Abstract
Adipocytes store excess energy in the form of triglycerides and signal the levels of stored energy to the brain. Here we show that adipocyte-specific deletion of Arntl (also known as Bmal1), a gene encoding a core molecular clock component, results in obesity in mice with a shift in the diurnal rhythm of food intake, a result that is not seen when the gene is disrupted in hepatocytes or pancreatic islets. Changes in the expression of hypothalamic neuropeptides that regulate appetite are consistent with feedback from the adipocyte to the central nervous system to time feeding behavior. Ablation of the adipocyte clock is associated with a reduced number of polyunsaturated fatty acids in adipocyte triglycerides. This difference between mutant and wild-type mice is reflected in the circulating concentrations of polyunsaturated fatty acids and nonesterified polyunsaturated fatty acids in hypothalamic neurons that regulate food intake. Thus, this study reveals a role for the adipocyte clock in the temporal organization of energy regulation, highlights timing as a modulator of the adipocyte-hypothalamic axis and shows the impact of timing of food intake on body weight.
Several components of energy homeostasis, including locomotor activity, feeding, thermogenesis, glucose and lipid metabolism, are subject to circadian regulation that synchronizes energy intake, storage and utilization with changes in the external environment imposed by the rotation of the earth1. In mammals, the circadian clock of the hypothalamic suprachiasmatic nucleus (SCN) and clocks in peripheral tissues involved in energy homeostasis coordinate 24-h cycles in these aspects of physiology and behavior2. Animal models of global and discrete circadian clock dysfunction develop abnormalities in energy metabolism3–7. In humans, cross-sectional studies have uncovered an increased prevalence of obesity and metabolic syndrome in night-shift workers8,9. Patients with sleep disorders have a higher risk for developing obesity, and the duration of sleep is inversely correlated with body weight in healthy men and women10.
The regulation of energy homeostasis requires integration of multiple signals between the central nervous system and the periphery. Adipose tissue participates in this system not only by storing and releasing energy but also by informing the central nervous system of the energy stored within it. White adipose tissue (WAT) secretes leptin to signal the levels of long-term stored energy to the central nervous system11. Leptin signaling in the central nervous system results in an increase in energy expenditure and a reduction of food intake by repression of orexigenic pathways and induction of anorexigenic pathways in the hypothalamus12,13. In addition, fatty acid release by WAT into the circulation is another mechanism by which WAT participates in the regulation of energy homeostasis. An increase in the concentration of circulating long-chain unsaturated fatty acids leads to a proportional increase in their concentration in the hypo-thalamus14. Hypothalamic neurons respond to increased intracellular concentrations of long-chain unsaturated fatty acids by inhibition of food intake15,16.
Taken together, these lines of evidence are consistent with a central role for adipose tissue as an integrator of organismal energy balance through the regulation of both food intake and energy expenditure. What is not yet known is the physiological importance of the adipocyte circadian clock in the temporal organization of energy regulation.
RESULTS
Deletion of Arntl disrupts the adipocyte circadian clock
To study the role of the adipocyte circadian pacemaker in energy homeostasis, we generated mice lacking Arntl (also known as Bmal1 or Mop3) in adipocytes17. Previous reports have shown that mice with deletion of Arntl in all tissues (Arntl knockout mice) have higher body weight18 and greater adipose tissue mass4 at 4–8 weeks of age compared to wild-type (WT) mice. Similarly to these reports, we found a trend toward greater adipose tissue mass in 8-week-old Arntl knockout mice compared to WT mice (Supplementary Fig. 1a). Starting at 14 weeks of age, the Arntl knockout mice developed progressive arthropathy followed by weight loss and features of accelerated aging19, rendering the universal Arntl knockout mouse unsuitable for the study of energy homeostasis after this age. To generate adipocyte-specific deletion of Arntl, we bred mice with a conditional Arntl allele20 (Fig. 1a) with mice expressing Cre recombinase under the control of the adipocyte-specific promoter of the adipocyte protein 2 (aP2) gene (aP2-Cre mice)21. To examine mice with Arntl deleted specifically in adipocytes (Ad-Arntl−/− mice) we used male C57BL/6J mice (Supplementary Fig. 1b) homozygous for the Arntl conditional allele carrying one copy of the Cre recombinase transgene together with littermate mice homozygous for the Arntl conditional allele but not carrying Cre recombinase (control mice). In the presence of Cre recombinase, 75% and 50% of Arntl was excised in primary adipocytes isolated from white epididymal fat and brown interscapular fat, respectively (Fig. 1b,c). Cre recombinase led to 82% and 74% lower expression of Arntl in white and brown adipocytes, respectively, of Ad-Arntl−/− mice relative to adipocytes from WT mice (Fig. 1d,e). Arntl protein was not detectable in either white or brown adipocytes of Ad-Arntl−/− mice (Fig. 1f,g). We tested other tissues from these mice for loss of Arntl and found excision in peritoneal macrophages but not any other tissues examined (Fig. 1h). Excision of Arntl was evident in epididymal WAT and interscapular brown adipose tissue (BAT) from Ad-Arntl−/− mice (Fig. 1h). The amount of excision of Arntl in WAT was lower compared to the excision in isolated primary adipocytes in these mice as a result of existence of cells other than adipocytes in WAT. To control for the excision of Arntl in macrophages, we generated mice with Arntl deletion specifically in myeloid cells (M-Arntl−/− mice) using mice that express Cre recombinase under the control of the lysozyme M promoter (LysM-Cre)22 (Supplementary Fig. 1c,d).
