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Physiology & Behavior 209 (2019) 112587

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Physiology & Behavior


journal homepage: www.elsevier.com/locate/physbeh

Sex differences in glucocorticoids-induced anabolic effects in rats T


a,1 a,1 a
Larissa Rugila S. Stopa , Camila F. de Souza , Geisielle Fernandes Santos ,
Andressa B. Martinsa, Renan Nascimento Ferreirad, Fábio Goulart de Andraded,
Cristiane Mota Leiteb, Dimas A.M. Zaiac, Cassia Thaïs B.V. Zaiaa, Ernane Torres Uchoaa,

a
Department of Physiological Sciences, State University of Londrina, Londrina, PR, Brazil
b
University of Northern Parana (UNOPAR), Londrina, PR, Brazil
c
Department of Chemistry, State University of Londrina, Londrina, PR, Brazil
d
Department of Histology, State University of Londrina, Londrina, Brazil

GRAPHICAL ABSTRACT

ARTICLE INFO ABSTRACT

Keywords: Glucocorticoids (GC) increase food intake and body weight in humans and rodents and chronic stress and GC
Dexamethasone treatment-induced enhancement of the plasma concentration of GC lead to obesity and metabolic changes. In
Corticosterone response to hypercaloric treatment, males were shown to be more susceptible to obesity than females, de-
Male monstrating that sex differences may affect energy homeostasis. The objective of the current study was to
Female
evaluate the effects of prolonged (28 days) treatment with dexamethasone or corticosterone on food intake and
Metabolism
Food intake
body weight gain in intact rats, both male and female. Also examined were Lee index, weights and area of
adipocytes of retroperitoneal and perigonadal+perirenal adipose tissues, glucose tolerance test (GTT) and
plasma concentrations of free fatty acids, cholesterol and triglycerides. Treatment with dexamethasone was able
to increase body weight, food intake, area of adipocytes and weight of retroperitoneal adipose tissue in males.
Prolonged treatment with corticosterone also stimulated body weight gain and food intake in males. In addition,
it induced an increase in the area of adipocytes and weight of perirenal+perigonadal adipose tissue and higher
glycemia after GTT in these animals, without changes on Lee index and plasma parameters after both GC
treatments. No parameter was changed by dexamethasone or corticosterone treatment in female rats. Thus, it
can be concluded that male rats are more susceptible to the anabolic effects of glucocorticoids than female rats,

Corresponding author at: Department of Physiological Sciences, UEL, State University of Londrina, Rodovia Celso Garcia Cid, PR 445, km 380, Campus

Universitário, Londrina 860570-970, PR, Brazil.


E-mail address: euchoa@uel.br (E.T. Uchoa).
1
Larissa Rugila S. Stopa and Camila F. de Souza contributed equally to this work.

https://doi.org/10.1016/j.physbeh.2019.112587
Received 21 April 2019; Received in revised form 17 June 2019
Available online 24 June 2019
0031-9384/ © 2019 Elsevier Inc. All rights reserved.
L.R.S. Stopa, et al. Physiology & Behavior 209 (2019) 112587

and these responses can be due to the protective effects of circulating estrogens in females, and/or the difference
between males and females in the expression/activity of corticosteroids receptors.

