Abstract
Background and Purpose
Increasing energy expenditure through adipocyte thermogenesis is generally accepted as a promising strategy to mitigate obesity and its related diseases. However, few clinically effective and safe agents are known to promote adipocyte thermogenesis. In this study, 20 traditional Chinese herbal medicines were screened to examine whether they induced adipocyte thermogenesis.
Experimental Approach
The effects of Chinese herbal medicines or components isolated from extracts of A. membranaceus, on adipocyte thermogenesis were analysed by assessing expression of uncoupling protein 1 (UCP1) by qPCR. Eight‐week‐old C57BL6/J male mice were fed a high‐fat diet for 8 weeks and then randomized to two groups treated with vehicle or formononetin for another 8 weeks. Glucose tolerance tests and staining of adipose tissue with haematoxylin and eosin were carried out. Whole‐body oxygen consumption was measured with an open‐circuit indirect calorimetry system.
Key Results
Extracts of A. membranaceus increased expression of Ucp1 in primary cultures of mouse adipocytes. Formononetin was the only known component of A. membranaceus extracts to increase adipocyte Ucp1 expression. Diet‐induced obese mice treated with formononetin gained less weight and showed higher energy expenditure than untreated mice. In addition, formononetin binds directly with PPARγ.
Conclusions and Implication
Taken together, our study demonstrates that the Chinese herbal medicine from A. membranaceus and its constituent formononetin have the potential to reduce obesity and associated metabolic disorders. Our results suggest that formononetin regulates adipocyte thermogenesis as a non‐classical PPARγ agonist.
Abbreviations
- BAT
brown adipose tissue
- LBD
ligand binding domain
- UCP1
uncoupling protein 1
- WAT
white adipose tissue
Introduction
Obesity is increasing worldwide, leading to numerous metabolic diseases (Di Cesare et al., 2016). As energy imbalance is the main cause of obesity, it is effective to treat obesity by reducing energy intake or increasing energy expenditure. The uncoupling protein 1 (http://www.guidetoimmunopharmacology.org/GRAC/FamilyDisplayForward?familyId=207) can convert energy into heat thus increasing energy expenditure by non‐shivering thermogenesis. As UCP1 is mainly expressed in the brown and brite/beige adipocytes, increasing UCP1 expression or activity in adipocytes is likely to provide a promising strategy to prevent and treat obesity (Feldmann et al., 2009; Cypess et al., 2013).
Brite/beige adipocytes can be induced in white adipose tissue (WAT) and their contribution to thermogenesis was estimated to equal to that of brown adipocytes (Shabalina et al., 2014). The developmental origins of brown and beige adipocytes are different, but the underlying mechanism that regulates UCP1 expression is believed to be the same (Bartelt and Heeren, 2014). http://www.guidetopharmacology.org/GRAC/ObjectDisplayForward?objectId=595 is a key transcriptional factor, regulating the expression of Ucp1 by directly binding to its promoter (Villarroya et al., 2007). Chronic activation of PPARγ by its full agonist http://www.guidetoimmunopharmacology.org/GRAC/LigandDisplayForward?ligandId=1056 can significantly induce UCP1 expression in primary epididymal adipocytes (Petrovic et al., 2010). Rosiglitazone, but not the non‐classical agonists of PPARγ, can stabilize the critical co‐activator protein PR domain containing 16 (PRDM16) to promote expression of Ucp1 (Ohno et al., 2010). PRDM16 not only determines the identity of brown fat cells but also controls the formation of beige adipocytes (Seale et al., 2008; Cohen et al., 2014).
Many cytokines or drugs have been demonstrated to treat obesity by increasing adipocyte thermogenesis, but a critical problem is that few people like to regard obesity as an illness and treat it medicinally (Buemann et al., 2000; Fisher et al., 2012; Bi et al., 2014; Zhang et al., 2014; Wang et al., 2015; Baskaran et al., 2016). Many traditional Chinese herbal medicines have been widely used to maintain daily health for hundreds of years. Therefore, 20 traditional Chinese herbal medicines were screened to examine whether they had the potential to induce adipocyte thermogenesis for the treatment of obesity. In this study, extracts of the plant Astragalus membranaceus and one component of the extracts, formononetin, were found to be involved in adipocyte thermogenesis via the regulation of PPARγ activity.
