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Volume 59, Number 4, 2007
Estrogen Reduced Blood Glucose in High Fat-Fed Mice: An Animal Model of Type 2 Diabetes
Suwattanee Kooptiwut, M.D.,Namoiy Semprasert, B.Sc.,Smarn Onreabroi, B.Sc.,Malika Churintrapun, M.Sc.,Supornpim Chearskul, M.D., M.Sc.
Department of Physiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.
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Abstract
Objective: This study aims to produce a mouse model of type 2 diabetes by using high fat diet.ÿ The C57BL/6J mouse strain can develop type 2 diabetes by putting on high fat diet.
Methods: A group of C57BL/6J male mice were fed with a high fat diet (53% energy by fat) while another group was fed with normal diet (4.5% energy by fat).
Results: At the 16th week of feeding study, the high fat-fed mice developed type 2 diabetes and had higher fat-pad weight than the normal diet-fed mice.ÿ However, plasma triglyceride (TG) levels of the two groups were not different.ÿ High fat-induced diabetic mice were administered 0.2 µg/g body weight of 17-β estradiol for 2 weeks.ÿ Their fasting blood levels were reduced to become lesser than the levels in high-fat fed mice without estrogen.ÿ A trend of decrease in plasma TG level of 17βÿ estradiol treated mice was observed.
Conclusion: This study demonstrated that high fat diet could induce type 2 diabetes in a mouse model and that estrogen could reduce the fasting blood glucose in these mice.ÿ
Keywords: high fat diet, estrogen, blood glucose, type 2 diabetes, C57BL/6J mice
Page: 164 - 167


This study aims to develop a mouse model of type 2 diabetes induced by high fat diet.ÿ Previously, a mouse model of type 2 diabetes that was used in Thailand was obtained by streptozotocin (STZ) injection.ÿ STZ is a chemical agent that causes pancreatic β cell death.1ÿHigh doses of STZ destroyed total pancreatic β cells and the animal became diabetic.2ÿ According to the definition of diabetes, this animal was categorized as type 1 DM.3 Whereas, small doses of STZ partially damaged pancreatic β cells in rodents and the animal was claimed as a model of type 2 DM.4,5ÿ STZ-treated mouse developed type 2 DM due to an insulin insufficiency without insulin resistance, which is one characteristic of type 2 DM. A high-fat induced diabetic mouse was introduced by Surwit et al. as a model of type 2 DM 20 years ago.6 This model of mouse carried both insulin resistance and insufficient islet compensation to the insulin resistance.7,8 In this report, a local high-fat diet recipe was established and given to the C57BL/6J mice. They developed obesity and subsequently hyperglycemia.ÿ
Estrogen replacement studies showed both improvement.9,10 and impairment of 11 glucose metabolism. Although, the effect of estrogen on glucose metabolism is still controversial, estrogen seems to have a protective effect on the development of type 2 diabetes in humans10-13 and animals.14,15 In this study estrogen was administered to a high-fat induced type 2 diabetic animal model. Plasma glucose and TG were measured to determine the effect of estrogen.
The model of diet-induced type 2 diabetic mouse can be used to study the effect of herbs in type 2 diabetes as well as the effect of estrogen as shown in this study. Also, it can be used for studying the molecular pathological aspects of type 2 diabetes, which cannot be studied in humans.
MATERIALS AND METHODS

Mice and diet
Male wild-type C57BL/6J mice aged 12 weeks old were purchased from the National Laboratory Animal Center, Mahidol University, Bangkok, Thailand. Twenty mice fed with normal diet were divided into two groups. During 16 weeks, one group was still fed ad libitum with a normal diet containing 4.5% fat, 71.5% carbohydrate and 24% protein. Another group was fed with a high fat diet comprised of 53% fat, 28% carbohydrate and 19% protein. Mice were housed 5 per cage in a temperature-controlled room at 25-30oC, with a 12h light/dark cycle. The mice were weighed weekly.

