Estrogen-related receptor β deficiency alters body composition and response to restraint stress
© Byerly et al.; licensee BioMed Central Ltd. 2013
Received: 11 April 2013
Accepted: 17 September 2013
Published: 22 September 2013
Estrogen-related receptors (ERRs) are orphan nuclear hormone receptors expressed in metabolically active tissues and modulate numerous homeostatic processes. ERRs do not bind the ligand estrogen, but they are able to bind the estrogen response element (ERE) embedded within the ERR response elements (ERREs) to regulate transcription of genes. Previous work has demonstrated that adult mice lacking Errβ have altered metabolism and meal patterns. To further understand the biological role of Errβ, we characterized the stress response of mice deficient for one or both alleles of Errβ.
Sox2-Cre:Errβ mice lack Errβ expression in all tissues of the developing embryo. Sox2-Cre:Errβ+/lox heterozygotes were obese, had increased Npy and Agrp gene expression in the arcuate nucleus of the hypothalamus, and secreted more corticosterone in response to stress. In contrast, Sox2-Cre:Errβlox/lox homozygotes were lean and, despite increased Npy and Agrp gene expression, did not secrete more corticosterone in response to stress. Sox2-Cre:Errβ+/lox and Sox2-Cre:Errβlox/lox mice treated with the Errβ and Errγ agonist DY131 demonstrated increased corticotropin-releasing hormone (Crh) expression in the paraventricular nucleus of the hypothalamus, although corticosterone levels were not affected. Nes-Cre:Errβlox/lox mice, which selectively lack Errβ expression in the nervous system, also demonstrated elevated stress response during an acoustic startle response test and decreased expression of both Crh and corticotropin-releasing hormone receptor 2 (Crhr2).
Loss of Errβ affects body composition, neuropeptide levels, stress hormones, and centrally-modulated startle responses of mice. These results indicate that Errβ alters the function of the hypothalamic-pituitary-adrenocortical axis and indicates a role for Errβ in regulating stress response.
ERRs are nuclear hormone receptors that regulate multiple homeostatic processes throughout life . ERRs were initially identified on the basis of sequence homology to estrogen receptors (ERs) . The homology between Errs and Ers is 36% in the ligand binding domain and 68% in the DNA binding domain. ERRs bind both ERR response elements (ERREs) and the closely related estrogen response elements (EREs) embedded within an ERRE sequence on DNA to modulate transcription of target genes [3–8]. Errs activate gene transcription by binding to DNA, either as a monomer, homodimer, or a heterodimer complex, which includes two different Err isoforms [1, 6, 7, 9, 10]. While their binding sites are similar to those of Ers, Errs do not bind estradiol and instead activate transcription in a ligand-independent manner, leading to their classification as orphan nuclear receptors. The three different Err genes, α, β and γ, have highly conserved ligand and DNA binding domains and thus may regulate homeostatic processes in a compensatory manner .
In mice, Errβ and Err γ are selectively expressed in the brain and multiple peripheral tissues [2, 12–14] and share the highest degree of sequence homology , suggesting that they may share overlapping functions. Since Errs recognize the same response elements, they are likely to regulate overlapping subsets of target genes .
We have previously reported that whole-body or central nervous system-specific deletion of Errβ increases expression of Err γ and ultimately alters body composition, metabolism, meal patterns, and energy expenditure of mice . Further, inhibition of Errβ or Err γ alter metabolic parameters, whole-body energy balance (e.g. body composition, food intake and neuropeptide expression), while deletion of Errβ reciprocally modulates expression of Errγ (and vice versa) suggesting that balanced expression of Errβ and Err γ is important for control of energy balance and food intake [14–18].
