1. Introduction
White adipose tissue (WAT) is one of the most important organs involved in the regulation of metabolic homeostasis. WAT influences both the endocrine homeostasis and the immune system function by secreting several adipokines, such as leptin [
1], adiponectin [
2], TNFα [
3], and resistin [
4] among many others [
5]. In addition, WAT adipocytes show significant phenotypic plasticity as demonstrated by their involvement in the browning phenomenon (
i.e. a switch from white to beige-like adipocytes) [
6]. WAT transcriptional signaling is finely orchestrated by networks of transcription factors that regulate the expression of several target genes. In this regard, Sirtuin 1 (SIRT1) is a NAD+-dependent deacetylase involved in regulating key metabolic pathways in adipocytes [
7,
8]. SIRT1-related molecular network includes several fatty acid sensors such as peroxisome proliferator-activated receptors (PPARs) [
9], and transcription factor coregulators such as peroxisome proliferator-activated receptor gamma coactivator 1-alpha (PGC1α), and PR domain containing 16 (PRDM16) [
7]. It has recently been reported that the interplay between PPARγ and SIRT1 seems to be critical for WAT browning [
10]. This phenotypic change is likely to be protective against obesity-associated metabolic disorders [
11]. The importance of SIRT1 signaling in WAT is supported by several in vitro and in vivo studies [
10,
12]. In fact, deregulation of SIRT1-mediated pathway is closely associated with a range of metabolic alterations as observed in a SIRT1 adipose-specific knockdown mouse model which results in fat accumulation, alterations of glucose and lipid metabolism as well as impaired insulin sensitivity, and development of obesity [
12]. There is also evidence that SIRT1 plays an anti-inflammatory effect in WAT by inhibiting the expression of inflammatory response genes [
13,
14].
One of the environmental factors that can modulate metabolism and has been linked to increased risks of developing obesity is sleep deprivation. Many studies described an inverse or U-shaped relationship between sleep duration and weight gain [
15,
16,
17] with sleep deprivation being associated with increased hunger and appetite, by affecting the leptin and ghrelin signaling pathways [
18], increased intake for caloric food [
19,
20] and higher Body Mass Index (BMI) [
16]. In addition to increasing food intake, sleep restriction is responsible for causing endocrine and metabolic alterations, including decreased glucose tolerance, decreased insulin sensitivity [
21,
22], and increased evening concentrations of cortisol [
23,
24]. In addition, epidemiologic data correlate short sleep habits with the onset of metabolic-related disorders such as obesity and type-2-diabetes Mellitus, T2DM [
25,
26]. It has also been suggested that sleep restriction may be an important regulator of energy metabolism in peripheral tissues by increasing insulin resistance in human adipocytes [
27]. However, to date, very little is known about the effect of sleep loss on WAT metabolic homeostasis, especially at the molecular level. Seen the progressively decrease in sleep time and the concomitant marked increase in obesity witnesses in the last decades in modern societies, investigating the causal link and the physiological mechanisms involved in sleep loss and WAT metabolism could lead to the identification of new strategies to ameliorate health.
Here, we investigated whether chronic sleep-restriction (CSR), a condition of prolonged short sleep, affects the transcriptional regulation of SIRT1 signaling in mice WAT. Gene-expression analysis was used to identify key Sirt1-regulated metabolic pathways in WAT. The data demonstrated that CSR increased the expression levels of SIRT1 and some of its transcriptional targets (i.e. PPARs, PGC-1A, and sterol regulatory element-binding transcription factor 1/2 - SREBF) involved in lipid metabolism and mitochondrial functions of adipocytes. These data provide new insights into how SIRT1 signaling regulates adipogenic pathways in sleep-restricted mice.