Methods
Isolation of adipocytes and stromal vascular cells from adipose tissues
Adipose tissues were dissected from C57BL/6J mice, rinsed in phosphate‐buffered saline, minced and digested for 40 min at 37°C in a 0.1% (w/v) type I collagenase solution (Sigma, Shanghai, China) with a D‐Hanks buffer. The digested tissue was filtered through a 250 μm nylon mesh and centrifuged at 800× g for 3 min. The sediment was resuspended in DMEM (Gibco, Guangzhou, China) with 10% FBS (HyClone, Guangzhou, China). Two days after reaching confluence (day 0), the cells were induced to differentiate into adipocytes in a medium containing 5 μg·mL−1 insulin (Sigma), 1 μM of dexamethasone (Sigma), 0.5 mM of isobutylmethylxanthine (IBMX; Calbiochem, Shanghai, China) and 1 μM of rosiglitazone (Sigma). Two days later, the medium was replaced with DMEM supplemented with 10% FBS, 5 μg·mL−1 of insulin and 1 μM of rosiglitazone, and the cells were cultured for 6 days.
Chinese herbal medicine extracts
Dried roots of A. membranaceus (1kg dry weight) were added to 10 L of water and boiled for 2 h under reflux and then the first water extract was collected by filtration. The residue was added to 8000 mL of water and boiled for 1.5 h under reflux, and the second water extract obtained by filtration. The first and second water extracts were combined and concentrated to 500 mL by boiling and evaporation. As this final extract (500mL) was derived from 1kg of plant material, the concentration of this final extract is expressed as 2.0 g·mL−1 of A. membranaceus. The following Chinese herbal medicines were obtained by the same method: Cichorium intybus (1.5 g·mL−1), Cinnamomum cassia (0.3 g·mL−1), Coix lachryma‐jobi (1.0 g·mL−1), Zingiber officinale (1 g·mL−1), Eucommia ulmoides (1.2 g·mL−1), Eugennia caryophyllata (0.2 g·mL−1), Sophora japonica (0.8 g·mL−1), Hippophae rhamnoides (0.42 g·mL−1), Alpinia officinarum (0.5 g·mL−1), Lonicera japonica (1 g·mL−1), Morus alba (1.2 g·mL−1), Atractylodes lancea (0.6 g·mL−1), Lycium barbarum (1.2 g·mL−1), Piper nigrum (0.1 g·mL−1), Sterculia lychnophora (1 g·mL−1), Morus alba (0.8 g·mL−1), Citrus reticulata (0.6 g·mL−1), Euodia rutaecarpa (0.3 g·mL−1) and Trigonella foenum‐graecum (0.8 g·mL−1). The concentrations of all the indicated Chinese herbal medicine are as stated in the Pharmacopoeia of the People's Republic of China 2015. Samples (100μL) of the aqueous extract of A. membranaceus were mixed with methanol (900 μL), and the mixture (50 μL samples) was then analysed on a reverse‐phase HPLC, and elution times of the mixture were compared with pure formononetin (Supporting Information Figure S2). We used a Dionex Summit HPLC on a 4.6 × 250 mm Inertsil column with ODS‐SP, 5.0 μm from GL Sciences Inc (address). HPLC was carried out with a mobile phase: CH3CN and H2O (32: 68), at a flow rate of 1.0 mL·min−1 and using a detection wavelength of 254 nm.
Differentiated mature adipocytes were treated in DMEM plus 10% FBS with the addition of the vehicle or an indicated Chinese herbal medicine water extract or indicated agents [A. membranaceus polysaccharide (MCE, Guangzhou, China), astragaloside IV (Sigma), formononetin (Selleck, Shanghai, China), calycosin (MCE) and StemRegenin 1 (SR1, Selleck)] for 24 h. After that, the cells were collected for real‐time qPCR analysis.
RNA extraction and quantitative PCR
Total RNA was isolated with Trizol (Invitrogen), and first‐strand cDNA was synthesized with Superscript III Reverse Transcriptase (Invitrogen, Shanghai, China) with 0.5 μg of RNA as the template for each reaction. The mRNA levels were quantified under optimized conditions with SYBR Premix Ex Taq (Takara Bio, Shanghai, China) following the manufacturer's instructions. The reference gene was 18S ribosomal RNA as an internal standard. The average mRNA levels of the genes were normalized to the control adipocytes or the adipose tissues in the control mice.
