Time-course microarrays reveal early activation of the immune transcriptome and adipokine dysregulation leads to fibrosis in visceral adipose depots during diet-induced obesity

  • Eun-Young Kwon1,

    Affiliated with

    • Su-Kyung Shin1,

      Affiliated with

      • Yun-Young Cho1,

        Affiliated with

        • Un Ju Jung1,

          Affiliated with

          • Eunjung Kim2,

            Affiliated with

            • Taesun Park3,

              Affiliated with

              • Jung Han Yoon Park4,

                Affiliated with

                • Jong Won Yun5,

                  Affiliated with

                  • Robin A McGregor1,

                    Affiliated with

                    • Yong Bok Park6 and

                      Affiliated with

                      • Myung-Sook Choi1, 7Email author

                        Affiliated with

                        BMC Genomics201213:450

                        DOI: 10.1186/1471-2164-13-450

                        Received: 5 April 2012

                        Accepted: 24 August 2012

                        Published: 4 September 2012



                        Visceral white adipose tissue (WAT) hypertrophy, adipokine production, inflammation and fibrosis are strongly associated with obesity, but the time-course of these changes in-vivo are not fully understood. Therefore, the aim of this study was to establish the time-course of changes in adipocyte morphology, adipokines and the global transcriptional landscape in visceral WAT during the development of diet-induced obesity.


                        C57BL/6 J mice were fed a high-fat diet (HFD) or normal diet (ND) and sacrificed at 8 time-points over 24 weeks. Excessive fat accumulation was evident in visceral WAT depots (Epidydimal, Perirenal, Retroperitoneum, Mesentery) after 2–4 weeks. Fibrillar collagen accumulation was evident in epidydimal adipocytes at 24 weeks. Plasma adipokines, leptin, resistin and adipsin, increased early and time-dependently, while adiponectin decreased late after 20 weeks. Only plasma leptin and adiponectin levels were associated with their respective mRNA levels in visceral WAT. Time-course microarrays revealed early and sustained activation of the immune transcriptome in epididymal and mesenteric depots. Up-regulated inflammatory genes included pro-inflammatory cytokines, chemokines (Tnf, Il1rn, Saa3, Emr1, Adam8, Itgam, Ccl2, 3, 4, 6, 7 and 9) and their upstream signalling pathway genes (multiple Toll-like receptors, Irf5 and Cd14). Early changes also occurred in fibrosis, extracellular matrix, collagen and cathepsin related-genes, but histological fibrosis was only visible in the later stages.


                        In diet-induced obesity, early activation of TLR-mediated inflammatory signalling cascades by CD antigen genes, leads to increased expression of pro-inflammatory cytokines and chemokines, resulting in chronic low-grade inflammation. Early changes in collagen genes may trigger the accumulation of ECM components, promoting fibrosis in the later stages of diet-induced obesity. New therapeutic approaches targeting visceral adipose tissue genes altered early by HFD feeding may help ameliorate the deleterious effects of diet-induced obesity.


                        Adipocytokine dysregulation Transcriptional response Adipose tissue Extracellular matrix Cathepsin Fibrosis


                        White adipose tissue (WAT) not only serves as a fuel storage depot but also releases a variety of bioactive factors, called adipokines, which have pro-and anti-inflammatory activity. In obesity, most adipokines, including leptin, resistin and tumor necrosis factor alpha (TNFα), are overproduced and promote inflammation. Whereas, the production of anti-inflammatory adipokines, such as adiponectin, is decreased with increasing adiposity. Since, inflammation is considered to be causal in the development of obesity and insulin resistance [13], the dysregulated production of adipokines caused by excessive adipose tissue expansion is linked to the pathophysiology of obesity-related metabolic syndrome [4].

                        There is a close relationship between inflammation and the extracellular matrix (ECM), which requires remodelling to accommodate adipocyte growth during adipose tissue expansion. In obesity, adipose tissue inflammation is further exacerbated by excessive accumulation of ECM components in adipose tissue, possibly as a result of pro-inflammatory cytokines released by adipocytes [5]. Excessive accumulation of ECM components may represent a key event in obesity-mediated adipose tissue fibrosis, similar to fibrosis in other tissues such as liver [6, 7]. Acumulating evidence indicates that altered circulating adipokine levels contribute to the progression of cardiac or hepatic fibrosis [8, 9]. Thus, adipokine dysregulation may also regulate remodeling of the adipocyte ECM and fibrosis. However, the actual time-course of adipokine dysregulation, inflammation, ECM accumulation leading to the development of adipose tissue fibrosis is yet to be fully established.

                        High-throughput microarrays assessing global gene expression changes provide a unique window into the molecular events occurring in adipose tissue during the development of obesity. Previous microarray studies have revealed that a high fat diet (HFD) is associated with adipokine dysregulation, inflammation and fibrosis [1015]. However, these microarray studies tend to compare gene expression differences at a single end-point only or over short-time periods between 2–12 weeks. Following the molecular changes in adipose tissue during the development of obesity in humans is not feasible. Therefore, time-course models of diet-induced obesity in mice can help improve our understanding of the molecular pathogenesis of obesity in-vivo. However, the use of genetically obese animals or extremely high levels of dietary fat intake, which do not reflect normal dietary consumption hampers the translation of findings from mouse obesity models to humans [1014]. Therefore we established a long-term diet-induced obesity model, by feeding C57BL/6 J mice with a high-fat diet (39%kcal) or normal diet for 24 weeks and sacrificing mice at regular time-points to allow in-depth time-course microarray analysis of visceral adipose tissue depots.