We next investigated whether the circadian clock is disrupted in white and brown adipocytes. Clock and clock-output genes show rhythmic expression in WAT and BAT from WT mice (Supplementary Fig. 1f,g); however, the rhythmic expression of clock and clock-output genes is abolished in WAT and BAT from Arntl knockout mice, indicating disruption of clock function (Supplementary Fig. 1f,g). Similarly to WT mice, the expression of the circadian clock genes Arntl, Nr1d1 (also known as Rev-erbα) and Per1–3 and the clock-output genes Dbp and Nfil3 (also known as E4bp4) oscillates across time in both WAT and BAT from control mice kept under constant darkness (Fig. 1i,j). This indicates the existence of a functional circadian clock in mice carrying the conditional Arntl allele in both white and brown adipocytes and confirms our previous findings indicating that the conditional Arntl allele functions in the same way as a WT allele20. In Ad-Arntl−/− mice, deletion of Arntl in white and brown adipocytes dampens the rhythmic expression of Nr1d1 and Per3 in WAT (P < 0.01) (Fig. 1i) and Per2, Per3 and Dbp in BAT (P < 0.05) (Fig. 1j). Because of the reduction in the expression of the repressor, Nr1d1, the expressions of Npas2 and Cry1 in WAT and BAT of these mice are higher compared to the same tissues in control mice (P < 0.0001)23–25. The lack of complete loss of oscillation of clock genes in WAT may reflect the function of remnant Arntl expression from the incomplete excision of the gene by Cre recombinase, as well as the existence of cells other than adipocytes in the tissue. Notably, the expression of Per1 and Per2 continues to be rhythmic with unaltered amplitude in the WAT of Ad-Arntl−/− mice, which suggests that Per1 and Per2 do not depend on the intrinsic circadian clock of the white adipocyte to oscillate. Oscillation of Per2 expression independent of the intrinsic clock has been previously described in liver of mice with a dysfunctional liver clock26–28. Per2 oscillates in liver in the absence of a functional liver clock but not in liver explants from the same mice, which indicates that Per2 oscillation could be driven by circadian systemic signals28. Taken together, the changes in clock and clock-output gene expression in the WAT and BAT of Ad-Arntl−/− mice indicate that the function of the circadian oscillator in both white and brown adipocytes is severely compromised.
Obesity in Ad-Arntl−/− mice
To address the hypothesis that the circadian clock of the adipocyte is important for energy homeostasis, we investigated changes in the body weight of Ad-Arntl−/− mice. Ad-Arntl−/− mice show significantly higher body weight when maintained on regular diet compared to control and WT mice starting at 9 weeks of age (P < 0.05; Fig. 2a and Supplementary Fig. 2a). The Ad-Arntl−/− mice were born at normal weight, which is consistent with a failure of adipocyte Arntl to affect fetal development and growth. We next fed the mice a high-fat, energy-dense diet (HFD). The HFD-fed Ad-Arntl−/− mice (HFD started at 6 weeks of age) gained significantly more weight compared to control mice, aP2-Cre mice and WT mice (P < 0.05; Fig. 2a). By contrast, M-Arntl−/− mice fed either a regular diet or the HFD did not have higher body weight compared to control and WT mice (Supplementary Fig. 1e). Thus, the higher body weight in the Ad-Arntl−/− mice was caused by the deletion of Arntl in adipocytes and not macrophages.
We generated a second line of Ad-Arntl−/− mice by crossing mice carrying the conditional Arntl allele with mice expressing Cre recombinase under the control of the adiponectin gene promoter (adiponectin-Cre Arntlfx; Supplementary Fig. 2b) further to confirm the diet-induced obesity of Ad-Arntl−/− mice29. The adiponectin-Cre Arntlfx mice did not have higher body weight compared to controls when fed the regular diet but gained significantly more weight compared to controls when fed the HFD staring at 6 weeks of age (Fig. 2b), similarly to the Ad-Arntl−/− mice expressing Cre recombinase under the control of the aP2 promoter (P < 0.05). Notably, the adiponectin-Cre controls had lower weight compared to Arntlfx controls and littermate WT mice. The observed diet-induced obesity in two separate Ad-Arntl−/− models is consistent with the interpretation that the higher body weight is caused by adipocyte-specific deletion of Arntl. This higher body weight is attributable to a greater adipose tissue mass. Thus, body fat comprises ~20% of the body weight in 32-week-old Ad-Arntl−/− mice fed a regular diet compared to 16% in control mice, with no difference in the weight of lean tissue between Ad-Arntl−/− and control mice (Fig. 2c). Similar to the mice fed a regular diet, 16-week-old Ad-Arntl−/− mice fed a HFD had no difference in lean tissue weight but had ~50% more adipose tissue compared to control mice (Fig. 2c). Histological analysis revealed adipocyte hypertrophy in Ad-Arntl−/− mice. Adipocytes from regular diet–fed Ad-Arntl−/− mice were ~30% larger than adipocytes from control mice (Fig. 2d,e). The epididymal adipose tissue of the Ad-Arntl−/− mice had no differences in macrophage infiltration and degree of fibrosis compared to the same tissue from control mice (Supplementary Fig. 2c,d). Expression of Emr1 (F4/80), Tnfa and Il1b in epididymal adipose tissue was not different between Ad-Arntl−/− and control mice (Supplementary Fig. 2e), suggesting that the inflammatory state of the adipose tissue from Ad-Arntl−/− mice is the same as in the control mice. Ex vivo stimulation of WAT from Ad-Arntl−/− mice with isoproterenol showed lower levels of lipolysis in response to beta-3 adrenergic stimulation compared to control mice (Supplementary Fig. 2f). The expression of adipose triglyceride lipase and hormone-sensitive lipase in adipose tissue of Ad-Arntl−/− mice was normal, indicating no change in lipolysis in the adipocytes (Supplementary Fig. 2g). In support of this, plasma concentrations of nonesterified fatty acids in Ad-Arntl−/−mice were the same as in control mice (Supplementary Fig. 2h).
