Hepatocyte-specific loss of melanocortin 1 receptor disturbs fatty acid metabolism and promotes adipocyte hypertrophy | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Article Hepatocyte-specific loss of melanocortin 1 receptor disturbs fatty acid metabolism and promotes adipocyte hypertrophy Petteri Rinne, Keshav Thapa, Bishwa Ghimire, Kisun Pokharel, Minying Cai, and 1 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-4213556/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 08 Aug, 2024 Read the published version in International Journal of Obesity → Version 1 posted 9 You are reading this latest preprint version Abstract Background/objectives Melanocortins mediate their biological functions via five different melanocortin receptors (MC1R - MC5R). MC1R is expressed in the skin and leukocytes, where it regulates skin pigmentation and inflammatory responses. MC1R is also present in the liver and white adipose tissue, but its functional role in these tissues is unclear. This study aimed at determining the regulatory role of MC1R in fatty acid metabolism. Methods Recessive yellow (Mc1r e/e ) mice, a model of global MC1R deficiency, and hepatocyte-specific MC1R deficient mice (Mc1r LKO) were fed a chow or Western diet for 12 weeks. The mouse models were characterized for body weight and composition, liver adiposity, adipose tissue mass and morphology, glucose metabolism and lipid metabolism. Furthermore, qPCR and RNA sequencing analyses were used to investigate gene expression profiles in the liver and adipose tissue. HepG2 cells and primary mouse hepatocytes were to study the effects of pharmacological MC1R activation. Results Chow- and Western diet-fed Mc1r e/e showed increased liver weight, white adipose tissue mass and plasma triglyceride (TG) concentration compared to wild type mice. This phenotype occurred without significant changes in food intake, body weight, physical activity or glucose metabolism. Mc1r LKO mice displayed a similar phenotype characterized by larger fat depots, increased adipocyte hypertrophy and enhanced accumulation of TG in the liver and plasma. In terms of gene expression, markers of de novo lipogenesis, inflammation and apoptosis were upregulated in the liver of Mc1r LKO mice, while enzymes regulating lipolysis were downregulated in white adipose tissue of these mice. In cultured hepatocytes, selective activation of MC1R reduced ChREBP expression, which is a central transcription factor for lipogenesis. Conclusions Hepatocyte-specific loss of MC1R disturbs fatty acid metabolism in the liver and leads to an obesity phenotype characterized by enhanced adipocyte hypertrophy and TG accumulation in the liver and circulation. Figures Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 Figure 6 Introduction Obesity has become a major health concern worldwide and is highly associated with comorbidities such as type 2 diabetes, dyslipidemia, non-alcoholic fatty liver disease (NAFLD), and cardiovascular disease ( 1 , 2 ). NAFLD is characterized by an increase in intrahepatic triglyceride (TG) content, which occurs when the rate of fatty acid (FA) input exceeds the rate of FA output. Therefore, the accumulation of TGs in the liver is determined by a complex interaction between hepatic FA uptake, de novo lipogenesis (DNL) and fatty acid oxidation (FAO). In the setting of NAFLD, majority of hepatic FAs originate from adipose tissue due the development of insulin resistance and enhanced lipolysis ( 3 , 4 ). Furthermore, increased hepatic DNL contributes to the accumulation of TGs in the liver of NAFLD patients. The liver and adipose tissue have thus a central role in the regulation of whole-body energy homeostasis, but in obesity-associated NAFLD, persistent lipid overload triggers metabolic stress and inflammation, and disturbs the cross-talk between these tissues ( 5 ). The melanocortins are a group of small peptide hormones derived from post-translational processing of proopiomelanocortin precursor protein and consist of adrenocorticotropic hormone and melanocyte-stimulating hormones (α-, β-, and γ-MSH) ( 6 ). Melanocortins mediate their biological action via G-protein-coupled melanocortin receptors (MC1R - MC5R) that are widely expressed in the central nervous system and in peripheral tissues. Melanocortin receptors regulate a wide array of physiological functions including melanogenesis, steroidogenesis, exocrine secretion, sexual function, inflammation, and energy homeostasis ( 7 , 8 ). MC1R possesses high affinity for α-MSH and is known for its role in skin pigmentation ( 9 ). MC1R is also abundantly expressed in leukocytes, where it mediates anti-inflammatory actions ( 10 ). Interestingly, earlier studies have found that MC1R is present in human and mouse adipocytes, and upregulated in the adipose tissue of subjects with obesity ( 11 – 14 ). Intriguingly, α-MSH and other melanocortin peptides induce lipolysis in white adipocytes, but this effect has been mostly linked to MC5R activation ( 15 , 16 ). However, in human adipocytes or adipose tissue explants, MC1R activation does not induce a regulatory effect on lipolysis ( 17 ). In contrast, MC1R stimulation with α-MSH inhibits cell proliferation in human preadipocytes ( 17 ). Consequently, the functional role of MC1R in adipocytes remains unknown. It is also unclear whether the presence of MC1R in other tissues could have an impact on lipid metabolism. Here, we aimed to study first whether global MC1R deficiency renders mice susceptible for enhanced fat accumulation and obesity. We observed that mice with global MC1R deficiency had normal body weight but significantly increased liver weight and adiposity. Gene expression analyses suggested enhanced de novo lipogenesis in the liver of these mice, while no consistent transcriptional changes were observed in the adipose tissue. Thus, we hypothesized that the obesity phenotype is driven by MC1R deficiency in hepatocytes. Indeed, mice with hepatocyte-specific loss of MC1R recapitulated the obesity phenotype as evidenced by increased white adipose tissue mass and liver weight, and elevated triglyceride accumulation in the liver and circulation. This study demonstrates, for the first time, the functional significance of MC1R in lipid metabolism, and that hepatocytes appear to be the responsible cells for mediating this regulatory function of MC1R. Materials and methods Mouse models and experimental design All experimental procedures were performed on adult (3–6 months) male mice. Mice were maintained in groups of littermates on a 12-hour light/dark cycle and temperature (21 ± 1°C) at Central Animal laboratory, University of Turku. The number of mice included in each experiment are mentioned in the figure legends. Mice were maintained either on a regular chow diet (# 2916 C, Teklad Global diet, Envigo) or cholesterol-rich Western-type diet (RD Western diet, D12079B, Research diets Inc, NJ, USA) for the entire experimental duration. In each experiment, mice were euthanized via CO 2 asphyxiation after a four hour fast and blood was withdrawn by cardiac puncture. White adipose tissue (WAT) depots and whole liver were excised, weighted, and rapidly dissected and frozen until further analysis. All animal procedures used in our studies were approved by the national Animal Experiment Board in Finland (License Numbers: ESAVI/6280/04.10.07.2016 and ESAVI/1260/2020) and conducted in accordance with the institutional and national guidelines for the care and use of laboratory animals. Recessive yellow mice (Mc1r e/e ), that are homozygous for the Mc1r e allele and lack functional MC1R due to a single base deletion mutation, and their non-mutant littermate controls (WT) were obtained from the Jackson Laboratory (Strain # 000060, Bar Harbor, ME, USA). Mc1r e/e and WT mice were kept on a regular chow diet or Western-type diet for 12 weeks starting at eight weeks of age. Additionally, hepatocyte-specific MC1R knockout mice (Mc1r LKO) were generated by breeding mice homozygous for a floxed Mc1r allele ( Mc1r fl/fl ) mice (the Jackson Laboratory, strain #029239) ( 18 ) with transgenic Alb Cre/+ mice (B6N.Cg-Speer6-ps1Tg(Alb-cre)1MGn/J, the Jackson Laboratory, strain #018961). These genetically modified mice were individually identified with earmarks and housed with littermates with same sex (2–6 animals/cage). Age-matched Mc1r fl/fl mice were used as controls. Eight-week-old control and MC1r LKO mice were placed on a Western -type diet for 12 weeks. Cell culture and primary mouse hepatocyte isolation HepG2 cells were used as an in vitro model to investigate the effects of MC1R activation as previously described ( 19 ). Briefly, HepG2 cell line (American Type Culture Collection, Rockville, MD, USA) was maintained in complete growth medium DMEM (Dulbecco’s modified Eagle’s medium; Sigma-Aldrich) supplemented with 10% (v/v) heat-inactivated fetal bovine serum (FBS; Thermo Fisher Scientific, Gibco, MA, USA), 100 U/ml penicillin (Gibco), 100 µg/ml streptomycin (Gibco) at 37°C in a humid atmosphere with 5% CO2. For experiments, cells were seeded on 12- or 24-well plates and treated with α-MSH (abcam, # ab120189) or the selective MC1R agonist LD211 (compound 28 in the original publication) ( 20 ), as indicated in the figure legends. To isolate primary hepatocytes, 4-month-old male C57B1/6N mice were anesthetized using a cocktail of ketamine (Vetmedic) and medetomidine (MSD Animal Health). After a midline incision, liver, portal vein, and inferior vena cava were exposed to insert a 24 G catheter into the inferior vena cava. Thereafter, the portal vein was cut open and the liver was perfused with pre-warmed liver perfusion medium (Gibco, #17701-038) at a rate of 4.5 ml/min for 3–5 min until the flushed-out liquid was clear. The peristaltic pump was then stopped, and the perfusion medium was changed to liver digest medium containing high glucose DMEM, 1% Pen/Strep, 10 µg/ml HEPES, 10% FBS and 1 mg/ml collagenase IV. Pumping was continued until 30 ml of the medium was used, and then the liver was excised and placed on 100 mm petri dish containing 20 ml of cold wash medium (Gibco, # 17704024) on ice. Gall bladder was removed, and liver was teared down with the forceps. Cells were poured through a 70 µm filter into a 50 ml falcon tube and centrifuged (50 X g , 3 min, + 4°C). Cell pellet was resuspended in 10 ml of cold wash medium and mixed thoroughly with 10 ml of cold 90% Percoll-PBS solution (9 ml of Percoll, Sigma P1644, 1 ml of 10X PBS) solution. Cell suspension was centrifuged at 300 X g for 10 min at 4°C, the pellet was washed with 20 ml of cold wash medium and cell suspension was again centrifuged again (50 X g , 3 min, + 4°C). Finally, cell pellet was resuspended in 20 ml of maintenance medium (William’s E medium, GlutaMAX Supplement, Gibco, # 32551087) supplemented with 10% FBS and 1% Pen/ Strep. Cells were seeded into 12-well (2x10 5 cells/well) or 6-well plates (4x10 5 cells/well), incubated at 37°C in a humid atmosphere with 5% CO 2 , and used in experiments after around 12 h from the plating. Metabolic studies Body weight was measured weekly during the 12-week diet intervention (from 8 to 20 weeks of age). Food was changed and measured on a weekly basis. Food intake was measured from group-housed mice by subtracting remaining food, including spilled food in cages, from a weighed weekly aliquot of food. Energy intake was calculated based on 19.54 kJ/g (4.67 kcal/g) for the Western diet and 15.99 kJ/g (3.82 kcal/g) for the chow diet (caloric values obtained from Research Diets). Body composition was determined prior to the initiation of the diet intervention and at the end of the 12-week monitoring period using quantitative nuclear magnetic resonance (NMR) scanning (EchoMRI-700, Echo Medical Systems, Houston, TX, USA). At sacrifice, whole liver was excised, and its composition (total amount of fat, free water, and lean mass) was measured with an EchoMRI-700 device. Glucose tolerance test (GTT) was performed at the end of the experiment for Mc1r e/e mice and twice for Mc1r LKO mice during the 12-week diet intervention. The first GTT was performed at week 4 from the start of diet intervention and the last GTT was performed at week 11 just before the end of the experiment. Mice were fasted for 4 hours before performing GTT. A basal glucose reading was obtained, and mice were then injected intraperitoneally with glucose at dose of 2.5 g/kg lean mass. Blood samples were withdrawn via tail vein and blood glucose levels were measured at 20-, 40-, 60-, and 90-min time points post-injection. Spontaneous locomotor activity Spontaneous locomotor activity of individually-housed WT and Mc1r e/e mice was monitored with a photo-beam recording system (San Diego Instruments, San Diego, CA, USA) at the end of the diet intervention. After 24-h habituation, locomotor activity was measured over 10 min intervals for 24 h. RNA isolation, cDNA synthesis and quantitative RT-PCR HepG2 cells and primary mouse hepatocytes were collected into QIAzol Lysis Reagent and total RNA was extracted using Direct-zol RNA Miniprep (Zymo Research, CA, USA). Liver and gonadal white adipose tissue (gWAT) samples were homogenized in QIAzol Lysis Reagent (Qiagen, Venlo, Netherlands) with metal beads (Qiagen) using the Qiagen TissueLyser LT Bead Mill (Qiagen). Thereafter, total RNA from each sample was extracted and reverse-transcribed to cDNA with PrimeScript RT reagent kit (Takara Clontech) following the manufacturer’s instructions. The quantity and purity of RNA were measured by Nanodrop (ThermoFisher Scientific). Quantitative real-time polymerase chain reaction (RT-PCR) was performed using SYBR Green protocols (Kapa Biosystems, MA, USA), as previously described ( 21 , 22 ). Target gene expression was normalized to the geometric mean of two housekeeping genes ( Ppia and Mrps18a for mouse genes, GAPDH and RPS18 for human genes) using the delta-Ct method and results are presented as relative transcript levels (2 −ΔΔCt ). Primers sequences are presented in Tables S1 and S2. Hepatic transcriptomic analyses RNA sequencing (RNA-Seq) analyses were performed on highly-pure RNA samples from the liver of Western diet-fed control (n = 4) and Mc1r LKO (n = 4) mice at the Finnish Functional Genomics Centre according to the manufacturer’s protocols (Illumina, Cambridge, UK). The binary base call (BCL) sequence files generated by Illumina Novaseq 6000 were converted to FASTQ files using Illumina’s bcl2fastq (version 2.18.0.12). The FASTQ files were processed using FIMM-RNAseq (23) (version 3.0.0) data analysis pipeline. The T overhang added by the library preparation workflow was removed from forward and reverse reads. Trim-galore (version 0.6.6) was used for quality trimming and adapter removal ( 24 ). STAR (version 2.7.6a) was used for read alignment and Subread (version 2.0.1) was used for gene quantification ( 25 ). Clean RNA-Seq reads were aligned to the mouse reference genome GRCh38 (release) from Ensembl. Low gene counts were filtered using edgeR’s ( 26 ) (version 3.36.0) filterByExpr function utilizing default parameters and normalized by TMM (trimmed mean of M-values) normalization method. Differential gene expression analysis was carried out using DGA-quik ( 27 ) written in R programming language ( 28 ). The gene expression profile between control and Mc1r LKO mice were compared. A total of 635 DEGs (differentially expressed genes) were yielded from the analysis after filtering with p-value cutoff < 0.05 and absolute log fold-change (logFC) ≥ 0.25. The DEGs were further tested for their over-representation in Gene Ontology (GO) terms using topGO ( 29 ) (version 2.46.0), a Bioconductor R package. The over-represented GO terms produced by the analysis were further filtered based on a cutoff p.adj ≤ 0.05 . Histological analysis Liver and gonadal WAT were fixed with 10% buffered formalin solution for 24 hours followed by dehydration in ethanol and embedding in paraffin. Blocks were cut into serial sections (4 µm-thick) and stained with hematoxylin and eosin (H&E) and PicroSirius Red as previously described. ImageJ software (NIH, Bethesda, MD, USA) was used to measure adipocyte size and the extent of liver fibrosis after imaging the entire sections using an automated slide scanner (Pannoramic 250 or Pannoramic Midi, 3DHISTECH Kft., Budapest, Hungary). Plasma and liver lipid analyses Terminal blood samples were withdrawn by cardiac puncture and plasma was obtained from EDTA-anticoagulated whole blood after centrifugation (380 g , 20 min, + 4℃). Plasma total triglyceride concentrations were determined using enzymatic colorimetric assays (GPO-PAP, mtDiagnostics, Idstein, Germany) according to the manufacturer’s protocols. Non-esterified fatty acids (NEFA) concentration was determined using a commercially available kit (Free Fatty Acid Fluorometric Assay Kit, Item No. 700310, Cayman Chemicals, USA) following manufacturer’s instructions. Liver samples (~ 100 mg) were homogenized in 500 µl of PBS containing 0.1% NP-40 (Abcam) using Qiagen TissueLyser LT Bead Mill (QIAGEN, Venlo, Netherlands) and centrifuged to remove insoluble components ( 30 , 31 ). TG concentrations in the liver homogenates were quantified using GPO-PAP reagent. Protein extraction, SDS-PAGE and Western blotting HepG2 cells and primary hepatocytes were lysed in ice-cold RIPA buffer (50 mM NaCl, 1% Triton X-100, 0,5% Sodium deoxycholate, 0,1% SDS, pH 8,0) supplemented with a cocktail of protease and phosphatase inhibitors (ThermoFisher, #A32961). For liver lysate preparation, liver samples were homogenized in ice-cold RIPA buffer with the addition of metal beads using Qiagen TissueLyser LT. Protein extracts were resolved by either 10% or 4–20% gradient (Bio-Rad) SDS-polyacrylamide gel electrophoresis (SDS-PAGE) and blotted onto either nitrocellulose membranes (GE Healthcare, Chalfont St. Giles, United Kingdom) or polyvinylidene difluoride (PVDF) membranes (Bio-Rad). Membranes were blocked with either 5% skimmed milk (Carl Roth) or 3% BSA (Tocris Bioscience) in 1X Tris-Buffered Saline (TBS) in 0.1% Tween® 20 detergent (Fischer Bioreagents) for 1 hour at room temperature (RT) and incubated with primary antibodies for ChREBP (Novus Biologicals, # NB400-135SS), caspase 3 (Abcam, # ab13847), BAX (Cell Signaling Tech, # 2772), phospho-JNK (Cell Signaling Tech, # 4668), JNK (R&D Systems, # AF-1387) at 4℃ overnight. Next day, membranes were washed and incubated with horseradish peroxidase (HRP)-conjugated secondary antibodies (Cell Signaling Tech) for 1 hour at RT and proteins were detected using a chemiluminescence (ECL) kit (Millipore, MA, USA). Target protein expression was normalized to the expression of vinculin (Bio-Rad, #MCA465GA) to correct for loading, and signal strengths were analyzed using ImageJ software (NIH, Bethesda, MD, USA). Statistical analysis All statistical analyses (except for RNA-Seq) were performed using GraphPad Prism 