Abstract
Bioluminescence imaging is a non-invasive technology used to visualize physiological processes in animals and is useful for studying the dynamics of metabolic syndrome. Metabolic syndrome is a broad spectrum of diseases which are rapidly increasing in prevalence, and is closely associated with obesity, type 2 diabetes, nonalcoholic fatty liver disease, and circadian rhythm disorder. To better serve metabolic syndrome research, researchers have established a variety of animal models expressing luciferase, while also committing to finding more suitable luciferase promoters and developing more efficient luciferase-luciferin systems. In this review, we systematically summarize the applications of different models for bioluminescence imaging in the study of metabolic syndrome.
1 Introduction
Metabolic syndrome (MetS) is a systemic metabolic disorder associated with insulin resistance, obesity, dyslipidemia, and hypertension (). It also increases the risk of type 2 diabetes, non-alcoholic fatty liver disease (NAFLD), and cardiovascular disease (). These complications result in MetS being strongly associated with increased cardiovascular outcomes and overall mortality (). Over the past few decades, the prevalence of MetS has dramatically increased. According to data from the National Health and Nutrition Examination Survey (NHANES) of the United States, an epidemiological survey involving 17,048 people from 2011 to 2016 showed that the prevalence of MetS in adults was 34.7%. MetS also shows a clear trend of youth. The prevalence among people aged 20–39 years increased significantly from 2015 to 2016 compared to that in 2011–2012 (from 16.2% to 21.3%) (). Given the rapidly increasing prevalence of MetS, researchers are becoming increasingly interested in its pathogenesis and potential treatment strategies. MetS is recognized as a systemic and dynamic process; therefore, its pathogenesis and response to therapeutic measures in vivo requires further investigation. Current epidemiological, clinical, and experimental studies highlight the importance of observing the pathological processes of MetS in vivo ().
Bioluminescence imaging (BLI) is a technique used for visualizing physiological processes in animals. This technology is based on the research and application of bioluminescence, a natural phenomenon in which living organisms produce fluorescence (). Researchers have discovered the mechanism by which luciferase reacts with luciferin to generate light and have developed BLI (). In animal research, standard techniques, such as immunohistochemistry and Western blot analysis, necessitate the euthanasia of an animal to analyze the physiopathological condition at a specific time point. In contrast, BLI can image animals without euthanasia and multiple times to evaluate changes in physiological processes over time. Since luciferase is not expressed in most animals, transgenic animal models are created by modifying their DNA with specific luciferase genes (). Following the injection of luciferin as a substrate, luciferase in transgenic animals interacts with luciferin to produce light of a specific wavelength. Researchers use charge-coupled device (CCD) cameras to visualize the physiological processes of transgenic animals in a non-invasive manner (). This technology provides unprecedented assistance in the study of MetS (Figure 1).
FIGURE 1
The practicability of BLI has advanced significantly over the last decade (; ). In this review, we focused on the application of BLI in the field of MetS and emphasized the role of BLI animal models in MetS-related diseases such as type 2 diabetes, NAFLD, and circadian rhythm disorder.
2 Application of BLI in type 2 diabetes
The pathophysiology of type 2 diabetes generally includes peripheral insulin resistance and pancreatic islet dysfunction. Insufficient insulin secretion from β-cells leads to pancreatic islet dysfunction. Decreased β-cell number and function are direct causes of decreased insulin secretion (). Although histochemical methods can accurately determine the number and functional status of pancreatic β-cells in mice, it is impossible to repeatedly monitor their dynamic changes in one animal. BLI is an effective tool for monitoring changes in pancreatic β-cell number and function during diabetes progression in animal models ().
