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Sericin as treatment of obesity: morphophysiological effects in obese mice fed with high-fat diet

ABSTRACT

Objective

To investigate the effects of sericin extracted from silkworm Bombyx mori cocoon on morphophysiological parameters in mice with obesity induced by high-fat diet.

Methods

Male C57Bl6 mice aged 9 weeks were allocated to one of two groups - Control and Obese, and fed a standard or high-fat diet for 10 weeks, respectively. Mice were then further subdivided into four groups with seven mice each, as follows: Control, Control-Sericin, Obese, and Obese-Sericin. The standard or high fat diet was given for 4 more weeks; sericin (1,000mg/kg body weight) was given orally to mice in the Control-Sericin and Obese-Sericin Groups during this period. Weight gain, food intake, fecal weight, fecal lipid content, gut motility and glucose tolerance were monitored. At the end of experimental period, plasma was collected for biochemical analysis. Samples of white adipose tissue, liver and jejunum were collected and processed for light microscopy analysis; liver fragments were used for lipid content determination.

Results

Obese mice experienced significantly greater weight gain and fat accumulation and had higher total cholesterol and glucose levels compared to controls. Retroperitoneal and periepididymal adipocyte hypertrophy, development of hepatic steatosis, increased cholesterol and triglyceride levels and morphometric changes in the jejunal wall were observed.

Conclusion

Physiological changes induced by obesity were not fully reverted by sericin; however, sericin treatment restored jejunal morphometry and increased lipid excretion in feces in obese mice, suggesting potential anti-obesity effects.

Bombyx mori; Obesity/drug therapy; Sericins/therapeutic use; Liver; Intestine, small; Jejunum; Diet, high-fat; Mice

RESUMO

Objetivo

Investigar os efeitos da sericina extraída de casulos de Bombyx mori na morfofisiologia de camundongos com obesidade induzida por dieta hiperlipídica.

Métodos

Camundongos machos C57Bl6, com 9 semanas de idade, foram distribuídos em Grupos Controle e Obeso, que receberam ração padrão para roedores ou dieta hiperlipídica por 10 semanas, respectivamente. Posteriormente, os animais foram redistribuídos em quatro grupos, com sete animais cada: Controle, Controle-Sericina, Obeso e Obeso-Sericina. Os animais permaneceram recebendo ração padrão ou hiperlipídica por 4 semanas, período no qual a sericina foi administrada oralmente na dose de 1.000mg/kg de massa corporal aos Grupos Controle-Sericina e Obeso-Sericina. Parâmetros fisiológicos, como ganho de peso, consumo alimentar, peso das fezes em análise de lipídios fecais, motilidade intestinal e tolerância à glicose foram monitorados. Ao término do experimento, o plasma foi coletado para dosagens bioquímicas e fragmentos de tecido adiposo branco; fígado e jejuno foram processados para análises histológicas, e amostras hepáticas foram usadas para determinação lipídica.

Resultados

Camundongos obesos apresentaram ganho de peso e acúmulo de gordura significativamente maior que os controles, aumento do colesterol total e glicemia. Houve hipertrofia dos adipócitos retroperitoneais e periepididimais, instalação de esteatose e aumento do colesterol e triglicerídeos hepáticos, bem como alteração morfométrica da parede jejunal.

Conclusão

O tratamento com sericina não reverteu todas as alterações fisiológicas promovidas pela obesidade, mas restaurou a morfometria jejunal e aumentou a quantidade de lipídios eliminados nas fezes dos camundongos obesos, apresentando-se como potencial tratamento para a obesidade.

Bombyx mori; Obesidade/tratamento farmacológico; Sericinas/uso terapêutico; Fígado; Intestino delgado; Jejuno; Dieta hiperlipídica; Camundongos

INTRODUCTION

Obesity is a global epidemic characterized by excess body fat and cardiometabolic complications resulting from excess intake of calories, sugar, salt and fat combined with increasingly passive labor and entertainment activities.11. Harper JW, Zisman TL. Interaction of obesity and inflammatory bowel disease. World J Gastroenterol. 2016;22(35):7868-81. Review.

The small intestine is responsible for effective absorption and processing of ingested nutrients.22. de Wit NJ, Bosch-Vermeulen H, de Groot PJ, Hooiveld GJ, Bromhaar MM, Müller M, et al. The role of the small intestine in the development of dietary fat-induced obesity and insulin resistance in C57BL/6J mice. BCM Med Genomics. 2008;1:14. , 33. Scoaris CR, Rizo GV, Roldi LP, de Moraes SM, de Proença AR, Peralta RM, et al. Effects of cafeteria diet on the jejunum in sedentary and physically trained rats. Nutrition. 2010;26(3):312-20. It is also the first organ to be exposed to food energy44. Clara R, Schumacher M, Ramachandran D, Fedele S, Krieger JP, Langhans W, et al. Metabolic adaptation of the small intestine to short- and medium-term high-fat diet exposure. J Cell Physiol. 2017;232(1):167-75. and is capable of functional and morphological adaptation in response to ingested food quantity and quality.55. Mao J, Hu X, Xiao Y, Yang C, Ding Y, Hou N, et al. Overnutrition stimulates intestinal epithelium proliferation through β-catenin signaling in obese mice. Diabetes. 2013;62(11):3736-46. Obesity, particularly when induced by high-fat and/or high-calorie diets, has been shown to affect intestinal wall components.33. Scoaris CR, Rizo GV, Roldi LP, de Moraes SM, de Proença AR, Peralta RM, et al. Effects of cafeteria diet on the jejunum in sedentary and physically trained rats. Nutrition. 2010;26(3):312-20. , 55. Mao J, Hu X, Xiao Y, Yang C, Ding Y, Hou N, et al. Overnutrition stimulates intestinal epithelium proliferation through β-catenin signaling in obese mice. Diabetes. 2013;62(11):3736-46. , 66. Soares A, Beraldi EJ, Ferreira PE, Bazotte RB, Buttow NC. Intestinal and neuronal myenteric adaptations in the small intestine induced by a high-fat diet in mice. BMC Gastroenterol. 2015;15:3.

