CPT1C deficiency in SF1 neurons impairs early metabolic adaptation to dietary fats, leading to obesity
Department of Biomedical Sciences, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Sant Cugat del Vallès, Spain
Department of Physiology, CIMUS, University of Santiago de Compostela-Instituto de Investigación Sanitaria, Santiago de Compostela, 15782, Spain
INSERM, Neurocentre Magendie, U1215, University of Bordeaux, 3300 Bordeaux, France
Department of Biochemistry and Physiology, School of Pharmacy and Food Sciences, Institut de Biomedicina de la Universitat de Barcelona (IBUB), Universitat de Barcelona, Barcelona, 08028 Spain
Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Instituto de Salud Carlos III, 28029 Madrid, Spain
Abstract
Objectives
SF1 neurons of the ventromedial hypothalamus (VMH) play a pivotal role in regulating body weight and adiposity, particularly in response to a high-fat diet (HFD), as well as in the recovery from insulin-induced hypoglycemia. While the brain-specific CPT1C isoform is well known for its role in controlling food intake and energy homeostasis, its function within specific hypothalamic neuronal populations remains largely unexplored. Here, we explore the role of CPT1C in SF1 neurons.
Methods
Mice deficient in CPT1C within SF1 neurons were generated, and their response to a HFD was investigated.
Results
SF1-Cpt1c-KO mice fail to adjust their caloric intake during initial HFD exposure, which is associated with impaired activation of the melanocortin system. Furthermore, these mice exhibit disrupted metabolic gene expression in the liver, muscle, and adipose tissue, leading to increased adiposity independently of food intake. In contrast, their response to glucose or insulin challenges remains intact. After long-term HFD exposure, SF1-Cpt1c-KO mice are more prone to developing obesity and glucose intolerance than control littermates, with males exhibiting a more severe phenotype. Interestingly, CPT1C deficiency in SF1 neurons also results in elevated hypothalamic endocannabinoid (eCB) levels under both chow and HFD conditions. We propose that this sustained eCB elevation reduces VMH activation by fatty acids and impairs the SF1-POMC drive upon fat intake.
Conclusion
Our findings establish CPT1C in SF1 neurons as essential for VMH-driven dietary fat sensing, satiety, and lipid metabolic adaptation.
Untitled section
Keywords: CPT1C, SF1 neurons, High-fat diet, Endocannabinoids, Adiposity, Food intake
Graphical abstract
Highlights
- •CPT1C deficiency in VMH-SF1 neurons disrupts metabolic adaptation of peripheral tissues to dietary fats.
- •SF1-Cpt1c-KO mice exhibit transitory hyperphagia upon a consumption of a HFD.
- •CPT1C deficiency in VMH-SF1 neurons elevates hypothalamic eCBs.
- •Fatty acid-driven VMH activation is abolished in CPT1C-deficient SF1 neurons.
Article notes
Untitled section
Received 2025 Feb 6; Revised 2025 Apr 14; Accepted 2025 Apr 16; Collection date 2025 Jun.
1.Introduction
The central regulation of body weight is a complex process that involves intricate neural circuits within the hypothalamic nuclei and extrahypothalamic areas, orchestrating appetite and energy homeostasis. The ventromedial nucleus of the hypothalamus (VMH), recognized not only as a satiety center but also as a crucial regulator of energy balance, influences brown fat thermogenesis, peripheral lipid metabolism and glucose homeostasis [1]. Electric stimulation of the VMH triggers hypophagia and energy expenditure (EE), and a decrease in respiratory exchange ratio (RER), indicating a preference for fats over glucose as the primary energy substrate to supply the cellular oxidation rate [2].
The majority of VMH neurons, particularly those in the dorsomedial and central regions of the VMH, express the nuclear receptor steroidogenic factor 1 (SF1), a transcription factor encoded by Nr5a1 gene, specific to this nucleus and essential for its development and function [[3], [4], [5]]. Optogenetic and chemogenetic studies have revealed that SF1-positive cells are responsible for most of the intrinsic actions of the VMH, including satiety signaling, promotion of EE, facilitation of fat mobilization [6,7], and recovery from insulin-induced hypoglycemia [8]. Interestingly, transgenic mice with impaired expression of several molecular targets in SF1 neurons often display altered metabolic phenotypes, particularly under exposure to a high-fat diet (HFD), but not when fed regular chow, emphasizing a role for SF1 neurons in metabolic adaptation to increased fat consumption [1]. Moreover, recent data suggest that unsaturated fats, but not saturated ones, activate SF1 neurons driving satiety and EE [9]. However, the molecular mechanisms and neural circuitry that underlie the sensing of fats by SF1 neurons remain poorly understood. Notably, the endocannabinoid (eCB) receptor CB1, which is highly expressed in SF1 neurons [10] decreases the excitability of those neurons and modulates feeding and fuel selection by peripheral tissues based on the type of diet [10,11].