BLI has been used to study diabetes for over 20 years (Table 1). Previous studies have confirmed that the Mouse insulin I gene is mainly expressed in pancreatic islet β-cells (). Park et al. constructed transgenic mice (MIP-Luc mice) expressing firefly luciferase under the control of mouse insulin promoter (MIP). This study used the Xenogen IVIS 200 imaging system to perform BLI of anesthetized MIP-Luc mice. A strong fluorescent signal was detected in the pancreatic region of mice injected intraperitoneally with D-luciferin. Western blot analysis and immunohistochemical studies showed that luciferase was only expressed in islet β-cells and was not detected in other tissues, including other cell components of the islet. The results of the insulin glucose tolerance test in MIP-Luc and wild-type mice were similar, which proved that the knock-in of the luciferase gene did not significantly change the physiological characteristics of the mice. There was a significant positive correlation between bioluminescence intensity and the number of islets. In vitro BLI of different numbers of isolated islets from MIP-Luc mice revealed that bioluminescence signal intensity and luciferase activity were positively correlated with islet number (). However, how to determine whether the bioluminescence signal intensity accurately reflects the changes in the number of β cells rather than the changes in the transcriptional regulation level of the luciferase promoter poses a problem. In 2009, Park et al. investigated the correlation between bioluminescence signals and β-cell numbers in MIP-Luc mice fed a normal or high-fat diet (). They found that β-cell mass and bioluminescence signal intensity increased with age and were more pronounced in mice fed a high-fat diet. In high-fat-fed MIP-Luc mice, there was a strong correlation between fasting insulin levels, β cell numbers, and bioluminescence signals. The MIP-Luc mouse model provides an accurate and non-invasive method for studying changes in β-cell number and function. Virostko et al. also constructed a transgenic mouse model (MIP-Luc-Vu mice) using MIP. After the injection of streptozotocin (STZ) into MIP-Luc-Vu mice, the bioluminescence signal intensity continued to decrease. Morphometric analysis also showed a proportional reduction in the number of luciferase-expressing β cells after STZ treatment. Bioluminescence was observed for more than 1 year after a certain number of islets from MIP-Luc-VU mice were transplanted into wild-type mice under the renal capsule or into the liver through the portal vein. The bioluminescence intensity at both the transplant sites showed a linear correlation with the number of islets. However, researchers also found that BLI was more sensitive in measuring islets under the renal capsule than in the liver, suggesting that tissue thickness absorbs more photons, which affects the detection of bioluminescence intensity. This result reveals the need to develop new luciferins with enhanced tissue penetration. Developing more efficient algorithms may also compensate for the effect of tissue thickness on BLI (). Sekiguchi et al. used male MIP-Luc-VU mice to mate with female wild-type mice, successfully detected the bioluminescence signal from embryos in the uterine cavity of pregnant wild-type mice by BLI, and determined the process of fetal β-cell regeneration (). Previous studies have demonstrated that mouse embryos develop fully differentiated β-cells on day 13 (). However, researchers have only been able to detect bioluminescence signals after 16 days. This may be due to an insufficient number of β-cells or low level of gene transcription in the early stage. Therefore, technological innovations are required for the detection of weaker bioluminescence signals. Yin et al. used an MIP-Luc mouse model to study endogenous β-cell regeneration. They found that pioglitazone combined with alogliptin enhanced β cell regeneration, which promoted the progress of β cell regeneration therapy in patients with diabetes ().
TABLE 1
| Promoter | Luciferase | Luciferin | References |
|---|---|---|---|
| Type 2 diabetes | |||
| Mouse insulin I promoter | Firefly luciferase | D-luciferin | , , , , |
| Rat insulin promoter | Firefly luciferase | D-luciferin | |
| RLuc-YFP fusion protein | Coelenterazine | ||
| Bmp4 promoter | Firefly luciferase | D-luciferin | |
| Insulin I gene promoter | Firefly luciferase | D-luciferin | |
| Circadian rhythm disorder | |||
| Mouse Per1 promoter | Firefly luciferase | D-luciferin | |
| Mouse Per2 promoter | Firefly luciferase | D-luciferin | , |
| Bmal1 promoter | Firefly luciferase | D-luciferin | , |
| Non-alcoholic fatty liver disease | |||
| Albumin promoter | Firefly luciferase | FFA- luciferin | |
| CCL-1 | |||
| Obesity-mediated adipose inflammation | |||
| NF-κB promoter | Firefly luciferase | D-luciferin | |
| Saa3 promoter | Firefly luciferase | D-luciferin | |
| Thermogenesis of brown adipose tissue | |||
| Ucp1 promoter | Firefly luciferase | D-luciferin | , , |
| CIDEA promoter | Luciferase 2 | D-luciferin | |
Promoters and luciferase-luciferin systems commonly used for BLI in metabolic syndrome research.
