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Hindawi Publishing CorporationJournal of Diabetes ResearchVolume 2013, Article ID 948257, 9 pageshttp://dx.doi.org/10.1155/2013/948257Review ArticleMetabolic Disorders and Diabetic Complications inSpontaneously Diabetic Torii Lepr๐‘“๐‘“๐‘“๐‘“ Rat: A New Obese Type 2Diabetic ModelYusuke Kemmochi, Kenji Fukui, Mimi Maki, Shuichi Kimura, Yukihito Ishii,Tomohiko Sasase, Katsuhiro Miyajima, and Takeshi OhtaJapan Tobacco Inc., Central Pharmaceutical Research Institute, 1-1, Murasaki-cho, Takatsuki, Osaka 569-1125, JapanCorrespondence should be addressed to Takeshi Ohta; takeshi.ota@jt.comReceived 6 November 2012; Revised 11 December 2012; Accepted 12 December 2012Academic Editor: Kozo MatsumotoCopyright 2013 Yusuke Kemmochi et al. is is an open access article distributed under the Creative Commons AttributionLicense, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properlycited.Spontaneously Diabetic Torii Lepr๐‘“๐‘“๐‘“๐‘“ (SDT fatty) rat, established by introducing the fa allele of the Zucker fatty rat into SDT ratgenome, is a new model of obese type 2 diabetes. Both male and female SDT fatty rats show overt obesity, and hyperglycemiaand hyperlipidemia are observed at a young age as compared with SDT rats. With early incidence of diabetes mellitus, diabeticcomplications, such as nephropathy, retinopathy, and neuropathy, in SDT fatty rats were seen at younger ages compared to thosein the SDT rats. In this paper, we overview pathophysiological features in SDT fatty rats and also describe new insights regardingthe hematology, blood pressure, renal complications, and sexual dysfunction. e SDT fatty rats showed an increase of leukocytes,especially the monocyte count, prominent hypertension associated with salt drinking, end-stage renal disease with aging, andhypogonadism. Unlike other diabetic models, the characteristic of SDT fatty rat is to present an incidence of diabetes in females,hypertension, and retinopathy. SDT fatty rat is a useful model for analysis of various metabolic disorders and the evaluation ofdrugs related to metabolic disease.1. IntroductionType 2 diabetes mellitus is a polygenic disorder that is causedby a metabolic and/or hormonal imbalance between insulinsecretion from ๐›ฝ๐›ฝ cells and insulin sensitivity in peripheraltissues, both of which might be modi ed by genetic andenvironmental factors [1]. e decreased sensitivity to insulinleads to an increased requirement for insulin and is o enassociated with obesity in which metabolic disturbances aremarked in insulin-target organs, such as the liver, muscle,and adipose tissues [2]. Obesity plays key roles in thepathophysiology of several metabolic diseases and is a riskfactor for diabetes mellitus and for dyslipidemia [3]. Diabeticanimal models play critical roles in the elucidation of themechanisms of diabetes mellitus and the complications [4]and in the development of novel drugs as treatments [5, 6].Based on the previously mentioned concept, a novel modelof obesity-related diabetes was established by Masuyamaet al. [7]. ey established a congenic line of the Spontaneously Diabetic Torii (SDT) rat by introducing the faallele of the Zucker fatty rat into the SDT rat genome viathe Speed Congenic Method using a PCR technique withDNA markers. is congenic strain has been maintained byintercrossing between fa-heterozygous littermates. SDT ratsdevelop diabetes independent of obesity [8โ€“10]. ey havenormal body weights, blood glucose levels, insulin levels,and lipid levels until about 16 weeks of age and, therea er,develop hyperglycemia associated with hypoinsulinemia,which results from the degeneration of pancreatic beta cells[11โ€“13]. As a result of chronic hyperglycemia, the SDT ratsdevelop profound complications in eyes, peripheral nerves,kidneys, and bones [8, 9].

