Myeloid Sirtuin 6 Deficiency Causes Insulin Resistance in High-Fat Diet
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Diabetes Volume 66, October 2017 2659 Myeloid Sirtuin 6 Deficiency Causes Insulin Resistance in High-Fat Diet–Fed Mice by Eliciting Macrophage Polarization Toward an M1 Phenotype Youngyi Lee,1 Sun-O Ka,1 Hye-Na Cha,2 Yu-Na Chae,3 Mi-Kyung Kim,3 So-Young Park,2 Eun Ju Bae,4 and Byung-Hyun Park1 Diabetes 2017;66:2659–2668 | https://doi.org/10.2337/db16-1446 Obesity-related insulin resistance is closely associated in both humans and rodents (1). The increase in with macrophage accumulation and subsequent cytokine adipose tissue macrophages (ATMs) observed with obe- release in local tissues. Sirtuin 6 (Sirt6) is known to exert sity is also accompanied by macrophage phenotype an anti-inflammatory function, but its role in macrophages shifts. Although alternatively activated M2 macrophages 2 in the context of obesity has not been investigated. We (F4/80+CD11b+CD11c ) predominate in lean adipose tis- generated myeloid-specific Sirt6 knockout (mS6KO) mice sue, the balance shifts toward proinflammatory M1 macro- PATHOPHYSIOLOGY and investigated the metabolic characteristics after high- phages (F4/80+CD11b+CD11c+) as obesity develops (2). M1 fat diet (HFD) feeding for 16 weeks. Compared with macrophages secrete a variety of proinflammatory cyto- their wild-type littermates, HFD-fed mS6KO mice exhibited kines and chemokines, including tumor necrosis factor greater increases in body weight, fasting blood glucose (TNF)-a, interleukin-6 (IL-6), and MCP-1 (3). These cyto- and insulin levels, hepatic steatosis, glucose intolerance, kines activate inflammatory signaling pathways such as the and insulin resistance. Gene expression, histology, and flow inhibitor of kB kinase (IKK) and c-Jun NH -terminal kinase cytometric analyses demonstrated that liver and adi- 2 posetissueinflammation were elevated in HFD-fed mS6KO (JNK) pathways, which impair insulin activation of the mice relative to wild type, with a greater accumulation phosphoinositide 3-kinase and Akt pathways (4). Similarly, of F4/80+CD11b+CD11c+ adipose tissue macrophages. activation of resident liver macrophages (Kupffer cells) and Myeloid Sirt6 deletion facilitated proinflammatory M1 po- recruitment of circulating monocytes into the liver have larization of bone marrow macrophages and augmented been observed in animals fed a high-fat diet (HFD) and is the migration potential of macrophages toward adipose- causally implicated in the onset and progression of hepatic derived chemoattractants. Mechanistically, Sirt6 deletion insulin resistance (5). in macrophages promoted the activation of nuclear factor- Sirtuin 6 (Sirt6), one of the seven mammalian sirtuins, kB(NF-kB) and endogenous production of interleukin-6, is a nuclear protein and acts as an ADP-ribosyl transfer- which led to STAT3 activation and the positive feedback ase and NAD+-dependent deacetylase (6). Sirt6 deacetylates circuits for NF-kB stimulation; this cross talk expedited an histoneH3atlysine9(H3K9)andlysine56(H3K56), M1 polarization. We conclude that Sirt6 in macrophages is which results in chromatin condensation and decreased required for the prevention of obesity-associated tissue chromatin accessibility (7,8). Studies have suggested a ben- inflammation and insulin resistance. eficial role for Sirt6 in inflammation and metabolic stress. By deacetylating H3K9 on the promoters of nuclear factor- kB(NF-kB) target genes, Sirt6 alters chromatin structure to Accumulation of macrophages in adipose tissue is positively facilitate NF-kB destabilization at chromatin and termina- correlated with body weight and causes insulin resistance tion of NF-kB signaling (9). Knockdown of Sirt6 in human 1Department of Biochemistry, Chonbuk National University Medical School, This article contains Supplementary Data online at http://diabetes Jeonju, Jeonbuk, Republic of Korea .diabetesjournals.org/lookup/suppl/doi:10.2337/db16-1446/-/DC1. 2 Department of Physiology, College of Medicine, Yeungnam University, Daegu, © 2017 by the American Diabetes Association. Readers may use this article as North Gyeongsang, Republic of Korea long as the work is properly cited, the use is educational and not for profit, and the 3 Research Institute of Dong-A ST, Yongin, Gyeonggi, Republic of Korea work is not altered. More information is available at http://www.diabetesjournals 4 College of Pharmacy, Woosuk University, Wanju, Jeonbuk, Republic of Korea .org/content/license. Corresponding authors: Eun Ju Bae, [email protected], and Byung-Hyun Park, See accompanying article, p. 2535. [email protected]. Received 28 November 2016 and accepted 20 April 2017. 