Regulation of body temperature and brown adipose
Transcrição
Regulation of body temperature and brown adipose
Articles in PresS. Am J Physiol Endocrinol Metab (January 22, 2014). doi:10.1152/ajpendo.00615.2013 70292_1_art_file_1658184_my21vd.docx 1 Regulation of body temperature and brown adipose tissue thermogenesis by bombesin 2 receptor subtype-3 3 Dalya M. Lateef,1 Gustavo Abreu-Vieira,2 Cuiying Xiao,1 Marc L. Reitman1 4 5 6 1 Page 1 Diabetes, Endocrinology, and Obesity Branch, National Institute of Diabetes and Digestive and Kidney Diseases, NIH, Bethesda, Maryland 2 Department of Molecular Biosciences, The Wenner-Gren Institute, Stockholm University, 7 Stockholm, Sweden 8 Running head: BRS-3 regulation of body temperature 9 Address for correspondence: M. L. Reitman, Building 10-CRC, Room 5-5940, 10 Center Drive, 10 Bethesda, MD 20892-1453 (e-mail: [email protected]). 11 12 5 Figures, 1 Table, Abstract 187 words 13 Abbreviations: BAT, brown adipose tissue; iBAT, interscapular BAT; BRS-3, bombesin 14 receptor subtype-3; WAT, white adipose tissue; Tb, body temperature 15 Copyright © 2014 by the American Physiological Society. 70292_1_art_file_1658184_my21vd.docx 16 Page 2 Abstract 17 Bombesin receptor subtype-3 (BRS-3) regulates energy homeostasis, with Brs3 knockout 18 (Brs3-/y) mice being hypometabolic, hypothermic, and hyperphagic and developing obesity. We 19 now report that the reduced body temperature is more readily detected if body temperature is 20 analyzed as a function of physical activity level and light/dark phase. Physical activity level 21 correlated best with body temperature four minutes later. The Brs3-/y metabolic phenotype is not 22 due to intrinsically impaired brown adipose tissue function or in the communication of 23 sympathetic signals from the brain to brown adipose tissue, since Brs3-/y mice have intact 24 thermogenic responses to stress, acute cold exposure, and β3 adrenergic activation, and Brs3-/y 25 mice prefer a cooler environment. Treatment with the BRS-3 agonist MK-5046 increased brown 26 adipose tissue temperature and body temperature in wild type, but not Brs3-/y mice. 27 Intrahypothalamic infusion of MK-5046 increased body temperature. These data indicate that 28 the BRS-3 regulation of body temperature is via a central mechanism, upstream of sympathetic 29 efferents. The reduced body temperature in Brs3-/y mice is due to altered regulation of energy 30 homeostasis affecting higher center regulation of body temperature, rather than an intrinsic 31 defect in brown adipose tissue. 32 33 Keywords 34 BRS-3, obesity, sympathetic nervous system, brown adipose tissue, thermoregulation, 35 CL316243, MK-5046 70292_1_art_file_1658184_my21vd.docx 36 37 Page 3 Introduction Obesity, an imbalance between energy intake and energy expenditure, is associated with 38 several comorbidities, including diabetes mellitus and cardiovascular disease. Current treatments 39 for obesity are inadequate, stimulating research to better understand the physiology of energy 40 homeostasis and to develop safe and effective pharmacologic treatments. Study of bombesin 41 receptor subtype-3 (BRS-3) can advance both of these objectives. 42 BRS-3 is a G-protein coupled receptor for which the natural ligand is unknown, and 43 despite its name, BRS-3 has a low affinity for bombesin and related natural peptides (7, 17, 21). 