Hypogonadism alters cecal and fecal microbiota in male mice

Naoki Harada, Ryo Hanaoka, Kazuki Hanada, Takeshi Izawa, Hiroshi Inui, Ryoichi Yamaji, Naoki Harada, Ryo Hanaoka, Kazuki Hanada, Takeshi Izawa, Hiroshi Inui, Ryoichi Yamaji

Abstract

Low testosterone levels increase the risk for cardiovascular disease in men and lead to shorter life spans. Our recent study showed that androgen deprivation via castration altered fecal microbiota and exacerbated risk factors for cardiovascular disease, including obesity, impaired fasting glucose, excess hepatic triglyceride accumulation, and thigh muscle weight loss only in high-fat diet (HFD)-fed male mice. However, when mice were administered antibiotics that disrupted the gut microbiota, castration did not increase cardiovascular risks or decrease the ratio of dried feces to food intake. Here, we show that changes in cecal microbiota (e.g., an increased Firmicutes/Bacteroidetes ratio and number of Lactobacillus species) were consistent with changes in feces and that there was a decreased cecal content secondary to castration in HFD mice. Castration increased rectal body temperature and plasma adiponectin, irrespective of diet. Changes in the gut microbiome may provide novel insight into hypogonadism-induced cardiovascular diseases.

Keywords: androgen receptor; cecum; gut microbiota; metabolic syndrome; non-alcoholic fatty liver disease (NAFLD); obesity; rectal body temperature; sarcopenia; stool; type 2 diabetes mellitus (T2DM).

Figures

Figure 1.
Figure 1.
Effects of castration and diet on cecal weight and cecal microbiota. Mice were castrated or sham operated at 8-weeks-old and grown to 13 weeks with either a standard diet (SD) or high-fat diet (HFD), as described previously (A) Cecal content was weighed. (B) DNA was extracted from cecal microbiota and analyzed by real-time PCR using specific primers. Data were analyzed by Student's t-test using JMP statistical software version 8.0.1 (SAS Institute, Cary, NC, USA). Data were expressed as means ± SEM, and the threshold for a statistically significant difference between groups was set at p < 0.05 and was denoted by an asterisk (SD sham, n = 8; SD castration, n = 7; HFD sham, n = 8; HFD castration, n = 6).
Figure 2.
Figure 2.
Effects of castration and diet on the development of fatty liver, plasma adiponectin levels, and rectal body temperature. Mice were castrated or sham operated at 8-weeks-old and grown to 24 weeks with either a standard diet (SD) or high-fat diet (HFD). (A) Rectal body temperature was measured with a digital thermometer (KN-91, Natsume Seisakusho, Tokyo, Japan) at 17 weeks of age (SD sham, n = 6; SD castration, n = 6; HFD sham, n = 7; HFD castration, n = 7). (B) The liver sections were stained with hematoxylin and eosin. Representative images of each group are shown (scale bar = 100 µm). (C) Plasma adiponectin levels were determined by western-blotting using anti-adiponectin rabbit polyclonal antibody (GTX23455, GeneTex, San Antonio, TX, USA), and the immunoreactive bands were developed as described previously. The band intensity was quantified using Image J software (ver. 1.48, National Institutes of Health, Bethesda, MD, USA) (SD sham, n = 5; SD castration, n = 5; HFD sham, n = 7; HFD castration, n = 7). Data were analyzed by Student's t-test using JMP statistical software version 8.0.1. Data were expressed means ± SEM, and the threshold for a statistically significant difference between groups was set at p < 0.05 and was denoted by an asterisk.
Figure 3.
Figure 3.
Schematic presentation of the effects of interactive effects between castration and high-fat diet intake in male mice. Castration influenced the gut microbiota and caused obesity, hepatic steatosis, thigh muscle loss, and impaired fasting glucose in male mice in the high-fat diet (HFD)-dependent manner. These observations were not induced by castration when antibiotics were provided.

