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Central Treatment of Ketone Body in Rainbow Trout Alters Liver Metabolism Without Apparently Altering the Regulation of Food Intake

We hypothesize that the presence in fish brain of a ketone body (KB) like β-hydroxybutyrate (BHB) alters energy homeostasis through effects on food intake and peripheral energy metabolism. Using rainbow trout (Oncorhynchus mykiss) as a model, we intracerebroventricularly (ICV) administered 1 μl 100 g–1 body mass of saline solution alone (control) or containing 0.5 μmol of BHB. In a fist set of experiments, BHB did not affect food intake 6 and 24 h after treatment. In a second set of experiments, we evaluated 6 h after ICV BHB treatment changes in parameters putatively related to food intake control in brain areas (hypothalamus and hindbrain) involved in nutrient sensing and changes in energy metabolism in liver. The absence of changes in food intake might relate to the absence of major changes in the cascade of events from the detection of KB through ketone-sensing mechanisms, changes in transcription factors, and changes in the mRNA abundance of neuropeptides regulating food intake. This response is different than that of mammals. In contrast, central administration of BHB induced changes in liver energy metabolism suggesting a decreased use of glucose and probably an enhanced use of amino acid and lipid. These responses in liver are different to those of mammals under similar treatments but comparable to those occurring in fish under food deprivation conditions.


INTRODUCTION
During food deprivation ketone bodies (KB), β-hydroxybutyrate (BHB) and acetoacetate synthetized, mainly in liver, from fatty acids are used as a metabolic fuel in the brain as demonstrated in mice and rat (Paoli et al., 2015;Carneiro et al., 2016a;Le Foll and Levin, 2016;Rojas-Morales et al., 2016). KB are also synthesized in brain astrocytes (Le Foll and Levin, 2016).
Since KB are produced as an effect of food deprivation, they might signal a condition of energy shortage and subsequently increase food intake to maintain energy homeostasis (Carneiro et al., 2016a;Rojas-Morales et al., 2016). This hypothesis is supported by studies in which central infusion of BHB increased food intake in rat (Iwata et al., 2011) and mice (Carneiro et al., 2016a,b). However, subcutaneous injection of BHB or feeding a ketogenic diet reduces food intake in rat (Langhans et al., 1983) and mice (Paoli et al., 2015;Le Foll and Levin, 2016). A regulatory response to the central presence of KB can be also elicited in peripheral tissues via the autonomic nervous system in rat (Park et al., 2011) and mice (Carneiro et al., 2016a,b).
The detection of changes in KB levels in brain is therefore important for the regulation of food intake and peripheral metabolism. Not surprisingly, brain areas involved in nutrient sensing such as hypothalamus show the highest utilization rates of BHB (Laeger et al., 2010). Several mechanisms could be involved in this ketone-sensing capacity. The metabolism of KB might be involved since inhibition of ketogenesis in astrocytes with hymeglusin reversed the decrease in food intake observed in rats fed a ketogenic diet (Le Foll et al., 2015). In this mechanism, a rise in BHB levels would result in increased catabolism and decreased synthesis through changes in the activity of key enzymes involved in rate-limiting steps of ketogenesis and ketolysis such as β-hydroxybutyrate dehydrogenase (β-HBDH), acetyl-CoA C-acetyltransferase (ACAT), succinyl-CoA:3-ketoacid CoA transferase (SCOT), and hydroxymethylglutaryl-CoA synthase (HMGCS). The transport of KB can be also a putative mechanism of ketone-sensing. Several monocarboxylate transporters (MCTs) carry BHB across the blood-brain barrier, and their expression can be regulated in mice by brain BHB uptake (Laeger et al., 2010;Newman and Verdin, 2017), and also by peroxisome proliferatoractivated receptor α (PPARα) (Schutkowski et al., 2014). Moreover, inhibition of MCT1 suppressed BHB-stimulated AMP-activated protein kinase (AMPK) phosphorylation in mice (Laeger et al., 2012). Thus, AMPK might also mediate the response to BHB. Accordingly, KB modulate the phosphorylation status of AMPK in a time-dependent way in mice (Laeger et al., 2012).
In teleost fish, several studies carried out in recent years in rainbow trout (Oncorhynchus mykiss) demonstrated in brain areas (especially hypothalamus and hindbrain) the presence and functioning of nutrient sensors (for glucose, fatty acid, and amino acid) involved in the regulation of food intake (Conde-Sieira and Delgado et al., 2017;Soengas et al., 2018). There are no studies in fish relating the presence of KB in the brain to food intake control and peripheral energy metabolism. Available studies demonstrated that food deprivation enhanced ketogenesis in liver of several fish species including rainbow trout (Furné et al., 2012) with a rise in KB content in brain, as demonstrated in rainbow trout (Soengas et al., 1998) and Atlantic salmon (Soengas et al., 1996). The time period in which these increases occur is considerably longer than in mammals whereas the magnitude of the change is lower. Furthermore, the oxidative use of BHB in rainbow trout brain is considerably lower than that of other fuels like glucose or lactate (Soengas et al., 1998). This is remarkably different than in mammals in which oxidative rates of BHB are similar to those of glucose (Laeger et al., 2010;Paoli et al., 2015;Rojas-Morales et al., 2016). During food deprivation in rainbow trout brain (Soengas et al., 1998) despite a rise in BHB oxidative capacity, rates were still lower than those of glucose. It seems therefore that KB metabolism is less important in the brain of teleost fish than in mammals.
We therefore hypothesize that the impact of a central treatment with KB in teleost fish might have a reduced effect compared with mammals regarding the necessity of activating food intake. Accordingly, in a first set of experiments, we observed that intracerebroventricular (ICV) treatment with BHB did not affect food intake of rainbow trout. In a second set of experiments, we aimed to assess the reasons behind this lack of response. Thus, we carried out a similar ICV treatment and evaluated in brain areas involved in food intake control in fish, such as hypothalamus and hindbrain (Soengas et al., 2018), their metabolic status, the response of putative ketone-sensing mechanisms (not characterized before in fish), and the response of parameters related to food intake control such as integrative sensors, transcription factors, and mRNA abundance of neuropeptides. The presence of KB in the brain may also impact peripheral energy metabolism through sympathetic and parasympathetic systems that innervate gastrointestinal tract and liver in the same species (Seth and Axelsson, 2010). We hypothesize that changes occurring in liver of rainbow trout after central treatment with BHB should be of a lower magnitude than those of mammals. However, considering the relatively lower importance of glucose metabolism in fish compared with that of amino acid and lipid (Polakof et al., 2011, these changes may affect pathways different than those altered in mammals. Therefore, we assessed in liver changes in signaling pathways as well as in parameters related to main pathways of glucose, fatty acid, and amino acid metabolism.