Alterations in glucocorticoid signaling and whole-body energy balance positively correlate with one another, with increased glucocorticoid levels resulting in increased body weight [19–21]. Errβ suppresses glucocorticoid receptor activity in neuroblastoma and kidney cells in a dose-dependent manner, suggesting that it may also regulate metabolism at least in part through modulation of the hypothalamic-pituitary-adrenal (HPA) axis . The HPA axis is regulated by corticotrophin-releasing hormone (Crh) released from neurosecretory cells of the hypothalamic paraventricular nucleus. Crh stimulates release of adrenocorticotropic hormone (ACTH) from the anterior pituitary, and ACTH, in turn, triggers glucocorticoid secretion from the adrenal gland. Negative feedback from ACTH and glucocorticoid secretion ultimately modulates Crh expression in the paraventricular nucleus via glucocorticoid receptors . Disrupting glucocorticoid feedback loops can alter whole-body energy balance (e.g. body weight). Glucocorticoid excess (Cushing’s disease) increases central fat deposition, whereas decreased body weight is associated with glucocorticoid insufficiency (Addison’s disease) [19–21]. In addition to these effects on metabolism, alterations in the HPA axis can also influence anxiety and stress, which increase Neuropeptide Y (Npy) secretion. Npy further augments obesity susceptibility by inducing food intake and contributing to leptin resistance [23–25].
Consequently, we propose that Errβ modulates stress responses. Since Errβ suppresses glucocorticoid receptor activity , we hypothesized that the HPA axis may be altered in mice that carry heterozygous or homozygous loss of function mutations of Errβ in all somatic tissues [14, 26, 27]. The effects of Errβ deficiency on body weight, body composition, neuropeptide levels, stress hormones, and stress responses were examined in Sox2-Cre:Errβ+/lox and Sox2-Cre:Errβlox/lox mice, in which Errβ expression is disrupted in all somatic tissues. These results indicate that Errβ modulates stress responses, at least in part through central mechanisms.
Errβ gene dosage alters body weight and body composition
Body weight and body composition, physical activity and meal patterns of wild type (WT), Sox2-Cre:Errβ+/lox, and Sox2-Cre:Errβlox/lox mice
13.1 ± 0.5
2.09 ± 0.09
10.06 ± 0.41
14.0 ± 0.7
2.58 ± 0.16*
10.56 ± 0.62*
12.9 ± 0.8
1.64 ± 0.17
10.51 ± 0.61
36.5 ± 0.9
12.19 ± 0.65
23.09 ± 0.46
67207 ± 8601
128 ± 15
8.3 ± 0.9
107 ± 17
46.1 ± 3.0*
21.43 ± 1.84*
24.00 ± 0.63
93599 ± 9879
238 ± 35* 5.6 ± 0.7#
102 ± 10
28.4 ± 1.3*
5.69 ± 0.74*
21.64 ± 0.40*
133741 ± 20533*
260 ± 57*
4.1 ± 0.7*
67 ± 11*
At nine months of age, Sox2-Cre:Errβ+/lox mice had increased fat mass and no change in lean mass relative to WT mice (fat mass: F1,9 = 35.90, P = 0.002). However, Sox2-Cre:Errβlox/lox mice demonstrated the opposite trend in body composition, with decreases in both fat and lean mass (fat free mass) relative to WT mice (fat mass: F1,10 = 46.53, P < =0.0001; lean mass: F1,10 = 6.21, P = 0.03). Accordingly, body weight increased in Sox2-Cre:Errβ+/lox mice (F1,9 = 32.31, P = < 0.000001) and decreased in Sox2-Cre:Errβlox/lox mice (F1,10 = 32.57, P = 0.0004) relative to WT mice. Given these differences, the Sox2-Cre:Errβ+/lox mice surprisingly had a similar macrostructure of food intake as the Sox2-Cre:Errβlox/lox, relative to WT mice. Specifically, after consuming a meal, the duration of time that the mouse was satiated was decreased (satiety ratio), the total number of pellets consumed was increased, and the duration of time between meals (intermeal interval, IMI) was not changed for Sox2-Cre:Errβ+/lox mice, but IMI was decreased for Sox2-Cre:Errβlox/lox mice (Table 1). The difference in IMI between the genotypes may be a compensatory change due to peripheral signals modulated by the increases in both body weight and fat mass observed in the Sox2-Cre:Errβ+/lox mice.
Hypothalamic neuropeptide expression in Errβ mutant mice
Sox2-Cre:Errβlox/lox mice show elevated activity levels due to defects in vestibular system development [14, 26], which likely contribute to the body weight and body composition differences observed at nine months of age. However, three-week-old Sox2-Cre:Errβ+/lox mice are not hyperactive, suggesting that activity alone does not control hypothalamic neuropeptide levels (Table 1: Sox2-Cre:Errβlox/lox vs. WT - F1,9 = 16.43, P = 0.004).