10 software (La Jolla, CA, USA). Statistical significance between the experimental groups was determined by two-tailed, unpaired Student’s t-test or one-way or two-way ANOVA followed by Dunnet or Bonferroni post hoc tests. The D’Agostino and Pearson omnibus normality test method was utilized to check the normality of the data. Outliers in the data sets were recognized using the regression and outlier removal (ROUT) method at Q-level of 1%. All data are presented as mean ± standard error of the mean (SEM). Results were considered significant for p values of less than 0.05. Results Global MC1R deficiency promotes white adipose tissue and liver weight without affecting body weight or composition To determine whether global MC1R deficiency promotes weight gain and adiposity, male WT and Mc1r e/e mice were fed chow or Western diet for 12 weeks. Body weight was monitored weekly during the 12-week diet intervention period, but there were no significant differences between the genotypes in weight development in either of the diet groups (Fig. 1 A, B). Likewise, body composition analysis by quantitative NMR scanning did not reveal significant changes in fat or lean mass of Mc1r e/e mice in comparison to control WT mice (Fig. 1 C, D). However, chow-fed Mc1r e/e mice had significantly higher gonadal (gWAT), subcutaneous (sWAT) and retroperitoneal white adipose tissue (rWAT) depot weights at sacrifice (Fig. 1 E), while Western diet feeding increased particularly gWAT weight and this effect was more pronounced in Mc1r e/e mice (Fig. 1 F). Overall, the net weight of all WAT depots was significantly higher in chow- and Western diet-fed Mc1r e/e mice compared to WT mice (Fig. 1 G). Furthermore, Mc1r e/e mice showed higher liver weight in both diet groups (Fig. 1 H). Quantification of plasma lipids revealed a significant increase in TG concentration in Western diet fed Mc1r e/e mice (Fig. 1 I), while no change was observed in NEFA concentration (Fig. 1 J). We next determined whether the increased adiposity of Mc1r e/e mice was associated with changes in physical activity or food intake. However, no genotype effects were observed in this regard, suggesting that the increased adiposity is not primarily driven by enhanced food intake or reduced physical activity ( Fig. S1 A-C ). We also investigated glucose homeostasis in these mice by performing glucose tolerance test (GTT). No significant differences were observed in fasting blood glucose level or glucose tolerance between WT and Mc1r e/e mice ( Fig. S1 D-F ). Additionally, plasma insulin concentration was comparable between WT and Mc1r e/e mice in both diet groups ( Fig. S1 G ). Together, these results indicate that global MC1R deficiency promotes adiposity without affecting food intake, physical activity or glucose homeostasis. Mc1r e/e mice show enhanced adipocyte hypertrophy We next investigated the effect of MC1R deficiency in WAT morphology. Histological examination of H&E-stained gWAT sections revealed a higher proportion of large adipocytes in both chow- and Western diet-fed Mc1r e/e mice (Fig. 2 A-C). Consequently, the mean adipocyte cell size was also increased in Mc1r e/e mice compared to WT mice (Fig. 2 D), indicating enhanced adipocyte hypertrophy. To address the possible causes of increased adipocyte hypertrophy, we first quantified mRNA levels of key enzymes involved in fatty acid hydrolysis in gWAT samples using qPCR. Although the expression of lipoprotein lipase (encoded by Lpl ), which is a rate-limiting enzyme for the turnover of fatty acids in adipocytes ( 32 ) was unchanged (Fig. 2 E), chow-fed Mc1r e/e mice had significantly reduced mRNA levels of hormone sensitive lipase (HSL, encoded by Lipe ) and adipose triglyceride lipase ( Atgl ) (Fig. 2 F, G), which are two main enzymes that account for around 95% of lipolytic activity in adipocytes ( 32 ). Meanwhile, the expression of monoglyceride lipase ( Mgl ), a rate-limiting enzyme in the final step of TG hydrolysis, lipid droplet-associated proteins ( Plin1 or Plin2 ), and genes involved in fatty acid synthesis ( Fasn, Scd1, Acc1, Dgat1, Dgat2 Adipoq, Mgll ), and fatty acid oxidation ( Ppara and Acox1 ) were unchanged in gWAT of Mc1r e/e mice ( Fig. S2 ). Earlier studies have shown that the deletion of ATGL in adipocytes reduces lipolysis and changes fat distribution without increasing overall fat mass ( 33 ), while genetic ablation of HSL protects against diet-induced and genetic obesity in mice ( 34 , 35 ). Thus, the reduced mRNA levels of Atgl and Lipe in adipocytes are unlikely to explain the expansion of fat mass in Mc1r e/e mice, particularly considering that the gene expression was changed only in chow-fed Mc1r e/e mice, while adipocyte hypertrophy was evident in both chow- and Western diet-fed mice. Therefore, we turned our attention to the liver and quantified mRNA expression of key enzymes involved in de novo lipogenesis in the liver of Mc1r e/e mice. We did not observe any change in the mRNA level of sterol regulator element binding protein 1 ( Srebp1c ) (Fig. 2 H), which primarily regulates the expression of genes involved in FA and TG biosynthesis via insulin, while the expression of carbohydrate response element-binding protein ( Chrebp ), another important transcription factor for de novo lipogenesis, was significantly upregulated in Western diet-fed Mc1r e/e mice (Fig. 2 I). Consistently, the mRNA levels of the Chrebp target genes fatty acid synthase ( Fasn ) and stearoyl-CoA desaturase 1 ( Scd1 ) were significantly increased in the liver of both chow- and Western diet-fed Mc1r e/e mice (Fig. 2 J, K). Collectively, these findings suggest that the enhanced adiposity of Mc1r e/e mice is primarily driven by a disturbance in hepatic de novo lipogenesis rather than adipose tissue dysfunction. Hepatocyte-specific loss of MC1R increases liver weight and causes dyslipidemia in mice challenged with Western diet To test the hypothesis that MC1R deficiency in the liver triggers dyslipidemia and adipocyte hypertrophy, we employed hepatocyte-specific MC1R knockout (Mc1r LKO) mice, as previously described ( 19 ), fed them Western diet for 12 weeks, and then phenotyped the mouse model in a comparable way as in Mc1r e/e mice. Mc1r LKO displayed a similar rate of weight gain throughout the entire feeding period in comparison with control mice (Fig. 3 A). Furthermore, total lean or fat mass, as determined by quantitative NMR scanning, did not significantly differ between the genotypes at the start or end of the 12-week feeding period ( Fig. S3A, B ). Food intake was also comparable between the genotypes ( Fig. S3C ). Of note, Mc1r LKO mice had increased liver weight compared to control mice (Fig. 3 B), which prompted us to further investigate the relative fat and lean mass of the liver by ex vivo quantitative NMR scanning. In line with the increased liver weight, the relative fat mass of the liver was increased in Mc1r LKO mice (Fig. 3 C), which was accompanied by reduction in the relative lean mass (Fig. 3 D). Supporting these finding, quantification of lipids revealed increased TG concentration in the liver of Mc1r LKO mice (Fig. 3 E) Histological examination of H&E-stained liver sections revealed increased accumulation of intracellular lipid droplets in Mc1r LKO mice (Fig. 3 F). In terms of plasma lipid profiles, Mc1r LKO mice had increased plasma TG concentration (Fig. 3 G), while no change was observed in plasma NEFA concentration (Fig. 3 H). In addition, we performed GTT at the start and end of the 12-week feeding period to investigate the possible impact of hepatic MC1R deficiency on glucose homeostasis. Mc1r LKO mice showed normal glucose tolerance ( Fig. S3D-G ), which is in line with the finding in Mc1r e/e mice. Together, these results demonstrate that hepatocyte-specific loss of MC1-R in mice increases liver weight and accumulation of TG in the liver and plasma, thus closely recapitulating the phenotype observed in Mc1r e/e mice. Western diet-fed Mc1r LKO mice show enhanced adipocyte hypertrophy We next investigated whether the Mc1r LKO mouse model leads to a similar adiposity phenotype as observed in Mc1r e/e mice. Indeed, Mc1r LKO mice had significantly higher absolute and relative gWAT, rWAT and sWAT depot weights at the end of the experiment (Fig. 4 A, B). Consequently, net weight of all WAT depots was increased in Mc1r LKO mice (Fig. 4 C). We next investigated adipose tissue morphology in H&E-stained gWAT sections from Western diet-fed control and Mc1r LKO mice. Histological examination and quantification of cross-sectional areas revealed an increase in adipocyte size in Mc1r LKO mice (Fig. 4 D-F). To further explore molecular mechanisms promoting fat deposition, we quantified mRNA levels of lipid metabolism and transportation genes in the gWAT of Mc1r LKO mice. The expression of Ppara , which controls lipogenesis in gWAT ( 36 ), was reduced in Mc1r LKO mice, while Srebp1c and Chrebp expression were unchanged (Fig. 4 G). Furthermore, the expression of genes involved in de novo lipogenesis, lipid transport and TG synthesis were comparable between the genotypes, except for Fasn and Gpat3 , which were downregulated in Mc1r LKO mice ( Fig. S4A ). In good agreement with the gene expression profile of Mc1r e/e mice, the mRNA levels of Lipe and Atgl were reduced in Mc1r LKO mice (Fig. 4 E), whereas Lpl and Mgll mRNA levels were unchanged (Fig. 4 E). Remarkably, the mRNA levels of the lipid droplet-associated proteins Plin1 and Plin3 were reduced in Mc1r LKO mice, while Plin2 was unchanged (Fig. 4 I). The expression levels of the pro-inflammatory cytokines Il1b , Il6 and Tnfa were comparable between the genotypes ( Fig. S4B ). Together, these data indicate that hepatic MC1R deficiency promotes expansion of WAT depots and adipocyte hypertrophy in mice challenged with Western diet. Hepatic transcriptome of Mc1r LKO mice Next, direct RNA sequencing was applied to identify changes in the hepatic transcriptome of Western diet-fed Mc1r LKO mice (n = 4) compared to Western diet-fed control mice (n = 4) (Fig. 6 A). We found 635 differentially expressed genes (DEGs) between the Mc1rLKO and control samples (adjusted p-value 0,25). As shown in the volcano plot (Fig. 5 A), 240 genes were upregulated, and 395 genes were downregulated in Mc1r LKO mice (see also Supplementary Table III). Furthermore, gene ontology (GO) enrichment analysis was performed on 635 DEGs to identify relevant pathways and biological processes affected by hepatic MC1R deficiency. The DEGs were significantly enriched in several GO terms including defense response to bacteria, cellular responses to lipopolysaccharide, interferon-gamma and -beta, and adaptive immune response (Fig. 5 B). We further selected a few of the top DEGs and validated these by qPCR using the whole set of liver samples from Western diet-fed control and Mc1r LKO mice. Metallothionein 1 ( Mt1 ) and metallothionein 2 ( Mt2 ), which are essential stress response proteins in the liver ( 37 ), were significantly upregulated in Mc1r LKO mice (Fig. 5 C), thus confirming the finding of RNA-Seq analysis. Likewise, FK506 binding protein 5 ( Fkbp5 ) tended (p = 0.10) to be upregulated and 6-phosphofructo-2-kinase ( Pfkfb3 ) was significantly upregulated in the liver of Mc1r LKO mice (Fig. 5 C). Based on the findings from the GO enrichment analysis, we were curious to investigate the impact of hepatic MC1-R deficiency on the expression of main inflammatory genes. Mc1r LKO mice showed a tendency towards increased expression of interleukin-1 beta ( Il1b) as well as significant upregulation of interleukin 6 ( Il6 ) and tumor necrosis factor alpha ( Tnfa ), which are key pro-inflammatory cytokines regulating hepatic inflammation in NAFLD ( 38 ) (Fig. 5 D). Besides inflammation, Mc1r LKO mice displayed signs of enhanced apoptosis, as evidenced by upregulation of the apoptosis markers Bcl2-associated X protein ( Bax ), phorbol-12-myristate-13-acetate-induced protein 1 ( Noxa ), B-cell lymphoma 2 ( Bcl2 , p = 0.056) and caspase 3 ( Casp3 , p = 0.051) (Fig. 5 E). Histological analysis of Picrosirius Red-stained sections also showed that liver fibrosis was increased in Mc1r LKO mice ( Fig S6A, B ). Although pathways related to lipid metabolism were not among the most significant GO terms in the enrichment analysis, we aimed to also quantify the hepatic expression of genes involved in lipogenesis, fatty acid oxidation, and lipid droplet formation. Consistent with the transcriptional changes in Mc1r e/e mice, Mc1r LKO mice showed no change in Srebp1c expression but significant upregulation of Chrebp (Fig. 5 F). Consequently, the ChREBP target genes Acc1 and Fasn were also significantly induced in the liver of Mc1r LKO mice (Fig. 5 F). In contrast, genes involved in fatty acid oxidation ( Ppara , Cpt1a , Cpt2 and Acox1 ), fatty acid export ( Mttp and Apob ) or uptake ( Cd36 ) were unaffected by MC1R deficiency (Fig. 5 G and Fig. S5B ). In terms of lipid droplet-associated proteins, Plin1 was downregulated Mc1r LKO mice, while Plin2 and Plin3 were unchanged (Fig. 5 H). Furthermore, the expression of Gpat3 , an enzyme involved in TG synthesis and catalyzing the first step of fatty acid esterification, was markedly upregulated in Mc1r LKO mice (Fig. 5 H). Collectively, these expression analyses suggest that hepatic MC1R deficiency enhances de novo lipogenesis and fatty acid esterification, leading to excessive accumulation of TGs and hepatic steatosis. Pharmacological activation of MC1-R reduces ChREBP expression in primary mouse hepatocytes We next aimed to investigate whether pharmacological MC1-R activation evokes a reverse phenotype compared to the effects observed in Mc1r LKO mice. For this purpose, we used HepG2 and primary mouse hepatocytes, and treated them with different concentrations of endogenous (α-MSH) or synthetic (LD211) MC1-R agonist. In HepG2 cells, α-MSH reduced the mRNA expression of both MT1 and MT2 (Fig. 6 A), while the selective MC1R agonist LD211 had no significant effects on the expression of these genes (Fig. 6 B). Likewise, in primary hepatocytes, which represent the gold standard for investigating hepatic lipid metabolism in vitro , we observed that α-MSH tended to downregulate Mt1 and Mt2 expression (Fig. 6 C), while LD211 had no consistent effect on the expression of these genes (Fig. 6 D). We then investigated the effects of α-MSH and LD211 on ChREBP expression, which was consistently upregulated in the liver of Mc1r e/e and Mc1r LKO mice. α-MSH and LD211significantly reduced ChREBP protein level in primary mouse hepatocytes ( Fig. S7A , Fig. 6 E). In terms of apoptosis markers, LD211 significantly reduced the protein levels of cleaved caspase 3 in primary mouse hepatocytes, while no effect on BAX was observed ( Fig. S7B ). Lastly, LD211 induced a rapid reduction (at 5 min time point) in the phosphorylation level of c-Jun N-terminal kinase (JNK) (Fig. 6 G), which is known to mediate apoptosis in the liver ( 39 ). Collectively, these results demonstrate that selective MC1R activation reduces the expression of ChREBP and apoptosis-related markers in primary hepatocytes. Discussion In this study, we demonstrate that loss of MC1R signaling disturbs lipid metabolism in the liver and enhances adiposity. First, we found that mice with global MC1R deficiency had normal body weight and glucose homeostasis, but they were susceptible for diet-induced increase in liver weight, WAT expansion and adipocyte hypertrophy. Second, this phenotype was recapitulated in mice with hepatocyte-specific loss of MC1R. These mice, when fed Western diet, showed increased liver weight and TG accumulation in the plasma and liver as well as enhanced adiposity. At the gene expression level, these changes were associated with hepatic upregulation of the transcription factor ChREBP and its targets such as Fasn and Acc1 that regulate lipogenesis. Additionally, in vitro experiments revealed that pharmacological activation of MC1R reduced ChREBP expression in primary mouse hepatocytes, indicating that ChREBP is directly regulated by MC1R signaling. These findings provide new insight into the role of melanocortin receptors in lipid metabolism. Based on the earlier findings that MC1R is expressed in mouse and human adipocytes, we initially hypothesized that MC1R signaling in these cells regulates lipid metabolism. Mc1r e/e mice with global MC1R deficiency showed normal weight development under chow-fed conditions and in diet-induced obesity, but significant increases in liver weight, plasma TG concentration and WAT depot weights. Gene expression profiling however revealed more drastic and consistent changes in the liver compared to WAT, suggesting enhanced hepatic DNL in Mc1r e/e mice. Although we cannot exclude the possible involvement of adipocyte MC1R, the notion that Mc1r LKO mice displayed a highly similar phenotype with Mc1r e/e mice strongly suggest that enhanced adiposity and disturbed lipid metabolism is primarily driven by MC1R deficiency in hepatocytes. This view is also supported by previous studies, which have shown that MC1R activation does not have a significant effect on lipid metabolism in cultured adipocytes ( 17 ). Furthermore, our recent study revealed that hepatic MC1R signaling regulates cholesterol and bile acid metabolism in mice ( 19 ), indicating existence of functional MC1R in the liver. Global and hepatocyte-specific MC1R deficiency were associated with upregulation of Chrebp and its target genes that regulate lipogenesis. These changes occurred without transcriptional modulation of genes regulating e.g. fatty acid oxidation or export, suggesting that the rate of FA input exceeds the rate of FA output, which, in turn, increases TG accumulation in the liver. Mc1r LKO mice indeed showed increased liver weight and particularly higher liver fat mass and TG content. Further studies are however needed to measure the rate of lipogenesis in these mice to confirm that the increased hepatic TG content is caused by enhanced hepatic DNL. The major transcriptional regulators SREBP1c and ChREBP induce lipogenesis in the liver by triggering the expression of key lipogenic enzymes ( 40 ). SREBP1c and ChREBP have overlapping and yet distinct roles in lipid metabolism ( 41 ), as SREB1c is activated by insulin and ChREBP by hepatic uptake of excess plasma glucose. Intriguingly, Mc1r e/e mice and Mc1r LKO mice did not show any change in fasting blood glucose level or glucose tolerance, suggesting that the ChREBP is directly induced by MC1R deficiency. In support of this view, pharmacological activation of MC1R downregulated ChREBP expression in primary mouse hepatocytes. At first glance, it seemed that Mc1r LKO mice displayed phenotypic similarity with mice overexpressing ChREBP ( 42 ). This mouse model has been characterized by increased hepatic expression of genes involved in lipogenesis and fatty acid esterification, and consequent increase