Fish
Rainbow trout were obtained from a local fish farm (A Estrada, Spain). Fish were maintained for 1 month in 100 l tanks under laboratory conditions and 12L:12D photoperiod (lights on at 08:00 h, Lights off at 20:00 h) in dechlorinated tap water at 15 • C. Fish were fed once daily (09.00 h) to satiety with commercial dry fish pellets (Dibaq-Diproteg SA, Spain; proximate food analysis was 48% crude protein, 14% carbohydrates, 25% crude fat, and 11.5% ash; 20.2 MJ/kg of feed). The experiments described comply with the ARRIVE Guidelines, and were carried out in accordance with the guidelines of the European Union Council (2010/63/UE), and of the Spanish Government (RD 53/2013) for the use of animals in research, and were approved by the Ethics Committee of the Universidade de Vigo.

Experimental Design
Following 1-month acclimation period, fish were randomly assigned to 100 l experimental tanks. Fish were fasted for 24 h before treatment to ensure basal levels of hormones involved in metabolic control were achieved. On the day of experiment, fish were lightly anaesthetized with 2-phenoxyethanol (Sigma, 0.02% v/v), and weighed. ICV administration was performed as previously described . Briefly, fish were placed on a plexiglass board with Velcro straps adjusted to hold them in place. A 291/2 gauge needle attached through a polyethylene cannula to a 10 µl Hamilton syringe was aligned with the 6th preorbital bone at the rear of the eye socket, and from this point the syringe was moved through the space in the frontal bone into the third ventricle. The plunger of the syringe was slowly depressed to dispense 1 µl 100 g −1 body mass of saline solution alone (control) or containing 0.5 µmol of BHB. The dose was calculated with the concentration of approx. 2.5 µmol of acetoacetate g −1 wet weight measured in brain of the same species after 5 days of food deprivation (Figueroa et al., 2000), a brain size of approx. 0.2 g, and assuming an easy conversion of acetoacetate into BHB in brain.
In a first set of experiments, fish of 75.8 ± 2.7 g size were randomly distributed in tanks to be used for the assessment of food intake. This was registered for 3 days before treatment (to evaluate basal level of food intake) and then 6 and 24 h after ICV treatment with saline solution alone (control, n = 10 fish) or containing BHB (n = 10 fish). These time periods were selected based on prior studies in the same species describing changes in food intake after ICV treatment with different nutrients (Conde-Sieira and Delgado et al., 2017). After feeding, uneaten food remaining at the bottom of the conical tanks was withdrawn, dried and weighed, and this value was used to calculate the amount of food consumed by all fish in each tank, as the difference from the feed offered (Polakof et al., 2008a,b). The experiment was repeated three times, and results are shown as the mean ± SEM of 3 experiments (N = 3) with n = 10 fish per treatment in each tank per experiment.
In a second set of experiments, fish of 88.8 ± 1.9 g size were randomly distributed to be ICV injected with saline solution alone (control, n = 22) or containing BHB (n = 22) with the same concentration described above. After 6 h, again a time period known to induce in the same species changes in central and peripheral metabolism and parameters related to food intake control (Conde-Sieira and Delgado et al., 2017), fish were anaesthetized with 2-phenoxyethanol (Sigma, 0.02% v/v) and sampled sequentially following the same order of injection. Blood was collected by caudal puncture with ammonium-heparinized syringes, and plasma samples were obtained after blood centrifugation, deproteinized immediately (using 0.6 M perchloric acid) and neutralized (using 1 M potassium bicarbonate) before freezing on dry ice and storage at -80 • C until further assay. Fish were sacrificed by decapitation, and hypothalamus, hindbrain and liver were dissected, snapfrozen, and stored at -80 • C. Ten fish per group were used to assess enzyme activities and metabolite levels, six fish per group were used for the assessment of mRNA levels by qRT-PCR, whereas the remaining six fish per group were used to assess changes in the levels of proteins by Western blot.