The neuron-specific carnitine palmitoyltransferase 1C (CPT1C), has emerged as a key player in appetite regulation and nutrient partitioning in the hypothalamus, including the VMH [12,13]. Global CPT1C knock-out (KO) mice exhibit impaired feeding responses to leptin and ghrelin [14,15], and disrupted diet-induced brown fat thermogenesis, making them more susceptible to become obese when fed a HFD [16]. Moreover, CPT1C is involved in food preference [17], fuel selection under fasting conditions [18], and the sensing of fats by the hypothalamus [9]. However, there is limited data regarding the role of CPT1C in specific nuclei of the hypothalamus. At the molecular level, CPT1C, which is unique in lacking enzymatic activity within the CPT1 family [19], functions as a nutrient sensor by binding malonyl-CoA within neurons [[20], [21], [22], [23], [24], [25], [26]]. Malonyl-CoA is a lipid metabolite that dynamically fluctuates in the hypothalamus based on the nutritional state [27,28] and regulates feeding behavior and energy homeostasis [[29], [30], [31], [32], [33], [34], [35], [36], [37]]. Our recent studies indicate that CPT1C regulates AMPA receptor trafficking and synaptic transmission through malonyl-CoA [22,38,39]. In addition, CPT1C interacts with the eCB hydrolase α/β-hydrolase domain-containing 6 (ABHD6), modulating its enzymatic activity depending on nutrients and malonyl-CoA availability [26]. Considering the existing evidence, we postulated that CPT1C in SF1 plays a significant role in mediating the response to dietary lipids. Our findings demonstrate that the specific deletion of Cpt1c in SF1 neurons diminishes the responsiveness of SF1 neurons to fats, increases levels of eCB, and blunts α-MSH levels. This cascade of events results in impaired satiety signaling, disrupted nutrient partitioning, and an increased propensity for obesity. These observations elucidate a novel mechanism linking CPT1C function in SF1 neurons to energy homeostasis and body weight regulation.
2.Methods
2.1.Animals
Male and female mice were housed on 12 h/12 h light/dark cycle (light on at 8 am, light off 8 pm) in a temperature- and humidity-controlled room. Animals were group housed and allowed free access to water and standard laboratory chow diet, otherwise indicated. Animals used for experimentation were between 8 and 12 weeks of age at the starting point of the experiments. All animal procedures were performed in agreement with European guidelines (2010/63/EU) and approved by the Ethical Committee of the University of Barcelona (n. 10906 and n. 10210 from the Generalitat de Catalunya) and of the University of Bordeaux (n. 30252). All efforts were made to minimize animal suffering and to minimize the number of animals used. Animal studies are reported in compliance with the ARRIVE guidelines.
2.2.Generation of SF1-Cpt1c-KO mice
Mice deficient of CPT1C in SF1 neurons were generated through two consecutive steps using Flp-FRT and Cre-loxP technologies at CBATEG from Universitat Autònoma de Barcelona. Sperm of the strain C57BL/6N-CPT1ctm1a(EUCOMM)Wtsi, containing exons 4 to 6 of Cpt1c flanked by two LoxP sequences, a lacZ cassette and a neo gene, was obtained from KOMP Repository (University of California, Davis). This sperm was used for an in vitro fertilization to generate heterozygous mice called KO-first. LacZ and Neo cassettes were deleted by breeding KO-first with mice containing FlpO in heterozygosis (FlpO mice) from the Mouse Mutant Core Facility (MMCF) of IRB Barcelona, to get a Cpt1cloxP/- mice. These animals were bred with SF1-Cre mice (Tg(Nr5a1-cre)Lowl/J, stock number 012462 from The Jackson Laboratory, Bar Harbor, ME) to generate SF1-Cre;Cpt1cloxP/-, which finally were bred with a homozygous Cpt1cloxP/loxP mice to get SF1-Cre;Cpt1cloxP/loxP, also called SF1-Cpt1c-KO. CPT1cloxP/loxP mice resulting from this last breeding were control littermates called SF1-Cpt1c-WT mice.
2.3.Genotyping
DNA from VMH or ear punches were used for genotyping. VMH samples were collected using a brain matrix and stored at −80 °C until used. DNA was obtained using Proteinase K (3115887001, Roche, Basel, Switzerland) digestion followed by phenol-chloroform extraction and ethanol precipitation. DNA from ear punches was extracted with 50 mM NaOH and buffered in TRIS 1M pH 8. The oligonucleotide enhancers used for DNA amplification are described in Supplemental Table 1 and Supplemental Fig. 1.
2.4.Administration of high fat diets
Mice were fed a HFD (60% kcal from fat, ref. D12492) or a standard diet (SD, 10% kcal from fat, ref. D12450J, Research Diets, New Brunswick, USA) for 5 days or 8 weeks. During this period, body weight and the amount of each diet eaten was weakly measured. At the end of the study, mice were sacrificed by cervical dislocation and hypothalamus, epididymal white adipose tissue (eWAT), subcutaneous WAT (sWAT), brown adipose tissue (BAT), liver and soleus muscle were collected and stored at −80 °C until further processing.
For the analysis of neuronal activation by c-Fos, mice were fasted for 3 h during the light phase followed by a refeeding period of 2 h with HFD or SD. Then, mice were perfused for brain cryopreservation.
For the pair-feeding experiment mice were housed in cages equipped with automatic feeders (SmartWaiters, Cibertec, Madrid, Spain). Mice were acclimatized for a week with ad libitum SD. Then, the feeders were programmed to stay open for 1 h before the onset of the light phase and 1 h previous to the dark phase for one week. Food Intake was recorded during this period and mean caloric intake of SD was calculated. Calories were equated between SD and HFD, and feeders were programmed to allow the mice to eat 0.8 g of HFD both at the onset of light and dark phases for five days. After each mouse had eaten 0.8 g of HFD the feeder would automatically close. Mice body weight was recorded at the beginning and end of the experiment. Tissues were collected as previously described.
