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versión impresa ISSN 0212-1611
Nutr. Hosp. v.25 n.6 Madrid nov.-dic. 2010
Effect of melatonin supplementation on food and water intake in streptozotocin-diabetic and non-diabetic male Wistar rats
Efecto de la suplementación oral con melatonina sobre la ingestión de agua y alimento en ratas Wistar macho con diabetes experimental
M. E. Montano2, V. Molpeceres1, J. L. Mauriz1, E. Garzo1, I. B. M. Cruz3, P. González1 and J. P. Barrio1
1Instituto de Biomedicina. Centro de Investigaciones Médicas en Red: Enfermedades Hepáticas y Digestivas (CIBEREHD), and Departamento de Ciencias Biomédicas. Universidad de León. Spain.
2Universidade do O este do Estado de Santa Catarina. Xanxeré SC. Brazil.
3Centro de Ciências Naturais e Exatas, Ciências Biológicas. Universidade Federal de Santa Maria. Santa Maria RS. Brazil.
This work has been partly supported by grant PHB2007-0025, Ministerio de Educación y Ciencia, Spain.
The effect of orally supplemented melatonin (MT) at 1 mg/kg bw for 4 weeks on feeding behavior of non-diabetic and diabetic male Wistar rats has been studied by computerized meal pattern analysis. Exogenous MT has a satiating effect in non-diabetic rats, but not in diabetic animals. The changes in feeding behavior induced by MT in non-diabetic animals are related to changes in meal frequency, size and duration leading to lower total food intake during the scotophase. MT administration to diabetic rats resulted in lower drinking time and higher faecal output, without further behavioral effects. We conclude that the notorious metabolic changes ocurring in the streptozotocin-diabetic rat can overcome most of the underlying effects of MT supplementation. The possible MT usage for therapeutical purposes could benefit from the lack of behavioral alterations in diabetic animals.
Key words: Diabetes. Feeding behavior. Feeding pattern. Melatonin. Rat.
Varias líneas de evidencia señalan a la melatonina (MT) como un importante factor en el complejo entramado de la regulación de la ingestión de alimento. Puesto que la secreción de MT aumenta en la rata con diabetes tipo I, y dada la importancia de MT en el tracto gastrointestinal, es interesante comprobar los efectos de MT sobre el alterado comportamiento ingestivo de estos animales. Se ha estudiado el efecto de la suplementación oral de MT (1 mg por kg de peso corporal y día) en la escotofase sobre el comportamiento ingestivo de ratas Wistar macho diabéticas y no diabéticas durante cuatro semanas mediante análisis de pautas de ingestión asistido por ordenador. La administración de MT exógena indujo un efecto de saciación en ratas no diabéticas, pero no en animales diabéticos. Los cambios en comportamiento ingestivo inducidos por MT en animales no diabéticos están relacionados con cambios en frecuencia, tamaño y duración de las comidas, con el resultado de una disminución de la ingestión total de alimento durante la escotofase. La administración de MT en ratas diabéticas originó una disminución del tiempo total de actividad dípsica y aumento de la masa fecal durante la escotofase, sin otros cambios comportamentales significativos. Se concluye que los notables cambios metabólicos que tienen lugar en la rata con diabetes experimental inducida por estreptozotocina provocan cambios comportamentales más potentes que los ejercidos por la suplementación oral con MT. El posible uso terapéutico de MT podría beneficiarse de la falta de alteraciones comportamentales en animales diabéticos.
Palabras clave: Diabetes. Comportamiento ingestivo. Pautas de ingestión. Melatonina. Rata.
