Adipose tissue is a highly plastic organ and a pivotal player in the pathogenesis of obesity(Reference Booth, Magnuson and Fouts1). Besides its role in storing and releasing energy, adipose tissue integrates metabolic, endocrine and immunological functions(Reference Chung, Nati and Chavakis2,Reference Cinti3) . The maintenance of the structural and functional integrity of this tissue depends on the interplay of adipocytes and their precursors, endothelial cells, fibroblasts and immune cells(Reference Maurizi, Della Guardia and Maurizi4). Importantly, obesity triggers the recruitment and infiltration of different immune cell types, which provokes a pro-inflammatory response(Reference Maurizi, Della Guardia and Maurizi4). Unresolved tissue inflammation in turn leads to a systemic low-grade inflammatory state(Reference Cildir, Akıncılar and Tergaonkar5,Reference Olefsky and Glass6) , which compromises the production of adipokines and insulin sensitivity(Reference Niaz, Latif and Hussain7,Reference Nikolopoulou and Kadoglou8) . Thus, both adipose tissue inflammation and dysfunction have become attractive targets to prevent the development and progression of obesity-related disorders.
The consumption of bioactive compounds from fruits has been associated with a lower risk of developing chronic non-communicable diseases(Reference Del Rio, Rodriguez-Mateos and Spencer9). Observational evidence indicates that the intake of phenolic compounds may prevent obesity-related complications(Reference Rodríguez-Pérez, Segura-Carretero and del Mar Contreras10). These compounds present several beneficial properties, such as anti-inflammatory and antioxidant, and show potential in improving lipid profile and insulin resistance(Reference Batista, Lenquiste and Cazarin11–Reference Lai, Wu and Pan14).
Jabuticaba (Myrciaria jaboticaba) is a fruit native to the Brazilian Atlantic forest with high content of phenolic compounds(Reference Inada, Oliveira and Revorêdo15,Reference Sobral, Mazine and Leoni16) , mainly anthocyanins, ellagic and gallic acid derivatives(Reference Quatrin, Rampelotto and Pauletto17). Importantly, the majority of the bioactive phenolic compounds are concentrated in the peel and seed of this fruit, fractions that are not usually consumed(Reference de Oliveira, Valentim and Silva18,Reference de Sancho, da Silva and de Dantas19) . Whether the consumption of the phenolic mixture from this fruit could alter the pathogenesis of obesity remains unclear. Recently, Inada et al.(Reference Pimenta Inada, Nunes and Martínez-Blázquez20) developed a jabuticaba peel and seed powder (JPSP) that preserves the integrity of its compounds resulting in a mixture mainly enriched in anthocyanins and ellagitannins. This phenolic composition profile draws attention for the potential metabolic effects of JPSP on obesity and related disorders. Therefore, this study aimed to evaluate the dose–response effects of JPSP consumption on the development of diet-induced disturbances in obese mice.
Materials and methods
Jabuticaba peel and seed powder
Jabuticaba fruits (Myrciaria jabuticaba, cv. Sabará) were purchased at Rio de Janeiro’s agricultural trading centre. Fruits were processed as previously described(Reference Pimenta Inada, Nunes and Martínez-Blázquez20), by depulping the fruit, freeze-drying and grounding. Proximate composition (moisture, carbohydrate, protein, lipid, ash and dietary fibre) and phenolic compounds profile of JPSP were previously reported(Reference Inada, Oliveira and Revorêdo15,Reference Pimenta Inada, Nunes and Martínez-Blázquez20) and are listed in Table 1.
* Proximate composition was determined by official methods, and phenolic compounds were determined by LC-MS previously reported.(Reference Inada, Oliveira and Revorêdo15,Reference de Oliveira, Valentim and Silva18)
Mouse study design
Eighty male C57BL/6 mice (three-month-old) were used in this study. Animals were housed in the Biotery of the Department of Pharmacology and Psychobiology, Rio de Janeiro State University at a temperature of 23 (sd 2)°C, relative humidity of 60 (sd 10) %, and under a standard lighting regime of 12-h light–12-h dark cycle, with lights on from 07.00 to 19.00 hours. All the animal procedures were approved by the Ethics Committee for the Care and Use of Experimental Animals of the Rio de Janeiro State University (CEUA No. 51/2016) and were carried out following the National Institutes of Health guide for the care and use of Laboratory animals, 8th edition(21).