2.5.Intracerebroventricular (ICV) cannulation surgery and oleic acid administration
Mice were anesthetized with 75 mg/kg of ketamine (Ketamidor® 100 mg/mL Ricther Pharma AG, Bagres Austria) and 10 mg/kg of xylazine (Rompun® 20 mg/mL Bayer, Leverkusen, Germany). Cannulas were stereotaxically implanted into the lateral cerebral ventricle, being the coordinates 0.58 mm posterior to Bregma, 1 mm lateral to the midsagittal suture and 2.2 mm of depth. Mice were individually caged and allowed to recover for at least 5 days before the experiment. Cannula placement was verified by a positive dipsogenic response to angiotensin II (1 nmol in 1 mL; Sigma–Aldrich, Saint Louise, USA).
Oleic acid (O3880; Sigma–Aldrich, St Louis, USA) or vehicle were injected into ICV-cannulated mice. Oleic acid was complexed with fresh 40 % HPB (2-Hydroxypropyl)-β-cyclodextrin (H107 Sigma–Aldrich, St Louis, USA). 9 nmols of oleic acid/dose and 2 μL/dose were injected. Animals did not have access to food during the whole procedure. After 2 h, mice were perfused for brain collection, as indicated below.
2.6.Administration of adeno-associated virus (AAVs) within the VMH
For the stereotaxic surgery, mice were anesthetized as previously described. Stereotaxic surgery to target VMH was carried out with the following coordinates: 1.5 mm posterior from Bregma, ±0.5 mm lateral to midline and 5.8 mm deep. Purified AAVs expressing mCherry under Cre activity (AAV-CRE-mCherry) [40] were injected bilaterally over 10 min through a 33-gauge injector connected to a 5 μL Hamilton® Syringe (65460-02, Hamilton Company, Reno, USA) and an infusion pump. 0,4 nL with a viral titer of 1,23 × 1012 pfu/mL were infused in each injection site. After surgery, an analgesic solution (Meloxidyl® 5 mg/mL, Ceva Santé Animale, Libourne, France) was subcutaneously administered to a final dose of 1 mg/kg of body weight. During the first two days of recovery, the analgesic was administered through the drinking water with a final solution of 5 mg/L. Mice underwent 3 weeks of recovery before their use for the study.
2.7.Indirect calorimetry, in cage-locomotor activity and gas exchange analysis
Indirect calorimetry, in-cage locomotor activity and gas exchange analysis were carried out in light, temperature and humidity controlled calorimetric chambers (TSE Systems GmbH, Moos, Germany) as described previously [41]. The light cycle was 12 h/12 h light/dark phase (lights on 3am, lights off 3pm) at 22 °C. Mice were acclimated for 5 days before recording. O2 consumption and CO2 production were measured to calculate RER (or respiratory quotient, RQ) and EE. Locomotor activity was determined using an infrared light beam system. All measurements were taken every 20 min.
2.8.Magnetic resonance imaging (MRI)
Body composition analysis of SF1-Cpt1c-WT and SF1-Cpt1c-KO mice was performed by nuclear echo magnetic resonance imaging (EchoMRI 900; EchoMedical Systems, New York, USA) to evaluate the total amount of fat and lean mass of mice. Mice were weighted and placed into a movement restrainer before going inside the EchoMRI. The analysis was performed previously to HFD exposition and after the 5-day and the 8-week exposure to HFD. All measurements were taken in duplicates.
2.9.Glucose and insulin tolerance tests
All glucose measurements were performed using the glucometer Aviva from Accu-Chek® (Roche, Basel, Switzerland) and test strips (06453970, Roche, Basel, Switzerland) on the second drop after a little cut on the tail. Glucose tolerance test (GTT) and insulin tolerance test (ITT) were conducted in 6 h fasted mice, starting at the beginning of the light phase. 20 % glucose (Glucose 20 % B. Braun Medical, Melsungen, Germany) was injected intraperitoneally with a final dose of 2 g/kg body weight. 0.1 IU/mL of human insulin (Humulin 100 IU/mL, Lilly Medical, Indianapolis, USA) was injected with a final dose of 0.5 IU/kg body weight. Data were represented as glycaemia evolution over time and area under the curve. Glucose disappearance rate (KITT) was calculated using the first 30 min.
2.10.RNA preparation and quantitative RT-PCR
Total RNA was extracted from tissues using Trizol Reagent (Fisher Scientific, Madrid, Spain). Quantitative RT-PCR analysis was performed as previously described [9]. SsoAdvanced™ SYBR®Green Supermix (172-5261, BioRad, Hercules, USA) was used for double-stranded DNA intercalating agents and SsoFast™ Probes Supermix (172-5231, BioRad, Hercules, USA) for TaqMan assay. SYBR Green assay primers are listed in Supplemental Table 2. Taqman Gene Expression assay primers for Ucp1 were used (for: 5′-CACACCTCCAGTCATTAAGCC, and rev: 5′-CAAATCAGCTTTGCCTCACTC). All primers were from IDT DNA Technologies, Leuven, Belgium. Relative mRNA levels were measured using the CFX96 Real-time System, C1000 Thermal Cycler (BioRad, CA, USA). Relative gene expression was estimated using the comparative Ct (2−ΔΔCt) method in comparation to Gapdh levels.