2Journal of Diabetes ResearchT 1: Changes of fat tissue weights in SDT fatty rats and SDTrats. Visceral and subcutaneous fat tissue weights were determinedby computed tomography analysis. Data represent mean standarddeviation (๐‘›๐‘› ๐‘› ๐‘›).4 weeks ofage12 weeks ofage20 weeks ofageVisceral fat (g)6.3 1.2 Subcutaneous fat (g) 10.2 1.5 Total fat (g)16.5 2.7 54.4 4.0 37.8 6.2 74.1 3.9 31.8 4.4 SDT fatty ratSDT ratVisceral fat (g)Subcutaneous fat (g)Total fat (g) 2.1 0.80.9 0.63.0 0.592.2 9.9 105.9 7.8 30.3 4.635.3 14.421.7 3.48.6 1.3๐‘ƒ๐‘ƒ ๐‘ƒ ๐‘ƒ๐‘ƒ๐‘ƒ๐‘ƒ: signi cantly di๏ฌ€erent from age matched SDT rats.25.1 8.510.2 5.92. Physiological Features e fa/fa (SDT fatty) rats of both sexes became overtly obeseand showed a signi cant hyperphagia. Also, the B I (bodymass index) was greater in SDT fatty rats (mean value, 0.91and 0.87 g/cm2 in males and females, resp.) than that in leanrats (0.75 and 0.58 g/cm2 in males and females, resp.) at 14weeks of age [7]. Fat weights in SDT fatty rats were higherthan those in SDT rats. Both visceral and subcutaneousfat weights were signi cantly higher in SDT fatty rats, but,especially, the visceral fat weight was markedly elevated withaging (Table 1 and Figure 1) [14].Serum glucose levels in SDT fatty rats of both sexeswere elevated from 6 weeks, and lipid parameters such asserum triglyceride and total cholesterol levels in the ratswere elevated from 4 weeks of age. e hyperglycemia andhyperlipidemia were sustained for a long time a erwards[15, 16]. e male SDT fatty rats showed hyperinsulinemiafrom 4 to 8 weeks of age, but a er 16 weeks their insulinlevels decreased to levels similar to those in SDT rats. In thefemale rats, hyperinsulinemia was shown from 4 to 12 weeksof age, and the insulin levels decreased gradually. Also, aremarkable rise in renal parameters such as urine volume andurine protein was shown in SDT fatty rats of both sexes.E๏ฌ€ect of food restriction in SDT fatty rats was investigated[14, 17]. SDT fatty rats were subjected to pair feeding withSDT rats. Body weights of the pair-fed rats were similar withthose of SDT rats. Improvement of hyperglycemia or hypertriglyceridemia was observed, but hypercholesterolemia wasnot entirely improved (Figure 2). e changes in adiposetissue were interesting. e visceral/subcutaneous (V/S) fatratio decreased in the pair-fed rats (mean standard deviation: control rats, 2.04 0.66; Pair-fed rats, 1.28 0.19),although the total fat (visceral fat and subcutaneous fat)weight did not change (mean standard deviation: controlrats, 137.5 52.5 g; Pair-fed rats, 135.2 10.4 g). Cell size ofthe epididymal fat in the pair-fed rats tended to decrease, andglucose oxidation level in epididymal fat in the pair-fed ratswas recovered to a similar level with that in SDT rats [14].In the glucose tolerance test conducted at 9 weeks ofage, SDT fatty rats showed higher serum glucose levelsa er glucose loading without any response of plasma insulin[18]. ose impaired glucose tolerance and insulin secretionwere deteriorated with aging. In pancreatic islets of femaleSDT fatty rats, pathological ndings such as vacuolation,hypertrophy, and hemorrhage were observed from 8 weeksof age, and ndings such as atrophy and brosis in the isletswere observed from 24 weeks of age (Figure 3) [16]. In SDTrats, glucose intolerance was observed in prediabetic stage[12, 13]. e histological features in the pancreas of SDT