Mice were allocated to receive either a standard maintenance diet(Reference Reeves, Nielsen and Fahey22) (n 16) or a high-fat diet (n 64, HF, 50 % kcal from fat, 23·8 % from lard) for 9 weeks. The HF diet had a higher energy content than the control diet to induce overweight and adipocyte dysfunction. After this feeding period, HF-fed mice were subdivided into four groups (n 16/group), receiving HF diet or HF diet supplemented with JPSP in the following concentrations (w/w): 5 % (HF-J5), 10 % (HF-J10) or 15 % (HF-J15) (Fig. 1). Given the JPSP fibre content, diets were formulated with different amounts of cellulose in order to contain similar contents of dietary fibre (Table 2). All groups (including control) underwent dietary intervention for 4 additional weeks. Diet and water were provided ad libitum throughout the experiment. Mice body weight was weekly recorded, whereas food intake was monitored every 48 h, taking into account the diet in food compartment and leftovers from the bottom of the cage. Energy intake was estimated using the energy density of the diets, as kJ/g.
HF, high-fat; HF-J5, high-fat with 5 % of JPSP; HF-J10, high-fat with 10 % of JPSP; HF-J15, high-fat with 15 % of JPSP; JPSP, jabuticaba peel and seed powder.
Blood and tissue collection
At the end of dietary interventions, mice were fasted for 6 h and euthanised under anaesthesia (thiopental sodium, 70 mg/kg i.p.). Blood samples were collected by cardiac puncture. Plasma was separated by centrifugation at room temperature (120 g for 20 min) and stored at −20°C until analyses. Subcutaneous (inguinal) and visceral (epididymal and retroperitoneal) fat pads were harvested, weighed and utilised as described below.
Blood and plasma analysis
Blood glucose was measured by using an Accu-Check glucose meter (Roche®). The insulin level was determined by ELISA using the Insulin 125I Ria Kit (RK-400M; MP Biomedicals, LLC). Insulin sensitivity was assessed by using quantitative insulin sensitivity check index (1/log insulin (mU/l) + log glucose (mg/dl))(Reference Katz, Nambi and Mather23). Leptin, adiponectin and resistin levels were determined by ELISA using commercial kit (RAB0334, Sigma-Aldrich; EK0596 and EK0582, Boster Biological Engineering Co. Ltd, respectively). Plasma levels of TNF-α and IL-6 were determined by ELISA using commercial kits (BMS607-3 and BMS603-2, respectively; Invitrogen).
Adipokines and inflammatory markers of visceral white adipose tissue
Leptin, adiponectin, TNF-α and IL-6 levels in visceral white adipose tissue (vWAT) were evaluated by ELISA using commercial kits (RAB0334, RAB1115, RAB0477 and RAB0309, respectively; Invitrogen) after tissue homogenisation and using the supernatant, as previously described(Reference An and Scherer24). The results were expressed in ng/mg, pg/mg, pg/mg and pg/mg.
Histological analysis
For haematoxylin–eosin staining, fragments of the vWAT fixed in 4 % formaldehyde for 48 h were paraffin-embedded and sectioned (5 µm thick). The average sectional area of adipocytes in vWAT was analysed in ten randomly selected fields of view (20× objective) using the STEPanizer computer-based software. The cross-sectional area of the adipocytes was defined as the ratio of adipocyte volume density:twice the numerical adipocyte density per area. The adipocyte volume density was calculated by the ratio between partial points and total points (using a test frame with sixteen points). The numerical density of adipocyte reflected the number of adipocytes per field of view (excluding the ones that hit the forbidden lines) divided by the area in µm2 as previously described(Reference Graus-Nunes, Rachid and de Oliveira Santos25,Reference Rachid, Silva-Veiga and Graus-Nunes26) . For the quantification of mast cells, sections were stained with 0·5 % toluidine blue. Images were analysed using Image-Pro Plus version 5.0 software (Media Cybernetics). All images were acquired using an inverted microscope (Olympus) equipped with a digital DP71/BX40 camera.