Along with fat tissue changes and occasional small intestine adaptations, obesity per se is a risk factor for other conditions, including non-alcoholic fatty liver disease (NAFLD) - the most common chronic disease affecting the liver.77. Hernandez-Rodas MC, Valenzuela R, Videla LA. Relevant aspects of nutritional and dietary interventions in non-alcoholic fatty liver disease. Int J Mol Sci. 2015;16(10):25168-98. Review. , 88. Abd El-Kader SM, El-Den Ashmawy EM. Non-alcoholic fatty liver disease: the diagnosis and management. World J Hepatol. 2015;7(6):846-58. Review.

Lifestyle changes, such as improved dietary habits and physical activity practice, are the major therapeutic alternatives for obesity and NAFLD.77. Hernandez-Rodas MC, Valenzuela R, Videla LA. Relevant aspects of nutritional and dietary interventions in non-alcoholic fatty liver disease. Int J Mol Sci. 2015;16(10):25168-98. Review. , 99. Chin SH, Kahathuduwa CN, Binks M. Physical activity and obesity: what we know and what we need to know. Obes Rev. 2016;17(12):1226-44. Review. However, individual responses to these strategies may not suffice.1010. Phillips CM. Metabolically healthy obesity across the life course: epidemiology, determinants, and implications. Ann N Y Acad Sci. 2017;1391(1):85-100. Review.

In these settings, potential natural anti-obesity agents with less adverse effects, such as the biopolymer sericin produced by the silkworm Bombyx mori ( Lepidoptera, Bombycidae ), are being increasingly sought after.77. Hernandez-Rodas MC, Valenzuela R, Videla LA. Relevant aspects of nutritional and dietary interventions in non-alcoholic fatty liver disease. Int J Mol Sci. 2015;16(10):25168-98. Review. , 1111. Yoo SR, Lee MY, Kang BK, Shin HK, Jeong SJ. Soshiho-tang aqueous extract exerts antiobesity effects in high fat diet-fed mice and inhibits adipogenesis in 3T3-L1 adipocytes. Evid Based Complement Alternat Med. 2016;2016:2628901. Sericin is a natural, highly hydrophilic globular protein, with molecular weight ranging from 20 to 400kDa, which, together with fibroin, forms the silk thread.1212. Mondal M, Trivedy K, Kumar SN. The silk proteins, sericin and fibroin in silkworm, Bombyx mori Linn., - a review. Caspian J Env Sci. 2007;5(2):63-76. Review. Physicochemical characteristics of the sericin molecule have been associated with several properties with potential biologic applicability.1212. Mondal M, Trivedy K, Kumar SN. The silk proteins, sericin and fibroin in silkworm, Bombyx mori Linn., - a review. Caspian J Env Sci. 2007;5(2):63-76. Review.

13. Kato N, Sato S, Yamanaka A, Yamada H, Fuwa N, Nomura M. Silk protein, sericin, inhibits lipid peroxidation and tyrosinase activity. Biosci Biotechnol Biochem. 1998;62(1):145-7.
- 1414. Sehnal F. Prospects of the practical use of silk sericins. Entomol Res. 2008; 38:S1-8.

Combined sericin and high-fat diet intake has been associated with improved glucose tolerance and hypolipidemic effects,1515. Okazaki Y, Kakehi S, Xu Y, Tsujimoto K, Sasaki M, Ogawa H, et al. Consumption of sericin reduces serum lipids, ameliorates glucose tolerance and elevates serum adiponectin in rats fed a high-fat diet. Biosci Biotechnol Biochem. 2010;74(8):1534-8. increased high density lipoprotein (HDL) levels and regulation of cytokine production by fat tissues, leading to reduced leptin, resistin and tumor necrosis factor alpha (TNF-α) levels, and increased plasma adiponectin levels.1616. Seo CW, Um IC, Rico CW, Kang MY. Antihyperlipidemic and body fat-lowering effects of silk proteins with different fibroin/sericin compositions in mice fed with high fat diet. J Agric Food Chem. 2011;59(8):4192-7. Inhibition of cholesterol absorption by intestinal cells1717. Limpeanchob N, Trisat K, Duangjai A, Tiyaboonchai W, Pongcharoen S, Sutheerawattananonda M. Sericin reduces serum cholesterol in rats and cholesterol uptake into Caco-2 cells. J Agric Food Chem. 2010;58(23):12519-22. and antioxidant properties1818. Ampawong S, Isarangkul D, Aramwit P. Sericin ameliorated dysmorphic mitochondria in high-cholesterol diet/streptozotocin rat by antioxidative property. Exp Biol Med (Maywood). 2017;242(4):411-21. have also been reported. Sericin is thought to be a highly promising obesity prevention strategy; however, its therapeutic effects on established obesity and related comorbidities remain to be determined.