ratswere as follows: in 10โ€“20 weeks of age, slight changes suchas hemorrhage, hemosiderin deposition, in ammatory cellin ltration, and brosis in and around the islets; in 25 weeksof age, hemosiderin deposition, cellular in ltration with lymphocytes and macrophages, and brous tissue proliferation inand around the islets [8].New results in hematologic analysis are shown in Table2. Nonfasted serum parameters, such as leukocyte count(WBC), erythrocyte count (RBC), hemoglobin (Hb), andhematocrit (Ht) level, were examined at 6 and 12 weeks of age.Also, di๏ฌ€erential counts of leukocytes, such as neutrophils,eosinophils, basophils, monocytes, and lymphocytes, weredetermined, respectively. Blood samples were collected fromthe tail vein of rats. e levels were measured using an automatic analyzer (ADVIA 120 Hematology System (SiemensAG), Erlangen, Germany). WBC and Ht levels in SDT fattyrats were signi cantly higher as compared with those in SDrats at both 6 and 12 weeks of age. In di๏ฌ€erential countsof leukocytes, the monocyte count was signi cantly higherat 12 weeks of age in SDT fatty rats. It is reported thattype 2 diabetes mellitus or obesity is a chronic in ammatorystate aggravated by factors that promote in ammation atthe level of vasculature and adipose tissue [19โ€“21]. Sincethe monocyte count in WBC is elevated, in the future, it isnecessary to investigate the in ammatory state in SDT fattyrats. RBC and Hb levels in SDT fatty rats were comparable tothose in SD rats at 6 and 12 weeks of age.We examined blood pressure, known to be a risk factorfor metabolic syndrome, in SDT fatty rats. In male SDT fattyrats, blood pressure was signi cantly higher from 8 to 24weeks of age, as compared with age-matched SD rats [22].Furthermore, we con rmed a new insight regarding bloodpressure in SDT fatty rats: a high sensitivity to sodium. Bloodpressure in SDT fatty rats is markedly elevated with sodiumdrinking. A 1% NaCl solution was given to male SDT fattyrats for 8 weeks, from 4 to 12 weeks of age. e systolicblood pressure in SDT fatty rats was signi cantly higheras compared with that in control-SDT fatty rats (mean standard deviation: NaCl-SDT fatty rats, 200.2 22.0 mmHg;control-SDT fatty rats, 137.2 13.0 mmHg). SDT fatty ratsshowed a high sensitivity for sodium. In other words, anelevation of blood pressure in the rats was more prominenta er sodium loading.3. Diabetic Complications3.1. Microvascular Disease. With early incidence of diabetesmellitus, diabetes-associated complications in SDT fatty rats

Journal of Diabetes Research3(a)(b)F 1: Computed tomography analysis at 12 weeks of age (representative tomogram). (a) SDT fatty rat; (b) SDT rat. Yellow: subcutaneousfat; red: visceral fat; blue: lean [14].1000600 Glucose (mg/dL)Body weight (g)800400 200600** 400200######10120068101268Weeks of ageWeeks of age(a)(b) 800200 600400####200##0Total cholesterol (mg/dL)1000Triglyceride (mg/dL) 150 1005006810Weeks of age12681012Weeks of ageSDT fatty ratPair-fed SDT fatty ratSDT ratSDT fatty ratPair-fed SDT fatty ratSDT rat(c)(d)F 2: Changes in body weights (a) and serum parameters (b) glucose; (c) triglyceride; (d) total cholesterol) in SDT fatty rats, pair-fed SDTfatty rats, and SDT rats. Data represent mean standard deviation (๐‘›๐‘› ๐‘› ๐‘›). ## ๐‘ƒ๐‘ƒ ๐‘ƒ ๐‘ƒ๐‘ƒ๐‘ƒ๐‘ƒ: signi cantly di erent from SDT fatty rat. ๐‘ƒ๐‘ƒ ๐‘ƒ ๐‘ƒ๐‘ƒ๐‘ƒ๐‘ƒ:signi cantly di erent from SDT rat.