44 In addition to other locations, BRS-3 is present in the central nervous system, including the 45 hypothalamus and caudal brainstem (10, 16, 26, 37), regions involved in the regulation of 46 feeding, energy expenditure, and body weight (32). Genetic and pharmacologic studies 47 demonstrate a role for BRS-3 in energy homeostasis. Brs3 knockout (Brs3-/y) mice exhibit 48 hyperphagia, reduced metabolic rate and obesity (18, 27), and pharmacological blockade of 49 BRS-3 in rats increases food intake and body weight (10). Conversely, BRS-3 agonists reduced 50 food intake, increased metabolic rate and body temperature (Tb), and reduced body weight in 51 mice, rats, and dogs (10, 11, 22). 52 Currently, the mechanisms underlying Tb regulation by BRS-3 are unclear. Brown 53 adipose tissue (BAT) is the major site of facultative thermogenesis, dissipating chemical energy 54 via UCP1, thereby generating heat and maintaining Tb (2). BAT activity is regulated by 55 sympathetic neural input, with upstream regulation from hypothalamic, preoptic, and other brain 56 regions (1, 23). Thus, the lower Tb in Brs3-/y mice could arise from intrinsic defects at a number 70292_1_art_file_1658184_my21vd.docx Page 4 57 of sites including BAT (5), sympathetic neuronal transmission (35), or the brain sites at the core 58 of thermal regulation (20). Alternatively, the mild hypothermia could be due to an altered input 59 into what is otherwise a normally-responding thermal regulatory system. 60 We now evaluate the consequences of disrupting BRS-3 signaling on BAT. We also 61 examine the effects of BRS-3 agonism on BAT thermogenesis and the involvement of the central 62 nervous system. Together these approaches allow us to suggest a mechanism for how the BRS-3 63 system affects Tb. 64 Materials and Methods 65 Compounds. MK-5046 (33) was generously provided by Merck Research Laboratories (Rahway, 66 NJ) and CL316243 and lipopolysaccharide were purchased from Sigma-Aldrich (St. Louis, MO). 67 Mice. C57BL/6J mice were purchased from The Jackson Laboratory (Bar Harbor, ME). Brs3-/y 68 mice were provided by Dr. James Battey (18) and back-crossed at least eight generations onto a 69 C57BL/6J background. Mice were housed at ~21-22°C in a humidity-controlled environment 70 with a 12:12-h light-dark cycle and with water and chow (NIH-07 diet) available ad libitum. All 71 experiments used male mice, typically 12-16 weeks of age. Pentobarbital sodium (80 mg/kg ip) 72 was used for anesthesia for physiological measurements. Survival surgery anesthesia used 73 ketamine 100 mg/kg and xylazine 10 mg/kg ip, with Banamine analgesia (2.2 mg/kg sc daily for 74 3 days). At least 7 days were allowed for recovery. All animal studies were approved by the 75 NIDDK/NIH Animal Care and Use Committee. 70292_1_art_file_1658184_my21vd.docx Page 5 76 Body and interscapular brown adipose tissue (iBAT) temperature measurement in anesthetized 77 mice. Mice were anesthetized (pentobarbital), placed on a heated (35ºC) table, and a thermistor 78 probe (YSI 427; Measurement Specialties, Shrewsbury, MA) was sutured into place underneath 79 the iBAT via an incision caudal to the fat pad (4). A rectal temperature probe (YSI 455, 80 Measurement Specialties) was inserted and secured with tape. The mouse was then positioned 81 supinely and a tracheal catheter was inserted, allowing free movement of room air. At least 30 82 minutes were allowed for stabilization prior to drug infusion. 83 Body and iBAT temperature measurement by telemetry in ambulatory mice. Mice were 84 anesthetized, an IPTT-300 transponder (BioMedic Data Systems, Seaford, DE) was sutured into 85 place under the iBAT depot. Another IPTT-300 was inserted intraperitoneally via a midline 86 abdominal incision, and sutured to the omentum. Body and iBAT temperature were recorded 87 with a scanner (DAS-7007, BioMedic Data Systems). To avoid confounding temperature 88 increases due to handling stress, all readings were taken within 60 seconds of initially handling a 89 mouse with at least one hour (and typically two hours) between serial measurements. 