References

    1. Ellis L. Evolutionary neuroandrogenic theory and universal gender differences in cognition and behavior. Sex Roles 2011; 64:707-22;
    1. Kaufman JM, Vermeulen A. The decline of androgen levels in elderly men and its clinical and therapeutic implications. Endocr Rev 2005; 26:833-76; PMID:15901667;
    1. Wu FC, Tajar A, Beynon JM, Pye SR, Silman AJ, Finn JD, O'Neill TW, Bartfai G, Casanueva FF, Forti G, et al.. Identification of late-onset hypogonadism in middle-aged and elderly men. N Engl J Med 2010; 363:123-35; PMID:20554979;
    1. Araujo AB, Dixon JM, Suarez EA, Murad MH, Guey LT, Wittert GA. Clinical review: Endogenous testosterone and mortality in men: a systematic review and meta-analysis. J Clin Endocrinol Metab 2011; 96:3007-19; PMID:21816776;
    1. Keating NL, O'Malley AJ, Smith MR. Diabetes and cardiovascular disease during androgen deprivation therapy for prostate cancer. J Clin Oncol 2006; 24:4448-56; PMID:16983113;
    1. Comhaire F. Hormone replacement therapy and longevity. Andrologia 2016; 48:65-8; PMID:25892327;
    1. `Qin J, Li R, Raes J, Arumugam M, Burgdorf KS, Manichanh C, Nielsen T, Pons N, Levenez F, Yamada T, et al.. A human gut microbial gene catalogue established by metagenomic sequencing. Nature 2010; 464:59-65; PMID:20203603;
    1. Lam YY, Mitchell AJ, Holmes AJ, Denyer GS, Gummesson A, Caterson ID, Hunt NH, Storlien LH. Role of the gut in visceral fat inflammation and metabolic disorders. Obesity 2011; 19:2113-20; PMID:21881620;
    1. Turnbaugh PJ, Ley RE, Mahowald MA, Magrini V, Mardis ER, Gordon JI. An obesity-associated gut microbiome with increased capacity for energy harvest. Nature 2006; 444:1027-31; PMID:17183312;
    1. Ley RE, Turnbaugh PJ, Klein S, Gordon JI. Microbial ecology: human gut microbes associated with obesity. Nature 2006; 444:1022-3; PMID:17183309;
    1. Cani PD, Bibiloni R, Knauf C, Waget A, Neyrinck AM, Delzenne NM, Burcelin R. Changes in gut microbiota control metabolic endotoxemia-induced inflammation in high-fat diet-induced obesity and diabetes in mice. Diabetes 2008; 57:1470-81; PMID:18305141;
    1. Turnbaugh PJ, Hamady M, Yatsunenko T, Cantarel BL, Duncan A, Ley RE, Sogin ML, Jones WJ, Roe BA, Affourtit JP, et al.. A core gut microbiome in obese and lean twins. Nature 2009; 457:480-4; PMID:19043404;
    1. Hartstra AV, Bouter KE, Backhed F, Nieuwdorp M. Insights into the role of the microbiome in obesity and type 2 diabetes. Diabetes Care 2015; 38:159-65; PMID:25538312;
    1. Markle JG, Frank DN, Mortin-Toth S, Robertson CE, Feazel LM, Rolle-Kampczyk U, von Bergen M, McCoy KD, Macpherson AJ, Danska JS. Sex differences in the gut microbiome drive hormone-dependent regulation of autoimmunity. Science 2013; 339:1084-8; PMID:233-28391;
    1. Mauvais-Jarvis F. Sex differences in metabolic homeostasis, diabetes, and obesity. Biol Sex Differ 2015; 6:14; PMID:26339468;
    1. Harada N, Hanaoka R, Horiuchi H, Kitakaze T, Mitani T, Inui H, Yamaji R. Castration influences intestinal microflora and induces abdominal obesity in high-fat diet-fed mice. Sci Rep 2016; 6:23001; PMID:26961573;
