Central s-resistin deficiency ameliorates hypothalamic inflammation and increases whole body insulin sensitivity

S-resistin, a non-secretable resistin isoform, acts as an intracrine factor that regulates adipocyte maduration, inflammatory and insulin response in 3T3-L1 cells. However, its intracellular function in vivo is still unknown. In this study, we analyze the central role of s-resistin, decreasing its hypothalamic expression using an intracerebroventricular injection of lentiviral RNAi. The data present herein support an improvement in the hypothalamic leptin and insulin signaling pathway upon s-resistin downregulation. Furthermore, hypothalamic levels of pro-inflammatory markers decrease, meanwhile those of the anti-inflammatory cytokine IL-10 increases. Interestingly, peripheral NEFA decreases alike circulating leptin and resistin levels. These data demonstrate that hypothalamic s-resistin controls fuel mobilization and adipokines secretion. Importantly, central s-resistin downregulation improves systemic insulin sensitivity, as demonstrated after an IPGTT. Interestingly, our data also indicate that s-resistin downregulation could improve hypothalamic inflammation in aged Wistar rats. Altogether, our findings suggest that hypothalamic s-resistin seems to be a key regulator of the brain-fat axis which links inflammation with metabolic homeostasis.

In the last years, the population affected by obesity, metabolic syndrome, type 2 diabetes and inflammatory diseases have increased dramatically, mainly in developed countries, being considered a worldwide epidemic. Thus, control and prevention of these noncommunicable diseases represent one of the great challenges of modern society. Numerous studies have been carried out to elucidate the molecular mechanisms underlying the development of metabolic and inflammatory diseases 1,2 . However, pathogenesis of many of them remains unknown.
It is known that hypothalamus integrates hormonal and metabolic signals to control the overall body homeostasis 1,3 . Many of these signals are circulating hormones and cytokines secreted by adipocytes, such as leptin, resistin or tumor necrosis factor alpha (TNF-α), which act as systemic signals modulating energy metabolism and insulin signalling pathways in peripheral tissues 3,4 . Besides, crossing the blood-brain barrier, adipocytokines exerted potent effects on specific groups of neurons in the hypothalamus 4,5 , where are involved in the neuroendocrine regulation of food intake, energy expenditure 3 and the inflammatory response 6,7 . The imbalance of this regulatory adipo-hypothalamic axis promotes obesity and inflammatory disorders, which contribute to the onset of type 2 diabetes.
Resistin was early described in rodents as an adipocytokine that affects whole body energy metabolism, impairs insulin sensitivity and adipocyte differentiation, linking obesity and type 2 diabetes mellitus 8,9 . Mice lacking resistin show low blood glucose levels after fasting and a decreased expression of gluconeogenic enzymes 10 whereas high levels of circulating resistin cause insulin resistance in liver, muscle and adipose tissue, leading to glucose intolerance 11,12 . Furthermore, resistin also regulates the inflammatory response, suggesting that inflammation could mediate its inhibitory effects on insulin action and adipogenesis 13 . In addition to its direct actions SCiEntiFiC REPORts | (2018) 8:3921 | DOI: 10.1038/s41598-018-22255-3 on peripheral organs, several studies show that resistin may play a role regulating the adipose-hypothalamic axis [14][15][16] , like other circulating hormones such as leptin or insulin, among others 5,17 . In this regard, central resistin treatment in rodents increases negative modulators of the insulin pathway in the hypothalamus, affecting glucose and lipid metabolism 15,16 . Furthermore, central resistin treatment induces hepatic insulin resistance 18 .
In Wistar rats, our group demonstrated the existence of a new short resistin isoform, s-resistin, in the white adipose tissue (WAT) 19 . This isoform is generated by alternative splicing (10-15% of resistin expression) and lacks the secretory peptide signal, suggesting a role as intracellular protein. In fact, s-resistin is mainly located in the nucleus of 3T3-L1 cells 19 . Interestingly, the expression of resistin isoforms is differentially regulated in WAT by ageing, fat depot or nutritional status, suggesting that alternative splicing plays a role in this regulation 20 .