2.11.Western blotting
Western blot was performed as previously described [9]. Briefly, soleus muscle was homogenized in RIPA buffer (Sigma–Aldrich, Madrid, Spain) containing protease and phosphatase inhibitor cocktails. Protein extracts were separated on SDS-PAGE, transferred into Immobilion-PVDF membranes (Merck Millipore, Madrid, Spain) and probed with antibodies against pACC (Ser79) (Cell Signaling; Danvers, MA, USA); and GAPDH (Abcam, Cambridge, UK). Anti-mouse or anti-rabbit horseradish peroxidase-conjugated (Jackson, West Grove, USA) were used as secondary antibodies. LuminataForte Western HRP substrate (Merck Millipore, MA, USA) was used as developing agent. Images were collected by the ChemiDoc MP and Image Lab Software (Bio-Rad Laboratories, Hercules, USA) and quantified by densitometry using ImageJ-1.33 software (NIH, Bethesda, MD, USA). In all the figures showing images of gels, all the bands for each picture come from the same gel, although they may be spliced for clarification.
2.12.Immunofluorescence
Mice were anesthetized under ketamine/xylazine and intracardially perfused with PBS and the 10 % Normal Buffered Formalin (NBF). Brains were collected and postfixed 24 h in 10 % NBF at 4 °C, transferred to 30 % sucrose at 4 °C for 2–3 days, frozen in isopentane, and sliced in 30 μm thick slices in the coronal plane throughout the entire rostral-caudal extent of the brain using a cryostat. Slices were preserved at −20 °C in antifreeze solution until use.
Sections containing the hypothalamus were processed as previously described [9]. Briefly, sections were blocked in 2 % goat or donkey anti-serum in KPBS and 3 % BSA plus 0.1 % Triton X-100 and incubated with primary antibody (rabbit anti-c-Fos, 1:200, Cell Signaling, Danvers, MA, USA; sheep anti-αMSH, 1:1000, Sigma–Aldrich, Merck KGaA, Darmstadt, Germany) for 1 h at room temperature (RT) or overnight (o/n) at 4 °C, respectively. Goat anti-rabbit Alexa Fluor 647 antibody (1:1000; Invitrogen, Waltham, USA) or donkey anti-sheep Alexa Fluor 488 (1:1000; Invitrogen, Waltham, USA) were used as secondary antibodies. Slices were counterstained with Hoechst for nuclear staining (1 mg/mL, Sigma–Aldrich, Saint Louis, USA). Then, slices were mounted using antifade Fluoromount-G® (0100-01, Southern Biotech, Birmingham, USA) on coverslips (DIO2460, Deltalab, Barcelona, Spain). Images were taken using a Leica DMi8 confocal microscope equipped with a 20× and 40× objective. Fluorescence integrated density after image masking was calculated using ImageJ 1.33 software.
2.13.Adipose tissue histopathology and adipocyte area measurement
Fixed eWAT were dehydrated and embedded in paraffin. The resulting blocks were cut into 5–10 μm sections and stained with hematoxylin and eosin (H&E) to assess histology. To quantify the adipocyte area, three representative images from each adipose tissue section were taken with a 20× objective using a high-sensitivity camera (Leica MC 190 HD Camera) and microscope. Images were analyzed with the Adiposoft software as described in Zagmutt et al., 2023 [40]. Images were analyzed and adipocytes were highlighted if they met the following criteria: (1) the boundaries for sizing of the cell were 40–40,000; (2) the adipocyte had a shape factor of 0.35–1 (a shape factor of 0 indicated a straight line, while a shape factor of 1 indicated a perfect circle); and (3) the adipocyte did not border the image frame. The results are represented as the average of total area counted.
2.14.Oil Red-O liver staining
Livers were collected and fixated 24 h in 10% NBF at 4 °C, transferred to 30% sucrose at 4 °C for 2–3 days, frozen in isopentane, and sliced in 30 μm thick slices using a cryostat. Slices were mounted, fixated with 10% NBF and dehydrated with 90% isopropanol, and then stained with Oil Red-O. Images were obtained with 10× objective using a high-sensitivity camera (Leica MC 190 HD Camera) and quantified using ImageJ-1.33 software.
2.15.Analysis of eCBs
Hypothalamic eCBs were analyzed as described in Miralpeix et al., 2019 [42]. Briefly, the hypothalamus (6–8 mg wet tissue) was homogenized with a Dounce tissue grinder with 200 μL of ice-cooled deionized water containing a final concentration of 0.362 μM N-oleylethanolamine-d2 (OEA-d2) (Cayman Chemicals, Ann Arbor, MI) as the internal standard for 2-arachydonoyl (2-AG) and anandamide (AEA) calibration, 100 μM PMSF, and 0.01 % butylated hydroxytoluene (BHT) (Sigma–Aldrich, Madrid, Spain), followed by a brief sonication. After that, lipids were extracted with ethyl acetate/n-hexane (9:1, v/v) and evaporated. eCBs levels were analyzed by LC/MS/MS. 2-AG, AEA, and OEA-d2 were used for the calibration curve in an Acquity ultra-high-performance liquid chromatography (UPLC) (Waters, Singapore) system connected to a Xevo-TQS triple-quadropole Detector (Waters, Ireland) and controlled with Waters/Micromass MassLynx software. Chromatographic separation was performed on an Acquity UPLC BEH C18 column with an isocratic mobile phase of formic acid 0.1 % in water-acetonitrile (30:70, v/v). Detection was performed in the positive ion mode. The capillary voltage was set to 3.1 kV, the source temperature was 150 °C, and the desolvation temperature was 500 °C.