OBJECTIVE

To investigate the effects of sericin on plasmatic parameters and adipose, hepatic and intestinal tissue morphology in mice with fat-rich diet-induced obesity.

METHODS

This study was conducted at Universidade Estadual do Oeste do Paraná from July 2014 to December 2016.

Sericin extraction and amino acid content determination

Sericin was extracted from Bombyx mori cocoons obtained from the silk farming company BRATAC S.A (Londrina, PR, Brazil). Cocoons were cut into pieces measuring approximately 1cm22. de Wit NJ, Bosch-Vermeulen H, de Groot PJ, Hooiveld GJ, Bromhaar MM, Müller M, et al. The role of the small intestine in the development of dietary fat-induced obesity and insulin resistance in C57BL/6J mice. BCM Med Genomics. 2008;1:14. and sericin extraction (6g of cocoon per 100mL of distilled water) performed under high temperature and pressure conditions (120°C and 1kgf/cm22. de Wit NJ, Bosch-Vermeulen H, de Groot PJ, Hooiveld GJ, Bromhaar MM, Müller M, et al. The role of the small intestine in the development of dietary fat-induced obesity and insulin resistance in C57BL/6J mice. BCM Med Genomics. 2008;1:14. respectively) in autoclave (CS 30, Prismatec, Itu, SP, Brazil) for 60 minutes. No chemical additives were used. Fibroin was separated using an 18-mesh sieve; sericin solution was frozen (-20°C) and sericin powder obtained by freeze-drying (LT 1000, Terroni Equipamentos Ltda., São Carlos, SP, Brazil).

Sericin soluble amino acid content was determined by ultra-performance liquid chromatography (UPLC). UPLC was run at Laboratório de Bioquímica e Biofísica do Instituto Butantan (São Paulo, SP, Brazil) using a C18 reverse phase analytical column coupled to a detector with wavelength detection set at 214nm.

Animals and diet

Procedures in this study were approved by the institutional Animal Ethics Committee (April 11th, 2014).

Male C57Bl/6 mice aged 9 weeks on average and weighing 26.9±2.2g were used. Mice were housed in a controlled environment (23 to 25°C and 12-hour light-dark cycle) and allocated to one of two groups following a one-week acclimation period, as follows: Control (n=14) – standard rodent diet (Algomix®, Algomix Agroindustrial Ltda., Ouro Verde do Oeste, PR, Brazil) and water; Obese Group (n=14) – fat-rich diet and water. Diets were fed for 10 weeks and mice then further divided into four experimental groups according to sericin treatment (Control, Control-Sericin, Obese and Obese-Sericin) and comprising seven mice each. Water, standard rodent diet and the fat-rich diet were fed ab libitum throughout the experimental period.

Fat-rich diet ingredients were outsourced from Prag Soluções (Jaú, SP, Brazil) and consisted of 30.07% corn starch, 14% casein, 12% sucrose, 4% soil bean oil, 5% microcrystalline cellulose, 3.5% AIN-93M mineral mix, 1.0% AIN-93M vitamin mix, 0.18% L-cystine, 0.25% choline bitartrate, and 30% lard. Feed containing 32.21% of carbohydrate, 10.6% of protein and 57.2% of lipid was given in pellet form.

Sericin treatment (Control-Sericin and Obese-Sericin groups) was introduced following a 10-week period of consumption of the standard or fat-rich diet. Sericin (1,000mg/kg of body weight) was fed daily at the same hour, for 4 consecutive weeks. Sericin was fed by gavage and the daily dose diluted in 300μL of 0.9% saline. Control and Obese Group mice were fed 300μL of pure 0.9% saline by gavage.

Body weight measurement, feed intake control and fecal sampling

Individual body weight was monitored weekly. In the last week of the experimental period, mice were placed in individual metabolic cages for three consecutive 12-hour periods for feed intake determination. Mean feed intake was then calculated and fecal samples collected, weighed, frozen and used for total lipid content determination.1919. Folch J, Lees M, Sloane Stanley GH. A simple method for the isolation and purification of total lipides from animal tissues. J Biol Chem. 1957;226(1): 497-509.

Bowel transit time test

Mice were fed 300µL of marker consisting of 3g of carmine in 50mL of 0.5% ethylcellulose. Marker was fed by gavage four days prior to euthanasia. Bowel transit time determination was based on time from gavage to first stained (pink-red) fecal pellet output.2020. Nagakura Y, Naitoh Y, Kamato T, Yamano M, Miyata K. Compounds possessing 5-HT3 receptor antagonistic activity inhibit intestinal propulsion in mice. Eur J Pharmacol. 1996;311(1):67-72.

