Knockout of murine Lyplal1 confers sex-specific protection against diet-induced obesity

Human genome-wide association studies found SNPs near LYPLAL1 that have sex-specific effects on fat distribution and metabolic traits. To determine whether altering LYPLAL1 affects obesity and metabolic disease we created and characterized a mouse knockout of Lyplal1. Here we show that CRISPR-Cas9 whole-body Lyplal1 knockout (KO) mice fed a high fat, high sucrose (HFHS) diet showed sex-specific differences in weight gain and fat accumulation. Female, not male, KO mice weighed less than WT mice, had reduced body fat percentage, white fat mass, and adipocyte diameter not accounted for by changes in metabolic rate. Female, but not male, KO mice had increased serum triglycerides, decreased aspartate, and alanine aminotransferase. Lyplal1 KO mice of both sexes have reduced liver triglycerides and steatosis. These diet-specific effects resemble the effects of SNPs near LYPLAL1 in humans, suggesting that LYPLAL1 has an evolutionary conserved sex-specific effect on adiposity. This murine model can be used to study this novel gene-by-sex-by-diet interaction to elucidate the metabolic effects of LYPLAL1 on human obesity.


Introduction
Obesity is global health problem that promotes morbidity and mortality but has few effective treatments making it a large unmet medical need.Abdominal obesity, measured as a high waist to hip ratio (WHR) or high visceral to subcutaneous adipose tissue (VAT/SAT) ratio more than overall obesity measured as high body mass index (BMI) correlates with the development of diabetes, cardiovascular disease, dyslipidemia and nonalcoholic fatty liver disease (NAFLD) (Britton et al., 2013, Censin et al., 2019, Kaess et al., 2012, Preis et al., 2010, Speliotes et al., 2010).Body fat distribution is heritable and varies by sex but the underlying genetic causes of this variation are not fully known (Schleinitz et al., 2014).Human genome-wide association studies (GWAS) identified genetic variants near the LYPLAL1 gene that reproducibly associate with VAT/SAT ratio (Chu et al., 2017, Fox et al., 2012, Wang et al., 2016), WHR (Heid et al., 2010, Lindgren et al., 2009, Randall et al., 2013), and NAFLD (Leon-Mimila et al., 2015, Speliotes et al., 2011).Variants near LYPLAL1 have also been associated with metabolic traits including: insulin clearance (Goodarzi et al., 2013), insulin resistance (Bille et al., 2011, Manning et al., 2012, Scott et al., 2012), fasting serum triglyceride levels (Bille et al., 2011) and levels of the adipose tissue derived adiponectin hormone (Dastani et al., 2012).Associations between variants near LYPLAL1 with several of these metabolic traits were more significant in females than males including VAT/SAT ratio (Fox et al., 2012, Wang et al., 2016), WHR (Heid et al., 2010, Lindgren et al., 2009), and WHR adjusted for BMI (Randall et al., 2013, Shungin et al., 2015).Whether associated SNPs function to cause these effects via LYPLAL1 is not known.
LYPLAL1 encodes the protein Lysophospholipase Like 1 (LYPLAL1), which is presumed to be an acyl protein thioesterase based upon significant sequence homology and structural similarities with LYPLA1 (Lysophospholipase 1, also known as Acyl-Protein Thioesterase 1 or APT1) (Burger et al., 2012).Acyl protein thioesterases are enzymes that remove lipid moieties from proteins that have been modified by the addition of palmitate or other acyl groups on cysteine residues (Davda and Martin, 2014).LYPLAL1 may also function as an acyl thioesterase and have a role in the regulation of protein acylation and thereby protein localization and activity (Tian et al., 2012).
To determine whether disruption of LYPLAL1 would affect obesity and metabolic phenotypes we generated a mouse model lacking LYPLAL1(referred to as Lyplal1 KO mice) using Cas9/CRISPR to induce a one base pair deletion in the first coding exon of the gene.Since Lyplal1 mRNA expression and effects on metabolic phenotype appear to be at least in part diet responsive (Lei et al., 2015) we investigated the effects of a "Western diet" containing high fat and high sucrose on the phenotype of WT mice versus mice lacking LYPLAL1.

I. Animal Studies
All experiments were carried out in accordance with the University of Michigan Institutional Animal Care and Use Committees (IACUC) under the protocol #PRO00007699.Methods are reported in accordance with the ARRIVE guidelines.mice were maintained in individually vented cages in a pathogen free Unit for Laboratory Animal Medicine (ULAM) at 23.2°C to 23.9°C, 37% to 41% relative humidity, and in a standard 12-h light/12-h dark cycle.

II. Generation and confirmation of Lyplal1 KO mice
CRISPR/Cas9 technology (Cong et al., 2013, Jinek et al., 2013, Mali et al., 2013) was used to generate a C57BL6/J mouse strain with a one base pair deletion in the first exon of Lyplal1.

