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J Appl Physiol 86: 617-622, 1999;
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Vol. 86, Issue 2, 617-622, February 1999

Breath ethane as a marker of reactive oxygen species during manipulation of diet and oxygen tension in rats

Terence H. Risby1, Long Jiang1, Sigfried Stoll2, Donald Ingram2, Edward Spangler2, Jane Heim2, Richard Cutler2, George S. Roth2, and Joseph M. Rifkind2

1 Department of Environmental Health Sciences, School of Hygiene and Public Health, The Johns Hopkins University, Baltimore 21205; and 2 Laboratory of Cellular and Molecular Biology, Gerontology Research Center, National Institute on Aging, Baltimore, Maryland 21224


    ABSTRACT
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Abstract
Introduction
Methods
Results
Discussion
References

Breath ethane, O2 consumption, and CO2 production were analyzed in 24-mo-old female Fischer 344 rats that had been fed continuously ad libitum (AL) or restricted 30% of AL level (DR) diets since 6 wk of age. Rats were placed in a glass chamber that was first flushed with air, then with a gas mixture containing 12% O2. After equilibration, a sample of the outflow was collected in gas sampling bags for subsequent analyses of ethane and CO2. The O2 and CO2 levels were also directly monitored in the outflow of the chamber. O2 consumption and CO2 production increased for DR rats. Hypoxia decreased O2 consumption and CO2 production for the AL-fed and DR rats. These changes reflect changes in metabolic rate due to diet and PO2. A significant decrease in ethane generation was found in DR rats compared with AL-fed rats. Under normoxic conditions, breath ethane decreased from 2.20 to 1.61 pmol ethane/ml CO2. During hypoxia the levels of ethane generation increased, resulting in a DR-associated decrease in ethane from 2.60 to 1.90 pmol ethane/ml CO2. These results support the hypothesis that DR reduces the level of oxidative stress.

dietary restriction; aging; hypoxia; breath analysis


    INTRODUCTION
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Abstract
Introduction
Methods
Results
Discussion
References

DIETARY RESTRICTION (DR) without malnutrition is a well-established approach for altering aging rate in laboratory rodents, as evidenced by increased life span, reduced incidence of age-associated pathologies, and improved function into old age (16, 29). Despite the evidence in support of this observation, the specific mechanisms that can explain the wide range of effects on various parameters of aging have not been identified (16).

One plausible theory to explain normal aging is the age-related increase in oxidative stress (8). Moreover, it has been hypothesized that DR reduces the production of reactive oxygen species generated during normal metabolic processes and/or increases the endogenous antioxidant defenses. These changes will, therefore, reduce the cellular and molecular damage associated with aging. By measuring the production of superoxide and hydroxyl radicals in liver microsomes, Lee and Yu (14) reported that DR rats generated fewer reactive oxygen species. Evidence supporting increased levels of endogenous antioxidants is indicated by a reduction in the age-related decline in glutathione, glutathione reductase, and catalase activities in livers of DR rats compared with control rats (13).

Lipid peroxidation in various tissues has been examined (31) to measure the balance between oxidants and antioxidants, i.e., oxidative stress status (OSS). Most studies have used the thiobarbituric acid-reactive substances (TBARS) assay as a measure of malondialdehyde (MDA) formed as a result of lipid peroxidation. These studies suggest that lipid peroxidation as quantified by MDA is reduced in liver homogenates of rodents maintained on long-term DR compared with control animals. The TBARS assay is simple to perform. However, thiobarbituric acid also reacts with other aldehydes generated during the heating procedure. In addition, the in vivo lifetime of MDA is short. Therefore, the TBARS assay is not considered a reliable method to assess in vivo lipid peroxidation (22).

Volatile hydrocarbons are also products of lipid peroxidation (12). Ethane, derived from n-3 polyunsaturated fatty acids (i.e., linolenic acid), and 1-pentane, derived from n-6 fatty acids (i.e., linoleic and arachidonic acid), are alternate molecules to probe lipid peroxidation. These alkanes are produced by beta -scission of the lipoalkoxyl radical to produce the alkyl radical followed by hydrogen abstraction to produce ethane or 1-pentane. Although only a small fraction of the lipid peroxides actually produces ethane or 1-pentane, the production of these alkanes reflects the extent of lipid peroxidation (12) and, thereby, the in vivo OSS of the organism.

