Loss of Dec1 inhibits alcohol-induced hepatic lipid accumulation and circadian rhythm disorder

Chronic alcohol exposure increases liver damage such as lipid accumulation and hepatitis, resulting in hepatic cirrhosis. Chronic alcohol intake is known to disturb circadian rhythms in humans and animals. DEC1, a basic helix-loop-helix transcription factor, plays an important role in the circadian rhythm, inflammation, immune responses, and tumor progression. We have previously shown that Dec1 deficiency inhibits stresses such as periodontal inflammation and perivascular fibrosis of the heart. However, the significance of Dec1 deficiency in chronic alcohol consumption remains unclear. In the present study, we investigated whether the biological stress caused by chronic alcohol intake is inhibited in Dec1 knockout mice. We treated control and Dec1 knockout mice for three months by providing free access to 10% alcohol. The Dec1 knockout mice consumed more alcohol than control mice, however, we observed severe hepatic lipid accumulation and circadian rhythm disturbance in control mice. In contrast, Dec1 knockout mice exhibited little effect on these outcomes. We also investigated the expression of peroxisome proliferator-activated receptors (PPARs) and AMP-activated protein kinase (AMPK), which are involved in the regulation of fatty acid metabolism. Immunohistochemical analysis revealed increases of phosphorylation AMPK and PPARa but decreases PPARg in Dec1 knockout mice compared to that in control mice. This indicates a molecular basis for the inhibition of hepatic lipid accumulation in alcohol-treated Dec1 knockout mice. These results suggest a novel function of Dec1 in alcohol-induced hepatic lipid accumulation and circadian rhythm disorders. Supplementary Information The online version contains supplementary material available at 10.1186/s12860-023-00497-y.


BMC Molecular and Cell Biology
alcohol-induced fatty lipid accumulation in the liver [6,9].In contrast, peroxisome proliferator-activated receptors (PPARs) are nuclear receptors associated with fatty liver diseases [1].PPARa is abundantly expressed in the liver, heart, kidney, and gastrointestinal tract; PPARb/d are ubiquitously expressed, but dominantly expressed in the skeletal muscle, skin, and adipose tissue; and PPARg is highly expressed in the adipose tissue and has low expression in the liver [10].However, increased PPARg expression has been observed in fatty liver and chronic alcohol intake [11][12][13].

Animals
Animal experiments were conducted according to protocols approved by the Animal Care and Use Committee of Wakayama Medical University (approval number 660).For the experiments, mice were instantaneously sacrificed by cervical spine dislocation, and the liver tissue was removed, fixed in 4% paraformaldehyde solution, and embedded in paraffin.Whole Dec1 deletion in Dec1 knockout (KO) mice with a C57BL/6 background was performed as previously described [21,27].Eightto-nine-week-old C57BL/6 wild-type (WT) and Dec1 KO female mice were housed under 12:12 h light:dark (lights on at 8:00 a.m., ZT0; lights off at 8:00 p.m., ZT12) conditions, as previously described [21,27].Ethanol was diluted with water to a final concentration of 10%.Mice were allowed free access to 10% ethanol for 3 months (WT, n = 9; Dec1 KO, n = 9).The amount of alcohol consumed was calculated from the amount of alcohol remaining in the bottle every ten days.Statistical analyses were performed using Student's t-test.Mouse livers were sampled at ZT2 and subjected to immunohistochemistry.

Statistical analyses
Statistical analyses were performed using a Student's t-test in Excel software.

Dec1 KO mice consumed more alcohol than the WT mice
We compared the amount of 10% alcohol consumed by Dec1 KO and WT mice under free-access conditions.Subsequently, we calculated the amount of alcohol consumed every month for three months.The data demonstrated that Dec1 KO mice consumed more alcohol than WT mice at all time points (Fig. 1).