III. Research Study Design
Littermates were separated by sex and placed on a HFHS diet (D12327; 40% kCal from fat, from Research Diets, New Brunswick, NJ) or standard control diet (chow; Lab Diet 5L0D) and water ad libitum at 6-weeks of age and remained on this diet until 29 weeks of age (23 weeks on diet) with whole body weights collected weekly.HFHS fed mice had (1) NMR (Nuclear Magnetic Resonance) and Comprehensive Laboratory Animal Monitoring System (CLAMS) analyses at 17-weeks and 23-weeks of age, respectively (11 and 17-weeks on diet), (2) Intravenous Glucose Tolerance Tests (GTT) and Intravenous Insulin Tolerance Tests (ITT) at 21 and 24-weeks of age (15 and 18-weeks on diet) respectively and ex-vivo analyses at 29-weeks of age (23 weeks on diet) .Chow fed animals had (1) NMR and CLAMS analyses at 39-45 weeks of age, GTT at 26-40weeks of age, and ex-vivo analyses at 32-52 weeks of age.

IV. In-vivo analysis
A. NMR (Nuclear Magnetic Resonance) Analysis: Lean, fat, and fluid tissue composition percentages were measured using a Bruker Minispec LF 90II NMR machine by the Michigan Mouse Metabolic Phenotyping Center (MMPC) at the University of Michigan according to standard protocols.

B. Comprehensive Laboratory Animal Monitoring System (CLAMS):
Indirect calorimetry was carried out on mice fed HFHS using a Columbus Instruments Comprehensive Lab Animal Monitoring System (CLAMS, Columbus, OH).Measurements and analyses were performed by the University of Michigan Animal Phenotyping Core according to standard protocols.

C. Intraperitoneal glucose tolerance tests (GTT) and intraperitoneal insulin tolerance tests (ITT):
Both GTT and ITT were performed in accordance with NIH National Mouse Metabolic Phenotyping Centers (MMPC) protocols.Animals were transferred to non-edible bedding and fasted 5 hours prior to measuring fasting glucose.Animals were injected intraperitoneally with sterile dextrose solution (in saline) at 2.0 mg dextrose/g bodyweight for GTT or insulin solution (Human recombinant insulin in saline; Novolin-R, Novo Nordisk) at 2.0 U/kg bodyweight for ITT.Blood samples were collected from a distal tail nick and blood glucose determined with a handheld glucometer (Bayer Contour next EZ) at 0, 15, 30, 60, 90, and 120-minute time points post-injection.Animals had free access to water during testing, but food was withheld until the end of the 120-minute time course.Blood glucose concentration (mg/dL) over time (minutes) was plotted and area under the curved calculated with Prism8 (GraphPad).

V. Ex-vivo analysis
A. Blood collection and Tissue harvest: Mice were sacrificed under isoflurane anesthesia by cardiac puncture.Blood (400-600 µl) was collected into BD Microtainer Blood Collection tubes with clot activator gel containing heparin (BD, Franklin Lakes, NJ).Serum was generated by centrifugation and sent to the University of Michigan In-Vivo Animal Core (IVAC) for quantitation of serum liver enzymes and serum lipid traits.Liver, kidney, and 4 fat depots (Brown adipose tissue [BAT], perirenal WAT [pWAT], gonadal WAT [gWAT] and inguinal WAT [iWAT]) were collected immediately post-sacrifice.Tissue samples were either flash frozen on dry ice for biochemical analyses or incubated at 4°C in 4% paraformaldehyde (PFA) in phosphate buffered saline (PBS) for histology.

C. Triglyceride extraction:
Frozen liver tissue samples (0.1g) were homogenized in 1X triglyceride extraction buffer (1 m of 50 mM Tris, pH7.4; 5 mM EDTA; 5% NP-40% [Tergitol]) supplemented with 1X Halt protease and phosphatase inhibitor cocktail (from Thermo Scientific, Rockfold, IL, USA) and 1mM phenylmethylsulfonyl fluoride (PMSF) using a Benchmark D1000 Handheld Homogenizer (Benchmark Scientific, Edison, NJ, USA).The solution was slowly heated on a heat block to 80°C and the solution appeared cloudy.The samples were taken off heat and allowed to cool to RT.Samples were then slowly reheated to 80°C, incubated at this temperature for 5 minutes, centrifuged at 10,000 x g for 10 minutes at 4°C, and triglyceride content determined by comparison to a 2.5 mg/mL glycerol standard (Sigma, St. Louis, MO, USA) using the Sigma serum triglyceride kit (Sigma, St. Louis, MO, USA).

