Weight gain and inflammation regulate aromatase expression in male
adipose tissue, as evidenced by reporter gene activity
L. Polari
a,b
, E. Yatkin
a,b
, M.G. Martínez Chacón
a,b
, M. Ahotupa
c
, A. Smeds
d
, L. Strauss
b,e
,
F. Zhang
b,e
, M. Poutanen
b,e
, N. Saarinen
a,b,e
, S.I. Mäkelä
a,b,
*
a
Functional Foods Forum, University of Turku, Turku, Finland
b
Turku Center for Disease Modeling, Institute of Biomedicine, University of Turku, Turku, Finland
c
Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland
d
Åbo Akademi University, Process Chemistry Centre, Laboratory of Wood and Paper Chemistry, Turku, Finland
e
Department of Physiology, Institute of Biomedicine, University of Turku, Finland
ARTICLE INFO
Article history:
Received 19 February 2015
Received in revised form 11 May 2015
Accepted 1 June 2015
Available online
Keywords:
Aromatase
White adipose tissue
Inflammation
Obesity
Polyphenols
Lignans
A B ST R AC T
Obesity and white adipose tissue (WAT) inflammation are associated with enhanced aromatization in
women, but little is known about the regulation of aromatase (CYP19A1) gene expression in male WAT.
We investigated the impact of weight gain and WAT inflammation on the regulation of CYP19A1 in males,
by utilizing the hARO-Luc aromatase reporter mouse model containing a >100-kb 5′-region of the human
CYP19A1 gene. We show that hARO-Luc reporter activity is enhanced in WAT of mice with increased ad-
iposity and inflammation. Dexamethasone and TNFα, as well as forskolin and phorbol 12-myristate 13-
acetate, upregulate hARO-Luc activity, suggesting the involvement of promoters I.4 and I.3/II. Furthermore,
we show that diet enriched with antioxidative plant polyphenols attenuates WAT inflammation and hARO-
Luc activity in obese males. In conclusion, our data suggest that obesity-associated WAT inflammation
leads to increased peripheral CYP19A1 expression in males, and that polyphenol-enriched diet may have
the potential to attenuate excessive aromatization in WAT of obese men.
© 2015 Published by Elsevier Ireland Ltd.
1. Introduction
The final step in the biosynthesis of estrogens is catalyzed by the
cytochrome P450 aromatase (CYP19A1) enzyme, which converts an-
drostenedione and testosterone (T) to estrone and estradiol (E2),
respectively. In humans, white adipose tissue (WAT) is an impor-
tant site for extragonadal aromatization and estrogen production,
and it has been estimated that 80% of E2 in men is produced in
extragonadal tissues (MacDonald et al., 1979). Increase in WAT mass,
thus, leads into increased peripheral conversion of androgens to es-
trogens. Moreover, obesity-associated inflammatory factors
upregulate aromatase gene expression in WAT of women (Morris
et al., 2011; Subbaramaiah et al., 2012), indicating that low-grade
inflammation further contributes to increased estrogen biosynthe-
sis in WAT of obese individuals. Very little, however, is known about
the regulation of CYP19A1 gene expression, or the effects of locally
produced estrogens in male WAT.
Excessive estrogen production in WAT of obese men can be pos-
tulated to play a role in the development of various disorders, such
as male obesity-associated secondary hypogonadism (Tajar et al.,
2012) and breast cancer (Liukkonen et al., 2010). Obesity is asso-
ciated with elevated serum E2/T ratio in men (Dobs et al., 2001;
Foresta et al., 2009), and aromatase inhibitors normalize T levels
in hypogonadal obese men (de Ronde and de Jong, 2011). In order
to understand the pathophysiology of obesity-related endocrine
dysregulation in men, and to develop effective interventions, it is
necessary to define the mechanisms by which adiposity, inflam-
mation and dietary factors regulate the expression of CYP19A1 in
male WAT. These mechanisms are difficult to study in human sub-
jects, and experimental studies in vivo have been hampered by the
lack of appropriate rodent models, due to the critical differences in
the regulatory regions of human and rodent CYP19A1 genes (Zhao
et al., 2009). Human CYP19A1 gene is widely expressed in
extragonadal tissues, and consists of at least 11 noncoding first exons,
alternatively expressed in different tissues and each controlled by
distinct sets of cytokines and hormones (Demura et al., 2008;
Simpson et al., 2002). In rodent aromatase gene, the regulatory region
is less complex, and lacks several of the first exons that drive
extragonadal aromatase expression in humans (Golovine et al., 2003).
Abbreviations: CLS, crown like structure; DEX, dexamethasone; E2, 17β-
estradiol; FSK, forskolin; HFD, high fat diet; GF, gonadal fat tissue; LFD, low fat diet;
Luc, luciferase; MSC, mesenchymal stromal cell; PKE, pine knot extract; PMA, phorbol
12-myristate 13-acetate; SCF, subcutaneous fat tissue; T, testosterone; WAT, white
adipose tissue.
* Corresponding author. Functional Foods Forum, University of Turku, 20520 Turku,
Finland. Tel.: +358 405143714.
E-mail address: sarmak@utu.fi (S.I. Mäkelä).
http://dx.doi.org/10.1016/j.mce.2015.06.002
0303-7207/© 2015 Published by Elsevier Ireland Ltd.
Molecular and Cellular Endocrinology ■■ (2015) ■■–■■
ARTICLE IN PRESS
Please cite this article in press as: L. Polari, et al.,Weight gain and inflammation regulate aromatase expression in male adipose tissue, as evidenced by reporter gene activity, Mo-
lecular and Cellular Endocrinology (2015), doi: 10.1016/j.mce.2015.06.002
Contents lists available at ScienceDirect
Molecular and Cellular Endocrinology
journal homepage: www.elsevier.com/locate/mce
Q2
Q1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34 35
36 37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89