2.16.Tissue triglycerides and serum leptin determination
40 mg of tissue (liver or WAT) were homogenized in cold acetone using ceramic beads (32201-1L-M, Sigma–Aldrich, Saint Louis, USA) and Fast-Prep®-24 at 6.5 M/s for 3 cycles of 30 s. Then, samples were incubated in rotatory homogenization o/n at RT. Upper layer was used for TG measurement using Serum Triglyceride Determination kit (TR0100, Sigma Aldrich, Saint Louis, USA). Serum leptin was measured with Mouse Leptin ELISA KIT #90030, Crystal Chem, Grove Village, IL, USA.
2.17.Data processing and statistical analysis
Statistical analyses were performed with Prism 9.0 (GraphPad Software, San Diego, USA). Data were expressed as mean ± SEM. Two-way ANOVA test followed by post hoc two-tailed Bonferroni test was applied or a t-student test if only two groups were compared. A p-value less than 0.05 (p < 0.05) was considered statistically significant. During data analysis, any outlier data points that deviated from the mean by more than two standard deviations were excluded from the analysis. The mice number and the statistical test used are specified in each figure legend. Animals that showed signs of disease at the time of sacrifice were excluded from the study.
3.Results
3.1.Generation of SF1-Cpt1c-KO mice
We generated a mouse model with specific deletion of Cpt1c in SF1 neurons using the FRT-Flp and Cre-lox recombination technologies as described in the methodology section. We confirmed that SF1-Cpt1c-KO mice were properly generated by the amplification of a 531 bp band containing the deletion of exons 4 to 6 of CPT1c only when DNA was obtained from VMH but not from hippocampus or cortex brain samples (Figure 1A). Secondly, we observed a pronounced decrease of CPT1C immunodetection in the VMH region (Figure 1B), but not in the ARC (Supplemental Fig. 2). Finally, SF1 neurons were stained by injection of AAV9-EF1a-DIO-mCherry viruses in the VMH (Figure 1C). Figure 1D shows that CPT1C expression in mCherry-positive cells was negligible in SF1-Cpt1c-KO mice. The data collectively indicate that the Cpt1c gene has been specifically modified in SF1 neurons of the hypothalamus, resulting in the absence of protein expression in these cells.
3.2.SF1-Cpt1c-KO mice show normal feeding and energy balance under standard diet
To characterize the phenotype of the mice, we began by monitoring the evolution of food intake, body weight, and adiposity in both male and female mice over a period of 8 weeks while on a standard diet (SD). For adiposity, we measured the amounts of epididymal and subcutaneous white adipose tissue (eWAT and sWAT, respectively), brown adipose tissue (BAT), and total body composition using MRI. Our analysis revealed no significant differences in either parameter between SF1-Cpt1c-KO and SF1-Cpt1c-WT mice in both sexes (Supplemental Fig. 3A–D and Supplemental Fig. 5A–C). Additionally, we examined various metabolic parameters and found no differences in energy expenditure (EE), respiratory exchange ratio (RER), or locomotor activity between the two genotypes (Supplemental Fig. 3F). We also assessed the function of brown adipose tissue (BAT) by analyzing thermogenesis and found it to be comparable in both male and female mice (Supplemental Fig. 3E and Supplemental Fig. 5D). Moreover, glucose tolerance and insulin sensitivity were comparable between SF1-Cpt1c-KO and SF1-Cpt1c-WT mice in both sexes (Supplemental Fig. 4 and Supplemental Fig. 5E–K). Notably, male null mice showed an increased rate constant for insulin tolerance test (KITT) compared to their control littermates, although no differences were observed in the area under the curve (AUC) (Supplemental Fig. 4 D-G). Overall, these findings suggest that, under SD conditions, the deficiency of CPT1C in SF1 neurons does not lead to remarkable changes in these physiological or metabolic traits between genotypes in either sex.
3.3.SF1-Cpt1c-KO mice exhibit increased food intake, respiratory quotient and adiposity under short-term high-fat challenge
Next, we challenged null mice and their control littermates with HFD. Interestingly, switching the animals to a HFD for just 5 days was enough to reveal significant differences in crucial parameters between genotypes. On the one hand, male SF1-Cpt1c-KO mice showed higher food intake, especially during the dark phase (Figure 2A–B), leading to increased body weight and a higher body weight gain (Figure 2C). Interestingly, SF1-Cpt1c-KO mice do not properly accommodate total caloric intake upon dietary change to fats as control animals do (Figure 2D). On the other hand, calorimetric studies showed that the RER of SF1-Cpt1c-KO was higher than that of control mice, especially during the dark phase (Figure 2E). This implies that in KO animals subjected to HFD there is a reduced use of fats as the primary fuel source in peripheral tissues compared to control littermates, indicating a failure in metabolic adaptation. MRI analysis revealed an increase of fat mass (Figure 2F) while lean mass remained unchanged (Figure 2G). The increase in fat mass was not due to significant changes in energy expenditure, BAT thermogenesis or locomotor activity (Supplemental Fig. 6A–C). Moreover, leptin levels remained similar between genotypes (Supplemental Fig. 6D). Collectively, these data suggest that CPT1C deficiency in SF1 neurons impairs early metabolic adjustment to increased consumption of fats.