in liver TG content and development of hepatic steatosis. However, on a high fat diet, ChREBP overexpressing mice showed improved glucose tolerance and insulin sensitivity as well as lower gonadal WAT weight, indicating that these mice are metabolically healthier than their controls. In another study, adenoviral overexpression of ChREBP led to robust hepatic steatosis that was associated with reduced blood glucose level and plasma TG concentration, and increased plasma NEFA concentration ( 43 ). Mechanistic experiments further suggested that ChREBP overexpression, by inducing SCD1 expression, favorably modifies lipid composition in hepatocytes and thus dissociates hepatic steatosis from insulin resistance ( 42 ). Since Western diet-fed Mc1r e/e and Mc1r LKO mice showed a discordant phenotype in this regard, i.e. significantly increased WAT weights and plasma TG level without improvement in glucose tolerance, the upregulation of Chrebp alone could not be responsible for the increased adiposity of MC1R deficient mice. Therefore, MC1R deficiency in hepatocytes is likely to disturb additional, as yet undiscovered pathways that regulate whole body lipid metabolism. A striking observation of MC1R deficient mouse models was increased adiposity and adipocyte hypertrophy without change in body weight. Adipose tissue has capacity to expand in size to store excess energy in the form of TGs ( 44 ). Thus, it is likely that MC1R deficient mice were over time increasing adipocyte size and WAT mass as a rescuing mechanism to compensate for the increased lipogenesis in the liver. Interestingly, the mRNA levels of Lipe and Atgl , which are responsible for TG hydrolysis and facilitate FA mobilization, were reduced in the adipose tissue of Mc1r e/e mice and Mc1r LKO mice. Likewise, perilipins and particularly Plin1 , which is required for maximal lipolytic activity in WAT ( 45 , 46 ), was downregulated in Mc1r LKO mice. Taking into account that Western diet feeding similarly downregulated Lipe , Atgl and Plin1 expressions in WT mice, these transcriptional changes could reflect a compensatory mechanism to suppress lipolysis and FA flux to the liver. However, plasma NEFA level, which is largely determined by the rate of lipolysis, was unchanged in MC1R deficient mice, suggesting that lipolysis in the adipose tissue was still under homeostatic balance or only marginally reduced. Importantly, the unchanged plasma NEFA level support the concept that enhanced hepatic DNL is the primary mechanism driving hepatic TG accumulation in Mc1r LKO mice. We also observed that Pppara was downregulated in the WAT of Mc1r LKO mice, which could indicate reduced FA oxidation as an adaptive mechanism to accommodate storage of excess TGs fluxed from the liver. The expansion of WAT is an adaptive process to store excess energy, but in the context of sustained obesity, the adaptive mechanisms eventually fail leading to WAT dysfunction characterized by insulin resistance, inflammation and fibrosis ( 47 ). Insulin resistance in WAT is particularly important as a causative factor for hepatic TG accumulation in NAFLD ( 48 ). Based on the unchanged plasma NEFA level and gene expression analysis, there were no signs of insulin resistance or increased inflammation in the WAT of Mc1r LKO mice, implying that the capacity of the WAT to safely store excess FAs was not yet exceeded. It remains however an open question whether feeding a Western diet for a longer period of time or a diet with higher fat percentage would lead to WAT dysfunction in Mc1r LKO mice. RNA-Seq analysis revealed that several biological pathways are affected by hepatocyte-specific MC1R deficiency. In terms of the top DEGs, Mc1r LKO mice showed significant upregulation of the metallothioneins Mt1 and Mt2 , which are cysteine-rich heavy metal-binding proteins that are expressed in various tissues with particularly high expression levels in the liver. They are induced by various stimuli such as heavy metals, oxidate stress and inflammation, and are thus implicated e.g. in scavenging of free radicals and protection against heavy metal toxicity. Mice with targeted disruption of Mt1 and Mt2 are also more prone to diet-induced obesity, indicating a role for metallothioneins in the regulation of energy balance ( 49 , 50 ). Furthermore, overexpression of metallothioneins protects hepatocytes against palmitic acid-induced lipotoxicity ( 51 ). Against this background, it is more likely that the upregulation of Mt1 and Mt2 in the liver of Western diet-fed Mc1r LKO mice was a response to enhanced TG accumulation rather than a direct consequence of MC1R deficiency. This notion is further supported by the finding that selective MC1R agonism did not affect Mt1 or Mt2 expression in cultured hepatocytes. Besides susceptibility for increased hepatic TG accumulation, Western diet-fed Mc1r LKO mice exhibited signs of enhanced liver fibrosis and inflammation as well as apoptosis. We had previously observed that selective activation of MC1R had no effect on inflammatory markers but reduced the expression of fibrosis-associated genes in cultured hepatocytes ( 19 ). In the current study, we extend this knowledge by showing that MC1R activation has some direct effects on apoptotic markers in primary hepatocytes. Overall, the in vitro data suggest that hepatocyte-specific loss of MC1R could directly promote liver fibrosis and apoptosis, but the pathological hallmarks of NAFLD, i.e. apoptosis, inflammation and fibrosis, might also be a consequence of increased TG accumulation in the liver. Although TG accumulation is not considered to be harmful for hepatocytes ( 52 ), lipotoxicity might have occurred in Mc1r LKO mice if the capacity of the liver to store and export NEFAs as TGs was exceeded due to increased DNL. In particular, saturated NEFAs as well as free cholesterol are mediators of lipotoxicity by activating apoptotic signaling pathways ( 53 ). Apoptotic cells are then cleared by Kupffer cells, which release pro-inflammatory cytokines and activate hepatic stellate cells to promote fibrosis ( 54 ). In conclusion, the present study identifies MC1R as an important regulator of lipid metabolism in the liver. Hepatocyte-specific loss of MC1R upregulated the expression of lipogenesis-related genes, enhanced hepatic TG accumulation and led to an adiposity phenotype characterized by increased adipocyte hypertrophy and WAT mass. MC1R deficiency also promoted signs of liver fibrosis, inflammation and apoptosis, which are pathological hallmarks of progression from simple steatosis to steatohepatitis. Declarations Acknowledgements We thank Sanna Bastman and Johanna Jukkala for their excellent technical support. Erica Nyman and Marja-Riitta Kajaala (Histology core facility, University of Turku) are acknowledged for processing histology samples. We also thank Finnish Functional Genomics Centre supported by University of Turku and Åbo Akademi and Biocenter Finland for performing RNA-Seq. This work was supported by the Research Council of Finland (grant 315351 to P.R.); the Sigrid Jusélius Foundation (to P.R.); the Finnish Cultural Foundation (to P.R.), the Finnish Cultural Foundation (to K.T.); Turku University Foundation (to K.T); the Finnish Foundation for Cardiovascular Research (to E.S. and P.R.); and the National Institutes of Health (grant GM-104080 to M.C.). Author contributions K.T., E.S., and P.R. conceptualized the study and designed the study methodology. K.T., and P.R. performed experiments. M.C. synthetized selective MC1-R agonist. B.G. and K.P. performed the RNA-Seq data analysis. K.T., E.S. and P.R. analyzed data. M.C., E.S., K.T. and P.R. acquired funding. K.T. and P.R. wrote the manuscript. All authors provided critical feedback and approved the definitive version of the manuscript. Competing interests The authors declare no competing interests. Data availability The raw sequence reads (FASTQ files) have been deposited in the Gene Expression Omnibus (GEO) of National Center for Biotechnology Information (NCBI) under accession no. GSE262618. References Eckel RH, Grundy SM, Zimmet PZ. The metabolic syndrome. The Lancet. 2005 Apr 16;365(9468):1415–28. Fabbrini E, Sullivan S, Klein S. Obesity and nonalcoholic fatty liver disease: biochemical, metabolic, and clinical implications. Hepatology. 2010 Feb;51(2):679–89. Bugianesi E, Gastaldelli A, Vanni E, Gambino R, Cassader M, Baldi S, et al. Insulin resistance in non-diabetic patients with non-alcoholic fatty liver disease: sites and mechanisms. Diabetologia. 2005 Apr 1;48(4):634–42. Haas JT, Francque S, Staels B. Pathophysiology and Mechanisms of Nonalcoholic Fatty Liver Disease. Annu Rev Physiol. 2016 Feb 10;78(1):181–205. Azzu V, Vacca M, Virtue S, Allison M, Vidal-Puig A. Adipose Tissue-Liver Cross Talk in the Control of Whole-Body Metabolism: Implications in Nonalcoholic Fatty Liver Disease. Gastroenterology. 2020 May;158(7):1899–912. Gantz I, Fong TM. The melanocortin system. Am J Physiol Endocrinol Metab. 2003 Mar;284(3):E468-474. Cone RD. The Central Melanocortin System and Energy Homeostasis. Trends in Endocrinology & Metabolism. 1999 Aug 1;10(6):211–6. Fan W, Boston BA, Kesterson RA, Hruby VJ, Cone RD. Role of melanocortinergic neurons in feeding and the agouti obesity syndrome. Nature. 1997 Jan;385(6612):165–8. Dessinioti C, Antoniou C, Katsambas A, Stratigos AJ. Melanocortin 1 receptor variants: functional role and pigmentary associations. Photochem Photobiol. 2011;87(5):978–87. Catania A. The melanocortin system in leukocyte biology. J Leukoc Biol. 2007 Feb;81(2):383–92. Boston BA, Cone RD. Characterization of melanocortin receptor subtype expression in murine adipose tissues and in the 3T3-L1 cell line. Endocrinology. 1996 May 1;137(5):2043–50. Hoch M, Eberle AN, Wagner U, Bussmann C, Peters T, Peterli R. Expression and Localization of Melanocortin-1 Receptor in Human Adipose Tissues of Severely Obese Patients. Obesity. 2007;15(1):40–9. Møller CL, Pedersen SB, Richelsen B, Conde-Frieboes KW, Raun K, Grove KL, et al. Melanocortin agonists stimulate lipolysis in human adipose tissue explants but not in adipocytes. BMC Research Notes. 2015 Oct 12;8(1):559. Smith SR, Gawronska-Kozak B, Janderová L, Nguyen T, Murrell A, Stephens JM, et al. Agouti Expression in Human Adipose Tissue: Functional Consequences and Increased Expression in Type 2 Diabetes. Diabetes. 2003 Dec 1;52(12):2914–22. Møller CL, Raun K, Jacobsen ML, Pedersen TÅ, Holst B, Conde-Frieboes KW, et al. Characterization of murine melanocortin receptors mediating adipocyte lipolysis and examination of signalling pathways involved. Molecular and Cellular Endocrinology. 2011 Jul 20;341(1):9–17. Rodrigues AR, Almeida H, Gouveia AM. α-MSH signalling via melanocortin 5 receptor promotes lipolysis and impairs re-esterification in adipocytes. Biochimica et Biophysica Acta (BBA) - Molecular and Cell Biology of Lipids. 2013 Jul 1;1831(7):1267–75. Hoch M, Hirzel E, Lindinger P, Eberle AN, Linscheid P, Martin I, et al. Weak Functional Coupling of the Melanocortin-1 Receptor Expressed in Human Adipocytes. Journal of Receptors and Signal Transduction. 2008 Jan 1;28(5):485–504. Takeo M, Lee W, Rabbani P, Sun Q, Hu H, Lim CH, et al. EdnrB Governs Regenerative Response of Melanocyte Stem Cells by Crosstalk with Wnt Signaling. Cell reports. 2016 May 10;15(6):1291–302. Thapa K, Kadiri JJ, Saukkonen K, Pennanen I, Ghimire B, Cai M, et al. Melanocortin 1 receptor regulates cholesterol and bile acid metabolism in the liver. Quinn MA, Isales C, Sánchez-Ceinos J, editors. eLife. 2023 Jul 25;12:e84782. Doedens L, Opperer F, Cai M, Beck JG, Dedek M, Palmer E, et al. Multiple N-methylation of MT-II backbone amide bonds leads to melanocortin receptor subtype hMC1R selectivity; pharmacological and conformational studies. Journal of the American Chemical Society. 2010;132(23):8115–28. Rinne P, Rami M, Nuutinen S, Santovito D, van der Vorst EPC, Guillamat-Prats R, et al. Melanocortin 1 Receptor Signaling Regulates Cholesterol Transport in Macrophages. Circulation. 2017 Jul 4;136(1):83–97. Rinne P, Ahola-Olli A, Nuutinen S, Koskinen E, Kaipio K, Eerola K, et al. Deficiency in Melanocortin 1 Receptor Signaling Predisposes to Vascular Endothelial Dysfunction and Increased Arterial Stiffness in Mice and HumansSignificance. Arteriosclerosis, Thrombosis, and Vascular Biology. 2015 Jul 27;35(7):1678–86. Kangas SM, Teppo J, Lahtinen MJ, Suoranta A, Ghimire B, Mattila P, et al. Analysis of human brain tissue derived from DBS surgery. Translational Neurodegeneration. 2022;11(1):22. Krueger F, James F, Ewels P, Afyounian E, Weinstein M, Schuster-Boeckler B, et al. TrimGalore [Internet]. Zenodo; 2023 [cited 2023 Apr 17]. Available from: https://zenodo.org/record/7598955 Dobin A, Davis CA, Schlesinger F, Drenkow J, Zaleski C, Jha S, et al. STAR: ultrafast universal RNA-seq aligner. Bioinformatics. 2012 Oct;29(1):15–21. Robinson MD, McCarthy DJ, Smyth GK. edgeR: a Bioconductor package for differential expression analysis of digital gene expression data. Bioinformatics. 2010 Jan;26(1):139–40. GitLab [Internet]. 2022 [cited 2024 Feb 5]. fimm / DGA-quik · GitLab. Available from: https://version.helsinki.fi/fimm/dga-quik R: The R Project for Statistical Computing [Internet]. [cited 2024 Mar 1]. Available from: https://www.r-project.org/ Alexa A, Rahnenfuhrer J. topGO: Enrichment analysis for gene ontology [Internet]. 2023. Available from: https://bioconductor.org/packages/topGO Nuutinen S, Ailanen L, Savontaus E, Rinne P. Melanocortin overexpression limits diet-induced inflammation and atherosclerosis in LDLR -/- mice. The Journal of endocrinology. 2018;236(3):111–23. Rinne P, Kadiri JJ, Velasco-Delgado M, Nuutinen S, Viitala M, Hollmén M, et al. Melanocortin 1 Receptor Deficiency Promotes Atherosclerosis in Apolipoprotein E -/- Mice. Arteriosclerosis, Thrombosis, and Vascular Biology. 2018 Feb 1;38(2):313–23. Grabner GF, Xie H, Schweiger M, Zechner R. Lipolysis: cellular mechanisms for lipid mobilization from fat stores. Nat Metab. 2021 Nov;3(11):1445–65. Schoiswohl G, Stefanovic-Racic M, Menke MN, Wills RC, Surlow BA, Basantani MK, et al. Impact of Reduced ATGL-Mediated Adipocyte Lipolysis on Obesity-Associated Insulin Resistance and Inflammation in Male Mice. Endocrinology. 2015 Oct 1;156(10):3610–24. Harada K, Shen WJ, Patel S, Natu V, Wang J, Osuga J ichi, et al. Resistance to high-fat diet-induced obesity and altered expression of adipose-specific genes in HSL-deficient mice. American Journal of Physiology-Endocrinology and Metabolism. 2003 Dec;285(6):E1182–95. Sekiya M, Osuga J ichi, Okazaki H, Yahagi N, Harada K, Shen WJ, et al. Absence of hormone-sensitive lipase inhibits obesity and adipogenesis in Lep ob/ob mice. J Biol Chem. 2004 Apr 9;279(15):15084–90. Hinds TD, Kipp ZA, Xu M, Yiannikouris FB, Morris AJ, Stec DF, et al. Adipose-Specific PPARα Knockout Mice Have Increased Lipogenesis by PASK–SREBP1 Signaling and a Polarity Shift to Inflammatory Macrophages in White Adipose Tissue. Cells. 2021 Dec 21;11(1):4. Coyle P, Philcox JC, Carey LC, Rofe AM. Metallothionein: the multipurpose protein. Cell Mol Life Sci. 2002 Apr;59(4):627–47. Huby T, Gautier EL. Immune cell-mediated features of non-alcoholic steatohepatitis. Nat Rev Immunol. 2022 Jul;22(7):429–43. Czaja MJ. JNK regulation of hepatic manifestations of the metabolic syndrome. Trends Endocrinol Metab. 2010 Dec;21(12):707–13. Wang X, Rao H, Liu F, Wei L, Li H, Wu C. Recent Advances in Adipose Tissue Dysfunction and Its Role in the Pathogenesis of Non-Alcoholic Fatty Liver Disease. Cells. 2021 Nov 25;10(12):3300. Linden AG, Li S, Choi HY, Fang F, Fukasawa M, Uyeda K, et al. Interplay between ChREBP and SREBP-1c coordinates postprandial glycolysis and lipogenesis in livers of mice. J Lipid Res. 2018 Mar;59(3):475–87. Benhamed F, Denechaud PD, Lemoine M, Robichon C, Moldes M, Bertrand-Michel J, et al. The lipogenic transcription factor ChREBP dissociates hepatic steatosis from insulin resistance in mice and humans. J Clin Invest. 2012 Jun;122(6):2176–94. Iizuka K, Takao K, Kato T, Horikawa Y, Takeda J. ChREBP Reciprocally Regulates Liver and Plasma Triacylglycerol Levels in Different Manners. Nutrients. 2018 Nov 7;10(11):1699. Kim JY, van de Wall E, Laplante M, Azzara A, Trujillo ME, Hofmann SM, et al. Obesity-associated improvements in metabolic profile through expansion of adipose tissue. J Clin Invest. 2007 Sep;117(9):2621–37. Brasaemle DL, Rubin B, Harten IA, Gruia-Gray J, Kimmel AR, Londos C. Perilipin A Increases Triacylglycerol Storage by Decreasing the Rate of Triacylglycerol Hydrolysis*. Journal of Biological Chemistry. 2000 Dec 8;275(49):38486–93. Tansey JT, Sztalryd C, Gruia-Gray J, Roush DL, Zee JV, Gavrilova O, et al. Perilipin ablation results in a lean mouse with aberrant adipocyte lipolysis, enhanced leptin production, and resistance to diet-induced obesity. Proc Natl Acad Sci U S A. 2001 May 22;98(11):6494–9. Pellegrinelli V, Carobbio S, Vidal-Puig A. Adipose tissue plasticity: how fat depots respond differently to pathophysiological cues. Diabetologia. 2016 Jun;59(6):1075–88. Donnelly KL, Smith CI, Schwarzenberg SJ, Jessurun J, Boldt MD, Parks EJ. Sources of fatty acids stored in liver and secreted via lipoproteins in patients with nonalcoholic fatty liver disease. J Clin Invest. 2005 May;115(5):1343–51. Beattie JH, Wood AM, Newman AM, Bremner I, Choo KH, Michalska AE, et al. Obesity and hyperleptinemia in metallothionein (-I and -II) null mice. Proc Natl Acad Sci U S A. 1998 Jan 6;95(1):358–63. Kawakami T, Takasaki S, Kadota Y, Fukuoka D, Sato M, Suzuki S. Regulatory role of metallothionein-1/2 on development of sex differences in a high-fat diet-induced obesity. Life Sciences. 2019 Jun 1;226:12–21. Li X, Zhong S, Sun Y, Huang X, Li Y, Wang L, et al. Integration analysis identifies the role of metallothionein in the progression from hepatic steatosis to steatohepatitis. Front Endocrinol (Lausanne). 2022;13:951093. McClain CJ, Barve S, Deaciuc I. Good fat/bad fat. Hepatology. 2007 Jun;45(6):1343–6. Nolan CJ, Larter CZ. Lipotoxicity: Why do saturated fatty acids cause and monounsaturates protect against it? Journal of Gastroenterology and Hepatology. 2009;24(5):703–6. Alkhouri N, Carter-Kent C, Feldstein AE. Apoptosis in nonalcoholic fatty liver disease: diagnostic and therapeutic implications. Expert Rev Gastroenterol Hepatol. 