A5 A MOUSE MODEL TO UNRAVEL THE PATHOPHYSIOLOGICAL LINK BETWEEN CROHN’S DISEASE AND TYPE-2 DIABETES-ASSOCIATED METABOLIC DISORDERS

Background

Crohn’s disease (CD), an idiopathic inflammatory bowel disease (IBD), has been recently shown to increase the risk of developing type 2 diabetes (T2D). Moreover, treatment with anti-diabetic drugs has a protective role in preventing the severity and course of CD progression. However, the pathophysiological basis of T2D development in CD remains unclear. Findings have highlighted the contribution of adipose tissue (AT) to the development of chronic inflammatory diseases and have identified parallels between T2D and CD that may provide hints to common mechanisms of disease pathogenesis. Typically, microbial dysbiosis, hyperpermeable intestinal barrier, and intra-abdominal AT accumulation are the common features of both diseases, yet how the interplay of these factors contribute to pathogenesis is not known. Therefore, common pathogenic paradigms underlying both T2D and CD have led us to hypothesize that chronic intestinal inflammation serves as an initiator of AT dysfunction in CD, predisposing individuals to T2D. Further, the lack of appropriate animal models of CD with chronic intestinal inflammation that manifests accumulation of intra-abdominal AT, and extra-intestinal metabolic disorder as observed in CD and T2D patients has been a limitation.

Purpose

To develop a genetic mouse model to investigate if gut inflammation-mediated microbial dysbiosis and metabolic dysregulation of AT are at the nexus that cause T2D in CD.

Method

We developed a CD-mouse model, where we challenged Nod2-deficient mice (NOD2 being the strongest genetic risk factor contributing to CD) with a chronic inflammatory insult regime, using dextran sulfate sodium (cDSS) for 3 cycles. Subsequently, intraperitoneal insulin and oral glucose tolerance tests, metabolic caging, and MRI imaging of mice were performed. Changes in AT metabolism and microbial infiltration into AT were analyzed by quantitative real-time PCR (qRT-PCR) and/or immunohistochemistry (IHC).

Result(s)

Our new CD-mouse model revealed increased gut inflammation (TNF and type-I IFN) in Nod2-deficient mice compared to wild-type control mice post-cDSS. Surprisingly, Nod2-deficient mice gained body weight, which was at least in part accounted for by an increased intra-abdominal AT accumulation along with decreased AT fatty-acid metabolism (Cpt1a, Fabp4 expression) and AT browning (Ucp1, Cidea expression, and UCP-1 staining), reduced intestinal goblet cell numbers, increased gut bacterial infiltration within the fat, more insulin resistance and energy expenditure.

Conclusion(s)

This experimental mouse model mimicking CD-associated T2D will provide insights into how the microbiome-AT axis fuel chronic inflammation-mediated extra-intestinal metabolic disorder and immune dysregulation. Understanding these connections will be transformative, as it will help us devise novel therapeutic strategies to prevent T2D development in progressive CD patients.

Disclosure of Interest

None Declared

Body composition and eating behaviours in relation to dieting involvement in a sample of urban Greek adolescents from the TEENAGE (TEENs of Attica: Genes & Environment) study

OBJECTIVE

To document the prevalence of dieting and to compare body composition markers, dietary intakes and eating behaviours across dieting categories.

DESIGN

Prospective, cross-sectional study.

SETTING

Twenty-four randomly selected secondary public schools located in Attica, Greece.

SUBJECTS

Anthropometric, medical and dietary information was obtained from 857 (54·9 % females) adolescents (mean age 13·4 (sd 0·9) years). Meal patterns, eating behaviours and eating style score, reflecting conditions around eating, were assessed. Adolescents were asked about their dieting involvement and were categorised as 'never dieters', 'current dieters' or 'past dieters'.

RESULTS

Overall, 20·1 % of the adolescents were currently dieting and 15·2 % reported past dieting. Mean BMI and body fat percentage of never dieters were significantly lower than those of both groups of dieters (P < 0·001). Breakfast skipping (χ 2 = 10·92, P = 0·004) and eating large quantities of food (χ 2 = 7·18, P = 0·028) differed significantly across dieting groups in females. Significant differences in dinner skipping were observed in both males (χ 2 = 10·55, P = 0·005) and females (χ 2 = 20·91, P < 0·001). Female past dieters had significantly higher eating style scores than never dieters (P = 0·010) and current dieters (P = 0·042), indicating less well-structured feeding practices and food intake for reasons other than hunger.