Assessment of Metabolite Levels and Enzyme Activities
Levels of glucose, lactate and fatty acid in plasma were determined enzymatically using commercial kits (Spinreact, Barcelona, Spain, for glucose and lactate and Wako Chemicals, Neuss, Germany, for fatty acid). Acetoacetate and BHB levels were assessed following enzymatic methods described by Mellanby and Williamson (1974) and Williamson and Mellanby (1974), respectively.
Samples used to assess tissue metabolite levels were homogenized immediately by ultrasonic disruption in 7.5 vols of ice-cooled 0.6 M perchloric acid, and neutralized with 1 M potassium bicarbonate. The homogenate was centrifuged (10,000 × g), and the supernatant used to assay tissue metabolites. Levels of glucose, lactate, fatty acid, acetoacetate, and BHB were determined in brain areas as described above for plasma samples. In liver, the same metabolites were assessed as well as levels of glycogen, triglyceride, and α-amino acid. Tissue glycogen levels were assessed as described by Keppler and Decker (1974). Tissue total α-amino acid levels were determined colorimetrically using the nynhydrin method (Moore, 1968) with alanine as standard.
Samples for enzyme activities were homogenized by ultrasonic disruption with 9 vols of ice-cold-buffer consisting of 50 mM Tris (pH 7.6), 5 mM EDTA, 2 mM 1,4-dithiothreitol, and a protease inhibitor cocktail (Sigma, St. Louis, MO, United States). The homogenate was centrifuged (1,000 × g) and the supernatant used immediately for enzyme assays. Enzyme activities were determined using a microplate reader INFINITE 200 Pro (Tecan, Männedorf, Switzerland). Reaction rates of enzymes were determined by the decrease or increase in absorbance of NADH at 340 nm, of acetoacetyl-CoA at 300 nm in the case of ACAT and SCOT, and in the case of CPT-1 activity, of 5,5 -dithiobis (2-nitrobenzoic acid)-CoA complex at 412 nm. The reactions were started by the addition of supernatant (10-20 µl) at a pre-established protein concentration, omitting the substrate in control wells (final volume 180-285 µl), and allowing the reactions to proceed at 20 • C for pre-established times (3-30 min). Enzyme activities were normalized to protein levels (mg). Protein was assayed in triplicate in homogenates using microplates according to the bicinchoninic acid method with bovine serum albumin (Sigma) as standard. Enzyme activities were assessed at maximum rates determined by preliminary tests.