Errβ gene dosage alters expression of HPA axis components
Errβ interacts with glucocorticoid receptors in neuroblastoma and kidney cells [22, 33] and may also interact in the hindbrain where Errβ is expressed . Since increased Npy expression is often associated with elevated levels of glucocorticoid release, which can influence adiposity [23–25], we hypothesized that Errβ deficiency may alter stress responsiveness via glucocorticoid secretion. Therefore, stress responses of WT, Sox2-Cre:Errβ+/lox, and Sox2-Cre:Errβlox/lox mice were measured by detecting alterations in HPA axis components, Crh expression and corticosterone.
Neural progenitor-specific deletion of Errβ alters acoustic startle response
Sox2-Cre:Errβ+/lox and Sox2-Cre:Errβlox/lox mice demonstrate differences in HPA activation, which may arise from central and/or peripheral mechanisms. In the central nervous system, Errβ expression is restricted to the hindbrain. Nes-Cre:Errβlox/lox mice lack Errβ in neural progenitor cells, effectively resulting in selective loss of Errβ expression in the hindbrain . Therefore, we investigated the central role of Errβ in modulating stress responses in Nes-Cre:Errβlox/lox and WT mice using an acoustic startle test. The neuroanatomical and neurochemical basis of the acoustic startle response has been well mapped and involves neurons found in the amygdala, dorsomedial hypothalamus, and brainstem [35–39]. The amygdala elicits behavioral stress responses associated with the acoustic startle response and expresses the neuromodulators Crh and Npy [36, 40]. Nes-Cre:Errβlox/lox mice have decreased Npy expression in the hindbrain , which may modify neural circuitry activated by physical and psychological stress and, more specifically, the acoustic startle response.
Summary of phenotype difference between Sox2-Cre:Errβ+/lox, Sox2-Cre:Errβlox/lox and Nes2-Cre:Errβlox/lox mice, relative to wild type (WT)
Hormone and Neuropeptides
Crh expression (DY131)
Acoustic startle response
Total pellets consumed
Inter Meal interval (IMI)
Hypothalamic expression of Npy and Agrp, orexigenic factors that increase fat mass and food intake [50–52], increased in both Sox2-Cre:Errβ+/lox and Sox2-Cre:Errβlox/lox mice (Figure 1). These results suggest that increased anabolic neuropeptide expression may be due to central or peripheral mechanisms that are activated following global deletion of Errβ. Increased Npy and Agrp expression may be due to differences in leptin levels from adipose mass. Increased fat mass and lean mass were measured in Sox2-Cre:Errβ+/lox mice, although decreased fat mass and lean mass were measured in highly-active Sox2-Cre:Errβlox/lox mice at nine months of age (Table 1). Expression of Npy and leptin are coordinately regulated, as Npy blunts the effects of leptin and increased leptin levels decrease Npy expression [23, 53–55]. Thus, Sox2-Cre:Errβ+/lox mice may consume more food and increase Npy expression and fat mass due to leptin resistance; Sox2-Cre:Errβlox/lox mice may increase Npy expression to compensate for decreased fat mass arising from increased physical activity (Figure 1 and Table 1). In support of this, Nes-Cre:Errβlox/lox mice have increased lean mass, no change in physical activity and have decreased Npy expression in the hindbrain . Changes in body composition emerged prior to changes in body weight, suggesting that both peripheral and central signals may be altered to regulate the development of increased fat mass (Table 1).
The opposite phenotypes that are seen in the Sox2-Cre:Errβ+/lox and Sox2-Cre:Errβlox/lox mice may arise from the ability of Errβ or Errγ to regulate gene transcription as both homodimers and Errβ/Errγ heterodimers [1, 6, 7, 9, 10]. Errβ/Errγ heterodimers have been predicted to exist, but to our knowledge it has not been directly detected in vivo. RIP140 is a nuclear receptor corepressor that regulates cellular metabolism [56–58]. RIP140 enhanced transcriptional activity for all three mouse Err genes . Mice lacking RIP140 are lean, with increased metabolic rate and insulin sensitivity . Similarly, Sox2-Cre:Errβlox/lox mice are lean with increased metabolic rate (Table 1 and ), and Nes-Cre:Errβlox/lox have increased lean mass, increased metabolic rate and insulin sensitivity . Since deletion of both Errβ and RIP140 exhibit similar phenotypes, this suggests that increased lean mass relative to fat mass, metabolic rate and insulin sensitivity may arise from both the RIP140 corepressor and Errβ .
