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1 Geriatric Research, Education and Clinical Center and Research Service, South Texas Veterans Health Care System, San Antonio.
Departments of 2 Cellular & Structural Biology, 3 Physiology, 4 Pharmacology, and the 5 Barshop Center for Longevity and Aging Studies at The University of Texas Health Science Center at San Antonio.
6 Department of Laboratory Animal Medicine, Southwest Foundation for Biomedical Research, San Antonio, Texas.
Address correspondence to James F. Nelson, PhD, Department of Physiology, UTHSCSA, 7703 Floyd Curl Drive, San Antonio, TX 78229. E-mail: nelsonj{at}uthscsa.edu
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Recent studies of long-lived mutant mice, such as Ames and Snell dwarf mice and growth hormone receptor/binding protein (GHR/BP) knockout (KO) mice demonstrated that these long-lived mutant mice exhibit similar physiological changes seen in CR animals. For example, Ames and Snell dwarf mice exhibit small body size; lower insulin-like growth factor-1, insulin, and plasma glucose levels; lower core body temperature; and delayed occurrence of puberty (6,7) [which are physiological characteristics of CR animals (3,811)]. Because each of the mutant mouse models mimics one or more presumptive anti-aging traits observed in the CR animals, comparison between the CR and mutant mice enables testing which of the many effects of CR contribute to its broad anti-aging actions.
In the course of our studies comparing the life-history traits of genetically modified mice to those of CR mice, we faced a practical problem. Whereas aging studies of transgenic mice are commonly conducted using mice housed multiply, CR studies have almost always used singly housed animals. The reason for housing animals singly in CR studies is to insure that each CR animal obtains the same amount of food. A widely held concern has been that one or more of the multiply housed animals would dominate the limited food supply in the CR group, resulting in a variable distribution of food (calorie intake) among the cage-mates. The vast majority of studies of the effect of CR on longevity have thus been conducted using singly housed animals. Indeed, in one of the few studies in which the effect of CR on longevity was assessed using multiply housed mice, median life span of C57BL/6 mice was not extended in females and was shortened in males, although another strain did show a modest longevity effect of CR (12,13). No studies have directly compared the effect of CR on longevity and pathology in singly and multiply housed animals. We reasoned that if direct experimentation demonstrated that CR mice housed multiply exhibited the same anti-aging traits as CR mice housed singly, we could more readily compare results of CR studies to those of other environmental and genetic interventions in which mice are more likely to be housed in groups. Moreover, the economic advantage of group housing is that the unit of cost at most academic institutions is usually the cage, rather than the number of animals in the cage. Thus, single housing, for a given sample size, is more costly than multiple housing in which animals can be housed at 45 animals per cage.
The purpose of this study therefore was to determine whether multiple housing alters the effects of CR on longevity and age-related diseases in C57BL/6J mice, a strain commonly used for aging research. We report that CR was as effective in extending longevity in multiply as in singly housed mice, but that the cancer-reducing effect of CR, though present in multiply housed mice, was greater in singly housed mice.
| METHODS |
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Mice were fed a commercial chow (Teklad Diet LM485; Madison, WI) and acidified (pH = 2.62.7) filtered reverse osmosis water ad libitum (AL), until 6 weeks of age, when the mice were randomly distributed into four groups: ALM, fed AL and housed four mice per cage; ALS, fed AL and housed one mouse per cage; CRM, fed 60% of the food intake of ALM mice and housed four mice per cage; and CRS, fed 60% of the food intake of ALM mice and housed one mouse per cage. To measure the amount of food consumption, the amount of chow removed from the cage hopper and the spillage (the chow on the bottom of the cage) were weighed weekly. Actual food consumed was calculated by subtracting the spillage from the chow removed from the hopper. The CR mice were given each day 60% of the actual food consumed by the ALM mice approximately 1 hour before the start of the dark phase of a 12-hour light/dark cycle (lights on at 5 AM).
All of the mice were weighed biweekly. Peak body weight (maximum midlife body weight) was measured for each mouse. Rate of gain of body weight was calculated as: [(peak body weight initial body weight)/(age in weeks at peak body weight age in weeks at initial body weight)]. Therefore, the rate of gain of body weight was expressed as "grams per week."
