Metabolic and hormonal adaptation to prolonged fat feeding
After 15 weeks of fat feeding, 129S6 mice exhibited significantly increased body weight, BMI, adiposity indices and plasma concentration of triacylglycerol and total, HDL- and LDL-cholesterol when compared with CD-fed controls (Fig. 1). Food and digestible energy consumption was lower in HFD-fed mice than in CD-fed controls. Fat feeding induced a threefold increase in fasting insulinaemia without significant changes in fasting glycaemia (Fig. 2) and a significantly increased ratio between fasting insulin and fasting glucose (35.5 ± 8.7 in HFD-fed mice and 9.6 ± 2.4 in CD-fed mice; p = 0.03), suggesting a reduction in the biological effects of insulin in the HFD-fed group. Fat-fed mice developed glucose intolerance, as reflected by both hyperglycaemia 75 min after glucose injection and significantly higher values of cumulative glycaemia during the IPGTT than controls (Fig. 2). Fat feeding also induced enhanced insulin secretion, demonstrated by sustained hyperinsulinaemia during the IPGTT and increased indices of insulin secretion (Fig. 2). Enhanced insulin secretion without concomitant reduction in plasma glucose indicates decreased sensitivity to the biological action of insulin.
We verified that this group of fat-fed mice developed histological evidence of fatty liver (data not shown), as reported in 129S6 mice under identical experimental conditions [14].
NMR analysis of plasma metabolites
Plasma 1H NMR spectra were used to define biomarkers for diet-induced obesity, glucose intolerance and NAFLD. The metabolic adaptation to HFD was characterised by increases in plasma lactate, pyruvate, glucose, fucose, phosphatidylcholine, trimethylamine N-oxide and other methylamines (Table 1). This indicates that fat-fed mice develop hyperglycaemia, hyperlipidaemia, with all lipid resonances increased, and lactic acidosis.
Table 1 Biomarkers derived from plasma 1H NMR metabolic profiling
Longitudinal effects of HFD on metabolic and physiological variables
To investigate the progression of some these metabolic features with prolonged fat feeding, a time-course phenotype study was performed in 129S6 mice. Metabolic changes suggested by multivariate O-PLS-DA modelling of metabonomic NMR data developed shortly after the initiation of fat feeding and remained significant throughout the remainder of the study (Fig. 3a). Most of the biomarkers in Table 1 account for the permanent separation of the two groups (data not shown). A similar pattern of phenotype evolution was observed for increased body weight and adiposity (Fig. 3b,c) and hyperlipidaemia (Fig. 3d–f), indicating the rapid and permanent effects of HFD on metabolic perturbations in 129S6 mice.
Effects of HFD on genome-wide liver transcription profiling
Microarray data analysis defined gene expression mechanisms underlying diet-induced impaired glucose homeostasis, obesity and NAFLD. Fat feeding induced transcriptional changes in 459 probe sets corresponding to 356 different genes and 43 apparently different EST sequences or predicted genes. These genes were considered for data biological interpretation regardless of gene expression indices (Supplementary Table 1). Interactome mapping of differentially expressed genes using IPA revealed that the high-level functions and canonical pathways most significantly affected by HFD in liver were the metabolism of tryptophan and fatty acid (Fig. 4). The urea cycle and the metabolism of amino groups pathways were predominantly affected (decreased expression).
At the individual gene level, the transcription of genes involved in lipoprotein uptake (Scarb1 and Cd36) was upregulated in response to HFD feeding (though Cd36 RNA levels were low; Table 2). Genes concerned with lipoprotein secretion and lipid and cholesterol efflux (Abca1, Abcb11, Apoa1, Cyp7b1, Saa4), fatty acid beta-oxidation (Acat1), intracellular fatty acid transport (Fabp5) and fatty acid and sterol synthesis, modification and elongation (Srebf1c [also known as Srebf1], Acsl5, Elovl3, Fads2, Hsd17b12, Sc5d) were upregulated by HFD. In contrast, transcript abundance of Scd1, the gene encoding the enzyme stearoyl-coenzyme A desaturase 1, which catalyses a rate-limiting step in the synthesis of unsaturated fatty acids, was very significantly reduced in response to HFD. The expression of a series of n-3 polyunsaturated fatty acid (PUFA) epoxygenases (Cyp2c29, Cyp2c37, Cyp2c38, Cyp2c39) was markedly suppressed by HFD.