Mice
All animal care and experimental procedures were conducted in accordance with the Guide for the Care and Use of Laboratory Animals and were approved by the Animal Care and Use Committee of Guangzhou Institute of Biomedicine and Health, Chinese Academy of Sciences. Animal studies are reported in compliance with the ARRIVE guidelines (Kilkenny et al., 2010; McGrath and Lilley, 2015). C57BL/6J mice fed a high‐fat diet are routinely used as obesity mouse models (Bi et al., 2014; Dominguez et al., 2014).
Eight‐week‐old male C57BL/6J mice (Beijing Vital River Laboratory Animal Technology Co., Ltd., Beijing China) were maintained on a 12 h light/12 h dark cycle at 23°C in a specific pathogen‐free environment. Mice were allowed access to different diets and water ad libitum and housed in groups of four in separate cages. The mice were fed on a high‐fat diet (D12492, Research Diets, New Brunswick, NJ) for 8 weeks to become obese and then randomly divided into two groups and gavaged for the following 8 weeks with either formononetin (50 mg·kg−1) or vehicle (control). All groups of mice continued on the high‐fat diet. The high‐fat diet provided 21.9 kJ·g−1: 60% of energy from fat, 20% from protein and 20% from carbohydrate. Food intake and body weights were measured weekly. The rectal temperature was measured at 12 h after cold exposure (4°C). After feeding, the mice were killed by cervical dislocation. These results were analysed by an investigator, blinded to the treatment of the mice.
Histology
Brown interscapular, inguinal and epididymal adipose tissues were fixed in 4% formaldehyde overnight at room temperature, embedded in paraffin and cut into 5 μm sections with a microtome. The slides were deparaffinized, rehydrated and stained with haematoxylin and eosin (Sigma) following a standard protocol (Cardiff et al., 2014). Sections were examined by light microscopy (Motic BA600, Beijing, China) and photographed with a Moticam Pro 285A. Photomicrographs were scanned with an Abaton Scan 300 colour scanner.
Indirect calorimetry and calculated energy expenditure
Whole‐body oxygen consumption was measured with an open‐circuit indirect calorimetry system with automatic temperature and light controls (Comprehensive Lab Animal Monitoring System, Columbus Instruments, OH). Mice had ad libitum access to chow and water in respiration chambers, and data were recorded for 48 h, including 24 h of acclimatization. Energy expenditure was calculated as recommended by the manufacturer.
Glucose tolerance test (GTT)
Mice were fasted overnight for 12 hours and then injected (i.p.) with 15% glucose solution (w/v) at a dose of 2 g kg−1. Blood glucose was measured in tail vein blood with a glucometer (ACCU‐CHEK Advantage, Roche Diagnostics, Guangzhou, China) at various time points after the injection of glucose.
Magnetic resonance imaging (MRI) analysis
This MRI analysis was carried out using the Minispec LF90 equipment (Bruker, Beijing, China). The mice were weighed and put into the sample holder without anaesthesia. The holder was then inserted into the machine for measurement, as described by Tinsley et al. (2004). The data in Figs 2C and 2D were obtained at 8 weeks.
PPARγ luciferase activity assay
The PPARγ luciferase activity assay was performed as described previously (Malapaka et al., 2012). Briefly, COS‐7 cells from ATCC (Beijing, China) were grown to 70% confluence in DMEM supplemented with 10% FBS and antibiotics. Then the COS‐7 cells were transiently co‐transfected with 100 ng of a plasmid containing the luciferase gene under the control of three tandem PPAR‐response elements (PPAR‐response element x 3 TK‐luciferase) and 50 ng of full‐length human PPARγ plasmids using Lipofectamine 2000 (Invitrogen). After 24 h, the transfected cells were treated with DMSO, formononetin or rosiglitazone for an additional 24 h. Reporter luciferase assay kits from Promega (Guangzhou, China) were used to measure the luciferase activity following the manufacturer's instructions with a luminometer (Turner Biosystems,Sunnyvale, CA).
