Polyunsaturated fatty acids of marine origin induce adiponectin in mice fed a high-fat diet
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- Flachs, P., Mohamed-Ali, V., Horakova, O. et al. Diabetologia (2006) 49: 394. doi:10.1007/s00125-005-0053-y
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Diets rich in n-3 polyunsaturated fatty acids, namely eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), protect against insulin resistance and obesity in rodents and increase insulin sensitivity in healthy humans. We tested whether the anti-diabetic effects of EPA and DHA involve enhanced production of the endogenous insulin sensitiser, adiponectin.
We studied the effects, in an obesity-promoting high-fat diet, of partial replacement of vegetable oils by EPA/DHA concentrate (6% EPA, 51% DHA) over a 5-week period in adult male C57BL/6J mice that either had free access to food or had their food intake restricted by 30%. At the end of the treatment, systemic markers of lipid and glucose metabolism and full-length adiponectin and leptin were measured. Adiponectin (Adipoq) and leptin (Lep) gene expression in dorsolumbar and epididymal white adipose tissue (WAT) and isolated adipocytes was quantified and adipokine production from WAT explants evaluated.
In mice with free access to food, plasma triacylglycerols, NEFA, and insulin levels were lower in the presence of EPA/DHA, while glucose and leptin levels were not significantly altered. Food restriction decreased plasma triacylglycerols, glucose, insulin and leptin, but not adiponectin. EPA/DHA increased plasma adiponectin levels, independent of food intake, reflecting the stimulation of Adipoq expression in adipocytes and the release of adiponectin from WAT, particularly from epididymal fat. Expression of Lep and the release of leptin from WAT, while being extremely sensitive to caloric restriction, was unaltered by EPA/DHA.
Intake of diets rich in EPA and DHA leads to elevated systemic concentrations of adiponectin, largely independent of food intake or adiposity and explain, to some extent, their anti-diabetic effects.
KeywordsAdipokines Adiponectin Adipose tissue Fish oil High-fat diet n-3 PUFA
Gene encoding adiponection
AMP-activated protein kinase
- cHF diet
Composite high-fat diet based on chow
- cHF-F1 diet
Composite high-fat diet with partial replacement of lipids by fish oil concentrate
Concentrate of EPA and DHA from sea fish (6% EPA and 51% DHA)
Gene encoding leptin
Gene encoding peptidylpropyl isomerase β, also called Cyclophilin B
Polyunsaturated fatty acids
Quantitative real-time RT-PCR
Gene encoding solute carrier family 2 member 4, also called Glut4
White adipose tissue.
Intake of polyunsaturated fatty acids (PUFA) of marine origin, namely eicosapentaenoic acid (EPA; 20:5 n-3) and docosahexaenoic acid (DHA, 22:6 n-3), has numerous beneficial effects on health. EPA and DHA act as hypolipidaemics, exert prophylactic effects on cardiovascular disease, protect against insulin resistance and obesity in rodents fed high-fat diets, and reduce insulin response to glucose in healthy humans [1, 2, 3 and references therein]. We, and others, have shown  that in a semi-synthetic high-fat diet rich in α-linolenic acid (18:3 n-3) partial replacement of lipids with concentrate of EPA and DHA from sea fish (EPA/DHA) resulted in suppression of insulinaemia. It also protected against down-regulation of solute carrier family 2 member 4 (Slc2a4, also called Glut4) in white adipose tissue (WAT) by the high-fat diet. The effect on Slc2a4 was part of a complex modulation of WAT gene expression and metabolism, resulting in stimulation of lipid oxidation and inhibition of lipogenesis, especially in the epididymal fat, which led to reduced accumulation of this tissue while food consumption remained unaffected [1, 4].
The aim of this work was to test the hypothesis that the anti-diabetic effects of EPA and DHA involve induction of adiponectin, an adipocyte-derived hormone, which stimulates glucose utilisation and fatty acid oxidation in muscles and decreases hepatic gluconeogenesis as a result of the activation of AMP-activated protein kinase (AMPK) . We show that partial replacement of dietary lipids with EPA/DHA in a composite high-fat (cHF) diet in rodents stimulates expression of the gene encoding adiponectin (Adipoq) and increases adiponectin production in epididymal WAT as well as systemic levels of adiponectin by mechanism(s) relatively independent of food intake or adiposity.
Materials and methods
Animals and diets
Experiments were performed on adult male C57BL/6J mice as described previously [1, 4]. Mice were imported from the Jackson Laboratory (Bar Harbor, ME, USA) and bread at the Institute of Physiology for up to 16 generations. The animals studied were habituated for 2 weeks to the cHF diet, which was derived from standard chow and contained 35% (wt/wt) lipids of very low n-3 PUFA content, and then assigned for 5 weeks to the cHF diet, or a diet of the same composition, i.e. a composite high-fat diet, but with partial replacement of lipids by fish oil concentrate (cHF-F1 diet) such that 15% (wt/wt) of lipids was replaced by the EPA/DHA concentrate containing 6% EPA, 51% DHA, and 4 mg/g α-tocopherol as antioxidant (EPAX 1050TG; Pronova Biocare, Lysaker, Norway). Detailed analysis of fatty acid composition of the diets was performed previously . When indicated, the ration was reduced by 30% (caloric restriction) compared with mice on the same type of diet but with free access to chow. Mice were killed by cervical dislocation, and subcutaneous dorsolumbar and epididymal WAT depots were dissected. Tissues were used immediately for explant studies or isolation of adipocytes , or stored in liquid nitrogen for RNA analysis (see below). EDTA plasma was obtained from truncal blood and stored at −70°C. The experiments were conducted according to the Institute’s guidelines for the use and care of laboratory animals.