Plasma and tissue samples
Fasting blood glucose was taken at 12 weeks old and after 16 weeks on the high fat diet.ÿ Blood was drawn by retro-orbital puncture after an 8-hour fast. Blood glucose was measured by a glucometer (Onetouch® UltraTM, Lifescan Inc, USA ). Blood samples for TG measurement were collected by the same procedure before all mice were sacrificed on the 24th week of study. Blood was centrifuged at 3000 rpm for 5 min. Plasma was separated and kept at -20°C until measurement of TG. The animals were killed by overdose of ether inhalation. Epididymal fat pads were dissected out and weighed.

Estrogen administration
17 β -Estradiol (Sigma,USA) was diluted in corn oil. The estrogen-treated mice were injected subcutaneously with 17 β -estradiol at a dose of 0.2 µg/g body weight on the 22nd week every weekday for 2 weeks. Control mice were injected with corn oil.

Statistical analyses
Body weight, fasting blood glucose, plasma triglyceride and weight of epididymal fat pads between the two different groups were compared using paired Student’s t test Significant difference was set at P< 0.05. Data in all figures are presented as meansÿ+ SEM.

RESULTS
Body weight and visceral fat-pad weight
The percent increment of body weight in high fat-fed mice was significantly higher than normal fat-fed mice after 4 weeks of study (Fig 1A). After 22 weeks on a high-fat diet, body weight of high fat-fed mice increased around 40 percent from an initial body weight while 10 percent increment was detected in mice fed with a normal diet. Two weeks after administration with 17 β -estradiol (the 24th week of study), 2 percent and 4 percent decrement of body weight was observed in high-fat fed mice and control mice, respectively (data not shown). Epididymal fat pad was used as a representative for visceral fat pad. In the high fat-fed mice, an average weight of epididymal fat pads at the 24th week was greater than in the control mice (Fig 1B).

Blood glucose and plasma triglyceride
The two groups of mice had indifferent blood glucose levels when fed with a normal diet at thebaseline of the study (Fig 2). Sixteen weeks after changing to the high-fat diet, fasting blood glucose in these obese mice was significantly higher than in the non-obese control mice (Fig 2).ÿ Fasting blood glucose in obese mice showed clear-cut development of diabetes. 17 β -Estradiol significantly reduced the fasting blood glucose in the high fat group (307ÿ+ 17 vs 160ÿ+ 7 mg/dl) (Fig.3A). There was no significant difference in plasma TG after estradiol treatment in these mice (84ÿ+ 6 vs 69ÿ+ 5 mg/dl) (Fig 3B).ÿ
DISCUSSION
A local-made high fat diet was given to male C57BL/6J mice, which is reported as a susceptible strain to develop type 2 diabetes. Mice fed with this diet recipe suffered significant weight gain compared to those having a control diet from the 4th week till the end of the study. Though, plasma TG levels were not different between the two groups of mice (data not shown), visceral fat pads of obese mice were heavier than in the control group. This suggested that high fat-diet increases the body fat. Several studies showed that high fat-fed mice became insulin resistance and developed hyperglycemia.7,8,16 Our results confirm the previous finding that obese mice developed diabetes according to a fasting blood glucose level of greater than 240 mg/dl6 after feeding with a high fat food for 16 weeks.ÿ

Male animals were more susceptible to develop type 2 diabetes.17 Ovariectomized mice had a higher incidence of type 2 diabetes independent of any change in food intake.18 Also, estrogen reduced hyperglycemia in type 2 diabetes mice expressing human islet amyloid.14 This may suggest that female sex hormone carries a protective effect against type 2 diabetes.14,15,19 The present study also showed that when estrogen was administrated subcutaneously for 2 weeks, a significant reduction of fasting blood glucose was detected in this diabetic mouse model.ÿ

It is well accepted that obesity can lead to both insulin resistance and a defective insulin secretion.20 This may result from several adipokines including TNF-α, IL-6 and resistin produced by adipose tissues.21,22 These adipokines have been shown to reduce the insulin action in various insulin target tissues.23-25 An elevation of adipokine levels affects the βÿ cell survival26 and function.27 Adipokines promote β -cell apoptosis22,27 and reduce β -cell mass by induction of an inflammatory process and oxidative stress in pancreatic β -cells.27,28 Obese individuals usually have high circulating free fatty acids (FFA).29 High levels of plasma FFA causes a reduction of insulin-induced glucose uptake in skeletal muscle,30 while increasing hepatic glucose production in the liver.31 Moreover, elevated plasma FFA decreases glucose-stimulated insulin secretion by both impairing the insulin secretion32 and insulin synthesis.33ÿ

