Abstract
Obesity and associated metabolic and cardiovascular disease risk are correlated with reduced circulating adiponectin (APN) levels. Metabolic and cardiovascular disease risk is also increased following menopause and may be linked to disturbances in estrogen receptor (ER) signaling in adipose. We hypothesized that age-associated estrogen (E2)-deficiency alters the ERα/β ratio in adipose tissue and increases risk for metabolic disease via APN-dependant mechanisms. Visceral adipose was isolated from adult (6 mo) and aged (24 mo) female Fisher344 rats (n=5–6/group) with ovaries intact or removed (OVX) and subjected to western blotting. Notably, weight was greatest in aged OVX (p<0.01) and associated with a two-fold increase in ERβ protein vs adult intact rats (p<0.001). ERα levels were increased in aged OVX vs adult OVX. Intra-adipocyte APN was also increased in aged OVX vs all groups (p<0.01), while circulating APN levels decreased in aged OVX vs adult OVX (p<0.05). Endoplasmic reticulum protein of 44kDa (Erp44) levels remained the same (p=0.09). Adiponectin receptor (AdipoR)1 and peroxisome proliferator-activated receptor (PPAR)α were also unchanged. AdipoR2, PPARγ, and the activated AMP-dependant kinase (pAMPK)/total AMPK ratio all decreased with age (p<0.05). Collectively, these data suggest that age-associated increases in ERβ paired with decreased PPARγ levels may predispose E2-deficent post-menopausal women for increased adiposity, and associated metabolic and cardiovascular disease risk. Reduced circulating APN, and AdipoR2 levels may contribute to age and E2-deficiency linked disease progression.
Keywords: estrogen receptor α, menopause, aging, metabolic syndrome, peroxisome proliferator-activated receptorγ
INTRODUCTION
The prevalence of obesity and associated metabolic risk in women increases significantly after menopause, such that 40–50% of women aged 50–59 develop metabolic complications according to the most recent report from the National Health and Nutrition Examination Survey [1]. However, the signaling alterations by which estrogen (E2)-deficiency increases obesity risk with aging are poorly understood, and development of therapeutic interventions have been stalled by the detrimental effects of hormone replacement on coronary heart disease (CHD) morbidity and mortality in women [2, 3]. Interestingly, estrogen receptor (ER) polymorphisms have been linked to increased metabolic and cardiovascular risk in post-menopausal women, indicating a potential important role for ER isoforms α and/or β in regulating adiposity, metabolic derangements and cardiovascular risk [4–6]. In this regard, both ERα and ERβ are present in adipose tissue and appear to reciprocally regulate adiposity [7].
Increased adiposity associated with the development of metabolic derangements such as insulin resistance are observed in ERα knock out (αERKO) mice [8–11], thus indicating that ERα plays an important role in positively regulating adipose metabolism. In contrast, selective activation of ERβ exacerbates metabolic phenotypes [8], and ovariectomy of αERKO mice ammeliorates increases in adiposity and development of insulin resistance [12]. Thus it is plausible that alterations in ER levels, specifically reductions in ERα and increases in ERβ, not only contribute to increased adiposity with advancing age, but may also play a critical role in increasing metabolic and cardiovascular disease risk in post-menopausal women.
The specific mechanisms by which ERs regulate adiposity and adipocyte metabolism are incompletely understood, however, it is known that ERβ inhibits transcriptional activity of peroxisome proliferator activated receptor gamma (PPARγ a master regulator of insulin sensitivity [13]. PPARγ mediates its effects, in part, by regulating the intracellular processing and secretion of the adipokine, adiponectin (APN). Low plasma levels of APN are not only associated with obesity and metabolic syndrome, but also predictive of CHD risk [14–16]. It is unknown whether and to what extent age-associated E2-deficiency disrupts the balance of ERα and β in adipose tissue and if APN is the causal link between dysregulated ER signaling and disease.