2011 Apr;5(2):201–12. Additional Declarations There is NO conflict of interest to disclose Supplementary Files ThapaetalSupplementaryInformationIntJObes2024final.pdf Cite Share Download PDF Status: Published Journal Publication published 08 Aug, 2024 Read the published version in International Journal of Obesity → Version 1 posted Editorial decision: revise 04 Jun, 2024 Review # 2 received at journal 20 May, 2024 Review # 1 received at journal 06 May, 2024 Reviewer # 2 agreed at journal 02 May, 2024 Reviewer # 1 agreed at journal 25 Apr, 2024 Reviewers invited by journal 23 Apr, 2024 Submission checks completed at journal 04 Apr, 2024 Editor assigned by journal 03 Apr, 2024 First submitted to journal 03 Apr, 2024 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-4213556","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Article","associatedPublications":[],"authors":[{"id":294576316,"identity":"8cac5858-f5cc-4c84-8639-2721c5fb9bcf","order_by":0,"name":"Petteri Rinne","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAAmElEQVRIiWNgGAWjYLCCBAYbMP0hgQQtaQw8DAyMM4jXwsBwGKKFKLXm0s3HPjzccT5xv0QCY8MDYrRYzjmWPCPxzO3EHpAWohxmcCPHmCGxDayF/QGRWvI/A7WcI80WZqCWAyRoAfoF5LBk454zDxuJ0wIMsceMP9vsZNvbkw82/iDKYRJwJmMDMRpQtIyCUTAKRsEowAEAXgk1Aghb3fwAAAAASUVORK5CYII=","orcid":"https://orcid.org/0000-0001-6916-8627","institution":"University of Turku","correspondingAuthor":true,"prefix":"","firstName":"Petteri","middleName":"","lastName":"Rinne","suffix":""},{"id":294576317,"identity":"a416c018-1f95-4fc2-8c23-29f75455bd9a","order_by":1,"name":"Keshav Thapa","email":"","orcid":"","institution":"University of Turku","correspondingAuthor":false,"prefix":"","firstName":"Keshav","middleName":"","lastName":"Thapa","suffix":""},{"id":294576318,"identity":"7c572937-1d4d-4013-b4d6-7fcd1d9ba045","order_by":2,"name":"Bishwa Ghimire","email":"","orcid":"https://orcid.org/0000-0001-5076-8366","institution":"University of Helsinki","correspondingAuthor":false,"prefix":"","firstName":"Bishwa","middleName":"","lastName":"Ghimire","suffix":""},{"id":294576319,"identity":"8ed6e2a6-0d54-49d4-b83f-dbcae0153f60","order_by":3,"name":"Kisun Pokharel","email":"","orcid":"","institution":"","correspondingAuthor":false,"prefix":"","firstName":"Kisun","middleName":"","lastName":"Pokharel","suffix":""},{"id":294576320,"identity":"592be024-fdf0-4cb5-8d46-ed85c1ca1001","order_by":4,"name":"Minying Cai","email":"","orcid":"","institution":"University of Arizona","correspondingAuthor":false,"prefix":"","firstName":"Minying","middleName":"","lastName":"Cai","suffix":""},{"id":294576321,"identity":"3ea6f52e-e4b6-4d6c-b57d-39b93087c27e","order_by":5,"name":"Eriika Savontaus","email":"","orcid":"","institution":"University of Turku","correspondingAuthor":false,"prefix":"","firstName":"Eriika","middleName":"","lastName":"Savontaus","suffix":""}],"badges":[],"createdAt":"2024-04-03 14:51:04","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-4213556/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-4213556/v1","draftVersion":[],"editorialEvents":[{"content":"https://doi.org/10.1038/s41366-024-01600-9","type":"published","date":"2024-08-08T04:00:00+00:00"}],"editorialNote":"","failedWorkflow":false,"files":[{"id":55334274,"identity":"5ff80b51-95a2-49d4-8166-e16242b86cb5","added_by":"auto","created_at":"2024-04-25 21:27:19","extension":"png","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":458832,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eMc1r\u003c/strong\u003e\u003csup\u003e\u003cstrong\u003ee/e\u003c/strong\u003e\u003c/sup\u003e\u003cstrong\u003e mice with global MC1R deficiency show increased white adipose tissue mass and liver weight.\u003c/strong\u003e (\u003cstrong\u003eA\u003c/strong\u003e and \u003cstrong\u003eB\u003c/strong\u003e) Body weight curves in chow- and Western diet-fed wild type (WT) and Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice. (\u003cstrong\u003eC\u003c/strong\u003e and \u003cstrong\u003eD\u003c/strong\u003e) Quantification of fat and lean mass by quantitative NMR scanning of whole-body composition in chow- and Western diet-fed WT and Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice at the end of the 12-week diet intervention. (\u003cstrong\u003eE-G\u003c/strong\u003e) White adipose tissue (WAT) weights and sum weights of WAT depots in chow- and Western diet-fed WT and Mc1r\u003csup\u003ee/e \u003c/sup\u003emice. (\u003cstrong\u003eH\u003c/strong\u003e) Liver weight in chow- and Western diet-fed WT and Mc1r\u003csup\u003ee/e \u003c/sup\u003emice. (\u003cstrong\u003eI\u003c/strong\u003e and \u003cstrong\u003eJ\u003c/strong\u003e) Quantification of plasma triglyceride (TG) and non-esterified fatty acids (NEFA) concentrations in chow- and Western diet-fed WT and Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice. Values are mean ± SEM, n=10-15 mice per group in each graph. *p\u0026lt;0.05 and **p\u0026lt;0.01\u0026nbsp;for the indicated comparisons by two-way ANOVA and Bonferroni\u0026nbsp;\u003cem\u003epost hoc\u003c/em\u003e\u0026nbsp;tests. WAT indicates white adipose tissue; TG, triglyceride; NEFA, non-esterified fatty acids.\u003c/p\u003e","description":"","filename":"Figure1.png","url":"https://assets-eu.researchsquare.com/files/rs-4213556/v1/434fa9ef60c8ed8b522dab82.png"},{"id":55334275,"identity":"5e5452f5-637a-466b-9115-1b4524f45c5d","added_by":"auto","created_at":"2024-04-25 21:27:19","extension":"png","order_by":2,"title":"Figure 2","display":"","copyAsset":false,"role":"figure","size":2320101,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eMc1r\u003c/strong\u003e\u003csup\u003e\u003cstrong\u003ee/e \u003c/strong\u003e\u003c/sup\u003e\u003cstrong\u003emice show increased adipocyte hypertrophy and upregulation of lipogenesis-related genes in the liver. \u003c/strong\u003e(\u003cstrong\u003eA\u003c/strong\u003e) Representative H\u0026amp;E-stained gWAT sections of chow- and Western diet-fed WT and Mc1r\u003csup\u003ee/e \u003c/sup\u003emice. Scale bar = 100 µm. (B and C) Adipocyte size distribution in histological gWAT samples from chow- and Western diet-fed WT and Mc1r\u003csup\u003ee/e \u003c/sup\u003emice (\u003cstrong\u003eD\u003c/strong\u003e) Mean adipocyte size in gWAT samples of chow- and Western diet-fed WT and Mc1r\u003csup\u003ee/e \u003c/sup\u003emice. (\u003cstrong\u003eE-G\u003c/strong\u003e) Quantitative real-time-polymerase chain reaction (qPCR) analysis of \u003cem\u003eLpl\u003c/em\u003e, \u003cem\u003eLipe\u003c/em\u003e, \u003cem\u003eAtgl\u003c/em\u003e expression in the gWAT. (\u003cstrong\u003eH-K\u003c/strong\u003e) qPCR analysis of \u003cem\u003eSrebp1c\u003c/em\u003e, \u003cem\u003eChrebp\u003c/em\u003e, \u003cem\u003eFasn\u003c/em\u003e and \u003cem\u003eScd1\u003c/em\u003e expression in the liver. Values are mean ± SEM, n=10-15 mice per group in each graph. *p\u0026lt;0.05, **p\u0026lt;0.01,\u0026nbsp;and ***p\u0026lt;0.001\u0026nbsp;for the indicated comparisons by two-way ANOVA and Bonferroni\u0026nbsp;\u003cem\u003epost hoc\u003c/em\u003e\u0026nbsp;tests. gWAT indicates gonadal white adipose tissue. \u003cem\u003eLpl, \u003c/em\u003elipoprotein lipase; \u003cem\u003eLipe, \u003c/em\u003ehormone sensitive lipase; \u003cem\u003eAtgl,\u003c/em\u003e adipose triglyceride lipase; \u003cem\u003eSrebp1c, \u003c/em\u003esterol regulatory element-binding protein 1; \u003cem\u003eChrebp, \u003c/em\u003ecarbohydrate response element-binding protein; \u003cem\u003eFasn, \u003c/em\u003efatty acid synthase; \u003cem\u003eScd1, \u003c/em\u003estearoyl-CoA desaturase 1.\u003c/p\u003e","description":"","filename":"Figure2revised.png","url":"https://assets-eu.researchsquare.com/files/rs-4213556/v1/9030414c4a771329a4dc2c5c.png"},{"id":55334278,"identity":"5ecb47d4-a09d-45c7-9a78-23a89771373c","added_by":"auto","created_at":"2024-04-25 21:27:19","extension":"png","order_by":3,"title":"Figure 3","display":"","copyAsset":false,"role":"figure","size":2193615,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eHepatocyte-specific melanocortin 1 receptor (MC1R) deficiency increases liver weight and hepatic triglyceride accumulation.\u003c/strong\u003e (\u003cstrong\u003eA\u003c/strong\u003e) Body weight curves of Western diet-fed control and Mc1r LKO mice. (B) Liver weight at the end of the experiment. (\u003cstrong\u003eC \u003c/strong\u003eand \u003cstrong\u003eD\u003c/strong\u003e) Quantification of fat and lean mass of whole liver by quantitative NMR scanning. (\u003cstrong\u003eE\u003c/strong\u003e) Quantification of liver TG levels in control and Mc1r LKO mice. (\u003cstrong\u003eG\u003c/strong\u003e and \u003cstrong\u003eH\u003c/strong\u003e) Quantification of plasma TG and NEFA concentrations in control and Mc1r LKO mice. Values are mean ± SEM, n=10-15 mice per group in each graph. *p\u0026lt;0.05, **p\u0026lt;0.01, and ***p\u0026lt;0.001 by unpaired two-tailed Student’s t-test. Mc1r LKO indicates liver-specific MC1R knockout mice; WAT, white adipose tissue; TG, triglycerides; NEFA, non-esterified fatty acids.\u003c/p\u003e","description":"","filename":"Figure3Revised.png","url":"https://assets-eu.researchsquare.com/files/rs-4213556/v1/ee38a36c6bfcc0c336f777e2.png"},{"id":55334279,"identity":"26fb5f83-e3ef-482c-9486-a04fd37b009a","added_by":"auto","created_at":"2024-04-25 21:27:20","extension":"png","order_by":4,"title":"Figure 4","display":"","copyAsset":false,"role":"figure","size":1194423,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eHepatocyte-specific MC1R deficiency increases adiposity. \u003c/strong\u003e(\u003cstrong\u003eA\u003c/strong\u003e) Absolute weights of different white adipose tissue (WAT) depots in Western diet-fed control and Mc1r LKO mice. (\u003cstrong\u003eB\u003c/strong\u003e) Relative WAT weights (expressed as % of body weight). (\u003cstrong\u003eC\u003c/strong\u003e) Sum weight of all WAT depots in Western diet-fed control and Mc1r LKO mice. (\u003cstrong\u003eD\u003c/strong\u003e) Representative H\u0026amp;E-stained gWAT sections of Western diet-fed control and Mc1r LKO mice. Scale bar = 100 µm. (\u003cstrong\u003eE \u003c/strong\u003eand \u003cstrong\u003eF\u003c/strong\u003e) The distribution of adipocyte sizes and mean adipocyte area in the gWAT of Western diet-fed control and Mc1r LKO mice. (\u003cstrong\u003eG-H\u003c/strong\u003e) qPCR analysis of genes involved in lipogenesis and lipolysis, and lipid droplet-associated proteins in the gWAT of Western diet-fed control and Mc1r LKO mice. Values are mean ± SEM, n = 10-15 per group in each graph. *p\u0026lt;0.05 and **p\u0026lt;0.01 by unpaired two-tailed Student’s t-test. \u003cem\u003ePpara,\u003c/em\u003eperoxisome proliferator activated receptor alpha; \u003cem\u003eSrebp1c, \u003c/em\u003esterol regulatory element-binding protein 1;\u003cem\u003e Chrebp, \u003c/em\u003ecarbohydrate response element-binding protein; \u003cem\u003eLpl, \u003c/em\u003elipoprotein lipase; \u003cem\u003eLipe, \u003c/em\u003ehormone sensitive lipase; \u003cem\u003eAtgl,\u003c/em\u003e adipose triglyceride lipase; \u003cem\u003eMgll\u003c/em\u003e, monoglyceride lipase; \u003cem\u003ePlin1\u003c/em\u003e, perilipin-1;\u003cem\u003e Plin2\u003c/em\u003e, perilipin-2;\u003cem\u003e Plin3\u003c/em\u003e, perilipin-3.\u003c/p\u003e","description":"","filename":"Figure4revised.png","url":"https://assets-eu.researchsquare.com/files/rs-4213556/v1/523e76c8790d0cd036cda19e.png"},{"id":55334277,"identity":"f641a589-d33f-4938-9a68-a99f7be13f9d","added_by":"auto","created_at":"2024-04-25 21:27:19","extension":"png","order_by":5,"title":"Figure 5","display":"","copyAsset":false,"role":"figure","size":740076,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eHepatic transcriptome of Western diet-fed Mc1r LKO mice.\u003c/strong\u003e(\u003cstrong\u003eA\u003c/strong\u003e) Volcano plot of differentially expressed genes (DEGs) between control and Mc1r LKO mice. n=4 mice per group. (\u003cstrong\u003eB\u003c/strong\u003e) Gene ontology (GO) terms associated with DEGs that were identified using topGO, a Bioconductor R package. Circle size indicates the number of DEGs enriched in the pathway, and circle color indicates the degree of enrichment. \u003cstrong\u003e(C) \u003c/strong\u003eValidation of RNA-Seq data with qPCR of selected DEGs (\u003cem\u003eMt1\u003c/em\u003e, \u003cem\u003eMt2\u003c/em\u003e, \u003cem\u003eFkbp5\u003c/em\u003e \u003cem\u003ePfkfb3\u003c/em\u003e)\u003cem\u003e \u003c/em\u003ein the liver of Western diet-fed control and Mc1r LKO mice.\u003cstrong\u003e \u003c/strong\u003e(\u003cstrong\u003eB\u003c/strong\u003eand \u003cstrong\u003eC\u003c/strong\u003e) qPCR analysis of pro-inflammatory cytokines and apoptosis markers in the liver. (\u003cstrong\u003eF-H\u003c/strong\u003e) qPCR analysis of genes involved in \u003cem\u003ede novo\u003c/em\u003e lipogenesis, fatty acid oxidation, and fatty acid esterification and lipid droplet formation. Values are ± SEM, n=10-11 mice per group in each graph. *p\u0026lt;0.05 versus control mice by Student’s t-test. \u003cem\u003eMt1\u003c/em\u003e, metallothionein 1; \u003cem\u003eMt2\u003c/em\u003e, metallothionein 2; \u003cem\u003eFkbp5, \u003c/em\u003eFK506 binding protein 5; \u003cem\u003eIl1b, \u003c/em\u003einterleukin-1 beta; \u003cem\u003eIl6, \u003c/em\u003einterleukin 6; \u003cem\u003eTnfa, \u003c/em\u003etumor necrosis factor alpha;\u003cem\u003e Bax,\u003c/em\u003e Bcl2-associated X protein; \u003cem\u003eNoxa,\u003c/em\u003e phorbol-12-myristate-13-acetate-induced protein 1, \u003cem\u003eBcl2,\u003c/em\u003e B-cell lymphoma 2; \u003cem\u003eCasp3, \u003c/em\u003ecaspase 3. \u003cem\u003eChrebp\u003c/em\u003e, carbohydrate response element binding protein; \u003cem\u003eAcc1\u003c/em\u003e, acetyl-CoA carboxylase; \u003cem\u003eFasn\u003c/em\u003e, fatty acid synthase; \u003cem\u003eScd1\u003c/em\u003e, stearoyl-CoA desaturase-1; \u003cem\u003eGpat3\u003c/em\u003e, glycerol-3-phosphate acyltransferase 1; \u003cem\u003ePpara\u003c/em\u003e, peroxisome proliferator-activated receptor; \u003cem\u003eCpt1a\u003c/em\u003e, carnitine O-palmitoyltransferase 1; \u003cem\u003eCpt2\u003c/em\u003e, carnitine O-palmitoyltransferase 2; \u003cem\u003eAcox1\u003c/em\u003e, peroxisomal acyl-coenzyme A oxidase 1; \u003cem\u003eDgat1\u003c/em\u003e, diglyceride acyltransferase; \u003cem\u003eGpat3\u003c/em\u003e, glycerol-3-phosphate acyltransferase 3; \u003cem\u003ePlin1\u003c/em\u003e, perilipin-1.\u003c/p\u003e","description":"","filename":"Figure5revised.png","url":"https://assets-eu.researchsquare.com/files/rs-4213556/v1/4521c607abba31a499ef1518.png"},{"id":55334280,"identity":"94ec6140-8caa-48e4-9e6b-aa31bf3b7d4b","added_by":"auto","created_at":"2024-04-25 21:27:20","extension":"png","order_by":6,"title":"Figure 6","display":"","copyAsset":false,"role":"figure","size":541444,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003ePharmacological activation of MC1R reduces ChREBP protein expression in primary mouse hepatocytes. \u003c/strong\u003e(\u003cstrong\u003eA\u003c/strong\u003eand \u003cstrong\u003eB\u003c/strong\u003e) qPCR analysis of \u003cem\u003eMT1\u003c/em\u003e and \u003cem\u003eMT2\u003c/em\u003e mRNA levels in HepG2 treated with different concentrations (0.1 nM, 10 nM, or 1 µM) of α-MSH or the selective MC1R agonist LD211 for 3 hours. (\u003cstrong\u003eC\u003c/strong\u003e and \u003cstrong\u003eD\u003c/strong\u003e) qPCR analysis of \u003cem\u003eMt1\u003c/em\u003e and \u003cem\u003eMt2\u003c/em\u003e mRNA levels in primary mouse hepatocytes treated with different concentrations (0.1 nM, 10 nM, or 1 µM) of α-MSH or the selective MC1R agonist LD211 for 3 hours. (\u003cstrong\u003eE \u003c/strong\u003eand\u003cstrong\u003e F\u003c/strong\u003e) Representative Western blots and quantification of ChREBP and cleaved caspase 3 protein levels in primary mouse hepatocytes treated with 1 µM of LD211 for 1, 3, 6 or 24 hours. (\u003cstrong\u003eF\u003c/strong\u003e) Representative Western blots and quantification of phosphorylated JNK (p-JNK) in primary mouse hepatocytes treated with 1 µM of LD211 for 5, 15, 30 or 60 min. Values are mean ± SEM, n=3-6 per group in each graph. *p\u0026lt;0.05\u003cem\u003e,\u003c/em\u003e **p\u0026lt;0.01 and ***p\u0026lt;0.001 for the indicated comparisons by one-way ANOVA and Dunnet \u003cem\u003epost hoc \u003c/em\u003etests.\u003c/p\u003e","description":"","filename":"Figure6revised.png","url":"https://assets-eu.researchsquare.com/files/rs-4213556/v1/2178c80c4556f4f99fcdac68.png"},{"id":62087808,"identity":"c95e2632-22e6-4acd-99f4-0cf57b6997a6","added_by":"auto","created_at":"2024-08-09 07:08:12","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":8601802,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-4213556/v1/87ff99fb-712b-43b1-b3c9-bb0d8256f14f.pdf"},{"id":55334276,"identity":"8a84fe7d-e8b7-4a2f-a926-57f3623dbce3","added_by":"auto","created_at":"2024-04-25 21:27:19","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"supplement","size":1467339,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cbr\u003e\u003c/p\u003e","description":"","filename":"ThapaetalSupplementaryInformationIntJObes2024final.pdf","url":"https://assets-eu.researchsquare.com/files/rs-4213556/v1/76710f6adb9163919880c932.pdf"}],"financialInterests":"There is \u003cb\u003eNO\u003c/b\u003e conflict of interest to disclose","formattedTitle":"Hepatocyte-specific loss of melanocortin 1 receptor disturbs fatty acid metabolism and promotes adipocyte hypertrophy","fulltext":[{"header":"Introduction","content":"\u003cp\u003eObesity has become a major health concern worldwide and is highly associated with comorbidities such as type 2 diabetes, dyslipidemia, non-alcoholic fatty liver disease (NAFLD), and cardiovascular disease (\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e, \u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e). NAFLD is characterized by an increase in intrahepatic triglyceride (TG) content, which occurs when the rate of fatty acid (FA) input exceeds the rate of FA output. Therefore, the accumulation of TGs in the liver is determined by a complex interaction between hepatic FA uptake, \u003cem\u003ede novo\u003c/em\u003e lipogenesis (DNL) and fatty acid oxidation (FAO). In the setting of NAFLD, majority of hepatic FAs originate from adipose tissue due the development of insulin resistance and enhanced lipolysis (\u003cspan citationid=\"CR3\" class=\"CitationRef\"\u003e3\u003c/span\u003e, \u003cspan citationid=\"CR4\" class=\"CitationRef\"\u003e4\u003c/span\u003e). Furthermore, increased hepatic DNL contributes to the accumulation of TGs in the liver of NAFLD patients. The liver and adipose tissue have thus a central role in the regulation of whole-body energy homeostasis, but in obesity-associated NAFLD, persistent lipid overload triggers metabolic stress and inflammation, and disturbs the cross-talk between these tissues (\u003cspan citationid=\"CR5\" class=\"CitationRef\"\u003e5\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eThe melanocortins are a group of small peptide hormones derived from post-translational processing of proopiomelanocortin precursor protein and consist of adrenocorticotropic hormone and melanocyte-stimulating hormones (α-, β-, and γ-MSH) (\u003cspan citationid=\"CR6\" class=\"CitationRef\"\u003e6\u003c/span\u003e). Melanocortins mediate their biological action via G-protein-coupled melanocortin receptors (MC1R - MC5R) that are widely expressed in the central nervous system and in peripheral tissues. Melanocortin receptors regulate a wide array of physiological functions including melanogenesis, steroidogenesis, exocrine secretion, sexual function, inflammation, and energy homeostasis (\u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e, \u003cspan citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e). MC1R possesses high affinity for α-MSH and is known for its role in skin pigmentation (\u003cspan citationid=\"CR9\" class=\"CitationRef\"\u003e9\u003c/span\u003e). MC1R is also abundantly expressed in leukocytes, where it mediates anti-inflammatory actions (\u003cspan citationid=\"CR10\" class=\"CitationRef\"\u003e10\u003c/span\u003e). Interestingly, earlier studies have found that MC1R is present in human and mouse adipocytes, and upregulated in the adipose tissue of subjects with obesity (\u003cspan additionalcitationids=\"CR12 CR13\" citationid=\"CR11\" class=\"CitationRef\"\u003e11\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR14\" class=\"CitationRef\"\u003e14\u003c/span\u003e). Intriguingly, α-MSH and other melanocortin peptides induce lipolysis in white adipocytes, but this effect has been mostly linked to MC5R activation (\u003cspan citationid=\"CR15\" class=\"CitationRef\"\u003e15\u003c/span\u003e, \u003cspan citationid=\"CR16\" class=\"CitationRef\"\u003e16\u003c/span\u003e). However, in human adipocytes or adipose tissue explants, MC1R activation does not induce a regulatory effect on lipolysis (\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e). In contrast, MC1R stimulation with α-MSH inhibits cell proliferation in human preadipocytes (\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e). Consequently, the functional role of MC1R in adipocytes remains unknown. It is also unclear whether the presence of MC1R in other tissues could have an impact on lipid metabolism.