To date, our knowledge about the biological function of s-resistin comes from in vitro studies performed in 3T3-L1 cells expressing both s-resistin and resistin sequences. These results showed that s-resistin, like resistin, impaired insulin action in adipocytes 21 and inhibits adipocyte differentiation by stimulation of the expression of pro-inflammatory molecules, such as TNF-α and interleukin 6 (IL-6) 22 . Interestingly, s-resistin significantly increased the expression and secretion of TNF-α at early stages of adipocyte differentiation 22 . All of these observations suggest that s-resistin functions extends the possibilities of resistin actions, and could act as an intracrine factor that regulates the adipocyte maturation, the inflammatory state and the cellular insulin response. However, the in vivo intracellular function of s-resistin and its role in rat physiology remain unknown.
In this work, we demonstrate for the first time that the short nuclear isoform, s-resistin, is highly expressed in the hypothalamus of Wistar rats, suggesting a specialized function for s-resistin in that tissue. Remarkably, the mRNA levels of this resistin variant are increased in the hypothalamus of aged rats, confirming that alternative splicing plays a key role in the regulation of resistin isoforms expression during ageing 20 . Since, resistin acts through peripheral and central pathways promoting insulin resistance and affecting overall energy homeostasis 10,16 , we decided to analyse the role of central s-resistin in whole-body physiology. To that end, we knocked down central s-resistin expression in 3-month-old Wistar rats by an intracerebroventricular (ICV) injection of RNAi against s-resistin mRNA.
Unexpectedly, the results presented herein show that deficiency in hypothalamic s-resistin expression ameliorates central inflammation and improves hypothalamic insulin signaling pathway. Moreover, central s-resistin downregulation significantly changes the expression of key neuropeptides implicated in the regulation of food intake and energy expenditure, and improved whole body insulin sensitivity. Besides, the results obtained in 24-months-old rats treated ICV with RNAi-s-resistin showed several responses to hypothalamic s-resistin knockdown, although they were less pronounced than those observed in young-rats. Taken together, these data indicate that s-resistin isoform could play an important role in the molecular alterations underlying central and systemic insulin resistance and support the hypothesis that central s-resistin could be an astounding player in the interplay between inflammation and metabolism.

S-resistin is widely expressed in the hypothalamus and its levels are increased with ageing.
Resistin is mainly expressed in WAT and, in a lesser extent, in other tissues of rat and mouse 23 . However, the tissue distribution of the short resistin isoform mRNA is not known. Here, using a probe to distinguish the two resistin isoforms, we demonstrate for the first time that, although at different expression levels, s-resistin is present in all the rat tissues analyzed and, as expected, their highest expression is detected in WAT (Fig. 1A). However, in contrast to the long isoform (Fig. 1B), s-resistin is notoriously abundant in the hypothalamus, where the expression levels are similar to those observed in the WAT (Fig. 1A). In order to rule out any contamination of the sample with WAT, the expression of adipocyte lipid binding protein (ALBP/aP2) was analyzed. As shown in Fig. 1C, ALBP/aP2 is expressed exclusively in this tissue. Therefore, our data demonstrate that s-resistin is the main resistin isoform expressed in hypothalamus of Wistar rats. Interestingly, in pre-diabetic aged Wistar rats with central leptin and insulin resistance 24,25 , s-resistin expression is increased in the hypothalamus (Fig. 1D).
Based on these data we hypothesized that s-resistin could have an important role in the hypothalamic function and in the development of central and peripheral insulin resistance.

Downregulation of central s-resistin levels modify central appetite-regulating neuropeptides and improves peripheral insulin sensitivity.
In order to elucidate the role of hypothalamic s-resistin in whole body physiology, we knocked down hypothalamic s-resistin in 3-month-old Wistar rats by an ICV injection of RNAi against s-resistin mRNA (RNAi-s-res) (See Methods section, Supplementary Table S1, supplementary Fig. S1). The results showed in Fig. 2A indicate that in treated animals with RNAi the expression of s-resistin decreased by 35% compared to control animals infected with empty virus. Besides, we did not find significant variation in the food intake of RNAi-s-res treated rats compared to the control (Fig. 2B). Even though, animals lost weight seems to be due to the surgery itself rather than to the s-resistin RNAi injection (Fig. 2C). Moreover, as shown in Fig. 2D, the ratio epididymal WAT weight/ body weight significantly decreased in treated animals when compared to controls.