Accordingly, we hypothesized that age-associated E2-deficiency and weight gain alters the ERα/β ratio in favor of ERβ in the adipose tissue which in turn, is linked to reduced protein levels of PPARγ and circulating APN. We also sought to characterize alterations in the downstream ER targets PPARγ, Erp44 and APN, which are likely to influence metabolic and cardiovascular disease risk in this model. γFinally, to gain an appreciation of possible downstream APN derangements in adipocytes in a setting of aging-associated E2-deficiency, we also assessed the adiponectin receptors (AdipoR)s 1 and 2, as well as downstream regulators of lipid metabolism PPARα and AMPK in adipose tissue.
METHODS
Animal Care
Adult (5–6 mo, n=11) and aged (23–24 mo, n=11) female Fischer 344 (F344) rats were obtained from Harlan Sprague Dawley (Indianapolis, IN) and Taconic (Hudson, NY). Rats were exposed to a 12h light/dark cycle and received a standard laboratory rodent diet (LabDiet) and water ad libitum. Rats were anesthetized using a sodium pentobarbital intra-peritoneal injection, sacrificed, and perimetrial and retroperitoneal adipose depots were pooled and collected. Tissue was snap frozen in liquid N2 and stored at −80°C until further analysis. Both animal facilities and protocols were reviewed and approved by the Institutional Animal Care and Use Committee of the Pennsylvania State University. Adequate measures were taken to minimize pain and discomfort of animals.
Surgical Ovariectomy
To model E2 deficiency, adult (n=6) and aged (n=6) F344 female rats underwent surgical ovariectomy (OVX) at 4 and 22 months of age, respectively; surgeries were performed by suppliers. Post-surgery adult and aged OVX animals recovered for four weeks prior to experimental use and thus were age-matched to adult (5 mo) and aged (23 mo) intact animals. Uterine weight was used to confirm E2-deficiency. We have previously documented reduced circulating E2 levels in similarly prepared adult and aged OVX rats through radioimmunoassay [17, 18].
Serum Adiponectin Levels
Serum levels of adiponectin (APN) were assessed using an enzyme-linked immunosorbent assay (ELISA) (EZRADP-62K; Millipore) according to manufacturer’s instructions.
Tissue Homogenization
Adipose tissue (~1 gm) was homogenized with a Polytron (Kinematica) in 3.5 volumes of buffer containing (in mM): 40 HEPES, pH 7.4; 4 EGTA; 100 NaF; 50 KCl; 1 EDTA; 100 β-glycerol phosphate; 2 Benzamidine; 1 Na-orthovanadate; 0.4 Aminoethyl benzenesulfonyl fluoride; 6.5 CHAPS; 1% Triton X-100, and 0.2ug/ml of microcystin. Homogenates were centrifuged at 4°C for 10 min at 10,000 X g and the supernatant was assessed for protein concentration using the method of Bradford [19].
Western Blotting
Protein lysates were subject to separation using sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE), transferred to polyvinylidene fluoride membranes and blocked in 6% non-fat dry milk for 2 hours at room temperature as described, by us, previously [20–22]. Membranes were probed overnight at 4°C with primary antibodies purchased from Santa Cruz Biotechnology Inc. at a concentration of 1:1000 for APN (30 kDa, sc-26497), ERα (66 kDa, sc-542), ERβ (56 kDa, sc-8974), PPARγ (67 kDa, sc-7196); and 1:300 for PPARα (55 kDa, sc-9000). Cell Signaling antibodies were used at a concentration of 1:500 for Thr-172 phosphorylated AMPK (pAMPK) (62 kDa, 2531) and 1:1000 for Erp44 (44 kDa, 2886S). A concentration of 1:1000 was used for both AdipoR2 (42 kDa, AdipoR2-1; α-Diagnostics) and AMPK (63 kDa, 07-350; Millipore). AdipoR1 (42 kDa), a gift from R. Ramachandran, was used at a concentration of 1:1000. Membranes were then incubated with either horseradish peroxidase (HRP)-linked anti-rabbit 1:20,000 for ERα, PPARα, PPARγ, Erp44, AMPK, pAMPK, AdipoR1, and AdipoR2 or HRP-linked anti-goat at 1:25,000 for ERβ and APN for 1 h at room temperature and visualized using Enhanced Chemiluminescence (ECL; GE Healthcare). Densitometry was performed using Scion Image (NIH). To correct for potential protein loading errors all membranes were stained with SYPRO Ruby Blot Stain or Ponceau S (100 μg protein/lane) and densitometry performed as previously described [18, 20–22].