                        Accordingly the aim of the present study was to establish the time-course of changes in adipocyte morphology, adipokines and the global transcriptional landscape in visceral adipose tissue depots during the transition from a lean to obese phenotype in HFD fed mice. We primarily focus on the timing of changes associated with adipokine levels, inflammation and fibrosis, which are recognized as important factors associated with human obesity.



                        Three hundred and sixty male inbred C57BL/6 J mice were obtained from the Jackson Laboratory (Bar Harbor, ME) at 4 weeks of age. All the mice were individually housed under a constant temperature (24°C) and 12-hour light/dark cycle, fed the AIN-76 semi-purified diet for one week acclimation period after arrival, and then randomly divided into a normal diet (ND) and an HFD group, with 18 mice per group for 0, 2, 4, 6, 8, 12, 16, 20 and 24 weeks. After the acclimation, the HFD group was fed the AIN-76 semi-purified diet with 39.2 kcal% fat (American Institute of Nutrition, 1977) consisting of 20% fat and 1% cholesterol ( Additional file 1: Table S1). Every 2–4 weeks, after a 12 h fast, blood samples were drawn from the inferior vena cava. Blood was collected in heparin-coated tubes, centrifuged at 1,000 × g for 15 min at 4°C and then stored at −70°C. Mice were anaesthetized and sacrificed at 0, 2, 4, 6, 8, 12, 16, 20 and 24 weeks. The adipose tissues were then removed, rinsed, weighed, immediately frozen in liquid nitrogen, and stored at −70°C until further analysis. The current study protocol was approved by the Ethics Committee for animal studies at Kyungpook National University, Republic of Korea.

                        Plasma adipokines

                        Radioimmunometric assays were performed for the measurement of plasma amylin (amylin RIA kit; Diagnostic Systems Laboratories), adipsin (adipsin RIA kit; PerkinElmer Life and Analytical Sciences, Boston, MA), adiponectin (adiponectin RIA kit; PerkinElmer Life and Analytical Sciences, Boston, MA), leptin (Mouse leptin RIA kit; Linco Research, St. Charles, MO), and resistin concentrations (resistin RIA kit; PerkinElmer Life and Analytical Sciences, Boston, MA).

                        Morphology of fat tissues

                        Epididymal adipose tissue was fixed in 10% (v/v) paraformaldehyde/PBS and embedded in paraffin for staining with hematoxylin and eosin (H&E) and Masson’s trichrome. The stained area was viewed using a microscope at a magnification of 200× and 400×, respectively.

                        RNA preparation and quality control

                        Total RNA was extracted from the adipose tissue using TRIZOL reagent (Invitrogen Life Technologies, Grand Island, NY) according to the manufacturer’s instructions. DNase digestion was used to remove any DNA contamination and RNA was re-precipitated in ethanol to ensure no phenol contamination. For quality control, RNA purity and integrity were evaluated using the Agilent 2100 Bioanalyzer (Agilent Technologies, Palo Alto, USA). For epididymal adipose tissue, six pooled RNA sample sets were constructed for the ND and HFD groups at each time-point as described previously [16]. In mesenteric adipose tissue, one pooled RNA sample set was constructed for the ND and HFD groups at each time-point based on 18 individual samples. RNA was stored at −70°C prior to further analysis by microarray and RT-qPCR.

                        Microarray analysis

                        Total RNA was amplified and purified using the Ambion Illumina RNA amplification kit (Ambion, Austin, USA) to yield biotinylated cRNA according to the manufacturer’s instructions. After purification, the cRNA was quantified using the ND-1000 Spectrophotometer (NanoDrop, Wilmington, USA). 750 ng of labelled cRNA samples were hybridized to each Illumina MouseWG-6 v2 Expression BeadChip for 16–18 h at 58°C, according to the manufacturer's instructions (Illumina, Inc., San Diego, USA). Detection of array signal was carried out using Amersham fluorolink streptavidin-Cy3 (GE Healthcare Bio-Sciences, Little Chalfont, UK) following the bead array manual. The quality of hybridization and overall chip performance were monitored by visual inspection of both internal quality controls and the raw scanned data. Raw data was extracted using the Illumina BeadStudio software provided by the manufacturer. Probe signal intensities significantly higher than background intensities were determined (detection p-value > 0.05), but probe signal data were not filtered to preserve probes with low expression at different time points. Probe signal intensities were quantile normalized and log transformed. Microarray analysis was performed in ArrayAssist (Stratagene, USA), Bioconductor and R programing language. LIMMA was used to determine significant differentially expressed genes (HFD responsive genes) between HFD- and ND-fed mice at each time point based on FDR < 5%, Benjamin and Hochberg adjusted p-value <0.05 and log fold change >1 [17]. This microarray data was deposited in Gene Expression Omnibus (GEO) database (GEO accession numbers: GSE39549).