Recent studies have demonstrated that estrogen increased glucose-stimulated insulin secretion by increasing insulin secretion34,35 and insulin synthesis.36 When estrogen is bound to its receptor at the pancreatic β -cell plasma membrane, the cyclic guanosine monophosphate (cGMP) level was increased and lead to activation of the regulatory subunit of the cGMP-dependent protein kinase G (PKG).37 Then, the PKG phosphorylated ATP-sensitive K+ (KATP) channel generated insulin secretion.37 The mechanism in which estrogen increased insulin gene expression is still unknown. Estrogen has also been shown to have an antioxidative effect in several tissues.38,39 Moreover, it has been shown that estrogen protected pancreatic β -cells against toxic substances such as amyloid14 and proinflammatory cytokines.40 Thus, estrogen may act on several mechanisms to decrease fasting blood glucose in high fat diet-fed mice.

Figure 1. Effect of high-fat diet on body weight and weight of epididymal-fat pad. A. Increase in body weight of male C57BL/6J mice maintained on a control diet and a high fat diet for 25 weeks. Mice were weighed weekly. B. Weight of epididymal fat pad of mice fed

Figure 2. Effect of high fat diet on fasting blood glucose. Mice were fasted for 8 hours, then blood samples were taken from retro-orbital sinus and blood glucose was measured by glucometer. Values were expressed as means ± SEM, n =8-10. * P < 0.05 from comp