Sentinel mice housed in the same room and exposed weekly to bedding collected from the cages of experimental mice were killed on receipt and every 6 months thereafter for monitoring of viral antibodies (Mouse Level II Complete Antibody Profile CARB, Ectro, EDIM, GDVII, LCM, M. Ad-FL, M. Ad-K87, MCMV, MHV, M. pul., MPV, MVM, Polyoma, PVM, Reo, Sendai; BioReliance, Rockville, MD). All tests were negative. All mice were inspected twice daily (between 7 and 8 AM and between 3 and 4 PM) during weekdays and once daily (between 07 and 8 AM) on weekends and holidays for morbidity and mortality. Date of death was recorded as the outcome measure when the mice died spontaneously. From these data, we determined the median, mean, 10th percentile, and maximum survival for each group. Mice found dead were removed from the cage and immediately necropsied for gross pathological lesions.
Necropsy and Histology
After mice were necropsied, organs and tissues were excised and preserved in 10% buffered formalin: brain, pituitary gland, heart, lung, trachea, thymus, aorta, esophagus, stomach, small intestine, colon, liver, pancreas, spleen, kidneys, urinary bladder, reproductive system (prostate, testes, epididymis, and seminal vesicles), thyroid gland, adrenal glands, parathyroid glands, psoas muscle, knee joint, sternum, and vertebrae. Any other tissue with gross lesions was also excised. The fixed tissues were processed conventionally, embedded in paraffin, sectioned at 5 µm, and stained with hematoxylin-eosin. Although autolysis of varying severity occurred, it did not prevent the histopathological evaluation of lesions, with the exception of three mice. Diagnosis of each histopathological change was made with histological classifications in aging mice described by Bronson and Lipman (14).
Pathological Assessment
A list of pathological lesions was constructed for each mouse that included both neoplastic and non-neoplastic diseases. Based on these histopathological data, the tumor burden, disease burden, and severity of each lesion in each mouse were assessed. The tumor burden was calculated as the sum of the different types of tumor in a mouse. For example, a mouse that had reticular sarcoma and pituitary adenoma had a tumor burden of 2. For this analysis, both fatal and incidental tumors were counted. A mouse that had no neoplastic lesion had a tumor burden of 0. The disease burden was similarly calculated as the sum of the histopathological changes in a mouse. The severity of neoplastic and nephrologic lesions was assessed with the grading system described below.
The percentage of tumor-bearing mice and overall and age-specific incidence of disease were calculated for each experimental group. The percentage of tumor-bearing mice was calculated as the percentage of mice that had one or more neoplastic lesions. For this assessment, all neoplastic lesions were counted, regardless of the severity of tumors, i.e., both incidental (not severe enough to be the cause of death) and fatal (severe enough to be the cause of death) tumors were counted.
Grading of Lesions
The severity of neoplastic lesions and glomerulonephritis were determined using grading systems. Severity of these lesions was determined because their high prevalence allowed a finer dissection of the effect of the treatments on the extent of neoplastic lesions and kidney pathology.
Glomerulonephritis was graded in order of increasing severity: Grade 0: no lesions; Grade 1: minimal change in glomeruli (minimal glomerulosclerosis); Grade 2: Grade 1 with a few (fewer than 10) casts in renal tubules; Grade 3: Grade 1 with more than 10 casts in renal tubules; and Grade 4: Grade 3 with interstitial fibrosis.
Grading of neoplastic lesions was based on a modification of previously reported criteria (15): Grade 1: primary site only; Grade 2: primary site and intra-organ or one other organ metastasis; Grade 3: metastasis to 23 organs; and Grade 4: metastasis to more than 4 organs or Grade 3+ additional pathology, e.g., pleural effusion, ascites, subcutaneous edema. Hydrothorax, ascites, and subcutaneous edema were the common complications associated with advanced neoplastic diseases.
Probable Cause of Death
The probable cause of death in each mouse was determined by the severity of diseases found by necropsy, and was assessed independently by two pathologists. For neoplastic diseases, cases which had Grades 3 and 4 lesions were categorized as death by neoplastic lesions. For non-neoplastic diseases, cases which had a severe lesion, e.g., Grade 4, associated with other histopathological changes (pleural effusion, ascites, congestion and edema in lung) were categorized as death by non-neoplastic lesion. In more than 90% of the cases, there was agreement by the two pathologists. In cases in which there was not agreement or in which no disease was considered severe enough, cause of death was categorized as unknown.