    1. Despres JP, Lemieux I. Abdominal obesity and metabolic syndrome. Nature 2006; 444:881-7; PMID:17167477;
    1. Inoue T, Zakikhani M, David S, Algire C, Blouin MJ, Pollak M. Effects of castration on insulin levels and glucose tolerance in the mouse differ from those in man. Prostate 2010; 70:1628-35; PMID:20564323;
    1. Smith MR. Changes in fat and lean body mass during androgen-deprivation therapy for prostate cancer. Urology 2004; 63:742-5; PMID:15072892;
    1. Dubois V, Laurent MR, Jardi F, Antonio L, Lemaire K, Goyvaerts L, Deldicque L, Carmeliet G, Decallonne B, Vanderschueren D, et al.. Androgen deficiency exacerbates high-fat diet-induced metabolic alterations in male mice. Endocrinology 2016; 157:648-65; PMID:26562264;
    1. Rose C, Parker A, Jefferson B, Cartmell E. The characterization of feces and urine: a review of the literature to inform advanced treatment technology. Crit Rev Environ Sci Technol 2015; 45:1827-79; PMID:26246784;
    1. Anderson TJ, Ai Y, Jones RW, Houk RS, Jane JL, Zhao Y, Birt DF, McClelland JF. Analysis of resistant starches in rat cecal contents using Fourier transform infrared photoacoustic spectroscopy. J Agric Food Chem 2013; 61:1818-22; PMID:23360415;
    1. Huang EY, Leone VA, Devkota S, Wang Y, Brady MJ, Chang EB. Composition of dietary fat source shapes gut microbiota architecture and alters host inflammatory mediators in mouse adipose tissue. JPEN J Parenter Enteral Nutr 2013; 37:746-54; PMID:23639897;
    1. Sonnenburg JL, Backhed F. Diet-microbiota interactions as moderators of human metabolism. Nature 2016; 535:56-64; PMID:27383980;
    1. Targher G, Arcaro G. Non-alcoholic fatty liver disease and increased risk of cardiovascular disease. Atherosclerosis 2007; 191:235-40; PMID:16970951;
    1. Takahashi Y, Soejima Y, Fukusato T. Animal models of nonalcoholic fatty liver disease/nonalcoholic steatohepatitis. World J Gastroenterol 2012; 18:2300-8; PMID:22654421;
    1. Aron-Wisnewsky J, Gaborit B, Dutour A, Clement K. Gut microbiota and non-alcoholic fatty liver disease: new insights. Clin Microbiol Infect 2013; 19:338-48; PMID:23452163;
    1. Nikolaenko L, Jia Y, Wang C, Diaz-Arjonilla M, Yee JK, French SW, Liu PY, Laurel S, Chong C, Lee K, et al.. Testosterone replacement ameliorates nonalcoholic fatty liver disease in castrated male rats. Endocrinology 2014; 155:417-28; PMID:24280056;
    1. Senmaru T, Fukui M, Okada H, Mineoka Y, Yamazaki M, Tsujikawa M, Hasegawa G, Kitawaki J, Obayashi H, Nakamura N. Testosterone deficiency induces markedly decreased serum triglycerides, increased small dense LDL, and hepatic steatosis mediated by dysregulation of lipid assembly and secretion in mice fed a high-fat diet. Metabolism 2013; 62:851-60; PMID:23332447;
    1. Machado MV, Cortez-Pinto H. Gut microbiota and nonalcoholic fatty liver disease. Ann Hepatol 2012; 11:440-9; PMID:22700625
    1. Liu KH, Chan YL, Chan JC, Chan WB, Kong WL. Mesenteric fat thickness as an independent determinant of fatty liver. Int J Obes 2006; 30:787-93;
    1. Konrad D, Wueest S. The gut-adipose-liver axis in the metabolic syndrome. Physiology 2014; 29:304-13; PMID:25180260;