\u003c/p\u003e \u003cp\u003eHere, we aimed to study first whether global MC1R deficiency renders mice susceptible for enhanced fat accumulation and obesity. We observed that mice with global MC1R deficiency had normal body weight but significantly increased liver weight and adiposity. Gene expression analyses suggested enhanced \u003cem\u003ede novo\u003c/em\u003e lipogenesis in the liver of these mice, while no consistent transcriptional changes were observed in the adipose tissue. Thus, we hypothesized that the obesity phenotype is driven by MC1R deficiency in hepatocytes. Indeed, mice with hepatocyte-specific loss of MC1R recapitulated the obesity phenotype as evidenced by increased white adipose tissue mass and liver weight, and elevated triglyceride accumulation in the liver and circulation. This study demonstrates, for the first time, the functional significance of MC1R in lipid metabolism, and that hepatocytes appear to be the responsible cells for mediating this regulatory function of MC1R.\u003c/p\u003e"},{"header":"Materials and methods","content":"\u003cdiv id=\"Sec3\" class=\"Section2\"\u003e \u003ch2\u003eMouse models and experimental design\u003c/h2\u003e \u003cp\u003eAll experimental procedures were performed on adult (3\u0026ndash;6 months) male mice. Mice were maintained in groups of littermates on a 12-hour light/dark cycle and temperature (21\u0026thinsp;\u0026plusmn;\u0026thinsp;1\u0026deg;C) at Central Animal laboratory, University of Turku. The number of mice included in each experiment are mentioned in the figure legends. Mice were maintained either on a regular chow diet (# 2916 C, Teklad Global diet, Envigo) or cholesterol-rich Western-type diet (RD Western diet, D12079B, Research diets Inc, NJ, USA) for the entire experimental duration. In each experiment, mice were euthanized \u003cem\u003evia\u003c/em\u003e CO\u003csub\u003e2\u003c/sub\u003e asphyxiation after a four hour fast and blood was withdrawn by cardiac puncture. White adipose tissue (WAT) depots and whole liver were excised, weighted, and rapidly dissected and frozen until further analysis. All animal procedures used in our studies were approved by the national Animal Experiment Board in Finland (License Numbers: ESAVI/6280/04.10.07.2016 and ESAVI/1260/2020) and conducted in accordance with the institutional and national guidelines for the care and use of laboratory animals.\u003c/p\u003e \u003cp\u003eRecessive yellow mice (Mc1r\u003csup\u003ee/e\u003c/sup\u003e), that are homozygous for the Mc1r\u003csup\u003ee\u003c/sup\u003e allele and lack functional MC1R due to a single base deletion mutation, and their non-mutant littermate controls (WT) were obtained from the Jackson Laboratory (Strain # 000060, Bar Harbor, ME, USA). Mc1r\u003csup\u003ee/e\u003c/sup\u003e and WT mice were kept on a regular chow diet or Western-type diet for 12 weeks starting at eight weeks of age. Additionally, hepatocyte-specific MC1R knockout mice (Mc1r LKO) were generated by breeding mice homozygous for a floxed \u003cem\u003eMc1r\u003c/em\u003e allele (\u003cem\u003eMc1r\u003c/em\u003e\u003csup\u003e\u003cem\u003efl/fl\u003c/em\u003e\u003c/sup\u003e) mice (the Jackson Laboratory, strain #029239) (\u003cspan citationid=\"CR18\" class=\"CitationRef\"\u003e18\u003c/span\u003e) with transgenic \u003cem\u003eAlb\u003c/em\u003e\u003csup\u003e\u003cem\u003eCre/+\u003c/em\u003e\u003c/sup\u003e mice (B6N.Cg-Speer6-ps1Tg(Alb-cre)1MGn/J, the Jackson Laboratory, strain #018961). These genetically modified mice were individually identified with earmarks and housed with littermates with same sex (2\u0026ndash;6 animals/cage). Age-matched \u003cem\u003eMc1r\u003c/em\u003e\u003csup\u003e\u003cem\u003efl/fl\u003c/em\u003e\u003c/sup\u003e mice were used as controls. Eight-week-old control and MC1r LKO mice were placed on a Western -type diet for 12 weeks.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec4\" class=\"Section2\"\u003e \u003ch2\u003eCell culture and primary mouse hepatocyte isolation\u003c/h2\u003e \u003cp\u003eHepG2 cells were used as an in vitro model to investigate the effects of MC1R activation as previously described (\u003cspan citationid=\"CR19\" class=\"CitationRef\"\u003e19\u003c/span\u003e). Briefly, HepG2 cell line (American Type Culture Collection, Rockville, MD, USA) was maintained in complete growth medium DMEM (Dulbecco\u0026rsquo;s modified Eagle\u0026rsquo;s medium; Sigma-Aldrich) supplemented with 10% (v/v) heat-inactivated fetal bovine serum (FBS; Thermo Fisher Scientific, Gibco, MA, USA), 100 U/ml penicillin (Gibco), 100 \u0026micro;g/ml streptomycin (Gibco) at 37\u0026deg;C in a humid atmosphere with 5% CO2. For experiments, cells were seeded on 12- or 24-well plates and treated with α-MSH (abcam, # ab120189) or the selective MC1R agonist LD211 (compound 28 in the original publication) (\u003cspan citationid=\"CR20\" class=\"CitationRef\"\u003e20\u003c/span\u003e), as indicated in the figure legends.\u003c/p\u003e \u003cp\u003eTo isolate primary hepatocytes, 4-month-old male C57B1/6N mice were anesthetized using a cocktail of ketamine (Vetmedic) and medetomidine (MSD Animal Health). After a midline incision, liver, portal vein, and inferior vena cava were exposed to insert a 24 G catheter into the inferior vena cava. Thereafter, the portal vein was cut open and the liver was perfused with pre-warmed liver perfusion medium (Gibco, #17701-038) at a rate of 4.5 ml/min for 3\u0026ndash;5 min until the flushed-out liquid was clear. The peristaltic pump was then stopped, and the perfusion medium was changed to liver digest medium containing high glucose DMEM, 1% Pen/Strep, 10 \u0026micro;g/ml HEPES, 10% FBS and 1 mg/ml collagenase IV. Pumping was continued until 30 ml of the medium was used, and then the liver was excised and placed on 100 mm petri dish containing 20 ml of cold wash medium (Gibco, # 17704024) on ice. Gall bladder was removed, and liver was teared down with the forceps. Cells were poured through a 70 \u0026micro;m filter into a 50 ml falcon tube and centrifuged (50 X \u003cem\u003eg\u003c/em\u003e, 3 min, +\u0026thinsp;4\u0026deg;C). Cell pellet was resuspended in 10 ml of cold wash medium and mixed thoroughly with 10 ml of cold 90% Percoll-PBS solution (9 ml of Percoll, Sigma P1644, 1 ml of 10X PBS) solution. Cell suspension was centrifuged at 300 X \u003cem\u003eg\u003c/em\u003e for 10 min at 4\u0026deg;C, the pellet was washed with 20 ml of cold wash medium and cell suspension was again centrifuged again (50 X \u003cem\u003eg\u003c/em\u003e, 3 min, +\u0026thinsp;4\u0026deg;C). Finally, cell pellet was resuspended in 20 ml of maintenance medium (William\u0026rsquo;s E medium, GlutaMAX Supplement, Gibco, # 32551087) supplemented with 10% FBS and 1% Pen/ Strep. Cells were seeded into 12-well (2x10\u003csup\u003e5\u003c/sup\u003e cells/well) or 6-well plates (4x10\u003csup\u003e5\u003c/sup\u003e cells/well), incubated at 37\u0026deg;C in a humid atmosphere with 5% CO\u003csub\u003e2\u003c/sub\u003e, and used in experiments after around 12 h from the plating.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec5\" class=\"Section2\"\u003e \u003ch2\u003eMetabolic studies\u003c/h2\u003e \u003cp\u003eBody weight was measured weekly during the 12-week diet intervention (from 8 to 20 weeks of age). Food was changed and measured on a weekly basis. Food intake was measured from group-housed mice by subtracting remaining food, including spilled food in cages, from a weighed weekly aliquot of food. Energy intake was calculated based on 19.54 kJ/g (4.67 kcal/g) for the Western diet and 15.99 kJ/g (3.82 kcal/g) for the chow diet (caloric values obtained from Research Diets). Body composition was determined prior to the initiation of the diet intervention and at the end of the 12-week monitoring period using quantitative nuclear magnetic resonance (NMR) scanning (EchoMRI-700, Echo Medical Systems, Houston, TX, USA). At sacrifice, whole liver was excised, and its composition (total amount of fat, free water, and lean mass) was measured with an EchoMRI-700 device. Glucose tolerance test (GTT) was performed at the end of the experiment for Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice and twice for Mc1r LKO mice during the 12-week diet intervention. The first GTT was performed at week 4 from the start of diet intervention and the last GTT was performed at week 11 just before the end of the experiment. Mice were fasted for 4 hours before performing GTT. A basal glucose reading was obtained, and mice were then injected intraperitoneally with glucose at dose of 2.5 g/kg lean mass. Blood samples were withdrawn via tail vein and blood glucose levels were measured at 20-, 40-, 60-, and 90-min time points post-injection.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec6\" class=\"Section2\"\u003e \u003ch2\u003eSpontaneous locomotor activity\u003c/h2\u003e \u003cp\u003eSpontaneous locomotor activity of individually-housed WT and Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice was monitored with a photo-beam recording system (San Diego Instruments, San Diego, CA, USA) at the end of the diet intervention. After 24-h habituation, locomotor activity was measured over 10 min intervals for 24 h.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec7\" class=\"Section2\"\u003e \u003ch2\u003eRNA isolation, cDNA synthesis and quantitative RT-PCR\u003c/h2\u003e \u003cp\u003eHepG2 cells and primary mouse hepatocytes were collected into QIAzol Lysis Reagent and total RNA was extracted using Direct-zol RNA Miniprep (Zymo Research, CA, USA). Liver and gonadal white adipose tissue (gWAT) samples were homogenized in QIAzol Lysis Reagent (Qiagen, Venlo, Netherlands) with metal beads (Qiagen) using the Qiagen TissueLyser LT Bead Mill (Qiagen). Thereafter, total RNA from each sample was extracted and reverse-transcribed to cDNA with PrimeScript RT reagent kit (Takara Clontech) following the manufacturer\u0026rsquo;s instructions. The quantity and purity of RNA were measured by Nanodrop (ThermoFisher Scientific). Quantitative real-time polymerase chain reaction (RT-PCR) was performed using SYBR Green protocols (Kapa Biosystems, MA, USA), as previously described (\u003cspan citationid=\"CR21\" class=\"CitationRef\"\u003e21\u003c/span\u003e, \u003cspan citationid=\"CR22\" class=\"CitationRef\"\u003e22\u003c/span\u003e). Target gene expression was normalized to the geometric mean of two housekeeping genes (\u003cem\u003ePpia\u003c/em\u003e and \u003cem\u003eMrps18a\u003c/em\u003e for mouse genes, \u003cem\u003eGAPDH\u003c/em\u003e and \u003cem\u003eRPS18\u003c/em\u003e for human genes) using the delta-Ct method and results are presented as relative transcript levels (2\u003csup\u003e\u0026minus;ΔΔCt\u003c/sup\u003e). Primers sequences are presented in Tables S1 and S2.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec8\" class=\"Section2\"\u003e \u003ch2\u003eHepatic transcriptomic analyses\u003c/h2\u003e \u003cp\u003eRNA sequencing (RNA-Seq) analyses were performed on highly-pure RNA samples from the liver of Western diet-fed control (n\u0026thinsp;=\u0026thinsp;4) and Mc1r LKO (n\u0026thinsp;=\u0026thinsp;4) mice at the Finnish Functional Genomics Centre according to the manufacturer\u0026rsquo;s protocols (Illumina, Cambridge, UK). The binary base call (BCL) sequence files generated by Illumina Novaseq 6000 were converted to FASTQ files using Illumina\u0026rsquo;s bcl2fastq (version 2.18.0.12). The FASTQ files were processed using FIMM-RNAseq (23) (version 3.0.0) data analysis pipeline. The T overhang added by the library preparation workflow was removed from forward and reverse reads. Trim-galore (version 0.6.6) was used for quality trimming and adapter removal (\u003cspan citationid=\"CR24\" class=\"CitationRef\"\u003e24\u003c/span\u003e). STAR (version 2.7.6a) was used for read alignment and Subread (version 2.0.1) was used for gene quantification (\u003cspan citationid=\"CR25\" class=\"CitationRef\"\u003e25\u003c/span\u003e). Clean RNA-Seq reads were aligned to the mouse reference genome GRCh38 (release) from Ensembl. Low gene counts were filtered using edgeR\u0026rsquo;s (\u003cspan citationid=\"CR26\" class=\"CitationRef\"\u003e26\u003c/span\u003e) (version 3.36.0) \u003cem\u003efilterByExpr\u003c/em\u003e function utilizing default parameters and normalized by TMM (trimmed mean of M-values) normalization method. Differential gene expression analysis was carried out using DGA-quik (\u003cspan citationid=\"CR27\" class=\"CitationRef\"\u003e27\u003c/span\u003e) written in R programming language (\u003cspan citationid=\"CR28\" class=\"CitationRef\"\u003e28\u003c/span\u003e). The gene expression profile between control and Mc1r LKO mice were compared. A total of 635 DEGs (differentially expressed genes) were yielded from the analysis after filtering with p-value cutoff\u0026thinsp;\u0026lt;\u0026thinsp;0.05 and absolute log fold-change (logFC) \u0026ge; 0.25. The DEGs were further tested for their over-representation in Gene Ontology (GO) terms using topGO (\u003cspan citationid=\"CR29\" class=\"CitationRef\"\u003e29\u003c/span\u003e) (version 2.46.0), a Bioconductor R package. The over-represented GO terms produced by the analysis were further filtered based on a cutoff \u003cem\u003ep.adj\u003c/em\u003e \u0026le; \u003cem\u003e0.05\u003c/em\u003e.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec9\" class=\"Section2\"\u003e \u003ch2\u003eHistological analysis\u003c/h2\u003e \u003cp\u003eLiver and gonadal WAT were fixed with 10% buffered formalin solution for 24 hours followed by dehydration in ethanol and embedding in paraffin. Blocks were cut into serial sections (4 \u0026micro;m-thick) and stained with hematoxylin and eosin (H\u0026amp;E) and PicroSirius Red as previously described. ImageJ software (NIH, Bethesda, MD, USA) was used to measure adipocyte size and the extent of liver fibrosis after imaging the entire sections using an automated slide scanner (Pannoramic 250 or Pannoramic Midi, 3DHISTECH Kft., Budapest, Hungary).\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec10\" class=\"Section2\"\u003e \u003ch2\u003ePlasma and liver lipid analyses\u003c/h2\u003e \u003cp\u003eTerminal blood samples were withdrawn by cardiac puncture and plasma was obtained from EDTA-anticoagulated whole blood after centrifugation (380 \u003cem\u003eg\u003c/em\u003e, 20 min, +\u0026thinsp;4℃). Plasma total triglyceride concentrations were determined using enzymatic colorimetric assays (GPO-PAP, mtDiagnostics, Idstein, Germany) according to the manufacturer\u0026rsquo;s protocols. Non-esterified fatty acids (NEFA) concentration was determined using a commercially available kit (Free Fatty Acid Fluorometric Assay Kit, Item No. 700310, Cayman Chemicals, USA) following manufacturer\u0026rsquo;s instructions. Liver samples (~\u0026thinsp;100 mg) were homogenized in 500 \u0026micro;l of PBS containing 0.1% NP-40 (Abcam) using Qiagen TissueLyser LT Bead Mill (QIAGEN, Venlo, Netherlands) and centrifuged to remove insoluble components (\u003cspan citationid=\"CR30\" class=\"CitationRef\"\u003e30\u003c/span\u003e, \u003cspan citationid=\"CR31\" class=\"CitationRef\"\u003e31\u003c/span\u003e). TG concentrations in the liver homogenates were quantified using GPO-PAP reagent.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec11\" class=\"Section2\"\u003e \u003ch2\u003eProtein extraction, SDS-PAGE and Western blotting\u003c/h2\u003e \u003cp\u003eHepG2 cells and primary hepatocytes were lysed in ice-cold RIPA buffer (50 mM NaCl, 1% Triton X-100, 0,5% Sodium deoxycholate, 0,1% SDS, pH 8,0) supplemented with a cocktail of protease and phosphatase inhibitors (ThermoFisher, #A32961). For liver lysate preparation, liver samples were homogenized in ice-cold RIPA buffer with the addition of metal beads using Qiagen TissueLyser LT. Protein extracts were resolved by either 10% or 4\u0026ndash;20% gradient (Bio-Rad) SDS-polyacrylamide gel electrophoresis (SDS-PAGE) and blotted onto either nitrocellulose membranes (GE Healthcare, Chalfont St. Giles, United Kingdom) or polyvinylidene difluoride (PVDF) membranes (Bio-Rad). Membranes were blocked with either 5% skimmed milk (Carl Roth) or 3% BSA (Tocris Bioscience) in 1X Tris-Buffered Saline (TBS) in 0.1% Tween\u0026reg; 20 detergent (Fischer Bioreagents) for 1 hour at room temperature (RT) and incubated with primary antibodies for ChREBP (Novus Biologicals, # NB400-135SS), caspase 3 (Abcam, # ab13847), BAX (Cell Signaling Tech, # 2772), phospho-JNK (Cell Signaling Tech, # 4668), JNK (R\u0026amp;D Systems, # AF-1387) at 4℃ overnight. Next day, membranes were washed and incubated with horseradish peroxidase (HRP)-conjugated secondary antibodies (Cell Signaling Tech) for 1 hour at RT and proteins were detected using a chemiluminescence (ECL) kit (Millipore, MA, USA). Target protein expression was normalized to the expression of vinculin (Bio-Rad, #MCA465GA) to correct for loading, and signal strengths were analyzed using ImageJ software (NIH, Bethesda, MD, USA).