Feeding behaviour is the final result of intricate relationships between central nervous system and peripheral tissues. Some aspects of feeding, such as meal size or satiety, seem to be mainly dependent on the interplay between general oropharyngeal sensations and the action of nutrients and peptidic and nervous signals from the gastrointestinal tract.1 Several hormones seem to act as signals providing the link between feeding behaviour and long-term regulation of body weight and adiposity. Leptin, insulin and glucocorticoid levels are related to the energy stores, modifying the expression of neurotransmitters and neuromodulators of both orexigenic and anorexigenic nature in the hypothalamus and other brain regions, which are on the long run determinant of changes in feeding and energy expenditure.2
Melatonin (MT) is a most versatile and ubiquitous hormonal molecule produced not only in the pineal gland but also in various other tissues of invertebrates and vertebrates, particulary in the gastrointestinal tract (GIT). GIT mucosa, especially duodenal cluster unit and small bowel, is highly effective in the synthesis of MT.3 Pineal MT is responsible for the nocturnal rise in plasma level of this hormone, whereas daytime MT originates mainly from GIT.3
Peripheral MT levels and food intake are related.4 The comparison of pineal and GIT MT seems to provide evidence that pineal MT is secreted in a circadian way reaching maximal levels during the scotophase, while GIT production of MT shows episodic rises following food intake, with food deprivation resulting in an increase in tissue and plasma MT levels.4 In vivo and in vitro experiments have shown that MT inhibits GIT motor activity.5 At the same time, exogenous MT has been shown to delay gastric emptying, an effect possibly related to the establishment of vago-vagal inhibitory effects through interaction with vagal serotonin receptors.6
Several lines of evidence point to MT as an important factor within the complex framework of food intake regulation. Pineal gland and MT affect different metabolic functions via suprachiasmatic nuclei,7 which in turn are directly involved in feeding behaviour.8 Pineal MT has effects on the lateral hypothalamic area and ventromedial hypothalamus9 and can alter the circannual body weight and food intake rhythms in the rat.10
Experimental diabetes mellitus in rats is associated to a marked hyperglycaemia when the animals are fed diets based on standard chow including high amounts of carbohydrates and low levels of fat.11 Experimental diabetes induced by streptozotocin causes hypophagia for a few days immediately after the treatment, followed by a continued hyperphagia and remarkable changes in feeding behaviour.11-13 The diabetic hyperphagia has being described either by changes in feeding frequency, meal size, or a combination of both.12,13
MT is known to have protective effects on diabetic complications, either before or after the onset of diabetes. 14 Given the likelihood that MT influences both gastrointestinal activity and feeding,3,4 albeit inconsistencies on food intake changes found in previous studies,15,16 this study was conducted with the aim to ascertain possible alterations in feeding behaviour induced by MT supplementation in non-diabetic and diabetic animals through computerized feeding pattern analysis.
Male Wistar rats were used, ranging 175-190 g body weight (Charles River, Barcelona, Spain), kept under controlled conditions of temperature (22-25 oC), relative humidity (50-60%), and 12-hour photoperiod starting at 8:00 am. The animals were housed on adjacent metabolism cages (Tecniplast Gazzada, Varese, Italy), providing free access to drinking water, and a standard chow (table I) was daily provided ad libitum within 15 minutes after the photophase started. All study protocols were reviewed and approved by the University of León Animal Care Committee and were in accordance with the indications of the current Spanish and European laws (1201/2005 and EU Directive 86/609/CEE).
After seven days of acclimation, the animals were assigned one of the following experimental groups:
- Group C: Control (untreated) pancreatic-normal animals. These were given standard chow and drinking water ad libitum.
- Group CM: Control animals were administered 1 mg/kg bw MT in the drinking water.
- Group D: Diabetic animals. These were given standard chow and drinking water ad libitum.
- Group DM: Diabetic animals were given 1 mg/kg bw MT in the drinking water.
MT solutions were prepared using ethanol as primary solvent. Final ethanol concentration in the drinking water was 0.1%. Untreated animals received drinking water including 0.1% ethanol.
MT administration was carried out along four weeks. MT-supplemented drinking water was daily provided within 15 minutes before the beginning of the scotophase until the next photophase, when all animals were given unsupplemented drinking water. Estimation of the effective MT amount to be taken by the animals was made daily after measuring the water intake during the previous scotophase by untreated animals. The reason of using a MT dosage of 1 mg/kg body weight was made after a previous acceptability study using a standard two-bottle test with 0.1, 1, and 5 mg/ml MT in driking water against unsupplemented water. Only the higher dose showed significantly less preference (data not shown).
Diabetes mellitus induction
Rats were made diabetic by intraperitoneal administration of a single dose of 60 mg/kg bw streptozotocin. Glycaemia control was carried out using blood samples from the tail applied to commercial test strips (Glucostix, Bayer Diagnostics, Madrid, Spain). Diabetes was considered to be fully established when blood glucose levels exceeded 400 mg/100 ml.
Feeding behavior analysis
Food and water intake data were collected during the 4 weeks of the experimental period. The first five days after diabetes was developed were not included in the data analysis since diabetic hyperphagia was found not to be fully established. Animals were also weighed weekly during the morning maintenance schedule.
Food and water intake were recorded daily using a semiautomatic system (TSE Systems GmbH, Bad Homburg, Germany). Each cage had one food sensor and one water sensor fitted on the lid, with trays beneath to collect spillage.
