A primary focus of biomarker and lifespan studies has been calorie restriction (CR). Spindler and colleagues first showed that two weeks of CR (40% reduction relative to ad libitum) causes many changes in mouse gene expression that persist in the long term
[19]. But the small number of increased or decreased transcripts found in their experiments, prolonged periods of starvation of animals including prior to sacrifice, and a report by Bauer and colleagues showing that a greater number of transcripts are changed by starvation alone highlighted the need for a strategy to minimize starvation
[19],
[20]. Selman and colleagues subsequently utilized a 16-day CR protocol that steps down from 90%, to 80%, and finally to 70% caloric intake (30% CR), and which avoids pre-sacrifice starvation. We employed a hybrid strategy that utilizes a CR treatment similar to that administered by Spindler and colleagues (approximately 40% CR for 2 weeks), but that avoids the induction of a starvation response. To enrich for chronic CR-related gene expression responses and to minimize the starvation response, we fed mice twice daily, including about half a day prior to sacrifice. This approach is more consistent with CR assays in organisms with constant food access, including yeast, nematodes, and fruitflies. Using this approach we found that CR alters liver expression of at least 3,000 genes. Comparisons of lists of genes most significantly associated with CR to those listed in GenAge allowed us to systematically discover important aging regulatory genes in our data, although current limitations of both GenAge and Gene Ontology annotations motivated a search for additional aging-related genes among the genes displaying the most significant expression differences between CR and high-calorie feeding.
Nnmt,
Cdkn1a, and
Ddit4 are of particular interest because of their high statistical rankings, large fold-changes and because all three appear to play key roles in aging regulatory pathways. Other notable upregulated genes are
Lepr,
Cebpd,
Cebpb,
Ctsl,
Plau,
Sgk1, and
Ppargc1a (
Pgc-1 alpha), and notable downregulated genes include
Aptx,
Tert,
Igfals and
Ghr. Previous microarray studies of CR have shown changes in
Ddit4,
Ghr [29] and
Sgk1 [37] but not in most of these other genes. Bauer and colleagues reported the upregulation of leptin receptor (
Lepr) with starvation, and in our data it is upregulated about 50-fold as measured by both microarray and Q-RT-PCR
[20]. Leptin is closely associated with the neuroendocrine responses of starvation, CR, and body size
[38]; however, the direct role of leptin in aging and its modulation by CR remain uncertain, but a primary regulatory role of leptin in the adaptive response of CR has been proposed
[39]. Two pairs of these genes are notable because they are functionally related.
Ctsl encodes a protease that cleaves Plau, and
Cebpd and
Cebpb are paralogs (they are also homologs of
Cebpa, which appears farther down ). Neither
Ctsl nor
Cebpd has been directly implicated in aging; however, our results suggest they might be involved in the lifespan regulation observed in mutants in the other member of these pairs.
Both
Ppargc1a and
Nnmt have been shown to function in sirtuin-related pathways.
Ppargc1a is a multifunctional regulator of metabolism and mitochondrial biogenesis, and has been linked to regulation of glucose homeostasis, CR and a possible role in aging through a physical interaction with Sirt1 in liver
[40].
Nnmt encodes Nicotinamide N-methyl transferase which produces N1-methyl nicotinamide from the vitamin B3 precursor nicotinamide. Nicotinamide partly or completely abrogates yeast lifespan extension by CR, possibly by increasing cellular levels of NADH, a competitive inhibitor of the Sir2 protein
[41],
[42]. Overexpression of human
NNMT in yeast increases rDNA silencing, a phenomenon linked to sirtuin-mediated extension of life span
[41]. Overexpression in yeast of
NNT1, the yeast homolog of
Nnmt, also increases rDNA silencing, increases lifespan which is not further increased by glucose restriction, and restores full lifespan extension by calorie restriction in a
pnc1 mutant
[41],
[42]. Tsuchiya and colleagues showed that elevated nicotinamide blocks CR-induced lifespan extension in yeast lacking sirtuins
[43]. This suggests a Sir2-independent mechanism for abrogation of lifespan extension by nicotinamide. Taken together, these results suggest that
NNT1 overexpression in yeast recapitulates a Sir2-independent life extension mechanism governed by CR. Our data showing that its mammalian homolog,
Nnmt, is among the most statistically significant and most upregulated genes (increased by approximately 48-fold as measured by Q-RT-PCR) in response to CR, strongly suggests that CR in mammals might be mediated by a similar and highly evolutionarily conserved mechanism.