90 Alternatively, Tb and activity were continuously measured by telemetry (Mini Mitter/Philips 91 Respironics, Bend, OR) using ER4000 energizer/receivers, G2 E-mitters implanted 92 intraperitoneally, and VitalView software with data collected each minute. The Tb vs activity 93 cross-correlation analysis was performed with NeuroExplorer (Nex Technologies, Madison, AL). 94 Ambulatory tests of thermal regulation. Temperature preference was measured by placing mice 95 in a stainless steel pan (64 x 15 x 20 cm, length x width x height) spanning two hot/cold plates 96 set at 20 ºC and 45 ºC. Ninety-minute sessions were conducted on two successive days, with the 97 last 60 minutes of the second session used for analysis. Position was tracked with an overhead 70292_1_art_file_1658184_my21vd.docx Page 6 98 camera and video tracking software (Ethovision 9.0, Noldus, Leesburg, VA). In the cage-switch 99 assay, stress was induced by placing a mouse in a cage previously occupied by a different male 100 mouse (19) with Tb and activity monitored by Mini Mitter. The febrile response at 21 ºC 101 ambient temperature caused by lipopolysaccharide (10 μg/kg ip) (28) was measured by Mini 102 Mitter. Indirect calorimetry was performed with a 12-chamber Environment Controlled CLAMS 103 (Columbus Instruments, Columbus, OH) with ad libitum access to food and water during the 104 entire testing period. 105 Intravenous infusions. Mice were anesthetized and the jugular vein catheterized using PE-10 106 tubing. CL316243 and MK-5046 were dissolved in saline or 5% dimethylacetamide in saline, 107 respectively, and delivered in a volume of 1 ml/kg. 108 Intrahypothalamic infusions. Mice were anesthetized, cannulas (5.25 mm, 26 gauge, Plastics 109 One, Roanoke, VA) stereotaxically implanted bilaterally (1.34 mm posterior, 0.75 mm lateral to 110 bregma, 4.75 mm below the surface of the skull (8)), and secured with dental cement (Parkell, 111 Inc., Edgewood, NY). Intrahypothalamic infusions used saline as vehicle and were given via a 112 33-gauge internal cannula protruding 0.5 mm past the tip of the guide cannula using a syringe 113 pump (KD Scientific, Holliston, MA) infusing 1 μl per cannula over 60 seconds. The infusion 114 targets the entire hypothalamus. Cannula position was verified by postmortem histological 115 analysis. 116 Statistics. Data are mean ±SEM. Two-way ANOVA with or without repeated measures followed 117 by Holm-Šídák’s post test was used for comparing genotypes vs. the treatment groups. Student’s 70292_1_art_file_1658184_my21vd.docx 118 t-test was used when two groups were compared. Analyses used two-tailed P <0.05 as 119 statistically significant. 120 Results 121 Thermal biology in Brs3-/y mice 122 Page 7 Tb in Brs3-/y mice was slightly lower than in controls, reaching statistical significance in the 123 light but not the dark phase; there was no difference in physical activity levels (Table 1). To 124 better understand the relationship between physical activity and Tb, we quantified the timing of 125 the effect of activity on Tb by looking for the lag time that gives the best correlation between 126 activity and Tb in a cohort of wild type C57BL/6 mice. This cross-correlation analysis revealed 127 that increased activity causes Tb increases with a 4-minute (range, 2- to 6-minute) lag (Figure 128 1A). Based on this result we analyzed the Brs3-/y Tb and activity data using 10-minute averages. 