Statistical Analysis
All data are presented as means ± SE and analyzed using the Statistical Analysis System (SAS) general linear model procedure. A two-way ANOVA was used to analyze all western data with age × E2 status as the interaction term. Post hoc analysis was performed on significant interactions using a Tukey test. An α-level of p<0.05 was used for all comparisons and considered statistically significant.
RESULTS
Animal Characteristics
As demonstrated by us previously [22], rat weight was significantly increased with both age and OVX (Table 1; p<0.01). OVX resulted in a significant weight gain in both adult and aged animals (14% and 3%, respectively). Uterine weight decreased significantly with OVX (Table 1; p<0.0001), confirming successful OVX surgery and relative E2-deficiency.
Table 1.
Characteristic | Adult | Adult OVX | Aged | Aged OVX |
---|---|---|---|---|
N | 5 | 6 | 5 | 6 |
| ||||
Rat Weight (g) | 202.70 | 213.25 | 270.82* | 307.80*† |
Uterine Weight (g) | 0.60 | 0.12† | 0.59 | 0.32† |
Abbreviations: OVX, ovariectomy.
denotes age effect;
denotes OVX effect (p<0.05).
Estrogen Receptors, PPARγ, and Erp44 Protein Levels
Immunoblotting for ERα, ERβ, PPARγ, and Erp44 was performed in adipose tissue isolated from adult and aged rats and group differences were expressed relative to levels in adult ovary-intact animals. ERα levels showed no significant change with age or E2-deficiency relative to adult control. However, aged OVX animals demonstrated a significant increase in ERα relative to adult OVX (Figure 1A). Furthermore, we observed a two-fold increase in ERβ with age when compared to both adult intact and OVX animals (Figure 1B). Interestingly, PPARγ, which plays a significant role in adipose metabolism, decreased with age and OVX (Figure 2A). Finally, Erp44, a protein downregulated by PPARγ known to directly bind and retain APN intracellularly [23], remained constant with E2-deficiency in adipose tissue isolated from both adult and aged female rats (p=0.09; Figure 2B).
Adiponectin, Adiponectin Receptors, and Downstream Targets AMPK and PPARα Protein Levels
To investigate potential dysregulated autocrine signaling related to ERs in adipose tissue with advancing age and E2-deficiency, we assessed serum APN, intra-adipocyte APN, and its receptors, AdipoR1 and AdipoR2. Circulating APN levels increased by 50 percent with OVX in adult, while reductions of 35 percent and 40 percent were observed in aged and aged OVX, respectively, relative to adult and adult OVX (Figure 3A; p<0.05). In contrast, immunoblotting revealed that APN protein levels were increased in aged OVX animals (Figure 3B; p<0.05). AdipoR1 levels increased in aged OVX (Figure 3C p=0.056). AdipoR2 levels were significantly decreased with age (Figure 3D; p<0.05).
While AMPK and pAMPK levels did not change with age-associated E2-deficiency (Figure 4A and B; p=0.39 and p=0.29, respectively), the ratio of active pAMPK to AMPK was significantly decreased with age (Figure 4C; p<0.05). PPARα, a downstream target of AdipoR2 known to regulate lipid metabolism [24], was unchanged with age or E2-deficiency (Figure 5).
DISCUSSION
The primary focus of the current investigation was to examine, for the first time, links between increased adiposity known to occur with age-associated E2-deficiency, ER protein levels and APN processing and secretion signaling in visceral adipose tissue of female rats. We also investigated potential APN autocrine signaling derangements in aged and E2-deficient adipose tissue, including downstream regulators of lipid metabolism PPARα and AMPK. Collectively, the results presented herein suggest increased ERβ protein levels are associated with compromised APN secretion, as well as reduced AdipoR2 levels thus providing potentially important observations regarding increased metabolic risk in aged women.