Statistical Analysis
The log-rank test (16) was used to determine the homogeneity of survival curves among the four treatment groups (ALM, ALS, CRM, and CRS). The effect of treatment group on life span at 75th percentile, median, 25th percentile, 20th percentile, and 10th percentile was determined by the quantile test (17). The effect of treatment on log-transformed body weight and peak body weight was tested by analysis of variance, adjusting for multiple comparisons with the ad hoc Tukey-Kramer test (18). Associations between the rate of weight gain and the rate of weight loss with life span was tested by Spearman's rank order correlation coefficient (
) (18) due to non-normality of life span. The effect of treatment on the frequencies and severities of the presumptive causes of death was determined by chi-square and Cochran-Armitage trend tests, respectively (19). When the expected frequencies were too small for the chi-square test, the data were analyzed with Fisher's exact test (19). The comparison of tumor burden among groups was examined by the Monte Carlo Estimates for Exact test. After controlling for group difference, adjusting for the effect of prognostic factors such as diet, housing, the rate of gain weight, and cause of death, the life span was tested by Cox proportional hazard regression with Efron for tie handling (16).
| RESULTS |
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Longevity
The survival curves for the four experimental groups are presented in Figure 3. The median and various percentile life spans of the four experimental groups are presented in Table 2. The survival curves for ALS and ALM mice were nearly superimposable; the median survival and 10th percentile survival statistics of both groups were approximately 930 and 1050 days. Median life spans of CRS and CRM mice were 17% and 22% longer, respectively, than those of their AL counterparts (p <.001). Median survival time of CRM mice was 53 days longer than that of CRS mice, although this difference did not quite reach statistical significance (p =.07). The 10th percentile survival was approximately 1260 days for both multiply and singly housed CR groups, which was 20% and 29% longer than that of the ALS and ALM mice, respectively. Variance of individual life span was unaffected by housing density in AL and CR mice (p >.05; data not shown).
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= 0.40; p <.05) between life span and the rate of weight gain in CRS mice, and a negative correlation between rate of weight gain and life span (
= 0.47; p <.01) in CRM mice.
Probable Causes of Death
The probable causes of death in the four groups of mice are shown in Table 3. The causes of death in the ALS and ALM mice were similar. Approximately 70% of the ALS and ALM mice died of neoplastic diseases, about 85% of which were reticular sarcoma type B as described by Dunn (20), also termed, pleomorphic or mixed cell lymphomas (21,22) in C57BL6 mice. Currently, this type of lymphoma is diagnosed as follicular center lymphoma, which consists of the mixture of lymphoid cells, such as follicular center cells, centrocytes, centroblasts, small lymphocytes, lymphoblasts, plasmacytes, and plasmacytoid cells. The tumors originated in liver, spleen, and mesenteric lymph nodes. The presumptively fatal lymphoma was usually associated with multiple organ involvement or other pathological lesions, e.g., pleural effusion, ascites, or severe congestion and edema in lung. Other presumptively fatal neoplastic diseases observed in the AL mice were adenocarcinoma in lung, hemangioma in liver and spleen, and hepatocellular carcinoma. The major presumptively fatal non-neoplastic diseases observed in the AL mice were glomerulonephritis in kidney and thrombus in heart. In the CR groups, CRM mice had significantly lower incidence of fatal neoplasms (35%; p <.05) compared to the AL groups, and the major fatal neoplasm in this group was lymphoma. The incidence of presumptively fatal lymphoma was significantly lower in CRM mice (p <.05) compared to AL mice. Interestingly, occurrence of presumptively fatal neoplastic diseases in the CRS mice was dramatically reduced compared to CRM mice. Only one CRS mouse died presumptively of neoplastic disease. Both CRM and CRS mice had a higher incidence of non-neoplastic diseases compared to AL groups. The major non-neoplastic diseases in the CR mice were acidophilic macrophage pneumonia (AMP) in lung and rectal prolapse. CRS mice had a significantly higher incidence of acidophilic macrophage pneumonia in lung and rectal prolapse compared to the AL mice (p <.05), and CRM mice had a higher incidence of rectal prolapse compared to AL groups. The proportion of mice dying without pathology severe enough to be recorded as a probable cause of death did not differ between AL (11%13%) and CR (25%29%) groups. Housing density also did not affect the percentage of mice that died without a probable cause of death.