129 The Tb histogram showed the lower Tb in the light phase and the slight shift in Brs3-/y mice but 130 a similar overall pattern to the controls (Figure 1B). The activity histogram showed the 131 expected higher level in dark than light phase with no difference between Brs3-/y and control 132 mice (Figure 1C). Next we examined Tb as a function of activity and observed a clear 133 difference between Brs3-/y and control mice, with a greater difference at lower physical activity 134 levels (Figure 1D). 135 To further understand Tb regulation in Brs3-/y mice, a number of interventions that change Tb 136 were tested. Brs3-/y mice increased Tb normally during the first hour in response to the stress of 137 being handled and had a comparable febrile response to lipopolysaccharide, with the 138 hyperthermia resolving more rapidly in the Brs3-/y mice (Figure 2A). There was a normal 70292_1_art_file_1658184_my21vd.docx Page 8 139 circadian rhythm and Tb and physical activity increase in response to the social stress of a cage 140 switch (19) (Figure 2B). When Brs3-/y mice were placed in a thermal gradient, they dispersed 141 over the gradient much more widely than the controls and chose cooler environmental 142 temperatures (Figure 2C). The lower preferred environmental temperature was not explained by 143 the slightly higher body weight. 144 Brs3-/y mice have intact, functioning BAT 145 We next examined BAT function. Brs3-/y mice (12-16 weeks old), while of comparable body 146 weight to controls (wild type, 22.0 ±0.8 g and Brs3-/y 22.6 ±0.4 g), showed increased iBAT, 147 inguinal white adipose tissue (WAT), and gonadal WAT weights (Figure 3A). The increased 148 iBAT weight is likely due to increased triglyceride content as Brs3-/y mice have larger lipid 149 droplets (Figure 3B). Ucp1 mRNA and protein levels were similar between Brs3-/y and control 150 mice (data not shown). Body and iBAT temperatures in overnight fasted Brs3-/y mice were 151 reduced compared to wild type mice (Figure 3C). The iBAT was slightly warmer than the body 152 core, but this was not statistically different in this experiment. 153 To measure thermogenic capacity, mice were treated with a maximal dose of a β3- 154 adrenoreceptor agonist, CL316243 (2). The Brs3-/y mice showed a greater increase in Tb, 155 energy expenditure, and fat oxidation (indicated by the reduced respiratory exchange ratio, 156 RER) than the control mice (Figure 3D-F). Thus, the intrinsic thermogenic capacity in response 157 to a β3-adrenoreceptor agonist is clearly intact in Brs3-/y mice. 158 To assess an integrated thermogenic response (sensory information to brain to BAT), the 159 body and BAT temperature response to cold exposure was measured. The slight reduction in 70292_1_art_file_1658184_my21vd.docx 160 Tb was similar in Brs3-/y and control mice (Figure 3G) as was the rise in iBAT temperature 161 (Figure 3H). Together, these results demonstrate that Brs3 deficient mice have functional, 162 inducible BAT, despite their lower body and BAT temperatures, and point to a possible 163 reduction in neural activation of BAT. 164 BRS3 agonist activates BAT via a central mechanism 165 Page 9 BRS3 agonists can increase Tb (10, 22), so we next examined the effect of a peripherally 166 administered, brain-penetrant BRS3 agonist, MK-5046 (11), on iBAT temperature, using 167 anesthetized mice to eliminate the effect of changes in physical activity. Mice were treated with 168 MK-5046, CL316243, or vehicle. MK-5046 increased iBAT temperature in wild type but not 169 Brs3-/y mice (Figure 4A). In contrast, as a positive control, CL316243 increased iBAT 170 temperature in both wild type and Brs3-/y mice (Figure 4B,C). Similar results were obtained 171 measuring rectal temperature (Figure 4D). These data demonstrate that MK-5046 has a 172 thermogenic effect on BAT, and that it is acting via BRS-3. 