D. Glycogen extraction:
Liver tissue (0.05g) was homogenized on ice in 4ml of distilled water using a Benchmark D1000 Handheld Homogenizer (Benchmark Scientific, Edison, NJ, USA).Samples were heated to 100°C on a heat block for 10 minutes, centrifuged at 10,000 x g for 10 minutes at 4°C, supernatant collected and glycogen measured alongside a 2 mg/mL glycogen standard using the Sigma glycogen assay kit (Catalog No. MAK016, Sigma, St. Louis, MO, USA).

E. Histology and Immunochemistry:
Formalin-fixed tissues were processed through graded alcohols and cleared with xylene followed by infiltration with molten paraffin using an automated VIP5 or VIP6 tissue processor (TissueTek, Sakura-Americas, Torrance, CA) according to the In-Vivo Animal Core (IVAC) histology laboratory within ULAM at the University of Michigan.Following paraffin embedding using a Histostar Embedding Station (ThermoScientific, Hanover Park, IL), tissues were sectioned on a M 355S rotary microtome (ThermoFisher Scientific, Hanover Park, IL) at 4 μm thickness and mounted on glass slides.The sections were stained with Hematoxylin and Eosin (H&E), Masson' Trichrome Staining, Periodic Acid Schiff Staining with and Without Diastase.
Brightfield images were taken at 20X using an Aperio AT2 scanner (Leica Biosystems, Buffalo Grove, IL) and visualized using Aperio ImageScope -Pathology Slide Viewing Software in the Department of Pathology, University of Michigan.
F. Assessment of liver pathology: Blinded grading (0-3) of H&E-stained liver sections was performed by a board-certified liver pathologist (E.C.) based on previous classifications (Brunt et al., 2011, Kleiner et al., 2005).Periodic acid-Schiff (PAS) stain with and without diastase (PAS-D) pretreatment were assessed by a board-certified liver pathologist for changes suggestive of increased liver glycogen.

VI. Statistical analysis
Normally distributed values were expressed as the mean +/− standard deviation and nonnormal data as median and interquartile range.Normal data was analyzed using a two tailed student's test and non-normal data using a non-parametric, non-paired, Mann-Whitney test using Prism9 (GraphPad).Due to inherent biological differences in the level of liver triglycerides in male versus female mice, we used multiple linear regression on the triglyceride ranks adjusting for sex.p < 0.05 was considered statistically significant.

VII. Lead Contact and Materials Availability
Mouse lines generated in this study have been deposited to the Mutant Mouse Resource & Research Center (MMRRC) designated as Lyplal1 em1Espel with the MMRRC strain ID number of 571.

Results
Female, but not male, Lyplal1 KO mice on HFHS diet weigh less than their WT littermates In order to study the effects of LYPLAL1 on metabolic phenotypes and traits, we used CRIPSR-Cas9 to delete a single base pair within exon 1 of the murine Lyplal1 gene, resulting in nonsense-mediated LYPLAL1 mRNA decay (Figure 1A).Western blot analyses of kidney tissue confirmed lack of LYPLAL1 protein in Lyplal1 KO mice (Figure 1B and Supplemental Figure 1).Due to the absence of a phenotype in Lyplal1 KO mice on high fat diet (HFD) previously observed (Watson et al., 2017), we chose to study the effect of a challenge diet representative of the human "Western" diet (high fat high sucrose diet; HFHS diet) on Lyplal1 KO mice versus WT mice.WT mice, mice heterozygous for Lyplal1 KO (Lyplal1 Het mice), and mice homozygous for Lyplal1 KO (Lyplal1 KO mice) were placed on a HFHS diet for 23 weeks.Lyplal1 KO mice on HFHS diet showed reduced body weight gain over time in females, but not males when compared to WT littermates (Figure 1C).Female Lyplal1 KO mice showed significant weight difference (p <0.05) at 6 weeks on diet with respect to WT littermates and the significance in weight difference continued to increase with additional time on HFHS diet (Figure 1D).No significant differences between female Lyplal1 Het mice and their WT littermates were observed (Figure 1C).This suggests that the Lyplal1 KO phenotype is recessive and for this reason, only WT and homozygous Lyplal1 KO mice were compared for all further experiments.The difference in weight between female WT and Lyplal1 KO mice was observed up to the final measurement taken at time of sacrifice (29 weeks of age, 23 weeks of HFHS diet exposure; Figure 1E).As previously seen (Munoz-Fuentes et al., 2018, Watson et al., 2017), we did not observe differences in weight between WT and Lyplal1 KO mice of either sex when fed a standard control diet (chow) and measured at the time of sacrifice (32-52 weeks of age; Figure 1E).