AlphaScreen binding assays
The ligand binding domain (LBD) of human PPARγ (residues 206–477) containing a His6 tag was expressed as described previously (Li et al., 2008). This assay uses the binding of the co‐activator of PPARγ, PGC‐1α‐1 peptide to the LBD of PPARγ which was determined by AlphaScreen assays using a hexahistidine detection kit from PerkinElmer Life Sciences (Guangzhou, China). The experiments were conducted with 20 nM His tag receptor LBD and 20 nM biotinylated PGC1α‐1 peptide in the presence of 5 μg·mL−1 donor and acceptor beads in a buffer containing 50 nM MOPS, pH 7.4, 50 mM NaF, 50 mM CHAPS and 0.1 mg·mL−1 bovine serum albumin. The biotinylated peptides of PGC‐1α‐1 were AEEPSLLKKLLLAPA.
siRNA transfection
The siRNA oligonucleotides (Pparg, AUGACCUGAAGCUCCAAGAA; control, AGGGUGAACUCACGUCAGAA ) were designed and synthesized by RiboBio Company (Guangzhou, China). On day 8 of differentiation, siRNA (20 nmol) was transfected into the primary adipocytes with Lipofectamine 2000 (Invitrogen) according to the manufacturer's instructions. Eight hours after transfection, the medium was replaced with a normal culture medium. The adipocytes were treated with the indicated agents for 48 h, or longer as indicated, and then harvested for analysis.
Analysis of oxygen consumption rate of adipocytes
The oxygen consumption rate (OCR) of the cells was analysed using the XFe24 Seahorse bioanalyzer (Agilent, Beijing, China). One day prior to the analysis, the cells were treated with formononetin (1 μM) or DMSO. After 24 h, the cells were equilibrated in sodium bicarbonate‐free DMEM for 1 h in a CO2‐free incubator. After measuring the basal OCR, the following drugs (as final concentrations) were sequentially added to each well: oligomycin (5 μM), FCCP (5 μM) and rotenone (3 μM) + antimycin (5 μM); all compounds from Sigma.
Culture of 3T3‐L1 cells and induction of differentiation
The 3T3‐L1 pre‐adipocytes were cultured in DMEM (Gibco) with 10% (v/v) FBS (Hyclone). Two days after the cells reached confluence (day 0), they were transferred to an MDI differentiation medium containing insulin (5 μg·mL−1), dexamethasone (1 μΜ), IBMX (0.5 mM) and either the vehicle, formononetin (1 μΜ) or rosiglitazone (1 μΜ). Two days later, the medium was replaced with DMEM supplemented with 10% FBS, insulin (5 μg·mL−1) plus and either the vehicle, formononetin (1 μΜ) or rosiglitazone (1 μΜ). The cells were subsequently re‐fed every 2 days until day 6.
For Oil Red O staining, the 3T3‐L1 adipocytes were fixed with 10% formalin for 5 min and then incubated in fresh formalin for 1 h. After washing with 60% (v/v) isopropanol in water, the cells were stained for 10 min in freshly diluted Oil Red O (2 mg·mL−1 in 60% isopropanol). For quantitative analysis, Oil Red O was eluted from the cells by incubation with 100% isopropanol (400 μL per well) for 10 min, at room temperature, after which the optical density was determined at 500 nm with a spectrophotometer (Beckman Coulter). Oil Red O was prepared in 60% isopropanol for the standard curve.
Data and statistical analysis
The data and statistical analysis comply with the recommendations on experimental design and analysis in pharmacology (Curtis et al., 2015). Data are expressed as means ± SEM. ANOVA and unpaired, two‐tailed t‐tests were used for most comparisons in GraphPad Prism 5 (GraphPad, San Diego, CA, USA). Post hoc tests were run only when F achieved P < 0.05 and there was no significant variance in homogeneity. Tukey's HDS test was used for body weight gain and GTT data. To control for unwanted sources of variation, data were normalized to an internal standard (see Results for more details). P < 0.05 was considered significant.
Nomenclature of targets and ligands
Key protein targets and ligands in this article are hyperlinked to corresponding entries in http://www.guidetopharmacology.org/, the common portal for data from the IUPHAR/BPS Guide to PHARMACOLOGY (Harding et al., 2018), and are permanently archived in the Concise Guide to PHARMACOLOGY 2017/18 (Alexander et al., 2017a,b,c).