Quantitative real-time PCR
Total RNA was isolated from vWAT by using a TriZol® reagent (Life Technologies). The cDNA was synthesised with the High-Capacity cDNA Reverse Transcription Kit (Life Technologies). TaqMan gene expression assays (Applied Biosystems) were used to detect the following: Tnfa (Mm00443258_m1); Il6 (Mm00446190_m1); Mcp1 (Mm00441242_m1); Cxcl9 (Mm00434946_m1) and Cxcl10 (Mm00445235_m1) mRNA expression. PCR amplification was carried out by using the ABI Prism 7.500 fast (Applied Biosystems) and standard cycling conditions. The expression of each target gene was normalised to the relative expression of Gapdh (Mm05724508_g1) mRNA as an internal efficiency control (online Supplementary material). The mRNA fold change was calculated by using the 2(-Delta C(T)) method(Reference Livak and Schmittgen27).
Statistical analysis
Results were expressed as mean values and standard deviation. Statistical analyses were performed using GraphPad Prism version 6 software (GraphPad Software Inc.). Comparisons among groups were analysed by one-way ANOVA, followed by Tukey’s post hoc test for multiple comparisons. Differences were considered significant when P < 0·05.
Results
Consumption of jabuticaba peel and seed powder prevents high-fat-induced weight gain and adiposity
As expected, mice fed the HF diet for 9 weeks gained significantly more weight than those fed the control diet (Table 3). Accordingly, HF-fed mice displayed higher adiposity in both subcutaneous and visceral depots (Fig. 2). In contrast, HF-induced weight gain was attenuated when HF was supplemented with 15 % JPSP in the 4 final weeks of the dietary intervention. Although only HF-J15-fed mice exhibited lower body mass than HF counterparts (P < 0·001), mice fed with both HF-J10 and HF-J15 displayed less fat accumulation, which was evidenced by smaller subcutaneous and visceral pads (Fig. 2).
HF, high-fat; HF-J5, high-fat with 5 % of JPSP; HF-J10, high-fat with 10 % of JPSP; HF-J15, high-fat with 15 % of JPSP.
* Values are expressed as mean values and standard deviation, and different letters indicate a significant difference between the groups (ANOVA followed by Tukey’s post hoc test, P < 0.05).
Due to the higher energy content in the HF diet, HF-fed mice displayed a higher energy intake than control counterparts (Table 3). Supplementation of JPSP did not affect food intake (Table 3), suggesting that the lower adiposity observed with HF-J10 and HF-J15 was not explained by changes in energy intake. In turn, the intake of phenolic compounds was 3-fold higher in mice fed with HF-J15 when compared with HF-J5-fed mice due to the nutritional composition of the diet (P < 0·001) (Table 3).
Jabuticaba peel and seed powder supplementation leads to a healthier expansion of the visceral adipose tissue
Given the lower fat accumulation observed with JPSP supplementation, we examined the effects of JPSP on adipose tissue morphology, composition and functions in the visceral depot. Histological and stereological analyses of adipocytes showed significantly larger adipocytes in HF v. control-fed mice, whereas smaller-sized adipocytes were observed in the vWAT from HF-J10 and HF-J15 groups when compared with HF counterparts (Fig. 3a and b). Of note, the adipocyte area from HF-J15 mice was similar to the ones visualised from the control-fed mice.