We found higher concentrations of plasma leptin in Ad-Arntl−/−mice fed a regular diet compared to controls (Fig. 2f). This might be expected given the greater adipose tissue mass in Ad-Arntl−/− mice, as there is a positive correlation between plasma leptin and adipose tissue mass in both humans and rodents30. High concentrations of leptin serve as a satiety signal from adipose tissue to the hypothalamic centers regulating appetite11, which might seem at odds with the obesity in the Ad-Arntl−/− mice. However, higher concentrations of systemic plasma leptin coincide with obesity in rodents and humans but are associated with diminished hypothalamic leptin signaling31, a phenomenon described as hypothalamic leptin resistance. Apart from the difference in plasma concentrations, we did not detect an apparent rhythm in the concentration of plasma leptin in either Ad-Arntl−/− or control mice. The concentrations of both plasma triglycerides and glucose oscillate in regular diet–fed control mice, as we previously described7. Regular diet–fed Ad-Arntl−/− mice have higher concentrations of plasma triglycerides (Fig. 2f) but no differences in the concentrations of plasma cholesterol and adiponectin compared to control mice (Supplementary Fig. 3a). In addition, the circadian variation in plasma triglyceride concentrations in control mice was lost in Ad-Arntl−/− mice (Fig. 2f).
Previously, we have shown temporal variation in glucose tolerance and the hypoglycemic response to insulin in mice7. We were therefore interested to explore whether disruption of the circadian clock in adipocytes has an impact on glucose metabolism. Regular diet–fed Ad-Arntl−/− mice kept under constant darkness showed a peak in plasma glucose concentration during the subjective light period of the day-night cycle (Fig. 2f). WT mice consume most of their daily food during the beginning of the night. Therefore, plasma glucose concentrations of WT mice rise during the early night and drop after the postprandial period to lower steady-state concentrations during the day. We observed this pattern of plasma glucose variation in control mice but found that it was disrupted in Ad-Arntl−/− mice (Fig. 2f). Ad-Arntl−/− mice showed no difference in plasma concentrations of insulin across the 24-h light-dark cycle compared to control mice (Supplementary Fig. 3a) and had a normal plasma glucose response to intraperitoneal injection of insulin when fed a regular diet or a HFD for 4 weeks or 18 weeks, respectively (Supplementary Fig. 3b), despite their higher body weight.
We performed hyperinsulinemic-euglycemic clamp studies in 1-year-old Ad-Arntl−/− mice fed a HFD for 40 weeks further to analyze glucose metabolism. Consistent with the results from the insulin tolerance tests, there was no difference in the glucose infusion rate required to maintain euglycemia between Ad-Arntl−/− and control mice (Supplementary Fig. 3c). In addition, the suppression in hepatic glucose production after insulin infusion, the rate of blood glucose disposal and the glucose uptake by skeletal muscle and adipose tissue were not different between Ad-Arntl−/− and control mice, despite the higher body weight of the Ad-Arntl−/− mice (Supplementary Fig. 3c). Consistent with the absence of a change in sensitivity of adipose tissue to insulin, insulin-stimulated phosphorylation of insulin receptor substrate 1 (IRS-1) and Akt were not different in epididymal adipose tissue from Ad-Arntl−/− mice compared to the same tissue from control mice (Supplementary Fig. 3d). We and others have reported that mice lacking Arntl function in all tissues have higher sensitivity to insulin4,7. Specific deletion showed that liver Arntl function is at least partially responsible for this effect4. Here we show that Arntl function in the adipocyte may also contribute to sensitivity to insulin, as adipose tissue from Ad-Arntl−/− mice is equally sensitive to insulin compared to adipose tissue from control mice despite the greater body adiposity.
Reduced energy expenditure, attenuated food intake rhythm
We analyzed several aspects of behavior relevant to energy homeosta-sis in preobese 20-week-old mice fed HFD for 1 week to evaluate the energy surplus responsible for the higher body weight in long-term HFD-fed Ad-Arntl−/− mice without the confounder of body weight (Supplementary Fig. 4a). Ad-Arntl−/− mice showed no changes in locomotor activity compared to controls (Fig. 3a,b). Similarly, the SCN of regular diet–fed Ad-Arntl−/− mice drove normal rhythms in locomotor activity measured for several consecutive days under both light-dark (Supplementary Fig. 4b,c) and constant darkness conditions (Supplementary Fig. 4d) using both infrared beam crossing and telemetry. Conversely, energy expenditure, measured by respiratory O2 consumption, was lower in HFD-fed Ad-Arntl−/− mice compared to controls (Fig. 3c,d). This lower expenditure was independent of the time of the diurnal cycle, whereas energy expenditure in the Ad-Arntl−/− mice remained rhythmic (Fig. 3c). Energy expenditure in regular diet–fed Ad-Arntl−/− mice was the same as in controls (Supplementary Fig. 4e,f). Similarly, there were no differences in the expression of Ucp1 or Ppargc1a (Pgc-1α),which encode key regulators of thermogenesis, in brown and WAT both in the fed and fasted states (Supplementary Fig. 5a – d). We found no differences in the expression of genes encoding other regulators of thermogenesis, making a change in thermogenesis in BAT unlikely (Supplementary Fig. 5e). Plasma concentrations of triiodothyronine (T3), a thyroid hormone that increases energy expenditure, were the same in regular diet–fed Ad-Arntl−/− and control mice (Supplementary Fig. 5f). We also measured heat production as an indicator of thermogenesis using indirect calorimetry and found no differences between Ad-Arntl−/−and control mice (Supplementary Fig. 5g).