2660 Myeloid Sirt6 Controls Macrophage Polarization Diabetes Volume 66, October 2017 umbilical vein endothelial cells increases the expression of andareexpressedasmilligramsofTGper100mgofliver proinflammatory cytokines (10), whereas overexpression of tissue. Sirt6inmiceisprotectiveagainstmetabolicpathologies caused by diet-induced obesity (11). In contrast, ablation Histology of neural Sirt6 causes obesity (12). Additional evidence for Fixed tissues were embedded in 10% formalin solution. the anti-inflammatory properties of Sirt6 has been provided Tissue sections (5 mmforliverand7mm for adipose tissue) in autoimmune disease and allergic airway inflammation were stained with hematoxylin-eosin (H-E) for light micros- models (13,14). copy. Immunohistochemical staining was performed by us- Weandothershavereportedthatmyeloid-specificSirt1 ing the EnVision system (DAKO, Carpinteria, CA). Sections knockout (KO) mice develop tissue inflammation and insulin were immunostained with antibodies against F4/80, CD11b resistance upon exposure to an HFD (15,16). However, no (Abcam, Cambridge, U.K.), or perilipin (Fitzgerald, Acton, study to our knowledge has investigated whether Sirt6 has MA). Peroxidase activity was detected with 3-amino-9-ethyl a similar impact in macrophages or, more importantly, on carbazole. To assess morphological changes in liver, we used how myeloid Sirt6 affects inflammatory and metabolic re- the nonalcoholic fatty liver disease (NAFLD) activity score sponses in mice under acute and chronic metabolic stress. (NAS), which includes histological features and has been fi – With the aim of evaluating the influence of Sirt6 on macro- de ned as the unweighted sum of scores for steatosis (0 3), fl – – phage infiltration and inflammation in local tissues of mice, lobular in ammation (0 3), and ballooning (0 2) (19). The we generated myeloid-specific Sirt6 KO (mS6KO) mice. After adipocyte area in selected fat tissue sections was measured feeding these mice a normal chow diet (NCD) or an HFD, by using iSolution DT 36 software (Carl Zeiss, Oberkochen, we characterized tissue inflammation and glucose ho- Germany). The number of crown-like structures (CLSs) fi meostasis. In addition, we studied the effects of Sirt6 on was counted in 10 different high-power elds from each macrophage polarization and chemotaxis and their corre- section. sponding signaling pathways in isolated bone marrow mac- Cell Culture and In Vitro Migration Assay rophages (BMMs). BMMs were obtained from bone marrow cells by cultivation for 6 days in a-minimum essential medium supplemented RESEARCH DESIGN AND METHODS with 30% L929 conditioned medium (CM). For M1 or M2 Animal Experiments differentiation, BMMs were treated with lipopolysaccharide fl fl Sirt6 ox/ ox mice (B6;129-Sirt6tm1Ygu/J) were crossed with (LPS) (10 ng/mL) + interferon-g (IFN-g) (50 units/mL) or LysM-Cre (B6.129P2-lyz2tm1(cre)Ifo/J) mice to generate IL-4 (10 ng/mL), respectively. To prepare 3T3-L1 CM for mS6KO mice (Supplementary Fig. 1A). Male mS6KO mice in vitro migration assay, fully differentiated 3T3-L1 cells and age-matched littermates .6 weeks of age were fed ad were further cultured in migration media for 2 days, and libitum either an NCD or a 60% HFD (Research Diets, New the supernatants were harvested. For migration assays, Brunswick, NJ) for 16 weeks (Supplementary Table 1). The BMMs from wild-type (WT) or mS6KO mice were pretreated intraperitoneal glucose tolerance test (GTT) (1 g/kg of body with either Bay 11-7802 (Enzo Life Sciences, Farmingdale, weight) and insulin tolerance test (ITT) (0.5 units/kg of NY), Stattic (Santa Cruz Biotechnology, Dallas, TX), or LMT- body weight) were performed after 16 and 6 h of fasting, 28 (a gift from S.S. Hong, Inha University, Incheon, Republic respectively. A hyperinsulinemic-euglycemic clamp study of Korea) for 3 h. Cell migration was analyzed by using trans- (17), indirect calorimetry measurements (18), and stromal well migration assay chambers (BD Life Sciences, Franklin vascular fraction (SVF) isolation and FACS analysis (15) Lakes, NJ) by adding adipocyte CM to the lower chamber. were performed as previously described. All experimen- The DNA binding activity of STAT3 was detected by using a tal procedures were approved by the Institutional Animal TransAM STAT3 Kit (Active Motif, Carlsbad, CA). Care and Use Committees of Chonbuk National University Western Blotting (permit no. CBNU 2015-090) (Jeonbuk, Republic of Korea) Tissues and cells were homogenized in T-PER Tissue Protein and Yeungnam University (permit no. YUMC-AEC2015- Extraction Reagent or M-PER Mammalian Protein Extrac- 021) (Daegu, Republic of Korea). tion Reagent (Thermo Fisher Scientific, Waltham, MA). Biochemical Analysis Homogenates (20 mg of total protein) were separated by Plasma levels of various cytokines and enzymes were mea- SDS-PAGE and transferred to nitrocellulose membranes. sured by using specific ELISA kits (TNF-a,IL-1b,andIL-6 Blots were probed with primary antibodies