Located in the mediobasal hypothalamus, the ARC is particularly positioned to sense circulating factors that regulate metabolism. Together with the median eminence, the ARC is a circumventricular organ that lacks a true blood–brain barrier (BBB) formed by endothelial cells, resulting in exposure to circulating factors [31]. Others have previously reported effects of obesogenic diets in the development of hypothalamic neuroinflammation [18–20, 22]. However, whether this is a sex-specific, reversible process still needs validation. In this study, we found that female mice fed HFHSD for 24 weeks exhibited a shift in cytokine mRNA levels, accompanied by astrocyte and microglia activation. These features were largely normalized to control levels after diet reversal. On the other hand, male mice presented an overall decrease in pro- and anti-inflammatory cytokine levels, which also tended to be normalized after diet reversal. Interestingly, female but not male mice showed astrogliosis after long-term HFHSD exposure. Since only females recovered microglia activation, we propose that astrogliosis in long-term HFHSD exposure is not triggering injury, but can rather facilitate the resolution of neuroinflammation. In contrast to our findings of astrogliosis in females but not males after obesogenic diet exposure for 24 weeks, a shorter 8-week HFD exposure was found to induce astroglyosis in the arcuate nucleus of males but not females [32].
It has been previously reviewed that both basal body inflammatory and immune responses have sex-specific differences based on genetic mediators (such as sex chromosomes and microRNAs and long non-coding RNAs), hormonal mediators (estradiol, progesterone, and androgens), and environmental mediators (e.g. nutrition and microbiome) [33]. It was formerly found that both innate and adaptive responses are generally higher in females compared to males. Females tend to have greater antibody levels and responses, higher immunoglobulin levels and higher B cell numbers [34, 35]. For example, it has been shown that female adult mice possess higher levels of T helper 1 cytokine producing cells, responsible for the production of INF-γ [36], which corroborates our findings. This gender-specific differences can be due to the fact that both androgen and estrogen response elements can be found in the promoters of several innate immunity genes, leading to a dimorphic immune response [37]. It was already shown that low levels of the female sex hormone estradiol can increase the production of pro-inflammatory cytokines IL-1, IL-6 and TNF-α, while higher levels of this hormone have the opposite effect [38]. On the other hand, male sex hormones androgens have been described to exhibited anti-inflammatory properties. Testosterone was revealed to increase the levels of anti-inflammatory cytokine TGF-β [39], while reducing the levels of pro-inflammatory cytokine TNF-α [40], as observed in the present study.
Few preclinical studies have looked at the effect of obesogenic diets comparing male and female, and even fewer took this gender consideration regarding hypothalamic inflammation. Daly et al. investigated sex differences when mice were fed with HFHSD and found that male mice displayed lower levels of the pro-inflammatory cytokines IL-1β and IL-6 compared sex-related mice fed a low-fat, low-sucrose diet (LFLSD) [26]. Contrarily, HFHSD fed female mice evidenced an increase in cytokines levels compared to the correspondent LFLSD group [40]. The authors found no alterations on TGF-β and TNF-α protein levels. Recently, a broad study comparing sex- and age- dependent behavior and inflammatory parameters in mouse under high-fat but not high sucrose diet, described alterations in plasma of young female mice, while no effects after 5–6 months of HFD were observed on young male mice [41]. Increased pro-inflammatory cytokines and chemokines such as IL17A/CTLA8, Eotaxin/CCL11, MCP3/CCL7, and Leptin were observed in HFD-fed females, with decreased levels of IL22 (the IL-10 family cytokine that is produced by T cells [41]. In the brain innate immunity, a decrease in microglial cell complexity in HFHSD male mice was found by Daly et al., a marker for cell activation. No changes were observed between the female mice groups. Interestingly, the same study reported major differences in gut microbiome species between all the different groups, and, more specifically, HFHSD male mice develop an increase gut microbiota species diversity compared to LFLSD. Moreover, a correlation between diet-induced gut microbiome alterations and hypothalamic inflammatory profile was evident [26]. This dysbiosis was previously shown to affect the central nervous system physiology and inflammation through the gut-brain axis, that encompasses a panoply of intricate pathways that include the vagal nerve, the immune system, and bacterial-derived metabolites [42, 43]. Since neuroinflammation can be a direct response to how components of the diet are metabolized after digestion and that many metabolites can specifically arise from gut microbiome metabolism, one can speculate that gut dysbiosis can be a major player in diet-induced neuroinflammation. Intestinal inflammation and increased permeability develop in adult male mice after 12 weeks of HFD or high sugar diet [44], with a clearly variable diet-dependent changes in the levels of cytokines in the colon of mice [44, 25]. However, more studies are needed on the sex-related alterations across the gut-brain axis and its connection between gut dysbiosis as a cause for neuroinflammation. Moreover, little is known about the effects of a RevD on the gut microbiome.
To our surprise, neuroinflammatory markers measured in our study were not strikingly increased after 3 days of HFHSD exposure, in contrast to observations by Thaler et al. using HFD [18]. Aside any possible experimental peculiarities on mouse strain, diet, housing or handling, our experience feeding obesogenic diets [14, 22, 23, 45] to mice leads us to believe that HFD alone might be a stronger inducer of metabolic syndrome than HFHSD. The lower severity of metabolic syndrome during HFHSD than during HFD is likely the reason for the present study to not reproduce the early hypothalamic inflammation reported for HFD-fed mice [18, 22, 23].
To conclude, mice fed HFHSD display complex sex-specific changes of inflammatory cytokine profiles in the hypothalamus that can be partially reversed by diet normalization. These cytokine changes are, however, not necessarily accompanied by or indicative of gliosis. In fact, male mice showed activation of microglia but not astrocytes upon HFHSD feeding, while female mice showed activation of both, and gliosis was reversible in females but not males.