Table 2 Significant transcription changes induced in liver of 129S6 mice by prolonged high-fat diet feeding
In fat-fed mice, significant changes in the abundance of transcripts for Aldo2 (−20%), Gpd2 (up to +90%) and Gyk (up to +40%) may drive metabolism to increased production of glycerol-3-phosphate, the key substrate for triacylglycerol synthesis, whilst parallel downregulation of Mgll expression may limit the degradation of intracellular triacylglycerol stores. The transcription of enzymes of the urea cycle (Arg1, Asl, Ass1) was reduced by HFD. No major changes in transcripts for enzymes involved in carbohydrate metabolism were noted. These data suggest that increased lipoprotein uptake, intracellular fatty acid transport and elongation in response to HFD may account for the NAFLD phenotype, despite apparent reduced de novo lipid biosynthesis and enhanced lipid and cholesterol efflux.
Adaptation to HFD feeding also involved changes in expression of genes associated with inflammation (increased C4bp, C6, Ikbkg, Lifr, Tgfbi; decreased C5ar1, Serpinb5, Mapk11), DNA damage (increased Trp53inp2), cell death (increased Casp8, decreased Mapk11), increased production of cellular reactive oxygen species (ROS) (Nox4) and decreased chaperones and free radical scavengers (Mt1) (Table 2).
In addition, expression of several genes encoding glutathione S-transferases (Gsta1, Gsta2, Gstm1, Gsto1, Gstt2, Gstt3), an aldo-keto reductase (Akr1c19) and an aldehyde dehydrogenase (Aldh1b1) was downregulated by HFD, suggesting reduced glutathione conjugation and resulting in reduced ROS deactivation processes and increased proinflammatory activities. These patterns of gene expression suggest further deterioration of liver histopathological features in fat-fed mice.
Gene transcription regulation assessed by quantitative real-time PCR
Quantitative real-time PCR was used to detect possible false positive and false negative results from microarray analysis for key genes biologically relevant to insulin resistance and NAFLD (Figs. 5 and 6), selected on the basis of differential expression between fat fed mice and controls (Acat1, Adfp, Ass1, Cyp2c29, Fabp5, Scd1, Srebf1c) in the Affymetrix data set, lack of statistically significant response to HFD (Acox1, Acsl1, Fabp1, Onecut1 [also known as Hnf6], Ppara) despite 20–40% fold changes in transcription, or inconclusive results from different probe sets (Gyk). Assays replicated the significance and direction of transcriptional changes found by microarray screening for Ass1, Cyp2c29, Fabp5, Scd1 and Srebf1c, but failed to confirm gene expression changes for Acat1, Adfp and Gyk (probe set 1422704_at). We confirmed the absence of effect of HFD on the expression of Acsl1, Fabp1 and Gyk (probe set 1422703_at). In contrast, the transcription of Acox1, Onecut1 and Ppara was significantly downregulated by HFD when tested by quantitative real-time PCR. Differences in target sequences used in the two systems may explain these discordant results.
To test an effect of genetic background differences on gene transcription regulation, quantitative real-time PCR was repeated in fat-fed and control BALB/c mice, which are resistant to diet-induced obesity, diabetes and fatty liver [14]. The two strains showed markedly contrasting gene transcription patterns induced by HFD, suggesting the involvement of strain-specific mechanisms of gene expression regulation underlying susceptibility or resistance to diet-induced obesity and NAFLD.
Longitudinal effects of HFD on Scd1, Srebf1c and Ppara gene transcription
We then investigated shorter- (3 and 7 weeks) and longer-term (23 weeks) effects of HFD in 129S6 mice on key genes regulating the transcription of fatty acid metabolism (Srebf1c, Ppara) and tested the paradoxical downregulation of Scd1 transcription in a model of obesity. These experiments were carried out with fat-fed mice that showed glucose intolerance (data not shown), extensive metabolic changes and increased adiposity (Fig. 3) when compared with CD fed controls and marked NAFLD after prolonged HFD feeding (23 weeks; data not shown). Gene expression data demonstrate the permanent effects of HFD on Scd1 downregulation and Srebf1c upregulation, even though the change in Srebf1c transcription at the last time point was not significant (Fig. 6). The abundance of Ppara transcripts was also reduced by HFD, but the effect was significant only in mice fat-fed for 15 weeks.