RLuc, Renilla luciferase; YFP, yellow fluorescent protein; Bmp4 = Bone morphogenetic protein 4; Per = Period; BMAL1 = Basic helix-loop-helix ARNT, like 1; FFA, free fatty acid; CCL-1, Copper-caged luciferin-1; Saa3 = Serum amyloid A3; Ucp1 = Uncoupling protein 1; CIDEA, Cell death inducing DFFA, like effector a.
Leptin-deficient ob/ob (lep−/−) mice have been widely studied as an animal model of type 2 diabetes (). BLI for non-invasive monitoring of β-cell mass and function in ob/ob mice may provide new information on the regulation of β-cells in human type 2 diabetes. Patel et al. established the ob/ob-Luc mouse model using hybridization technology. The ability to monitor β cell function non-invasively in ob/ob mice provides new information for β cell regulation in type 2 diabetes ().
MIP is not the only promoter used for BLI of β cells. Rat insulin promoter (RIP) is also widely used for pancreatic β-cell-specific transgene expression. Smith et al. generated RIP-Luc transgenic constructs using the RIP and luciferase gene and generated a RIP-Luc mouse model by DNA microinjection into FVB/N donor embryos (). They found that glucose homeostasis and islet function were not significantly altered in RIP-Luc mice compared to those in wild-type FVB/N mice. However, luciferase expression was restricted to the islets of adult mice. Feeding adult RIP-Luc mice a high-fat diet resulted in enhanced bioluminescence signals. Since high-fat diets lead to insulin resistance in peripheral tissues (; ), researchers consider that the enhancement of the bioluminescence signal is related to the increase in the number of β cells or further activation of transgenic expression caused by metabolic changes in the body (). However, the reason for this signal enhancement requires further study. Rats are commonly used as models for physiological research because of the advantages of their large size. However, owing to the relative lack of genetic models, the application of rats lags behind that of mice. Ghislain et al. was the first to apply BLI to rats and constructed RIP7-RLuc-YFP transgenic rats that specifically expressed RLuc-YFP fusion protein in pancreatic β cells ().
Bone morphogenetic protein 4 (Bmp4) is a multifunctional growth factor mainly expressed in pancreatic β cells(). Bmp4-Bmp receptor 1A signal transduction in β cells is necessary for insulin production and secretion. Mice with impaired signal transduction show impaired insulin secretion, leading to diabetes (; ). Yasunaga et al. constructed a Bmp4Luc reporter plasmid carrying the enhancer and promoter regions of the Bmp4 and firefly luciferase genes. This construct was used to generate transgenic mice (p7kb-Bmp4-Luc) via pro-nuclear microinjection. After fasting for 24 h, the pancreas bioluminescence signal intensity of the transgenic mice increased approximately three-fold compared to that of the normal diet mice. Western blot analysis also showed that Bmp4 protein levels in the pancreases of mice after fasting increased approximately three-fold. This indicated that Bmp4 was altered in the starved state of mice, and this process could be reflected by the intensity of the BLI signal. The two reporter vectors p7kb-Bmp4Luc and pCMV-Luc were used to transfect cell lines. The BLI signal intensity of the cell lines with p7kb-Bmp4Luc was significantly increased after starvation medium treatment, and Western blot analysis also confirmed that the expression of Bmp4 was increased. These results suggest that Bmp4 is involved in physiological changes induced by starvation ().