Taken together, our findings suggest that the reduction in energy expenditure in HFD-fed mice is not the direct result of disruption of the adipocyte clock but, rather, is a secondary event. There is no indication that thermogenesis in the BAT is altered in Ad-Arntl−/−mice, a potential confounder in our study given the deletion of Arntl in brown adipocytes. Monitoring of food intake in the Ad-Arntl−/−mice revealed attenuation of the diurnal rhythm in feeding activity observed in WT mice. Our control mice consumed ~70% of their total daily calorie intake during the night (Fig. 3e,f). In contrast, the Ad-Arntl−/− mice had greater food intake during the light period and lower food intake during the night (~60% of the total daily intake) compared to control mice, with no difference in the overall calories consumed daily between the two groups (Fig. 3e,f).
We reproduced the greater food intake during the light period in Ad-Arntl−/− mice in several independent experiments, as well as in regular diet–fed mice under both light-dark (Supplementary Fig. 4g) and constant darkness conditions (Supplementary Fig. 4h). The peak in plasma glucose concentrations during the light period in the regular diet–fed Ad-Arntl−/− mice (Fig. 2f) may have been the result of greater food intake during that period. Although feeding behavior in humans is very different than that in rodents, the greater food intake during the light period in the nocturnal Ad-Arntl−/− mice is reminiscent of the night-eating syndrome described in humans. Similar to the higher body weight of Ad-Arntl−/− mice, night-eating syndrome is more prevalent in obese than lean humans32.
Increased food intake during daytime leads to obesity
We restricted Ad-Arntl−/− mice access to food either during the light or the dark period to examine whether the greater feeding activity during the light period without an overall increase in daily food intake underlies the diet-induced obesity in these mice. We provided the same number of daily calories to mice in the restricted feeding groups and a group with ad libitum access to food and monitored their weight for several days. After an initial adjustment period (days 1–17) that allowed the mice to adapt to the time-restricted access to food, mice in the three groups had no differences in body weight (Fig. 4a). We then introduced the mice to a HFD. Mice fed during the light period gained significantly more weight and were heavier compared to mice fed during the dark period throughout the experiment (P < 0.05; Fig. 4a). This indicates that the attenuated feeding behavior of Ad-Arntl−/− mice is sufficient to lead to obesity without an overall increase in daily caloric intake.
We next investigated whether the disruption of the clock in adipocytes changed the adipose–central nervous system axis that regulates feeding behavior. We analyzed the hypothalamic expression of neuropeptides involved in appetite regulation in preobese mice fed a regular diet (Supplementary Fig. 6a,b). In agreement with the increase in food intake, we found higher expression of orexigenic neuropeptide Y (Npy) and agouti related peptide (Agrp) in Ad-Arntl−/− mice compared to controls specifically at circadian time 4 (CT4) of the subjective light period (Fig. 4b,c), which corresponds to the time when Ad-Arntl−/− mice consume more food than controls (Fig. 3e,f). In addition, we found higher expression of the orexin receptor 2 (Hcrtr2) in Ad-Arntl−/− mice at CT0 and CT4 compared to controls (Fig. 4d). By contrast, expression of the anorexigenic cocaine and amphetamine-regulated transcript (Cart) was lower in Ad-Arntl−/− than control mice at CT4 (Fig. 4e). The expression of both orexigenic and anorexigenic neuropeptides was the same in Ad-Arntl−/− and control mice at all other times of the daily cycle (Fig. 4b – f). We found no differences in the expression of pro-opiomelanocortin (Pomc) (Fig. 4f) or other regulators of feeding behavior, such as the leptin receptor, orexin or orexin receptor 1, between the two groups (Supplementary Fig. 6c). We examined the expression of clock and clock-output genes in the hypothalamus of the same mice to exclude the possibility that the changes in neuropeptide expression resulted from changes in hypothalamic clock function (Supplementary Fig. 6d). Clock and clock-output genes showed low amplitude oscillations in the hypothalamus, with no differences between Ad-Arntl−/− and control mice (Supplementary Fig. 6d). Taken together, these findings indicate a temporal change in appetite that dictates the attenuation of the feeding behavior of the Ad-Arntl−/− mice.
We fasted mice for 24 h and monitored their response to refeeding as a second test for changes in the adipose–central nervous system axis that regulates feeding behavior. After refeeding, Ad-Arntl−/− mice showed greater food intake compared to control mice (Fig. 4g). The same response was evident 2 h after the start of refeeding. Our finding indicates a greater appetite in response to a lack of energy, suggesting a higher set point for energy stored in the adipose tissue of the Ad-Arntl−/− mice. Ad-Arntl−/− mice also had greater food intake compared to controls 13, 15, 17 and 19 h after the initiation of refeeding (Fig. 4g). The greater intake at these hours is probably related to the higher food intake of Ad-Arntl−/− mice during the light period.
Reduced polyunsaturated fatty acids in Ad-Arntl−/− mice
We next investigated changes in the adipocytes of Ad-Arntl−/− mice that initiate the attenuated feeding behavior that leads to obesity. We performed a metabolomic analysis in epididymal adipose tissue collected from regular diet–fed 20-week-old mice at different times of the diurnal cycle (CT0, CT6, CT12 and CT18) and found opposing changes between the concentration of triglycerides containing saturated, monounsaturated and polyunsaturated fatty acids (Fig. 5a,b). The concentration of triglycerides TG (52:0), TG (51:1), TG (52:1), TG (53:1) and TG (54:1) was higher in Ad-Arntl−/− compared to control mice (Fig. 5a). Conversely, the concentration of triglycerides TG (50:3), TG (50:4), TG (52:5), TG (54:8), TG (58:8) and TG (56:9) was lower in Ad-Arntl−/− compared to control mice (Fig. 5b). To explain the observed changes, we performed a genome-wide microarray analysis of the epididymal adipose tissue. Expression of Elovl6, encoding long-chain fatty acid elongase 6 (responsible for lengthening the carbon chain during biosynthesis of long-chain polyunsaturated fatty acids), and Scd1, encoding stearoyl-CoA desaturase 1 (which creates a double bond at the ninth position of the fatty acid carbon chain during polyunsaturated fatty acid biosynthesis), was lower in Ad-Arntl−/− compared to control mice (Fig. 5c). Elovl6 and Scd1 contain E-boxes in their promoter regions, suggesting direct control of their expression by the circadian clock33. To confirm the regulation of Elovl6 and Scd1 expression by Arntl, we used chromatin immunopre-cipitation (ChIP), quantitative PCR and found that Arntl associates with the E-boxes of the promoter regions of the two genes (Fig. 5d). The lower expression of Elovl6 and Scd1 indicates a lower capacity of Ad-Arntl−/− adipocytes to synthesize long-chain polyunsaturated fatty acids compared to control adipocytes and explains the lower abundance of triglycerides containing polyunsaturated fatty acids in Ad-Arntl−/− mice.