                        The same total RNA (1 μg) samples that were hybridised to microarrays were reverse-transcribed into cDNA using the QuantiTect® reverse transcription kit (Qiagen, Germany). Then mRNA expression was quantified by real-time quantitative PCR, using the SYBR green PCR kit (Qiagen, Germany) and the CFX96TM real-time system (BIO-RAD). Gene specific mouse primers were used to detect leptin, adiponectin and resistin (Additional file 2: Table S2). Cycle thresholds were determined based on SYBR green emission intensity during the exponential phase. Ct data were normalized using Gapdh, which was stably expressed in both HFD and ND fed mice. Relative gene expression was calculated using the 2−∇∇Ct method [18].

                        Functional features of high-fat feeding responsive genes in visceral adipose tissues

                        To identify which biological processes were associated with the visceral adipose tissue genes altered by HFD at one or more time-points over 24 weeks, enriched functional features were identified using DAVID [19]. The analysis was performed using Gene Ontology and Pathways and mapped by DAVID ID. Then the DAVID Functional Annotation Clustering tool [19] was applied to identify enriched biological themes and cluster redundant annotation terms.

                        Identification of genes that respond to both age and high-fat diet simultaneously in epididymal adipose tissue

                        Next, we examined which HFD-responsive genes in epididymal adipose tissue were correlated with age and/or body mass. At first, genes affected by advancing age were identified by examining genes that were continuously up- or down-regulated in the both ND and HFD group. These genes were overlaid with the HFD-responsive genes (HFD vs. ND, fold change > 2 and p-value < 0.05) to screen genes that responded to both age and high-fat diet simultaneously in epididymal adipose tissue. These overlapped genes were selected and correlated with body mass.

                        Statistical analysis

                        The parameter values were expressed as the mean (standard error of the mean (SEM). Significant differences between groups were determined by student’s t-test and wilcoxon t-test using the SPSS program (SPSS Inc., Chicago, IL). Correlation analyses utilized the Pearson’s coefficient. Results were considered statistically significant at p < 0.05.


                        Time-course of changes in body weight and food efficiency during diet-induced obesity

                        Significant increases of body weight gain and energy consumption were observed in the HFD group after the 4th week and 2th week, respectively. The food efficiency ratio (FER) was also significantly increased in the HFD group after the 4th week of high-fat feeding (Additional file 3:Table S3) [20] compared to the ND group.

                        Time-course of changes in WAT depot weights, adipocyte size and adipose tissue fibrosis during diet-induced obesity

                        When WAT weights were expressed in g/100 g WAT, visceral WAT depots including epididymal, perirenal, retroperitoneum, mesentery WAT were significantly increased from week 2 in the HFD group compared to ND group. Similarly, from week 2, subcutaneous WAT was significantly higher in the HFD group (Figure 1). In addition to increased body fat, adipocyte size was also enlarged in the epididymal WAT depot in a time-dependent manner (Figure 2A).
                        Figure 1

                        Timely effect of high-fat feeding on adipose tissue weights over 24 weeks in C57BL/6 J mice. Data shown as means ± S.D. Values are significantly different from the ND group according to Student's test: *p < 0.05, **p < 0.01, ***p < 0.001. ND: normal diet (AIN-76), HFD: high-fat diet (20% fat, 1% cholesterol), WAT: white adipose tissue.

                        Figure 2

                        Timely effect of high-fat feeding over 24 weeks on (A) H&E and (B) Masson’s trichrome staining of epididymal white adipose tissue in C57BL/6 J mice. (A) H&E stained transverse-section of epidydimal fat. Original magnification × 200. (B) Masson’s trichrome stained transverse-section of epidydimal fat. Fibrillar collagens, primarily collagen I and III, are stained with blue as indicated with arrowheads. Nuclei and keratin are stained with deep purple and red, respectively. Original magnification × 400. ND: normal diet (AIN-76), HFD: high-fat diet (20% fat, 1% cholesterol).

                        To assess fibrosis Masson's trichrome staining was performed, which revealed the epididymal WAT depot of the HFD group contained very pronounced trichrome-positive “streaks” interspersed among the adipocytes at 24 weeks. Whereas, the epididymal WAT depot of the ND group revealed a normal fat-pad, with densely packed and very thin collagen sheets surrounding each adipocyte at week 24 (Figure 2B).