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| DISCUSSION |
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The finding that multiply-housed mice had the same life-span extension in response to CR as singly housed mice provides further evidence for the robustness of the CR effect. CR has been shown to be effective in extending longevity in numerous strains of laboratory rats and mice under many environmental conditions and diets (4,5). This study adds housing density to the factors that do not interfere with the longevity effect of CR. A limitation of this study is that it was conducted only in one strain and gender of rodents. However, CR-induced life-span extension has also been observed in pair-housed F344 rats (J. F. Nelson, Y. Ikeno, unpublished data) and in multiply housed Glut4 transgenic mice (R. McCarter, personal communication, 2005).
CR studies have usually been conducted with singly housed animals because of the concern that giving a restricted amount of food to multiply housed mice would result in different degrees of food restriction among the individuals. A consequent concern was that the different levels of CR could lead to different and variable effects on longevity. Although the present study could not allay the concern that individuals housed in groups eat different amounts of the restricted allotment of food provided them, it did indicate that the effect of CR on longevity was not affected by this variation. The finding that the rate of body weight gain of multiply housed CR mice was inversely related to longevity while there was a direct relation between these two parameters in singly housed mice indicates that housing density did differentially affect this relational parameter. The finding that the multiply housed CR mice that gained weight more slowly lived the longest is consistent with them ingesting fewer calories than their shorter lived cohabitants who gained weight more rapidly. In contrast, the finding that singly housed mice that gained weight the most rapidly lived longest would suggest that factors that enabled them to store a limited and fixed amount of energy more efficiently enabled them to outlive their counterparts who were less efficient at energy storage. Nevertheless, the fact that neither the median longevity nor its variance differed between the singly and the multiply housed CR groups indicates that, whatever the reason for the different relationships between weight gain and longevity in the two groups, this relationship did not impact the overall longevity-extending effect of CR.
Our survival curves and pathological data once again confirm the broad anti-aging effects of CR, i.e., extension of both median and maximum life spans associated with reduced incidence and retarded occurrence of various age-related diseases. A striking observation was that singly housed CR mice showed a greater reduction in the incidence of presumptively fatal neoplasms and in the severity of neoplasms than did CR mice housed multiply. There are several possible explanations for this difference. First, previous studies have shown a graded and proportionate reduction in induced cancers and the degree of CR (5,23). CRS mice were more restricted in relation to their singly housed AL counterparts than were CRM mice in relation to their AL counterparts. Furthermore, the fact that CRS mice weighed 20% less than CRM mice indicates that CRS mice were unable to store in body mass as many of the calories they consumed as were the CRM mice. Thus, proportionately more of the calories consumed by the CRS mice were expended in metabolism and maintenance of body temperature than were in CRM mice. Rats allowed to exercise voluntarily under CR weigh less than sedentary CR controls and also showed a greater reduction in cancer (24). Given the fact that the CRS mice weighed less than the CRM mice, it is possible that cell division was reduced more in the CRS group or that the partitioning of energy utilization between growth and heat generation favored heat generation more in the CRS group than in the CRM group. Either or both of these differences could plausibly contribute to the greater reduction in neoplastic disease in the CRS group. CR is known to reduce the rate of cell division in many tissues of mice (25,26). It may be possible that this reduction in cell division contributes to the anti-cancer effect of CR by reducing the chance of accumulation of multiple mutations that ultimately could give rise to lymphoma and other neoplastic disease.