The differences in triglyceride abundances in the adipose tissue of Ad-Arntl−/− mice compared to control mice prompted us to measure fatty acids in the plasma from the mice in the same experiment. Adipose tissue releases fatty acids into the circulation for use by other tissues for energy production through fatty acid oxidation or to serve as receptor ligands34. Long-chain polyunsaturated fatty acids cross the blood-brain barrier and incorporate into neurons of hypothalamic centers that regulate food intake among other cells and regions of the brain14. Low concentrations of polyunsaturated fatty acids in the hypothalamus associate with higher food intake in rats, and an increase of polyunsaturated fatty acid concentration leads to reduced feeding activity16. Plasma concentrations of saturated fatty acids are higher in Ad-Arntl−/− compared to control mice (Fig. 5e). In contrast, the concentrations of unsaturated fatty acids in plasma from Ad-Arntl−/− mice are lower compared to controls (Fig. 5f,g). More specifically, the concentrations of arachidonic acid, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) are lower in Ad-Arntl−/− than control mice at CT6, corresponding to the time Ad-Arntl−/− mice have greater food intake compared to controls (Fig. 5g). Our findings suggest that the lower concentration of plasma long-chain polyunsaturated fatty acids in Ad-Arntl−/− mice at CT6 should be reflected in the concentration of polyunsaturated fatty acids in hypothalamic neurons, causing greater food intake in the knockout mice at that time.
We next sought changes in gene expression in the adipose tissue of Ad-Arntl−/− mice that might explain how a lower concentration of adipose tissue polyunsaturated fatty acid containing triglycerides results in a lower plasma concentration of polyunsaturated fatty acids specifically at CT6. Expression of Ces1d, encoding triacylglycerol hydrolase, is lower in adipose tissue of Ad-Arntl−/− mice compared to the same tissue from controls specifically at CT6 (Fig. 5h). Ces1d contains E-boxes in its promoter region, consistent with control of its expression by the circadian clock. Triacylglycerol hydrolase is a major adipocyte lipase that was recently found to be responsible for approximately 70% of the total hydrolase activity in WAT35. The lower expression of Ces1d in Ad-Arntl−/− mice at CT6 indicates less lipolysis in WAT of these mice at that time compared to controls. Less lipolysis leads to less release of fatty acids in plasma and explains the lower plasma concentrations of polyunsaturated fatty acids at CT6. We measured arachidonic acid, EPA and DHA in the hypothalamus of Ad-Arntl−/− mice to explore whether the time-specific reduction in the concentration of polyunsaturated fatty acids in plasma changes the concentrations of polyunsaturated fatty acids in hypothalamic neurons. The concentration of hypothalamic nonesterified arachidonic acid, EPA and DHA are lower in Ad-Arntl−/− mice compared to controls specifically at CT6 (Fig. 5i). Conversely, the concentrations of esterified arachidonic acid and DHA are the same in the Ad-Arntl−/−mice and controls (Supplementary Fig. 7a), which is consistent with the temporal reduction of polyunsaturated fatty acids in plasma. The concentration of esterified EPA was lower in the hypothalamus of Ad-Arntl−/− mice at CT6 compared to control mice (Supplementary Fig. 7a). Our findings suggest that the lower concentration of circulating polyunsaturated fatty acids during the light period cause a reduction in the concentration of nonesterified polyunsaturated fatty acids in the hypothalamus at the same time. This reduction may change hypothalamic neuropeptide expression to promote greater food intake during the light period.
Peripheral polyunsaturated fatty acids: energy homeostasis
To determine whether the lower concentration of circulating polyun-saturated fatty acids during the light period causes increased feeding and leads to increased body weight, we fed Ad-Arntl−/− mice two diets with high polyunsaturated fatty acid contents. The first diet provided 2% of its energy from EPA and DHA (1.2% EPA and 0.8% DHA), and the second diet provided 10% of its energy from EPA and DHA (6% EPA and 4% DHA), with 43% of the total energy being provided from fat in both diets. Feeding the mice the 2% EPA and DHA diet led to lower amounts of arachidonic acid and higher amounts of EPA in the hypothalamus compared to mice fed a control diet with 43% of the total energy from fat (HFD) (Fig. 6a and Supplementary Fig. 7b). The 10% EPA and DHA diet led to lower amounts of arachidonic acid and higher amounts of EPA and DHA in the hypothalamus compared to mice fed the HFD (Fig. 6a and Supplementary Fig. 7b). The difference in the amount of nonesterified arachidonic acid, EPA and DHA at CT4 between Ad-Arntl−/−and control mice fed the HFD disappeared after feeding the mice with the two EPA- and DHA-rich diets (Fig. 6a). Consistent with the hypothesis that lower concentrations of circulating polyunsaturated fatty acids during the light period are responsible for the increase in body weight, the Ad-Arntl−/− mice fed the two EPA- and DHA-rich diets did not have higher body weight compared to the control mice (Fig. 6b). Feeding the Ad-Arntl−/− mice the EPA- and DHA-rich diets corrected the greater food intake during light period in the HFD-fed Ad-Arntl−/− mice (Fig. 6c). Energy expenditure in the Ad-Arntl−/− mice fed the EPA- and DHA-rich diets was equal to that of the control mice (Fig. 6d). The locomotor activity of the Ad-Arntl−/− mice was the same as the control mice in both the HFD and the EPA- and DHA-rich diet groups (Supplementary Fig. 7c). These findings indicate that the elimination of the low amounts of polyunsaturated fatty acids in the hypothalamus by supplementation of the diet with EPA and DHA restores body weight, feeding behavior and energy expenditure in the Ad-Arntl−/− mice.