Female, but not male, Lyplal1 KO mice on HFHS diet have less white, but not brown, adipose tissue than WT littermates
To determine whether the change in body weight was due to changes in fluid, lean tissue, or fat tissue mass we measured body composition using nuclear magnetic resonance (NMR) (Heymsfield et al., 2014, Tinsley et al., 2004).We also carried out quantitative dissection of four mouse fat depots (depicted in Figure 2A) (Bagchi et al., 2018).We found that female, but not male, Lyplal1 KO mice on HFHS diet had a reduced percentage of body fat and a concomitant increase in the percentage of lean tissue mass indicative of reduced fat accumulation (Figure 2B).The difference in average fat mass (9.36 g WT females vs 5.61 g Lyplal1 KO females) accounts for 77% of the difference in total body mass (29.95 g WT females vs 25.09 g Lyplal1 KO females).Quantitative dissection showed that female, but not male, Lyplal1 KO mice had reduced inguinal white adipose tissue (iWAT), gonadal white adipose tissue (gWAT), and perirenal white adipose tissue (pWAT; Figure 2C), but no change in intrascapular brown adipose tissue (BAT; Figure 2C) when compared to WT littermates.The liver and spleen weights of female and male WT vs. Lyplal1 KO mice on HFHS diet did not differ significantly (Figure 2D).Differences in body fat percentage were not observed in mice of either sex on chow diet (Figure 2E).Additionally, differences in fat depot mass were not observed in mice on chow diet, except for a slight but statistically significant decrease in iWAT mass in Lyplal1 KO chow-fed male mice (Figure 2F); however, this difference was largely driven by the grossly elevated iWAT mass from two male WT mice.Liver and spleen weights of these chow-fed mice did not differ by genotype (Figure 2G).These data indicate the observed difference in fat deposition between genotypes of female mice is induced by feeding a HFHS diet.

Female, but not male, Lyplal1 KO mice on HFHS diet have smaller adipocytes than WT littermates
Excess calories promote an increase in adipocyte cell size called hypertrophy (Bluher, 2009).
To determine if there were differences in adipocyte size between WT and Lyplal1 KO mice we quantified adipocyte diameter from 5 randomly sampled, representative images of hematoxylin and eosin (H&E) stained sections of gWAT (visceral) and iWAT (subcutaneous; Figure 3A, C).We found that female, but not male, Lyplal1 KO animals on HFHS diet had fewer large (> 60 µm diameter) adipocytes in gWAT and iWAT compared to WT littermates (Figure 3B & 3D).Conversely, we observed less pronounced changes in adipocyte diameter in chow-fed mice (Figure 4A-D).Decrease in adipocyte size of female Lyplal1 KO mice on HFHS is consistent with impaired diet-induced adipose cell hypertrophy.
Lyplal1 KO mice do not have differences in food intake or energy expenditure, however male, but not female, Lyplal1 KO mice have different fuel utilization compared to WT littermates To determine whether food intake, energy expenditure, or fuel utilization was affected by disruption of Lyplal1 we measured these using the Comprehensive Lab Animal Monitoring System (CLAMS) on animals fed a HFHS diet.We found that food intake (Figure 5A), activity level (Figure 5B), and energy expenditure (Figure 5C) were not significantly different over the course of an individual day between WT and Lyplal1 KO mice of either sex.Decreased food intake was observed in both male and female Lyplal1 KO mice during the light cycle compared to WT littermates, but these differences were not significant across the entire day.Female mice showed no difference in respiratory exchange ratio (RER; Figure 5D), fat oxidation (Figure 5E) or glucose oxidation (Figure 5F) compared to WT littermates.Conversely, male Lyplal1 KO mice showed significant or trending decreases in glucose oxidation during the light (p=0.09)and dark cycles (p=0.04), as well as across the whole day (p=0.06),compared to WT littermates (Figure 5F).Male Lyplal1 KO mice had nominally lower RER during the light cycle compared to WT littermates, but these changes were not significant across the whole day (Figure 5D).These data indicate female Lyplal1 KO mice do not have reduced body weight gain and fat accumulation due to differences in food intake, energy expenditure or fuel utilization compared to WT littermates.Male Lyplal1 KO mice had a reduced rate of glucose utilization compared to WT littermates, but a significant weight difference was not observed between the male genotypes.We observed no clear differences in total RER and fat versus glucose oxidation measured by CLAMS in female Lyplal1 KO mice compared to WT mice on HFHS diet (Figure 5D-F).However, we did observe changes in male Lyplal1 KO mice versus WT mice (Figure 5D-F).
Female, but not male, Lyplal1 KO mice have similar glucose and insulin tolerance compared to WT littermates Insulin resistance, or the inability of cells to uptake glucose in response to insulin has been associated with obesity (Czech, 2017, Erion and Corkey, 2017, Reaven et al., 1993).To determine whether insulin secretion or responsiveness was affected by disruption of Lyplal1 we measured fasting glucose and insulin and performed both an intraperitoneal glucose tolerance test (GTT) and an intraperitoneal insulin tolerance test (ITT) on the mice.Female and male mice on either HFHS or chow diet had similar glucose and insulin tolerance over time and did not show differences by genotype (Figure 6A-D(HFHS) or E-H(Chow)).