Results
Formononetin derived from A. membranaceus induced adipocyte thermogenesis in vitro
Because brown and beige adipocytes use the same molecular mechanism in the regulation of Ucp1 expression, primary inguinal adipocytes were used to screen several Chinese herbal medicine preparations for their effects on the expression of Ucp1 in these cells. Isolated adipose stromal cells from the inguinal adipose tissue were differentiated into mature adipocytes in vitro, after which they were treated with the different Chinese herbal aqueous extracts for 24 h. The cells were then harvested for qPCR analysis. As shown in Figure 1A,the A. membranaceus extract was the only preparation to enhance the expression of Ucp1 in these adipocytes. This A.membranaceus extract is known to contain several different compounds, including A. membranaceus polysaccharide, astragaloside, formononetin and calycosin (Agyemang et al., 2013). To identify the constituents of the A. membranaceus aqueous extract that were involved in the induction of Ucp1 expression in adipocytes, each of these constituents was used to treat the adipocytes separately. The A. membranaceus polysaccharide is the largest component of the A. membranaceus aqueous extract but had no effect on Ucp1 expression (Figure 1B). Astragaloside IV, which has been reported to regulate adiponectin secretion in adipocytes (Xu et al., 2009), had no effect on adipocyte Ucp1 either (Figure 1C). However, formononetin, an O‐methylated isoflavone(Figure 1D), but not its analogue calycosin (Figure 1E and Supporting Information Figure S1), did increase the expression of Ucp1, dose‐dependently. Furthermore, treatment with a combination of the A. membranaceus aqueous extract (2 mg·mL−1) and formononetin (1 μM) showed no additive or inhibitory effects on the expression of Ucp1. Additionally, formononetin (\1 μM) elevated the expression of other relevant genes for PRDM16, PGC‐1α, Type II iodothyronine deiodinase (Dio2), and the cell death activator (Cidea) protein (Figure 1G). HPLC analysis demonstrated that there was a significant amount of formononetin (28.6 ± 1.2 μg·mL−1, 107 μM) in the 2 mg·mL−1 aqueous extract of A. membranaceus (Supporting Information Figure S2). Thus, formononetin appears to be the only known constituent that could account for the effect of A, membranaceus extracts on Ucp1 expression in adipocytes. Immunofluorescent staining showed that formononetin (1 μM) also increased the UCP1 protein level (Figure 1H). The effect of formononetin on adipocytes was further assessed using the Seahorse bioanalyzer, which indicated that treatment of the cells with formononetin (1 μM) increased both basal and uncoupled mitochondrial respiration (Figure 1I).
Decreased diet‐induced obesity in mice treated with formononetin
Given that other constituents in the aqueous extract of A membranaceus may also influence body weight in obese mice, diet‐induced obese (DIO) mice were treated with only formononetin (50mg kg−1 daily) for 8 weeks. Bodyweight and food intake were measured weekly. After 6 weeks of treatment, the formononetin‐treated mice showed lower bodyweight than the control mice (Figure 2A) but the food intake did not differ between these two groups of mice (Figure 2B). Analysis by whole body MRI suggested that treatment with formononetin for 8 weeks reduced only fat mass but not lean mass in DIO mice (Figure 2C). Consistent with this finding, the inguinal and epididymal adipose tissue weights were lower in treated mice than in the controls (Figure 2D). Haematoxylin and eosin staining analysis also confirmed that the size of the adipocytes in the adipose tissue was smaller in formononetin‐treated mice than in the control mice (Figure 2E, F). Consistent with these findings, insulin sensitivity, as measured by the GTT, was improved in the formononetin treated mice (Figure 2G).