                        Time-course of changes in plasma adipokine, glucose, insulin and lipids levels during diet-induced obesity

                        The time-course of changes in plasma adipokine levels in response to HFD is shown in Figure 3. The most prominent changes were observed in leptin and resistin levels, which were increased from week 4 to week 24 in the HFD group. Plasma adipsin levels were also elevated in the HFD group from week 4, reaching a peak at week 6 and thereafter gradually decreasing. In contrast, plasma adiponectin levels in the HFD group tended to be lower than in the ND group for the overall feeding period and were significantly lower at week 20 and 24. Fasting blood glucose and insulin resistance and plasma total cholesterol concentration were markedly elevated in the HFD group after 16 week and 6 weeks, respectively. No differences in plasma TG and FFA levels were detectable between the HFD group and ND group at any time points (data not shown) [21].
                        Figure 3

                        Time-resolving effect of high-fat feeding over 24 weeks on plasma concentration of (A) leptin, (B) resistin, (C) adiponectin and (D) adipsin in C57BL/6 J mice. Data shown as means ± S.D. Values are significantly different from the ND group according to Student's test: *p < 0.05, **p < 0.01, ***p < 0.001. ND: normal diet (AIN-76), HFD: high-fat diet (20% fat, 1% cholesterol).

                        Time-course of transcriptional changes in epididymal and mesenteric WAT depots during diet-induced obesity

                        In the epididymal WAT depot, 2037 genes were altered at one or more time points in response to HFD intake over 24 weeks (Table 1), of which 1610 genes were up-regulated and 445 genes were down-regulated. In mesenteric WAT depot, 1784 genes were altered at one or more time point in response to HFD intake over 24 weeks, of which 1134 genes were up-regulated and 892 genes were down-regulated (Table 1). Functional gene ontology terms associated with these HFD responsive genes in the epididymal WAT and mesenteric WAT depots were clustered using DAVID (Table 2). Immune and inflammatory system function terms were enriched among the consistently up-regulated genes across all time-points, in response to HFD, in both the epididymal and mesenteric WAT depots (Table 2A). Glucose metabolic system function terms were enriched among the down-regulated genes (Table 2B). Lipid and cholesterol metabolism related functional gene ontology terms were specifically enriched among the down-regulated genes in the mesenteric WAT depot across all time-points.
                        Table 1

                        Number of high-fat diet responsive genes in two visceral WAT depots at multiple time-points in C67BL/6 J mice


                        Epididymal WAT

                        Mesenteric WAT

                        Time (week)

                        Fold-changed genes

                        Fold-changed genes











































                        Differentially expressed genes based on HFD v ND comparison at each time-point according to p-value < 0.05, fold change > 2 in the epididymal WAT depot and fold change > 2 in the mesenteric WAT depot. Unique HFD responsive genes were differentially expressed at one or more time-points.

                        ▴: up-regulated, ▼: down-regulated, WAT: white adipose tissue.

                        Table 2

                        Functional annotation gene clusters (A) up-regulated and (B) down-regulated in visceral adipose tissue depots by high-fat feeding in C57BL/6 J mice over 24 weeks




                        Functional terms

                        No. of genes



                        Epididymal WAT


                        Inflammatory response




                        Response to wounding




                        Defense response





                        Regulation of phagocytosis





                        Cell activation





                        Positive regulation of immune system process




                        Positive regulation of immune response




                        Mesenteric WAT


                        Positive regulation of immune system process




                        Positive regulation of immune response




                        Activation of immune response





                        Defense response





                        Cell activation




                        Leukocyte activation




                        Lymphocyte activation




                        Epididymal WAT


                        Fatty acid metabolic process





                        Hexose metabolic process




                        Monosaccharide metabolic process




                        Glucose metabolic process




                        Mesenteric WAT


                        Glucose metabolic process




                        Monosaccharide metabolic process




                        Hexose metabolic process













                        Steroid metabolic process




                        Sterol metabolic process




                        Cholesterol metabolic process




                        Lipid biosynthetic process




                        Lipid catabolic process




                        Acetyl-CoA metabolic process



                        Functional annotation terms enriched amongst the up/down regulated genes in epididymal and mesenteric WAT of HFD fed C57BL/6 J mice over 24 weeks. Functional annotation terms were clustered according to biological processes. WAT: white adipose tissue; E.S.: Enrichment Score.

                        Epididymal WAT depot genes altered by advancing age and diet-induced obesity

                        When HFD-responsive genes, in epididymal WAT, were overlapped with age-dependent genes, 14 genes were identified as shown in Figure 4. Fold changes and q-values of identified 14 genes are given in Additional file 4: Table S4. These 14 genes were correlated with body weight in both ND and HFD groups. Accordingly, these genes were associated with not only with age but also diet-induced obesity. In particular, among these 14 age and HFD responsive genes was EGF-like module containing, mucin-like, hormone receptor-like sequence 1 (Emr1) and chemokine (C-C motif) ligand 7 (Ccl7), which are both genes associated with inflammation, as well as body weight gain.
                        Figure 4

                        The list of high-fat diet responding gene transcripts in epididymal WAT that simultaneously associated with advancing age in ND and HFD groups for 24 weeks. The gene list affected by advancing age was based on continuously up- or down-regulated genes in both ND and HFD group. HFD-responsive genes were based on HFD vs ND, fold change > 2 and p-value < 0.05. ND: normal diet (AIN-76), HFD: high-fat diet (20% fat, 1% cholesterol), Cor.: Correlation Coefficient.