We then measured the expression of hypothalamic neuropeptides that regulate feeding activity to test the hypothesis that low amounts of hypothalamic polyunsaturated fatty acids in Ad-Arntl−/− mice change feeding activity by changing neuropeptide expression. HFD-fed Ad-Arntl−/− mice have higher expression of Npy and Agrp and lower expression of Cart and Pomc in the hypothalamus at CT4 compared to HFD-fed control mice (Fig. 6e). The expressions of leptin receptor, orexin, and orexin receptors 1 and 2 at CT4 were the same between Ad-Arntl−/− and control mice (Supplementary Fig. 7d). Supplementation of the diet of Ad-Arntl−/− mice with EPA and DHA reduced the expression of Npy and Agrp and increased the expression of Cart and Pomc at CT4 to the expressions in the control mice (Fig. 6e). Our findings indicate that the changes in hypothalamic neuropeptides in Ad-Arntl−/− mice are caused by the lower amounts of hypothalamic polyunsaturated fatty acids (Supplementary Fig. 8).
DISCUSSION
Our study provides evidence that a peripheral circadian clock can generate circadian signals to entrain rhythmicity in the central nervous system. Disruption of adipocyte clock function results in temporal changes in plasma concentration of polyunsaturated fatty acids, leading to corresponding changes in the expression of neurotransmitters responsible for appetite regulation in hypothalamic feeding centers. The magnitude of the effect on hypothalamic expression of neurotransmitters is sufficient to induce changes in feeding activity, as previously described36,37, leading to disruption of the normal feeding rhythm. These changes occur without alteration in the rhythmic expression of circadian clock genes (including Arntl) in the hypothalamus, suggesting a direct effect of the adipocyte circadian clock on hypothalamic feeding centers without the participation of the local circadian clocks. This finding suggests a bidirectional communication between the SCN and peripheral clocks. Recently, regulation of SCN synchronization by adrenal glucocorticoids was reported in a mouse model of jet lag38. Disruption of the adrenal circadian clock and circadian rhythm in glucocorticoid secretion alters the kinetics of the SCN-controlled locomotor activity rhythm re-entrainment38.
The development of obesity in Ad-Arntl−/− mice highlights the importance of the adipocyte circadian clock in organismal energy homeostasis. Deletion of Arntl in adipocytes results in weight gain, an effect that is not observed with deletion of Arntl in the liver4 or pancreatic islets3. Together with the temporal alterations in the concentration of plasma and hypothalamic polyunsaturated fatty acids and in hypothalamic neurotransmitters, our finding suggests an underlying dysfunction of the clock and not a direct effect of Arntl. Healthy adult mammals maintain a steady body weight over most of their lives, which suggests that energy homeostasis is a tightly regulated process. Lipolysis in WAT releases energy stored in adipocytes. In turn, adipocytes signal the amount of stored energy to the hypothalamus, a key input to the centers responsible for energy homeostasis. The alterations in feeding activity—a centrally mediated behavior—in mice with adipocyte-specific disruption of the clock indicate feedback from a peripheral clock to the central nervous system. The adipocyte clock regulates the biosynthesis of long-chain polyunsaturated fatty acids and the timing of fatty acid release into the circulation. Remodeling of the triglyceride pool of the adipocyte in the absence of a functional clock leads to an attenuated feeding rhythm and obesity. Indeed, obesity in humans has been associated with remodeling of the adipocyte lipidome that is characterized by a reduction in the amount of polyunsaturated fatty acids39. Disruption of the circadian clock in adipocytes results in a reduction in the amount of key enzymes involved in the biosynthesis of polyunsaturated fatty acids, explaining the reduced amounts of polyunsaturated fatty acid containing triglycerides. This, together with a time-specific reduction in triacylglycerol hydrolase, results in a reduction in the amount of plasma long-chain polyunsaturated fatty acids during the light period of the diurnal cycle. Reflecting the transit of polyunsaturated fatty acids from plasma across the blood-brain barrier, the amounts of nonesterified polyunsaturated fatty acids in the hypothalamic centers regulating feeding activity are also reduced during the light period.
Previous studies have shown that dysregulation of the feeding rhythm without an increase in total food intake can lead to obesity in rodents40–45. Restriction of food availability only to the light phase induces accelerated obesity in mice fed a HFD compared to mice with access to food only during the night that consume the same number of calories40. Furthermore, correction of the abnormal feeding rhythm by scheduled feeding rescues the onset of obesity in HFD-fed mice41,42 and in a genetic model of hyperphagia with a dysregulated feeding rhythm43. In a model of shift work, mice with restricted access to food during the light phase develop obesity. Shifting food access to the night phase reverses this weight gain44. Similarly, exposure of mice to light during the night results in obesity as a result of a shift of food intake to the light phase45. In humans, dysregulation of feeding and sleep rhythms in a paradigm of circadian misalignment results in a reduction of the amount of plasma leptin that would predispose to the development of obesity46. Similar to our findings, HFD-fed mice with an attenuated feeding rhythm show reduced energy expenditure, and correction of the feeding rhythm results in an increase of energy expenditure41,42. These observations suggest that attenuation of the feeding rhythm shifts energy toward storage instead of utilization, as indicated by a reduction in energy expenditure.