Oral glucose tolerance test

Mice were submitted to oral glucose tolerance test (oGTT) two days prior to euthanasia. After 8 hours of fasting, mice were weighed and blood samples collected form the tail for fasting glucose level determination (time point 0) using a glucometer (Accu-Chek Active®, Roche Diagnóstica Brasil Ltda., SP, Brazil). Mice were then fed glucose (2g/kg of body weight) by gavage and glucose levels measured within 15, 30, 60 and 120 minutes of administration. The area under the curve (AUC) was calculated per mouse using GraphPad Prism 6.0 software.

Plasma level determinations

Mice were submitted to a 12-hour fasting period, anesthetized with ketamine hydrochloride and xylazine (100mg/kg and 10mg/kg respectively) via the intraperitoneal route, and euthanized by exsanguination via the orbital plexus using a heparinized capillary. Blood samples were spun (10,000rpm/10 minutes at 4ºC) and the plasma fraction extracted. Triglyceride and total cholesterol levels and alanine and aspartate aminotransferase (ALT and AST) levels were measured using commercial kits (Laborclin®, Bioliquid, PR, Brazil and Analisa®, Gold Analisa Diagnóstica Ltda., Belo Horizonte, MG, Brazil, respectively) according to manufacturer’s instructions. Glucose levels were measured using a glucometer.

Obesity assessment

At the end of the 14-week experimental period and at the age of 160 days, on average, mice were weighed and the retroperitoneal and periepidydimal fat pads removed and weighed for obesity determination.

Morphological studies

Retroperitoneal and periepidydimal fat samples were fixed using 4% paraformaldehyde in phosphate buffer saline (PBS) for 24 hours, dehydrated in increasing concentrations of alcohol, diaphanized in xylol and embedded in paraffin. Tissue sections (5µm-thick) were stained with hematoxylin and eosin (HE). An area corresponding to 100 randomly distributed adipocytes was measured per section (10 points each) per fat type per animal using Image Pro Plus® 6.0 software (Media Cybernetics, USA).

The liver was removed from the abdominal cavity and weighed for hepatic mass determination. Samples from the right lobe were collected, fixed using 4% paraformaldehyde in PBS for 24 hours, then processed for paraffin embedding. Tissue sections (5µm thick) were stained with hematoxylin and eosin (HE) or Masson’s trichrome (overall morphology and connective tissue analysis, respectively). Steatosis was graded zero to 3 Kleiner et al.,2121. Kleiner DE, Brunt EM, Van Natta M, Behling C, Contos MJ, Cummings OW, Ferrell LD, Liu YC, Torbenson MS, Unalp-Arida A, Yeh M, McCullough AJ, Sanyal AJ; Nonalcoholic Steatohepatitis Clinical Research Network. Design and validation of a histological scoring system for nonalcoholic fatty liver disease. Hepatology. 2005;41(6):1313-21. in a double-blind fashion, as follows: 0, up to 5%; 1, 5 to 33%; 2, 33 to 66% and 3, over 66%.

The small intestine was stretched out and the total length measured. Jejunal samples were opened at the mesenteric border, fixed using 4% paraformaldehyde in PBS for 24 hours, then submitted to routine histological processing for paraffin embedding. Semi-serial 6µm-thick sections were stained with HE for morphological and morphometric analysis, or with the periodic acid-Schiff histochemical method for goblet cell count.

Morphometric analysis of jejunal samples was conducted using previously calibrated Image Pro Plus® 6.0. Intestinal wall thickness and villus height were measured under 200x magnification; measurements were made at 10 randomly selected points, 30µm apart per section, totaling up 50 measurements per animal. Tunica muscularis thickness, crypt depth and villus width were measured under 400x magnification (50 measurements per animal per analysis).

Goblet cells were counted in intestinal villi. The number of goblet cells and the total number of cells on the one side of the villus were counted up to approximately 1,500 cells per animal. Therefore, the percentage of goblet cells corresponded to the total goblet cell count adjusted for the total cell count.

Hepatic lipid profile determination

Liver fragments weighing approximately 500mg were collected from each mouse and immediately frozen. Hepatic lipids were then extracted1919. Folch J, Lees M, Sloane Stanley GH. A simple method for the isolation and purification of total lipides from animal tissues. J Biol Chem. 1957;226(1): 497-509. and cholesterol and triglyceride levels determined using the same kits employed for plasma level determinations.

Statistical analysis

Results were expressed as mean±standard error of the mean and analyzed using GraphPad Prism 6.0 software. Data normality was confirmed using the Shapiro-Wilk test; two-way Analysis of Variance (ANOVA) followed by the Tukey’s post-hoc test were then performed. The level of significance was set at p<0.05.

RESULTS

Sericin amino acid content

Sericin chromatographic profile (UPLC) revealed 17 amino acids, with higher percentages of serine, glycine and aspartic acid ( Table 1 ).

Table 1
Serin amino acid content

Body weight changes

Mice fed the fat-rich diet experienced significant body weight gain from the second week to the end of the 14-week experimental period compared to mice fed the standard diet ( Figure 1A ). The fat-rich diet significantly reduced feed intake compared to the standard diet ( Figure 1B ), in spite of increased adiposity, as shown in mice abdominal cavity images ( Figure 1C ).