The proprietary software controlling the TSE hardware can record data using a minimum of 8 seconds averaging, through a multiplexed modified parallel port, and needs a previous estimate of the minimum inter-meal interval (IMI) in order to export meal lists. Following previous studies,17 the IMI value used was set at 5 min. Because of this limitation, no frequency distributions of intake intervals18 could be performed, since the attempts made gave out frequency distributions with a large number of intervals that were multiples of 300, and shorter number of intervals that were assumed to be the result of the data input averaging process.
Nevertheless, we obtained meal lists including animal identification, substance (pellets or water), date and time of the start of both recording session and meals, as well as meal size, duration, and post-meal interval. These data were imported into Statistica v7.1 (Statsoft Inc., Tulsa OK, USA) data files. A number of tailored routines within Statistica allowed us to obtain standard feeding behaviour parameters for food and water intake considering either photophase or scotophase periods of the day. The parameters analyzed were MF (meal frequency, defined as the number of intake episodes per period), TI (total intake, amount of food/water ingested per period), ID (intake duration, sum of the duration of all intake episodes per period), MS (meal size, mean amount of food/water ingested per intake episode and period), and MD (meal duration, mean duration of food/water intake episodes per period).
Once the experimental period was over, animals were killed at 10:00 am after being weighed and anaesthesized using 50 mg/kg bw sodium pentobarbital in saline until plantar and palpebral reflexes were extinguished. Heparinized carotid blood samples were taken. The whole liver was dissected and immediately frozen by liquid-nitrogen immersion. Frozen liver and blood plasma were stored at -80 oC until needed for analytical determinations.
Plasma glucose levels were estimated by the glucose oxidase method using a commercially available kit (Boehringer Mannheim S.A., Barcelona, Spain). Hepatic glycogen content was determined as the difference between free glucose from homogeneized liver and total glucose as obtained by digestion with amyloglucosidase.19
Data analysis was performed using Statistica v8. Repeated-measures analysis of variance (ANOVA) was performed to analyse feeding behavior parameters, assuming time (days) as the repeated-measures variable. One-way ANOVA was used for metabolic parameters. Post-hoc group comparisons were carried out using the Newman-Keuls test. Results were expressed as mean and standard error for each parameter.
Metabolic aspects of MT supplementation on diabetic rats
Typical signs of diabetes appeared shortly after streptozotocin administration in the rat, including polyphagia, polydipsia and polyuria. Following a twoday period of hypophagia after hyperglycemia was established, we found +37% and +456% change in food and water intake, respectively (tables III and IV). Table II shows plasma glucose levels at the beginning and the end of the study, as well as liver glycogen levels for the different experimental groups; diabetic rats showed a significant degree of hyperglycaemia (+225%) when compared to control animals. Glycaemia was not significantly changed as a result of MT supplementation. Liver glycogen levels were significantly lower in diabetic animals than in controls. MT supplementation provided a certain degree of reversal, the values being significantly higher than unsupplemented diabetic rats and significantly lower than control levels. MT was also shown to increase the liver glycogen levels in control rats.
At the beginning of our observations, all experimental groups had animals with similar body weight (175-190 g). After four weeks of treatment, control rats (group C) showed a significant increase in body weight (table II), with lack of significant differences in body weight of diabetic rats (groups D and DM). Liver weight was significantly lower in diabetic groups when compared to group C, but MT supplementation induced a significant increase relative to group D. MT had no effects on either body weight or total liver weight in non-diabetic animals.
Feeding behaviour parameters
Separate repeated-measurements ANOVA were performed for food and water intake on 18 records for each of the experimental groups C (control rats), CM (control MT-supplemented rats), D (diabetic rats) and DM (diabetic MT-supplemented rats). The record selection was made on the basis of the absence of missing data in any of the groups either by human or power failures. Tables III and IV summarize the results obtained.
As shown in tables III and IV, diabetes induced significant increases in all feeding behavior parameters, both in food and water intake, mostly during the scotophase, with the exception of a significantly decrease in food meal size. We observed that MT supplementation, both in photophase and scotophase, did not alter feeding parameters on diabetic rats, with the exception of meal duration for water intake in scotophase (table IV). However, in non-diabetic rats MT lead to lowered total food intake and food meal size, while increasing meal frequency and meal duration for food intake (table III) during the scotophase. The relationship between meal frequency, meal size, and meal duration changes induced by MT supplementation in non-diabetic rats is summarized in figure 1. MT increases total food intake by increasing meal frequency while decreasing meal size. These changes are not observed during the photophase.