Ethane and 1-pentane diffuse across cell membranes and are rapidly excreted from the lungs. They are also metabolized by cytochrome P-450 monooxygenases, with 1-pentane being broken down more readily than ethane. Because 1-pentane and 2-methyl-1,3-butadiene (a major hydrocarbon found in exhaled breath) are difficult to separate by gas chromatography, ethane is considered the preferred marker of lipid peroxidation.

Recently, using breath ethane as a sensitive, specific, noninvasive indicator, one of our research group (11, 27) confirmed the link between cellular injury and free radicals generated in vivo during reperfusion of ischemic tissues (6) in humans and animal models. Breath ethane has also been used as a biomarker of vitamin E deficiency and therapy in children with chronic liver disease (23). This latter investigation also established that neither fat nor carbohydrate diets affected the breath ethane measurements. More recently, the oxidative injury produced during total body irradiation, used therapeutically for treatment of leukemia and other malignancies of the hemopoietic system, has also been examined using breath ethane (1).

These studies establish the validity of breath ethane as a reliable noninvasive measure of the oxidant-antioxidant balance. We report on our experiments designed to evaluate the utility of breath ethane as a biomarker of oxidative stress during DR. We have investigated the levels of ethane in exhaled breath for 24-mo-old female Fischer 344 DR and ad libitum (AL)-fed rats. Additionally, these same rats were studied under hypoxic stress, since reduced levels of O2 have been shown to increase lipid peroxidation (3, 24, 25, 30). The goal of these studies was to evaluate the measure of breath ethane as a biomarker for the role of oxidative stress and its potential manipulation by DR.


    METHODS
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Abstract
Introduction
Methods
Results
Discussion
References

Animal Protocol

The animal protocol was approved by the Gerontology Research Center Animal Care and Use Committee. Twenty-two 22-mo-old female Fischer 344 rats were obtained from Bionetics. Bionetics, under contract with the National Center for Toxicological Research (Jefferson, AK) and the National Institute on Aging, had initiated a feeding regimen for these rodents beginning at 6 wk of age. They were fed NIH-31 rat chow AL (n = 10) or 30% restricted (on the basis of AL consumption of the cohort; n = 12).

The rats were housed singly in plastic cages suspended from a metal rack, with water provided AL via an automated watering system. The vivarium was maintained at 21°C with a 12:12-h light-dark photocycle (lights on 6:00 AM Eastern Standard Time). The experiments were conducted 2 mo after entry to the Gerontology Research Center. At that time the mean body weight for the DR rats was 168.4 g, 42% less than that of the AL-fed rats. One DR animal died before the start of the experiment.

Methods for Breath Collection

Hydrocarbon-free gases. Air and 12% O2 with hydrocarbon levels of <1.0 ppb (Scott Specialty Gases, Plumstedville, PA) were used for this study.

Exposure protocol. The rats were brought to the laboratory >= 1 h before the experiment was initiated and placed in a specially designed 2-liter flow-through Pyrex glass chamber, so they would adjust to the new environment. This conditioning reduced the stress of the rats during breath collection (9). The chamber was cleaned between rats and kept sealed when not in use to minimize wall adsorption of hydrocarbons from the laboratory air. A fan was installed in one end of the chamber to provide adequate mixing of the gas in the chamber. Teflon tubing was used for all connections between the gas cylinders, the rat chamber, and the sampling bags.

Breath collection. Samples of chamber air and background hydrocarbon-free air were collected in inert gas sampling bags (3 liters, Calibrated Instruments, Hawthorne, NY). Samples were analyzed within 6-8 h after collection. Previous research (11) has shown that breath and air samples are stable in these bags for >= 48 h.

After the rat had been placed in the chamber, it was equilibrated with hydrocarbon-free air by flushing the chamber (2.4 l/min for 15 min or 0.6 l/min for 60 min). This protocol was found to equilibrate the rats to the level of ethane present in the hydrocarbon-free air. Subsequently, a sample of chamber air was collected and used for the determination of the background ethane level.