                        Time-course of transcriptional changes in adipokine, pro-inflammatory cytokine, chemokine and upstream signalling genes in visceral WAT depots during diet-induced obesity

                        The time-course of pro- and anti-inflammatory adipokine gene expression changes in WAT is shown in Figure 5. Consistent with plasma leptin and adiponectin levels, leptin mRNA expression was also up-regulated, while adiponectin mRNA expression was down-regulated consistently during the development of diet-induced obesity over 24 weeks. Microarray validation using via RT-qPCR revealed agreement in the time-course and pattern of changes in gene expression. There was no significant change in resistin mRNA expression.
                        Figure 5

                        RT-qPCR validation. Time-dependent fold changes in (A) Lep mRNA, (B) Adipoq mRNA and (C) Retn mRNA expression based on HFD vs.ND group over 24 weeks. Microarray and RT-qPCR data shown as means ± S.D. *p < 0.05 based on wilcoxon t-test and student’s t-test, respectively. No statistical analysis, since we evaluated 1 pooled sample for microarray analysis in MAT. ND: normal diet (AIN-76), HFD: high-fat diet (20% fat, 1% cholesterol), EAT: epididymal adipose tissue, MAT: mesenteric adipose tissue, Lep: leptin, Adipoq: adiponectin, Retn: resistin.

                        During the development of diet-induced obesity, transcription of several pro-inflammatory cytokines and chemokines such as disintegrin and metallopeptidase domain 8 (Adam8), Emr1, interleukin 1 receptor antagonist (Il1rn), tumor necrosis factor (Tnf), serum amyloid A 3 (Saa3), integrin alpha-M (Itgam), chemokine (C-C motif) ligand 2 (Ccl2), ligand 3 (Ccl3), ligand 4 (Ccl4), ligand 6 (Ccl6), ligand 7 (Ccl7) and ligand 9 (Ccl9), were significantly elevated in epididymal WAT between week 20 and 24 (Fig. 6A). Moreover, gene expression of toll-like receptors (TLRs), interferon regulatory factor 5 (Irf5) and CD antigen families were also significantly altered by HFD in epididymal WAT. Among them Tlr2, Tlr6, Tlr7, Tlr8, Tlr13 and Trl1, Irf5 were significantly up-regulated by HFD from week 8 and week 20, respectively (Figure 6B, C). Expression of Cd9, Cd14, Cd37, Cd44, Cd68, Cd72, Cd83, Cd84, Cd180, Cd276, Cd300a and Cd300lb was also significantly elevated from week 8 to 24 in a time dependent manner (Figure 6D).
                        Figure 6

                        Effect of high-fat feeding on transcription of (A) pro-inflammatory cytokine and chemokine genes, (B) Toll-like receptors, (C) IRF5 and (D) CD families expressed in epididymal adipose tissue of C57BL/6 J mice over 24 weeks (HFD vs. ND group). mRNA expression in epididymal adipose tissue measured by the microarray analysis. Fold changes in mRNA expression (HFD vs. ND) were displayed at each time point over 24 weeks. Data shown as means ± S.D. *p < 0.05 based on wilcoxon t-test. ND: normal diet. HFD: high-fat diet.

                        Time-course of transcriptional changes in extracellular matrix genes, adipose tissue-expressed collagen genes and cathepsin family genes during diet-induced obesity

                        To identify the time-dependent effect of HFD on fibrosis relative to the ND group, we examined the levels of many key fibrotic genes (Figure 7). Lumican (Lum) and transforming growth factor β (Tgfb1) mRNA levels were up-regulated, while decorin (Dcn) mRNA levels were down-regulated by HFD in a time dependent manner. Several matrix metalloproteases (Mmp) showed time-dependent transcriptional alterations in response to HFD. Mmp2, Mmp3 and Mmp13 mRNA levels were up-regulated by HFD from week 8 to 24, whereas Mmp12 mRNA levels were significantly up-regulated earlier after week 2 in the HFD group (Figure 7A). Collagen-related mRNA levels including Col1a2, Col3a1, Col4a5, Col8a1, Col9a3 and Col16a1 were significantly higher at week 2 in the HFD group, relative to the ND group, and sharply decrease after 4 weeks (Figure 7B). Cathepsin (Cts) mRNA levels were also altered by HFD (Figure 7C), Ctsa, Ctsb, Ctsk, Ctsl, Ctss and Ctsz mRNA levels were mostly up-regulated by high-fat feeding in the epididymal WAT depot. In particular, Ctsk mRNA levels were significantly increased from week 8 in the HFD group. Ctss and Ctsz mRNA levels were significantly higher at week 2, 8, 20 and 24, while Ctsb mRNA levels were only higher at week 2 and week 24 in the HFD group.
                        Figure 7

                        Effect of high-fat feeding on transcription of key fibrotic genes in epididymal adipose tissue of C57BL/6 J mice over 24 weeks (HFD vs. ND group). (A) Extracellular matrix genes (TGF-β1, decorin, lumican and several MMPs), (B) adipose tissue-expressed collagen genes and (C) cathepsin genes in the adipose tissue measured by time-course microarrays. Fold changes in mRNA expression (HFD vs. ND) were displayed at each time-point over 24 weeks. Data shown as means ± S.D. *p < 0.05 based on wilcoxon t-test. ND: normal diet. HFD: high-fat diet.