173 To determine if the thermogenic effect of MK-5046 was centrally mediated, we measured 174 the effect of intrahypothalamic infusion of MK-5046 on Tb. MK-5046 increased Tb by 0.42 175 ±0.11°C (P<0.001; Figure 5A,B), demonstrating that MK-5046 is acting centrally to increase Tb. 176 Discussion 177 We have investigated in detail the reduced Tb of Brs3-/y mice. The results show no 178 intrinsic defects in BAT or in the CNS’s ability to engage sympathetic efferents to BAT. Rather 179 we propose that the reduced Tb is a secondary effect of altered energy homeostasis affecting 70292_1_art_file_1658184_my21vd.docx Page 10 180 higher center regulation of Tb, as discussed below. Peripherally-administered BRS-3 agonists 181 increase Tb and BAT temperature and small doses administered directly to the hypothalamus 182 increase Tb, suggesting that CNS BRS-3 contributes to sympathetic outflow to BAT. 183 Intact control of Tb in Brs3-/y mice 184 The Tb reduction in Brs3-/y mice studied at room temperature is small, averaging ~0.34 185 ºC below control mice. Tb differences of this magnitude are difficult to detect, so experimental 186 manipulations are often used to increase their size. For example, in Brs3-/y mice fasting 187 amplifies the Tb reduction (22). However, such manipulations have other effects on physiology, 188 confounding interpretation of the results. Here we measured Tb by telemetry and analyzed Tb as 189 a function of physical activity level and light/dark phase. This approach permits monitoring in 190 the home cage without potentially confounding manipulations, makes use of the full dataset, and 191 markedly increases the ability to detect Tb changes. 192 To our knowledge, Tb kinetics after physical activity have not been reported previously 193 in mice. While the quantitative details are likely to depend on the level and type of activity and 194 methods of Tb and activity measurement, only a brief lag time is expected due to the small body 195 size and thus rapid heat loss. We observed a 4-minute lag between activity and the Tb response. 196 The energy cost of defending Tb is 2.02 ±0.06 kcal/d/ºC in 27 g mice (Abreu-Vieira, 197 unpublished observations). Thus, the ~0.34ºC Tb reduction in Brs3-/y mice saves ~0.70 kcal/d. It 198 is not known how this energy savings partitions to fat storage vs reduced food intake. There are 199 no reports characterizing Brs3-/y mice housed chronically at thermoneutrality, which would erase 70292_1_art_file_1658184_my21vd.docx Page 11 200 their Tb reduction, and it is unknown if thermoneutrality would exacerbate the increased Brs3-/y 201 adiposity, as it does in other mouse models (3, 25, 31). 202 What is the mechanistic basis for the Tb lowering in Brs3-/y mice? Direct stimulation of 203 the thermogenesis effector tissues, WAT and BAT, with a β3 adrenergic agonist demonstrated 204 full functionality. In fact, the increases in metabolic rate and Tb were actually greater in Brs3-/y 205 mice. Possible explanations for the augmented Brs3-/y thermogenic response are increased fatty 206 acid availability from the larger WAT and/or BAT stores, providing more fuel for greater heat 207 generation in BAT and more responsive adipose tissues due to reduced prior stimulation. More 208 upstream, the neural sympathetic control of heat generation by BAT is intact in Brs3-/y mice, as 209 demonstrated by the response to handling stress, cage switch stress, and lipopolysaccharide. 