Metabolic syndrome (Mets) is a clinical syndrome characterized by concurrence of 3 or more symptoms, including obesity, elevated blood pressure, insulin (INS) resistance, high serum triglyceride (TG) and low serum high-density lipoprotein cholesterol [1]. Presently, Mets is widespread with a prevalence of 10–40% in the world and 13–35% in European countries [2, 3]. It is well accepted that Mets is associated with abdominal obesity, dyslipidemia, inflammation, INS resistance and diabetes. As a key etiological manifestation of Mets, abdominal obesity marks the dysfunction of adipose metabolism, which contributes most in Mets development [1].
Non-alcoholic fatty liver disease (NAFLD) is a pandemic chronic liver disease, and its increasing prevalence parallels the global rise in diabetes and obesity [4]. NAFLD is considered as a typical hepatic symptom of Mets, and obesity is a key factor driving the development of NAFLD [5]. According to epidemiological statistical analysis, 75% of obese people develop NAFLD and only 16% weigh normal with NAFLD. Thus the prevalence rate of NAFLD in obese patients is 4.6 times higher than that those with normal body weight [6]. So NAFLD can occur in subjects of normal weight (lean) or overweight, called lean NAFLD or non-obese NAFLD [7]. Due to the absence of obesity as a risk factor, the diagnosis and evaluation of non-obese NAFLD are often ignored, leading to the loss of early treatment opportunities. Therefore, NAFLD development in abscence of obesity deserves clinical vigilance.
Noise includes sound of different frequencies or intensities in daily life and working environments, which makes people uncomfortable [8, 9]. In European countries, 56 million people (54%) were exposed to an average of 55 decibels of road traffic noise [10]. As the 2nd risky environmental pollution, noise imposes threats to human health and well-being. The magnitude and intensity of noise were expected to increase due to population growth, urbanization, and the use of powerful, diverse and highly mobile noise sources [11]. The most ordinary source of anthropogenic noise was traffic, such as cars, airplanes and ships [12]. The most general threat to the human body caused by noise is hearing impairment [13]. Exposure to noise also caused damages to the human nervous system, endocrine system, cardiovascular system, digestive system and so on [14]. However, the relationship between noise exposure and metabolic disorders is not fully understood.
Studies reported the effect of noise on body weight, but the conclusions were contradictory. In female rats, 17 days of noise treatment (65 to 100 dB) increased their body weight by 123% [15]. In a detailed study, male mice were exposed to 95 dB noise for 4 hours per day for 1, 10, and 20 days. One week and one month after the end of exposure, the body weight gain (BWG) of these mice were increased by 1.05, 1.07, 1.09-fold and 1.12, 1.16, 1.23-fold respectively [16]. Data from the 2014 US National Health Interview Survey showed that exposure to high levels of occupational noise for 15 years or longer increased the risk of obesity by 46% [17]. In contrast, noise exposure was also reported to suppress the BWG. After 30-day exposure to 90 dB noise, the body weight of mice in the noise-exposed group was reduced by 10% [16]. In line with this study, 2-week exposure to noise of 85 dB hindered obesity development by 30% in high-fat diet (HFD)-treated mice [18]. All of the above data reported the obesogenic effect of high-intensity noise. Nevertheless, how long-term low-intensity noise exposure affects BWG is not known, neither is the underlying mechanism.
Peroxisome proliferator-activated receptor alpha (PPARα) belongs to the nuclear receptor family, which is mainly expressed in tissues with rapid fatty acid metabolism. It is known to be protective in the development of Mets. The increase of body weight, adipose tissue, serum TG and impaired glucose tolerance were attenuated, when the HFD-treated mice were dosed PPARα agonists gemfibrozil and fenofibrate [19]. PPARα was reported to mediate BWG in HFD-treated mice exposed to light pollution [20]. Besides the involvement in regulating fatty acid metabolism, new functions of PPARα were reported to be involved in neuroscience in the past few years [21–23]. In Parkinson's disease rats, PPARα inhibited Caspase-3 activation, alleviated dopaminergic neuron degeneration and striatal dopamine loss. PPARα also reduced depression-like behavior and cognitive dysfunction in mice [24]. In Alzheimer's disease, activated PPARα played a neuroprotective role by attenuating Aβ42-induced DNA damage and neuronal apoptosis [25]. However, as a nuclear receptor, regulation of obesity development by the PPARα in the central nervous system was not known.
In this study, wild type (WT) and Pparα-null (KO) mice on HFD were exposed to 75 dB noise for 12 weeks to investigate the effect of low-intensity noise on development of NAFLD and obesity, as well as the role of PPARα in this process. The endocrine system and lipid metabolism/transport were analyzed to explore the underlying mechanism.