Figure 3. Effect of 17-â-estradiol administration on fasting blood glucose and plasma TG. High fat diet-fed mice were subcutaneously injected with 0.2 ìg 17-â-estradiol per gram of body weight every weekday for 2 weeks. Blood samples were taken after
CONCLUSION
In conclusion, this study shows that a high fat diet can induce C57BL/6J mice to develop type 2 diabetes. Administration of 17 β -estradiol can reduced fasting blood glucose in obese mice. To our knowledge, this is the first time to demonstrate the protective effect of estrogen against the deleterious effect of a high fat diet inducing diabetes in a mouse model.
References
1. Rossini AA, Like AA, Dulin WE, Cahill GFJr. Pancreatic beta cell toxicity by streptozotocin anomers. Diabetes 1977; 26: 1120-4.
2. Saini KS, Thompson C, Winterford CM, Walker NI, Cameron DP. Streptozotocin at low doses induces apoptosis and at high doses causes necrosis in a murine pancreatic beta cell line, INS-1. Biochem Mol Biol Int 1996; 39: 1229-36.
3. Mahay S, Adeghate E, Lindley MZ, Rolph CE, Singh J. Streptozotocin-induced type 1 diabetes mellitus alters the morphology, secretory function and acyl lipid contents in the isolated rat parotid salivary gland. Mol Cell Biochem 2004; 261: 175-81.
4. Danda RS, Habiba NM, Rincon-Choles H, Bhandari BK, Barnes JL, Abboud HE, et al. Kidney involvement in a nongenetic rat model of type 2 diabetes. Kidney Int 2005; 68: 2562-71.
5. Crane L, Anastassiadou M, Hage SE, Stigliani JL, Baziard-Mouysset G, Payard M, et al. Design and synthesis of novel imidazoline derivatives with potent antihyperglycemic activity in a rat model of type 2 diabetes. Bioorg Med Chem 2006; 14: 7419-33.
6. Surwit RS, Kuhn CM, Cochrane C, McCubbin JA, Feinglos MN. Diet-induced type II diabetes in C57BL/6J mice. Diabetes 1988; 37: 1163-7.
7. Surwit RS, Wang S, Petro AE, Sanchis D, Raimbault S, Ricquier D, et al. Diet-induced changes in uncoupling proteins in obesity-prone and obesity-resistant strains of mice. Proc Natl Acad Sci USA 1998; 95: 4061-5.
8. Petro AE, Cotter J, Cooper DA, Peters JC, Surwit SJ, Surwit RS. Fat, carbohydrate, and calories in the development of diabetes and obesity in the C57BL/6J mouse. Metabolism 2004; 53: 454-7.
9. Andersson B, Mattsson LA, Hahn L, Marin P, Lapidus L, Holm G, et al. Estrogen replacement therapy decreases hyperandrogenicity and improves glucose homeostasis and plasma lipids in postmenopausal women with noninsulin-dependent diabetes mellitus. J Clin E
10. Borissova AM, Tankova T, Kamenova P, Dakovska L, Kovacheva R, Kirilov G, et al. Effect of hormone replacement therapy on insulin secretion and insulin sensitivity in postmenopausal diabetic women. Gynecol Endocrinol 2002; 16: 67-74.
11. Zhang Y, Howard BV, Cowan LD, Yeh J, Schaefer CF, Wild RA, et al. The effect of estrogen use on levels of glucose and insulin and the risk of type 2 diabetes in american Indian postmenopausal women : the strong heart study. Diabetes Care 2002; 25: 500-4.
12. Cagnacci A, Soldani R, Carriero PL, Paoletti AM, Fioretti P, Melis GB. Effects of low doses of transdermal 17 beta-estradiol on carbohydrate metabolism in postmenopausal women. J Clin Endocrinol Metab 1992; 74: 1396-400.
13. Cefalu WT. The use of hormone replacement therapy in postmenopausal women with type 2 diabetes. J Womens Health Gend Based Med 2001; 10: 241-55.
14. Geisler JG, Zawalich W, Zawalich K, Lakey JR, Stukenbrok H, Milici AJ, et al. Estrogen can prevent or reverse obesity and diabetes in mice expressing human islet amyloid polypeptide. Diabetes 2002; 51: 2158-69.
15. Le May C, Chu K, Hu M, Ortega CS, Simpson ER, Korach KS, et al. Estrogens protect pancreatic beta-cells from apoptosis and prevent insulin-deficient diabetes mellitus in mice. Proc Natl Acad Sci USA 2006; 103: 9232-7.
16. Martin TL, Alquier T, Asakura K, Furukawa N, Preitner F, Kahn BB. Diet-induced obesity alters AMP kinase activity in hypothalamus and skeletal muscle. J Biol Chem 2006; 281: 18933-41.
17. Efrat S. Sexual dimorphism of pancreatic beta-cell degeneration in transgenic mice expressing an insulin-ras hybrid gene. Endocrinology 1991; 128: 897-901.
18. Song D, Arikawa E, Galipeau DM, Yeh JN, Battell ML, Yuen VG, et al. Chronic estrogen treatment modifies insulin-induced insulin resistance and hypertension in ovariectomized rats. Am J Hypertens 2005; 18: 1189-94.