210 Notably, the response to cold exposure is similar in Brs3-/y and wild type mice, demonstrating 211 intact sensing of environmental temperature. Besides the lower Tb, the Brs3-/y mice prefer a 212 cooler environment, indicating that the lower Tb is targeted and is not due to an ‘inability’ to 213 defend a higher Tb. 214 These data strongly suggest that in Brs3-/y mice there is no defect intrinsic to the BAT 215 itself or to the circuitry determining sympathetic signals efferents to BAT. A unified way to 216 view the thermal physiology of Brs3-/y mice is that the endogenous BRS-3 ligand is a signal of 217 the ‘energy replete’ state. In this sense, Brs3-/y mice are similar to Leprdb/db mice (12). The 218 inability of Brs3-/y mice to sense the putative endogenous ligand (or of Leprdb/db mice to sense 219 leptin (34)) elicits a physiologic drive to increase energy stores and reduce energy expenditure. 220 Tb reduction is a normal component of that response--small mammals expend large amounts of 221 energy to stay warm, and a reduction in Tb is a common, effective energy-conserving strategy 70292_1_art_file_1658184_my21vd.docx Page 12 222 (9). The recent identification of a Drosophila BRS-3 homolog and two ligand peptides (14) may 223 facilitate discovery of the elusive mammalian endogenous BRS-3 ligand(s). Other examples of 224 mutant mice that likely have reduced Tb secondary to altered energy homeostasis include 225 Lepob/ob (29), Mc4r-/- (unpublished observations), and Fgf21 over-expressors (15). It is probably 226 a general rule in small-sized mammals that modifiers of the regulation of energy homeostasis can 227 affect Tb. 228 BAT and Tb effect of a BRS-3 agonist, MK-5046 229 BRS-3 agonists can increase Tb, particularly in the fasted state and the Tb increase is 230 reduced by propranolol, supporting a sympathetic mechanism of action (10, 22). Here, we 231 directly show that the Tb increase occurs via BAT activation. Intrahypothalamic injection of 232 MK-5046 increased Tb, demonstrating a role for CNS BRS-3. BAT thermogenesis is controlled 233 at multiple levels in the CNS. Thermal sensory inputs, some routed via the lateral parabrachial 234 nucleus (LPB), and other signals are integrated in the preoptic area, transmitted to the 235 dorsomedial hypothalamus (DMH), rostral raphe pallidus, and on to preganglionic sympathetic 236 neurons (23). Other regions contributing to regulating sympathetic tone to BAT include the 237 paraventricular hypothalamus (PVH), orexinergic lateral hypothalamus (LH), and the nucleus of 238 the solitary tract (NTS). BRS-3 binding activity (10) is found in many of these areas (e.g. DMH, 239 PVH, LH, LPB, NTS) as is BRS-3 mRNA (e.g., medial and median preoptic area, DMH, PVH, 240 LPB) (37). Further studies (such as injection of smaller volumes of agonist and localized 241 ablation of Brs3) will be required to localize more precisely which neurons and nuclei are 242 driving the Tb increase and their upstream and downstream interactions. 70292_1_art_file_1658184_my21vd.docx 243 244 Page 13 BRS-3 agonism for the treatment of obesity? How does mechanistic understanding of BRS-3’s role in thermal biology inform the 245 prospects of BRS-3 agonism for the treatment of obesity? First, it is important to recognize that 246 smaller homeotherms such as mice have larger surface area to volume ratios, generate much heat 247 in BAT, and strive to conserve body heat (9). In contrast large homeotherms such as adult 248 humans get most (but not all (24)) of their heat from BAT-independent metabolism and have 249 developed mechanisms to facilitate heat loss. Due to these physiologic differences mice, unlike 250 adult humans, vary their target Tb greatly in response to environmental changes, such as cold 251 