The experiment was repeated ensuring that both groups of animals consumed the same amount of food (pair-feeding). As shown in Figure 3, while the animals' food intake was identical between genotypes (Figure 3A), the SF1-Cpt1c-KO mice showed a tendency to gain more weight and fat (Figure 3B–E), along with a higher accumulation of lipids in the liver (Figure 3F). These results suggest that the increased adiposity and weight observed in SF1-Cpt1c-KO animals is not only due to increased food intake but also to a dysfunction in lipid allocation.
3.5.SF1-Cpt1c-KO mice develop obesity and exhibit insulin resistance during long term HFD exposure
Maintaining animals on a HFD for a longer period (8 weeks) resulted in greater differences between genotypes in adiposity and body weight in both sexes (Figure 6A–F and Supplemental Fig. 7A–D). Interestingly, male SF1-Cpt1c-KO mice exhibited a more pronounced obesogenic phenotype compared to females, as weight gain differences relative to control littermates became apparent earlier in males. Furthermore, the increase in fat mass (eWAT and BAT) was more pronounced in males than in females. On the other hand, increased adipocyte size (Figure 6G), and alterations in the expression of some lipid metabolic markers in peripheral tissues (Figure 6H) were observed in SF1-Cpt1c-KO mice compared to control littermates. Notably, these effects were feeding-independent, as the amount of food consumed was the same in both genotypes (Figure 6B and Supplemental Fig. 7C). However, when analyzing food intake over 5-day periods, we observed an increase in consumption occurring only during the first 5 days following the diet change, with differences dissipating in subsequent days (Supplemental Fig. 8A). This indicates that SF1-Cpt1c-KO mice exhibit transient hyperphagia and adjust their intake to increased dietary fat at a delayed rate compared to control mice.
After 8 weeks of HFD feeding, SF1-Cpt1c-KO male mice exhibited higher plasma leptin levels (Figure 7A) and showed greater glucose intolerance and insulin resistance compared to their control littermates (Figure 7B–C). In females, the alterations in glucose homeostasis were less pronounced, as only glucose intolerance was observed, without evidence of insulin resistance (Supplemental Fig. 7E–F). This is consistent with the delayed development of obesity observed in female mice. Taken together, the data suggest that CPT1C KO mice are unable to adequately adapt their peripheral metabolism to HFD, making them more prone to developing obesity and glucose intolerance in the long term.
3.6.The melanocortin signaling is hindered in SF1-Cpt1c-KO mice
Next, we investigated the underlying molecular mechanisms occurring in the hypothalamus of SF1-Cpt1c-KO mice. We focused on the early period following the dietary change—5 days of HFD—as the animals already showed significant weight gain and adiposity during this phase.
We first analyzed the hypothalamic expression of orexigenic and anorexigenic peptides due to the hyperphagic response observed in SF1-CPT1c-KO mice after switching from SD to HFD. The mRNA expression of the satiating neuropeptide precursor POMC was decreased, while the orexigenic neuropeptide AgRP was increased in SF1-Cpt1c-KO mice compared to control mice, which could explain the increased food intake (Figure 8A). In contrast, NPY expression was decreased. Given that POMC and AgRP directly influence the melanocortin system, α-MSH levels were measured. Consistently, α-MSH staining was significantly reduced in the ARC and mildly diminished in the PVN of SF1-Cpt1c-KO mice upon short-HFD compared to control mice (Figure 8B–D), suggesting an impaired activation of the melanocortin system following dietary change. This impairment could be responsible for the hyperphagia and adiposity observed in KO mice [44,45].
3.7.The eCB system is altered in the hypothalamus of SF1-Cpt1c-KO mice
Then, we analyzed the endocannabinoid system, since we previously reported that short-term exposure to a HFD increases eCBs levels in the hypothalamus [42]. Moreover, CB1 receptor is highly expressed in SF1 neurons [10], regulates the SF1-POMC drive, and it is involved in the regulation of peripheral lipid metabolism [11].
The analysis of hypothalamic eCB levels revealed that SF1-Cpt1c-KO mice upon SD show higher levels of both eCBs, anandamide (AEA) and 2-arachidonoylglycerol (2-AG), in the hypothalamus compared to control mice (Figure 9A), indicating a basal impairment of the eCB system. After five days of HFD, control animals increased hypothalamic 2-AG, as previously described [42], but no further changes were observed in SF1-Cpt1c-KO. Regarding AEA, although both genotypes exhibit reduced levels after five days of HFD compared to SD, those detected in KO mice consistently remained elevated compared to control mice. Importantly, there were no significant differences in endocannabinoid levels between the various diets or genotypes in the hippocampus (Supplemental Fig. 9A and B). This indicates that the changes observed are specific to the hypothalamus.
We then measured the expression of eCBs synthesis and metabolizing enzymes in the hypothalamus. qPCR results showed that the expression of monoglyceride lipase (MGLL) and fatty-acid amide hydrolase 1 (FAAH), the main metabolizing enzymes of 2-AG and AEA, respectively, were decreased in SF1-Cpt1c-KO mice fed a HFD (Figure 9B), suggesting that these metabolic enzymes could play a role in eCB accumulation. No changes were observed in the expression of ABHD6, another hydrolase that contributes to a lesser extent to the metabolism of 2-AG (Supplemental Fig. 9C). Regarding the major neuronal enzyme involved in 2-AG synthesis, diacylglycerol lipase-alpha (DAGLα), no changes were observed, whereas the one involved in AEA synthesis, N-acyl-phosphatidylethanolamine-hydrolyzing phospholipase D (NAPE-PLD), exhibited a decrease, probably due to a compensatory response.