19. Livingstone C, Collison M. Sex steroids and insulin resistance. Clin Sci 2002; 102: 151-66.
20. Qiu L, List EO, Kopchick JJ. Differentially expressed proteins in the pancreas of diet-induced diabetic mice. Mol Cell Proteomics 2005; 4: 1311-8.
21. Aldhahi W, Hamdy O. Adipokines, inflammation, and the endothelium in diabetes. Curr Diab Rep 2003; 3: 293-8.
22. Eldor R, Raz I. Lipotoxicity versus adipotoxicity-The deleterious effects of adipose tissue on beta cells in the pathogenesis of type 2 diabetes. Diabetes Res Clin Pract 2006; 74: S3-8.
23. Borst SE, Conover CF, Bagby GJ. Association of resistin with visceral fat and muscle insulin resistance. Cytokine 2005; 32: 39-44.
24. Goren I, Muller E, Pfeilschifter J, Frank S. Severely impaired insulin signaling in chronic wounds of diabetic ob/ob mice: a potential role of tumor necrosis factor-alpha. Am J Pathol 2006; 168: 765-77.
25. Yagmur E, Trautwein C, Gressner AM, Tacke F. Resistin serum levels are associated with insulin resistance, disease severity, clinical complications, and prognosis in patients with chronic liver diseases. Am J Gastroenterol 2006; 101: 1244-52.
26. Thomas HE, Angstetra E, Fernandes RV, Mariana L, Irawaty W, Jamieson EL, et al. Perturbations in nuclear factor-kappaB or c-Jun N-terminal kinase pathways in pancreatic beta cells confer susceptibility to cytokine-induced cell death. Immunol Cell Biol 200
27. Wu JJ, Chen X, Cao XC, Baker MS, Kaufman DB. Cytokine-induced metabolic dysfunction of MIN6 beta cells is nitric oxide independent. J Surg Res 2001; 101: 190-5.
28. Heitmeier MR, Kelly CB, Ensor NJ, Gibson KA, Mullis KG, Corbett JA, et al. Role of cyclooxygenase-2 in cytokine-induced beta-cell dysfunction and damage by isolated rat and human islets. J Biol Chem 2004; 279: 53145-51.
29. Joseph JW, Koshkin V, Zhang CY, Wang J, Lowell BB, Chan CB, et al. Uncoupling protein 2 knockout mice have enhanced insulin secretory capacity after a high-fat diet. Diabetes 2002; 51: 3211-9.
30. Manco M, Mingrone G, Greco AV, Capristo E, Gniuli D, De Gaetano A, et al. Insulin resistance directly correlates with increased saturated fatty acids in skeletal muscle triglycerides. Metabolism 2000; 49: 220-4.
31. Lam TK, Carpentier A, Lewis GF, van de Werve G, Fantus IG, Giacca A. Mechanisms of the free fatty acid-induced increase in hepatic glucose production. Am J Physiol Endocrinol Metab 2003; 284: E863-73.
32. Zhou YP, Grill VE. Long-term exposure of rat pancreatic islets to fatty acids inhibits glucose-induced insulin secretion and biosynthesis through a glucose fatty acid cycle. J Clin Invest 1994; 93: 870-6.
33. Bollheimer LC, Kemptner DM, Kagerbauer SM, Kestler TM, Wrede CE, Buettner R. Intracellular depletion of insulin: a comparative study with palmitate, oleate and elaidate in INS-1 cells. Eur J Endocrinol 2003; 148: 481-6.
34. Nadal A, Rovira JM, Laribi O, Leon-quinto T, Andreu E, Ripoll C, et al. Rapid insulinotropic effect of 17beta-estradiol via a plasma membrane receptor. FASEB 1998; 12: 1341-8.
35. Nadal A, Ropero AB, Laribi O, Maillet M, Fuentes E, Soria B. Nongenomic actions of estrogens and xenoestrogens by binding at a plasma membrane receptor unrelated to estrogen receptor alpha and estrogen receptor beta. Proc Natl Acad Sci USA 2000; 97: 11603
36. Morimoto S, Cerbon MA, Alvarez-Alvarez A, Romero-Navarro G, Diaz-Sanchez V. Insulin gene expression pattern in rat pancreas during the estrous cycle. Life Sci 2001; 68: 2979-85.
37. Ropero AB, Fuentes E, Rovira JM, Ripoll C, Soria B, Nadal A. Non-genomic actions of 17beta-oestradiol in mouse pancreatic beta-cells are mediated by a cGMP-dependent protein kinase. J Physiol 1999; 521: 397-407.
38. Kii N, Adachi N, Liu K, Arai T. Acute effects of 17beta-estradiol on oxidative stress in ischemic rat striatum. J Neurosurg Anesthesiol 2005; 17: 27-32.
39. Prokai L, Prokai-Tatrai K, Perjesi P, Zharikova AD, Perez EJ, Liu R, et al. Quinol-based cyclic antioxidant mechanism in estrogen neuroprotection. Proc Natl Acad Sci USA 2003; 100: 11741-6.
40. Contreras JL, Smyth CA, Bilbao G, Young CJ, Thompson JA, Eckhoff DE. 17beta-Estradiol protects isolated human pancreatic islets against proinflammatory cytokine-induced cell death: molecular mechanisms and islet functionality. Transplantation 2002; 74: 12

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