Lyplal1 KO mice have reduced liver steatosis compared to WT littermates
Due to the reduced accumulation of fat storage in adipose depots of female Lyplal1 KO mice on a hypercaloric diet (HFHS diet; Figure 2) and association of SNPs near the Lyplal1 gene in humans with NAFLD, central adiposity/distribution of fat, and fasting serum triglyceride levels (Bille et al., 2011, Chu et al., 2017, Fox et al., 2012, Heid et al., 2010, Leon-Mimila et al., 2015, Lindgren et al., 2009, Randall et al., 2013, Speliotes et al., 2011, Wang et al., 2016, Yuan et al., 2015), we hypothesized that the female KO mice on HFHS diet may have elevated serum and liver triglycerides and increased liver damage as reflected by increased serum aspartate aminotransferase (AST) and alanine aminotransferase (ALT), or alkaline phosphatase (ALP).To determine whether disruption of Lyplal1 affected serum lipids or serum liver enzymes we assayed serum from non-fasted mice on both chow and HFHS diets.Non-fasted female, but not male, Lyplal1 KO mice on HFHS diet had increased serum triglycerides, but not cholesterol, compared to WT littermates (Figure 7A).Counter to what we hypothesized, serum AST and ALT, but not ALP, were decreased in female Lyplal1 KO mice on HFHS diet by 24 and 33% respectively when compared to WT littermates (Figure 7C).Mice fed a chow diet did not show altered levels of non-fasted serum lipids (triglycerides and cholesterol; Figure 7B) or serum liver enzymes (AST, ALT, or ALP; Figure 7D).These data indicate that Lyplal1 KO is protective against hypercaloric diet induced hepatocye damage, despite elevations in serum lipid values.
To determine whether disruption of Lyplal1 affected liver lipid or glycogen deposition we quantitated these using stained liver sections and biochemical assays.Imaging of H&Estained liver sections showed an obvious difference in the amount of steatosis present in WT vs. Lyplal1 KO mice (Figure 8A).Blinded grading (0-3) of macrosteatosis in H&E-stained liver sections by a board-certified pathologist revealed that Lyplal1 KO mice had trending decreases in steatosis grade in both female and male mice on HFHS diet when compared with WT littermates (Figure 8B).Additonally, sex combined analyses of steatosis grade showed a significant reduction in Lyplal1 KO mice versus their WT littermates (Figure 8C).Similar reductions were not observed in chow fed Lyplal1 KO versus WT mice (Figure 9A-C).Liver steatosis was quantitated as the %liver area occupied by macrosteatotic lipid droplets from the same H&E-stained liver sections using CellProfiler, which confirmed trending decreases in steatosis of female and male Lyplal1 KO mice separately and in sex combined analyses (Figure 8D, 8E).Similar reductions were not observed in chowfed Lyplal1 KO versus WT mice (Figure 9D-E).Biochemical extraction and subsequent quantification of liver triglycerides confirmed a slight, but not significant, decrease in liver triglycerides of female Lyplal1 KO mice (13%), a significant 38% decrease in male Lyplal1 KO mice, and a significant 35% decrease in Lyplal1 KO mice using sex combined analyses when compared to their respective WT littermates on HFHS diet (Figure 8F-G).Notably, a single female Lyplal1 KO outlier mouse with two times the value of the second highest measurement of liver triglyceride within the KO cohort on HFHS diet was responsible for the loss in significance of female Lyplal1 KO mice compared to WT littermates.Removal of this single outlier results in a 25% decrease in the average liver triglyceride of the remaining female Lyplal1 KO as compared to their WT counterparts, which is significant with p=0.02 (data not shown).Amount of glycogen in the liver was quantified by staining serial sections of liver with Periodic Acid Schiff (PAS) alongside a PAS-diastase (PAS-D) control and by measuring glycogen biochemically.Both histological and biochemical analyses of liver glycogen did not differ by genotype on HFHS diet (Supplemental Figure 2A-C) or chow diet (Supplemental Figure 3A-C).These data indicate that loss of LYPLAL1 protein correlates with reduced liver triglycerides of female and male mice on HFHS diet.Protection from steatosis was observed in female mice, despite the presence of decreased peripheral fat deposition and increased serum triglycerides, which was absent in male mice and often correlates with increased liver fat deposition.This suggests differing mechanisms of effect on metabolism and lipid accumulation mediated by LYPLAL1 of male versus female mice.
Since LYPLAL1 has a high degree of homology with LYPLA1/APT1, it is likely that LYPLAL1 may also function as an acyl thioesterase and have a role in the regulation of protein acylation and thereby protein localization and activity (Tian et al., 2012).We have observed a sex dependent difference in fat deposition between WT and LYPLAL1 KO mice.Given that it has been previously shown that the estrogen receptor is palmitoylated (Anderson and Ragan, 2016) and this modification plays a role in the localization of the estrogen receptor to the cell membrane (Acconcia et al., 2005, Acconcia et al., 2004, Li et al., 2003), we examined the level of abundance of the estrogen receptor alpha subunit in various tissues in female WT and LYPLAL1 KO mice (Figure 10).By western blotting of whole cell extracts from iWAT, gWAT, liver and muscle tissue we found that in the nonadipose tissues, there is no statistically significant difference detectable in the abundance of the estrogen receptor alpha subunit (Figure 10A-B).Within the adipose tissues, we observe a statistically significant difference in the iWAT fat depot but not in the gWAT fat depot (Figure 10A-B).