Metabolic aspects of MT supplementation on diabetic rats
Similarly to other authors,20 liver glycogen was significantly decreased in diabetic rats. Hyperglycaemia is known to promote non-enzymatic glycosilation as well as protein and lipid oxidation, leading to increasing levels of nitric oxide (NO) in diabetes.21 Since NO can inhibit liver glycogen synthesis,22 it could explain the lower liver glycogen levels found in our study. MT is able to inhibiting NO production in different tissues, 23,24 and therefore this effect could contribute to the observed change in carbohydrate metabolism. Contrarily to other studies where MT has been observed to decrease plasma glucose concentration either administered before25,26 or after27 the onset of diabetes, in our study MT supplementation did not induce significant glycemia changes in streptozotocin-induced diabetic rats, a fact that may be related to the different MT concentrations and/or administration method used. Studies have been made using 200 µg/kg i.p. MT in rats,27,28 while others have administered 5 mg/kg/day MT intragastrically in mice.26 However, Sudnikovich et al.24 injected 10 mg MT /kg body weight (i.p.) at the beginning of the photophase and could not find hypoglycemic effects on streptozotocin-diabetic Wistar rats. In our study, ca. 1 mg/kg bw MT was administered as a drinking-water supplement firstly because this method implied no animal handling, which is important in the study of spontaneous feeding behaviour, and secondly since we were interested in having an insight on how MT could have effects at GI level in a more prolonged way, rather than acutely by i.p. administration. On the other hand, treatment of alloxan-diabetic rats with 200 µg/animal MT either orally or i.p. was unable to decrease hyperglycaemia.28 When MT is administered before the induction of the diabetic condition, MT is probably preventing the complete destruction of the pancreatic islets. However, in our study MT was given after development of diabetes, when beta-cells had already been irreversible damaged by STZ.29 Strain differences might also conceivably alter MT effects on hyperglycaemia: Sprague-Dawley rats have been shown to be more susceptible to streptozotocin-induced diabetes than Wistar rats.30 Anwar & Meki27 used Sprague-Dawley rats, while Wistar rats have been used in the present study.
Non-diabetic rats drinking MT-supplemented water showed greater liver glycogen levels than untreated animals, in agreement with data from other authors31 that administered MT i.p. at 0.5 g/kg bw. However, this result does not agree with other observations32 where MT was administered at 4 g/kg bw in the drinking water for 26 weeks. Liver carbohydrate utilization has been shown to be increased in rats treated with continuous-release MT implants.33 The effect of MT on carbohydrate metabolism in experimental animals is still controversial.32
Food intake in diabetic animals
Our results show a significant increase in meal frequency, total food intake and duration, and meal duration in diabetic vs. non-diabetic rats during the scotophase. Meal size was shown to decrease only during the scotophase. In our study, diabetic animals ate 37% more food daily than controls, being the starch content in the diet 433 g/kg; this is in agreement with former observations that diabetic rats given high-carbohydrate diet (570 g/kg starch, 70 g/kg cellulose) ingested 40% more food daily than control and diabetic animals fed on a isocaloric low-carbohydrate diet (250 g/kg starch, 250 g/kg cellulose).11 Former meal pattern studies showed increases in total intake, meal frequency, meal size and meal duration in streptozotocin-diabetic rats.12,13 Albeit differences in meal pattern criteria, our results partly confirm these observations, with the notorious exception of food meal size, which is significantly decreased in diabetic animals with respect to controls. Meal size was shown to increase in previous studies13 using 45-mg pellets. However, repeated exercise made by the diabetic rat in order to feed has been pointed out as leading to decreased meal size.34 The amount of feeding work involved in our study could be significant since the animal had to enter a short feeding tunnel and turn his head to scratch larger, hanged pellets; further, and it is known that salivary secretion is depressed in the diabetic rat.35 We also found significantly increased meal frequency both for food intake and drinking activity; this showed up as a trend in the studies by Smith (1991)12 and Vanderweele (1993),13 and so it has to be added to the increased meal duration to characterize the diabetic hyperphagia.
