Dexamethasone-associated metabolic effects in male mice are partially caused by depletion of endogenous corticosterone

Synthetic glucocorticoids are clinically used to treat auto-immune and inflammatory disease. Despite the high efficacy, glucocorticoid treatments causes side effects such as obesity and insulin resistance in many patients. Via their pharmacological target, the glucocorticoid receptor (GR), glucocort...

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Main Authors: Lisa L. Koorneef, Merel van der Meulen, Sander Kooijman, Elena Sánchez-López, Jari F. Scheerstra, Maaike C. Voorhoeve, Ajith N. Nadamuni Ramesh, Patrick C. N. Rensen, Martin Giera, Jan Kroon, Onno C. Meijer
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2022.960279/full
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author Lisa L. Koorneef
Lisa L. Koorneef
Merel van der Meulen
Merel van der Meulen
Sander Kooijman
Sander Kooijman
Elena Sánchez-López
Jari F. Scheerstra
Jari F. Scheerstra
Maaike C. Voorhoeve
Maaike C. Voorhoeve
Ajith N. Nadamuni Ramesh
Ajith N. Nadamuni Ramesh
Patrick C. N. Rensen
Patrick C. N. Rensen
Martin Giera
Jan Kroon
Jan Kroon
Onno C. Meijer
Onno C. Meijer
author_facet Lisa L. Koorneef
Lisa L. Koorneef
Merel van der Meulen
Merel van der Meulen
Sander Kooijman
Sander Kooijman
Elena Sánchez-López
Jari F. Scheerstra
Jari F. Scheerstra
Maaike C. Voorhoeve
Maaike C. Voorhoeve
Ajith N. Nadamuni Ramesh
Ajith N. Nadamuni Ramesh
Patrick C. N. Rensen
Patrick C. N. Rensen
Martin Giera
Jan Kroon
Jan Kroon
Onno C. Meijer
Onno C. Meijer
author_sort Lisa L. Koorneef
collection DOAJ
description Synthetic glucocorticoids are clinically used to treat auto-immune and inflammatory disease. Despite the high efficacy, glucocorticoid treatments causes side effects such as obesity and insulin resistance in many patients. Via their pharmacological target, the glucocorticoid receptor (GR), glucocorticoids suppress endogenous glucocorticoid secretion. Endogenous, but not synthetic, glucocorticoids activate the mineralocorticoid receptor (MR) and side effects of synthetic glucocorticoids may thus not only result from GR hyperactivation but also from MR hypoactivation. Here, we tested the hypothesis that reactivation of MR with corticosterone add-on treatment can attenuate the metabolic effects of the synthetic glucocorticoid dexamethasone. Male 8-week-old C57Bl/6J mice received a high-fat diet supplemented with dexamethasone or vehicle, and were subcutaneously implanted with low-dose corticosterone- or vehicle-containing pellets. Dexamethasone strongly reduced body weight and fat mass gain, while corticosterone add-on partially normalized this. Dexamethasone-induced hyperglycemia and hyperinsulinemia were exacerbated by corticosterone add-on, which was prevented by MR antagonism. In subcutaneous white adipose tissue, corticosterone add-on prevented the dexamethasone-induced expression of intracellular lipolysis genes. In brown adipose tissue, dexamethasone also upregulated gene expression of brown adipose tissue identity markers, lipid transporters and lipolysis enzymes, which was prevented by corticosterone add-on. In conclusion, corticosterone add-on treatment prevents several, while exacerbating other metabolic effects of dexamethasone. While the exact role of MR remains elusive, this study suggests that corticosterone suppression by dexamethasone contributes to its effects in mice.