1. Introduction shows that sex differences may affect energy homeostasis, but studies
are needed to determine the specifics, because the data are currently
Energy homeostasis is regulated by the central nervous system, sparse and controversial.
especially by the hypothalamus. Peripheral factors also act as reg- In the literature there are no reports on the sex differences on food
ulators, for example leptin and insulin (often related to adiposity) and intake and energy metabolism induced by either synthetic or en-
glucocorticoids (GC), the ultimate hormones produced by the hy- dogenous glucocorticoids treatments. Consequently, it is relevant to
pothalamic-pituitary-adrenal axis [1]. GCs have different functions and study the differential effects of prolonged treatment with glucocorti-
actions and they are particularly important in physiological regulation coids on energy homeostasis in male and female animals. The objective
and adaptation to stress situations. In cases of chronic stress, it is known of this study was to evaluate and compare the effects of a 28-day
that there is an increase in the plasma concentration of this hormone treatment with dexamethasone or corticosterone on the energy balance
that induces increased appetite and body weight gain in humans and in male and female Wistar rats.
rodents [2]. Increased plasma GC concentration also occurs when
synthetic glucocorticoid is administered as a pharmacological treat-
ment, for example, using dexamethasone. 2. Material and methods
GCs are steroid hormones, and, in the cytoplasm, they bind to
specific protein receptors—corticosteroid receptors—which are re- 2.1. Animals
ferred to as mineralocorticoid (MR) or type I receptors and gluco-
corticoid or type II (GR) receptors. It is known that endogenous corti- Male and female Wistar rats (60 days, 220–250 g body weight) were
costeroids, such as corticosterone in rodents, can bind to both receptors, obtained from the Central Animal Care Facility of the State University
while the synthetic glucocorticoid dexamethasone binds almost ex- of Londrina. Animals were kept in cages at controlled temperature
clusively to GRs [3]. (22 ± 2 °C), with a fixed light–dark cycle (light from 6:00 AM to
It is well established in the literature that males have less total white 6:00 PM) and with ad libitum access to pelleted rat chow and fluid,
adipose tissue than females but it is more centrally distributed, con- unless otherwise specified. They were daily monitored for 28 days, for
tributing to a greater risk of metabolic disorders and their comorbidities evaluation of food intake, body weight, and estrus cycles for females.
[4]. Females have more total white adipose tissue, but it is more dis- The work was conducted at the Department of Physiological Sciences
tributed in the subcutaneous portion. White adipose tissue is more ac- (CIF) at the Center of Biological Sciences, State University of Londrina,
cumulated in the intra-abdominal depot in men and postmenopausal and all experiments were approved by the Committee of Ethics of
women [4]. In view of these facts, it has been shown that, in response to Experimental Animals of the UEL (Protocol Number 14638.2016.42).
hypercaloric treatment, male mice were more susceptible to obesity Animals were organized according to treatment and constituted the
than intact females. But ovariectomy (bilateral removal of the ovaries) following experimental groups: 1) Females receiving tap water (Female-
in females made them as likely to develop obesity as males [5]. This Water); 2) Females receiving dexamethasone (DEXA: 0.5 μg/l) diluted
in tap water (Female-DEXA); 3) Males receiving tap water (Male-

Fig. 1. Body weight gain (A, B), and Food intake (C, D) of females and males, which were treated with: Water or dexamethasone (DEXA: 0.5 μg/l, n = 6–12) (A, C)
and Water/ETOH or corticosterone (CORT: 15 mg/l, n = 12–18) (B, D) for 28 days. Data are expressed as mean ± SEM. * P < 0.05.

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Table 1
Fluid intake and Lee index of female and male animals treated with Water or dexamethasone (DEXA) and Water/ETOH or Corticosterone (CORT).
Female Male

Water DEXA Water DEXA

Fluid intake (ml/100 g) 11.4 ± 0.5 11.7 ± 0.3 12.0 ± 0.2 11.8 ± 0.3
Lee Index (g1/3/cm) 0.308 ± 0.002 0.307 ± 0.002 0.302 ± 0.002 0.298 ± 0.002

Water/ETOH CORT/ETOH Water/ETOH CORT/ETOH

Fluid intake (ml/100 g) 11.6 ± 0.3 11.7 ± 0.2 11.6 ± 0.3 12.0 ± 0.3
Lee Index (g1/3/cm) 0.288 ± 0.004 0.291 ± 0.003 0.305 ± 0.003 0.305 ± 0.004

Data are expressed as mean ± SEM. N = 12–22.