Surprisingly, although there was no variation in food intake, we found that the mRNA levels of NPY decreased ( Fig. 2A) whereas those of the anorexigenic pro-opiomelanocortin (POMC) increased ( Fig. 2A) in rats with a lesser amount of hypothalamic s-resistin. These results support the idea that s-resistin may participate somehow in this hypothalamic neurocircuits but without affecting food intake.
In order to determine the influence of central s-resistin deficiency on the whole body insulin sensitivity, we carried out an intraperitoneal glucose tolerance test (IPGTT) in these animals, after a week of the ICV intervention. Our results show that animals treated with RNAi-s-res are more sensitive to insulin (Fig. 2E), and have an improved glucose tolerance compared to control animals (Fig. 2F). Furthermore, we estimated the area under the curve (AUC) of insulin and glucose levels to calculate the glucose AUC/ insulin AUC ratio as an indicator of the overall sensitivity to insulin ( Fig. 2E-I). As it is shown in Fig. 2I, a hypothalamic decrease of s-resistin expression is accompanied by an increase in this ratio in treated animals indicating a significant improvement in insulin sensitivity in RNAi-s-res infused animals.
On the other hand, as shown in Table 1, the animals with diminished hypothalamic s-resistin expression have lower plasma leptin, non-esterified fatty acids (NEFA) and resistin levels, indicating that interruption of s-resistin action at central level regulate fat mobilization. Besides, this treatment decreased plasma insulin without affecting fasting glucose levels. Thus, this data support that the hypothalamic s-resistin downregulation leads to an improvement in systemic insulin sensitivity. In fact, when HOMA-IR index was calculated a significant decrease was observed in ICV RNAi-s-res treated animals (12 ± 2 vs 6, 1 ± 0.5; Table 1). The values measure of serum cytokines show an increase in the levels of anti-inflammatory IL-4 in rats with knockdown central s-resistin expression ( Table 1). All these data point to an improvement in overall insulin sensitivity and glucose homeostasis in RNAi-s-res treated rats.
Central downregulation of s-resistin improves hypothalamic insulin and leptin response. Next, we analyzed the mRNA, protein mass and the phosphorylation levels of several intermediaries of insulin and leptin signaling pathway. Figure 3 shows that central s-resistin downregulation increased basal Tyr phosphorylation of both IR and IRS-1 ( Fig. 3A-C), while decreased Ser307 phosphorylation of IRS-1 (Fig. 3A,D) in the hypothalamus. In addition, while PTP-1B mRNA and phosphorylation levels were decreased (Fig. 3E,F), the expression of SOCS-3 was augmented and STAT-3 mRNA and phosphorylation levels were also increased ( Fig. 3E,G-J). These data support an improvement in the insulin and leptin signaling pathways in the hypothalamus upon s-resistin downregulation.

Downregulation of central s-resistin levels reduces the inflammatory state in the hypothalamus.
Inflammation in the hypothalamus may cause central leptin and insulin resistance and deregulation of the energy balance 26,27 . Therefore, we decided to measure the expression levels of different inflammation-related signalling molecules such as cytokines TNF-α, IL-6, IL-10 and the inducible nitric oxide synthase (iNOS) in control and RNAi-s-res treated animals. Likewise, the protein levels of necrosis factor-κB (NF-κB) and basal Thr phosphorylation levels of janus kinase (JNK) were analyzed. As shown in Fig. 4(A-D), downregulation of s-resistin reduced the expression of hypothalamic pro-inflammatory markers TNF-α, IL-6 and iNOS as well as the Thr phosphorylation levels of JNK and protein levels of NF-κB. Conversely, the levels of the anti-inflammatory cytokine IL-10 increased in RNAi treated animals (Fig. 4A). All these results, suggest that the improved insulin signaling in hypothalamus of animals treated with RNAi-s-res could be due to a decrease in the hypothalamic inflammatory response.   24,25,28 . Likewise, these animals presented high hypothalamic s-resistin expression (Fig. 1D). Therefore, and to analyze the influence of central s-resistin on the development of insulin resistance with ageing, we decided to knockdown central s-resistin levels in 24-months-old Wistar rats. As shown in Fig. 5A, aged rats infused with RNAi-s-res showed an increase of central POMC expression, without changes in the food intake and body weight parameters ( Supplementary Fig. S2A,B), as it was observed in young ICV RNAi-s-res treated animals (Fig. 2B,C). Nevertheless, no changes were observed in the transcript levels of NPY in these animals. Notably, although there were no significant differences in the expression of TNF-α and IL-10 in old rats, we appreciate that lentivirus injection reduced the expression of iNOS and IL-6, two inflammatory factors that lies downstream of TNF-α pathway, although the effect was less pronounced that those observed in young rats (Fig. 5B).