We also analyzed CB1 receptor expression and found that short-term HFD increases CB1 expression in control mice (Figure 9C), indicating an activation of the eCB system following dietary change. However, this increase was not observed in SF1-Cpt1c-KO mice. Taken together, SF1-Cpt1c-KO animals have elevated baseline levels of eCBs under SD conditions and exhibit an anomalous response in their dynamics when switched to a HFD.
3.8.Fatty acid sensing in VMH is disrupted in SF1-Cpt1c-KO mice
Since fatty acids are known to signal satiety and lipid metabolism changes through their action on the hypothalamus [9], we decided to determine whether SF1-Cpt1c-KO had a defect in FA sensing at the VMH. We injected oleic acid ICV in male mice fed a SD and measured cFOS activation after 2 h. In control mice, oleic acid injection triggered the activation of the VMH (Figure 9D); however, this was not observed in SF1-Cpt1c-KO animals. Those findings indicate that CPT1C in SF1 neurons is necessary for proper sensing of fats in the VMH. Probably, the increase in the eCB tone is contributing to this lack of activation [10].
In summary, the absence of CPT1C specifically in SF1 neurons leads to heightened levels of hypothalamic endocannabinoids and compromised sensing of FA in the VMH. This, in turn, disrupts short-term accommodation of food intake, and impairs peripheral lipid metabolism, leading to an obesogenic phenotype over the long term.
4.Discussion
CPT1C is a neuron-specific nutrient sensor [21,24]. It is well known that CPT1C participates in the hypothalamic control of food intake and energy metabolism [[13], [14], [15],18,25,46]; however, its function in specific neuronal populations has not been explored until now. This study underscores the important role of CPT1C in SF1 neurons of the VMH in sensing fats and favoring early metabolic adaptations to a dietary change.
It has been reported that when switching from a high-carbohydrate diet to a HFD, there is a transient hyperphagia in the initial days, followed by an adjustment in food intake over the following days to maintain total caloric intake [47,48]. Moreover, a metabolic shift occurs in tissues such as the liver, muscle, and adipose tissue, favoring fat as the primary energy source and leading to a decrease in the RER. This shift promotes fat mobilization and short-term maintenance of body weight. Our results show that the absence of CPT1C in SF1 neurons disrupts these processes, delaying the adjustment of food intake and impairing metabolic adaptation in peripheral tissues, leading to increased adiposity and a more rapid development of obesity when maintained on a HFD.
Regarding food intake, the data show that SF1-Cpt1c-KO mice show transitory hyperphagia upon exposure to a diet rich in fats, compared to control mice. The impaired expression of orexigenic and anorexigenic neuropeptides and the reduced presence of α-MSH in the ARC are indicative of the inadequate satiety signaling and impaired activation of the melanocortin system in the short-term. It is well known that SF1 neurons provide a robust source of glutamatergic excitatory input onto POMC neurons of the ARC to drive satiety, and that this drive is sensitive to nutrients [[49], [50], [51], [52]]. Our data show that 5 days of HFD consumption in control mice enhances melanocortin signaling to inhibit excessive calorie consumption. However, this effect is attenuated in SF1-Cpt1c-KO mice, which is consistent with the hyperphagia observed in these animals. Recently, it has been demonstrated that SF1 neurons also contribute to the satiety signal through innervation of the paraventricular thalamus (PVT) [6]. Therefore, other downstream circuits of SF1 neurons, beyond the melanocortin system, may also contribute to the hyperphagia observed in KO mice.
Regarding nutrient partitioning, SF1-CPT1c-KO mice exhibit a decreased preference for fats as a fuel substrate in the liver and muscle, evidenced by diminished lipolysis and cellular FAO in those tissues. Additionally, in WAT, the enzymes involved in lipid synthesis and storage are increased compared to WT animals. Consequently, there is an increase in adiposity and body weight, and, in the long term, leptin resistance and impaired glucose homeostasis. The pair-feeding study indicates that the increase in adiposity in KO mice is independent of food intake. Previous studies have shown that blocking the melanocortin system leads to a decrease in muscle lipolysis and favors WAT expansion in a way that is independent of food intake [44,45]. In these studies, the metabolic alterations are accompanied by an increase in RER, while EE remains unchanged. Considering that the metabolic changes observed in SF1-Cpt1c-KO mice align closely with those observations, we suggest that the lack of activation of the melanocortin system in response to fats can also contribute to the metabolic alterations observed in KO mice. Other mechanisms can be involved as SF1 neurons, through nuclei in the brainstem or the preoptic area, are also capable of influencing peripheral tissue metabolism [53,54].
Notably, selective CPT1C deficiency in SF1 neurons does not appear to play a role in thermogenesis activation in response to a HFD, since no differences were observed in thermogenic markers between genotypes after leptin injection or short-high fat feeding. However, the whole-body CPT1C KO mice did show impaired thermogenesis [16], suggesting that these effects must be mediated by CPT1C in neurons other than SF1 neurons.
