Department of Medicine, Section of Endocrinology, Diabetes & Metabolism, University of Chicago, Chicago, IL 60637, United States of America.
Indiana Biosciences Research Institute, Indianapolis, IN 46202, United States of America.
J Diabetes Complications. 2021 Feb;35(2):107795. doi: 10.1016/j.jdiacomp.2020.107795. Epub 2020 Nov 28.
Obesity and the metabolic syndrome are increasingly prevalent in society and their complications and response to treatment exhibit sexual dimorphism. Mouse models of high fat diet-induced obesity are commonly used for both mechanistic and therapeutic studies of metabolic disease and diabetes. However, the inclusion of female mammals in obesity research has not been a common practice, and has resulted in a paucity of data regarding the effect of sex on metabolic parameters and its applicability to humans.
Here we analyzed male and female C57BL/6 J mice beginning at 4 weeks of age that were placed on a low-fat diet (LFD, 10% calories from fat), a Western Diet (WD, 45% calories from fat), or a high fat diet (HFD, 60% calories from fat). Assessments of body composition, glucose homeostasis, insulin production, and energy metabolism, as well as histological analyses of pancreata were performed.
Both male and female C57BL/6 J mice had similar increases in total percent body weight gain with both WD and HFD compared to LFD, however, male mice gained weight earlier upon HFD or WD feeding compared to female mice. Male mice maintained their caloric food intake while reducing their locomotor activity with either WD or HFD compared to LFD, whereas female mice increased their caloric food intake with WD feeding. Locomotor activity of female mice did not significantly change upon WD or HFD feeding, yet female mice exhibited increased energy expenditure compared to WD or HFD fed male mice. Glucose tolerance tests performed at 4, 12 and 20 weeks of dietary intervention revealed impaired glucose tolerance that was worse in male mice compared to females. Furthermore, male mice exhibited an increase in pancreatic β cell area as well as reduced insulin sensitivity after HFD feeding compared to WD or LFD, whereas female mice did not.
Male and female C57BL/6 J mice exhibited strikingly different responses in weight, food consumption, locomotor activity, energy expenditure and β cell adaptation upon dietary manipulation, with the latter exhibiting less striking phenotypic changes. We conclude that the nature of these responses emphasizes the need to contextualize studies of obesity pathophysiology and treatment with respect to sex.
肥胖症和代谢综合征在社会中日益普遍,其并发症和治疗反应表现出性别二态性。高脂肪饮食诱导肥胖的小鼠模型常用于代谢疾病和糖尿病的机制和治疗研究。然而,将雌性哺乳动物纳入肥胖症研究并不是一种常见做法,这导致了关于性别对代谢参数的影响及其对人类适用性的数据不足。
在这里,我们分析了从 4 周龄开始分别处于低脂饮食(LFD,10%卡路里来自脂肪)、西方饮食(WD,45%卡路里来自脂肪)或高脂肪饮食(HFD,60%卡路里来自脂肪)的雄性和雌性 C57BL/6J 小鼠。进行了身体成分、葡萄糖稳态、胰岛素产生和能量代谢评估,以及胰腺的组织学分析。
与 LFD 相比,雄性和雌性 C57BL/6J 小鼠的总体重增加百分比均有相似的增加,然而,雄性小鼠在 HFD 或 WD 喂养时比雌性小鼠更早地增加体重。与 LFD 相比,雄性小鼠在 WD 或 HFD 喂养时保持其热量食物摄入量,同时减少其运动活性,而雌性小鼠在 WD 喂养时增加其热量食物摄入量。WD 或 HFD 喂养时雌性小鼠的运动活性没有显著变化,但雌性小鼠的能量消耗比 WD 或 HFD 喂养的雄性小鼠增加。在饮食干预的 4、12 和 20 周进行的葡萄糖耐量试验显示,葡萄糖耐量受损,雄性小鼠比雌性小鼠更严重。此外,与 WD 或 LFD 相比,HFD 喂养后雄性小鼠的胰腺β细胞面积增加,胰岛素敏感性降低,而雌性小鼠则没有。
雄性和雌性 C57BL/6J 小鼠在饮食处理后在体重、食物消耗、运动活性、能量消耗和β细胞适应方面表现出明显不同的反应,后者表现出不那么明显的表型变化。我们得出的结论是,这些反应的性质强调了需要根据性别来使肥胖症病理生理学和治疗的研究背景化。