Central downregulation of s-resistin expression in 24-months-old animals increases POMC expression but do not improve peripheral insulin sensitivity. Aged Wistar rats showed central and peripheral inflammation and leptin and insulin resistance
Furthermore, in aged rats, lentivirus injection did not decrease the weight of eWAT (Fig. 5C), nor the circulating levels of glucose, insulin, resistin ( Supplementary Fig. S2C,D) and NEFA (Fig. 5I). Similarly, the IPGTT response and the HOMA-IR values were not modified when central s-resistin expression was downregulated in aged rats ( Fig. 5D-H,J). These data indicate that in rats with high hypothalamic levels of inflammation and insulin resistance, central reduction of s-resistin expression at the levels obtained in this work, partially reverses hypothalamic basal inflammation without improving systemic insulin sensitivity.

Discussion
Here we report novel data potentially relevant to central nervous system (CNS) control of insulin resistance. In addition to the importance of insulin-mediated responses in peripheral target tissues, CNS insulin signalling regulates energy and glucose homeostasis by acting on hypothalamic neurocircuits 29 . However, the molecular mechanism by which the hypothalamic neurons sense the energy status is not well understood. In this regard, the hormone resistin, acting through the CNS, has been demonstrated to promote both peripheral and hypothalamic insulin resistance, impairing energy homeostasis 16,18 . Here, we show that the intracellular resistin spliced variant, s-resistin, is highly expressed in hypothalamus of Wistar rats. Together, our results indicate that s-resistin is a physiological component of the metabolic network required for the regulation of glucose homeostasis. The reduction of central s-resistin expression in 3-months-old Wistar rats, improves hypothalamic insulin and leptin signaling as well as peripheral insulin sensitivity, as demonstrated after an IPGTT. These animals showed higher glucose tolerance and an increased glucose AUC/insulin AUC ratio, as well as a decrease in the HOMA-IR index. Taken together, these parameters reflect an improvement in overall insulin sensitivity when the central s-resistin expression is down-regulated.
Hypothalamic inflammation, which may result from different situations such as ageing, over-nutrition or disease, is tightly associated with feeding and metabolic dysregulations 6 . It is known that TNF-α induces the expression of PTP-1B, at least in part by transactivation of NF-κB, nevertheless, PTP-1B is not considered to be involved in the onset, but rather in the continued deterioration of insulin and leptin action in the brain 30 . Our results indicate that disruption of endogenous s-resistin plays an important role in the control of hypothalamic inflammation. In this sense, we found a markedly reduction in the hypothalamic IL-6, TNF-α mRNA and NF-κB protein levels in 3-month-old RNAi treated rats. Besides, central downregulation of s-resistin lead a decrease in PTP-1B mRNA expression as well as protein activation. In agreement, rats treated with s-resistin RNAi showed increased basal Tyr phosphorylation of both IR and IRS-1. Furthermore, the inhibitory phosphorylation of IRS-1 on Ser307 decreased in the treated rat hypothalamus. This serine phosphorylation can be induced by many serine kinases, but JNK is a central point in this process 31 . In accord, Thr phosphorylation levels of JNK were decreased in the RNAi-s-res treated rats. Hence, we hypothesized that s-resistin could have an essential role in the hypothalamic function and in the development of central insulin resistance throughout modulation of the inflammatory response.