Evidence from αERKO models indicate that unopposed ERβ signaling promotes weight gain and a metabolic phenotype in adult mice [10–12]. Previous data also show that ERα is reduced with OVX induced E2-deficiency in adult rats, and we observed a similar phenomenon in the current study (Figure 1A) [25]. Interestingly, we also observed a significant increase in ERα in aged OVX vs adult OVX animals which underscores the importance of using an aging model to elucidate the combined effects of age and E2-deficiency to study metabolic phenotypes. The most striking finding we observed, however, was a two-fold increase in ERβ in both aged and aged OVX rats. That we observe greatest weight gain in aged E2-deficient animals co-incident with a robust increase in ERβ suggests that ERβ alone, or perhaps the shift in the ERα/β ratio favoring ERβ, may play a role in the development of age-associated increases in adiposity.
Because ERβ is known to negatively regulate PPARγ transcriptional activity in 3T3-L1 cells and PPARγ activity is also enhanced in βERKO mice [13], we assessed PPARγ levels as a potential indicator of aberrant ERβ signaling. Indeed, we observed significant reductions in PPARγ protein levels with age-associated E2-deficiency, which may limit the capacity of PPARγ to upregulate APN, and in turn, negatively affect glucose and lipid metabolism in insulin sensitive tissues [26–29].
Regarding circulating APN, we observed increased levels in OVX rats which are similar to findings observed in adult mice [30]. Previous findings also indicate reduced circulating APN levels are reduced with aging in association with metabolic and cardiovascular disease status [14–16]. Here, reduced circulating APN levels in aged OVX rats were associated with elevated intra-adipocyte APN protein levels. It is also interesting to note that Erp44, a protein which directly acts to retain and prevent secretion of APN during post-translational processing [23], was maintained in adult and aged animals (p=0.09; Figure 2B). Collectively, these findings suggest the possibility of APN retention in adipocytes of aged E2-deficient animals, thereby providing a mechanism to reduce circulating APN and increase metabolic disease risk. Our results further suggest that this mechanism may be driven by ERβ, although additional studies are indicated to investigate this important issue.
Finally, reduced autocrine signaling in adipose may also play a role in further exacerbating adiposity and metabolic disease in aged E2-deficient animals. Thus we examined protein levels for both AdipoR1 and 2 in adipose tissue. While no group differences were observed for AdipoR1, AdipoR2 was significantly decreased with age. Reduced AdipoR2, with unchanged R1 levels has also been observed in diabetic rats indicating, as expected, aged E2-deficient animals are likely progressing to a metabolic phenotype [31]. Metabolic dysregulation associated with age and E2-deficency in our model is further evidenced by the significant decrease in the pAMPK/AMPK ratio in aged and aged OVX animals, and while speculative, may result in impaired pAMPK-driven processes like glucose uptake and fatty acid mobilization in adipocytes [24, 32].
CONCLUSIONS
We have demonstrated that the unique state of E2-deficiency in aged rats is associated with an altered ERα/β ratio in favor of ERβ. With increased ERβ protein levels we also observe significantly decreased PPARγ, circulating APN, and AdipoR2 levels which set the stage for increased adiposity and subsequent metabolic dysregulation specifically in aged E2-deficient animals. Further studies within the context of aging and E2-deficiency are required to determine if postmenopausal weight gain, metabolic syndrome, and CHD risk are linked through ERβ-driven derangements in adipose tissue linked to reduced circulating APN and AdipoR2 levels.
Acknowledgments
The authors would like to thank Dr. R. Ramachandran for his generous gift of the AdipoR1 antibody, Dr. K. Saupe for his valuable insight on AMPK, Richard Ball for adiponectin ELISA studies, and Jennifer Novotny-Buchanan, Amy M. Simpson, and Sarah J. Jefferson for assistance with animal care. This project was supported by: NIH RO1 HL091097 (dhk), NIH RO1 HL091097-01A2S1 (dhk), NIH RC2 AA019403 (dhk).
Footnotes
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