As expected, expression of the thermogenic genes was increased in the inguinal, epididymal and brown adipose tissues (BAT) of formononetin‐treated mice (Figure 2H–J). UCP1 protein expression in both the brown and inguinal adipose tissue of the formononetin‐treated mice was enhanced in the Western blot analysis (Figure 2K and Supporting Information Figure S3). Indirect calorimetry analysis proved that O2 consumption, body temperature, CO2 production and energy expenditure were higher in mice treated with formononetin while no difference in locomotor activity was observed (Figure 2L–N and Supporting Information Figure S4). To further delineate the molecular mechanism(s) underlying the effects of formononetin in DIO mice, these mice were placed in a thermoneutral environment (30°C) where mice no longer need to activate adipocyte thermogenesis to maintain body temperature. The mice were then treated with with vehicle or formononetin for 8 weeks, as before. Under conditions of thermoneutrality, there were no significant differences in body weight between the two groups (Supporting Information Figure S5). Taken together, our results showed that formononetin, a constituent of the aqueous extract of A membranaceus, can reduce bodyweight gain in obese mice by increasing adipocyte thermogenesis.
PPARγ mediates the effects of formononetin
Several studies have reported that formononetin is a potential ligand of oestrogen receptors (ERs), aryl hydrocarbon receptors (AhRs) and PPARα/γ (Medjakovic and Jungbauer, 2008). ERs are unlikely to be the targets of formononetin in terms of adipocyte thermogenesis, as oestrogen has been reported to have no effect on Ucp1 induction in brown adipocytes, and the ER antagonist tamoxifen can induce thermogenesis in vivo (Andersen et al., 2014; Hesselbarth et al., 2015). In addition, we tested the effects of a known AhR antagonist, StemRegenin1, and found it had no effect on Ucp1 expression induced by formononetin (Supporting Information Figure S6). To test the effects of combining formononetin with the other known agonists, differentiated adipocytes were treated with 1 μM formononetin together with 1 μM http://www.guidetoimmunopharmacology.org/GRAC/LigandDisplayForward?ligandId=2647 (http://www.guidetoimmunopharmacology.org/GRAC/ObjectDisplayForward?objectId=590 agonist), 1 μM http://www.guidetoimmunopharmacology.org/GRAC/LigandDisplayForward?ligandId=2807 (http://www.guidetoimmunopharmacology.org/GRAC/ObjectDisplayForward?objectId=610 agonist), 1 μM http://www.guidetoimmunopharmacology.org/GRAC/LigandDisplayForward?ligandId=3462 (http://www.guidetopharmacology.org/GRAC/ObjectDisplayForward?objectId=30 agonist), 1 μg·mL−1 FGF21 or 1 μM http://www.guidetoimmunopharmacology.org/GRAC/LigandDisplayForward?ligandId=2666 (http://www.guidetopharmacology.org/GRAC/ObjectDisplayForward?objectId=593 agonist), and these compounds alone for 24 h. As shown in Figure 3A and B, the effects of combining formononetin with these other known thermogenesis inducers, showed a more than additive effect on Ucp1 expression with all other inducers, except for rosiglitazone. The aqueous extract of A. membranaceus (2 mg·mL−1) had no additive effect with rosiglitazone on adipocyte thermogenesis either (Figure 3C). These results suggest that formononetin has the same molecular target as rosiglitazone. Thus, the PPARγ plasmid and PPAR response element (PPRE)‐luciferase reporter were used to carry out a PPARγ activation assay, and as expected, both formononetin (Figure 3D) and rosiglitazone dose‐dependently promoted luciferase activity (Supporting Information Figure S7). Furthermore, siRNA knockdown of Pparγ blocked the increased Ucp1 expression induced by formononetin (Figure 3E and Supporting Information Figure S8). To demonstrate that formononetin can bind directly with PPARγ, we used an AlphaScreen binding assay (Li et al., 2008). In this assay, the co‐activator peptide PGC‐1α and the PPARγ LBD protein were attached to donor and acceptor beads respectively. Upon interaction between the co‐activator peptide PGC‐1α and the PPARγ LBD, excitation with a laser beam at 680 nm causes the donor beads to emit single oxygen molecules that activate fluorophores in the acceptor beads, and the light is recorded at 520–620 nm. The known ligand for the PPARγ LBD, rosiglitazone, induced a strong interaction, and the results clearly demonstrated that formononetin can also bind directly with the ligand‐binding domain of PPARγ (Figure 3F). However, its PPARγ activity was only about 10% that of rosiglitazone. Rosiglitazone is a thiazolidinedione developed for the treatment of diabetes, but it induced obesity in mice, whereas our results showed that formononetin treatment inhibits the development of weight gain (obesity). Obesity is accompanied by adipogenesis, and as Pparγ is the master gene for adipogenesis; we compared the roles of the two compounds in adipogenesis. As shown in Figure 3G and H, formononetin (1 μM) promoted only mild adipogenesis in 3T2‐L1 cells, compared with rosiglitazone (1 μM) under the MDI cocktail and, unlike rosiglitazone, it could not induce adipocyte formation in the presence of insulin (5μg·mL−1) alone. Thus, the limited ability of formononetin to stimulate adipogenesis is likely to account for the reduced bodyweight gain, compared to the weight gain after rosiglitazone (30 mg−1 kg −1 day−1 for 2 weeks) in C57BL/6J mice (Sell et al., 2004). Based on these results, we summarized our findings in a diagram to illustrate the mechanisms underlying thermogenesis induced by formononetin and extracts of A. membranaceus (Figure 4).