Staining of vWAT sections with toluidine blue revealed the presence of mast cells in the adipose tissue from HF-fed mice but not in any of the JPSP-supplemented mice neither the control group (Fig. 3c). In line with the presence of mast cells, HF-fed mice had elevated transcriptional levels of inflammatory markers Tnfa, Il6, Mcp1, Cxcl9 and Cxcl10 (Fig. 4a–e) concomitant with higher levels of IL-6 and TNF-α in vWAT compared with control (Fig. 5a and b). These mice also displayed higher plasmatic levels of these pro-inflammatory markers, implying that the tissue pro-inflammatory response induced by HF feeding led to a systemic low-grade inflammation (Table 4). In contrast, JPSP-supplemented mice displayed reduced inflammatory markers at both the mRNA and protein levels in the adipose tissue, which was reflected into their lower circulating levels. The magnitude of this reduction was associated with the increase in JPSP supplementation; and the levels of these pro-inflammatory markers in HF-J15 were similar to control-fed mice (Figs. 4 and 5 and Table 4).
HF, high-fat; HF-J5, high-fat with 5 % of JPSP; HF-J10, high-fat with 10 % of JPSP; HF-J15, high-fat with 15 % of JPSP.
* Values are expressed as mean values and standard deviation, and different letters indicate a significant difference between the groups (ANOVA followed by Tukey’s post hoc test, P < 0.05).
Subsequent analysis of adipokines levels showed that HF feeding also promoted an imbalance in their production with increased leptin and decreased adiponectin levels compared with control mice (Fig. 5c and d). This imbalance was detected both at the tissue and systemic levels (Table 4). HF-fed mice also displayed lower plasmatic levels of resistin, indicating that this dietary intervention led to adipose tissue dysfunction (Table 4). Conversely, supplementation with JPSP preserved tissue production of adipokines, with mice fed with HF-J10 and HF-J15 presenting leptin and adiponectin levels similar to that of the control group (Fig. 5c and d). Consistent with tissue levels, circulating leptin decreased with JPSP supplementation, being restored to the control levels by JPSP at a concentration of 10 % and 15 % (HF-J10 and HF-J15 groups), but not 5 % (HF-J5). Moreover, all JPSP-supplemented groups showed resistin plasmatic levels similar to that of the control group, whereas plasma levels of adiponectin detected in JPSP groups were higher when compared with both HF and control groups (Table 4). Taken together, these findings demonstrate that supplementation of HF with JPSP, particularly at 10 % and 15 %, may protect against adipose tissue dysfunction induced by the HF diet.
Supplementation of high-fat diet with jabuticaba peel and seed powder preserves the metabolic health of obese mice
Adipose tissue inflammation and dysfunction are major contributors to the development of metabolic disturbances associated with obesity. Thus, we hypothesised that the healthier state of the adipose tissue from JPSP-supplemented mice may reflect in an improved whole-body glucose metabolism when compared with HF feeding. As expected, fasting blood glucose levels of HF-fed mice were higher compared with control counterparts (Fig. 6a). JPSP supplementation progressively decreased glucose levels, which were restored to the control level for HF-J10 and HF-J15 groups (P < 0·001). Plasma insulin levels were also elevated with HF feeding (Fig. 6b), and supplementation with different concentrations of JPSP resulted in lower insulin levels, even though still higher when compared with control-fed mice. Consistent with the elevated levels of blood glucose and plasma insulin, HF-fed mice displayed lower insulin sensitivity compared with control mice, which was normalised by the supplementation with 10 % and 15 % of JPSP (Fig. 6c). Collectively, these findings indicate that JPSP supplementation improved glucose metabolism promoting a healthier metabolic profile in obese mice.
Discussion
In the past few years, several researches have reported the beneficial effects of jabuticaba in vitro (Reference Leite-Legatti, Batista and Dragano28), as well as in animal models(Reference Batista, Soares and Mendonça29) and, more recently, in humans(Reference Plaza, Batista and Cazarin30). In this study, we provided evidence that JPSP prevents the development of obesity complications induced by HF feeding. We have found that the supplementation with JPSP protected obese mice against not only body weight gain and adiposity but also against the development of adipose tissue dysfunction and low-grade inflammatory state, which resulted in improved metabolic profile even under HF feeding conditions (Fig. 7). Thus, our study unravelled that JPSP has the potential to provide a new therapeutic option to hinder obesity pathogenesis.