Despite their greater reduction in cancer incidence, CRS mice did not live longer than CRM mice. There are at least two other examples of a dissociation between cancer incidence and longevity. Mice heterozygous for a null mutation of manganese superoxide dismutase have a higher incidence of cancer but virtually no difference in longevity, compared to wild-type littermates (27). Another example is the study mentioned earlier of rats allowed to exercise voluntarily under CR (24). The exercising rats weighed less than sedentary CR controls and also showed a greater reduction in cancer, but had no greater extension of life span than did sedentary CR rats. Together, these findings argue against the view that CR mainly extends longevity by reducing cancer incidencea view that has been raised because cancer is the most predominant age-related disease associated with death in most strains of laboratory mice and rats. One possible explanation for these dissociations between cancer incidence and longevity is that cancer does not play a major role in the broader aging processes that limit longevity. It is noteworthy that CRS mice had a higher incidence of a presumptively fatal pneumonia than did CRM mice, indicating that the reduction of cancer was associated with a greater vulnerability to another life-threatening disease. Further study is needed to determine the basis for the reduced cancer incidence in these experimental designs (i.e., singly housed vs multiply housed and exercised vs sedentary models), and also to determine why reduction in cancer incidence has no effect on longevity.
It is noteworthy that CR did not reduce the incidence of all diseases. Indeed, CR increased the incidence of some pathophysiological changes. Overall, CR mice had a higher incidence of fatal non-neoplastic diseases than did AL mice. CRS mice had an increased incidence of acidophilic macrophage pneumonia, which could explain why, despite their markedly reduced incidence of lymphoma, they had a similar life span to CRM mice. CR mice also had a higher incidence of rectal prolapse than did AL groups. This lesion is usually associated with neoplasm, inflammatory bowel diseases, or irritation of the intestine (28), possibly caused by Helicobacter infection. Mice in our colony with rectal prolapse tested negative for Helicobacter sp, and had no other apparent lesions, except a mild inflammatory change in the submucosa of the rectum. Understanding the etiologies behind the increased incidence of specific diseases in CR mice is an untapped and important area of study. One possibility is that the longer life of CR animals unmasks age-related vulnerabilities that AL animals never experience because of their earlier mortality. Alternatively, the altered physiology of CR animals may lead to different vulnerabilities. For example, CR animals exhibit marked changes in adrenocortical function (2931) and in the insulin/insulin-like growth factor-1 signaling axes (32), which can profoundly influence pathophysiology (33). The most prevalent non-neoplastic disease in C57BL/6 mice is glomerulonephritis. None of the CR mice had presumptively fatal glomerulonephritis, and its severity was significantly less in CR than in AL micea result that has been shown repeatedly in rats (3437).
Of particular note was the finding that ALS and ALM mice had the same longevity and pathology profiles, despite the fact that ALS mice consumed 40% more food than did ALM mice. The increased food intake of ALS mice was comparable in absolute magnitude to that which, when reduced in CR mice, extends longevity and reduces cancer. How can such an increase in food intake not have life-shortening consequences? Increased calorie intake induced by a more palatable diet can lead to insulin insensitivity and diabetes in mice (38), which presumably would be life-shortening. However, such diets result in increased body weight and adiposity. The fact that ALS mice did not weigh more than ALM mice could underlie their protection from an earlier mortality that might be expected on the basis of their increased food intake. Clearly, the increased energy utilized by ALS mice was not stored and most likely was used to generate the heat necessary to maintain a normal body temperature. ALS mice did not have the insulation and protection from heat loss that ALM mice had huddling together in their cages. Holloszy (39) also reported that increased food consumption induced by voluntary exercise or daily exposure to an energy-consuming swim in water below thermoneutrality did not shorten life span and even reduced the incidence of certain diseases in rats. In addition, Lipman and colleagues (40) showed that the increased calorie intake in adult F1 hybrid (Fisher 344 x Brown Norway) rats did not shorten the life span.
Summary
The major findings of this study were that: 1) multiple housing did not block the effect of CR on longevity; 2) singly housed CR mice showed a greater reduction of neoplasms and a higher incidence of acidophilic macrophage pneumonia than did multiply housed mice, but these effects may be more the consequence of the effect of greater food restriction in the singly housed group than in a difference in housing density; and 3) housing density changed neither longevity nor age-related pathology of AL mice despite causing one group to eat 40% more food than the other. Thus, our results indicate that CR can be as effective in group housed as in singly housed mice in terms of its life-span-extending effects.
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We thank Corinne Price for her excellent editorial work.
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Received February 15, 2005
Accepted June 28, 2005
| References |
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