Additionally, induction of NF-κB, C/EBPβ and pro-inflammatory cytokines probably mediated by resistin binding to the TLR4 receptor, is a feature of resistin treatment in several biological models 22,32,33 . Indeed, Benomar et al. 16 reported the direct binding of resistin to TLR4 in the hypothalamus, leading to the activation of the associated proinflammatory pathways. However, it has been previously suggested that endogenous ligands may trigger TLRs during tissue injury and certain disease states, which could promote inflammation in absence of infection 34 . Hence, it would be interesting to consider the possibility that s-resistin might participate in the intracellular TLR arrangements of the early response to injury in the hypothalamus. IL-10 has been reported to inhibit the production of cytokines such as TNF-α and IL-6 in glial cells in vivo and in vitro 35 and that this cytokine regulates the expression of iNOS at the transcriptional level, reducing NO production by inhibiting NF-κB-dependent transcription of genes 36 . In addition, it has been demonstrated that IL-10 expression in the CNS increases during recovery from brain inflammation, suggesting that IL-10 in CNS is required for inflammatory state remission 37 . In our work, the anti-inflammatory cytokine IL-10 mRNA increased, whereas iNOS expression was downregulated after the ICV treatment, supporting the anti-inflammatory effect of reducing s-resistin levels in the brain.
On the other hand, Ropelle et al. 26 describes that IL-10 and IL-6 engage receptors that recruit janus kinases and activate predominantly STAT-3 in the hypothalamus, promoting a re-balance in the energy intake in obese animals. So, our results further suggest that IL-10 might be involved in STAT-3 activation and SOCS-3 upregulation observed in the hypothalamus of RNAi-s-res rats.
Leptin signalling in certain hypothalamic nuclei induces the expression of POMC and activates STAT-3 38 . Also, resistin have been implicated in this regulation. Thus, central infusion of recombinant human resistin in rats leads upregulation of the POMC and downregulation of the NPY gene expression in the arcuate nucleus and a markedly decrease in both, food intake and body weight 16 . Here, we show that knockdown central s-resistin, significantly reduced the expression of NPY while induced the expression of POMC in the hypothalamus, without alterations in food intake and body weight. Thus, our results confirm that the interruption of central s-resistin action increase hypotalamic leptin signaling as demonstrate by the higher phosphorylation levels of STAT-3. This is in agreement with the marked reduction in the circulating levels of NEFA, resistin and leptin observed in RNAi treated rats, whose high levels were positively correlated with adiposity, insulin resistance, diabetes and metabolic syndrome 39,40 . Thus, we can consider that the levels of these plasma factors which reach the hypothalamus significantly fall in s-resistin knockdown rats, when compared to the control rats. Therefore, all these results point out to an improvement of central and peripheral energy metabolism and leptin sensitivity and suggest that central s-resistin could control peripheral fat mobilization as well as cytokines secretion. In this sense, we observed an increase of serum levels of the anti-inflammatory cytokine IL-4 even though we did not find variations in other circulating cytokines.
Additionally, we reported previously that epididymal WAT is the most resistin-sensitive adipose tissue 20 , and interestingly, only this tissue decreases its weight in 3-month-old rats treated with RNAi-s-res, suggesting that central s-resistin could participate more specifically regulating the resistin adipo-hypothalamic axis.
Here, we also found that s-resistin expression is increased in 24-month-old Wistar rats, which have been considered as a pre-diabetic model with central leptin and insulin resistance 24,25 accompanied by peripheral insulin resistance, hyperlipidemia and increased adiposity 41 . Furthermore, old Wistar rats showed hypothalamic  inflammation, with increased transcript levels of TNF-α, CD11b, MCP-1 and TLR4 in the hypothalamus 28 . Thus, in order to know the effects of s-resistin knockdown under these metabolic and inflammatory state, we knocked down central s-resistin expression in 24-months-old rats. In this sense, the decrease of s-resistin expression obtained in aged rats with the same virus title used in young rats (33% vs 35% in young animals), was not enough to downregulate hypothalamic s-resistin levels to match the ones observed in young animals. Nevertheless, we observed 150% increase in the hypothalamic expression levels of POMC (vs 300% in young animals), while IL-6 and iNOS were decreased by a 50% and 35% respectively (vs 90% and 80% respectively in young animals), although lentivirus injections in aged rats did not improve insulin sensitivity and glucose tolerance, as assessed by intraperitoneal glucose tolerance test and HOMA-IR measure. These data suggest that knockdown of s-resistin in old rats could improve hypothalamic inflammation.