mRNA Abundance Analysis by Real-Time Quantitative PCR
Total RNA was extracted using Trizol reagent (Life Technologies, Grand Island, NY, United States) and subsequently treated with RQ1-DNAse (Promega, Madison, WI, United States). Two microgram total RNA were reverse transcribed using Superscript II reverse transcriptase (Promega) and random hexamers (Promega) to obtain approx. 20 µl. Gene expression levels were determined by real-time quantitative (RT qPCR) using the iCycler iQ (BIO-RAD, Hercules, CA, United States). Analyses were performed on 1 µl cDNA using MAXIMA SYBR Green qPCR Mastermix (Life Technologies), in a total PCR reaction volume of 15 µl, containing 50-500 nM of each primer. Therefore, we assessed mRNA abundance of transcripts related to (1) ketone-sensing such as β-hydroxybutyrate dehydrogenase (bdh1), hydroxymethylglutaryl-CoA synthase (hmcgs2), monocarboxylate transporter 1 (slc16a1), and monocarboxylate transporter 2 (slc16a7); (2) food intake control such as the transcription factors brain homeobox transcription factor (bsx), cAMP response-element-binding protein (creb1), forkhead boxO1 (foxo1), and peroxisome proliferator-activated receptor type α (ppara), and the neuropeptides agouti-related protein 1 (agrp1), neuropeptide Y (npy), pro-opio melanocortin a1 (pomca1), and cocaineand amphetamine-related transcript (cartpt); (3) integrative sensors such as mechanistic target of rapamycin (mtor), and sirtuin 1 (sirt1); (4) glucose metabolism such as fructose 1,6bisphosphatase (fbp1), glucose 6-phosphatase (g6pc), glucokinase (gck), glucose facilitated transporter type 2 (slc2a2), glycogen synthase (gys1), phosphoenolpyruvate carboxykinase (pck1); (5) K + ATP channel such as inward rectifier K + channel pore type 6 (kcnj11) and sulfonylurea receptor 1 (abcc8); (6) fatty acid metabolism such as carnitine palmitoyl transferase 1 types a and c (cpt1a and cpt1c), fatty acid synthetase (fasn), fatty acid translocase (cd36), fatty acid transport protein 1 (slc27a1), and 3-hydroxyacyl-CoA dehydrogenase (hadh); (7) lactate metabolism such as lactate dehydrogenase chain a (ldha) and lactate dehydrogenase chain b (ldhb); and, (8) amino acid metabolism such as alanine transaminase (gpt) and glutamate dehydrogenase (glud1). Sequences of the forward and reverse primers used for each transcript expression are shown in Table 1. Most transcripts were measured using previously described primers in the same species (Table 1) with the exception of bdh1 and hmgcs2. For these transcripts, new primers were designed using Primer3 software 1 from sequences available in GenBank (bdh1, XM_021574638.1; hmgcs2, XM_021601620.1). The DNA products obtained by RT-PCR using total RNA isolated were purified and ligated into the pGEM T-easy vector (Promega, Madison, WI, United States) and transformation was used to clone the resulting plasmid into Escherichia coli JM109 cells. Single white colonies were picked up and cultured in LB medium with 100 µg ml −1 ampicillin. The recombinant plasmid was isolated from the recombinant clones and subjected to DNA sequencing by the Sanger method in Centro de Apoio Científico-Tecnolóxico (CACTI) of Universidade de Vigo. DNA sequences were used for homology search using blast. Relative quantification of the target gene transcript was done using actb (β-actin) and eef1a1 (elongation factor 1α) gene expression as reference, which were stably expressed in this experiment. Thermal cycling was initiated with incubation at 95 • C for 90 s using hot-start iTaq DNA polymerase activation followed by 35 cycles, each one consisting of heating at 95 • C for 20 s, and specific annealing and extension temperatures for 20 s. Following the final PCR cycle, melting curves were systematically monitored (55 • C temperature gradient at 0.5 • C/s from 55 to 94 • C) to ensure that only one fragment was amplified. Samples without reverse transcriptase and samples without RNA were run for each reaction as negative controls. Only efficiency values between 85 and 100% were accepted (The R 2 for all genes assessed was higher than 0.985). Relative quantification of the target gene transcript with the actb and eef1a1 reference gene transcripts was made following the method Pfaffl (2001).

Western Blot Analysis
Frozen samples (20 mg) were homogenized in 1 ml of buffer containing 150 mM NaCl, 10 mM Tris-HCl, 1 mM EGTA, 1 mM EDTA (pH 7.4), 100 mM sodium fluoride, 4 mM sodium pyrophosphate, 2 mM sodium orthovanadate, 1% Triton X-100, 0.5% NP40-IGEPAL, and 1.02 mg ml −1 protease inhibitor cocktail (Sigma). Tubes were kept on ice during the whole process to prevent protein denaturation. Homogenates were centrifuged at 1000 × g for 15 min at 4 • C, and supernatants were again centrifuged at 20,000 × g for 30 min. The resulting supernatants were recovered and stored at -80 • C. The concentration of protein in each sample was determined using Bradford assay with bovine serum albumin as standard. Protein lysates (10 µg) were Western blotting using appropriate antibodies from 1) Cell Signaling Technology (

Statistics
Comparisons among groups were carried out with Student t-test using the statistical package SigmaStat. Differences were considered statistically significant at p < 0.05.

Experiment 1
No significant changes were observed after BHB treatment in food intake (Figure 1).