Dec1 KO mice maintained circadian rhythm when consuming alcohol
Next, we examined the spontaneous locomotor activity of Dec1 KO and WT mice with or without 10% alcohol consumption using SuperMex.The mice were fed under light/dark (LD) conditions for six days and then shifted to constant dark (DD) conditions.As shown in Fig. 2, the locomotor activity of the WT mice that did not consume alcohol exhibited a phase shift after shifting to the DD condition.Alcohol consumption in WT mice decreased locomotor activity and did not result in a phase shift after DD (Fig. 2).In contrast, the locomotor activities of Dec1 KO mice were lower than those of WT mice without alcohol consumption and were minimally affected by alcohol consumption.

Lipid accumulation induced by drinking 10% alcohol was inhibited in Dec1 KO mice via pAMPK, PPARa, and PPARg
Next, we analyzed the livers of WT and Dec1 KO mice treated with 10% alcohol for three months.The livers of WT mice showed severe congestion and fat accumulation in response to alcohol consumption, whereas those of Dec1 KO mice showed little change (Fig. 3A and B).Lipid generation in Dec1 KO mice treated with 10% alcohol was approximately 14-fold lower than that in WT mice (Fig. 3C).The livers were quickly extracted and fixed in 4% paraformaldehyde solution.We observed significant lipid degeneration in hepatic cells of WT mice.In contrast, all Dec1 KO mice showed little effect.We believe  that degeneration was no affected by sample preparation.Furthermore, we investigated the expression of pAMPK, PPARa and PPARg, which are involved in the regulation of fatty acid metabolism, by immunohistochemistry.We observed increased expression of pAMPK in Dec1 KO mice, but the expression levels of total AMPK remained almost the same between WT and Dec1 KO mice (Fig. 4).Moreover, the nuclear amounts of PPARa were higher and PPARg were lower in Dec1 KO mice compared to those in WT mice.

Discussion
We have previously shown that Dec1 KO inhibits periodontal inflammation and perivascular fibrosis in the oral mucosa and heart [21,27,29].Thus, Dec1 KO may provide protection against various stressors.However, it was unclear whether Dec1 KO inhibits the influence of stress associated with chronic alcohol exposure on drinking.We revealed that chronic alcohol intake induced a disturbance in the circadian rhythm and lipid accumulation in WT mice, but these abnormal phenotypes did not occur in Dec1 KO mice.Surprisingly, Dec1 KO mice consumed more alcohol than WT mice.These results suggest that the abnormalities do not depend on the amount of alcohol consumed.We propose three hypotheses regarding the mechanism underlying the improvement in lipid accumulation in Dec1 KO mice.First, Dec1 deficiency functionally protected against stress induced by 10% alcohol intake.Ren et al. showed that cardiacspecific Dec1 knockdown inhibits atrial inflammation and fibrosis [30].Therefore, Dec1 deficiency may inhibit Fig. 4 pAMPK, PPARa and PPARg immunoreactivities in the liver of WT and Dec1 KO mice with 10% alcohol consumption.Dec1 KO mice exhibited higher phosphorylated AMPK (pAMPK), but had little impact on total AMPK.Dec1 KO mice had higher nuclear expression of PPARa compared to that in WT mice; PPARg expression in Dec1 KO mice was lower.400 x magnification.Scale bars, 100 µM of chronic alcohol consumption.Second, Dec1 deficiency may eliminate ingested alcohol via urine.Third, Dec1 deficiency may increase the absorption of ingested alcohol.We have previously reported that Dec1 deficiency restores age-related metabolic imbalance by inducing the expression of liver fibroblast growth factor 21 (FGF21) [29].Therefore, Dec1 deficiency might protect against or ameliorate stress.
The induction of pAMPK has been shown to inhibit liver damage by alcohol [1,5,6,8].We have previously demonstrated that DEC1 negatively regulates pAMPK via LKB1 [24].Thus, Dec1 deficiency may suppress lipid accumulation and liver damage by inducing the expression of LKB1 and pAMPK.
It has also been reported that chronic alcohol exposure increases PPARg expression, but decreases PPARa [5,[11][12][13].Other researchers showed that Dec1 negatively regulates PPARg [25,26].However, our results revealed that Dec1deficiency inhibited PPARg expression.Dec1 function differs for various types of stress [16].We speculate that Dec1 promotes PPARg expression under chronic alcohol exposure, although detailed mechanisms are unknown.Dec1 may down-regulate PPARa but upregulate PPARg under chronic exposure, suggesting that Dec1 may regulate target PPARs through different mechanisms.Further studies are needed to elucidate the role of Dec1 deficiency in alcohol absorption and elimination.No clear changes were observed in food intake, body weight, or fat amounts in WT and Dec1 KO with or without chronic alcohol intake.Many previous studies showed that only chronic alcohol intake affected lipid metabolism and circadian rhythm [3,18,19,31,32].Our results agree with these findings, and we believe that lipid degeneration and circadian rhythm disorders depend on chronic alcohol intake but not on excessive food intake.Oil-Red O staining is useful method for determining hepatic lipid accumulation, although researchers must prepare frozen sections using raw tissues.We plan to use this method in the future.
Disturbance of the circadian rhythm induces abnormalities in the expression of clock genes, sleep, and metabolism, resulting in depression, dementia, metabolic syndrome, type2 diabetes, and cancer [17,22,[33][34][35][36].We showed that chronic alcohol intake disturbed the circadian rhythm of WT mice, but had little effect on Dec1 KO mice.As previously mentioned, circadian disorder in Dec1 KO mice may be inhibited by liver absorption and elimination of alcohol.Further studies are required to elucidate the detailed molecular mechanisms by which Dec1 deficiency inhibits circadian disorders under stressful conditions.