Water); 4) Males receiving DEXA diluted in tap water (0.5 μg/l) (Male- For this, vaginal smear was daily collected at 8:00 AM on a histological
DEXA); 5) Females receiving tap water containing 0.5% ethanol glass slide, which was analyzed in optical microscope at 10× magni-
(Female-Water/ETOH); 6) Females receiving tap water containing fication. The phases of the estrous cycle were determined according
corticosterone (CORT: 15 mg/l) diluted in 0.5% ethanol (Female- with the proportions and types of the cells (cornified epithelial cells,
CORT/ETOH); 7) Males receiving tap water containing 0.5% ethanol nucleated epithelial cells and leukocytes). In proestrus, there was pre-
(Male-Water/ETOH); 8) Males receiving tap water containing CORT dominance of nucleated epithelial cells, while the estrous phase was
(15 mg/l) diluted in 0.5% ethanol (Male-CORT/ETOH). identified by the presence of a greater proportion of cornified epithelial
cells. The metaestrus (diestrus I) was identified by cornified and nu-
2.2. Drugs cleated cells, accompanied by many leukocytes, and the diestrus
(diestrus II) was characterized by the presence of leukocytes cells. Only
Dexamethasone (Ache, Sao Paulo-Brazil) was used in the prolonged females in estrus or diestrus II on the days of the experiments (GTT or
treatment of synthetic glucocorticoid (28 days), being diluted in water euthanasia) were considered in this study.
and administered orally at the concentration of 0.5 μg/l, as the only
liquid offered to animals [6]. Corticosterone (Sigma, Saint Louis-USA) 2.5. Histology of visceral white adipose tissue
was used in the prolonged treatment of endogenous glucocorticoid
(28 days) and had as dilution vehicle 0.5% ethanol and was adminis- Perigonadal, perirenal and retroperitoneal subdivisions of visceral
tered orally at a concentration of 15 mg/l [6]. The solution of corti- white adipose tissues were carefully removed, weighted immediately
costerone with ethanol was diluted in tap water, which was the only after decapitation, and the values were expressed in g/100 g. After
liquid offered to the animals. fixation in 4% formaldehyde in phosphate buffered saline (pH 7.4), for
48 h at 4 °C, adipose tissues were first dehydrated in graded ethanol,
2.3. Experimental design and animal model then cleared in xylol, and embedded in paraffin at 62 °C. Using mi-
crotome, sections of 12 mm were obtained, stained by hematoxylin and
Effects of prolonged treatment with dexamethasone and corticos- eosin, and the images were captured with an image system attached to
terone on food intake, body weight, glucose tolerance test (GTT), Lee the microscope (Motic, Xiamen, China). Using image J, images were
index, plasma metabolic parameters and white adipose tissue in female analyzed and the areas of adipocytes (μm2) were determined, as pre-
and male rats. viously described [6].
Female and male animals received tap water or DEXA, and tap
water/ETOH or CORT, as described above, for 28 days. During this 2.6. Measurement of cholesterol, triglycerides and free fatty acids plasma
experimental period, body weight, food and fluid intakes were daily levels
measured. On the 27th day, animals had their food removed at
8:00 AM, and at 2:00 PM, a drop of blood from the tail was collected for Cholesterol and triglyceride plasma concentrations were de-
the determination of basal glycemia by using the test tape of the Accu- termined by spectrophotometry using the BioLiquid Cholesterol
Check Advantage II (Roche, Taquara, RJ, Brazil) device for the de- Commercial KIT (Laborclin, PR, Brazil) and Triglycerides BioLiquid KIT
termination of blood glucose. Then, intraperitoneal injection of glucose (Laborclin, PR, Brazil), respectively, according to the instructions of the
(1.0 g/kg of body weight) at the concentration 5% was performed, and manufacturers. The results obtained from plasma concentrations of
blood glucose measurements were done by the test strip 15, 30, 60 and total cholesterol and triglycerides were expressed in mg/dl. The con-
120 min after glucose overload [6–8]. Food was returned to the cages in centration of free fatty acids (FFA) was determined using the spectro-
the end of GTT. photometric method of Falholt et al. [10] and the values were expressed
On day 28th, animals were also submitted to food restriction at in μmoles/dl. The concentration of corticosterone expressed in μg/dl
8:00 AM and Lee index was calculated by considering body weight and was obtained by the fluorometric method of Guillemin et al. [11], based
naso-anal distance, whereas the cubic root of body weight in gram was on the fluorescence of corticosterone in sulfuric acid. The analysis was
divided by naso-anal length in centimeters [9]. Rats were euthanized by performed on a fluorimeter (Victor3TM, PerkinElmer) with excitation
decapitation at 2:00 PM, trunk blood was collected in heparinized tubes at 477 nm, emission 520 nm and sensitivity 11.
and centrifuged at 14,000 ×g for 20 min at 4 °C to obtain the plasma,
which was stored at −20 °C for biochemical analysis. Perigonadal, 2.7. Statistical analysis
perirenal and retroperitoneal adipose tissues were carefully removed
and weighed at autopsy. Data were expressed as means ± standard error of the mean (SEM).
The effects of glucocorticoid treatments with their respective controls
2.4. Determination of the estrous cycle (Water or Water/ETOH) were compared in females in diestrus II, fe-
males in estrus and males. Shapiro-Wilk normality test was first per-
The estrous cycle throughout the experiment was daily evaluated. formed, and data were analyzed by t-test or Mann-Whitney test, when