Experiment 2
No significant changes were observed after BHB treatment in levels of plasma metabolites ( Table 2).
FIGURE 1 | Food intake in rainbow trout 6 and 24 h after intracerebroventricular administration of 1 µL 100 g -1 body mass of saline solution alone (Control) or containing 0.5 µmol of β-hydroxybutyrate (BHB). Food intake is displayed as the percentage of food ingested with respect to baseline levels (calculated as the average of food intake the 3 days previous to experiment) and was normalized to control group (100%). Each value of food intake is the mean ± SEM of 3 experiments (N = 3) with n = 10 fish per treatment in each tank per experiment. ns, not significant difference.
The effects of BHB treatment on the levels of metabolites, enzyme activities and mRNA abundance of transcripts in hypothalamus is shown in Table 3. BHB treatment decreased levels of lactate and mRNA abundance of slc16a7, slc27a1, hadh, and pck1 without affecting the remaining parameters assessed.
The levels and phosphorylation status of Ampkα and Mtor in hypothalamus is shown in Figure 2. The levels of the phosphorylated form of Ampkα decreased after BHB treatment without affecting the non-phosphorylated form. mTor was not affected by treatment.
The effects of BHB treatment on the levels of metabolites, enzyme activities and mRNA abundance of transcripts in hindbrain is shown in Table 4. BHB treatment decreased levels of lactate, and mRNA abundance of ldha and slc27a1 whereas an increase occurred in acetoacetate levels without affecting the remaining parameters assessed.
The levels and phosphorylation status of Ampkα and mTor in hindbrain is shown in Figure 3. The ratio of phosphorylated vs. non-phosphorylated mTor increased after BHB treatment without affecting levels of both forms separately. The levels and phosphorylation status of Ampkα were not affected by treatment.
The effects of BHB treatment on the levels of metabolites, enzyme activities and mRNA abundance of transcripts in liver is shown in Table 5. BHB treatment decreased the activities of GCK and PK, and mRNA abundance of gys1 whereas an increase occurred in mRNA abundance of g6pc, fbp1, cpt1a, glud1, and gpt. No significant changes occurred in the remaining parameters assessed.
The levels and phosphorylation status of proteins of interest in liver is shown in Figure 4. The levels of P-Akt and P-Akt/akt decreased after BHB treatment while no significant changes occurred in the levels of Akt. Finally, no significant changes occurred in the levels and phosphorylation status of Ampk and in the levels of Chrebp.

The Presence of BHB in the Brain Does Not Change Food Intake
No prior studies in fish assessed the effect of KB on food intake. Available studies in fish only evaluated levels of KB in plasma and brain in food deprived fish (Soengas et al., 1996;Figueroa et al., 2000;Polakof et al., 2007). This lack of effect in food intake is different than that observed in mammals where increased (Iwata et al., 2011;Carneiro et al., 2016a,b) or decreased (Le Foll et al., 2014 food intake occurred after BHB treatment. However, we should compare our results with those in mammals with caution since different approaches were used in mammals to assess the relationship of KB with food intake (Le Foll et al., 2014Foll et al., , 2015Carneiro et al., 2016a,b). In any case, the present results allow us to hypothesize that BHB might not relate to food intake control in fish when administered centrally, a response different to that known in mammals. Since the time period in which changes in KB occurred during food deprivation in fish is considerably longer than in mammals, we cannot exclude the possibility that changes in food intake might occur after prolonged BHB treatment.