\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec12\" class=\"Section2\"\u003e \u003ch2\u003eStatistical analysis\u003c/h2\u003e \u003cp\u003eAll statistical analyses (except for RNA-Seq) were performed using GraphPad Prism 10 software (La Jolla, CA, USA). Statistical significance between the experimental groups was determined by two-tailed, unpaired Student\u0026rsquo;s t-test or one-way or two-way ANOVA followed by Dunnet or Bonferroni \u003cem\u003epost hoc\u003c/em\u003e tests. The D\u0026rsquo;Agostino and Pearson omnibus normality test method was utilized to check the normality of the data. Outliers in the data sets were recognized using the regression and outlier removal (ROUT) method at Q-level of 1%. All data are presented as mean\u0026thinsp;\u0026plusmn;\u0026thinsp;standard error of the mean (SEM). Results were considered significant for p values of less than 0.05.\u003c/p\u003e \u003c/div\u003e"},{"header":"Results","content":"\u003cp\u003e \u003cb\u003eGlobal MC1R deficiency promotes white adipose tissue and liver weight without affecting body weight or composition\u003c/b\u003e \u003c/p\u003e \u003cp\u003eTo determine whether global MC1R deficiency promotes weight gain and adiposity, male WT and Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice were fed chow or Western diet for 12 weeks. Body weight was monitored weekly during the 12-week diet intervention period, but there were no significant differences between the genotypes in weight development in either of the diet groups (Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003eA, B). Likewise, body composition analysis by quantitative NMR scanning did not reveal significant changes in fat or lean mass of Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice in comparison to control WT mice (Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003eC, D). However, chow-fed Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice had significantly higher gonadal (gWAT), subcutaneous (sWAT) and retroperitoneal white adipose tissue (rWAT) depot weights at sacrifice (Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003eE), while Western diet feeding increased particularly gWAT weight and this effect was more pronounced in Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice (Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003eF). Overall, the net weight of all WAT depots was significantly higher in chow- and Western diet-fed Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice compared to WT mice (Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003eG). Furthermore, Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice showed higher liver weight in both diet groups (Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003eH). Quantification of plasma lipids revealed a significant increase in TG concentration in Western diet fed Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice (Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003eI), while no change was observed in NEFA concentration (Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003eJ). We next determined whether the increased adiposity of Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice was associated with changes in physical activity or food intake. However, no genotype effects were observed in this regard, suggesting that the increased adiposity is not primarily driven by enhanced food intake or reduced physical activity (\u003cb\u003eFig. \u003cspan refid=\"MOESM1\" class=\"InternalRef\"\u003eS1\u003c/span\u003eA-C\u003c/b\u003e). We also investigated glucose homeostasis in these mice by performing glucose tolerance test (GTT). No significant differences were observed in fasting blood glucose level or glucose tolerance between WT and Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice (\u003cb\u003eFig. \u003cspan refid=\"MOESM1\" class=\"InternalRef\"\u003eS1\u003c/span\u003eD-F\u003c/b\u003e). Additionally, plasma insulin concentration was comparable between WT and Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice in both diet groups (\u003cb\u003eFig. \u003cspan refid=\"MOESM1\" class=\"InternalRef\"\u003eS1\u003c/span\u003eG\u003c/b\u003e). Together, these results indicate that global MC1R deficiency promotes adiposity without affecting food intake, physical activity or glucose homeostasis.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003cdiv id=\"Sec14\" class=\"Section2\"\u003e \u003ch2\u003eMc1r\u003csup\u003ee/e\u003c/sup\u003e mice show enhanced adipocyte hypertrophy\u003c/h2\u003e \u003cp\u003eWe next investigated the effect of MC1R deficiency in WAT morphology. Histological examination of H\u0026amp;E-stained gWAT sections revealed a higher proportion of large adipocytes in both chow- and Western diet-fed Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eA-C). Consequently, the mean adipocyte cell size was also increased in Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice compared to WT mice (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eD), indicating enhanced adipocyte hypertrophy. To address the possible causes of increased adipocyte hypertrophy, we first quantified mRNA levels of key enzymes involved in fatty acid hydrolysis in gWAT samples using qPCR. Although the expression of lipoprotein lipase (encoded by \u003cem\u003eLpl\u003c/em\u003e), which is a rate-limiting enzyme for the turnover of fatty acids in adipocytes (\u003cspan citationid=\"CR32\" class=\"CitationRef\"\u003e32\u003c/span\u003e) was unchanged (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eE), chow-fed Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice had significantly reduced mRNA levels of hormone sensitive lipase (HSL, encoded by \u003cem\u003eLipe\u003c/em\u003e) and adipose triglyceride lipase (\u003cem\u003eAtgl\u003c/em\u003e) (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eF, G), which are two main enzymes that account for around 95% of lipolytic activity in adipocytes (\u003cspan citationid=\"CR32\" class=\"CitationRef\"\u003e32\u003c/span\u003e). Meanwhile, the expression of monoglyceride lipase (\u003cem\u003eMgl\u003c/em\u003e), a rate-limiting enzyme in the final step of TG hydrolysis, lipid droplet-associated proteins (\u003cem\u003ePlin1\u003c/em\u003e or \u003cem\u003ePlin2\u003c/em\u003e), and genes involved in fatty acid synthesis (\u003cem\u003eFasn, Scd1, Acc1, Dgat1, Dgat2 Adipoq, Mgll\u003c/em\u003e), and fatty acid oxidation (\u003cem\u003ePpara and Acox1\u003c/em\u003e) were unchanged in gWAT of Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice (\u003cb\u003eFig. S2\u003c/b\u003e).\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003cp\u003eEarlier studies have shown that the deletion of ATGL in adipocytes reduces lipolysis and changes fat distribution without increasing overall fat mass (\u003cspan citationid=\"CR33\" class=\"CitationRef\"\u003e33\u003c/span\u003e), while genetic ablation of HSL protects against diet-induced and genetic obesity in mice (\u003cspan citationid=\"CR34\" class=\"CitationRef\"\u003e34\u003c/span\u003e, \u003cspan citationid=\"CR35\" class=\"CitationRef\"\u003e35\u003c/span\u003e). Thus, the reduced mRNA levels of \u003cem\u003eAtgl\u003c/em\u003e and \u003cem\u003eLipe\u003c/em\u003e in adipocytes are unlikely to explain the expansion of fat mass in Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice, particularly considering that the gene expression was changed only in chow-fed Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice, while adipocyte hypertrophy was evident in both chow- and Western diet-fed mice. Therefore, we turned our attention to the liver and quantified mRNA expression of key enzymes involved in \u003cem\u003ede novo\u003c/em\u003e lipogenesis in the liver of Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice. We did not observe any change in the mRNA level of sterol regulator element binding protein 1 (\u003cem\u003eSrebp1c\u003c/em\u003e) (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eH), which primarily regulates the expression of genes involved in FA and TG biosynthesis \u003cem\u003evia\u003c/em\u003e insulin, while the expression of carbohydrate response element-binding protein (\u003cem\u003eChrebp\u003c/em\u003e), another important transcription factor for \u003cem\u003ede novo\u003c/em\u003e lipogenesis, was significantly upregulated in Western diet-fed Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eI). Consistently, the mRNA levels of the \u003cem\u003eChrebp\u003c/em\u003e target genes fatty acid synthase (\u003cem\u003eFasn\u003c/em\u003e) and stearoyl-CoA desaturase 1 (\u003cem\u003eScd1\u003c/em\u003e) were significantly increased in the liver of both chow- and Western diet-fed Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eJ, K). Collectively, these findings suggest that the enhanced adiposity of Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice is primarily driven by a disturbance in hepatic \u003cem\u003ede novo\u003c/em\u003e lipogenesis rather than adipose tissue dysfunction.\u003c/p\u003e \u003cp\u003e \u003cb\u003eHepatocyte-specific loss of MC1R increases liver weight and causes dyslipidemia in mice challenged with Western diet\u003c/b\u003e \u003c/p\u003e \u003cp\u003eTo test the hypothesis that MC1R deficiency in the liver triggers dyslipidemia and adipocyte hypertrophy, we employed hepatocyte-specific MC1R knockout (Mc1r LKO) mice, as previously described (\u003cspan citationid=\"CR19\" class=\"CitationRef\"\u003e19\u003c/span\u003e), fed them Western diet for 12 weeks, and then phenotyped the mouse model in a comparable way as in Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice. Mc1r LKO displayed a similar rate of weight gain throughout the entire feeding period in comparison with control mice (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eA). Furthermore, total lean or fat mass, as determined by quantitative NMR scanning, did not significantly differ between the genotypes at the start or end of the 12-week feeding period (\u003cb\u003eFig. S3A, B\u003c/b\u003e). Food intake was also comparable between the genotypes (\u003cb\u003eFig. S3C\u003c/b\u003e). Of note, Mc1r LKO mice had increased liver weight compared to control mice (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eB), which prompted us to further investigate the relative fat and lean mass of the liver by \u003cem\u003eex vivo\u003c/em\u003e quantitative NMR scanning. In line with the increased liver weight, the relative fat mass of the liver was increased in Mc1r LKO mice (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eC), which was accompanied by reduction in the relative lean mass (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eD). Supporting these finding, quantification of lipids revealed increased TG concentration in the liver of Mc1r LKO mice (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eE) Histological examination of H\u0026amp;E-stained liver sections revealed increased accumulation of intracellular lipid droplets in Mc1r LKO mice (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eF). In terms of plasma lipid profiles, Mc1r LKO mice had increased plasma TG concentration (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eG), while no change was observed in plasma NEFA concentration (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eH). In addition, we performed GTT at the start and end of the 12-week feeding period to investigate the possible impact of hepatic MC1R deficiency on glucose homeostasis. Mc1r LKO mice showed normal glucose tolerance (\u003cb\u003eFig. S3D-G\u003c/b\u003e), which is in line with the finding in Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice. Together, these results demonstrate that hepatocyte-specific loss of MC1-R in mice increases liver weight and accumulation of TG in the liver and plasma, thus closely recapitulating the phenotype observed in Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec15\" class=\"Section2\"\u003e \u003ch2\u003e\u003cb\u003eWestern diet-fed Mc1r LKO mice show enhanced adipocyte hypertrophy\u003c/b\u003e\u003c/h2\u003e \u003cp\u003eWe next investigated whether the Mc1r LKO mouse model leads to a similar adiposity phenotype as observed in Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice. Indeed, Mc1r LKO mice had significantly higher absolute and relative gWAT, rWAT and sWAT depot weights at the end of the experiment (Fig.\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003eA, B). Consequently, net weight of all WAT depots was increased in Mc1r LKO mice (Fig.\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003eC). We next investigated adipose tissue morphology in H\u0026amp;E-stained gWAT sections from Western diet-fed control and Mc1r LKO mice. Histological examination and quantification of cross-sectional areas revealed an increase in adipocyte size in Mc1r LKO mice (Fig.\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003eD-F). To further explore molecular mechanisms promoting fat deposition, we quantified mRNA levels of lipid metabolism and transportation genes in the gWAT of Mc1r LKO mice. The expression of \u003cem\u003ePpara\u003c/em\u003e, which controls lipogenesis in gWAT (\u003cspan citationid=\"CR36\" class=\"CitationRef\"\u003e36\u003c/span\u003e), was reduced in Mc1r LKO mice, while \u003cem\u003eSrebp1c\u003c/em\u003e and \u003cem\u003eChrebp\u003c/em\u003e expression were unchanged (Fig.\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003eG). Furthermore, the expression of genes involved in \u003cem\u003ede novo\u003c/em\u003e lipogenesis, lipid transport and TG synthesis were comparable between the genotypes, except for \u003cem\u003eFasn\u003c/em\u003e and \u003cem\u003eGpat3\u003c/em\u003e, which were downregulated in Mc1r LKO mice (\u003cb\u003eFig. S4A\u003c/b\u003e). In good agreement with the gene expression profile of Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice, the mRNA levels of \u003cem\u003eLipe\u003c/em\u003e and \u003cem\u003eAtgl\u003c/em\u003e were reduced in Mc1r LKO mice (Fig.\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003eE), whereas \u003cem\u003eLpl\u003c/em\u003e and \u003cem\u003eMgll\u003c/em\u003e mRNA levels were unchanged (Fig.\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003eE). Remarkably, the mRNA levels of the lipid droplet-associated proteins \u003cem\u003ePlin1\u003c/em\u003e and \u003cem\u003ePlin3\u003c/em\u003e were reduced in Mc1r LKO mice, while \u003cem\u003ePlin2\u003c/em\u003e was unchanged (Fig.\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003eI). The expression levels of the pro-inflammatory cytokines \u003cem\u003eIl1b\u003c/em\u003e, \u003cem\u003eIl6\u003c/em\u003e and \u003cem\u003eTnfa\u003c/em\u003e were comparable between the genotypes (\u003cb\u003eFig. S4B\u003c/b\u003e). Together, these data indicate that hepatic MC1R deficiency promotes expansion of WAT depots and adipocyte hypertrophy in mice challenged with Western diet.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec16\" class=\"Section2\"\u003e \u003ch2\u003eHepatic transcriptome of Mc1r LKO mice\u003c/h2\u003e \u003cp\u003eNext, direct RNA sequencing was applied to identify changes in the hepatic transcriptome of Western diet-fed Mc1r LKO mice (n\u0026thinsp;=\u0026thinsp;4) compared to Western diet-fed control mice (n\u0026thinsp;=\u0026thinsp;4) (Fig.\u0026nbsp;\u003cspan refid=\"Fig6\" class=\"InternalRef\"\u003e6\u003c/span\u003eA). We found 635 differentially expressed genes (DEGs) between the Mc1rLKO and control samples (adjusted p-value\u0026thinsp;\u0026lt;\u0026thinsp;0.05, logFC\u0026thinsp;\u0026gt;\u0026thinsp;0,25). As shown in the volcano plot (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003eA), 240 genes were upregulated, and 395 genes were downregulated in Mc1r LKO mice (see also Supplementary Table III). Furthermore, gene ontology (GO) enrichment analysis was performed on 635 DEGs to identify relevant pathways and biological processes affected by hepatic MC1R deficiency. The DEGs were significantly enriched in several GO terms including defense response to bacteria, cellular responses to lipopolysaccharide, interferon-gamma and -beta, and adaptive immune response (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003eB).\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003cp\u003eWe further selected a few of the top DEGs and validated these by qPCR using the whole set of liver samples from Western diet-fed control and Mc1r LKO mice. Metallothionein 1 (\u003cem\u003eMt1\u003c/em\u003e) and metallothionein 2 (\u003cem\u003eMt2\u003c/em\u003e), which are essential stress response proteins in the liver (\u003cspan citationid=\"CR37\" class=\"CitationRef\"\u003e37\u003c/span\u003e), were significantly upregulated in Mc1r LKO mice (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003eC), thus confirming the finding of RNA-Seq analysis. Likewise, FK506 binding protein 5 (\u003cem\u003eFkbp5\u003c/em\u003e) tended (p\u0026thinsp;=\u0026thinsp;0.10) to be upregulated and 6-phosphofructo-2-kinase (\u003cem\u003ePfkfb3\u003c/em\u003e) was significantly upregulated in the liver of Mc1r LKO mice (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003eC). Based on the findings from the GO enrichment analysis, we were curious to investigate the impact of hepatic MC1-R deficiency on the expression of main inflammatory genes. Mc1r LKO mice showed a tendency towards increased expression of interleukin-1 beta (\u003cem\u003eIl1b)\u003c/em\u003e as well as significant upregulation of interleukin 6 (\u003cem\u003eIl6\u003c/em\u003e) and tumor necrosis factor alpha (\u003cem\u003eTnfa\u003c/em\u003e), which are key pro-inflammatory cytokines regulating hepatic inflammation in NAFLD (\u003cspan citationid=\"CR38\" class=\"CitationRef\"\u003e38\u003c/span\u003e) (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003eD). Besides inflammation, Mc1r LKO mice displayed signs of enhanced apoptosis, as evidenced by upregulation of the apoptosis markers Bcl2-associated X protein (\u003cem\u003eBax\u003c/em\u003e), phorbol-12-myristate-13-acetate-induced protein 1 (\u003cem\u003eNoxa\u003c/em\u003e), B-cell lymphoma 2 (\u003cem\u003eBcl2\u003c/em\u003e, p\u0026thinsp;=\u0026thinsp;0.056) and caspase 3 (\u003cem\u003eCasp3\u003c/em\u003e, p\u0026thinsp;=\u0026thinsp;0.051) (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003eE). Histological analysis of Picrosirius Red-stained sections also showed that liver fibrosis was increased in Mc1r LKO mice (\u003cb\u003eFig S6A, B\u003c/b\u003e).