Hypothalamic neurons play a crucial role in the control and maintenance of glucose homeostasis and fuel expenditure throughout the body, sensing the peripheral hormones and nutrients. Since s-resistin is an intracellular isoform, it is possible that the hypothalamic responses to these circulating signals could involve the molecular regulation of alternative splicing process in resistin gene, modulating the intracellular s-resistin levels. Thus, s-resistin could acts as an intracrine hypothalamic sensor linking peripheral signals with both, hypothalamic insulin and leptin responsiveness and inflammatory status (Fig. 6). Therefore, the understanding of s-resistin functions could contribute to elucidate the role of resistin isoforms in metabolic and inflammatory diseases. Further studies will be required to understand the physiological significance of s-resistin in CNS and to establish an adequate association between hypothalamic s-resistin levels, inflammation and altered metabolic homeostasis in aged animals.

Methods
RNAi assays in cells. KH1-LV was the lentivirus used. This LV carried the transgene for enhanced green fluorescent protein (EGFP) and for ampicillin resistance. Total plasmid DNA from LV was isolated using QIAfilter Plasmid Purification Midiprep Kit (Qiagen, Hilden, Germany) following the manufacturer's instructions. After digesting with SmaI and XbaI, the digested plasmid was purified using ISOLATE Plasmid Mini Kit (Bioline) following the manufacturer's instructions. Two target sequences (Supplementary Table S1) for Wistar rat mRNA were chosen according to Katahdin's siRNA design on line tool. All primers were supplied by Life Technologies and there are located in position 28 and 180 of s-resistin (S1 and S2) Finally, S2/AS2 primers were used.
3T3-L1-s-res cells were treated with different combinations of RNAi using Lipofectamine ® 2000 Reagent (Life Technologies), following the manufacturer's instructions. Cells without transfecting and transfected with KH1-LV without RNAi were used as negative controls. The cells were harvested 48 h after transfection for expression analysis to prove the efficiency of the inhibition. Construction 2 was chosen because a reduction of 74% of s-resistin mRNA levels was observed when 3T3-L1-s-res were transfected with it ( Supplementary Fig. S1A).
Lentivirus production and packaging for in vivo assays. Lentiviral particles were produced by transfecting HEK 298 FT cells seeded in 10 cm dishes with 10 µg of vector DNA together with two helper plasmids (pCMV and pMD) using Ca 3 (PO 4 ) 2 precipitation according to published protocols 42 . The virus-containing cell culture supernatants were harvested 48 h after transfection and concentrated by ultracentrifugation at 30000 rpm in a SW-41 rotor for 90 min. The virus pellet was subsequently resuspended in 100 µl of the supernatant and titrated by serial dilutions on HeLa cells. The virus preparation used for the infections of the animals had a title of 10 8 tu/ml. Animals. Male 3 and 24-months-old Wistar rats were individually housed and maintained on a 12 h light/ dark cycle at a controlled temperature (20-25 °C) and humidity (50%) with free access to food and water. All animal experiments were conducted according to the European Union laws (2010/63/EU) and following the Spanish regulations (RD 53/2013) for the use of laboratory animals. The experimental protocols were approved by the institutional and regional ethical committees (University of Castilla-La Mancha). All efforts were made to minimize animal suffering and to reduce the number of animals used.
Lentivirus injection. 3 and 24-months rats were anesthetized by inhalation of a mixture of O 2 and isoflurane and placed on the stereotaxic apparatus (David Koppf, Tujunga, CA). Rats were injected with lentivirus containing the antisense sequence selective for s-resistin chosen (RNAi-s-res) or control empty virus (EV) into the left lateral ventricle using the following coordinates, according to Paxinos' atlas: AP: −0,8 mm; L: 1,6 mm; DV: −3,4 mm 43 . An opening in the skull was made with a dental drill. The viral stock (10 8 tu/ml) was injected at a speed of 1 μl/min with a 10 μl Hamilton syringe. The needle was left in place for additional 5 min to avoid reflux along the injection track. Total volume injected was 5 μl. Rats were returned to the housing colony and sacrificed by decapitation after LV administration. LV used carried the transgene for enhanced green fluorescent protein (EGFP). Therefore, the presence of green fluorescence signal in the hypothalamus was tested to confirm that the lentivirus injected through the lateral ventricle was able to infect hypothalamic cells (supplementary Fig. 1B). Two period of recovery from surgery were tested, 10 and 20 days respectively. Brains were rapidly removed and hypothalamus were dissected, frozen in liquid nitrogen and stored at −70 °C until use. Retroperitoneal (rWAT) and epididymal (eWAT) fat pads, liver, heart and kidneys were dissected, weighed and flash frozen in liquid nitrogen and stored at −70 °C until use. Also, blood samples were centrifuged and plasma was frozen until use. Finally, 10 days after surgery was chosen because the disruption of s-resistin expression was more efficient at this time point  Supplementary Fig. S1C). Moreover, we analyzed the impact of s-resistin downregulation in overall insulin sensibility. We also found better results after 10 days post-surgery ( Supplementary Fig. S1D).