The Presence of BHB in the Brain Elicits Few Changes in Parameters Putatively
Related to Ketone Sensing and Not Affected Food Intake Regulation β-hydroxybutyrate treatment did not alter BHB levels in brain regions assessed suggesting a quick metabolization of this KB. Both brain areas display a different behavior regarding levels of KB as demonstrated by the raise in acetoacetate levels in hindbrain but not in hypothalamus after BHB treatment, and BHB/acetoacetate ratio, which was lower in hindbrain than in hypothalamus under control conditions. We have Each value is the mean ± SEM of n = 10 (metabolite and enzyme activities) or n = 6 (mRNA abundance) fish per treatment. Data of mRNA abundance are referred to the control group (results were previously normalized by actb and eef1a1 mRNA levels, which did not show changes among groups). * Significantly different (p < 0.05) from control group.
no explanation for this interesting difference in behavior between both regions. The ICV treatment with BHB elicited changes in brain energy metabolism as demonstrated by decreased potential of gluconeogenesis (decreased mRNA abundance of pck1) in hypothalamus as well as decreased capacity for transport of fatty acid both in hypothalamus and hindbrain (decreased mRNA abundance of slc27a1) and decreased use of fatty acid in hypothalamus (decreased mRNA abundance of hadh). The effect on fatty acid is probably due to the lack of necessity for taking them up to act as precursors of KB. The metabolism of lactate is also apparently inhibited in both brain areas, as demonstrated reduced lactate levels and reduced mRNA abundance of ldha and slc16a7. These changes reflect a decreased necessity of using glucose, lactate, and fatty acid for fuel purposes in the brain, which is logical considering the presence of an alternative fuel such as KB, and are comparable to those described in mammals (Rojas-Morales et al., 2016;Newman and Verdin, 2017). There are some differences when comparing the response of hypothalamus and hindbrain but in general they are comparable.
Besides direct metabolic effects, the presence of KB within the brain detected by ketone-sensing mechanisms is expected to act as a signal of nutrient abundance within the brain inducing changes in the modulation of food intake (Le Foll et al., 2014). A first candidate to function as a ketone sensor would be the metabolism of KB. We have not observed any change in parameters related to these pathways such as activities of β-BHDH, SCOT and ACAT, as well as mRNA abundance of bdh1 and hmgcs2. In mice, Carneiro et al. (2016b) FIGURE 2 | Western blot analysis of Ampkα (A-C) and mTor (D-F) protein levels in hypothalamus of rainbow trout 6 h after intracerebroventricular administration of 1 µL 100 g -1 body mass of saline solution alone (Control) or containing 0.5 µmol of β-hydroxybutyrate (BHB). Ten micrograms of total protein were loaded on the gel per lane. Western blots were performed on six individual samples per treatment, and representative blots are shown. Graphs represent the amount of phosphorylated protein (A,D), the total amount of the target protein (B,E) and the ratio between the phosphorylated protein and the total amount of the target protein (C,F). Each value is the mean + SEM of n = 6 fish per treatment. ns, not significant difference. * indicates significant differences (p < 0.05) compared to control group.  Each value is the mean ± SEM of n = 10 (metabolite and enzyme activities) or n = 6 (mRNA abundance) fish per treatment. Data of mRNA abundance are referred to the control group (results were previously normalized by actb and eef1a1 mRNA levels, which did not show changes among groups). * Significantly different (p < 0.05) from control group.
did not observe changes in β-HBDH or HMGCS activities in hypothalamus after BHB central infusion. However, in rat Le Foll et al. (2015) observed a reverted effect of food intake after HMGCS inhibition in brain. These key enzymes are regulated by different proteins and transcription factors such as sirtuin1, mTOR or PPARα (Newman and Verdin, 2017). The absence of changes in mRNA abundance of these transcription factors in the present study is therefore in agreement with the lack of changes in KB metabolism. Transport of KB through monocaboxylate carriers (MCTs) could be another putative ketone sensor (Laeger et al., 2012). Of the two carriers involved in the monocarboxylate transport into the brain (MCT1 and MCT2), also present in rainbow trout brain (Omlin and Weber, 2013), we observed a decrease in the mRNA abundance of slc16a7 (corresponding to MCT2) after BHB treatment in hypothalamus. This effect is comparable to that observed in hypothalamus of either food deprived (Schutkowski et al., 2014) or BHB-infused (Carneiro et al., 2016b) mice. MCT2 is supposed to be present in neurons for the uptake of monocarboxylates while MCT1 is involved in their release (Laeger et al., 2010). However, Carneiro et al. (2016a) observed no changes after BHB infusion in mRNA abundance of Mct1, Mct2, and Mct4 in mice.
We observed a decrease in levels of P-Ampkα in hypothalamus of BHB-treated fish. Such a decrease is compatible with the role of AMPKα as an energy sensor being inactivated under increased levels of energy within the cell López, 2017). In mice, the infusion of BHB resulted in an increase in the ratio P-AMPK/AMPK (Carneiro et al., 2016a). Considering that in mice an increase in food intake occurred in parallel with FIGURE 3 | Western blot analysis of Ampkα (A-C) and mTor (D-F) protein levels in hindbrain of rainbow trout 6 h after intracerebroventricular administration of 1 µL 100 g -1 body mass of saline solution alone (Control) or containing 0.5 µmol of β-hydroxybutyrate (BHB). Ten micrograms of total protein were loaded on the gel per lane. Western blots were performed on six individual samples per treatment, and representative blots are shown. Graphs represent the amount of phosphorylated protein (A,D), the total amount of the target protein (B,E) and the ratio between the phosphorylated protein and the total amount of the target protein (C,F). Each value is the mean + SEM of n = 6 fish per treatment. ns, not significant difference. * indicates significant differences (p < 0.05) compared to control group. 5 | Levels of metabolites, enzyme activities, and relative mRNA abundance of transcripts in liver of rainbow trout 6 h after intracerebroventricular administration of 1 µL 100 g −1 body mass of saline solution alone (control) or containing 0.5 µmol of β-hydroxybutyrate (BHB). Each value is the mean ± SEM of n = 10 (metabolite and enzyme activities) or n = 6 (mRNA abundance) fish per treatment. Data of mRNA abundance are referred to the control group (results were previously normalized by actb and eef1a1 mRNA levels, which did not show changes among groups). * Significantly different (p < 0.05) from control group.
changes in mRNA abundance of Npy, Agrp, Pomc, and Cart, this is suggesting clearly different responses between both vertebrate groups. BHB treatment in vitro in hypothalamic cell lines (Laeger et al., 2012) resulted in increased or decreased P-AMPK/AMPK ratio with low or high glucose concentrations, respectively. The specificity of the effect of hypothalamic Ampkα in the present study is reinforced by the lack of changes noticed in the other brain area assessed (hindbrain) as well as by the lack of changes in the levels and phosphorylation status of mTor. However, it is not clear why the decrease in P-Ampkα did not induce in brain a downstream change in the pathways involved in the regulation of food intake. This can relate to the absence of significant changes in P-Ampkα/Ampkα ratio and/or to the existence of additional pathways involved. In hypothalamus, when nutrient levels rise, a decrease in the levels of BSX and CREB as well as an increase in those of FoxO1 result in the inhibition of mRNA abundance of Agrp and Npy, and the enhancement of Cartpt and Pomc, resulting in a decrease in food intake as demonstrated in mammals (Nogueiras et al., 2008;Diéguez et al., 2011;Varela et al., 2011) with some evidence also existing in fish (Conde-Sieira et al., 2018). However, in the present study, we have not observed any significant change in mRNA abundance of bsx, creb1, and foxo1 in hypothalamus and hindbrain of fish treated with BHB. The absence of changes in these transcription factors is also in agreement with the lack of changes in the mRNA abundance of the neuropeptides under their control involved in the metabolic regulation of food intake such as agrp1, npy, pomca1, and cartpt. This is in contrast with the mammalian model where mRNA abundance of the orexigenic neuropeptides Agrp and Npy increase after BHB treatment without affecting Pomc and Cartpt (Iwata et al., 2011;Laeger et al., 2012;Carneiro et al., 2016a,b), and this was concomitant with changes in food intake (Carneiro et al., 2016a) not observed in rainbow trout. The absence of changes in neuropeptide mRNA abundance is FIGURE 4 | Western blot analysis of Ampkα (A-C), Akt (D-F) and Chrebp (G) protein levels in liver of rainbow trout 6 h after intracerebroventricular administration of 1 µL 100 g -1 body mass of saline solution alone (Control) or containing 0.5 µmol of β-hydroxybutyrate (BHB). Ten micrograms of total protein were loaded on the gel per lane. Western blots were performed on six individual samples per treatment, and representative blots are shown. Graphs represent the amount of phosphorylated protein (A,D), the total amount of the target protein (B,E,G) and the ratio between the phosphorylated protein and the total amount of the target protein (C,F). Each value is the mean + SEM of n = 6 fish per treatment. ns, not significant difference. * indicates significant differences (p < 0.05) compared to control group. consistent with the lack of changes observed in food intake of BHB-treated fish.