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spelling doaj.art-5db24c94244c410bb742c1672b9f62552022-12-22T04:01:59ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922022-08-011310.3389/fendo.2022.960279960279Dexamethasone-associated metabolic effects in male mice are partially caused by depletion of endogenous corticosteroneLisa L. Koorneef0Lisa L. Koorneef1Merel van der Meulen2Merel van der Meulen3Sander Kooijman4Sander Kooijman5Elena Sánchez-López6Jari F. Scheerstra7Jari F. Scheerstra8Maaike C. Voorhoeve9Maaike C. Voorhoeve10Ajith N. Nadamuni Ramesh11Ajith N. Nadamuni Ramesh12Patrick C. N. Rensen13Patrick C. N. Rensen14Martin Giera15Jan Kroon16Jan Kroon17Onno C. Meijer18Onno C. Meijer19Department of Medicine, Division of Endocrinology, Leiden University Medical Center, Leiden, NetherlandsEinthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, NetherlandsDepartment of Medicine, Division of Endocrinology, Leiden University Medical Center, Leiden, NetherlandsEinthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, NetherlandsDepartment of Medicine, Division of Endocrinology, Leiden University Medical Center, Leiden, NetherlandsEinthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, NetherlandsCenter for Proteomics and Metabolomics, Leiden University Medical Center, Leiden, NetherlandsDepartment of Medicine, Division of Endocrinology, Leiden University Medical Center, Leiden, NetherlandsEinthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, NetherlandsDepartment of Medicine, Division of Endocrinology, Leiden University Medical Center, Leiden, NetherlandsEinthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, NetherlandsDepartment of Medicine, Division of Endocrinology, Leiden University Medical Center, Leiden, NetherlandsEinthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, NetherlandsDepartment of Medicine, Division of Endocrinology, Leiden University Medical Center, Leiden, NetherlandsEinthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, NetherlandsCenter for Proteomics and Metabolomics, Leiden University Medical Center, Leiden, NetherlandsDepartment of Medicine, Division of Endocrinology, Leiden University Medical Center, Leiden, NetherlandsEinthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, NetherlandsDepartment of Medicine, Division of Endocrinology, Leiden University Medical Center, Leiden, NetherlandsEinthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, NetherlandsSynthetic glucocorticoids are clinically used to treat auto-immune and inflammatory disease. Despite the high efficacy, glucocorticoid treatments causes side effects such as obesity and insulin resistance in many patients. Via their pharmacological target, the glucocorticoid receptor (GR), glucocorticoids suppress endogenous glucocorticoid secretion. Endogenous, but not synthetic, glucocorticoids activate the mineralocorticoid receptor (MR) and side effects of synthetic glucocorticoids may thus not only result from GR hyperactivation but also from MR hypoactivation. Here, we tested the hypothesis that reactivation of MR with corticosterone add-on treatment can attenuate the metabolic effects of the synthetic glucocorticoid dexamethasone. Male 8-week-old C57Bl/6J mice received a high-fat diet supplemented with dexamethasone or vehicle, and were subcutaneously implanted with low-dose corticosterone- or vehicle-containing pellets. Dexamethasone strongly reduced body weight and fat mass gain, while corticosterone add-on partially normalized this. Dexamethasone-induced hyperglycemia and hyperinsulinemia were exacerbated by corticosterone add-on, which was prevented by MR antagonism. In subcutaneous white adipose tissue, corticosterone add-on prevented the dexamethasone-induced expression of intracellular lipolysis genes. In brown adipose tissue, dexamethasone also upregulated gene expression of brown adipose tissue identity markers, lipid transporters and lipolysis enzymes, which was prevented by corticosterone add-on. In conclusion, corticosterone add-on treatment prevents several, while exacerbating other metabolic effects of dexamethasone. While the exact role of MR remains elusive, this study suggests that corticosterone suppression by dexamethasone contributes to its effects in mice.https://www.frontiersin.org/articles/10.3389/fendo.2022.960279/fullAldosteronecorticosteronedexamethasoneeplerenoneglucocorticoid receptormineralocorticoid receptor
spellingShingle Lisa L. Koorneef
Lisa L. Koorneef
Merel van der Meulen
Merel van der Meulen
Sander Kooijman
Sander Kooijman
Elena Sánchez-López
Jari F. Scheerstra
Jari F. Scheerstra
Maaike C. Voorhoeve
Maaike C. Voorhoeve
Ajith N. Nadamuni Ramesh
Ajith N. Nadamuni Ramesh
Patrick C. N. Rensen
Patrick C. N. Rensen
Martin Giera
Jan Kroon
Jan Kroon
Onno C. Meijer
Onno C. Meijer
Dexamethasone-associated metabolic effects in male mice are partially caused by depletion of endogenous corticosterone
Frontiers in Endocrinology
Aldosterone
corticosterone
dexamethasone
eplerenone
glucocorticoid receptor
mineralocorticoid receptor
title Dexamethasone-associated metabolic effects in male mice are partially caused by depletion of endogenous corticosterone
title_full Dexamethasone-associated metabolic effects in male mice are partially caused by depletion of endogenous corticosterone
title_fullStr Dexamethasone-associated metabolic effects in male mice are partially caused by depletion of endogenous corticosterone
title_full_unstemmed Dexamethasone-associated metabolic effects in male mice are partially caused by depletion of endogenous corticosterone
title_short Dexamethasone-associated metabolic effects in male mice are partially caused by depletion of endogenous corticosterone
title_sort dexamethasone associated metabolic effects in male mice are partially caused by depletion of endogenous corticosterone
topic Aldosterone
corticosterone
dexamethasone
eplerenone
glucocorticoid receptor
mineralocorticoid receptor
url https://www.frontiersin.org/articles/10.3389/fendo.2022.960279/full
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