Discussion
The thiazolidinedione compounds (“glitazones”) developed as ligands for PPARγ were widely used to treat diabetes and promote insulin sensitivity, but their side effects, including increased body weight and liver fat, have restricted their use (Ahmadian et al., 2013). It is therefore necessary to find a new PPARγ‐specific ligand that avoids these side effects while retaining the insulin‐sensitizing effect. PPARγ is the master regulatory gene for adipocyte formation, and Pparγ knockout mice died in utero (Gregoire et al., 1998). Rosiglitazone is a classical agonist of PPARγ and widely used as an inducer of adipogenesis, as it easily leads to body weight increase in mice. Recently, SR1664 was identified as a new non‐classical agonist of PPARγ, i.e., that exhibited only some of the effects of the classical agonist rosiglitazone. Thus, SR1664 had no effect on adipogenesis but still exerted an anti‐diabetic effect on obese mice, without many other unwanted side effects typical of the classical agonist (Choi et al., 2011). http://www.guidetopharmacology.org/GRAC/LigandDisplayForward?ligandId=592, an angiotensin AT1 receptor antagonist, marketed for the treatment of hypertension, has also been shown to be a non‐classical agonist of PPARγ, but it decreases body weight gain, unlike rosiglitazone (Araki et al., 2006). In addition, other experimental compounds that are non‐classical agonists of PPARγ, such as http://www.guidetopharmacology.org/GRAC/LigandDisplayForward?ligandId=2699, KR‐62980 and halofenate (Zhang et al., 2007), not only have limited adipogenic ability in vitro but also inhibit body weight increase in vivo. Interestingly, these poorly known agonists showed little effect on thermogenesis (Ohno et al., 2012). In the present study, we found that the natural product formononetin is also a weak, non‐classical agonist of PPARγ but this compound increased expression of Ucp1 and thermogenesis, both in vivo and in vitro. Another non‐classical agonist of PPARγ, calycosin, which has a structure analogous to formononetin, showed no effect on the expression of Ucp1. Consistent with the earlier studies, as a non‐classical agonist, formononetin had poor adipogenic capacity and did not lead to increased body weight increase. In addition, liver weight and TG content in mice treated with formononetin showed no significant differences from that of control mice, excluding the fatty liver side effect of rosiglitazone (Supporting Information Figure S9). It is noteworthy that classical agonists of PPARγ, such as rosiglitazone, increase the protein expression of UCP1 in adipocytes both in vitro and in vivo but have no effect on energy expenditure in vivo (Sell et al., 2004). Sell et al. studied 2‐(2‐[4‐phenoxy‐2‐propylphenoxy]ethyl)indole‐5‐acetic acid, a classical PPARγ agonist with similar structure to rosiglitazone, and reported that this compound strongly increased protein levels of UCP1 in both BAT and WAT in wild‐type C57BL/6J and ob/ob obese mice, without enhancing energy expenditure. In contrast, we found formononetin clearly up‐regulated UCP1 protein and increased energy expenditure. while a similarly non‐classical PPARγ agonist, calycosin, did neither. Therefore, different PPARγ ligands can induce different responses (Hughes et al., 2012). Although the detailed molecular mechanism was not clear, it is possible that expression of additional genes and/or different levels of the induced genes by modulation of PPARγ activity play critical roles in the functional thermogenesis mediated by activated UCP1 protein. Indeed, Fmoc‐L‐Leu, a weak non‐classical PPARγ agonist, which is about 100 to 1000‐fold less potent than rosiglitazone, has a capacity to induce UCP1 expression and to decrease adipogenic potential, similar to that of formononetin (Rocchi et al., 2001; Mao et al., 2017). In our experiments, it is unlikely that formononetin affected the β3‐adrenoceptor signalling pathway, because of the following results. First of all, the effects of formononetin were additive to those of the β3‐adrenoceptor agonist CL316243 (Figure 3A). Secondly, formononetin increased expression of UCP1 but did not reduce weight gain in mice under thermoneutral conditions (Supporting Information Figure S5), suggesting sympathetic activation is essential for its activity. However, more clinical experiments are clearly needed to determine if formononetin is a suitable compound for the treatment of obesity and diabetes in patients. Nonetheless, our study has suggested a possible direction to explore and that formononetin might serve as a potential drug candidate of a non‐classical agonist for PPARγ, based on its beneficial effects on obesity and insulin resistance.
