Flattened circadian glucocorticoid oscillations cause obesity due to increased lipid turnover and lipid uptake
ABSTRACTChronic stressors flatten circadian glucocorticoid (GC) oscillations, which has been correlated with negative health outcomes including obesity. How such flattened circadian GC oscillations affect metabolism and fat storage remains unknown. Here we investigated the consequences in mice and found that flattening of GC oscillations results not only in body weight gain, mainly due to increases in white fat depot mass, but also leads to hyperinsulinemia and fat accumulation in brown adipose tissue. A transcriptomic analysis of white and brown adipose tissues revealed that flattened GC oscillations cause dysregulated lipid metabolism with a prominent role of the fatty acid transporter Cd36. Indeed, Cd36 knockout mice are partially protected against the adverse effects of flattened GC oscillations including body weight gain and lipid accumulation in the brown and visceral white fat depots. These results provide insights on how conditions associated with flattened GC levels cause obesity.HIGHLIGHTSFlattening of circadian GC oscillations in mice, despite keeping mean circulating GC levels the same, results in body weight gain, lipid accumulation in both brown and white adipose tissues (BAT and WAT), and hyperinsulinemia.Markedly, flattening GC oscillations for short periods of three days is sufficient to increase lipid accumulation and mass in BAT, but longer periods are needed to increase lipid accumulation and mass in WAT.Transcriptomics analysis shows increased expression of a key regulator of fatty acid uptake, CD36, and knockout of CD36 partially protects cells from flattening GC oscillations