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Fig. 2. Weights of perirenal + perigonadal (A, B) and retroperitoneal (C, D) adipose tissues of female and male rats treated with: Water or dexamethasone (DEXA:
0.5 μg/l, n = 6–12) (A, C) and Water/ETOH or corticosterone (CORT: 15 mg/l, n = 12–18) (B, D) for 28 days. Data are expressed as mean ± SEM. *P < 0.05.

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appropriate. Differences were considered significant when P < 0.05. difference in fluid intake among the groups (Table 1). In both sexes
there was no difference in the Lee index between animals given glu-
cocorticoids treatments and their respective control groups (Table 1).
3. Results In Figs. 2 and 3 it can be observed that the male group treated with
DEXA presented greater (P < 0.05) relative weight and area of the
Effects of prolonged treatment with dexamethasone and corticos- adipocytes of the retroperitoneal adipose tissue (g/100 g) when com-
terone on food and fluid intakes, body weight, glucose tolerance test pared to the Male-Water group. DEXA also induced increase in the
(GTT), Lee index, plasma metabolic parameters and white adipose weight of perigonadal+perirenal adipose tissue, without difference in
tissue in female and male rats. the area of adipocytes of this fat depot. Figs. 2 and 3 also show that
The results obtained show that there was an increase (P < 0.05) in there was an increase (P < 0.05) in the relative weight and area of the
body weight and food intake in male groups treated with DEXA or adipocytes of perigenal+perirenal tissue in male rats treated with
CORT, compared to their respective control group (Fig. 1A). Con- CORT, compared to the Male-Water/ETOH group, without statistical
versely, DEXA or CORT treatment did not change body weight and food differences in the retroperitoneal adipose tissue. In females, neither
intake in female animals. In DEXA and CORT protocol, there was no

Fig. 3. Representative photomicrographs (100× magnification) of retroperitoneal (A–D) and perirenal + perigonadal (E–H) adipose tissues, stained with hema-
toxylin-eosin, of female and male groups, treated with Water or dexamethasone (DEXA: 0.5 μg/l) (A–D) and Water/ETOH or corticosterone (CORT: 15 mg/l) (E–H).
respectively.

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Fig. 4. Glucose tolerance test (GTT) (A, B and C) and area under the curve (AUC) of GTT (D) of females (diestrus II or estrus) and males, which were treated with
Water or dexamethasone (DEXA: 0.5 μg/l, n = 6–12) for 28 days. Data are expressed as mean ± SEM. * P < 0.05.