Plasma metabolites, hormones and cytokines analysis. Lactate and glucose were measured in blood using an Accutrend analyzer (Roche). Plasma Triacylglyceride (TAG) levels were determined by an enzymatic kit from Biosystem (Barcelona, Spain). NEFA and ketone bodies (KB) were measured with enzymatic kits from WAKO Chemical (Neuss, Germany). Plasma leptin and insulin levels were assayed using specific rat ELISA kits from SPI-Bio (Montigny le Bretonneux, France). Plasma resistin was assessed using a rat resistin ELISA kit (BioVendor, Brno, Czech Republic), following the manufacturer's instructions. Cytokines were analysed using MILLIPLEX MAP Rat Cytokine/Chemokine Magnetic Bead Panel, and Immunology Multiplex Assay form Merk-Millipore (Darmstadt, Germany). Homeostasis model assessment for insulin resistance (HOMA-IR) was calculated as fasting insulin (µU/ml) × fasting glucose ([mmol/liter]/22.5) as described earlier 41 .
Intraperitoneal glucose tolerance test (IPGTT). Overnight fasted rats were administered 40% glucose solution intraperitoneally (2 g glucose/kg of body weight) two days before sacrifice. Blood samples were taken from the In agreement with that, the inhibitory Ser307-phosphorylation of IRS-1 decreased in treated rats together with the JNK activity, major responsible of IRS-1 Ser-phosphorylation. The improvement of central insulin signalling is also supported by the fall of PTP-1B expression and protein activation, possibly due to the improvement of the inflammatory state (see below). Besides, the hypothalamus raises its leptin sensibility by increasing STAT-3 activation that promotes POMC expression and prevent the NPY one. The downregulation of TNFα, IL-6, iNOS, JNK and the transcription factor NK-κB combined with the upregulation of IL-10 support a decrease on the inflammatory status in the hypothalamus of treated rats. All these improvements in the central inflammatory state contribute equally to ameliorate the hypothalamic insulin and leptin signalling. Also, the reduction of central s-resistin decreased adipokines secretion and enhanced peripheral insulin sensitivity. Take together all these results indicate that s-resistin could be a key player implicated in the development of central insulin resistance and inflammatory disease. tail vein before the glucose load (t = 0) and 15, 30, 60, and 120 min after glucose administration. Blood glucose was determined immediately using an Accutrend Glucose Analyser (Roche). Blood samples were centrifuged and plasma was frozen at −70 °C until insulin estimation. Overall changes in glucose and insulin during IPGTT were calculated as the area under the curve above the basal level (Glucose and Insulin AUC respectively). The ratio of Glucose AUC to Insulin AUC was used as an index of whole body insulin sensitivity 41 . RNA and protein isolation. Total RNA from, liver, lung and testicle was isolated using RNeasy Mini Kit (Qiagen, Hilden, Germany) and RNA from hypothalamus and adipose tissue was obtained using RNeasy Lipid Tissue Mini Kit (Qiagen, Hilden, Germany) following the manufacturer's instructions. This procedure allows the isolation of total RNA, DNA and protein fractions from a single sample 44 .
Complementary DNA (cDNA) was synthesized from 1 μg of DNase-treated RNA 45 . Protein pellets obtained using the RNeasy Lipid Tissue Mini Kit (Qiagen, Hilden, Germany),were resuspended in 4% SDS and 8 M urea in 40 mM Tris-HCl. The total recovery and integrity of these fractions were determined by Lowry et al. 46 .
The ΔΔCT method was used to calculate the relative differences between experimental conditions and control groups as fold change in gene expression 47 . Western Blot analysis. Proteins were fractionated on a SDS-PAGE gel and blotted for 2 h at 90 V. Western Blot analyses was performed by antibody incubation in PBS containing 0.05% Tween and 5% (w/v) milk powder according to standard protocols.