3. Results
The expression levels of SIRT1 were significantly increased in CSR mice with respect to control animals (
Figure 2A, p<0.001). Similarly, the signaling pathway downstream of activated SIRT1 (
i.e., PPARα/γ, PGC-1α, LEPT, and SREBF) was significantly up-regulated by sleep restriction (
Figure 2A, p<0.05). On the contrary, CEBP-β and C-myc were down-regulated in sleep restricted mice (
Figure 2A, p<0.05). Both PRDM16 and UCP-1 did not show any significant difference in mRNA levels between experimental groups (
Figure 2A). The K-means clustering analysis in STRING identified four main clusters (
Figure 2B). All genes within and between each cluster are strongly interconnected, reflecting a high degree of functional association, and suggesting an interplay among the numerous pathways related to the gene network. In this regard, we identified genes that 1) are involved in the transcriptional regulation of lipid homeostasis (green group), 2) are defined as DNA-binding transcription factors during the adipogenesis process (yellow group), 3-4) act as regulators for adipose tissue development (LEPT) and fat cell differentiation (UCP-1). Our results also suggest that induction of SIRT1-dependent molecular pathways prevents weight gain. Indeed, body weights of CSR mice remained almost unchanged after 14 days of treatment, while the body weights of control mice were found significantly increased at the end of the experiment (
Figure 2C, p<0,001).
4. Discussion
In this study, we investigated the effects of CSR on SIRT1-dependent molecular pathways in WAT of mice models. The expression levels of SIRT1 were significantly increased in CSR mice with respect to control animals. Similarly, the signaling pathway downstream of activated SIRT1 (i.e., PPARα/γ, PGC-1α, LEPT, and SREBF) was significantly up-regulated by sleep restriction. On the contrary, CEBP-β and C-myc were down-regulated in sleep restricted mice. Both PRDM16 and UCP-1 did not show any significant difference in mRNA levels between experimental groups. Our findings are consistent with the role of SIRT1 activation in adipose tissue signaling as previously suggested by different studies and well described by Boutant and Cantó [
7]. Indeed, up-regulation of SIRT1 was found to decrease the mRNA levels of key WAT transcription factors and up-regulate those of brown adipose tissue (BAT) genes. Importantly, genes whose expression is induced by SIRT1-activation include those involved in mitochondrial biogenesis such as PGC-1α, and fatty acid-oxidation such as PPARα [
9,
45]. Majeed et al. [
10] reported that PGC-1α expression levels were promoted by SIRT1 as demonstrated using SIRT1-depleted adipocyte models which in turn showed reduced mitochondrial mass and respiratory capacity. On the other hand, activation of PPARα is pivotal in regulating lipid metabolism and promoting fatty acid oxidation [
45]. SIRT1:PPARα interaction was protective in cardiac hypertrophy [
46] and deregulation of its-related signaling pathway was associated with reduced fatty acid-oxidation in the liver [
47]. Interestingly, the CSR-induced up-regulation of PPARα paired that of SREBF. As previously demonstrated, SREBF1 overexpression in 3T3-L1 adipocytes promoted fatty acid metabolism and resulted in the production of lipids that work as PPARγ ligands [
48,
49]. Therefore, these findings could explain, at least in part, the increase in PPARγ expression observed in our study. There is indeed evidence that, in WAT, SIRT1 usually acts as PPARγ repressor rather than inducer [
50]. This effect is most likely due to a SIRT1-dependent deacetylation of PPARγ that subsequently causes the recruitment of PRDM16, a transcriptional co-regulator of the BAT genetic program. Importantly, SIRT1-dependent deacetylation of PPARγ is responsible for UCP-1 induction in WAT [
51]. However, we found no change in UCP-1 nor PDRM16 expression, which could indicate unaffected acetylation levels of PPARγ in WAT. Other studies found increased UCP mRNA and protein levels in BAT and muscles of chronic sleep restricted rats suggesting increased energy expenditure associated with prolonged sleep loss [
52,
53].
Our study also indicates that sleep deprivation significantly increased the expression of the adipokine leptin in the CSR group with respect to control mice. From a molecular point of view, it is possible that a SIRT1-mediated increase in CEBP-α transcriptional activity is responsible for the induction of the leptin gene in response to CSR. Stimulation of leptin transcription was previously found to be SIRT1-dependent in preadipocytes supplemented with the NAD+ booster nicotinamide mononucleotide (NMN) [
10]. In addition, leptin expression is highly correlated with PPARγ expression, which was also increased in CSR mice [
54]. However, in the literature there are conflicting results regarding leptin circulation in sleep curtailment, with its level found to be both reduced [
55,
56,
57] and elevated [
58,
59,
60,
61]. Discrepancies may be related to the duration and quality of sleep disturbances applied.