DEXA nor CORT changed the weights and area of the adipocytes of the As can be seen in the Fig. 6, DEXA or CORT treatments did not
two visceral white adipose tissues, compared to their respective control change total cholesterol, triglycerides, free fatty acids and corticos-
group animals. terone plasma concentrations, compared to their respective groups
It can be noted that the glycemic profile presented by the animals treated with water, both in males and females, in diestrus II or estrus.
treated with DEXA was similar to the profile of the animals treated with
water, both in males and females in diestrus (Fig. 4A, C), while females
in estrus treated with DEXA showed lower glycemia after 60 min of 4. Discussion
glucose overload (Fig. 4B). Statistical AUC of GTT analysis showed no
significant difference between treatments in both sexes (Fig. 4D). Re- Data from the present study show that treatment of male rats with
garding treatment with CORT, females in diestrus II presented lower dexamethasone, a synthetic glucocorticoid, or corticosterone, an en-
basal glycemia (Fig. 5A). In response to glucose overload, it can be dogenous glucocorticoid, promoted an increase in food intake, body
observed that after the treatment with CORT, females in estrus had a weight, weight and area of adipocytes of visceral adipose tissue, and
lower glycemic value after 60 min of glucose injection (Fig. 5B), and glucose intolerance—but there were none of these effects in females.
males treated with CORT had higher glycemic values after 60 and However, in both sexes, GCs did not promote changes in the other
120 min of glucose overload (Fig. 5C). The AUC GTT analysis of the parameters evaluated such as Lee index, plasma concentrations of tri-
animals treated with CORT showed that females in estrus treated with glycerides, total cholesterol, and free fatty acids.
this glucocorticoid had lower glycemia compared to those treated with Though prolonged treatments with DEXA and CORT did not alter
water. Males treated with CORT presented higher glycemia than those the Lee index, the increase in body weight associated with higher food
treated with water (Fig. 5D). intake in male rats, but not in females, may be supported by other
studies which demonstrated the effectiveness of dexamethasone and

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Fig. 5. Glucose tolerance test (GTT) (A, B and C) and area under the curve (AUC) of GTT (D) of females (diestrus II or estrus) and males, which were treated with
Water/ETOH or corticosterone (CORT: 15 mg/l, n = 12–18) for 28 days. Data are expressed as mean ± SEM. * P < 0.05.

corticosterone in increasing food intake and body weight gain in male affinity of corticosteroid receptors in this fatty tissue deposit [18,19].
rodents and humans [2,12,13]. Indeed, previous studies using GC Thus, the difference in DEXA and CORT response in different visceral
treatments at other concentrations showed different results regarding adipose tissues may be a consequence of the differential predominance
weight gain and food intake. With DEXA, for example, it was shown of GR and MR expression in each tissue, since DEXA has more affinity
that at 2 mg/ml diluted in water, the animals presented lower body for GR but CORT can bind to both receptors. However, further studies
weight and food intake than the control group [14]. In addition, DEXA, are necessary to investigate this hypothesis. Again, there was no effect
when administered at a dose of 1 mg/kg of body weight, in- of GC on visceral adipose tissue weights evaluated in females.
traperitoneally, also caused a decrease in body weight and food intake In fact, it is known that treatment with CORT (100 mg/l) or DEXA
[15]. This difference is associated with the different concentrations or (0.25 mg/kg day) for four weeks in male rodents [13,19,20] resulted in
doses of the glucocorticoid. Data from the literature have shown that increased concentrations of glucose, triglycerides, cholesterol, plasma
the effect of this hormone on food intake is determined by the dose of insulin, and induced glucose intolerance and insulin resistance. Except
administered GC—low doses stimulating food intake, body weight gain for GTT and AUC of the GTT of the animals treated with CORT, the
and lipid deposition and high doses reducing dietary intake and pro- results of the present study partially diverge from these data in the
moting lipid and protein catabolism and, consequently, the reduction of literature, as it was observed that animals treated with DEXA and CORT
body weight [16]. Accordingly, the concentrations used in the present did not present alteration in most of these parameters analyzed in the
study [6] can be considered low and therefore promoted an increase in present study. This difference can be attributed to the higher dose/
body weight and food intake in male animals, but not in intact females. concentration of GC used in the studies cited. Alternatively, corticos-
The increase in the visceral adiposity in males in response to GC terone-induced impairment in glucose tolerance in males may be a re-
treatment might be ascribed to the stimulation of lipoprotein lipase sult of the lower GLUT4 translocation to the cell surface, especially in
enzyme activity by GC [17]. Indeed, visceral adipose tissues are very the skeletal muscle, reducing peripheral uptake of glucose [21–24].
susceptible to the anabolic actions of GC due to the high amount and As has been stated in the methodology section and description of the

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(caption on next page)

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L.R.S. Stopa, et al. Physiology & Behavior 209 (2019) 112587