Figure 1
Body weight changes. Graph displaying body weight changes (A) and feed intake (B), and photographic images of the inner aspect of the abdominal cavity of C57Bl6 mice (C)

Bowel transit time, fecal weight and fecal lipid content

Diet-induced obesity and sericin treatment did not interfere with mice bowel transit time ( Figure 2A ); however, the fecal volume was significantly smaller in mice fed the fat-rich diet. This was directly related to lower feed intake in these groups, regardless of sericin treatment ( Figure 2B ). Fecal lipid content was also higher in the Obese-Sericin Group compared to mice fed the standard diet ( Figure 2C ).

Figure 2
Analysis of bowel transit time and fecal parameters. Bowel transit time (A), fecal weight (B), fecal lipid content (C)

Oral glucose tolerance test

As shown in figure 3A , glucose peak during the oGTT occurred at 15 minutes in mice in all groups, with gradual drop over the course of the test and normalization within 120 minutes. The glucose AUC did not differ significantly between groups ( Figure 3B ).

Figure 3
Results of the oral glucose tolerance test. Glucose values during the oral glucose tolerance test (A), area under curve of oral glucose tolerance test (B)

Obesity model validation

Biometric parameters used to define obesity are shown in table 2 . Final body weight, carcass weight and retroperitoneal and periepidydimal fat deposits were impacted by fat-rich diet intake only, suggesting obesity development. Sericin treatment had no impact on these parameters.

Table 2
Biometric parameters

Plasma parameters

Plasma glucose and total cholesterol levels were impacted by fat-rich diet intake, with statistically significant increase in obese compared to control mice; sericin treatment had no impact on these parameters. Plasma triglyceride and AST levels did not differ between groups, whereas ALT levels were higher in obese mice compared to mice fed the standard diet ( Table 3 ).

Table 3
Plasma parameters

Fat tissue morphology

Retroperitoneal and periepidydimal adipocyte areas were significantly larger in obese mice compared to mice fed the standard diet ( Figures 4A and 4B ). Sericin treatment had no significant impact on this parameter, in spite of subtle adipocyte area reduction in the Obese-Sericin Group ( Figures 4C and 4D ).

Figure 4
Fat tissue morphometry and morphology. Retroperitoneal (A) and periepidydimal (B) adipocyte area; photomicrographs of mice retroperitoneal (C) and periepidydimal (D) fat tissues; hematoxylin and eosin stain

Liver morphology and hepatic lipid analysis

Liver weight did not differ significantly between groups ( Figure 5A ). Hepatic lipid profile analysis revealed higher hepatic cholesterol and triglyceride levels (p<0.0001) in obese compared to control mice ( Figures 5B and 5C ). Mice in the Control and Control-Sericin groups had no evidence of hepatic steatosis (grade zero), whereas varying degrees of steatosis were detected in the Obese and Obese-Sericin Groups ( Figure 5D ). Along with adipose vesicles ( Figure 5E ), balloon-shaped cytoplasm and occasional syncytium formation between adjacent hepatocytes were observed in some mice in the Obese and Obese-Sericin Groups.

Figure 5
Liver morphology and hepatic lipid analysis. Liver weight (A), hepatic cholesterol (B) and triglyceride (C) analysis; hepatic steatosis classification (D), photomicrographs of mice liver; hematoxylin and eosin stain (E)

Intestinal morphometry

Fat-rich diet intake led to changes in some intestinal morphometry parameters shown in table 4 . The small intestine was shorter in obese mice compared to mice fed the standard diet. Mice in the Obese Group had significantly longer villi (p<0.01; p<0.05) and reduced muscle layer thickness (p<0.01; p<0.05) compared to mice in the Control and Control-Sericin groups, respectively. Obese mice also had shallower crypts compared to controls (p<0.05). Changes promoted by fat-rich diet intake were reverted by sericin treatment in the Obese-Sericin Group. Intestinal wall thickness, villus width and goblet cell count did not differ between groups.

Table 4
Intestinal morphometry

DISCUSSION

The C57Bl/6 mouse is an animal model of diet-induced obesity.2222. Lutz TA, Woods SC. Overview of animal models of obesity. Curr Protoc Pharmacol. 2012;Chapter 5:Unit5.61. Review. The fat-rich diet in this study was able to effectively induce obesity, promoting body weight gain, fat deposit and increased plasma cholesterol and glucose levels despite lower feed intake. These findings are corroborated by the current literature,2323. Lee JS, Bok SH, Jeon SM, Kim HJ, Do KM, Park YB, et al. Antihyperlipidemic effects of buckwheat leaf and flower in rats fed a high-fat diet. Food Chem. 2010;119(1):235-40.

24. Dixon LJ, Flask CA, Papouchado BG, Feldstein AE, Nagy LE. Caspase-1 as a central regulator of high fat diet-induced non-alcoholic steatohepatitis. PLoS One. 2013;8(2):e56100.

25. Sung J, Jeong HS, Lee J. Effect of the capsicoside G-rich fraction from pepper (Capsicum annuum L.) seeds on high-fat diet-induced obesity in mice. Phytother Rev. 2016;30(11):1848-55.
- 2626. Pang J, Xi C, Huang X, Cui J, Gong H, Zhang T. Effects of excess energy intake on glucose and lipid metabolism in C57BL/6 mice. PLoS One. 2016; 11(1):e0146675. that is, saturated lipid-rich diets, such as the one used in this study, do in fact induce obesity.