Discussion
In humans, SNPs near the LYPLAL1 gene are associated with human obesity and in particular altered fat distribution in females (Fox et al., 2012, Wang et al., 2016, Heid et al., 2010, Lindgren et al., 2009, Randall et al., 2013, Shungin et al., 2015).We show here that disruption of murine Lyplal1 reduces body mass, percentage body fat, and white adipose depot weight, and reduces liver triglyceride deposition and damage in female mice on HFHS but not chow diet.Collectively these phenotypes suggest female animals that lack LYPLAL1 may be impaired in storage of triglyceride which confers resistance to diet-induced obesity and its complications including insulin resistance and liver steatosis.These data suggest that LYPLAL1 regulates both glycemic traits and adiposity through a novel sex-and diet-specific mechanism.The sex-specific effects of this gene on fat distribution appear to be conserved and suggest that LYPLAL1 is the likely gene that the human variants work through to cause their effect.Indeed, this is the first mouse model of a gene implicated from human GWAS of fat distribution (Fox et al., 2012, Wang et al., 2016, Heid et al., 2010, Lindgren et al., 2009, Randall et al., 2013, Shungin et al., 2015) to show similar sex specific effects as in humans.
As a deacylating enzyme, murine LYPLAL1 has been shown to function in regulating the surface expression of membrane-associated proteins such as big potassium channels (BK) (Tian et al., 2012).However, the targets of LYPLAL1 protein's enzymatic function remain poorly defined.Given the strong sex specific effects of eliminating LYPLAL1 in mice, one possibility is that Lyplal1 may regulate the localization of estrogen receptors (Anderson and Ragan, 2016).In support of this theory, acylation of estrogen receptors has been previously shown from the literature to be crucial to their localization and function (Acconcia et al., 2005, Acconcia et al., 2004, Li et al., 2003).Indeed, from the literature estrogen receptors, such as ERα, are protective against development of diet-induced obesity and its related complications.Examining the levels of the ERα in adipose and non-adipose tissue showed that there may be a difference in abundance of ERα in fat depots in WT vs Lyplal1 KO mice.Another possibility is that LYPLAL1 targets the insulin receptor, which has also been shown to be spatially regulated by acylation (Magee and Siddle, 1988).The sex specificity of most of the phenotypes observed in Lyplal1 KO mice more strongly supports the role of a target that disproportionately affects female verses male mice.It is possible, due to the absence of differences between WT and Lyplal1 KO mice on high fat diet without high sucrose (Watson et al., 2017), a metabolic pathway that is more active when sucrose is included in the diet may also be required to express the phenotype.
Lyplal1 knockout mice (Lyplal1 tm1a(KOMP)Wtsi ) were previously constructed as part of the KOMP project (Skarnes et al., 2011, Ryder et al., 2013) and have been phenotyped by several groups (Watson et al., 2017, Ushakov et al., 2014, Norheim et al., 2019, Bassett and Williams, 2016).While these studies and ours show that Lyplal1 KO mice are alive and fertile, they differ from ours in some key aspects.One study that unlike ours did not expose animals to a challenge diet and that used a (Cre/Lox) rather than the CRISPR method like us to generate tissue-specific KO animals did not see an effect on adiposity phenotypes (Ryder et al., 2013).Two other studies did expose animals to a HFHS diet.Watson et al. did not observe significant changes in body weight, fat accumulation, metabolism, histology of fat and liver, or serum values between KO and WT mice on HFHS diet for 22 weeks (Watson et al., 2017).Norheim et al. reported an increase in body fat percentage of KO mice as compared to combined analysis of WT and heterozygous mice at 2 weeks after initiation of HFHS diet (Norheim et al., 2019).One possible explanation of these differences is that they are due to our knockout being in a C57BL6/J background versus a C57BL6/N background; C57BL6/J animals are more prone to higher body weight and impaired glucose tolerance on a high fat (60%) diet than C57BL6/N mice (Nicholson et al., 2010).A second possibility is that our diet had more saturated fat and higher sucrose than the other diet (Watson et al., 2017, Norheim et al., 2019).While some models of diet-induced obesity show changes in metabolic rate that account for some of the resistance to weight gain (Molero et al., 2006, Klaman et al., 2000, Shin et al., 2015, Smith et al., 2000), we did not observe any changes in total RER and fat versus glucose oxidation in female Lyplal1 KO mice compared to WT mice on HFHS diet.One possibility for why we did not see these changes in females is that the large weight difference between Lyplal1 KO and WT female mice may be a confounding factor in detection of metabolic differences, despite normalization of RER to lean body mass (Speakman, 2013).Restriction of diet-induced obesity resistance to female Lyplal1 KO mice parallels the strong sex-specific effects of variants near LYPLAL1 in humans on fat distribution (Fox et al., 2012, Heid et al., 2010, Lindgren et al., 2009, Randall et al., 2013, Wang et al., 2016), suggesting the presence of an evolutionarily conserved mechanism.While animal husbandry or other factors may impact the results obtained, the differences in knockout construct, mouse strain background (Nicholson et al., 2010), and diet composition (Watson et al., 2017, Norheim et al., 2019) may individually or collectively explain differences between these studies and ours.Importantly, our model strongly parallels metabolic effects in humans and allows us to dissect this novel gene by sex by diet mechanism Strengths of our study include the use of both male and female mice as well as use of various diets which was important in identifying the phenotype.Further, we analyzed tissue weights, serum characteristics, adipose and liver histology, as well as carried out molecular analyses in our animals to understand how Lyplal1 may affect fat distribution.Limitations of our study include that we do not know if these findings will transfer to humans.
In summary we show that our murine Lyplal1 KO strongly parallels metabolic effects in humans and adds to our understanding of the obesogenic pathophysiology of this locus.This information gives us insight into how we can possibly curb obesity in humans both by altering diet as well as by targeting genes that can reverse endogenous susceptibility to our current obesogenic environment.Further work on this mouse model will help us better understand how Lyplal1 and its human homolog LYPLAL1 contribute to obesity and metabolic diseases.