After equilibration the flow was reduced to 74 ml/min for the smaller DR rats and 133 ml/min for the larger AL-fed rats. The greater flow for the AL-fed rats was necessary to provide an adequate supply of O2 for these rats. The rats were allowed to stabilize at this reduced flow for 90 min, and a timed sample (15 min) of the gas from the chamber was collected. This sample was used to determine the concentration of ethane for normal air (normoxic). Without changing the flow, air was replaced by a gas mixture that contained 12% O2, and this gas was allowed to flow through the chamber for an additional 90 min. At the end of this time, a second timed sample (15 min) of the gas was collected for determination of ethane under hypoxia.

Analysis of CO2 in Exhaled Breath

Aliquots (20 ml) of collected gas (under normoxic and hypoxic conditions) were used for the determination of the concentrations of CO2 (LB-3 CO2 monitor, Beckman) in the gas sampling bags. This instrument was calibrated daily using certified gas standards of CO2.

For determination of the CO2 production during the period of low flow, an in-house-constructed infrared CO2 monitor was connected directly to the outlet of the chamber. Corresponding readings were obtained under identical flow conditions by using the empty chamber. The differences between the measured CO2 for the chamber containing the rat and the blank without the rat were used to calculate CO2 production for each rat.

Analysis of O2 in Exhaled Breath

PO2 was determined (model 2717 Orbisphere O2-measuring system) during the period of low flow at the outflow of the chamber for air and the 12% O2 gas mixture. O2 readings were corrected for humidity and temperature. Corresponding readings were obtained under identical flow conditions by using the empty chamber. The differences between the measured PO2 for the chamber containing the rat and the blank without the rat were used to calculate O2 consumption for each rat.

Analysis of Ethane in Exhaled Breath

Concentrating gas samples. A stainless steel wide-bore capillary tube (15 cm, 1.65 mm OD, 1.19 mm ID) packed with 2,6-diphenyl-p-phenylene oxide (60-80 mesh, Tenax, Alltech Associates, Deerfield, IL) connected to a six-port stainless steel gas sampling valve (1.59-mm inlets, Valco Instruments, Houston, TX) was used in place of the standard gas sampling loop. The length of the Tenax packing was 10 cm, and the packing was retained on either side with silanized glass wool. This collection tube was submerged in an ethanol-liquid nitrogen slush bath (-117°C). The collection tube was maintained in the low-temperature slush bath for 6 min to allow the adsorbent to equilibrate to -117°C, and then a gastight syringe was used to draw 100 ml of collected gas through the adsorbent. A disposable trap containing Ascarite was placed between the sample bag and the collection tube to remove CO2 from the gas sample. After the gas had been sampled, the liquid nitrogen slush bath was replaced with a specially designed heating block maintained at 160°C, and the concentrated gas sample was injected immediately onto the gas chromatographic column by rotation of the gas sampling valve. We have determined that the collection tube and adsorbent reach 160°C within 30 s. The valve was rotated back to its fill position after 45 s, and the collection tube was flushed with nitrogen to clean it before collection of the next sample.

We have investigated the breakthrough volumes of breath analyte molecules identified to date and have found that at -117°C all the molecules studied can be collected with ~100% efficiency by using volumes of breath of up to 200 ml. Similarly, we have established that the thermal desorption temperature (160°C) quantitatively desorbed the molecules of interest without significant tailing of the solute peaks (1).

Capillary gas chromatographic analysis. A modification of the technique reported previously (1) was used to analyze the concentrated gas samples. Analysis of the components of breath was performed using capillary gas chromatography with flame ionization detection. Separation was achieved on a fused silica capillary column, the walls of which were coated with a thick film of dimethyl silicone (60 m, 0.53 mm ID, 7 µm). The capillary column was connected directly to the gas sampling valve to improve efficiency of the resulting chromatographic separation.