Katsumata et al. used the insulin I gene promoter to construct a bacterial artificial chromosome (BAC) containing the luciferase gene. Ins1-Luc BAC transgenic mice were obtained by pro-nuclear injection of the chromosome into fertilized ICR mouse eggs. High-fat diet feeding and STZ induction confirmed that the bioluminescence signal intensity from islets changed with the increase and destruction of β cells. Researchers found that the BLI signal intensity produced by Ins1-Luc BAC transgenic mice was approximately four times that of MIP-Luc mice ().
3 Application of BLI in circadian rhythm disorder
The circadian rhythm system is the primary regulator of human health and metabolism. It regulates metabolism by controlling body functions and synchronizing the peripheral clocks of almost all cells in the body. The suprachiasmatic nucleus (SCN) is the center which maintains circadian rhythms in the body. Period genes, including Per1, Per2, and Per3, are key components in the maintenance of central and peripheral circadian rhythms (). Yamazaki et al. constructed a reporter fragment by linking the mouse Per1 genome fragment with the firefly luciferase gene and injected it into fertilized eggs of Wistar rats to obtain Per1-Luc rats (). The SCN isolated from Per1-Luc rats maintained a circadian cycle similar to that of wild-type rats, indicating that the transgene did not alter the normal circadian rhythm. Moreover, the bioluminescence rhythm of SCN in vitro was detectable for up to 32 days. In vitro cultured liver, lung, and skeletal muscle tissues showed a circadian rhythm of BLI signals, but the circadian rhythm in peripheral tissues was attenuated after two to seven cycles of culture. Therefore, BLI has been gradually applied to study the circadian rhythm of central and peripheral tissues and organs.
The circadian rhythm of glucose tolerance and insulin sensitivity is important in human physiological functions (). Previous studies have demonstrated that circadian rhythm disturbance in glucose metabolism is an important feature of type 2 diabetes (). Marcheva et al. performed BLI of islets isolated from Per2-Luc transgenic mice (). The BLI signal had a rhythmic variation with a period of 23.58 ± .3 h, which was very similar to the rhythm of SCN. The rhythm of islet BLI gradually weakened after 3 days, but the normal rhythm was restored after the addition of forskolin. Researchers have found that isolated islets with circadian rhythm disorders caused by clock gene mutations showed impaired glucose tolerance and decreased insulin secretion. Pancreatic islets have an autonomous circadian rhythm and play an important role in maintaining glucose homeostasis. Sadacc et al. used basic helix-loop-helix ARNT like 1 (Bmal1) Luc mice to demonstrate that the pancreas exhibits an autonomous circadian rhythm. The mRNA of insulin and clock genes (Per1 and Bmal1) was co-expressed by immunohistochemical staining, which suggests that pancreatic β cells have a spontaneous circadian rhythm ().
In the mouse model, the circadian rhythm of the pancreas has been proven to play an important role in normal insulin release and glucose homeostasis, whereas mice with a disturbed pancreatic-islet circadian rhythm develop hypoinsulinemia and diabetes. An autonomous circadian rhythm in human pancreatic islets was first described by Pulimeno et al. (Figure 2). Researchers isolated and purified islets from organ donors and transduced human islets using a Bmal1 luciferase lentivector. Using bioluminescence retardation microscopy, they recorded high-amplitude circadian oscillations at the islet population, individual islet, and scattered islet cell levels, indicating a functionally autonomous circadian rhythm in human islets ().