Polyunsaturated fatty acids in the hypothalamus improve hypothalamic signaling of leptin and insulin by reducing hypothalamic inflammation16. As we show with the use of diets rich in EPA and DHA, the release of these lipids from adipose tissue to the circulation can serve as a peripheral signal to the hypothalamus to regulate feeding. Hypothalamic amounts of polyunsaturated fatty acids oscillate, with a peak during the light period of the diurnal cycle. When the adipocyte clock is disrupted, circulating polyunsaturated fatty acid concentrations are low during the light period, resulting in reduced amounts of hypothalamic polyunsaturated fatty acids and increased feeding activity at a time when feeding is normally low. Increased food intake at an inappropriate time leads to obesity through a shift of energy toward storage and a reduction in energy expenditure41,42. Our study provides evidence for the importance of timing as a modulator of the adipocyte-hypothalamic axis and its impact on body weight. Both short-term and long-term signals participate in the regulation of energy homeostasis. Our findings show that short-term changes have an immediate effect on food intake rhythmicity. Over time, the changes in rhythmic food intake lead to an increase in body weight.
ONLINE METHODS
Mice and tissue collection
A single loxP site and a Neo cassette flanked by an additional loxP site and two Frt sites were introduced into the introns upstream and downstream of coding exon 4 in mice bearing a conditional Arntlfx allele. Mice were euthanized under infrared light for tissue collection under circadian time. Tissues were dissected under light and frozen immediately in liquid nitrogen. Mice on a high-fat diet were fed a diet in which 43% of the calories came from fat (Harlan Laboratories Inc., Teklad TD.88137). Studies were performed in accordance with the protocol approved by the University of Pennsylvania Institutional Animal Care and Use Committee. Mouse genotypes were assessed by PCR on genomic DNA from tail tips.
Real-time PCR
Total RNA was isolated from tissues using Qiagen RNeasy Mini Kit. Reverse transcription was achieved using a Transcriptor First-Strand cDNA Synthesis Kit (Roche). The sequences of the primer pairs are listed in the Supplementary Methods. Quantitative PCR was done on a 7900HT Real-Time PCR System (Applied Biosystems) using SYBR Green. Levels were normalized against Gapdh.
Western blot
For the detection of Arntl, freshly prepared primary adipocytes were lysed in buffer containing protease inhibitors. Arntl detection was carried out by SDS-PAGE. A primary antibody to Arntl (Bethyl Laboratories Inc., A302–616A) was used at a dilution of 1:500, and a donkey rabbit-specific secondary antibody was used at 1:2,000 (Jackson ImmunoResearch Laboratories Inc., 711-035–152). For the detection of phosphorylated IRS-1 and Akt, 20-week-old mice were fasted for 16 h, injected intraperitoneally with saline or insulin at 10 units per kg of body weight and euthanized 30 min later. Total protein was prepared from epididymal adipose tissue. Primary antibodies to IRS-1 (Millipore, 06–248), IRS-1 phosphory-lated at Tyr612 (pTyr612) (Invitrogen, 44–816G), Akt (Cell Signaling, 9272) and Akt pThr308 (Cell Signaling, 9275) were used at dilutions of 1:500, 1:750, 1:1,000 and 1:750, respectively. β-actin (Sigma, A5441) was used as a loading control.
Body composition
Body composition of the mice was analyzed by dual energy X-ray absorptiometry (Lunar, PIXImus).
Measurement of plasma leptin, adiponectin, triglycerides, total cholesterol, T3, insulin and glucose
Leptin was measured by ELISA (R&D Systems, MOB00), adiponectin was measured by ELISA (R&D Systems, MRP300), triglycerides were measured by a calorimetric assay (Wako Diagnostics, 997–37492), total cholesterol was measured by a calorimetric assay (Wako Diagnostics, 439–17501), T3 was measured by ELISA (Calbiotech, T3043T-100), insulin was measured by ELISA (Crystal Chem, 90080), and glucose was measured with a Contour blood glucometer with disposable test strips (Bayer).
Histological analysis
Adipocyte size was quantified in 5-µm sections of epididymal adipose tissues stained with H&E. Individual cell area was quantified in five random sections per mouse. Adipocyte size was calculated as the average of five mice per group. Immunohistochemistry for F4/80 was performed in sections of epididymal adipose tissue incubated with an F4/80-specific antibody (Invitrogen, MF48000) at a dilution of 1:20 for 2 h at room temperature. A rat IgG-specific secondary antibody (Vector Laboratories, BA-4001) was used at a 1:200 dilution for 30 min at room temperature.
Behavioral and calorimetric analysis
Locomotor activity, vO2, heat production and food intake were measured at a consistent environmental temperature (22 °C) using an indirect calorimetry system (Oxymax Comprehensive Lab Animal Monitoring System, Columbus Instruments, Columbus, OH). For mice, studies were commenced after 48 h of acclimatization to the metabolic chamber. During the studies, mice had ad libitum access to food and water. Locomotor activity was measured as the number of breaks of laser beams running the mouse cage by the mouse body as the mouse moves.
Insulin tolerance test and hyperinsulinemic-euglycemic clamp
Mice were fasted for 6 h and then injected intraperitoneally with insulin (1 U per kg of body weight), and blood glucose concentrations were monitored over time using a Contour blood glucometer (Bayer). Mice were cannulated in the lateral cerebral ventricle and catheterized in the right internal jugular vein for the hyperinsulinemic-euglycemic clamp. Details of the test are provided in the Supplementary Methods.