The temperature protocol for the separation was as follows: isothermal at 25°C for 10 min, 25-200°C at 5°C/min, and isothermal at 200°C for 5 min. Linear gas velocities of 25 cm/s at 25°C were used. The analytic method was calibrated daily by injection of a standard mixture of hydrocarbons. The limit of quantification with use of 100 ml of exhaled breath is 0.05 ppb for ethane. A typical coefficient of variation (5) for replicate samples was 3% (n = 10).

Pathology and Blood Testing

To be certain that pathology common to older rats (4) did not confound the results, on completion of the experiment, whole trunk blood was collected and sent to a commercial laboratory for evaluation (Maryland Medical, Baltimore, MD). Gross necropsy was then performed visually to identify lesions in each rat. This examination involved an assay of peripheral organs (lung, spleen, gastrointestinal tract, and reproductive organs) and a visual inspection of the pituitary, in which tumors are common in this rat strain (4).

Statistical Analysis

Statistical analysis of the effect of diet on O2 consumption, CO2 production, and ethane generation was performed using t-tests of the average of the normoxic and hypoxic results for each animal. This procedure provided a method to determine the effects of diet on the basis of the combined normoxic and hypoxic results. Because hypoxic and normoxic measurements were made on the same animals, the statistical analysis of the effect of hypoxia on O2 consumption, CO2 production, and ethane generation was performed using paired t-tests.


    RESULTS
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Abstract
Introduction
Methods
Results
Discussion
References

Respiration

PO2 and PCO2 were measured continuously when each rat was in the chamber. Table 1 shows a summary of the O2 consumption and CO2 production (corrected for flow and body weight) as well as the respiratory quotient obtained from these data. The values of the respiratory quotient between 0.73 and 0.80 indicate no major changes in the relative metabolism of fats and carbohydrates. The significant increase in O2 consumption and CO2 production under normoxic and hypoxic conditions for the DR rats is consistent with the published (19) increase in metabolic rate from 112.8 kcal · kg body wt-1 · day-1 for AL-fed rats to 124.3 kcal · kg body wt-1 · day-1 for DR rats when metabolic results are normalized relative to the weights of the animals. Table 1 also shows that hypoxia produced a significant decrease in O2 consumption and CO2 production for the AL-fed and DR rats. These decreases are probably associated with a drop in metabolic rate. Because DR influences O2 consumption and CO2 production, a more meaningful determination of the effect of hypoxia can be obtained by combining the DR and AL-fed rats and performing a paired t-test. This analysis provides very highly significant (P < 0.00001) effects of hypoxia, with t values of 11.0 for O2 consumption and 6.7 for CO2 production. Considering the normoxic and hypoxic results as two determinations on each rat, we have also averaged both results and then performed t-tests (for O2, t = 4.7, P < 0.001; for CO2, t = 4.9, P < 0.0001) to establish the significance of the effects of diet on O2 consumption and CO2 production.

                              
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Table 1.   O2 consumption and CO2 production

Breath Ethane

Table 2 compares the ethane results for 11 DR rats and 10 age-matched AL-fed controls. The results for ethane are presented in two ways. First, the concentrations of ethane were corrected for flow rate and body weight (pmol · 100 g-1 · min-1). This method of calculating the data has been used in most of the previous studies on ethane generation in rats, including those dealing with DR (7, 17). No significant effects were obtained by this method. Second, the concentrations of ethane were normalized by the CO2 production (pmol ethane/ml CO2). Because the ethane and CO2 are determined from the same gas collection bag, the flow rate and weight of the animal cancel out of this calculation. A t-test performed on the average of the ethane levels during hypoxia and normoxia indicates that the effect of diet was significant (t = 2.9, P < 0.01). Included in Table 2 are the data obtained under hypoxic conditions produced by replacing the air with a gas mixture containing 12% O2. The increased ethane generation with hypoxia, when analyzed by a paired t-test combining AL-fed and DR rats, indicated P < 0.07, which was almost significant.

                              
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Table 2.   Ethane generation

No significant correlations emerged between any of the measures of pathology and ethane levels measured. Therefore, pathology per se did not significantly contribute to the results obtained in the current study. Support for increased pathologies in the AL-fed rats is, however, suggested by the significantly larger mean cell volume in the AL-fed than in the DR rats (P < 0.015 by a 2-tailed t-test). The larger mean cell volume in the AL-fed rats, which was also significantly correlated with the number of white blood cells, is frequently associated with stressed erythropoiesis and other pathologies (28).


