Chellappa Karthikeyani, Perron Isaac J, Naidoo Nirinjini, Baur Joseph A
Department of Physiology and Institute for Diabetes, Obesity and Metabolism, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Center for Sleep and Circadian Neurobiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Aging Cell. 2019 Jun;18(3):e12874. doi: 10.1111/acel.12874. Epub 2019 Mar 1.
The prevalence of obesity increases with age in humans and in rodents. Age-related obesity is characterized by leptin resistance and associated with heightened risk of metabolic disorders. However, the effect of leptin resistance per se has been difficult to disentangle from other effects of aging. Here we demonstrate that celastrol, a natural phytochemical that was previously shown to act as a leptin sensitizer, induces weight loss in aged animals, but not in young controls. Celastrol reduces food intake and lowers fasting glucose without affecting energy expenditure. Unexpectedly, administration of celastrol just before the dark period disrupted circadian rhythms of sleep and activity. This regimen was also associated with loss of lean mass an outcome that would not be desirable in elderly patients. Adjusting the timing of celastrol administration by 12 hr, to the beginning of the light period, avoided interference with circadian rhythms while retaining the reductions in body weight and adiposity. Thus, targeting leptin signaling is an effective strategy to ameliorate age-associated weight gain, and can profoundly impact circadian rhythms.
在人类和啮齿动物中,肥胖的患病率随年龄增长而增加。与年龄相关的肥胖症的特征是瘦素抵抗,并与代谢紊乱风险增加有关。然而,瘦素抵抗本身的影响一直难以与衰老的其他影响区分开来。在这里,我们证明了雷公藤红素,一种先前被证明可作为瘦素增敏剂的天然植物化学物质,能使老年动物体重减轻,但对年轻对照动物无效。雷公藤红素减少食物摄入量并降低空腹血糖,而不影响能量消耗。出乎意料的是,在黑暗期前给予雷公藤红素会扰乱睡眠和活动的昼夜节律。这种给药方案还与瘦体重的减少有关,而这一结果在老年患者中是不可取的。将雷公藤红素的给药时间调整12小时,即在光照期开始时给药,可避免干扰昼夜节律,同时保持体重和肥胖程度的降低。因此,针对瘦素信号传导是改善与年龄相关的体重增加的有效策略,并且会对昼夜节律产生深远影响。