Our results confirm those of others suggesting that regulation of DNA replication and repair, apoptosis, and cell proliferation play important roles in the CR response. Aprataxin (
Aptx) is one of the most significant downregulated genes and is involved in the repair of multiple types of DNA lesions and interacts with the DNA repair and stress-response proteins Parp1, Xrcc1, Xrcc4, and p53. The p53-regulated key regulator of apoptosis and cell cycle progression
Cdkn1a (increased by approximately 22-fold as measured by Q-RT-PCR) is among the most significant upregulated transcripts in our data and is regulated post-translationally by Akt phosphorylation
[44],
[45]. Telomerase reverse transcriptase (encoded by
Tert, decreased by approximately 2.9-fold) is also a key regulator of cell proliferation and apoptosis, and has been found in a multiprotein complex with Akt, S6K and Frap1 (TOR)
[46].
The Frap1 pathway genes
Ddit4 and
Sgk1 also have not previously been shown to be involved in regulating aging in mammals. However, it has been shown that
Ddit4 expression changes in response to CR in both rats and mice
[16],
[17], that the Akt/TOR pathway regulates lifespan in multiple species
[4],
[5],
[7],
[8], that
Sgk1 acts in this pathway to regulate nematode lifespan
[6], and that
Ddit4 regulates this pathway in mammals
[32],
[47]. In
C. elegans SGK-1 acts to mediate DAF-2/Igf1 signaling in a complex with Akt kinases and partial deletion or knockdown of
SGK-1 increases lifespan
[6]. The expression of
Ddit4 is regulated by hypoxia, cellular energy stress, and by p53 and p63 in response to DNA damage and reactive oxygen species (ROS)
[33],
[47],
[48].
Ddit4 and its paralog
Ddit4l are evolutionarily conserved and the fruitfly orthologs
Scylla and
Charybdis appear to function in a similar manner. Overexpression of
Scylla and/or
Charybdis results in smaller cell size and small flies, and loss of both genes results in larger cells and flies
[49].
Recent data from Ellisen and colleagues suggest that a primary
Ddit4 mechanism of action is to competitively bind inhibitory 14-3-3 proteins that otherwise bind to the Tsc2 protein, part of the tuberous sclerosis complex that inhibits Akt/Frap1 signaling when Tsc2 is unbound
[32]. Hypoxia or energy stress triggers the binding of 14-3-3 proteins by Ddit4, freeing Tsc2 to suppress Frap1 kinase activity and reduce phosphorylation of its substrates. These authors showed that mouse embryo fibroblasts (MEFs) deleted for
Ddit4 demonstrate increased proliferation and anchorage-independent growth resulting from dysregulation of Akt/Frap1 pathway signaling
[32]. They further demonstrated that
Ddit4-mediated inhibition of Frap1 occurs even in the presence of constitutive Akt activation. Subcutaneous injection into nude mice of MEFs containing constitutively activated Akt results in slow-growing tumors, and the additional deletion of
Ddit4 causes much more rapid tumor growth. These data suggest that
Ddit4 is a tumor suppressor acting on the Frap1 pathway downstream of Akt, and
Ddit4 downregulation has recently been described in a subset of human cancers
[32].
Since overexpression of
Ddit4 in cultured mouse cells is sufficient to inhibit activation of the Frap1 pathway, greatly reducing phosphorylation of S6K1 and ribosomal protein S6
[33], the over 33-fold increase that CR elicits in
Ddit4 in our experiments suggested a strong CR-dependent downregulation of Frap1 signaling in liver. This was confirmed by Western blots of Thr69 of Eif4ebp1
[47],
[50]. Sharp and Bartke also found decreased phosphorylation of Eif4ebp1 in livers of Ames (Prop1df) dwarf mice, but they also found decreased phosphorylation of the p70 and p85/p90 isoforms of ribosomal S6K
[51]. Jiang and colleagues also reported decreased phosphorylation of Thr389 of liver p70S6K in rats undergoing 4-week CR, as well as decreases in overall Frap1 kinase activity and phosphorylation of critical residues on Eif4ebp1, Akt and Tsc2
[52]. We did not find S6K to be differentially phosphorylated between CR and HIGHCAL mice. This result needs to be investigated further since phosphorylated p70S6K, a primary phosphorylation target of Frap1, was not detectable in our samples, and it therefore appears that phosphorylation of p70 and p90 isoforms are differently regulated from one another, and from Eif4ebp1. Nevertheless, increased phosphorylation of Eif4ebp1 and the large increase in the
Ddit4 mRNA transcript together suggest CR results in inhibition of the Frap1 pathway in liver to inhibit translational initiation. It will be of interest to determine which of these observed post-translational changes persist in long-term CR. Dhahbi and colleagues have shown that certain genes display oscillatory expression over the initial weeks of CR
[19]. Thus, it is possible or even likely that key post-translational modifications also oscillate, or that the 2-week CR protocol used in this and similar studies is too short to induce important post-translational and other phenotypic alterations that occur in long-term CR.