                        Adipose tissue can rapidly expand in response to excess energy intake through both adipocyte hypertrophy (cell size increase) and hyperplasia (cell number increase). Excessive adipose tissue expansion in obesity is associated with adipokine dysregulation, inflammation, ECM remodeling and fibrosis particulary in visceral adipose depots. However, the time-course of these pathophysiological events and the underlying transcriptional changes in adipose tissue are not fully understood. We show adipose tissue expansion occurs in multiple visceral WAT depots early during the development of diet-induced obesity. Pro-inflammatory adipokine levels also increase early after 2–4 weeks, while anti-inflammatory adipokine levels are reduced after 20 weeks in HFD fed mice. Time-course microarray profiling revealed early and prolonged up-regulation of inflammation and immune system associated genes in the epididymal WAT depot and the smaller mesenteric WAT depot. In the later stages of diet-induced obesity, fibrosis was evident in the epididymal WAT depot. Hence the long-term diet-induced obesity model used in the present study provides a unique insight into the timing of events in visceral adipose tissue during the development of obesity.

                        Adipocytokine dysregulation is reported to be closely associated with obesity and plasma proinflammatory adipokines are widely reported to be elevated in obese animals. Adipokines are secreted from visceral adipose depots, hence expansion of visceral adipose tissue depots is correlated with plasma adipokine levels, but it is less well established whether adipokine are transcriptionally regulated in obesity. In the present study, plasma leptin and resistin levels were increased consistently from 4 to 24 weeks. Time-course transcriptional profiling revealed leptin mRNA levels were increased in both the epididymal and mesenteric WAT depots over 24 weeks, but changes in resistin mRNA levels were less clear. Notably, leptin mRNA levels were higher in the mesenteric WAT depot than in the epididymal WAT depot. From a structural perspective, leptin is a member of the cytokine family, and leptin receptors belong to the class-I cytokine receptor family [22, 23]. Leptin can control the production and activation of pro-inflammatory cytokines such as IL-6 and TNF-α by macrophages [24, 25], and is a key regulatory factor expressed in both zebrafish and mammalian obesity in lipid metabolism [26]. Resistin is also known as an adipose tissue-specific secretory factor, participating in the pathogenesis of insulin resistance, adipogenesis and inflammation in mice [27, 28]. However, the time-course of plasma resistin level changes, was largely dissociated from resistin mRNA levels in the epididymal and mesenteric WAT depots. Jackson et al. [29] reported similar observations, largely that resistin mRNA levels were very low or undetectable in adipose tissue, which suggests that visceral adipocytes are not a major cell type producing resistin. Plasma resistin levels may by due to resistin production by circulating monocytes and macrophages. Like many other pro-inflammatory cytokines, resistin stimulates intracellular signalling through NF-κB activation, which in turn promotes the synthesis of other pro-inflammatory cytokines, including MCP-1, vascular cell adhesion molecule-1 (VCAM-1), as well as intercellular adhesion molecule-1 (ICAM-1), which are involved in chemotactic pathways directing leukocyte recruitment to sites of infection [30, 31]. Therefore, while resistin appears not to be produced by visceral adipose tissue depots, plasma resistin may still be a player in early visceral adipose tissue inflammation via activation of pro-inflammatory signalling and leukocyte recruitment.

                        Circulating plasma adiponectin and adiponectin mRNA levels are reportedly decreased by HFD and inversely correlated with fat mass, and directly correlated with insulin sensitivity [32, 33]. In the present study, a markedly different time-course in plasma adiponectin levels was evident with late decreases in plasma adiponectin observed, along with concomitant down-regulation of adiponectin mRNA levels in both the epididymal and mesenteric WAT depots. There have been reports indicating adiponectin is probably not a useful early biomarker of obesity. Sumiyoshi and colleagues reported that high fat feeding (45% fat, wt/wt) for 55 weeks did not alter circulating adiponectin level in C57BL/6 J mice compared with a low fat diet (3% fat, wt/wt) [34]. In accordance with our results, Park and colleague’s reported that circulating adiponectin level was significantly reduced after 20 weeks of high-fat feeding (55 kcal% from fat) compared with a normal diet [35]. The lack of any early changes in plasma adiponectin and visceral adipose tissue adiponectin mRNA levels in HFD fed mice may be part of an adaptive response to protect against early inflammatory changes. There were prominent changes in adiponectin levels in both HFD and ND fed mice around 6 weeks, which we speculate may be related to sexual maturation or ageing.