FIGURE 2
Previous studies have confirmed that diabetes leads to changes in the circadian rhythm of blood pressure, thereby increasing the incidence of cardiovascular disease (
4 Application of BLI in NAFLD
Free fatty acid (FFA) uptake reflects the metabolic state of the liver and is closely associated with NAFLD (
FIGURE 3

Principles of bioluminescence imaging of FFA-luc probes. (A) Bioluminescence imaging of transgenic mice expressing luciferase systemically or specifically in the liver after intraperitoneal injection of FFA-luc probes. (B) FFA-luc probes are transported into cells by transporters and reduced by intracellular glutathione to release free fluorescein. Luciferase catalyzes luciferin to produce photons that are detected by a charge-coupled device (CCD) camera. Reprinted (adapted) with permission from (
Copper (Cu) is an essential element in humans and other mammals. Studies have reported that copper metabolism imbalance is related to metabolic disorders, such as obesity, diabetes, and NAFLD (
In 2018, this team synthesized the N-acetylgalactosamine-functionalized ionophore, which can deliver copper to the liver to replenish the copper pools (
5 Application of BLI in obesity-mediated adipose inflammation
Low-grade inflammation of adipose tissue is associated with obesity and contributes to the development of obesity-related diseases such as insulin resistance, hypertension, and arteriosclerosis (
Macrophage infiltration plays an important role in adipose-tissue inflammation and metabolic disorders (
6 Application of BLI in thermogenesis of brown adipose tissue
Brown adipose tissue (BAT) plays a key role in mammalian metabolism and thermogenesis (
BAT can fight obesity by releasing energy as heat through UCP1 (
However, the luciferase reporter driven by the Ucp1 promoter constructed by Galmozzi et al. was integrated into the Y chromosome, which restricted the model to be only applicable to male mice. Mao et al. constructed Ucp1-2A-Luciferase knock-in Mice (
Cell death-inducing DNA fragmentation factor-like effector A (CIDEA) is a lipid droplet-associated protein (
7 Conclusion
This review describes the increasing applications of BLI models in the field of MetS research. Researchers have gained information about physiological processes in vivo by observing increasing, decreasing, or rhythmic changes in the intensity of bioluminescent signals. BLI provides a unique aid for the mechanistic and therapeutic exploration of MetS-related diseases. Undeniably, all the BLI models mentioned above have their unique advantages. Mouse insulin promoter (MIP) and rat insulin promoter (RIP) are the most widely used promoters in diabetes and β cell regeneration research(
BLI has many advantages, including low levels of interfering signals, high sensitivity, and relatively low cost (
The photons produced by bioluminescence are absorbed by tissue, which affects the accuracy of BLI and limits the application of this technique in large animals. Editing the luciferase reporter to enhance the transcriptional level of luciferase or modifying the luciferin substrate to produce longer-wavelength light for stronger tissue penetration may enable the application of BLI to deeper tissues or larger animals(
Statements
Author contributions
SL wrote the manuscript. KW and ZW prepared table and figures. JZ, MZ, YC, WZ, and ZL are responsible for professional guidance. SH and YZ participated in overall guidance and thesis revision. All authors contributed to the article and approved.
Funding
This work was supported by the National Science Foundation of China (82070869).
Acknowledgments
We would like to thank Editage (www.editage.com) for English language editing.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Publisher’s note
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Summary
Keywords
adipose inflammation, bioluminescence imaging, circadian rhythm disorders, metabolic syndrome, model, non-alcoholic fatty liver, obesity, type 2 diabetes
Citation
Li S, Wang K, Wang Z, Zhang W, Liu Z, Cheng Y, Zhu J, Zhong M, Hu S and Zhang Y (2023) Application and trend of bioluminescence imaging in metabolic syndrome research. Front. Chem. 10:1113546. doi: 10.3389/fchem.2022.1113546
Received
01 December 2022
Accepted
20 December 2022
Published
09 January 2023
Volume
10 - 2022
Edited by
Cheng-Shi Jiang, University of Jinan, China
Reviewed by
Yinghui Song, Hunan Provincial People’s Hospital, China
Jingpeng Liu, Southern Medical University, China
Li Yujie, Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine, China
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© 2023 Li, Wang, Wang, Zhang, Liu, Cheng, Zhu, Zhong, Hu and Zhang.
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*Correspondence: Sanyuan Hu, drsanyuanhu@163.com; Yun Zhang, feelzy0915@126.com
† These authors share last authorship
This article was submitted to Medicinal and Pharmaceutical Chemistry, a section of the journal Frontiers in Chemistry
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