Our GO analysis shows that CR results in relative upregulation of genes within GO categories associated with ribosomes, translation initiation and elongation, and protein biosynthesis, suggesting that protein biosynthesis and processing machinery remain at fairly high levels. Our Western blot data suggest that translation is more tightly regulated through Frap1-dependent phosphorylation events. It is quite interesting that genes encoding ribosomal proteins and translation initiation and elongation factors are almost uniformly upregulated in response to CR, but translation appears to be downregulated. These findings are consistent with the possibility that many of the effects of CR are mediated to some degree through the control of protein synthesis and degradation. This possibility is supported by the findings that lifespan can be extended by mutations in translational regulatory proteins and in many individual ribosomal proteins in both yeast and
C. elegans (see
[53] for review), and less directly in more complex organisms by the observation that tryptophan restriction extends lifespan in rats
[54] and methionine restriction extends lifespan in both rats and mice
[55],
[56]. Consistent with this model, downregulated GO categories in our data include several involved in protein turnover including endoplasmic reticulum/ER, isomerase activity, amino acid derivative biosynthesis, proteasome core complex, and protein positioning and transport.
Our GO analysis also shows that CR results in relative downregulation of genes within GO categories associated with peroxisomes, lysosomes, mitochondria, and metabolism of lipids, cholesterol, and steroid hormones. Our results are in some cases consistent with but also contrast the GO analyses reported by Selman and colleagues resulting from mice treated with acute CR for 16 days
[16]. They also found that genes involved in lipid and steroid metabolism were upregulated but in contrast to our results they found a subset of lipid metabolism genes downregulated; they found the GO category for lipid metabolism (GO:0006629) among both upregulated and downregulated categories. Also in opposition to our findings, they found mitochondrion (GO:0005739) and membrane fraction (GO: 0005624) to be upregulated categories, and metabolism (GO:0008152) to be downregulated. However, we found a much larger number of differentially expressed genes in each category, which might provide an explanation for these discrepancies. For example, even at the restrictive cutoff used in our analysis there are 345 differentially expressed genes in the metabolism GO category compared to 181 in their data. These additional genes might be responsible for the disparate findings.
Our results also show a clear alteration in hormone biosynthesis and suggest that even short-term CR biases expression changes toward a more feminine profile. This hypothesis was confirmed by comparing our data to the whole-genome survey of sexually dimorphic gene expression performed by Yang and colleagues on 165 male and 169 female mice
[36]. This confirms the findings made by Swindell in an analysis of longer duration (between 2 and 17 months) CR experiments on male mice, and sexually dimorphic expression on small groups of female and male mice (n

=

6 in each group)
[25]. Overall, our results showing downregulation of genes involved in sterol, steroid, and sex hormone production by CR suggest a possible primary or significant contributory mechanism for some of the hormonal changes in response to CR in several species, including humans. Even more importantly, these changes further tie CR to key hormonal and cellular effectors of aging in model organisms, and possibly even in humans, since in humans and most other mammals females live longer than males
[21],
[22].
However, even though CR extends lifespan in both male and female mice there are two primary barriers to establishing simple relationships between CR, gender, hormones, and lifespan, and extrapolating mouse and other rodent results to humans and other primates: 1) there is clear disagreement among prior reports regarding the effects of CR on various hormone levels in rodents, humans and other primates
[57]–
[60]; and, 2) there is disagreement among previous studies regarding gender effects on mouse lifespan. Reports of CR-induced changes of important hormone biomarkers such as GH, IGF1, and DHEA-S (dehydroepiandrosterone sulfate) are variable across and even within species. These variable results are counterbalanced somewhat by the fact that the effects of CR on insulin levels and the insulin axis appear to be mostly consistent across species
[57],
[60]. Insulin is a key longevity biomarker but the insulin axis is complex and is regulated by many other hormones, including sex and adrenocortical hormones
[60].
Importantly, it remains unclear whether or not there are gender differences in mouse lifespan. One large and early study suggests females live longer than males, especially virgin females
[24]. This study from the Jackson Labs remains among the largest, with data on thousands of mice, but later data from this same facility cast doubt on these prior results, as improved conditions allowed far greater lifespans
[24]. More recent but still unpublished data from this facility on 3,744 mice of 32 different laboratory strains suggest that females might not live longer
[61], supporting prior data presented by others including Ingram
et al. [62]. Until final data from this and other high-quality studies are published, whether or not there is a difference between male and female mouse lifespan will remain an open question. Nevertheless, our data raise some intriguing questions including 1) are hormonal aspects or other determinants of gender also important regulators of lifespan; and 2) what might be the effect of CR on gene expression in female mice? It is possible that the response will be similar to what we found in male mice, i.e. many of the same genes will change in a trajectory away from male expression levels. It will be important to test this possibility and determine whether or not CR induces feminizing gene expression changes in organisms that have a clear female lifespan advantage, such as humans, and whether such changes might influence lifespan.