Isolation of hypothalamic sections
Hypothalamic sections were taken as described previously47. In short, the brains were rapidly removed, and five cuts were made using a razor blade. Viewing the ventral side of the brain, two coronal cuts were placed at the apex of the optic chiasm and the rostral margin of the mammillary bodies. This slab was then placed flat, and two cuts were placed on either side of the optic chiasm. A third cut was placed just above the third ventricle.
Ex vivo lipolysis
Epididymal fat pads were surgically removed, washed three times with PBS and cut into 20-mg pieces. The tissue was incubated in a humidified atmosphere of 5% CO2 and 95% O2 at 37 °C in DMEM (Invitrogen, 21063-029) containing 2% fatty acid–free BSA (Calbiochem, 123575) with or without 10 µM isoproterenol (Sigma, I6504) for 4 h. The concentrations of nonesterified fatty acids and glycerol were determined in the medium using calorimetric assays (Wako, 999–34691 and Sigma, FG0100). Values were corrected for the amount of total protein.
LC-MS
LC-MS was performed on blood plasma and the lipid fraction of the epididymal adipose tissue using a Thermo Scientific Exactive Orbitrap according to the method described by Roberts et al.48, and metabolite identifications were confirmed by reference to databases (http://www.lipidmaps.org/) and the use of tandem mass spectrometry to obtain fragmentation patterns. In addition, the adipose tissue was analyzed by a Waters QToF Xevo using a Waters Ultra Performance Liquid Chromatograph (UPLC) and T3 column to provide chromatographic separation of lipid species. The resulting data were processed by the multivariate statistical algorithm of partial least squares discriminant analysis (PLS-DA). Fatty acids in hypothalamic tissue were measured by a Waters Xevo TQS using a Waters Acquity UPLC and an Acquity BEH C18 (150 mm × 2.1 mm × 1.7 µm) column to provide chromatographic separation of lipid species.
Microarray analysis
Samples were prepared in one batch using the Nugen sample preparation protocol and hybridized to Affymetrix Mouse array MoGene 1.0.st.v1. Data from the CEL files were summarized and normalized using RMA Express49. Twelve control and 12 Ad-Arntl−/− assays were used for a two-group differential expression analysis using a permutation t statistic–based method with a false discovery rate multiple testing correction50. Briefly, given a set S of N genes each with false discovery rate p, the expected number of false positives in S is pN.
ChIP
Epididymal WAT was harvested immediately after euthanasia at ZT10. It was quickly minced and crosslinked in 1% formaldehyde for 20 min, followed by quenching with 1/20 volume of 2.5 M glycine solution and two washes with 1× PBS. Nuclear extracts with fragmented chromatin were prepared by sonication in ChIP dilution buffer (50 mM HEPES, 155 mM NaCl, 1.1% Triton X-100, 0.11% sodium deoxycholate, 0.1% SDS, 1 mM PMSF and complete protease inhibitor tablet, pH 7.5). Proteins were immunoprecipitated in ChIP dilution buffer using Arntl-specific antibody at a dilution of 1:100 (Bethyl, A302–616A). Crosslinking was reversed overnight at 65 °C in elution buffer (50 mM Tris-HCl, 10 mM EDTA and 1% SDS, pH 8), and DNA was isolated using phenol:chloroform:isoamyl alcohol. Precipitated DNA was analyzed by quantitative PCR. The primer sequences used were as follows: insulin forward 5′-GGACCCACAAGTGGAACAAC-3′, reverse 5′-GTG CAGCACTGATCCACAAT-3′; Arbp forward 5′-GAGGTGGCTTTGAA CCAGAG-3′, reverse 5′-TCTTTGTCTCTGTCTCGGAAAA-3′, Scd1 forward 5′-TTGCTAAGCGCCAGACCAAAGT-3′, reverse 5′-GTGGGCTGATGGGT GACTTTTCTT-3′; Elovl6 forward 5′-CCCAGGTCCTCATCCTCAGCAT CC-3′, reverse 5′-GGCAGCTTGGGCGCGGATTT-3′.
Statistical analyses
All direct comparisons were performed with a two-sample t test (parametric when the variables passed normality testing and Mann-Whitney otherwise). Testing for an absolute difference in levels across time was done by pooling, for each genotype, all measurements from all time points. The dampening of the rhythmic expression of clock genes was tested using a permutation test. The details of the analysis are provided in the Supplementary Methods.
Additional methods
Detailed methodology is described in the Supplementary Methods.
Supplementary Material
ACKNOWLEDGMENTS
This work was supported by US National Institutes of Health (NIH) grant RO1 HL097800 and Medical Research Council grant UD99999906. We thank M. Lazar for help with the ChIP experiments (funded by NIH R01 DK45586). We thank R. Ahima and the Mouse Phenotyping, Physiology and Metabolism Core of the Penn Diabetes Research Center (P30 DK19525) for performing body composition and behavioral analysis; D. Baldwin’s Microarray Core Facility for performing the microarray analysis; and R. Freer and M. Adam for technical assistance. G.A.F. is the McNeil Professor of Translational Medicine and Therapeutics.
Footnotes
AUTHOR CONTRIBUTIONS
G.K.P., S.I., W.-L.S., T.K., C.H.V. and F.W. contributed to the acquisition, analysis and interpretation of the data. G.K.P. and G.A.F. initiated and designed the study. G.G. performed statistical analyses and analysis of the microarray data. T.M.R. performed indirect calorimetric analyses. C.A.B. provided the mice with the conditional Arntl allele. M.E., M.M., J.L.G. and J.A.L. performed the liquid chromatography mass spectrometry (LC-MS) analysis. G.K.P. and G.A.F. wrote the paper.
COMPETING FINANCIAL INTERESTS
The authors declare no competing financial interests.
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