CONCLUSIONS

The present study showed a high prevalence of dieting among adolescents. Current dieters and past dieters had higher BMI and body fat percentage than never dieters. Eating behaviours differed significantly depending on dieting involvement, especially in females; while an apparently healthier, ordered eating style adopted by dieters during the dieting period seemed not to be maintained in the long term.

Replication of established common genetic variants for adult BMI and childhood obesity in Greek adolescents: the TEENAGE study

Multiple genetic loci have been associated with body mass index (BMI) and obesity. The aim of this study was to investigate the effects of established adult BMI and childhood obesity loci in a Greek adolescent cohort. For this purpose, 34 variants were selected for investigation in 707 (55.9% females) adolescents of Greek origin aged 13.42 ± 0.88 years. Cumulative effects of variants were assessed by calculating a genetic risk score (GRS-34) for each subject. Variants at the FTO, TMEM18, FAIM2, RBJ, ZNF608 and QPCTL loci yielded nominal evidence for association with BMI and/or overweight risk (p < 0.05). Variants at TFAP2B and NEGR1 loci showed nominal association (p < 0.05) with BMI and/or overweight risk in males and females respectively. Even though we did not detect any genome-wide significant associations, 27 out of 34 variants yielded directionally consistent effects with those reported by large-scale meta-analyses (binomial sign p = 0.0008). The GRS-34 was associated with both BMI (beta = 0.17 kg/m(2) /allele; p < 0.001) and overweight risk (OR = 1.09/allele; 95% CI: 1.04-1.16; p = 0.001). In conclusion, we replicate associations of established BMI and childhood obesity variants in a Greek adolescent cohort and confirm directionally consistent effects for most of them.

The potential of pesticides to contaminate the groundwater resources of the Axios river basin in Macedonia, Northern Greece. Part I. Monitoring study in the north part of the basin

The Axios river basin is an area of high agricultural importance for Macedonia, Northern Greece. High priced crops such as cotton, corn, sugarbeets, vegetables and rice are rotated with cereals and alfalfa and thus a great variety of pesticides are used annually for the control of pests and diseases. Moreover, the groundwater resources of the specific area constitute the main source of potable water for the surrounding cities and villages. Therefore, a study was initiated to investigate the probable risks of groundwater contamination with pesticides. The leaching of pesticides from agricultural soils was monitored in the phreatic horizon as well as in soil water samples collected with suction lysimeters. In parallel studies, the presence of pesticides in the irrigation water and the water of Axios river was also monitored. Pesticides like carbofuran, atrazine, alachlor and prometryne, which were regularly applied in the northern part of the basin during 1992-1994 were detected at concentrations occasionally exceeding 1 microg/l in soil water from the deeper soil layers and in the phreatic horizon. Residues of pesticides others than the ones applied in the studied area like propanil, terbufos and paraoxon-methyl were also detected at the deeper soil layers and in the phreatic horizon. The latter pesticides were also detected at significant concentrations in the irrigation water which mainly consisted of riverine water. The lack of an independent soil draining system and the use of riverine water for irrigation purposes resulted in the redistribution of residual amounts of these pesticides in the phreatic horizon beneath the agricultural area.

The potential of pesticides to contaminate the groundwater resources of the Axios river basin. Part II. Monitoring study in the south part of the basin

A monitoring study was conducted during 1992-1994 in the south part of the Axios river basin, which constitutes one of the main rice-cultivated basins of Greece. The potential of pesticides to contaminate groundwater resources was assessed under realistic agricultural conditions using suction lysimeters. Pesticide residues were also measured in local drainage canals, the phreatic horizon and Axios river. Carbofuran, atrazine, alachlor, prometryne and propanil were regularly detected at concentrations exceeding 1 microg/l in the soil water of deeper soil layers and in the phreatic horizon of the fields. Residues of those pesticides were measured in the soil water and the phreatic horizon of all the studied fields even though they had only been applied in certain fields. This almost uniform distribution of pesticide residues across the whole of the studied area was attributed to rice cultivation. Soil water and its pesticidal content was horizontally transported from saturated soil conditions beneath rice paddies to adjacent corn or cotton-cultivated fields with lower soil moisture contents. The presence of high pesticide concentrations in the water of the Axios river, which was used for the irrigation of the studied area, had probably contributed to the generalized pesticide contamination of the soil water in the studied area. These results suggest that there is a high risk for groundwater contamination in the basin.