    1. Compare D, Coccoli P, Rocco A, Nardone OM, De Maria S, Carteni M, Nardone G. Gut–liver axis: the impact of gut microbiota on non alcoholic fatty liver disease. Nutr Metab Cardiovasc Dis 2012; 22:471-6; PMID:22546554;
    1. Vernon G, Baranova A, Younossi ZM. Systematic review: the epidemiology and natural history of non-alcoholic fatty liver disease and non-alcoholic steatohepatitis in adults. Aliment Pharmacol Ther 2011; 34:274-85; PMID:21623852;
    1. Kopelman PG. Obesity as a medical problem. Nature 2000; 404:635-43; PMID:10766250
    1. Alberti KG, Eckel RH, Grundy SM, Zimmet PZ, Cleeman JI, Donato KA, Fruchart JC, James WP, Loria CM, Smith SC Jr. Harmonizing the metabolic syndrome: a joint interim statement of the international diabetes federation task force on epidemiology and prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation 2009; 120:1640-5; PMID:19805654;
    1. Ding EL, Song Y, Malik VS, Liu S. Sex differences of endogenous sex hormones and risk of type 2 diabetes: a systematic review and meta-analysis. JAMA 2006; 295:1288-99; PMID:16537739;
    1. Keating NL, Liu PH, O'Malley AJ, Freedland SJ, Smith MR. Androgen-deprivation therapy and diabetes control among diabetic men with prostate cancer. Eur Urol 2014; 65:816-24; PMID:23453420;
    1. Kadowaki T, Yamauchi T. Adiponectin and adiponectin receptors. Endocr Rev 2005; 26:439-51; PMID:15897298;
    1. Nishizawa H, Shimomura I, Kishida K, Maeda N, Kuriyama H, Nagaretani H, Matsuda M, Kondo H, Furuyama N, Kihara S, et al.. Androgens decrease plasma adiponectin, an insulin-sensitizing adipocyte-derived protein. Diabetes 2002; 51:2734-41; PMID:12196466;
    1. Laughlin GA, Barrett-Connor E, May S. Sex-specific association of the androgen to oestrogen ratio with adipocytokine levels in older adults: the Rancho Bernardo Study. Clin Endocrinol 2006; 65:506-13;
    1. Laughlin GA, Barrett-Connor E, May S. Sex-specific determinants of serum adiponectin in older adults: the role of endogenous sex hormones. Int J Obes 2007; 31:457-65;
    1. Lanfranco F, Zitzmann M, Simoni M, Nieschlag E. Serum adiponectin levels in hypogonadal males: influence of testosterone replacement therapy. Clin Endocrinol 2004; 60:500-7;
    1. Fan W, Yanase T, Nomura M, Okabe T, Goto K, Sato T, Kawano H, Kato S, Nawata H. Androgen receptor null male mice develop late-onset obesity caused by decreased energy expenditure and lipolytic activity but show normal insulin sensitivity with high adiponectin secretion. Diabetes 2005; 54:1000-8; PMID:15793238;
    1. Lin HY, Xu Q, Yeh S, Wang RS, Sparks JD, Chang C. Insulin and leptin resistance with hyperleptinemia in mice lacking androgen receptor. Diabetes 2005; 54:1717-25; PMID:15919793;
    1. Le Chatelier E, Nielsen T, Qin J, Prifti E, Hildebrand F, Falony G, Almeida M, Arumugam M, Batto JM, Kennedy S, et al.. Richness of human gut microbiome correlates with metabolic markers. Nature 2013; 500:541-6; PMID:23985870;
    1. Karimi G, Sabran MR, Jamaluddin R, Parvaneh K, Mohtarrudin N, Ahmad Z, Khazaai H, Khodavandi A. The anti-obesity effects of Lactobacillus casei strain Shirota versus Orlistat on high fat diet-induced obese rats. Food Nutr Res 2015; 59:29273; PMID:26699936;