Fig. 6. Plasma levels of total cholesterol (A, B), triglycerides (C, D), free fatty acids (E, F) and corticosterone (G, H) of females (diestrus II or estrus) and males, which
were treated with: Water or dexamethasone (DEXA: 0.5 μg/l, n = 6–12) (A, C, E) and Water/ETOH or corticosterone (CORT: 15 mg/l, n = 12–18) (B, D, F) for
28 days. Data are expressed as mean ± SEM.

results, two phases of the estrous cycle (diestrus II and estrus) were expression of corticosteroid receptors and the ability of GC to bind to
selected for the evaluation of the effects of GC specifically on the me- the hypothalamus and hippocampus in male animals than in females
tabolic parameters in plasma. However, the same animals used in the [32,33]. In addition, pre-adipocytes from male animals have higher GR
analysis of the plasma parameters were also used for the other para- expression and GC binding sites than females [34], which could justify
meters but forming only one group (females = diestrus+estrus). Thus, sex differences in the effects of GC on increasing visceral white adipose
as pointed out in the above paragraphs, the anabolic effects of GCs tissues in males, but not in females, as observed in the present study.
observed in males in the various parameters evaluated in the present Finally, it might be suggested that the anabolic effects of GC in male
study were not observed in females, neither in diestrus II nor estrus rats, but not in females, are mediated by their actions in both corti-
cycle phase. In this context, a recent study of the group showed that costeroids receptors, GR and MR, since both glucocorticoids exerted
treatment with CORT and DEXA in the same concentrations as the anabolic effects in males, and dexamethasone has more affinity to GR
current study also demonstrated that these glucocorticoids did not while corticosterone can bind to both receptors [35].
change these parameters when evaluated in female rats in diestrus I [6]. In summary, the present study showed that the 28-day prolonged
In addition, CORT treatment (400 μg/ml), for 21 days, reduced body treatment with dexamethasone was able to increase body weight, food
weight in male and female rats [25], and treatment with a high dose of intake and weight and area of adipocytes of retroperitoneal adipose
dexamethasone (1 mg/kg), for 5 days, decreased both food intake and tissue in males. The prolonged treatment of 28 days with corticosterone
body weight gain in rats of both sexes [15]. Despite the divergent data stimulated body weight gain, food intake, weight and area of adipo-
with those of the present study due to the higher concentration of cytes of perigonadal+perirenal adipose tissue and glucose intolerance
corticosterone and dose of dexamethasone administered, the first work in males. However, these glucocorticoids had no effects in female rats.
mentioned [25] did not aim to evaluate the energy homeostasis nor the Thus, these results suggest that males are more responsive to the ana-
sex differences within this context. The second one focused on age- and bolic effects of prolonged treatment (28 days) with glucocorticoids than
gender-related changes in glucose homeostasis in glucocorticoid-treated females, probably due to the protective effect of circulating estrogens in
rats, but it did not use females in specific phases of the estrus cycle. We females, and/or the difference between the sexes in the expression/
cannot rule out that higher doses of glucocorticoids could also induce activity of corticosteroid receptors in tissues evaluated in the present
metabolic changes not only in male animals but also in females, since study.
the metabolic effects of glucocorticoids are dependent on the dose/
concentration used in each study. Acknowledgments
Thus, the present study demonstrates, for the first time in the lit-
erature, that male rats are more susceptible to the anabolic effects of GC This work had the financial support of Conselho Nacional de
(endogenous and synthetic) than females. In fact, Hong et al. [5] de- Desenvolvimento Cientifico e Tecnologico (CNPq) (Process: 422032/
monstrated that male animals were more likely to develop obesity than 2016-6) and Coordenação de Aperfeiçoamento de Pessoal de Nível
females in response to a hyperlipidic diet. Accordingly, the current Superior (CAPES), Brazil.
study is reinforced by data in the literature that demonstrated higher
food intake and body weight gain induced by stress in male rats com- Declaration of Competing Interest
pared to females, strongly suggesting that males are more responsive to
the anabolic effects of stress, which is known to induce marked release The authors have nothing to disclose.
of glucocorticoids [26]. Furthermore, Santos and colleagues [15] ob-
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