14.77 2.1524.56 1.77 13.72 2.2118.82 2.43 8.30 0.478.67 0.586.44 0.516.94 0.20RBC ( 106 /๐œ‡๐œ‡L)14.4 1.315.8 1.112.4 2.313.5 0.5HGB (g/dL)Neutrophil (%)6 weeks of age42.5 1.121.7 5.448.2 1.7 16.7 3.012 weeks of age47.6 1.326.1 6.355.0 4.3 25.4 3.4HCT (%)69.4 6.568.9 4.373.5 5.578.6 3.6Lymphocyte (%)1.9 0.63.4 1.0 2.7 0.53.0 0.7Monocyte (%)T 2: Hematological examination of SD rats and SDT fatty rats. Data represent mean standard deviation (๐‘›๐‘› ๐‘› ๐‘›).๐‘ƒ๐‘ƒ ๐‘ƒ ๐‘ƒ๐‘ƒ๐‘ƒ๐‘ƒ, ๐‘ƒ๐‘ƒ ๐‘ƒ ๐‘ƒ๐‘ƒ๐‘ƒ๐‘ƒ: signi cantly di erent from age matched SD rats.SDSDT fattySDSDT fattyWBC ( 10 /๐œ‡๐œ‡L)32.2 0.81.5 0.11.5 0.40.8 0.2 Eosinophil (%)0.1 0.10.2 0.10.1 0.00.2 0.0Basophil (%)4Journal of Diabetes Research

Journal of Diabetes ResearchF 3: Histological analysis, HE stain. Pathological ndings suchas atrophy and brosis in pancreatic islets of female SDT fatty rat at24 weeks of age. Bar 50 ๐œ‡๐œ‡m.were seen at younger ages compared to those in the SDTrats. In male SDT fatty rats, histopathological examinationof the kidneys revealed changes in the glomeruli from 16weeks and in the renal tubules from 8 weeks of age [15].In the glomeruli, glomerulosclerosis was observed from 16weeks of age, and the sclerosis progressed with aging. Nodularlesions were observed at 40 weeks of age. In the renal tubules,glycogen deposition in the tubular epithelium (ArmanniEbstein lesions) and tubular dilation were noted from 8 weeksof age, and the change progressed from 8 to 16 weeks ofage. In female SDT fatty rats, a qualitatively equal changewas observed in histopathological ndings of kidneys [16]. e female rats revealed changes in the glomeruli from32 weeks of age, and in the renal tubules from 16 weeks,and the changes progressed with aging. Furthermore, weinvestigated histopathological characteristics of the kidneysin male and female SDT fatty rats at 60 weeks of age.Di๏ฌ€use glomerulosclerosis, including increased mesangialmatrix and glomerular hypertrophy, was severely progressedin the SDT fatty rats. Moreover, tubular and interstitiallesions, including brosis and in ammatory cell ltration,were progressed in the SDT fatty rats (Figure 4). ere wereno clear sex di๏ฌ€erences in the morphological characteristicsof the renal lesions.Histopathological ndings in lens, including hyperplasia of epithelium, vacuolation of ber, and occurrence ofMorgagnian globules, were observed from 8 weeks of agein male SDT fatty rats, and these changes progressed withaging. e female rats showed similar changes from 16 weeksof age. Also, retinal lesions, such as folding and thickening,were observed with aging in male and female SDT fattyrats.Diabetic peripheral neuropathy was evaluated at 8, 24,and 40 weeks of age in male SDT fatty rats. Tail motor nerveconduction velocity (MNCV) in the SDT fatty rat was delayedat 24 weeks of age and was further decreased at 40 weeks ofage (Figure 5) [23]. Histopathologically, at 40 weeks of age,the ber number was signi cantly decreased, and SDT fattyrats revealed signi cant atrophy in myelinated nerve. Sixweek treatment of pioglitazone, a peroxisome proliferatoractivated receptor (PPAR)-๐›พ๐›พ agonist, lowered blood glucose5F 4: Histological analysis. HE stain. Severely progressedglomerular and tubulointerstitial lesions