\u003c/p\u003e \u003cp\u003eAlthough pathways related to lipid metabolism were not among the most significant GO terms in the enrichment analysis, we aimed to also quantify the hepatic expression of genes involved in lipogenesis, fatty acid oxidation, and lipid droplet formation. Consistent with the transcriptional changes in Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice, Mc1r LKO mice showed no change in \u003cem\u003eSrebp1c\u003c/em\u003e expression but significant upregulation of \u003cem\u003eChrebp\u003c/em\u003e (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003eF). Consequently, the ChREBP target genes \u003cem\u003eAcc1\u003c/em\u003e and \u003cem\u003eFasn\u003c/em\u003e were also significantly induced in the liver of Mc1r LKO mice (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003eF). In contrast, genes involved in fatty acid oxidation (\u003cem\u003ePpara\u003c/em\u003e, \u003cem\u003eCpt1a\u003c/em\u003e, \u003cem\u003eCpt2\u003c/em\u003e and \u003cem\u003eAcox1\u003c/em\u003e), fatty acid export (\u003cem\u003eMttp\u003c/em\u003e and \u003cem\u003eApob\u003c/em\u003e) or uptake (\u003cem\u003eCd36\u003c/em\u003e) were unaffected by MC1R deficiency (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003eG and \u003cb\u003eFig. S5B\u003c/b\u003e). In terms of lipid droplet-associated proteins, \u003cem\u003ePlin1\u003c/em\u003e was downregulated Mc1r LKO mice, while \u003cem\u003ePlin2\u003c/em\u003e and \u003cem\u003ePlin3\u003c/em\u003e were unchanged (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003eH). Furthermore, the expression of \u003cem\u003eGpat3\u003c/em\u003e, an enzyme involved in TG synthesis and catalyzing the first step of fatty acid esterification, was markedly upregulated in Mc1r LKO mice (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003eH). Collectively, these expression analyses suggest that hepatic MC1R deficiency enhances \u003cem\u003ede novo\u003c/em\u003e lipogenesis and fatty acid esterification, leading to excessive accumulation of TGs and hepatic steatosis.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec17\" class=\"Section2\"\u003e \u003ch2\u003ePharmacological activation of MC1-R reduces ChREBP expression in primary mouse hepatocytes\u003c/h2\u003e \u003cp\u003eWe next aimed to investigate whether pharmacological MC1-R activation evokes a reverse phenotype compared to the effects observed in Mc1r LKO mice. For this purpose, we used HepG2 and primary mouse hepatocytes, and treated them with different concentrations of endogenous (α-MSH) or synthetic (LD211) MC1-R agonist. In HepG2 cells, α-MSH reduced the mRNA expression of both \u003cem\u003eMT1\u003c/em\u003e and \u003cem\u003eMT2\u003c/em\u003e (Fig.\u0026nbsp;\u003cspan refid=\"Fig6\" class=\"InternalRef\"\u003e6\u003c/span\u003eA), while the selective MC1R agonist LD211 had no significant effects on the expression of these genes (Fig.\u0026nbsp;\u003cspan refid=\"Fig6\" class=\"InternalRef\"\u003e6\u003c/span\u003eB). Likewise, in primary hepatocytes, which represent the gold standard for investigating hepatic lipid metabolism \u003cem\u003ein vitro\u003c/em\u003e, we observed that α-MSH tended to downregulate \u003cem\u003eMt1\u003c/em\u003e and \u003cem\u003eMt2\u003c/em\u003e expression (Fig.\u0026nbsp;\u003cspan refid=\"Fig6\" class=\"InternalRef\"\u003e6\u003c/span\u003eC), while LD211 had no consistent effect on the expression of these genes (Fig.\u0026nbsp;\u003cspan refid=\"Fig6\" class=\"InternalRef\"\u003e6\u003c/span\u003eD). We then investigated the effects of α-MSH and LD211 on ChREBP expression, which was consistently upregulated in the liver of Mc1r\u003csup\u003ee/e\u003c/sup\u003e and Mc1r LKO mice. α-MSH and LD211significantly reduced ChREBP protein level in primary mouse hepatocytes (\u003cb\u003eFig. S7A\u003c/b\u003e, Fig.\u0026nbsp;\u003cspan refid=\"Fig6\" class=\"InternalRef\"\u003e6\u003c/span\u003eE). In terms of apoptosis markers, LD211 significantly reduced the protein levels of cleaved caspase 3 in primary mouse hepatocytes, while no effect on BAX was observed (\u003cb\u003eFig. S7B\u003c/b\u003e). Lastly, LD211 induced a rapid reduction (at 5 min time point) in the phosphorylation level of c-Jun N-terminal kinase (JNK) (Fig.\u0026nbsp;\u003cspan refid=\"Fig6\" class=\"InternalRef\"\u003e6\u003c/span\u003eG), which is known to mediate apoptosis in the liver (\u003cspan citationid=\"CR39\" class=\"CitationRef\"\u003e39\u003c/span\u003e). Collectively, these results demonstrate that selective MC1R activation reduces the expression of ChREBP and apoptosis-related markers in primary hepatocytes.\u003c/p\u003e \u003c/div\u003e"},{"header":"Discussion","content":"\u003cp\u003eIn this study, we demonstrate that loss of MC1R signaling disturbs lipid metabolism in the liver and enhances adiposity. First, we found that mice with global MC1R deficiency had normal body weight and glucose homeostasis, but they were susceptible for diet-induced increase in liver weight, WAT expansion and adipocyte hypertrophy. Second, this phenotype was recapitulated in mice with hepatocyte-specific loss of MC1R. These mice, when fed Western diet, showed increased liver weight and TG accumulation in the plasma and liver as well as enhanced adiposity. At the gene expression level, these changes were associated with hepatic upregulation of the transcription factor ChREBP and its targets such as \u003cem\u003eFasn\u003c/em\u003e and \u003cem\u003eAcc1\u003c/em\u003e that regulate lipogenesis. Additionally, \u003cem\u003ein vitro\u003c/em\u003e experiments revealed that pharmacological activation of MC1R reduced ChREBP expression in primary mouse hepatocytes, indicating that ChREBP is directly regulated by MC1R signaling. These findings provide new insight into the role of melanocortin receptors in lipid metabolism.\u003c/p\u003e \u003cp\u003eBased on the earlier findings that MC1R is expressed in mouse and human adipocytes, we initially hypothesized that MC1R signaling in these cells regulates lipid metabolism. Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice with global MC1R deficiency showed normal weight development under chow-fed conditions and in diet-induced obesity, but significant increases in liver weight, plasma TG concentration and WAT depot weights. Gene expression profiling however revealed more drastic and consistent changes in the liver compared to WAT, suggesting enhanced hepatic DNL in Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice. Although we cannot exclude the possible involvement of adipocyte MC1R, the notion that Mc1r LKO mice displayed a highly similar phenotype with Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice strongly suggest that enhanced adiposity and disturbed lipid metabolism is primarily driven by MC1R deficiency in hepatocytes. This view is also supported by previous studies, which have shown that MC1R activation does not have a significant effect on lipid metabolism in cultured adipocytes (\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e). Furthermore, our recent study revealed that hepatic MC1R signaling regulates cholesterol and bile acid metabolism in mice (\u003cspan citationid=\"CR19\" class=\"CitationRef\"\u003e19\u003c/span\u003e), indicating existence of functional MC1R in the liver.\u003c/p\u003e \u003cp\u003eGlobal and hepatocyte-specific MC1R deficiency were associated with upregulation of \u003cem\u003eChrebp\u003c/em\u003e and its target genes that regulate lipogenesis. These changes occurred without transcriptional modulation of genes regulating \u003cem\u003ee.g.\u003c/em\u003e fatty acid oxidation or export, suggesting that the rate of FA input exceeds the rate of FA output, which, in turn, increases TG accumulation in the liver. Mc1r LKO mice indeed showed increased liver weight and particularly higher liver fat mass and TG content. Further studies are however needed to measure the rate of lipogenesis in these mice to confirm that the increased hepatic TG content is caused by enhanced hepatic DNL. The major transcriptional regulators SREBP1c and ChREBP induce lipogenesis in the liver by triggering the expression of key lipogenic enzymes (\u003cspan citationid=\"CR40\" class=\"CitationRef\"\u003e40\u003c/span\u003e). SREBP1c and ChREBP have overlapping and yet distinct roles in lipid metabolism (\u003cspan citationid=\"CR41\" class=\"CitationRef\"\u003e41\u003c/span\u003e), as SREB1c is activated by insulin and ChREBP by hepatic uptake of excess plasma glucose. Intriguingly, Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice and Mc1r LKO mice did not show any change in fasting blood glucose level or glucose tolerance, suggesting that the ChREBP is directly induced by MC1R deficiency. In support of this view, pharmacological activation of MC1R downregulated ChREBP expression in primary mouse hepatocytes.\u003c/p\u003e \u003cp\u003eAt first glance, it seemed that Mc1r LKO mice displayed phenotypic similarity with mice overexpressing ChREBP (\u003cspan citationid=\"CR42\" class=\"CitationRef\"\u003e42\u003c/span\u003e). This mouse model has been characterized by increased hepatic expression of genes involved in lipogenesis and fatty acid esterification, and consequent increase in liver TG content and development of hepatic steatosis. However, on a high fat diet, ChREBP overexpressing mice showed improved glucose tolerance and insulin sensitivity as well as lower gonadal WAT weight, indicating that these mice are metabolically healthier than their controls. In another study, adenoviral overexpression of ChREBP led to robust hepatic steatosis that was associated with reduced blood glucose level and plasma TG concentration, and increased plasma NEFA concentration (\u003cspan citationid=\"CR43\" class=\"CitationRef\"\u003e43\u003c/span\u003e). Mechanistic experiments further suggested that ChREBP overexpression, by inducing SCD1 expression, favorably modifies lipid composition in hepatocytes and thus dissociates hepatic steatosis from insulin resistance (\u003cspan citationid=\"CR42\" class=\"CitationRef\"\u003e42\u003c/span\u003e). Since Western diet-fed Mc1r\u003csup\u003ee/e\u003c/sup\u003e and Mc1r LKO mice showed a discordant phenotype in this regard, \u003cem\u003ei.e.\u003c/em\u003e significantly increased WAT weights and plasma TG level without improvement in glucose tolerance, the upregulation of \u003cem\u003eChrebp\u003c/em\u003e alone could not be responsible for the increased adiposity of MC1R deficient mice. Therefore, MC1R deficiency in hepatocytes is likely to disturb additional, as yet undiscovered pathways that regulate whole body lipid metabolism.\u003c/p\u003e \u003cp\u003eA striking observation of MC1R deficient mouse models was increased adiposity and adipocyte hypertrophy without change in body weight. Adipose tissue has capacity to expand in size to store excess energy in the form of TGs (\u003cspan citationid=\"CR44\" class=\"CitationRef\"\u003e44\u003c/span\u003e). Thus, it is likely that MC1R deficient mice were over time increasing adipocyte size and WAT mass as a rescuing mechanism to compensate for the increased lipogenesis in the liver. Interestingly, the mRNA levels of \u003cem\u003eLipe\u003c/em\u003e and \u003cem\u003eAtgl\u003c/em\u003e, which are responsible for TG hydrolysis and facilitate FA mobilization, were reduced in the adipose tissue of Mc1r\u003csup\u003ee/e\u003c/sup\u003e mice and Mc1r LKO mice. Likewise, perilipins and particularly \u003cem\u003ePlin1\u003c/em\u003e, which is required for maximal lipolytic activity in WAT (\u003cspan citationid=\"CR45\" class=\"CitationRef\"\u003e45\u003c/span\u003e, \u003cspan citationid=\"CR46\" class=\"CitationRef\"\u003e46\u003c/span\u003e), was downregulated in Mc1r LKO mice. Taking into account that Western diet feeding similarly downregulated \u003cem\u003eLipe\u003c/em\u003e, \u003cem\u003eAtgl\u003c/em\u003e and \u003cem\u003ePlin1\u003c/em\u003e expressions in WT mice, these transcriptional changes could reflect a compensatory mechanism to suppress lipolysis and FA flux to the liver. However, plasma NEFA level, which is largely determined by the rate of lipolysis, was unchanged in MC1R deficient mice, suggesting that lipolysis in the adipose tissue was still under homeostatic balance or only marginally reduced. Importantly, the unchanged plasma NEFA level support the concept that enhanced hepatic DNL is the primary mechanism driving hepatic TG accumulation in Mc1r LKO mice. We also observed that \u003cem\u003ePppara\u003c/em\u003e was downregulated in the WAT of Mc1r LKO mice, which could indicate reduced FA oxidation as an adaptive mechanism to accommodate storage of excess TGs fluxed from the liver. The expansion of WAT is an adaptive process to store excess energy, but in the context of sustained obesity, the adaptive mechanisms eventually fail leading to WAT dysfunction characterized by insulin resistance, inflammation and fibrosis (\u003cspan citationid=\"CR47\" class=\"CitationRef\"\u003e47\u003c/span\u003e). Insulin resistance in WAT is particularly important as a causative factor for hepatic TG accumulation in NAFLD (\u003cspan citationid=\"CR48\" class=\"CitationRef\"\u003e48\u003c/span\u003e). Based on the unchanged plasma NEFA level and gene expression analysis, there were no signs of insulin resistance or increased inflammation in the WAT of Mc1r LKO mice, implying that the capacity of the WAT to safely store excess FAs was not yet exceeded. It remains however an open question whether feeding a Western diet for a longer period of time or a diet with higher fat percentage would lead to WAT dysfunction in Mc1r LKO mice. RNA-Seq analysis revealed that several biological pathways are affected by hepatocyte-specific MC1R deficiency. In terms of the top DEGs, Mc1r LKO mice showed significant upregulation of the metallothioneins \u003cem\u003eMt1\u003c/em\u003e and \u003cem\u003eMt2\u003c/em\u003e, which are cysteine-rich heavy metal-binding proteins that are expressed in various tissues with particularly high expression levels in the liver. They are induced by various stimuli such as heavy metals, oxidate stress and inflammation, and are thus implicated e.g. in scavenging of free radicals and protection against heavy metal toxicity. Mice with targeted disruption of \u003cem\u003eMt1\u003c/em\u003e and \u003cem\u003eMt2\u003c/em\u003e are also more prone to diet-induced obesity, indicating a role for metallothioneins in the regulation of energy balance (\u003cspan citationid=\"CR49\" class=\"CitationRef\"\u003e49\u003c/span\u003e, \u003cspan citationid=\"CR50\" class=\"CitationRef\"\u003e50\u003c/span\u003e). Furthermore, overexpression of metallothioneins protects hepatocytes against palmitic acid-induced lipotoxicity (\u003cspan citationid=\"CR51\" class=\"CitationRef\"\u003e51\u003c/span\u003e). Against this background, it is more likely that the upregulation of \u003cem\u003eMt1\u003c/em\u003e and \u003cem\u003eMt2\u003c/em\u003e in the liver of Western diet-fed Mc1r LKO mice was a response to enhanced TG accumulation rather than a direct consequence of MC1R deficiency. This notion is further supported by the finding that selective MC1R agonism did not affect \u003cem\u003eMt1\u003c/em\u003e or \u003cem\u003eMt2\u003c/em\u003e expression in cultured hepatocytes.\u003c/p\u003e \u003cp\u003eBesides susceptibility for increased hepatic TG accumulation, Western diet-fed Mc1r LKO mice exhibited signs of enhanced liver fibrosis and inflammation as well as apoptosis. We had previously observed that selective activation of MC1R had no effect on inflammatory markers but reduced the expression of fibrosis-associated genes in cultured hepatocytes (\u003cspan citationid=\"CR19\" class=\"CitationRef\"\u003e19\u003c/span\u003e). In the current study, we extend this knowledge by showing that MC1R activation has some direct effects on apoptotic markers in primary hepatocytes. Overall, the \u003cem\u003ein vitro\u003c/em\u003e data suggest that hepatocyte-specific loss of MC1R could directly promote liver fibrosis and apoptosis, but the pathological hallmarks of NAFLD, \u003cem\u003ei.e.\u003c/em\u003e apoptosis, inflammation and fibrosis, might also be a consequence of increased TG accumulation in the liver. Although TG accumulation is not considered to be harmful for hepatocytes (\u003cspan citationid=\"CR52\" class=\"CitationRef\"\u003e52\u003c/span\u003e), lipotoxicity might have occurred in Mc1r LKO mice if the capacity of the liver to store and export NEFAs as TGs was exceeded due to increased DNL. In particular, saturated NEFAs as well as free cholesterol are mediators of lipotoxicity by activating apoptotic signaling pathways (\u003cspan citationid=\"CR53\" class=\"CitationRef\"\u003e53\u003c/span\u003e). Apoptotic cells are then cleared by Kupffer cells, which release pro-inflammatory cytokines and activate hepatic stellate cells to promote fibrosis (\u003cspan citationid=\"CR54\" class=\"CitationRef\"\u003e54\u003c/span\u003e).\u003c/p\u003e \u003cp\u003eIn conclusion, the present study identifies MC1R as an important regulator of lipid metabolism in the liver. Hepatocyte-specific loss of MC1R upregulated the expression of lipogenesis-related genes, enhanced hepatic TG accumulation and led to an adiposity phenotype characterized by increased adipocyte hypertrophy and WAT mass. MC1R deficiency also promoted signs of liver fibrosis, inflammation and apoptosis, which are pathological hallmarks of progression from simple steatosis to steatohepatitis.\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003eAcknowledgements\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eWe thank Sanna Bastman and Johanna Jukkala for their excellent technical support. Erica Nyman and Marja-Riitta Kajaala (Histology core facility, University of Turku) are acknowledged for processing histology samples. We also thank Finnish Functional Genomics Centre supported by University of Turku and \u0026Aring;bo Akademi and Biocenter Finland for performing RNA-Seq. This work was supported by the Research Council of Finland (grant 315351 to P.R.); the Sigrid Jus\u0026eacute;lius Foundation (to P.R.); the Finnish Cultural Foundation (to P.R.), the Finnish Cultural Foundation (to K.T.); Turku University Foundation (to K.T); the Finnish Foundation for Cardiovascular Research (to E.S. and P.R.); and the National Institutes of Health (grant GM-104080 to M.C.).\u003c/p\u003e\n\u003cp\u003e\u0026nbsp;\u003cstrong\u003eAuthor contributions\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eK.T., E.S., and P.R. conceptualized the study and designed the study methodology. K.T., and P.R. performed experiments. M.C. synthetized selective MC1-R agonist. B.G. and K.P. performed the RNA-Seq data analysis. K.T., E.S. and P.R. analyzed data. M.C., E.S., K.T. and P.R. acquired funding. K.T. and P.R. wrote the manuscript. All authors provided critical feedback and approved the definitive version of the manuscript.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eCompeting interests\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe authors declare no competing interests.\u003c/p\u003e\n\u003cp\u003e\u0026nbsp;\u003cstrong\u003eData availability\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe raw sequence reads (FASTQ files) have been deposited in the Gene Expression Omnibus (GEO) of National Center for Biotechnology Information (NCBI) under accession no. GSE262618.