Plasma triglyceride levels did not increase in obese mice despite higher lipid intake; similar findings have been reported in other studies with mice fed fat-rich diets2424. Dixon LJ, Flask CA, Papouchado BG, Feldstein AE, Nagy LE. Caspase-1 as a central regulator of high fat diet-induced non-alcoholic steatohepatitis. PLoS One. 2013;8(2):e56100.

25. Sung J, Jeong HS, Lee J. Effect of the capsicoside G-rich fraction from pepper (Capsicum annuum L.) seeds on high-fat diet-induced obesity in mice. Phytother Rev. 2016;30(11):1848-55.
- 2626. Pang J, Xi C, Huang X, Cui J, Gong H, Zhang T. Effects of excess energy intake on glucose and lipid metabolism in C57BL/6 mice. PLoS One. 2016; 11(1):e0146675. and rats.2323. Lee JS, Bok SH, Jeon SM, Kim HJ, Do KM, Park YB, et al. Antihyperlipidemic effects of buckwheat leaf and flower in rats fed a high-fat diet. Food Chem. 2010;119(1):235-40. Serum triglyceride levels may have remained unchanged due to redirection of these molecules to other tissues, particularly the adipose tissue, where they are stored.2727. Hussain MM. Intestinal lipid absorption and lipoprotein formation. Curr Opin Lipidol. 2014;25(3):200-6. Review. Adipocytes tend to respond to triglyceride accumulation with hypertrophy or hyperplasia.2828. Rutkowski JM, Stern JH, Scherer PE. The cell biology of fat expansion. J Cell Biol. 2015;208(5):501-12. Review. Increased retroperitoneal and periepidydimal fat pads and adipocyte area were observed in obese mice in this study. Adipocytes may also undergo homeostatic changes, such as adipose tissue hypoxia, macrophage infiltration, fibrosis and insulin resistance, which may lead to metabolic syndrome development.2929. Konige M, Wang H, Sztalryd C. Role of adipose specific lipid droplet proteins in maintaining whole body energy homeostasis. Biochim Biophys Acta. 2014; 1842(3):393-401. Review.

Remaining fat particles are cleared from the circulation by the liver,2727. Hussain MM. Intestinal lipid absorption and lipoprotein formation. Curr Opin Lipidol. 2014;25(3):200-6. Review. resulting in accumulation of significant amounts of lipids in obese individuals and ultimately in NAFLD.88. Abd El-Kader SM, El-Den Ashmawy EM. Non-alcoholic fatty liver disease: the diagnosis and management. World J Hepatol. 2015;7(6):846-58. Review. Higher liver triglyceride and cholesterol levels and fat deposits in the form or vesicles were detected in obese animals in this study. White vesicles in liver sections stained with HE confirmed the diagnosis of hepatic steatosis,2525. Sung J, Jeong HS, Lee J. Effect of the capsicoside G-rich fraction from pepper (Capsicum annuum L.) seeds on high-fat diet-induced obesity in mice. Phytother Rev. 2016;30(11):1848-55. a morphologic condition also reported in mice2424. Dixon LJ, Flask CA, Papouchado BG, Feldstein AE, Nagy LE. Caspase-1 as a central regulator of high fat diet-induced non-alcoholic steatohepatitis. PLoS One. 2013;8(2):e56100. and rats.1818. Ampawong S, Isarangkul D, Aramwit P. Sericin ameliorated dysmorphic mitochondria in high-cholesterol diet/streptozotocin rat by antioxidative property. Exp Biol Med (Maywood). 2017;242(4):411-21. Biochemical analysis revealed increased serum ALT levels in obese mice in this trial. Recent studies based on similar animal models and diets differed with respect to the effects of obesity on hepatic transaminases. Sung et al.,2525. Sung J, Jeong HS, Lee J. Effect of the capsicoside G-rich fraction from pepper (Capsicum annuum L.) seeds on high-fat diet-induced obesity in mice. Phytother Rev. 2016;30(11):1848-55. failed to detect changes in transaminase levels, whereas Choi et al.,3030. Choi RY, Ham JR, Lee MK. Esculetin prevents non-alcoholic fatty liver in diabetic mice fed high-fat diet. Chem Biolo Interact. 2016;260:13-21. did not detect changes in ALT levels. Increased AST levels in obese mice fed fat-rich diets were the only change reported by Pang et al.2626. Pang J, Xi C, Huang X, Cui J, Gong H, Zhang T. Effects of excess energy intake on glucose and lipid metabolism in C57BL/6 mice. PLoS One. 2016; 11(1):e0146675. Also, according to Abd El-Kader et al.,88. Abd El-Kader SM, El-Den Ashmawy EM. Non-alcoholic fatty liver disease: the diagnosis and management. World J Hepatol. 2015;7(6):846-58. Review. liver enzymes may be normal or minimally altered in NAFLD.