in male SDT fatty rat at 60weeks of age ere are completely sclerotic glomeruli and atrophictubules with many in ammatory cells in the interstitum. Bar 100 ๐œ‡๐œ‡m.level and prevented delay of sciatic MNCV in SDT fatty rats[23].3.2. Osteoporosis. We investigated the e๏ฌ€ects of obese type2 diabetes on bone turnover, bone mass, and bone strengthin SDT fatty rats [24, 25]. Both serum osteocalcin, a boneformation marker, and urine deoxypyridinoline, a boneresorption marker, levels were lower in male SDT fatty ratscompared to age-matched SD rats from 8 to 40 weeks ofage (Figures 6(a) and 6(b)). e early onset of diabetesand obesity in male SDT fatty rats induced decreases inboth serum osteocalcin and urine deoxypyridinoline andresulted in low bone turnover at a young age, 8 weeks ofage. Male SDT fatty rats showed lower bone mineral density(BMD) and bone mineral content (BMC) of the whole tibia(Figures 7(a) and 7(b)) and shortening of the tibia and femurcompared to age-matched SD rats [25]. Deterioration in bonegeometrical properties of the femur midsha , such as corticalthickness and minimum moment of inertia, was observed inmale SDT fatty rats. Furthermore, trabecular bone volumeof the distal femur was lower in the SDT fatty rats. esenegative e๏ฌ€ects on bone in the SDT fatty rats caused severedecreases in maximum load, sti๏ฌ€ness, and energy absorptionof the femur. In addition, serum levels of homocysteine,a candidate bone fragility marker, were elevated in maleSDT fatty rats compared to age-matched SD rats (mean standard deviation: SDT fatty rats, 14.4 3.4 nmol/mL; SDrats, 6.6 1.7 nmol/mL). We also investigated changes inbone metabolism and bone quantity at 10, 15, 25, and 40weeks of age in female SDT fatty rats [24]. Serum osteocalcinand urine deoxypyridinoline levels were lower at 10 weeksof age in the SDT fatty rats compared to those in SD rats,but only the urine deoxypyridinoline levels were elevated inthe SDT fatty rats from 25 weeks of age (Figures 6(c) and6(d)). Female SDT fatty rats showed lower BMC and BMDof the whole tibia from 8 to 25 weeks of age (Figures 7(c)and 7(d)). SDT fatty rat is a useful model to investigate boneabnormalities in obese type 2 diabetes.

Journal of Diabetes Research80806060604020MNCV (m/s)80MNCV (m/s)MNCV (m/s)6 4020200SD0SDT fatty 40SD0SDT fatty(a)SD(b)SDT fatty(c)Osteocalcin (ng/mL)20015010050 08 1624 32Deoxypyridinoline (nmol/mmol Cre)F 5: Changes in MNCV at 8 (a), 24 (b), and 40 (c) weeks of age in SD rats and SDT fatty rats. Data represent mean standard deviation(๐‘›๐‘› ๐‘› ๐‘›). ๐‘ƒ๐‘ƒ ๐‘ƒ ๐‘ƒ๐‘ƒ๐‘ƒ๐‘ƒ, ๐‘ƒ๐‘ƒ ๐‘ƒ ๐‘ƒ๐‘ƒ๐‘ƒ๐‘ƒ: signi cantly di erent from SD rat.500400300200100 084016Weeks of ageSDT fatty rat (male)SD rat (male)Deoxypyridinoline (nmol/mmol Cre)Osteocalcin (ng/mL)15010050 1624Weeks of ageSDT fatty rat (female)SD rat (female)(c)40(b)200832SDT fatty rat (male)SD rat (male)(a)024Weeks of age3240500400300200 100 081624Weeks of age3240SDT fatty rat (female)SD rat (female)(d)F 6: Changes in serum osteocalcin (a), (c) and urine deoxypyridinoline (b), (d) in SD rats and SDT fatty rats. Data represent mean standard deviation (Male: ๐‘›๐‘› ๐‘› ๐‘›, Female: ๐‘›๐‘› ๐‘› ๐‘›๐‘›). ๐‘ƒ๐‘ƒ ๐‘ƒ ๐‘ƒ๐‘ƒ๐‘ƒ๐‘ƒ, ๐‘ƒ๐‘ƒ ๐‘ƒ ๐‘ƒ๐‘ƒ๐‘ƒ๐‘ƒ: signi cantly di erent from SD rat.