Figure 1 :
Figure 1: Female Lyplal1 KO mice have reduced body weight on high fat high sucrose diet, but not chow diet.(A) A genomic single base pair deletion (cyan, downward pointing arrow) located within the guide RNA (gRNA) DNA target sequence (orange) of exon 1 of murine Lyplal1 was generated utilizing CRISPR-Cas9 editing.This deletion resulted in a frameshift in the gene and expression of mRNA encoding 11 correct (green) and 13 incorrect (red) amino acids before terminating prematurely.Early termination of the transcript triggers nonsense-mediated decay of Lyplal1 mRNA, resulting in loss of Lyplal1 expression.Exons are depicted proportional in size to the number of base pairs within each exon.(B) Western blot from kidney tissue lysate of WT and Lyplal1 KO mice probed with antibodies against LYPLAL1 and GAPDH confirm loss of LYPLAL1 protein in Lyplal1 KO animals.Three mice from each genotype and sex are shown.Also see Supplemental Figure 8.

Figure 2 :
Figure 2: Reduced body weight in female Lyplal1 KO mice on HFHS diet is due to reduced white adipose tissue mass.(A)Locations of inguinal white adipose tissue (iWAT), gonadal WAT (gWAT), perirenal WAT (pWAT), and intrascapular brown adipose tissue (BAT) that were dissected are noted.(B) Body composition of mice on HFHS diet assessed by NMR shows reduced percentage of fat and a concomitant increased percentage of lean tissue in female, but not male, Lyplal1 KO mice.(C) Female, but not male, Lyplal1 KO mice on HFHS diet have reduced white adipose depot mass (gWAT, pWAT, and iWAT), but no difference in BAT mass.(D).No difference, by sex or genotype, was observed in liver and spleen mass from mice on HFHS diet.With mice on chow diet(E-G), no difference in NMR measured body composition(E), fat depot mass (F), or liver and spleen mass (G) of mice on chow diet were observed.Data are depicted as the mean ± SD. *, p<0.05; **, p<0.01; ***, p<0.001; ****, p<0.0001;(non-significant differences are marked ns) and are from n= 32 mice on HFHS diet (females: 8 WT & 9 Lyplal1 KO, males: 8 WT & 7 Lyplal1 KO mice) and from n= 36 mice on chow

Figure 3 :
Figure 3: Adipocyte diameter is reduced in female Lyplal1 KO mice on HFHS diet.(A & C) Grayscale representative images of H&E stained sections of gWAT and iWAT from mice on HFHS diet are shown imaged in brightfield (top image row) alongside the objects identified as individual adipocytes by the CellProfiler adipocyte pipeline (bottom image row).(B & D) Adipocyte diameter analyzed from gWAT (B) and iWAT (D) in female (left) and male (right) mice were generated by the CellProfiler adipocyte pipeline (see methods for more details) and are displayed as a histogram of adipocyte diameter in 10 µm bins.All adipocyte analyses are from 5 randomly captured fields of each fat depot from the 32 mice on HFHS diet and are depicted as the mean ± SD of 2845 to 7076 individual adipocytes analyzed from each fat depot per genotype and sex.*, p<0.05; **, p<0.01; ***, p<0.001 (non-significant differences are marked ns).WT females are red circles, KO females are blue squares, WT males are orange triangles and KO males are green diamonds.