ChIP-seq analysis derived from embryonic stem cells revealed that Errβ binds the regulatory element of two genes associated with Crh activity — Corticotropin releasing hormone binding protein (Crhbp) and Corticotropin releasing hormone receptor 2 (Crhr2) — as well as one gene associated with whole-body energy balance and stress responses, Cholecystokinin B receptor (Cckbr) . We hypothesize that Errβ, Crhbp and Crhr2 may modulate stress signaling by altering the biological activity of Crh in extrahypothalamic sites and/or corticosterone feedback or secretion [32, 39, 48, 61–64]. Disruption of Errβ-dependent regulation of expression of Cckbr and/or Crhr2 may at least partially explain the abnormal meal patterns and stress behaviors (e.g. acoustic startle response, Crh expression or corticosterone levels) observed in Sox2-Cre:Errβlox/lox, Sox2-Cre:Errβ+/lox, and Nes-Cre:Errβlox/lox mice .
Crh is expressed in the paraventricular nucleus of the hypothalamus and initiates ACTH release from the pituitary [40, 65]. Crh has since been found to be synthesized in extra-hypothalamic sites, where it also acts to modulate stress response and food intake [40, 65–67]. ERR family members also modulate stress responses by regulating glucocorticoid receptor activity in muscle and neuroblastoma cell lines [22, 33]. Further, Errβ and Crh are expressed in similar regions of the hindbrain . Here we demonstrate that Errβ deletion modulates corticosterone levels after exposure to restraint stress, with increased levels in Sox2-Cre:Errβ+/lox mice and decreased levels in Sox2-Cre:Errβlox/lox mice relative to WT (Figure 2). Neural connections projecting to the hypothalamus from extrahypothalamic sites, such as the hindbrain, may also regulate hypothalamic Crh release and Crh expression [30, 49, 68–70].
Biological activity of Crh is inhibited by Crhbp, and Errβ binds to the promoter region of the Crhbp gene [60, 71], which contains three ERE half sites . Mice that overexpress Crhbp have increased Crh expression, potentially resulting from a compensatory response aimed at ameliorating disruptions in stress response . Similarly, increased Crh expression was observed when Errβ was reduced (Sox2-Cre:Errβ+/lox) or eliminated (Sox2-Cre:Errβ+/lox) in somatic tissue, and Errγ was activated using DY131 (Figure 3). Therefore, we propose that partial or complete deletion of Errβ may alter Crh expression by modulating transcription of Crhbp or Crhr2, resulting in altered corticosterone secretion. Furthermore, Sox2:Errβlox/lox mice lack corticosterone secretion after restraint stress (Figure 2), which may result from altered Crhr2 expression (Figure 4c) and changes in negative feedback. Therefore, brain regions that express Crhr2 may show reduced Crh signaling (Figure 4b and 4c), as in the hindbrain .
Errβ binds to cis-regulatory regions of the Cckbr gene , which is expressed in the hindbrain [29, 74] and the corresponding gene maps to a genomic locus of the genome associated with obesity . Cckbr deficient mice (Cckbr-/-) display a similar phenotype to Sox2-Cre:Errβ+/lox mice, and have increased body weight and food intake, which may arise from changes in Cholecystokinin (Cck) signaling (e.g. satiety), and increased metabolism [74, 76]. However, Cckbr-/- mice also have blunted stress responses associated with anxiety-like behavior  and increased Npy expression , which resembles the phenotype of Sox2-Cre:Errβlox/lox mice (Figure 1 and Table 1). Therefore, heterodimers of Errβ alone, or Errβ in combination with ERRγ, may regulate Cckbr transcription, thereby partially accounting for the differences in the phenotypes seen in Sox2-Cre:Errβ+/lox and Sox2-Cre:Errβlox/lox mice (Table 2). Differences in developmental compensation arising from Errβ and/or Errγ may also contribute to the phenotype differences in Sox2-Cre:Errβ+/loxand Sox2-Cre:Errβlox/lox mice.