exposure or food deprivation. As noted, the BRS-3 system’s effects on Tb are likely secondary 252 to its primary role in energy homeostasis. This makes the concern that BRS-3 agonists will 253 produce clinical hyperthermia unlikely, and is consistent with the lack of observed Tb changes in 254 men treated with MK-5046 (30). The realization that adult humans can and do expend energy 255 via BAT activation has brought attention to BAT (24) and highlighted the potential for drugs that 256 activate BAT as a treatment for obesity (36). BRS-3 agonists fit this paradigm—they increase 257 energy expenditure by BAT. BRS-3 agonists also inhibit food intake, which is crucial since 258 increased food intake often accompanies BAT activation and thereby impairs weight loss due to 259 BAT activation. However, caution is warranted. Leptin is another ligand that reduces food 260 intake and activates BAT and leptin is a near-miraculous drug when given to treat leptin 261 deficiency (6). However >99.99% of obese people have a high leptin level, not a deficiency, and 262 treatment with leptin in these patients is not effective (13). 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(B-D) The mean Tb and activity in 10-minute intervals was calculated for 390 wild type (WT) and Brs3-/y (KO) mice, n=10/group (n=2760 dark phase and n=1970 light phase 391 data pairs per genotype). The frequency histograms for (B) Tb and (C) activity and (D) the 392 quadratic fit of the Tb to the activity were calculated separately for the dark and light periods. 393 The dotted lines show the 95% confidence intervals of the fitted curves. 394 Figure 2. Regulation of Tb in Brs3-/y mice. (A) Fever elicited by lipopolysaccharide (LPS). 395 Wild type (WT) and Brs3-/y (KO) mice were treated with lipopolysaccharide (10 μg/kg ip) or 396 vehicle (saline) at 9 am (time 0). Data are change from baseline (-90 to -30 minutes) mean 70292_1_art_file_1658184_my21vd.docx Page 19 397 ±SEM, n=9-12/group. * indicates p<0.05 WT LPS vs KO LPS of 10-minute averages. Baseline 398 Tb were 36.1 ±0.2 (WT veh), 36.1 ±0.3 (WT LPS), 35.9 ±0.2, (KO veh), and 35.9 ±0.2 (KO 399 LPS) °C. (B) Cage-switch. WT and KO mice were individually placed in a cage vacated by 400 another male. Time is clock time; switch was at 11 am. Data are mean; SEMs are omitted for 401 visual clarity; N=8-10/group. (C) Choice of environmental temperature. Mice were placed in a 402 thermal gradient (nominally 20 to 45 ºC) during the light phase with position monitored 403 continuously by video (n=10/group). Bar graph shows mean ±SEM and * indicates p=0.001. 404 Mean body weights were 27.8 ±1.0 and 31.5 ±1.1 g in WT and KO, respectively (p=0.03). 405 Ambient temperature was 21.6 ºC. The wild type and Brs3-/y mice moved similar distances. 406 Figure 3. Intact BAT function in Brs3-/y mice. Wild type (WT) and Brs3-/y (KO) mice were 407 studied at 12-16 weeks of age. (A) iBAT, inguinal WAT and gonadal WAT weights. (B) 408 Histology of iBAT. The scale bar is 50 μm. (C) Ambulatory telemetry (BioMedic) BAT and 409 body temperature at 9 am after a 16-hour fast. (D-F) Effect of CL316243 on (D) body 410 temperature, (E) energy expenditure, and (F) respiratory exchange ratio, RER. Mice (body 411 weight: WT, 25.0 ±0.4 g and KO, 26.5 ±0.8 g) were acclimatized to the indirect calorimetry 412 chambers at 22ºC for 4 days and then at 30ºC for one day with vehicle or CL316243 treatment 413 (0.1 mg/kg ip) on the sixth or seventh day in a crossover design. 414 difference in temperature between BAT and core body temperature upon exposure to 4°C. Time 415 is time since onset of cold exposure. Data are mean ±SEM, n=5–6/group, *P <0.05. 