Consistent with the main function of lipid storage, adipose tissue depots expand under increased nutrient availability reflecting into weight gain(Reference Longo, Zatterale and Naderi31). Although displaying similar energy intake, we observed that obese mice supplemented with JPSP had lower weight gain and fat accumulation, which coincided with lower glycaemia and higher insulin sensitivity. Before our work, some preclinical studies in mice have proposed that jabuticaba extracts may protect against weight gain leading to better glucose metabolism(Reference Moura, Cunha and Alezandro32,Reference Lamas, Lenquiste and Baseggio33) . Nonetheless, it is worth pointing out that these studies have assessed extracts with different compositions as they have been obtained from the jabuticaba peel, whereas our powder included both the peel and the seed. In addition, previous studies have employed HF diets combined with sucrose and administered the extracts by gavage instead of supplementing the diet. Despite these differences in experimental design, our results corroborate those of earlier reports highlighting the therapeutic potential of jabuticaba, especially their peel and seeds, for obesity treatment.
On this path, other anti-obesity mechanisms may occur by inhibiting the digestive enzymes α-amylase, α-glucosidase and pancreatic lipase(Reference Tucci34). These enzymes catalyse the hydrolysis and absorption of carbohydrates and lipids from the diet. In this way, the inhibition of these enzymes prevents hyperglycaemia and postprandial hypertriacylglycerolaemia(Reference Liu, Li and Huang35,Reference Papoutsis, Zhang and Bowyer36) .
As is known, phenolic compounds can inhibit α-amylase, α-glucosidase and lipase through non-specific binding to enzymes(Reference Zhang, Deng and Ramdath37). In vitro assays showed that proanthocyanidins exhibit potent α-amylase inhibitory activity and moderate α-glucosidase inhibitory activity(Reference Wang, Song and Feng38,Reference McDougall, Shpiro and Dobson39) and polyphenols extracted from fruits have previously been reported as inhibitors of lipase activity(Reference Moreno, Ilic and Poulev40,Reference McDougall, Kulkarni and Stewart41) . Likewise, the results of most human intervention studies support the hypothesis that anthocyanins can positively affect obesity markers(Reference Guo and Ling42).
Besides its role of energy storage, adipose tissue also plays a critical function in whole-body homoeostasis by secreting adipokines, such as leptin and adiponectin, which influence distinctly energy homoeostasis, glucose and lipid metabolism, cardiovascular function and immune response(Reference Meier43). Leptin, which is primarily secreted by fully differentiated adipocytes, has a regulatory role in the intake and expenditure of energy by controlling appetite and glucose metabolism(Reference Ramos-Lobo and Donato44). Concomitant with greater fat accumulation, obese individuals generally show elevated circulating levels of leptin paralleled with lower leptin efficacy as a result of leptin resistance(Reference Bravo, Morse and Borne45). Unlike leptin, adiponectin is down-regulated in obesity and its circulating levels are inversely correlated with body fat. This adipokine improves energy metabolism and fatty acid oxidation, promoting insulin sensitivity and improving glucose tolerance(Reference Meier43). Thus, it is well recognised that an imbalance in the production and levels of these adipokines underpins the development of metabolic complications associated with obesity. In this regard, it is worth noting that supplementation with 15 % JPSP resulted in tissue levels of both leptin and adiponectin similar to mice fed a control diet, which may explain the improved glucose metabolism observed in the supplemented mice.