Apart from its vital role in nutrient digestion and absorption, the small intestine is capable of prompting adaptive changes in response to increased luminal lipid content;44. Clara R, Schumacher M, Ramachandran D, Fedele S, Krieger JP, Langhans W, et al. Metabolic adaptation of the small intestine to short- and medium-term high-fat diet exposure. J Cell Physiol. 2017;232(1):167-75. this may be related to metabolic syndrome progression in other organs.3131. De Wit N, Derrien M, Bosch-Vermeulen H, Oosterink E, Keshtkar S, Duval C, et al. Saturated fat stimulates obesity and hepatic steatosis and affects gut microbiota compositions by an enhanced overflow of dietary fat to the distal intestine. Am J Physiol Gastrointest Liver Physiol. 2012;303(5):G589-99. , 3232. Duca FA, Sakar Y, Covasa M. The modulatory role of high fat feeding on gastrointestinal signals in obesity. J Nutr Biochem. 2013;24(10):1663-77. Review. Reduced small intestinal length, increased villus height, shallower crypts and reduced jejunal tunica muscularis thickness were observed in mice fed the fat-rich diet in this trial. With the exception of tunica muscularis thickness, similar morphometric findings have been reported in Swiss mice fed a fat-rich diet for 8 weeks.66. Soares A, Beraldi EJ, Ferreira PE, Bazotte RB, Buttow NC. Intestinal and neuronal myenteric adaptations in the small intestine induced by a high-fat diet in mice. BMC Gastroenterol. 2015;15:3. Given feed intake was lower in obese mice, mucosal changes must be associated with food type33. Scoaris CR, Rizo GV, Roldi LP, de Moraes SM, de Proença AR, Peralta RM, et al. Effects of cafeteria diet on the jejunum in sedentary and physically trained rats. Nutrition. 2010;26(3):312-20. rather than hyperphagia.55. Mao J, Hu X, Xiao Y, Yang C, Ding Y, Hou N, et al. Overnutrition stimulates intestinal epithelium proliferation through β-catenin signaling in obese mice. Diabetes. 2013;62(11):3736-46. Increased intestinal absorption area resulting from increased villus height55. Mao J, Hu X, Xiao Y, Yang C, Ding Y, Hou N, et al. Overnutrition stimulates intestinal epithelium proliferation through β-catenin signaling in obese mice. Diabetes. 2013;62(11):3736-46. may explain weight gain in obese mice. Liquid diets such as fat-rich diets may alter crypt morphology and reduce tunica muscularis thickness,3333. Vrabcova M, Mikuska L, Vazan R, Miko M, Varga I, Mravec B. Effect of chronic intake of liquid nutrition on stomach and duodenum morphology. Acta Histochem. 2016;118(4):435-42. as seen in this study, due to potential decrease in gut motility. Experimental evidence has shown that fat-rich diets may also induce neuron loss in the myenteric plexus,3434. Beraldi EJ, Soares A, Borges SC, de Souza AC, Natali MR, Bazotte RB, et al. High-fat diet promotes neuronal loss in the myenteric plexus of the large intestine in mice. Dig Dis Sci. 2015;60(4):841-9. leading to reduced muscular thickness and gut motility. Reduced peristalsis is thought to be required for digestion and absorption of fat-rich diets; still, intestinal transit time and goblet cell count did not differ between groups in this trial, suggesting lack of functional changes. Goblet cells are responsible for mucus production for protection and lubrication of the intestinal epithelium.33. Scoaris CR, Rizo GV, Roldi LP, de Moraes SM, de Proença AR, Peralta RM, et al. Effects of cafeteria diet on the jejunum in sedentary and physically trained rats. Nutrition. 2010;26(3):312-20.

Sericin extraction in this study was performed with no chemical additives to produce a pure final product1818. Ampawong S, Isarangkul D, Aramwit P. Sericin ameliorated dysmorphic mitochondria in high-cholesterol diet/streptozotocin rat by antioxidative property. Exp Biol Med (Maywood). 2017;242(4):411-21. comprising 17 amino acids, with serine, glycine and aspartic acid accounting for more than 72% of sericin protein content. Amino acid content reflected previous descriptions1313. Kato N, Sato S, Yamanaka A, Yamada H, Fuwa N, Nomura M. Silk protein, sericin, inhibits lipid peroxidation and tyrosinase activity. Biosci Biotechnol Biochem. 1998;62(1):145-7. , 1515. Okazaki Y, Kakehi S, Xu Y, Tsujimoto K, Sasaki M, Ogawa H, et al. Consumption of sericin reduces serum lipids, ameliorates glucose tolerance and elevates serum adiponectin in rats fed a high-fat diet. Biosci Biotechnol Biochem. 2010;74(8):1534-8. , 1717. Limpeanchob N, Trisat K, Duangjai A, Tiyaboonchai W, Pongcharoen S, Sutheerawattananonda M. Sericin reduces serum cholesterol in rats and cholesterol uptake into Caco-2 cells. J Agric Food Chem. 2010;58(23):12519-22. and confirmed the hydrophilic nature of sericin. Lack of plasma or tissue morphology changes in mice in the Control-Sericin Group emphasizes the safety of sericin supplementation.1616. Seo CW, Um IC, Rico CW, Kang MY. Antihyperlipidemic and body fat-lowering effects of silk proteins with different fibroin/sericin compositions in mice fed with high fat diet. J Agric Food Chem. 2011;59(8):4192-7. , 3535. Sasaki M, Yamada H, Kato N. A resistant protein, sericin improves atropine-induced constipation in rats. Food Sci Technol Res. 2000;6(4):280-3.