                        Adipsin, a serine protease is synthesized and secreted by adipose cells and is found in the bloodstream [36]. In the current study, plasma adipsin levels were significantly higher in the HFD group compared to ND group from the week 2 to 24. However, it is not clear whether the higher concentration of adipsin in blood reflects increased adiposity in the HFD fed mice, because fat mass was increased over time but plasma adipsin decreased after 6 weeks regardless of diet. Previous studies have reported that blood adipsin levels are substantially increased in obese humans [37, 38], but decreased in murine models of obesity [39]. Taken together, the present in-vivo observations of the time-course of various plasma adipokine levels and visceral WAT depot adipokine mRNA levels suggests leptin gene expression is up-regulated early, while adiponectin gene expression is down-regulated later in the epididymal and mesenteric WAT depots contributing to time-dependent changes in plasma adipokine levels.

                        We conducted in-depth time-course microarray profiling. The early and prolonged changes in the global transcriptome of both epididymal and mesenteric WAT revealed up-regulation of genes predominantly associated with immune and inflammatory system function enriched across all time-points in HFD fed mice. On the other hand, down-regulated genes were predominantly associated with monosaccharide, hexose and glucose metabolism across all time-points. Interestingly, down-regulated genes were also associated with lipid and cholesterol metabolism across all time-points although predominantly in the mesenteric WAT depot, rather than the epididymal WAT depot. In agreement with other diet-induced obesity models, functional ontology terms including sterol metabolism and acetyl-CoA biosynthesis were reportedly highly enriched among regulated genes in the mesenteric WAT depot but not in the epididymal WAT depot [40], and transcripts involved in lipid biosynthesis were up-regulated only by low fat meals [33]. Genes associated with the inflammatory response that were significantly up-regulated in the epididymal WAT depot during diet-induced obesity included pro-inflammatory cytokine and chemokine genes (Tnf Il1rn Saa3 Emr1 Adam8 Itgam Ccl2 Ccl3, Ccl4, Ccl6, Ccl7 and Ccl9) and their upstream signalling pathway genes such as TLRs, Irf5 and Cd14. In accordance with our study, many inflammatory genes including Ccl3, Ccl2, Saa3, Tlr13, which were highly expressed in adipose tissue of fat mouse, have been linked with obesity and/or insulin resistance [41], furthermore Emr1 and Ccl7 mRNA expression are associated with body weight gain as well as obesity-related inflammation. Adipose tissue consists of multiple cell types including adipocytes, fibroblasts, macrophages and endothelial cells. Therefore, the genes identified in the present study as differentially expressed during the development of diet-induced induced obesity will reflect overall changes in visceral adipose tissue depots rather than specific cell-types.

                        Recent studies have suggested some interplay between TLRs and adipokines. Lin et al. [42] suggested adipocyte Tlr2 synthesis increases upon stimulation with Tnf. Also, the expression of Tlr1-9 and Tlr11-13 in murine adipose tissue appears to be strongly regulated by leptin [43]. In the present study, the expression of Tlr1, Tlr2, Tlr6, Tlr7, Tlr8 and Tlr13 were significantly up-regulated by HFD in the epididymal WAT depot, along with Tnf and Lep expression, while expression of Adipoq was down-regulated. HFD also significantly up-regulated Irf5 in the later stages of diet-induced obesity. Irf5 is generally involved downstream of the TLR–MyD88 signalling pathway for induction of pro-inflammatory cytokines, and Irf5 is a potential target of therapeutic interventions to control harmful immune responses [44].

                        Of the thirteen TLRs, TLR4 was characterized first, working in conjunction with the LPS receptor CD14, TLR4 is the primary signalling receptor for gram negative bacterial lipopolysaccharide (LPS) [45]. CD14 is crucial for LPS recognition by TLR4 and cooperates with other TLRs, including TLR2 and TLR3 [46, 47]. Cd180 also belongs to the family of pathogen receptors. Cd180 takes part in B-cell recognition and LPS signalling [48]. In this study, we show diet-induced obesity leads to significant induction of Cd14 Cd180 Cd68 and other Cd antigen genes active in the immune and inflammation system of animals. Therefore, expression of Cd antigen genes may be used as markers of visceral adipose tissue inflammation during the development of diet-induced obesity. Taken together these findings suggest that, adipose tissue expansion, and concomitant activation of TLR-mediated inflammatory signalling cascades and induction of CD antigens, causes increased expression of pro-inflammatory cytokines and chemokines, which results in chronic low-grade inflammation.