    1. Kim SW, Park KY, Kim B, Kim E, Hyun CK. Lactobacillus rhamnosus GG improves insulin sensitivity and reduces adiposity in high-fat diet-fed mice through enhancement of adiponectin production. Biochem Biophys Res Commun 2013; 431:258-63; PMID:23313485;
    1. Org E, Mehrabian M, Parks BW, Shipkova P, Liu X, Drake TA, Lusis AJ. Sex differences and hormonal effects on gut microbiota composition in mice. Gut microbes 2016:1-10; PMID:27355107
    1. Qin J, Li Y, Cai Z, Li S, Zhu J, Zhang F, Liang S, Zhang W, Guan Y, Shen D, et al.. A metagenome-wide association study of gut microbiota in type 2 diabetes. Nature 2012; 490:55-60; PMID:23023125;
    1. Harada N, Katsuki T, Takahashi Y, Masuda T, Yoshinaga M, Adachi T, Izawa T, Kuwamura M, Nakano Y, Yamaji R, et al.. Androgen receptor silences thioredoxin-interacting protein and competitively inhibits glucocorticoid receptor-mediated apoptosis in pancreatic β-cells. J Cell Biochem 2015; 116:998-1006; PMID:25639671;
    1. Morimoto S, Morales A, Zambrano E, Fernandez-Mejia C. Sex steroids effects on the endocrine pancreas. J Steroid Biochem Mol Biol 2010; 122:107-13; PMID:20580673;
    1. Nishizawa M, Nakabayashi H, Uehara K, Nakagawa A, Uchida K, Koya D. Intraportal GLP-1 stimulates insulin secretion predominantly through the hepatoportal-pancreatic vagal reflex pathways. Am J Physiol Endocrinol Metab 2013; 305:E376-87; PMID:23715725;
    1. Horiuchi H, Harada N, Adachi T, Nakano Y, Inui H, Yamaji R. S-Equol enantioselectively activates cAMP-protein kinase A signaling and reduces alloxan-induced cell death in INS-1 pancreatic β-cells. J Nutr Sci Vitaminol 2014; 60:291-6; PMID:25297619;
    1. Heitmann BL, Frederiksen P. Thigh circumference and risk of heart disease and premature death: prospective cohort study. BMJ 2009; 339:b3292; PMID:19729416;
    1. Bindels LB, Delzenne NM. Muscle wasting: the gut microbiota as a new therapeutic target? Int J Biochem Cell Biol 2013; 45:2186-90; PMID:23831839;
    1. Lin HY, Yu IC, Wang RS, Chen YT, Liu NC, Altuwaijri S, Hsu CL, Ma WL, Jokinen J, Sparks JD, et al.. Increased hepatic steatosis and insulin resistance in mice lacking hepatic androgen receptor. Hepatology 2008; 47:1924-35; PMID:18449947;
    1. McInnes KJ, Smith LB, Hunger NI, Saunders PT, Andrew R, Walker BR. Deletion of the androgen receptor in adipose tissue in male mice elevates retinol binding protein 4 and reveals independent effects on visceral fat mass and on glucose homeostasis. Diabetes 2012; 61:1072-81; PMID:22415878;
    1. Ophoff J, Van Proeyen K, Callewaert F, De Gendt K, De Bock K, Vanden Bosch A, Verhoeven G, Hespel P, Vanderschueren D. Androgen signaling in myocytes contributes to the maintenance of muscle mass and fiber type regulation but not to muscle strength or fatigue. Endocrinology 2009; 150:3558-66; PMID:19264874;
    1. Harada N, Inoue K, Yamaji R, Nakano Y, Inui H. Androgen deprivation causes truncation of the C-terminal region of androgen receptor in human prostate cancer LNCaP cells. Cancer Sci 2012; 103:1022-7; PMID:22360658;

Source: PubMed

3
Prenumerera