\u0026nbsp;\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\n\u003cli\u003eEckel RH, Grundy SM, Zimmet PZ. The metabolic syndrome. The Lancet. 2005 Apr 16;365(9468):1415\u0026ndash;28. \u003c/li\u003e\n\u003cli\u003eFabbrini E, Sullivan S, Klein S. Obesity and nonalcoholic fatty liver disease: biochemical, metabolic, and clinical implications. Hepatology. 2010 Feb;51(2):679\u0026ndash;89. \u003c/li\u003e\n\u003cli\u003eBugianesi E, Gastaldelli A, Vanni E, Gambino R, Cassader M, Baldi S, et al. Insulin resistance in non-diabetic patients with non-alcoholic fatty liver disease: sites and mechanisms. Diabetologia. 2005 Apr 1;48(4):634\u0026ndash;42. \u003c/li\u003e\n\u003cli\u003eHaas JT, Francque S, Staels B. Pathophysiology and Mechanisms of Nonalcoholic Fatty Liver Disease. Annu Rev Physiol. 2016 Feb 10;78(1):181\u0026ndash;205. \u003c/li\u003e\n\u003cli\u003eAzzu V, Vacca M, Virtue S, Allison M, Vidal-Puig A. Adipose Tissue-Liver Cross Talk in the Control of Whole-Body Metabolism: Implications in Nonalcoholic Fatty Liver Disease. Gastroenterology. 2020 May;158(7):1899\u0026ndash;912. \u003c/li\u003e\n\u003cli\u003eGantz I, Fong TM. The melanocortin system. Am J Physiol Endocrinol Metab. 2003 Mar;284(3):E468-474. \u003c/li\u003e\n\u003cli\u003eCone RD. The Central Melanocortin System and Energy Homeostasis. Trends in Endocrinology \u0026amp; Metabolism. 1999 Aug 1;10(6):211\u0026ndash;6. \u003c/li\u003e\n\u003cli\u003eFan W, Boston BA, Kesterson RA, Hruby VJ, Cone RD. Role of melanocortinergic neurons in feeding and the agouti obesity syndrome. Nature. 1997 Jan;385(6612):165\u0026ndash;8. \u003c/li\u003e\n\u003cli\u003eDessinioti C, Antoniou C, Katsambas A, Stratigos AJ. Melanocortin 1 receptor variants: functional role and pigmentary associations. Photochem Photobiol. 2011;87(5):978\u0026ndash;87. \u003c/li\u003e\n\u003cli\u003eCatania A. The melanocortin system in leukocyte biology. J Leukoc Biol. 2007 Feb;81(2):383\u0026ndash;92. \u003c/li\u003e\n\u003cli\u003eBoston BA, Cone RD. Characterization of melanocortin receptor subtype expression in murine adipose tissues and in the 3T3-L1 cell line. Endocrinology. 1996 May 1;137(5):2043\u0026ndash;50. \u003c/li\u003e\n\u003cli\u003eHoch M, Eberle AN, Wagner U, Bussmann C, Peters T, Peterli R. Expression and Localization of Melanocortin-1 Receptor in Human Adipose Tissues of Severely Obese Patients. Obesity. 2007;15(1):40\u0026ndash;9. \u003c/li\u003e\n\u003cli\u003eM\u0026oslash;ller CL, Pedersen SB, Richelsen B, Conde-Frieboes KW, Raun K, Grove KL, et al. Melanocortin agonists stimulate lipolysis in human adipose tissue explants but not in adipocytes. BMC Research Notes. 2015 Oct 12;8(1):559. \u003c/li\u003e\n\u003cli\u003eSmith SR, Gawronska-Kozak B, Janderov\u0026aacute; L, Nguyen T, Murrell A, Stephens JM, et al. Agouti Expression in Human Adipose Tissue: Functional Consequences and Increased Expression in Type 2 Diabetes. Diabetes. 2003 Dec 1;52(12):2914\u0026ndash;22. \u003c/li\u003e\n\u003cli\u003eM\u0026oslash;ller CL, Raun K, Jacobsen ML, Pedersen T\u0026Aring;, Holst B, Conde-Frieboes KW, et al. Characterization of murine melanocortin receptors mediating adipocyte lipolysis and examination of signalling pathways involved. Molecular and Cellular Endocrinology. 2011 Jul 20;341(1):9\u0026ndash;17. \u003c/li\u003e\n\u003cli\u003eRodrigues AR, Almeida H, Gouveia AM. \u0026alpha;-MSH signalling via melanocortin 5 receptor promotes lipolysis and impairs re-esterification in adipocytes. Biochimica et Biophysica Acta (BBA) - Molecular and Cell Biology of Lipids. 2013 Jul 1;1831(7):1267\u0026ndash;75. \u003c/li\u003e\n\u003cli\u003eHoch M, Hirzel E, Lindinger P, Eberle AN, Linscheid P, Martin I, et al. Weak Functional Coupling of the Melanocortin-1 Receptor Expressed in Human Adipocytes. Journal of Receptors and Signal Transduction. 2008 Jan 1;28(5):485\u0026ndash;504. \u003c/li\u003e\n\u003cli\u003eTakeo M, Lee W, Rabbani P, Sun Q, Hu H, Lim CH, et al. EdnrB Governs Regenerative Response of Melanocyte Stem Cells by Crosstalk with Wnt Signaling. Cell reports. 2016 May 10;15(6):1291\u0026ndash;302. \u003c/li\u003e\n\u003cli\u003eThapa K, Kadiri JJ, Saukkonen K, Pennanen I, Ghimire B, Cai M, et al. Melanocortin 1 receptor regulates cholesterol and bile acid metabolism in the liver. Quinn MA, Isales C, S\u0026aacute;nchez-Ceinos J, editors. eLife. 2023 Jul 25;12:e84782. \u003c/li\u003e\n\u003cli\u003eDoedens L, Opperer F, Cai M, Beck JG, Dedek M, Palmer E, et al. Multiple N-methylation of MT-II backbone amide bonds leads to melanocortin receptor subtype hMC1R selectivity; pharmacological and conformational studies. Journal of the American Chemical Society. 2010;132(23):8115\u0026ndash;28. \u003c/li\u003e\n\u003cli\u003eRinne P, Rami M, Nuutinen S, Santovito D, van der Vorst EPC, Guillamat-Prats R, et al. Melanocortin 1 Receptor Signaling Regulates Cholesterol Transport in Macrophages. Circulation. 2017 Jul 4;136(1):83\u0026ndash;97. \u003c/li\u003e\n\u003cli\u003eRinne P, Ahola-Olli A, Nuutinen S, Koskinen E, Kaipio K, Eerola K, et al. Deficiency in Melanocortin 1 Receptor Signaling Predisposes to Vascular Endothelial Dysfunction and Increased Arterial Stiffness in Mice and HumansSignificance. Arteriosclerosis, Thrombosis, and Vascular Biology. 2015 Jul 27;35(7):1678\u0026ndash;86. \u003c/li\u003e\n\u003cli\u003eKangas SM, Teppo J, Lahtinen MJ, Suoranta A, Ghimire B, Mattila P, et al. Analysis of human brain tissue derived from DBS surgery. Translational Neurodegeneration. 2022;11(1):22. \u003c/li\u003e\n\u003cli\u003eKrueger F, James F, Ewels P, Afyounian E, Weinstein M, Schuster-Boeckler B, et al. TrimGalore [Internet]. Zenodo; 2023 [cited 2023 Apr 17]. Available from: https://zenodo.org/record/7598955\u003c/li\u003e\n\u003cli\u003eDobin A, Davis CA, Schlesinger F, Drenkow J, Zaleski C, Jha S, et al. STAR: ultrafast universal RNA-seq aligner. Bioinformatics. 2012 Oct;29(1):15\u0026ndash;21. \u003c/li\u003e\n\u003cli\u003eRobinson MD, McCarthy DJ, Smyth GK. edgeR: a Bioconductor package for differential expression analysis of digital gene expression data. Bioinformatics. 2010 Jan;26(1):139\u0026ndash;40. \u003c/li\u003e\n\u003cli\u003eGitLab [Internet]. 2022 [cited 2024 Feb 5]. fimm / DGA-quik \u0026middot; GitLab. Available from: https://version.helsinki.fi/fimm/dga-quik\u003c/li\u003e\n\u003cli\u003eR: The R Project for Statistical Computing [Internet]. [cited 2024 Mar 1]. Available from: https://www.r-project.org/\u003c/li\u003e\n\u003cli\u003eAlexa A, Rahnenfuhrer J. topGO: Enrichment analysis for gene ontology [Internet]. 2023. Available from: https://bioconductor.org/packages/topGO\u003c/li\u003e\n\u003cli\u003eNuutinen S, Ailanen L, Savontaus E, Rinne P. Melanocortin overexpression limits diet-induced inflammation and atherosclerosis in LDLR -/- mice. The Journal of endocrinology. 2018;236(3):111\u0026ndash;23. \u003c/li\u003e\n\u003cli\u003eRinne P, Kadiri JJ, Velasco-Delgado M, Nuutinen S, Viitala M, Hollm\u0026eacute;n M, et al. Melanocortin 1 Receptor Deficiency Promotes Atherosclerosis in Apolipoprotein E -/- Mice. Arteriosclerosis, Thrombosis, and Vascular Biology. 2018 Feb 1;38(2):313\u0026ndash;23. \u003c/li\u003e\n\u003cli\u003eGrabner GF, Xie H, Schweiger M, Zechner R. Lipolysis: cellular mechanisms for lipid mobilization from fat stores. Nat Metab. 2021 Nov;3(11):1445\u0026ndash;65. \u003c/li\u003e\n\u003cli\u003eSchoiswohl G, Stefanovic-Racic M, Menke MN, Wills RC, Surlow BA, Basantani MK, et al. Impact of Reduced ATGL-Mediated Adipocyte Lipolysis on Obesity-Associated Insulin Resistance and Inflammation in Male Mice. Endocrinology. 2015 Oct 1;156(10):3610\u0026ndash;24. \u003c/li\u003e\n\u003cli\u003eHarada K, Shen WJ, Patel S, Natu V, Wang J, Osuga J ichi, et al. Resistance to high-fat diet-induced obesity and altered expression of adipose-specific genes in HSL-deficient mice. American Journal of Physiology-Endocrinology and Metabolism. 2003 Dec;285(6):E1182\u0026ndash;95. \u003c/li\u003e\n\u003cli\u003eSekiya M, Osuga J ichi, Okazaki H, Yahagi N, Harada K, Shen WJ, et al. Absence of hormone-sensitive lipase inhibits obesity and adipogenesis in Lep ob/ob mice. J Biol Chem. 2004 Apr 9;279(15):15084\u0026ndash;90. \u003c/li\u003e\n\u003cli\u003eHinds TD, Kipp ZA, Xu M, Yiannikouris FB, Morris AJ, Stec DF, et al. Adipose-Specific PPAR\u0026alpha; Knockout Mice Have Increased Lipogenesis by PASK\u0026ndash;SREBP1 Signaling and a Polarity Shift to Inflammatory Macrophages in White Adipose Tissue. Cells. 2021 Dec 21;11(1):4. \u003c/li\u003e\n\u003cli\u003eCoyle P, Philcox JC, Carey LC, Rofe AM. Metallothionein: the multipurpose protein. Cell Mol Life Sci. 2002 Apr;59(4):627\u0026ndash;47. \u003c/li\u003e\n\u003cli\u003eHuby T, Gautier EL. Immune cell-mediated features of non-alcoholic steatohepatitis. Nat Rev Immunol. 2022 Jul;22(7):429\u0026ndash;43. \u003c/li\u003e\n\u003cli\u003eCzaja MJ. JNK regulation of hepatic manifestations of the metabolic syndrome. Trends Endocrinol Metab. 2010 Dec;21(12):707\u0026ndash;13. \u003c/li\u003e\n\u003cli\u003eWang X, Rao H, Liu F, Wei L, Li H, Wu C. Recent Advances in Adipose Tissue Dysfunction and Its Role in the Pathogenesis of Non-Alcoholic Fatty Liver Disease. Cells. 2021 Nov 25;10(12):3300. \u003c/li\u003e\n\u003cli\u003eLinden AG, Li S, Choi HY, Fang F, Fukasawa M, Uyeda K, et al. Interplay between ChREBP and SREBP-1c coordinates postprandial glycolysis and lipogenesis in livers of mice. J Lipid Res. 2018 Mar;59(3):475\u0026ndash;87. \u003c/li\u003e\n\u003cli\u003eBenhamed F, Denechaud PD, Lemoine M, Robichon C, Moldes M, Bertrand-Michel J, et al. The lipogenic transcription factor ChREBP dissociates hepatic steatosis from insulin resistance in mice and humans. J Clin Invest. 2012 Jun;122(6):2176\u0026ndash;94. \u003c/li\u003e\n\u003cli\u003eIizuka K, Takao K, Kato T, Horikawa Y, Takeda J. ChREBP Reciprocally Regulates Liver and Plasma Triacylglycerol Levels in Different Manners. Nutrients. 2018 Nov 7;10(11):1699. \u003c/li\u003e\n\u003cli\u003eKim JY, van de Wall E, Laplante M, Azzara A, Trujillo ME, Hofmann SM, et al. Obesity-associated improvements in metabolic profile through expansion of adipose tissue. J Clin Invest. 2007 Sep;117(9):2621\u0026ndash;37. \u003c/li\u003e\n\u003cli\u003eBrasaemle DL, Rubin B, Harten IA, Gruia-Gray J, Kimmel AR, Londos C. Perilipin A Increases Triacylglycerol Storage by Decreasing the Rate of Triacylglycerol Hydrolysis*. Journal of Biological Chemistry. 2000 Dec 8;275(49):38486\u0026ndash;93. \u003c/li\u003e\n\u003cli\u003eTansey JT, Sztalryd C, Gruia-Gray J, Roush DL, Zee JV, Gavrilova O, et al. Perilipin ablation results in a lean mouse with aberrant adipocyte lipolysis, enhanced leptin production, and resistance to diet-induced obesity. Proc Natl Acad Sci U S A. 2001 May 22;98(11):6494\u0026ndash;9. \u003c/li\u003e\n\u003cli\u003ePellegrinelli V, Carobbio S, Vidal-Puig A. Adipose tissue plasticity: how fat depots respond differently to pathophysiological cues. Diabetologia. 2016 Jun;59(6):1075\u0026ndash;88. \u003c/li\u003e\n\u003cli\u003eDonnelly KL, Smith CI, Schwarzenberg SJ, Jessurun J, Boldt MD, Parks EJ. Sources of fatty acids stored in liver and secreted via lipoproteins in patients with nonalcoholic fatty liver disease. J Clin Invest. 2005 May;115(5):1343\u0026ndash;51. \u003c/li\u003e\n\u003cli\u003eBeattie JH, Wood AM, Newman AM, Bremner I, Choo KH, Michalska AE, et al. Obesity and hyperleptinemia in metallothionein (-I and -II) null mice. Proc Natl Acad Sci U S A. 1998 Jan 6;95(1):358\u0026ndash;63. \u003c/li\u003e\n\u003cli\u003eKawakami T, Takasaki S, Kadota Y, Fukuoka D, Sato M, Suzuki S. Regulatory role of metallothionein-1/2 on development of sex differences in a high-fat diet-induced obesity. Life Sciences. 2019 Jun 1;226:12\u0026ndash;21. \u003c/li\u003e\n\u003cli\u003eLi X, Zhong S, Sun Y, Huang X, Li Y, Wang L, et al. Integration analysis identifies the role of metallothionein in the progression from hepatic steatosis to steatohepatitis. Front Endocrinol (Lausanne). 2022;13:951093. \u003c/li\u003e\n\u003cli\u003eMcClain CJ, Barve S, Deaciuc I. Good fat/bad fat. Hepatology. 2007 Jun;45(6):1343\u0026ndash;6. \u003c/li\u003e\n\u003cli\u003eNolan CJ, Larter CZ. Lipotoxicity: Why do saturated fatty acids cause and monounsaturates protect against it? Journal of Gastroenterology and Hepatology. 2009;24(5):703\u0026ndash;6. \u003c/li\u003e\n\u003cli\u003eAlkhouri N, Carter-Kent C, Feldstein AE. Apoptosis in nonalcoholic fatty liver disease: diagnostic and therapeutic implications. Expert Rev Gastroenterol Hepatol. 2011 Apr;5(2):201\u0026ndash;12. \u003c/li\u003e\n\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"
[email protected]","identity":"international-journal-of-obesity","isNatureJournal":false,"hasQc":false,"allowDirectSubmit":false,"externalIdentity":"ijo","sideBox":"Learn more about [International Journal of Obesity](http://www.nature.com/ijo/)","snPcode":"41366","submissionUrl":"https://mts-ijo.nature.com/cgi-bin/main.plex","title":"International Journal of Obesity","twitterHandle":"@intjobesity","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"ejp","reportingPortfolio":"Nature AJ","inReviewEnabled":true,"inReviewRevisionsEnabled":false},"keywords":"","lastPublishedDoi":"10.21203/rs.3.rs-4213556/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-4213556/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003ch2\u003eBackground/objectives\u003c/h2\u003e \u003cp\u003eMelanocortins mediate their biological functions \u003cem\u003evia\u003c/em\u003e five different melanocortin receptors (MC1R - MC5R). MC1R is expressed in the skin and leukocytes, where it regulates skin pigmentation and inflammatory responses. MC1R is also present in the liver and white adipose tissue, but its functional role in these tissues is unclear. This study aimed at determining the regulatory role of MC1R in fatty acid metabolism.\u003c/p\u003e\u003ch2\u003eMethods\u003c/h2\u003e \u003cp\u003eRecessive yellow (Mc1r\u003csup\u003ee/e\u003c/sup\u003e) mice, a model of global MC1R deficiency, and hepatocyte-specific MC1R deficient mice (Mc1r LKO) were fed a chow or Western diet for 12 weeks. The mouse models were characterized for body weight and composition, liver adiposity, adipose tissue mass and morphology, glucose metabolism and lipid metabolism. Furthermore, qPCR and RNA sequencing analyses were used to investigate gene expression profiles in the liver and adipose tissue. HepG2 cells and primary mouse hepatocytes were to study the effects of pharmacological MC1R activation.\u003c/p\u003e\u003ch2\u003eResults\u003c/h2\u003e \u003cp\u003eChow- and Western diet-fed Mc1r\u003csup\u003ee/e\u003c/sup\u003e showed increased liver weight, white adipose tissue mass and plasma triglyceride (TG) concentration compared to wild type mice. This phenotype occurred without significant changes in food intake, body weight, physical activity or glucose metabolism. Mc1r LKO mice displayed a similar phenotype characterized by larger fat depots, increased adipocyte hypertrophy and enhanced accumulation of TG in the liver and plasma. In terms of gene expression, markers of \u003cem\u003ede novo\u003c/em\u003e lipogenesis, inflammation and apoptosis were upregulated in the liver of Mc1r LKO mice, while enzymes regulating lipolysis were downregulated in white adipose tissue of these mice. In cultured hepatocytes, selective activation of MC1R reduced ChREBP expression, which is a central transcription factor for lipogenesis.\u003c/p\u003e\u003ch2\u003eConclusions\u003c/h2\u003e \u003cp\u003eHepatocyte-specific loss of MC1R disturbs fatty acid metabolism in the liver and leads to an obesity phenotype characterized by enhanced adipocyte hypertrophy and TG accumulation in the liver and circulation.\u003c/p\u003e","manuscriptTitle":"Hepatocyte-specific loss of melanocortin 1 receptor disturbs fatty acid metabolism and promotes adipocyte hypertrophy","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2024-04-25 21:27:14","doi":"10.21203/rs.3.rs-4213556/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"revise","date":"2024-06-04T07:44:49+00:00","index":"","fulltext":""},{"type":"editorInvitedReview","content":"This content is not available.","date":"2024-05-20T16:09:03+00:00","index":2,"fulltext":"This content is not available."},{"type":"editorInvitedReview","content":"This content is not available.","date":"2024-05-06T19:36:42+00:00","index":1,"fulltext":"This content is not available."},{"type":"reviewerAgreed","content":"This content is not available.","date":"2024-05-02T13:47:51+00:00","index":2,"fulltext":"This content is not available."},{"type":"reviewerAgreed","content":"This content is not available.","date":"2024-04-25T19:29:50+00:00","index":1,"fulltext":"This content is not available."},{"type":"reviewersInvited","content":"","date":"2024-04-23T13:39:45+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2024-04-04T14:05:27+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2024-04-03T14:48:45+00:00","index":"","fulltext":""},{"type":"submitted","content":"International Journal of Obesity","date":"2024-04-03T14:48:44+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"
[email protected]","identity":"international-journal-of-obesity","isNatureJournal":false,"hasQc":false,"allowDirectSubmit":false,"externalIdentity":"ijo","sideBox":"Learn more about [International Journal of Obesity](http://www.nature.com/ijo/)","snPcode":"41366","submissionUrl":"https://mts-ijo.nature.com/cgi-bin/main.plex","title":"International Journal of Obesity","twitterHandle":"@intjobesity","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"ejp","reportingPortfolio":"Nature AJ","inReviewEnabled":true,"inReviewRevisionsEnabled":false}}],"origin":"","ownerIdentity":"55e7a621-f2ea-4ffb-a2f6-b19c043e7ba9","owner":[],"postedDate":"April 25th, 2024","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[],"tags":[],"updatedAt":"2024-08-09T07:08:02+00:00","versionOfRecord":{"articleIdentity":"rs-4213556","link":"https://doi.org/10.1038/s41366-024-01600-9","journal":{"identity":"international-journal-of-obesity","isVorOnly":false,"title":"International Journal of Obesity"},"publishedOn":"2024-08-08 04:00:00","publishedOnDateReadable":"August 8th, 2024"},"versionCreatedAt":"2024-04-25 21:27:14","video":"","vorDoi":"10.1038/s41366-024-01600-9","vorDoiUrl":"https://doi.org/10.1038/s41366-024-01600-9","workflowStages":[]},"version":"v1","identity":"rs-4213556","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-4213556","identity":"rs-4213556","version":["v1"]},"buildId":"qtupq5eGEP_6zYnWcrvyt","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}
Text is read by the "Ask this paper" AI Q&A widget below.
Extraction quality varies by source — PMC NXML preserves structure
cleanly, OA-HTML may include some navigation residue, and OA-PDF can
have broken hyphenation. The publisher copy
(via DOI)
is the canonical version.