                        Obesity is in most, but not all humans, associated with marked changes in the secretory function of adipocytes and macrophages, together with chronic low-grade inflammation and an increased risk of developing fibrosis. A complex network of inflammatory cytokines, adipokines, transcription factors, and receptor molecules is involved in the development of adipose tissue fibrosis. In adipose tissue, fibrosis appears to be initiated in response to adipocyte hypertrophy. Adipose tissue ECM remodelling, which plays a pivotal role in adipogenesis and tissue architecture [49], is crucial to accommodate obesity-induced cellular alterations [50]. However, the persistence of an inflammatory stimulus in adipose tissue may be responsible for the excessive synthesis of ECM components and subsequent interstitial deposition of fibrotic material. Fibrosis, attributed to excessive deposition of ECM proteins, is a ubiquitous tissue response to chronic inflammation [51]. In this study, ECM gene expression was altered by HFD in a time-dependent manner. Furthermore, there was evidence of accumulation of fibrillar collagens, interspersed in between adipocytes in the visceral WAT of HFD-fed mice. Lumican (Lum) has a stimulatory effect on the epithelial-mesenchymal transition state of fibrosis, while decorin (Dcn) has an inhibitory role in transforming growth factor β (TGF-β)-induced fibrosis [52, 53]. Lum mRNA levels were up-regulated, while Dcn mRNA levels were down-regulated at an early stage during the development of diet-induced obesity. Tgfb1 mRNA levels were also up-regulated in the visceral WAT of HFD-fed mice. The up-regulation of Lum and Tgfb1 mRNA levels and the down-regulation of Dcn mRNA levels were consistent with the observed development of fibrosis in visceral WAT of HFD-fed mice. Many metalloproteases (MMPs) were also altered at the mRNA level by HFD. Mmp2, 3, Mmp12 and Mmp13 are reportedly positively correlated with the degree of obesity and were up-regulated in the visceral WAT of HFD fed mice [54]. Interestingly, our detailed time-course microarray analysis over 24 weeks of HFD feeding showed that collagen mRNA levels were up-regulated shortly after the initiation of HFD feeding and then down-regulated by an unknown mechanism after 2 weeks. We suggest that up-regulation of collagen mRNA levels by HFD during the early stages of diet-induced obesity may trigger the accumulation of ECM components that ultimately leads to fibrosis which was evident in the later stages of diet-induced obesity.

                        The proteolytic and destructive properties of the lysosomal cathepsins play a role in degenerative, as well as chronic inflammatory diseases. Furthermore, proteases of the cathepsin family are involved in the remodelling of extracellular matrix (ECM) proteins [55]. This study indicates that members of the cathepsin family, including Ctsb Ctsk Ctsl Ctss and Ctsz as well as Ctsa may contribute to the pro-inflammatory and extracellular matrix remodelling in visceral WAT depots during the development of diet-induced obesity. Destruction of elastin-rich tissues during the inflammatory response is associated with local accumulation of macrophages that contain high levels of elastinolytic enzymes, such as Ctsb and Ctsl [56]. Ctss, known to degrade several components of the ECM, is also now well established as a novel biomarker of adiposity [57]. The function of cathepsin A in obesity is relatively unknown, however increases in expression of cathepsin B, D, K, S, and Z have previously been observed in obesity [58].

                        It is possible that some of differences in this study compared to others could be due to the lower fat content and different diet composition. Especially, while other studies used 60 kcal% fat diet consisting of soybean oil and lard, we used 39.2 kcal% from fat diet consisting of corn oil and lard. One example, several previous studies have found that hypoxia has been observed in obese adipose tissue and HIF1α (hypoxia-inducible factor 1α), a master signal mediator of hypoxia response, is significantly elevated in obese adipose tissue [4, 59, 60]. We also found that HIF1α gene expression tended to be higher (fold change 1.36 at HFD vs ND) at 24 week of high-fat feeding (about 39.2 kcal% from fat), but there was no statistically significant difference between the groups. However, in another experiment of ours that used commercial high fat diet with higher fat content and different fat composition (Research diets, Product No. D12451, 45 kcal% fat, 2.9% soybean oil and 20.7% lard), high fat feeding for 16 weeks significantly up-regulated HIF1α expression in adipose tissue of C57BL/6 J mice (Y. J. Kim, M. S. Choi, U. J. Jung, unpublished paper).


                        The present findings indicate excessive fat accumulation occurs in visceral WAT depots (epidydimal, perirenal, retroperitoneum, mesentery) early in response to HFD feeding. Pro- and anti-inflammatory adipokines including leptin and adiponectin are differentially expressed in visceral WAT and are closely associated with plasma adipokine levels during the development of diet-induced obesity. However, much wider changes occur in the immune transcriptome of visceral WAT depots, which are early and sustained. Up-regulated inflammatory genes include pro-inflammatory cytokines, chemokines and their upstream signalling pathway genes. Early changes also occur in fibrosis-related genes, extracellular matrix (ECM), collagen and cathepsin genes, but fibrosis appears in the later stages of diet-induced obesity. New therapeutic approaches targeting visceral adipose tissue genes associated with inflammation and fibrosis which are altered early during adipose tissue accumulation may help ameliorate the deleterious effects of diet-induced obesity.



                        Differentially expressed genes


                        Normal diet


                        High-fat diet


                        White adipose tissue


                        Extracellular matrix.



                        This research was supported by the SRC program (Center for Food & Nutritional Genomics: grant number 2012–0000644) of the National Research Foundation (NRF) of Korea funded by the Ministry of Education, Science and Technology.

                        Authors’ Affiliations

                        Center for Food and Nutritional Genomics Research, Kyungpook National University
                        Department of Food Science and Nutrition, Catholic University of Daegu
                        Department of Food and Nutrition, Yonsei University
                        Department of Food Science and Nutrition, College of Natural Sciences, Hallym University
                        Department of Biotechnology, Daegu University
                        School of Life Science & Biotechnology, Kyungpook National University
                        Department of Food Science and Nutrition, Kyungpook National University


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