Extracts of A. membranaceus are a traditional Chinese herbal medicine that has been widely used with almost no harm to human health and, more importantly, it is commonly used in China, as a daily herbal supplement to maintain health. For example, it is used to make soup with chicken, Chinese dates (Ormosia hosiei) or other foods (Song et al., 2014). To elucidate the possible molecular mechanisms underlying the effects of such extracts, some of its many constituents, which include polysaccharides, saponins and flavonoids, have been isolated and their actions analysed. Among these, the astragalus polysaccharides have been most studied and found to be beneficial for insulin resistance and cardiac hypertrophy (Liu et al., 2014; Luan et al., 2015). Astragaloside IV (a saponin) has been reported to regulate adiponectin secretion and improve insulin resistance in obese mice (Xu et al., 2009). However, the roles of the other constituents remain poorly characterized. In this report, a new action of the extract of A. membranaceus and of one of its constituents, formononetin, to stimulate adipocyte thermogenesis by modulating PPARγ activity has been described. Our results are compatible with the belief that extracts of A. membranaceus and one of its constituent, formononetin, support health and reduce obesity.
Author contributions
T.N., S.Z., L.M., Y.Y., W.S., X.L., S.L., K.L. and Y.S. performed the experiments. T.N., Z.Z., A.X., C.W.M., P. L., S.L., Y.X., C.W., P. D. and D.W. analysed and interpreted the data. T.N. and D.W. conceived and designed the experiments. T.N., X.H. and D.W. wrote and edited the manuscript. D.W. is the guarantor of this work and, as such, has full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Conflict of interest
The authors declare no conflicts of interest.
Declaration of transparency and scientific rigour
This http://onlinelibrary.wiley.com/doi/10.1111/bph.13405/abstract acknowledges that this paper adheres to the principles for transparent reporting and scientific rigour of preclinical research recommended by funding agencies, publishers and other organisations engaged with supporting research.
Supporting information
Acknowledgements
This study was supported in part by the National Basic Research Program of China (2016YFC1305000 and 2010CB945500), the strategic priority program on development of new drug of the Chinese Academy of Sciences (XDA12040325), Natural Science Foundation of China (81700742, 81400825, 81774134, 81327801 and 31301019), a key international collaborative fund from the Chinese Academy of Sciences (154144KYSB20150019), Natural Science Foundation of Guangdong province (2016A030310122), International collaborative funds from Guangdong Province (2013B051000090 and 2015A050502041), Science and Technology Planning Project of Guangdong Province (2017B030314056) and Guangdong Provincial Public interest research and capacity building projects (2014A010107024).
Nie, T. , Zhao, S. , Mao, L. , Yang, Y. , Sun, W. , Lin, X. , Liu, S. , Li, K. , Sun, Y. , Li, P. , Zhou, Z. , Lin, S. , Hui, X. , Xu, A. , Ma, C. W. , Xu, Y. , Wang, C. , Dunbar, P. R. , and Wu, D. (2018) The natural compound, formononetin, extracted from Astragalus membranaceus increases adipocyte thermogenesis by modulating PPARγ activity. British Journal of Pharmacology, 175: 1439–1450. doi: 10.1111/bph.14139.
Contributor Information
Tao Nie, Email: nietaoly@126.com.
Donghai Wu, Email: wu_donghai@gibh.ac.cn.
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