Liver Metabolism Was Affected by Central KB Treatment
The presence of KB in the brain is able to induce changes in liver metabolism of mammals, at least in diabetic rats (Park et al., 2011). In rainbow trout, central BHB treatment affected several metabolic pathways in the liver. Since no changes occurred in plasma levels of metabolites, it seems reasonable that the hepatic effects are the result of a signal arriving to the liver from the brain, and not the result of changes in plasma metabolites. In this way, downstream pathways through which hypothalamus/hindbrain modulate hepatic metabolism might be based on sympathetic and parasympathetic systems that innervate gastrointestinal tract and liver in the same species (Seth and Axelsson, 2010). Accordingly, a functional relationship between central presence of nutrients and peripheral effects on liver metabolism comes from previous studies in the same species in which metabolic changes in liver occurred after ICV treatment with glucose, lactate, oleate or octanoate Librán-Pérez et al., 2014) or after central inhibition of AMPKα2 (Conde-Sieira et al., 2019). This signal might relate to the inhibition of Ampkα in hypothalamus and/or activation of mTor in hindbrain. However, we cannot exclude the possibility that metabolic changes in liver be the result of a hormone being released by the brain.
Ketone body metabolism in liver was not apparently affected by central BHB treatment in agreement with studies carried out in mice at comparable times (Carneiro et al., 2016a). In contrast, central administration of BHB clearly affected glucose metabolism in the liver of rainbow trout. A clear decrease in the capacity of this tissue to use glucose as a fuel was supported by the decrease observed in GCK activity and gck mRNA abundance (though the later was not significant) as well as in PK activity. Moreover, a clear decrease in the capacity of this tissue to synthesize glycogen was also evident based on decreased mRNA abundance of gys1 and the non-significant decrease in % GSase a activity. mRNA abundance of parameters involved in gluconeogenesis displayed an intriguing increase as demonstrated values of fbp1 and g6pc and the non-significant increase of pck1. A hypothetical increase in gluconeogenic capacity would be contrary to that known in mammals where gluconeogenesis was reduced in liver after central BHB infusion (Carneiro et al., 2016a,b). Is this tempting to suggest that the presence of KB in the brain elicited a signal in liver indicative that no necessity of using additional fuels is necessary thus favoring anabolic instead of catabolic pathways. This would match with a raised potential of gluconeogenesis. A rise in gluconeogenic capacity in liver of this species is also evident under conditions of food deprivation in which increased levels of KB are present and used in brain simultaneously (Soengas et al., 1998). We may suggest that gluconeogenic potential activated in rainbow trout liver by a signal coming from the brain informing of the presence of KB in a way comparable to that occurring under food deprivation conditions. It is relevant to mention however that no changes occurred in the levels of glucose in plasma and liver. This absence of changes is comparable to that observed in rat after ICV BHB treatment (Arase et al., 1988) as well as in rainbow trout after 24 h of food deprivation (Figueroa et al., 2000). The impact of ICV BHB treatment in liver glucose metabolism in rat appears to be dependent on insulin signaling (Park et al., 2011) through Akt phosphorylation and reduced expression of pck1. In the present study, we observed reduced Akt phosphorylation and increased gluconeogenic potential after BHB treatment, i.e., a response apparently opposed to that of mammals. Akt reduces its activity in liver in response to KB (Rojas-Morales et al., 2016). We observed the same effect, perhaps related to inhibition of insulin signaling. In fact, results obtained in liver are highly coherent with decreased insulin signaling. Thus, reduced pAkt could be the consequence of reduced insulin levels, which would reduce glucose oxidation capacity (coincident with decreased GCK activity), and release the inhibitory effect on gluconeogenesis (actually increased in the present study). The reduced potential of β-oxidation is also compatible with low insulin levels.). In rat Park et al. (2011) observed that a 4-week central infusion of BHB potentiated insulin signaling in liver. This difference could be the result of differences between long-and short-term treatment of BHB not evaluated in the present study.
In BHB-treated fish the lipogenic potential was unaffected (no changes in fasn mRNA abundance and FAS activity) while that of fatty acid oxidation increased (increased cpt1a mRNA abundance) as well as that of amino acid catabolism (increased glud1 and gpt mRNA abundance). On the other hand, the increased potential of β-oxidation could result in more available fatty acids for ketogenesis. However, some caution must be taken since no significant changes occurred in the activities of CPT-1 and GDH. Thus, liver apparently enhanced the potential for use of amino acid and lipid as energy source instead of glucose, which could relate to the fact that the signal elicited by KB in the brain is informing of glucose scarcity. This is not surprising, from the teleost fish point of view, considering the relative low importance of glucose metabolism (except in brain) in this group compared with that of amino acid and lipid (Polakof et al., 2011 but highlights a difference again with mammals where no comparable changes occurred.