Effect of MT supplementation on feeding behavior parameters
There seems to be no studies in the literature relating feeding behavior and MT suplementation in experimentally-induced diabetes. In this work we found no significant effects of scotophase-supplemented MT on the overall feeding behavior in diabetic animals. Even when it has been found that streptozotocin-induced diabetes is associated with increased pineal MT synthesis, 36 an extra MT supplementation at the nocturnal phase does not alter feeding behavior. However, there was a trend for water intake to be enhanced by MT, and concomitantly an increase in daily wet faecal mass was observed. These observations are in sharp contrast with the effect of MT on the feeding behavior parameters of non-diabetic rats during the scotophase, where it increased total food intake duration, meal frequency and meal duration while decreased total food intake and meal size for food intake but not for water intake (tables III and IV). Former studies reported the absence of effect of MT on total food intake after 12-weeks oral MT supplementation.16 This observation has not been confirmed in this study on a shorter time range, and the effects observed on meal frequency, duration and size are suggestive of deeper effects of MT. There is evidence that leptin produced by adipose tissue has a longterm role in regulating energy stores and body weight,37 while gastric leptin acts as a satiety signal in the shortterm control of food intake.38 However, ghrelin, the orexigenic hormone produced by the stomach, has a stimulatory effect on food intake.39 MT seems to have opposite effects on the circulating levels of leptin and ghrelin. Circulating ghrelin levels have been shown to be decreased in a number of studies in MT-treated animals. 40 On the other hand, chronic MT administration is able to increase plasma leptin levels,41 and leptin is more potently reducing meal frequency than meal size in the rat.42 All these effects are compatible with the observed reduction in meal size and increase in meal duration in non-diabetic animals. Moreover, the fact that the feeding behavior changes have been found only in the scotophase, at the time exogenous MT was administered, gives support to an effect of GIT MT on feeding behavior. No carry-over effects of MT during the photophase seem to have been taken place.
We observed a trend for orally-supplemented MT increasing water intake in diabetic animals. At the same time, the average duration of drinking episodes was significantly decreased in MT-supplemented diabetic rats. These observations could be in agreement with several reports that MT is able to decrease plasma levels of vasopressin (VP) in the Syrian hamster43 and the rat.44 However, aminopeptidase enzyme activities (with VP as a substrate) are decreased in hypothalamus in the streptozotocin-diabetic rat, and it could lead to increases in VP levels.45 In any case, non-diabetic MTtreated rats clearly do not follow that water-intake increase trend. MT administration before meals is able to decrease the frequency of the irregular spiking activity of migratory motor complex while inducing a preprandial-like motor pattern.46 On the other hand, the diabetic rat shows significant delayed stomach to caecum transit time47 albeit small intestine and caecum size and lenght are normal.48 Gastrointestinal MT could be involved in these apparent contradictory effects of MT on water intake, as suggested by the significantly higher faecal mass output in MT-supplemented diabetic rats: the decreased water reabsorption could be ultimately responsible of their increased water intake trend. However, MT synthesis has been found to be enhanced in the streptozotocin-diabetic rat, at least at pineal level,36 suggestive of an interplay between MT and insulin, so that more studies are needed to further clarify the effect of MT supplementation on energy metabolism. The dichotomy of feeding behavior changes comparing non-diabetic and streptozotocindiabetic male rats upon MT supplementation is indicative of profound metabolic/behavioral rearrangements triggered by the lack of insulin that MT cannot overcome. On the experimental conditions used in this work, no translatable therapeutic implications could be inferred from MT supplementation.
This work has revealed increased meal frequency both for food and water intake in diabetic animals, as well as increased meal duration, as behavioral contributors to the hyperphagia in STZ-induced diabetes. We have found a satiating effect of MT in non-diabetic rats, an effect that has not been replicated in diabetic animals. The changes in feeding behavior induced by MT in nondiabetic animals during the scotophase are related to changes in meal frequency, size and duration leading to lower total food intake. MT administration to diabetic rats did translate in lower drinking time and higher faecal output, without further behavioral effects. The satiating effect of MT supplementation during 4 weeks has not apparently continued in longer studies.16 Since streptozotocin-diabetic rats failed to show MT alterations, probably the notorious metabolic changes occurring as a consequence of diabetes are able to overcome most of the underlying effects of MT supplementation. MT has been recently approved by the European Medicines Agency (EMEA) against sleeping disorders in humans at least 55-year old;49 further MT usage for therapeutical purposes could benefit from the lack of behavioral alterations in diabetic animals. A word of caution should be incorporated into the potential use of MT in the elderly since there could be gastrointestinal alterations leading to changes in food intake.
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Juan Pablo Barrio Lera.
Departamento de Ciencias Biomédicas.
Universidad de León.
24071 León (Spain).
1a Revisión: 7-VIII-2010.