416 Figure 4. MK-5046 increases iBAT and body temperature. Effects of intravenous treatments 417 were studied in pentobarbital-anesthetized wild type (WT) and Brs3-/y (KO) mice at 12-16 weeks 418 of age. The change in iBAT temperature in response to (A) MK-5046 (MK, 1 mg/kg iv, (G) Body temperature and (H) 70292_1_art_file_1658184_my21vd.docx Page 20 419 equivalent exposure to 10 mg/kg orally (33), which causes a maximal body temperature increase 420 (11)) and (B) CL316243 (CL, 0.1 mg/kg iv), compared to vehicle (Veh) in wild type (WT) and 421 Brs3-/y (KO) mice. For visual clarity, the vehicle data are repeated in A and B. (C) Mean change 422 in BAT temperature, average of the 5-30 minute data from A and B. Baseline iBAT 423 temperatures were 35.2 ±0.3 (WT Veh), 35.8 ±0.2 (WT CL), 35.0 ±0.3 (WT MK), 35.0 ±0.2 424 (KO Veh), 34.9 ±0.3 (KO CL), and 35.9 ±0.2 (KO MK) °C. (D) Mean change in body 425 temperature, average of the 5-30 minute data from the same experiment. Data are mean ±SEM, 426 n=6/group, *P <0.05. 427 Figure 5. Effect of bilateral intrahypothalamic MK-5046 treatment (1 μg x 2) in pentobarbital- 428 anesthetized C57BL/6 mice. (A) Body temperature change from time baseline and (B) average 429 of the 5-30 minute data. Baseline temperatures were 35.7 ±0.2 (Veh) and 35.3 ±0.1 (MK) °C. 430 Experiment is a crossover design and data are mean ±SEM, n=9/group, *P <0.05. 431 70292_1_art_file_1658184_my21vd.docx 432 Page 21 Table 1. Body temperature and physical activity 433 Dark Tb (ºC) Dark Activity Light Tb (ºC) Light Activity 434 435 Wild Type 37.36 ±0.14 15.7 ±0.9 36.57 ±0.17 8.0 ±0.7 436 Brs3-/y 37.13 ±0.07 15.4 ±0.7 36.11 ±0.09 8.0 ±0.4 437 N 10 10 10 10 438 p 0.17 ns 0.03 ns 439 Tb and activity were measured by Mini Mitter telemetry for four days, omitting data when mice 440 were handled or treated. The means of 2760 (dark phase) or 1970 (light phase) minutes of Tb and 441 activity data were calculated for each of ten mice. Activity is in arbitrary units. 442 B 16 0.5 Frequency (%) Tb-Activity Correlation A 0.6 0.4 0.3 0.2 0.0 -40 Dark WT Dark KO Light WT Light KO 12 8 4 0 -20 C 40 0 20 Time Shift (min) 34 40 35 36 37 38 39 Tb (°C) D 38 Dark WT Dark KO Light WT Light KO 20 15 Tb (°C) Frequency (%) 35 37 Dark WT Dark KO Light WT Light KO 10 36 5 0 0 10 20 30 40 Activity 50 60 70 Lateef Figure 1 0 10 20 Activity 30 40 1.5 1.0 * WT veh WT LPS KO veh KO LPS B 0.5 0.0 -0.5 C 50 40 37 36 WT KO 35 20 0 0 1 2 3 4 5 Time (h) Lateef Figure 2 6 7 18 21 24 3 * 30 WT KO 10 -1.0 -1 warm 38 Position (cm) ** ** ** Tb (°C) Temperature change (°C) A 2.0 6 Time (h) 9 12 15 18 cool 20 25 30 35 Body Weight (g) 40 WTKO A 500 400 Weight (mg) * WT KO * 300 B 200 * 100 0 iWAT gWAT WT, veh KO, veh WT, CL KO, CL D WT KO 38 36 * * 0.2 36 0.0 32 Body F BAT WT, veh KO, veh WT, CL KO, CL 0 G37 2 4 6 8 Time (h) 10 12 2 4 6 8 H3 WT KO BAT-Tb (°C) Tb (°C) 0.9 0 10 12 Time (h) 1.0 RER 0.6 0.4 37 34 WT, veh KO, veh WT, CL KO, CL E Energy Expenditure (kcal/h) BAT 38 Tb (°C) Temperature (°C) C 36 WT KO 2 1 35 0.8 0 34 0.7 0 2 4 6 8 Time (h) 10 12 0 2 4 Time (h) Lateef Figure 3 6 0 2 4 Time (h) 6 'BAT Temperature (°C) B WT-Veh WT-MK KO-Veh KO-MK 1.5 1.0 0.5 0.0 'BAT Temperature (°C) 0 10 20 Time (min) 0.5 0.0 ** 0.2 * 0.0 -0.2 -0.4 -10 30 Veh CL MK D 0.3 0.2 'Tb (°C) -10 0.4 1.0 -1.0 -1.0 0.6 WT-Veh WT-CL KO-Veh KO-CL -0.5 -0.5 C 1.5 'BAT Temperature (°C) A 0 10 20 Time (min) Veh CL MK * 0.1 * 0.0 -0.1 -0.2 -0.3 -0.6 -0.4 -0.8 -0.5 WT KO WT Lateef Figure 4 30 KO A 1.0 B 0.6 Veh MK 0.8 'Tb (°C) 0.6 'Tb (°C) * 0.4 0.4 0.2 0.2 0.0 0.0 -0.2 -0.2 -0.4 0 10 20 30 Time (min) 40 Veh Lateef Figure 5 MK
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