Journal of Diabetes Research7800800600 400BMC (mg)BMD (mg/cm3 )6002004002000 0816243240816Weeks of ageSDT fatty rat (male)SD rat (male)24Weeks of age3240SDT fatty rat (male)SD rat (male)(a)(b)600800600 BMC (mg)BMD (mg/cm3 ) 400400200 200 0081624Weeks of age3240SDT fatty rat (female)SD rat (female)(c)816243240Weeks of ageSDT fatty rat (female)SD rat (female)(d)F 7: Changes in BMD (a), (c) and BMC (b), (d) in SD rats and SDT fatty rats. Data represent mean standard deviation (Male: ๐‘›๐‘› ๐‘› ๐‘›,Female: ๐‘›๐‘› ๐‘› ๐‘›๐‘›). ๐‘ƒ๐‘ƒ ๐‘ƒ ๐‘ƒ๐‘ƒ๐‘ƒ๐‘ƒ, ๐‘ƒ๐‘ƒ ๐‘ƒ ๐‘ƒ๐‘ƒ๐‘ƒ๐‘ƒ: signi cantly di erent from SD rat.3.3. Sexual Dysfunction. Since SDT fatty rats (fa-homozygous) are infertile in both males and females, we used theSDT-fa/ rats (fa-heterozygous) for reproduction. e reasonthe rats show infertility is unknown, but some functionaldisorders related to reproduction are observed [26]. Wemonitored the estrus cycle by vaginal smear cytology between12 and 17 weeks of age and compared them with normal SDrats used as control. SD rats showed a regular 4-day estruscycle, whereas SDT fatty rats showed an irregular 4- to 5day estrus cycle with persistent estrus stage and metestrusextension. A large number of leukocytes appeared in smearof metestrus stage. Weight of reproductive organs (ovary,uterus, and vagina) in each estrus cycle stage was measuredat 12 weeks of age, and the organs were examined byhistopathological analysis. Relative weights of ovary, uterus,and vagina of SDT fatty rats were signi cantly lower thanthose of SD rats. In SDT fatty rats, histopathological changes,such as atrophy in uterus and in ammation in vagina, wereobserved (Figures 8 and 9). Irregular estrus cycle, increasedleukocytes in vagina, or dysgenesis of reproductive organsmight cause the infertility in female SDT fatty rats. Moreover,testosterone levels in male SDT fatty rats tended to be loweras compared with those in SD rats at 8 and 24 weeks ofage (mean standard deviation: SDT fatty rats, 212.2 84.4 pg/mL; SD rats, 960.4 802.7 pg/mL; at 8 weeks of age,resp.). Since the testosterone levels in male SDT fatty rats arelow, the reproductive function is considered to be decreased.In histological analysis of testis in the SDT fatty rats, we

8Journal of Diabetes sDietestrus(a)ProestrusEstrus(b)F 8: Histological analysis of uterus, HE stain. (a) SD rats and (b) SDT fatty rats at 12 weeks of age. Bar 1 mm etestrus(a)ProestrusEstrus(b)F 9: Histological analysis of vagina, HE stain. (a) SD rats and (b) SDT fatty rats at 12 weeks of age. Bar 200 ๐œ‡๐œ‡m [26].observed no change until 24 weeks of age. In further study,it is necessary to elucidate the mechanism of hypogonadismin SDT fatty rats.4. Supply System of SDT Fatty RatIn 2004, Dr. Masuyama and Dr. Shinohara (Research Laboratories of Torii Pharmaceutical Co., Ltd., Japan) established thecongenic type 2 diabetes model Spontaneously Diabetic Toriifatty (SDT fatty) rat by introducing the fa allele of the Zuckerfatty rat into the genome of the original SDT rat. SDT fattyrats were introduced to Central Pharmaceutical ResearchInstitute, Japan Tobacco Inc. (Japan) and were characterizedin detail by Dr. Ohta and Dr. Sasase. CLEA Japan has receivedright of production and sales from Japan Tobacco Inc. and hasdistributed the animals as SDT fatty rats since 2012.5. ConclusionDiabetes mellitus and diabetic complications in SDT fattyrats were found at a younger age than those in SDT rats. e early onset of diabetes or diabetic complication has

Journal of Diabetes Researchadvantages for the use of SDT fatty rats in diabetes research.Furthermore, not only the male rats but also the female ratsdeveloped diabetes mellitus at a young age. Female SDTfatty rat has the potential to become an important animalmodel of type 2 diabetes mellitus with obesity, especially inwomen, where few models currently exist. Since SDT fattyrats showed a hypertension with obesity, hyperglycemia, andhyperlipidemia, the rat might have potency to be establishedas a metabolic syndrome model. Also, it is interesting thatSDT fatty rats showed various diabetic complications, such asosteoporosis and hypogonadism, with microangiopathy. 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