Figure 4 :
Figure 4: Differences in adipocyte diameter associated with disruption of Lyplal1 are less pronounced in mice on chow diet.(A & C) Grayscale representative images of H&E stained sections of gWAT and iWAT from mice on chow diet are shown imaged in brightfield (top image row) alongside the objects identified as individual adipocytes by the CellProfiler adipocyte pipeline (bottom image row).(B & D) Adipocyte diameter analyzed from gWAT (B) and iWAT (D) in female (left) and male (right) mice were generated by the CellProfiler adipocyte pipeline (see methods for more details) and are displayed as a histogram of adipocyte diameter in 10 µm bins.All adipocyte analyses are from 5 randomly captured fields of each fat depot from n=16 mice on chow diet (females: 3 WT & 8 Lyplal1 KO, males: 2 WT & 3 Lyplal1 KO) and are depicted as the mean ± SD of 2845 to 7076 individual adipocytes analyzed from each fat depot per genotype and sex.*, p<0.05; **, p<0.01; ***, p<0.001 (non-significant

Figure 6 :
Figure 6: Female Lyplal1 KO mice on HFHS diet have similar glucose and insulin tolerance compared to WT littermates.(A-D) Mice on HFHS diet.(A-B) Glucose tolerance test (GTT) with levels of serum glucose prior to (time 0) and following an intraperitoneal injection of glucose in female (A) and male mice (B) on HFHS diet are shown.(C-D) Insulin tolerance test (ITT) with levels of serum glucose prior to (time 0) and following an intraperitoneal injection of insulin in female (C) and male mice (D) on HFHS diet are shown.(E-H) Mice on chow diet.(E-F) Glucose tolerance test (GTT) with levels of serum glucose prior to (time 0) and following an intraperitoneal injection of glucose in female (E) and male mice (F) on chow diet are shown.(G-H) Insulin tolerance test (ITT) with levels of serum glucose prior to (time 0) and following an intraperitoneal injection of insulin in female (G) and male mice (H) on chow diet are shown.Data are depicted as the mean ± SD. *, p<0.05; **, p<0.01; ***, p<0.001 (non-significant differences are marked ns) and are from n= 32 mice on HFHS diet (females: 8 WT &

Figure 7 :
Figure 7: Female Lyplal1 KO mice on HFHS diet have elevated serum triglycerides and reduced serum markers of liver damage but disruption of Lyplal1 does not alter serum triglyceride or serum liver enzymes in mice on chow diet.(A-B) Mice on HFHS diet.non-fasted serum lipid (triglyceride and cholesterol) (A), and non-fasted serum liver enzymes (ALT, AST, ALP) (B) for mice on HFHS diet show elevation in serum triglycerides and decreased AST and ALT in female Lyplal1 KO mice.(C-D) Mice on chow diet.Non-fasted serum lipid (triglyceride and cholesterol) (D), and non-fasted serum liver enzymes (ALT, AST, ALP) (D) for mice on chow diet show no differences by genotype.Data are depicted as the mean ± SD. *, p<0.05; **, p<0.01; ***, p<0.001 (non-significant differences are marked ns) and are from n= 32 mice on HFHS diet (females: 8 WT & 9 Lyplal1 KO, males: 8 WT & 7 Lyplal1 KO mice) and from n=16 mice on chow diet (females: 3 WT & 8 Lyplal1 KO, males: 2 WT & 3 Lyplal1 KO).genotype.WT females are red circles, KO females are blue squares, WT males are orange triangles and KO males are green diamonds.Mice on HFHS diet are closed symbols and mice on chow diet are open symbols.

Figure 10 :
Figure 10: Western Blotting of protein extracts from adipose, liver and muscle tissue with anti Estrogen Receptor alpha antibody.(A) Protein extracts from adipose tissue (iWAT, gWAT), liver tissue, or muscle tissue (Female WT left, Female KO left right) were western blotted with anti-ERα and anti-GAPDH antibodies.(B) Plots of the ratio of ERα/GAPDH signal.Data are depicted as mean and individual data points.*, p<0.05; **, p<0.01; ***, p<0.001.WT females are red circles, KO females are blue squares.