Nes-Cre:Errβlox/lox mice show increased Errγ expression relative to WT animals , while mice deficient for Errγ show increased Errβ expression . This suggests that homozygous mice have reciprocal patterns of Errβ and Errγ expression, potentially arising from developmental compensation and heterozygous mice may partially lack this compensation, contributing to phenotype differences. The Errβ/Errγ agonist (DY131) increased Crh expression more when Errβ expression was reduced (Sox2:Errβ+/lox mice) than when Errβ expression was absent (Sox2:Errβlox/lox mice) (Figure 3). These results suggest that the ratio of Errβ to Errγ signaling may contribute to the observed difference in Crh expression, Crhr2 expression and corticosterone secretion in the two genotypes examined.
Sox2-Cre:Errβlox/lox and Sox2-Cre:Errβ+/lox mice have alterations in the HPA axis (Figures 2 and 3). Npy, which modulates corticosterone levels , is altered in Sox2-Cre:Errβ+/lox and Sox2-Cre:Errβlox/lox (Figures 1 and 2). Both Crh and Npy have been implicated in modulating the acoustic startle response [32, 36, 40, 80], which is altered in Nes-Cre:Errβlox/lox mice (Figure 4 and ). Given the results reported here, the phenotype differences between Sox2-Cre:Errβ+/lox and Sox2-Cre:Errβlox/lox mice may specifically arise from altered Crh expression and corticosterone levels as a result of changes in Errβ-dependent regulation of Crhbp or Crhr2 transcription, as well as through interactions of Errβ with Errγ. However, since little is known about Errβ/Errγ heterodimers or how different Err family homo and heterodimers may potentially regulate Crhbp or Crhr2 transcription deserves further investigation.
Our data suggest that central Errβ modulates stress responses, food intake and body weight, although it remains to be determined whether peripheral Errβ also modulates components of the HPA axis and acoustic startle response. Nes-Cre:Errβlox/lox mice lack Errβ in the hindbrain and have decreased expression of Crh, Crhr2 and Npy, suggesting that neuromodulators involved with the acoustic startle response reside in the hindbrain to modulate stress and anxiety. However, other changes in neural circuitry (e.g. altered Cckbr expression) regulating the acoustic startle response in Nes-Cre:Errβlox/lox mice are likely to exist and remain to be identified.
Mice heterozygous for Errβ deletion have increased fat mass and stress hormone secretion after restraint stress, while those homozygous for Errβ deletion have decreased fat mass and secrete higher baseline levels of stress hormones. These effects may be modulated by components of the HPA axis, such as Crh, Crhbp, Crhr2, Npy or Cckrb. Central Errβ signaling influences stress associated behavior (e.g. the acoustic startle response), possibly through regulation of Npy, Crh and Crhr2 expression in the hindbrain or hypothalamic projections to the amygdala [32, 62, 63, 80]. Since the neural circuitry controlling the acoustic startle response is well-conserved between rodents and humans [36, 81], these data suggest that ERRβ or ERRγ may be promising candidates for pharmacological treatment of excessive anxiety or stress levels in humans.
Animals, housing, food intake, and physical activity measurement
Sox2-Cre:Errβlox/lox, Sox2-Cre:Errβ+/lox, and wild-type (WT) (Errβlox/lox) mice were generated as previously described . Briefly, Errβ mice have a conditional allele, with loxP sites flanking exon 2 of the Errβ gene that encodes the DNA binding domain (exon 2) . Expression of cre recombinase will excise the loxP-flanked exon 2 from the Errβ gene. Sox2-Cre deletes Errβ from all embryonic tissues and Nestin-Cre deletes Errβ from developing neural tissue. Sox2-Cre:Errβlox/lox mice completely lack functional Errβ because both alleles have been removed. Sox2-Cre:Errβ+/lox have one wild-type allele of the Errβ gene, since the other allele has been excised by the loxP sites. These two mouse lines enable us to address possible phenotypic differences due to differences in gene dosage. Wild-type (WT) mice used for these studies were homozygous for the floxed Errβ allele. Mice were maintained on a 12:12 hour light–dark cycle in a temperature- and humidity-regulated vivarium and had ad libitum access to standard laboratory chow (2018, Harlan-Teklad, Harlan Laboratories, Frederick, MD, USA) and water at all times. Different cohorts of mice were analyzed at three weeks and nine months of age. Food intake data and physical activity levels were collected as previously described . Physical activity levels were measured by detecting and counting horizontal beam breaks in a 40 cm × 40 cm × 30 cm plexiglass chamber (Digiscan, Accuscan Instruments, Columbus, OH). All experimental procedures were performed in accordance with the Johns Hopkins University School of Medicine Institutional Animal Care and Use Committee and the National Institutes of Health Guide for the Care and Use of Laboratory Animals.