Regarding the molecular mechanisms that are responsible for the failure in the proper activation of SF1 neurons upon diet change, we propose the endocannabinoid system as the primary factor. SF1-Cpt1c-KO mice exhibit notably elevated levels of the two main eCBs, 2-AG and AEA, in hypothalamus under normal conditions, when fed a SD. eCB are retrograde neuromodulators that fine-tune the hypothalamic circuits favoring food intake and energy accumulation [55]. An elevated tone of the eCB system in the hypothalamus has been associated with an obesogenic phenotype [11,56,57]. Consequently, the permanent increase of eCB levels observed in hypothalamus of SF1-Cpt1c-KO mice could potentially explain the predisposition to weight gain observed in those animals. Additionally, the dynamic of 2-AG in response to the short-term HFD is altered and unlike control mice, there is no observed increase in 2-AG, since 2AG is already elevated in SD. Interestingly, the transient elevation of hypothalamic eCBs in response to a HFD has been associated with a protective role against obesity [42]. However, a sustained elevation of these eCBs correlates with a clearly obesogenic phenotype [55].
Studies have shown that the primary neuronal endocannabinoid receptor, CB1, is predominantly expressed in SF1 neurons compared to other neuronal populations in the mediobasal hypothalamus [10]. Activation of CB1 receptors by agonists decreases the frequency of action potentials and firing rate of SF1 neurons [10]. In our study, increased basal levels of eCBs in the hypothalamus may explain why intracerebroventricular injection of oleic acid fails to activate VMH neurons in SF1-Cpt1c-KO mice, whereas it does in control mice. These data confirm the role of CPT1C in nutrient sensing, specifically in fatty acid detection by SF1 neurons.
It has been described that eCBs decrease the excitatory glutamatergic input from SF1 neurons onto POMC [49]. The increase in eCB tone in KO mice could explain the attenuation of the melanocortin system observed in SF1-Cpt1c-KO mice in response to a HFD. Additionally, it is known that down-regulation of the SF1-POMC circuitry by the eCB tone is more pronounced in males than in females due to testosterone and the lack of estrogens, making them more sensitive and prone to obesity [49,50]. In our model, we also observe this sexual dimorphism, as male KO mice gained more weight than females and, in the long term, developed obesity more rapidly and showed a more pronounced impairment in glucose homeostasis.
The mechanism by which CPT1C deficiency increases eCB levels remains unknown. Enzyme expression data suggest that this may be due to reduced degradation of these neuromodulators, as the expression of MGLL and FAAH hydrolases are decreased in the hypothalamus of KO mice compared to WT mice. Additionally, the activity of the ABHD6 hydrolase may be altered, although no changes in its expression were observed. We recently reported that CPT1C interacts with and regulates ABHD6 activity in a nutrient-dependent manner [26]. Furthermore, ABHD6 deficiency specifically in the VMH leads to metabolic inflexibility, preventing animals from adapting to metabolic challenges such as high-fat feeding [58]. Further research is required to fully understand how CPT1C affects eCB levels.
In addition to the eCBs, other CPT1C-down-stream mechanisms might be involved. It is well known that CPT1C regulates the abundance of glutamate AMPA receptors in synapsis, synaptic function and spinogenesis in response to nutrients [22,38,59,60]. We could hypothesize that impaired synaptic plasticity of SF1 neurons in SF1-Cpt1c-KO mice could contribute to the metabolic inflexibility observed in response to dietary fats.
In summary, our results demonstrate that CPT1C deficiency in SF1 neurons elevates basal eCB levels in the hypothalamus and impairs the sensing of dietary fats. Consequently, animals fail to properly adjust total caloric intake and fuel selection when transitioning from a SD to a HFD, resulting in impaired fat allocation and the development of obesity, along with long-term disruption of glucose homeostasis. These findings provide new insights into the essential role of SF1 neurons in fat sensing and early metabolic adaptation necessary for short-term body weight maintenance. Furthermore, they may contribute to a better understanding of obesity development.
Declaration of generative AI and AI-assisted technologies in the writing process
During the preparation of this work, the authors used ChatGPT to refine and improve the English writing. After using this tool/service, the authors reviewed and edited the content as needed and take full responsibility for the content of the publication.
Declaration of competing interest
The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
Acknowledgements
This study was supported by the Spanish Ministry of Science and Innovation (PID2020-114953RB-C22 and PID2023-146716OB-I00 to NC and RRR, PID2020-114953RB-C21 to LH and DS, PID2021-128145NB-I00 to ML) co-funded by the European Regional Development Fund, the Centro de Investigación Biomédica en Red-Fisiopatología de la Obesidad y Nutrición (CIBEROBN) (Grant CB06/03/0001 to LH), the Merck Health Foundation (to LH), the Government of Catalonia (2021SGR00367 to LH) and Xunta de Galicia (predoctoral fellowship to to OF-A; ED481A-2019/026). The authors would also like to acknowledge the INSERM (D.C. and P.Z.), Nouvelle-Aquitaine Region (D.C.) Agence Nationale de la Recherche (ANR-18-CE14-0029, ANR-21-CE14-0018, ANR-22-CE14-0016, ANR-23-CE14-0037, ANR-10-LABX-43 and ANR-10-EQX-008-1 to D.C.), the University of Bordeaux's IdEx ‘Investments for the Future’ program/GPR BRAIN_2030 (D.C.) and the Fondation pour la Recherche Médicale (EQU202303016291 to D.C.; FRM-SPF202004011774 to C.M.). The graphical abstract was created using BioRender (https://BioRender.com/q80s362).
Footnotes
Footnote Group
Contributor Information
R. Rodríguez-Rodríguez, Email: rrodriguez@uic.es.
N. Casals, Email: ncasals@uic.es.
Appendix A.Supplementary data
The following is the Supplementary data to this article:
Data availability
Data will be made available on request.
References
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Associated Data
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Data Availability Statement
Data will be made available on request.