Sericin treatment was not able to revert plasma and biometric changes promoted by fat-rich diet-induced obesity in this study, but restored intestinal morphometry. According to Sasaki et al.,3535. Sasaki M, Yamada H, Kato N. A resistant protein, sericin improves atropine-induced constipation in rats. Food Sci Technol Res. 2000;6(4):280-3. sericin is a low digestibility protein remaining in the intestinal lumen for longer periods of time.3636. Zhaorigetu S, Sasaki M, Kato N. Consumption of sericin suppresses colon oxidative stress and aberrant crypt foci in 1,2-dimethylhydrazine-treated rats by colon undigested sericin. J Nutr Sci Vitaminol (Tokyo). 2007;53(3):297-300. Therefore, changes promoted by lipid accumulation may be reverted by the presence of sericin, which remains in contact with the intestinal mucosa. Sericin treatment also led to higher fecal excretion of lipids. Similar findings have been reported1616. Seo CW, Um IC, Rico CW, Kang MY. Antihyperlipidemic and body fat-lowering effects of silk proteins with different fibroin/sericin compositions in mice fed with high fat diet. J Agric Food Chem. 2011;59(8):4192-7. in a study with mice fed equivalent amounts of sericin and fibroin and a fat-rich diet. According to Limpeanchob et al.,1717. Limpeanchob N, Trisat K, Duangjai A, Tiyaboonchai W, Pongcharoen S, Sutheerawattananonda M. Sericin reduces serum cholesterol in rats and cholesterol uptake into Caco-2 cells. J Agric Food Chem. 2010;58(23):12519-22. sericin decreases cholesterol absorption in Caco-2 cells and micellar cholesterol solubilization, resulting in lower plasma cholesterol levels. Hence, sericin may interfere with absorption of dietary lipids in the small intestinal lumen, increasing lipid excretion in feces.

Other studies revealed that sericin may be protective against metabolic changes induced by obesogenic diets. The following effects have been reported: inhibition of weight gain and adipose mass deposit, improvement of plasma lipid profile and glucose tolerance, reduction of inflammatory markers (leptin, resistin and TNF-α), elevation of adiponectin levels, reduction of lipogenic enzyme activity in adipose and hepatic tissues and increase of beta-oxidation in the liver.1515. Okazaki Y, Kakehi S, Xu Y, Tsujimoto K, Sasaki M, Ogawa H, et al. Consumption of sericin reduces serum lipids, ameliorates glucose tolerance and elevates serum adiponectin in rats fed a high-fat diet. Biosci Biotechnol Biochem. 2010;74(8):1534-8. , 1616. Seo CW, Um IC, Rico CW, Kang MY. Antihyperlipidemic and body fat-lowering effects of silk proteins with different fibroin/sericin compositions in mice fed with high fat diet. J Agric Food Chem. 2011;59(8):4192-7. In a recent study in rats with induced hypercholesterolemia and hyperglycemia, sericin decreased plasma cholesterol and reverted mitochondrial damage in the heart and liver. Attenuation of hepatic steatosis and hepatic oxidative stress were also observed, suggesting antioxidant properties.1818. Ampawong S, Isarangkul D, Aramwit P. Sericin ameliorated dysmorphic mitochondria in high-cholesterol diet/streptozotocin rat by antioxidative property. Exp Biol Med (Maywood). 2017;242(4):411-21.

The effects of the protein sericin remain to be fully elucidated, particularly its therapeutic effects on fat-rich diet-induced obesity, a model that reflects the western lifestyle. Two of the changes promoted by the fat-rich diet in this study were reverted by treatment with sericin for 4 weeks; treatment for longer periods of time may have more significant effects. Also, given the small intestine is one of the first organs to adapt to obesogenic diets,44. Clara R, Schumacher M, Ramachandran D, Fedele S, Krieger JP, Langhans W, et al. Metabolic adaptation of the small intestine to short- and medium-term high-fat diet exposure. J Cell Physiol. 2017;232(1):167-75. reestablishment of intestinal morphometry suggests sericin may be a potential treatment for obesity.

CONCLUSION

Intake of a fat-rich diet led to obesity development, as shown by biometric and plasmatic changes in treated mice, which were not reverted by treatment. The therapeutic dose of 1,000mg/kg of sericin derived from the Bombyx mori cocoon increased lipid excretion in feces and restored intestinal wall morphometry in obese mice.

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    Zhaorigetu S, Sasaki M, Kato N. Consumption of sericin suppresses colon oxidative stress and aberrant crypt foci in 1,2-dimethylhydrazine-treated rats by colon undigested sericin. J Nutr Sci Vitaminol (Tokyo). 2007;53(3):297-300.

Publication Dates

  • Publication in this collection
    26 Sept 2019
  • Date of issue
    2020

History

  • Received
    4 Dec 2018
  • Accepted
    17 June 2019
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