK1ΔNES mice may be confounded by decreased body length and mass. However, the well-documented hyperthyroidism along with altered BAT morphology indicate a true increase in energy expenditure in these mice. Additionally, we show that JNK inhibition increased TRHR expression in vitro, further demonstrating the pituitary-autonomous role of JNK1 signaling in control of thyroid regulation. Because control of TRHR and GHRHR transcription is only partly understood, and at this point we cannot exclude an additional role for altered hypothalamic TRH/GHRH release, future work must be aimed at identifying the mechanisms by which JNK1 controls regulation of both.
Collectively, the pleiotropic effects of CNS and pituitary JNK1 deficiency result in a phenotype that has previously been connected to healthy aging (increased insulin sensitivity accompanied by reduced glucose, insulin, and GH levels). Thus, further analysis of JNK1ΔNES mice with respect to control of life span may allow new insights into the connections between metabolism, growth, and aging.
Methods
Intracerebroventricular Leptin and Insulin Stimulation.
Cannulas were implanted as previously described (36), except that the lateral ventricle was targeted using coordinates located using a Brain Atlas (coordinates were bregma 1.0 mm lateral, 0.2 mm caudal, and 2.0 mm ventral). Mice were allowed to recover for 1 week after surgery. For baseline measurements, mice were injected with 2 μL artificial cerebrospinal fluid (ACSF) immediately before onset of dark phase. Food intake was measured 24 h later. After a 1-day break, ACSF injection was repeated. After an additional 1-day break, either 2 μg mouse leptin (Sigma-Aldrich), 2 mU (ND), or 4 mU (HFD) porcine insulin (Sigma-Aldrich) were injected and food intake measured 24 h later. Leptin and insulin were dissolved according to manufacturer’s instructions to generate stock solutions, and fresh aliquots were dissolved in ACSF immediately before injection. Injected volume was always 2 μL.
Western Blotting and JNK Assay.
Indicated tissues were dissected and homogenized in homogenization buffer with a polytron homogenizer (IKA Werke), and Western blot analyses were performed by standard methods with antibodies raised against insulin receptor subunit β (Santa Cruz, sc-711), β-actin (Sigma, no. 4970), JNK1/3 (Santa Cruz, sc-474), phospho-S473-AKT, and pan-AKT (Cell Signaling) (37). SAPK/JNK assays were performed following the manufacturer’s guidelines (no. 9810; Cell Signaling).
Body Composition.
Body fat content was measured in vivo by NMR using a minispec mq7.5 (Bruker Optik) as previously described (38).
Glucose, Insulin, and Pyruvate Tolerance Tests.
Glucose, insulin, and pyruvate tolerance tests were performed as previously described (39).
Intraperitoneal Insulin Stimulation.
Insulin stimulated hepatic AKT phosphorylation was determined as previously described (8).
Immunohistochemistry.
For GH stainings, pituitaries were extracted, put rapidly in tissue freezing medium, and sectioned on a cryostat. Stainings were performed as previously reported (12). The GH antibody (A0570) was purchased from DAKO.
Statistical Methods.
Data were analyzed for statistical significance by two-tailed unpaired Student’s t test unless indicated otherwise.
Supplementary Material
Acknowledgments
We thank G. Schmall and Tanja Rayle for excellent secretarial assistance and Pia Scholl, Sonja Becker, and Jens Alber for outstanding technical assistance. This work was supported by grants from the Center of Molecular Medicine Cologne (TV2) and the European Union (LSHM-CT-2003-503041) to J.C.B., the Fritz Thyssen Stiftung (Az. 10.04.1.153/Az. 10.06.2.175) to J.C.B., the European Foundation for the Study of Diabetes/Lilly European Diabetes Research Programme to J.C.B., and the German Research Foundation (Deutsche Forschungsgemeinschaft) (Br. 1492/7-1) to J.C.B., and research leading to these results has received funding from the European Community’s Seventh Framework Programme (FP7/2007-2013), acronym “TOBI,” under grant agreement no. 201608 (to J.C.B.).
Footnotes
The authors declare no conflict of interest.
This article contains supporting information online at www.pnas.org/cgi/content/full/1001796107/DCSupplemental.
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