Tissue (100 mg) was incubated in 1.0 ml of serum-free medium (Cellgro; Mediatech, Herndon, VA, USA) for 24 h at 37°C/5% CO2. At the end of the incubation the culture supernatant was stored at −70°C.
Quantification of metabolites and hormones in plasma and supernatant from white adipose tissue explants
Triacylglycerol, NEFA, glucose and insulin were estimated as described before . Leptin and full-length adiponectin were measured by 2-site ELISA (R & D Systems, Minneapolis, MN, USA) with inter- and intra-assay CVs of 5.8 and 8.9 for leptin and 6.3 and 9.4% for adiponectin.
Quantitative real-time RT-PCR
Total RNA was isolated as before  and quantitative real-time RT-PCR (qRT-PCR) was performed using a qPCR kit (DyNAmoCapillarySYBRGreen; Finnzymes, Espoo, Finland) and LightCycler (Hoffman-La Roche, Basel, Switzerland). Levels of transcripts were standardised using the gene encoding peptidylpropyl isomerase B (Ppib, also called cyclophilin B) and expressed in arbitrary units . Lasergene software (DNASTAR, Madison, WI, USA) was used to design oligonucleotide primers (forward/reverse) for the following genes: Adipoq – TCCGGGACTCTACTACTTCTCTTACCAC / GTCCCCATCCCCATACACCTG; Ppib – ACTACGGGCCTGGCTGGGTGAG / TGCCGGAGTCGACAATGATGA; and leptin (Lep) – CCGCCAAGCAGAGGGTCAC / GCATTCAGGGCTAACATCCAACT.
The data were evaluated by ANOVA as described before . The level of significance of all tests was set at p=0.05.
Effects of EPA/DHA and caloric restriction on body weight, markers of lipid and glucose metabolism, and adipokines in plasma
Free access to food
Body weight (g)a
Plasma levels of:
Gene expression and adipokine production in WAT depots of mice with free access to cHF or cHF-F1 diets
This study demonstrates that caloric restriction and the intake of n-3 PUFA of marine origin both lead to weight loss and a decrease in adipose tissue. The latter treatment, corresponding to about 5.3% of total energy intake derived from EPA and DHA, led to a significant reduction of weight gain, involving preferential reduction of epididymal fat in the abdomen . Of note, however, is the differential effect of these two treatments on glucose and lipid metabolism and systemic adipokines. While changes in circulating glucose and leptin were almost entirely mediated by caloric restriction, NEFA, insulin and adiponectin were regulated predominantly by dietary EPA and DHA, and triacylglycerols levels were decreased by both treatments. Various effects of caloric restriction and EPA/DHA respectively reflect modulation of metabolism in several tissues and all the interactions are difficult to dissect. However, as demonstrated in this report, one of the main effects of EPA/DHA is the stimulation of Adipoq expression in mature adipocytes and the production of adiponectin, mainly in epididymal fat, leading to increased plasma adiponectin levels.
Plasma levels of adiponectin decrease in obese humans . In our study, however, the induction of adiponectin by EPA/DHA could not result from reduction of adiposity, since the strong decrease of fat content due to caloric restriction did not influence adiponectin levels. In contrast to adiponectin, leptin plasma levels were decreased dramatically by caloric restriction, but neither these nor Lep expression were affected by EPA/DHA, supporting the idea that circulating leptin correlates with adiposity and glucose metabolism in adipocytes . The induction of adiponectin but not of leptin by EPA/DHA indicates that the mechanisms controlling the expression of genes for these two adipokines are different. As with thiazolidinediones, EPA and DHA may upregulate Adipoq by acting as ligands of peroxisome proliferator-activated receptor-γ, the transcriptional regulator interacting directly with Adipoq promoter . The stimulation of Adipoq may also depend on the activation of AMPK, since AMPK in adipocytes stimulates Adipoq  and EPA and DHA activate hepatic AMPK .
In accordance with other studies in rodents fed high-fat diets and in healthy humans [1, 3], our insulin data indicate that EPA and DHA exert a large improvement in insulin sensitivity/action. Indeed, EPA/DHA prevented a rise in plasma insulin due to the cHF diet, since insulin levels in mice fed a standard chow diet were much lower than in the cHF mice, i.e. 0.59±0.10 ng/ml  (compare with Table 1). Our results suggest that protection against insulin resistance induced by a high-fat diet is at least partially mediated by adiponectin, but not leptin. Since EPA and DHA in humans were able to prevent but not reverse insulin resistance , it should be established whether the failure of dietary EPA and DHA to reverse type 2 diabetes is due to an inability to sufficiently induce adiponectin. Interestingly, an association between circulating adiponectin and plasma n-3 PUFA, and DHA in particular, was recently found in healthy humans .
In conclusion, we show for the first time that EPA and DHA stimulate Adipoq expression and increase the levels of circulating adiponectin, an effect that is relatively independent of food intake and body fat mass. Our findings are relevant for prevention and treatment of obesity-associated pathologies.
This work was supported by grants from the Academy of Sciences (KJB5011410), Czech Science Foundation (303/05/2580) and Ministry of Education, Youth and Sports (1M6837805002) of the Czech Republic, as well as from the Wellcome Trust (070821/Z/03/Z), and from the European Commission (LSHM-CT-2004-005272), Research Project AV0Z0110509, and by Pronova Biocare (Norway).