Conclusions
We conclude that Dec1 deficiency inhibits lipid accumulation and circadian disorders caused by chronic alcohol consumption.These findings may contribute to the development of novel treatment strategies for chronic alcohol-induced damage.

Fig. 2
Fig. 2 Dec1 KO mice had little change in locomotor activity with 10% alcohol.Representative locomotor activity records of WT and Dec1 KO mice with or without 10% alcohol.WT: WT mice without 10% alcohol, Dec1 KO: Dec1 KO mice without 10% alcohol, WT with 10% EtOH: WT mice with 10% alcohol, Dec1 KO with EtOH: Dec1 KO mice with 10% alcohol.LD: 12 h of light and dark cycles, DD: constant darkness.Black squares indicate the periods of darkness.DD started on day 7

Fig. 1
Fig. 1 Dec1 KO mice consumed more alcohol than WT mice.Drinking quantities of 10% alcohol in Dec1 KO and WT mice every month for 3 months.Drinking quantities in nine independent samples were evaluated by the liquid amounts remaining in the bottle.The raw data are shown in the Supplementary File.Each value represents the mean + SE (bars) of nine independent samples.0-1 M: amount from start to 1 month, 1-2 M: amount from 1 to 2 month, 2-3 M: amount from 2 to 3 month.*P < 0.01, based on the t-test

Fig. 3
Fig. 3 Dec1 KO mice had inhibited fatty acid degeneration induced by 10% alcohol.(A) Macroscopic features of two independent WT (WT1 and WT2) and Dec1 KO (Dec1 KO1 and Dec1 KO2) livers after 10% alcohol consumption.WT mice show severe hepatic congestion, but Dec1 KO mice show little change.(B) Microscopy revealed severe lipid degeneration and congestion in the livers of WT mice, whereas Dec1 KO mice were minimally affected.Top panel, 200 x magnification.Bottom panel, 400 x magnification.Arrows show lipid degeneration.Dotted arrows show central vein.Scale bars, 100 µM.(C) Average numbers of lipid degeneration locations in three independent samples.Lipid degeneration around the central vein was counted in ten microscopic fields under 400 x magnification.*P < 0.01, based on the t-test.The raw data are shown in the Supplementary File