Interestingly, connections between preserved production of adipokines and glucose metabolism have been previously observed upon treatment with jabuticaba extracts(Reference Batista, Soares and Mendonça29), which reinforces the idea that by preserving adipose tissue functions, supplementation with JPSP favourably affects the metabolic profile of obese rodents. Moreover, as no effect on adipokine levels has been described with the extract from jabuticaba peel only(Reference Lenquiste, de Almeida Lamas and da Silva Marineli46), it is plausible that the preservation of adipose tissue functions depends on either composition or concentration of phenolic compounds, probably related to the seeds phenolic profile, rich in ellagic acid and ellagitannins.
Several in vitro and in vivo studies reported that these phenolic compounds possess antihyperglycaemic properties(Reference Banihani, Swedan and Alguraan47–Reference Peng, Li and Zhu51). Given that these phenolic compounds comprised 73 % of the total phenolic content in JPSP, it is tempting to speculate that they mediate the antihyperglycaemic effect observed in our study. Further investigation deciphering the contribution of individual and combined JPSP phenolic compounds will be valuable to understand the glycaemic effects as well as the preservation of adipose tissue functions achieved with JPSP supplementation.
The role of inflammation in the development of obesity complications is solidly established, with overnutrition inducing adipose expression of inflammatory cytokines and chemokines including TNF-α, IL-6, MCP-1, CXCL9 and CXCL10, which are secreted by activated monocytes/macrophages as well as other cells including adipocytes(Reference Belkina and Denis52).
In line with this hypothesis, it has become clear in recent years that these mast cells are also pivotal players in this process(Reference Liu, Divoux and Sun53,Reference Elieh Ali Komi, Shafaghat and Christian54) . Thus, the absence of these cells in the adipose tissue of supplemented mice could explain, at least in part, their reduced levels of inflammatory markers. However, it is also conceivable that the absence of an inflammatory response with JPSP may reflect the preserved adipose tissue function of these mice. In line with this hypothesis, it has been reported that adiponectin supports macrophage polarisation to an anti-inflammatory profile (M2) and its decline with increasing obesity may conversely favour the inflammatory phenotype (M1) of macrophages in the adipose tissue(Reference Ohashi, Parker and Ouchi55).
Supporting our findings, a recent in vitro study showed decreased leptin expression and secretion and increased transcriptional and protein levels of adiponectin when adipocytes were treated with elderberry fruit (Sambucus nigra), which were associated with an anti-inflammatory status(Reference Zielińska-Wasielica, Olejnik and Kowalska56). However, given that previous studies reported that ellagic acid reduces gene expression levels of TNF-α and IL-6, and chemokine C-C motif ligand-2 secretion in LPS-stimulated macrophages and adipocytes(Reference Kang, Buckner and Shay57,Reference Winand and Schneider58) , it is also possible that supplementation with JPSP diminished the inflammatory markers through direct mechanisms. Regardless the underlying mechanisms, our findings strongly indicate that by suppressing local and systemic inflammation, JPSP supplementation favours a healthier metabolic profile in obese mouse.
Conclusion
Overall, our results provided evidence that dietary incorporation of JPSP, rich in phenolic compounds, prevented obesity complications and led to a healthier metabolic profile. Despite major advances in understanding obesity pathogenesis, treatment and prevention of its progression continue to pose an important clinical challenge. Our findings support the perspective that supplementation with JPSP has therapeutic potential and may offer a new option to counteract the development of obesity complications induced by HF feeding. Clinical trials are still needed to confirm the efficacy of this approach.
Acknowledgements
Schematic figures were created using BioRender.com.
This work was financially supported by Brazilian funding: FAPERJ – Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro (FAPERJ: E-26/202.677/2018, E-26/010.002203/2019) and Coordenação de Aperfeiçoamento de Pessoal de Nível Superior-Brazil (CAPES) – Finance code 001.
P. T., E. S. and J. D. designed the research; P. T, E. S., F. M. and K. I. conducted the experiment and analysed the data; P. T., M. R., D. P., M. M., V. S. M. and J. D. wrote the paper.
The authors declare that there are no conflicts of interest.
Supplementary material
For supplementary material referred to in this article, please visit https://doi.org/10.1017/S0007114521001136