In situ hybridization assay(ISH) and quantitative real-time PCR
ISH was performed as previously described [14, 82]. Briefly, digoxigenin cRNA probes to Npy and agouti-related protein (Agrp) were synthesized using the Brain Molecular Anatomy Project (BMAP) library containing sequence-verified expressed sequence tags. BMAP clones were purified using a PureLink plasmid miniprep kit per manufacturer’s protocol (Invitrogen, Carlsbad, CA, USA) and synthesized using a T3 or T7 RNA polymerase (Roche, Indianapolis, IN, USA). The riboprobe was purified using an RNA extraction kit per manufacturer’s protocol (RNeasy, Qiagen, Valencia, CA, USA). Brains were collected from mice, fresh frozen in OCT compound (Tissue Tek, Fisher Scientific, Pittsburgh, PA, USA), and cut using a cryostat into 25-μm sections onto Superfrost Plus slides (Fisher Scientific, Pittsburgh, PA, USA). Hindbrain dissection, mRNA extraction and quantitative real-time PCR was conducted as previously described [14, 83]. Briefly, RNA was extracted (RNeasy, Qiagen, Valencia, CA, USA) and cDNA was synthesized using 1 μg of mRNA using Superscript II reverse transcriptase (Invitrogen) and random primers (Invitrogen). Quantitative PCR primer sequences were obtained from PrimerBank and conducted for Crh: fwd – 5’ CCTCAGCCGGTTCTGATCC 3’ and rev – 5’ GCGGAAAAAGTTAGCCGCAG 3’, Crhr2: fwd – 5’ CATCCACCACGTCCGAGAC 3’ and rev – 5’ CTCGCCAGGATTGACAAAGAA 3’ and 18S fwd – 5’ GCAATTATTCCCCATGAACG 3’ and rev- 5’ GGCCTCACTAAACCATCCAA 3’. The Ct value generated was normalized to 18S in order to obtain a ΔCt value, followed by generating the 2-ΔΔCt value by normalizing the data to control animals as previously described .
Restraint stress test, corticosterone radioimmunoassay, and DY131 injections
Baseline blood glucocorticoid levels were measured and mice were placed into a restraining tube (one mouse/tube) for one hour. Upon removal from the restraining tube, blood samples were collected again. Animals were then returned to their housing and blood samples were collected after a one-hour recovery period. Blood was collected in heparin-coated tubes and centrifuged at 3800 rpm for 20 min at 4°C. Corticosterone assays were performed with a radioimmunoassay kit for corticosterone per manufacturer’s directions (MP Biomedicals, Solon, OH, USA). DY131 (Tocris, Bristol, BS11, United Kingdom) at a dose of 10 μM/g body weight was injected, and data for meal patterns collected as previously described .
Prepulse inhibition (PPI) of acoustic startle response
All value comparisons were made using one-way ANOVA to identify individual differences between groups, and P < 0.05 was considered significant (Statistica v.8.0, Tulsa, OK, USA).
Corticotropin releasing hormone binding protein
Corticotropin releasing hormone receptor 2
Estrogen-related receptor response element
Inter meal interval
In situ hybridization
MSB is supported by the National Institute of Diabetes and Digestive and Kidney Diseases training fellowship (T32DK007751), GWW by the National Institutes of Health (DK084171) and the American Heart Association (SDG2260721), and SB by a WM Keck Distinguished Young Scholar Award in Medical Research.
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