Overall, our data suggest the presence of a functional interaction among SIRT1, PPARα, SREBF and PGC-1α that results in reduced fat accumulation and enhanced fat consumption probably due to a stimulation of the adipose thermogenic capacity. Together with leptin, all these genes act as metabolic regulators whose expression patterns are sensitive to CSR in a SIRT1-dependent manner. The CSR-induced downregulation of genes associated with the adipogenic pathway (i.e., CEBP-β, and C-Myc) is also consistent with the reduction in fat accumulation. Earlier evidence has shown that adipogenesis as well as adipocyte differentiation is driven by two subsequent waves of transcription factor activation during which CEBP-β plays a pivotal function [
62,
63]. CEBP-β is a well-known early mediator of adipocyte differentiation and is involved in the activation of several targets including PPARγ, which in turn mediate adipogenic differentiation [
64]. Interestingly, CEBP-β shows polylysine acetylation which may be a deacetylation target of SIRT1 [
65]. Consequently, SIRT1-dependent deacetylation alters CEBP-β function as a transcription factor in adipocytes. In line with this, SIRT1 was shown to inhibit C-Myc signaling as demonstrated using SIRT1-silenced preadipocytes [
66]. SIRT1-mediated deacetylation of C-Myc resulted in reduced preadipocyte hyperplasia, lipid accumulation and inflammation [
66]. In addition, Tóth et al. [
67] suggested that C-Myc could participate in the regulation of adipocyte-thermogenic function by modulating UCP1 gene expression. Overall, the CSR-induced overexpression of SIRT1 matches repression of both CEBP-β and C-Myc.
Our results also suggest that induction of SIRT1-dependent molecular pathways prevents weight gain. Indeed, body weights of CSR mice remained almost unchanged after 14 days of treatment, while the body weights of control mice were found significantly increased at the end of the experiment. We did not measure food consumption nor metabolic expenditure is in line with what observed by other groups. Chronic sleep restriction in rodents is known to cause a cluster of syndromes first described by Rechtschaffen and Bergmann [
68] and that include hyperphagia, weight loss, elevated energy expenditure, increased plasma catecholamines, hypothyroidism, reduction in core temperature, deterioration in physical appearance [
69] levels of anabolic hormones [
70] and declines in integrity of the immune system [
71]. Reduced weight gain occurs consistently despite unchanged or increased levels of food consumption [
52,
72,
73]. Our findings suggest that, in addition to increased energy expenditure associated with sleep deprivation, overexpression of SIRT-1 signaling could be involved in the phenomenon of loss of body weight, mostly by inducing a decrease in fat accumulation.
Finally, the K-means clustering analysis in STRING identified four main clusters. All genes within and between each cluster are strongly interconnected, reflecting a high degree of functional association, and suggesting an interplay among the numerous pathways related to the gene network. In this regard, we identified genes that 1) are involved in the transcriptional regulation of lipid homeostasis (green group), 2) are defined as DNA-binding transcription factors during the adipogenesis process (yellow group), 3) act as regulators for adipose tissue development (LEP) and fat cell differentiation (UCP-1). As a whole, the obtained gene network highlights the crucial role of SIRT1-dependent molecular pathways in mediating the metabolic remodeling of adipose tissue induced by CSR.
Author Contributions
Conceptualization, F.A.P., M.R. and M.B.; methodology, M.B., F.A.P. and P.C..; software, F.A.P., P.C. and M.R.; validation, F.A.P.; formal analysis, M.R. and P.C..; investigation, M.R. and P.C..; resources, M.B., d.V.L. and F.P.A..; data curation, F.A.P and P.C..; writing—original draft preparation, M.R..; writing—review and editing, F.A.P. and M.B..; visualization, F.A.P.; supervision, M.B., d.V.L. and F.A.P..; project administration, F.A.P and M.B..; funding acquisition, F.A.P. and M.B. All authors have read and agreed to the published version of the manuscript.