Perspectives and Significance
We assessed, for the first time in teleost fish, the impact of central treatment with KB on energy homeostasis through regulation of food intake and peripheral metabolism. The presence of BHB in the brain did not result in changes in food intake. This might relate to the absence of major changes in the cascade of events from the detection of KB through ketone-sensing mechanisms, changes in transcription factors, and changes in the mRNA abundance of neuropeptides regulating food intake. This response is different than that of mammals. The differences between both groups might relate to the reduced importance of KB for brain metabolism of teleost fish compared with mammals (Soengas et al., 1998), which also relates to the known resistance of teleost fish to the effects of food deprivation (Navarro and Gutiérrez, 1995). In contrast, central administration of BHB, as a signal of metabolic shortage, induced changes in liver energy metabolism. These can be summarized in a decreased use of glucose and probably in increased potential for the use of amino acid and lipid instead of glucose. These metabolic conditions are comparable to those occurring under food deprivation conditions in the same species but different to those of mammals under similar treatments.

DATA AVAILABILITY
The datasets generated for this study are available on request to the corresponding author.

ETHICS STATEMENT
The animal study was reviewed and approved by the experiments described comply with the ARRIVE Guidelines, and were carried out in accordance with the guidelines of the European Union Council (2010/63/UE), and of the Spanish Government (RD 53/2013) for the use of animals in research, and were approved by the Ethics Committee of the Universidade de Vigo.

AUTHOR CONTRIBUTIONS
SC, JM, and JS contributed to conception and design of the research. SC, CV, CO-R, and MC-S performed the experiments and analyzed the data. SC and JS prepared the figures. All authors interpreted the results of experiments, edited and revised the manuscript, and drafted the manuscript. JS approved the final version of manuscript.

FUNDING
This study was supported by research grants from Spanish