    DISCUSSION
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Abstract
Introduction
Methods
Results
Discussion
References

Diet and Ethane Generation

When the ethane results were calculated in units (pmol · 100 g-1 · min-1) used by other investigators who have studied ethane generation in DR rats (7, 17), no effect of DR on ethane was found. This finding agrees with the earlier results in which this form of analysis was used on male Fischer 344 rats. Matsuo et al. (17) measured exhaled 1-pentane and ethane in long-term DR and control male Fischer 344 rats as a function of age. They reported increased concentrations of alkanes in exhaled breath in older animals, consistent with increased oxidative stress during aging. However, DR did not significantly affect the concentration of breath alkanes before 28 mo of age. For these old rats, decreases in the concentrations of ethane and 1-pentane were observed, although the difference was statistically significant only for 1-pentane.

In our study we are looking for a measure of ethane release that reflects the OSS of the animal. We are comparing animals on different dietary regimens and under different PO2 that are seen to have altered metabolic rates (Table 1). Because metabolic rate will influence ethane generation, a reliable measure of OSS necessitates a correction for metabolic rate rather than the simple body weight. We have, therefore, used exhaled CO2 (CO2 generation) in the same gas collection bag as a measure of metabolic rate. Because no CO2 is present without respiration, this normalization is more reliable than normalization by O2 consumption, which involves differences between two large numbers. As shown in Table 2, this method of analysis results in a significantly lower value for ethane generation in DR than in AL-fed rats, suggesting reduced oxidative stress in the DR rats.

This method is analogous to the preferred method for ethane generation used in human studies. In those studies it has been shown (21) that a more reliable method to express the concentration of molecules in exhaled breath is to normalize the concentrations of the analyte molecules to the alveolar concentration of CO2 (40 Torr). That method for expressing the concentration of molecules in exhaled breath corrects for respiration rate as well as respiratory dead space air and for incomplete breath collection.

In evaluating our ethane results, considering the source of the ethane generated during respiration is helpful. If the entire animal is equilibrated with the gas flowing through the chamber, then the ethane generated should depend on the total cellular concentrations of the linolenic acid derivatives of the polyunsaturated fatty acids. Although the DR rats have decreased total mass, this does not affect all tissues in the same way. A dramatic difference in the relative mass of the hindlimb muscle, which depends on diet, has been documented by Luhtala et al. (15). This muscle shows a drop in mass during aging for AL-fed rats that does not occur in DR rats. Additionally, different tissues may have different levels of antioxidants and will be peroxidized to a different extent. Because the main sources of excreted hydrocarbons in the body are liver, erythrocytes, and lung, ethane generation rates corrected to body mass will tend to underestimate ethane generation rates in AL-fed rats. Therefore, a metabolic body weight has been used in our studies.

Habib et al. (7) also reported a decrease in ethane generation for young male Fischer 344 rats (6 wk of age) undergoing short-term DR for 2 wk and found decreased ethane generation consistent with our data. It has been reported (18) that male Fischer 344 rats undergo a transient decrease in the metabolic rate when DR is initiated. However, after 24 wk of DR, no change in the 24-h metabolic rate or the basal metabolic rate is found. These initial changes in metabolic rates appear to coincide with a significant decrease in ethane production that can be detected even without correcting for CO2.

Our studies have been performed on female Fischer 344 rats. Unfortunately, all other studies on ethane generation rates have been done with male Fischer 344 rats. Male and female rats have significant physiological differences, including their ability to respond to oxidative stress. The activities of superoxide dismutase and catalase in the livers of Fischer 344 rats generally fall with age in males but increase with age in females (2). Future studies are planned to investigate the effects of gender, DR, and OSS.

Hypoxia

The relationship between DR, stress, and OSS was investigated using hypoxia. As indicated in Table 2, hypoxia produces a similar nonsignificant increase in ethane for DR and AL-fed rats when ethane is normalized to CO2 production. This increase is, in fact, almost significant when a paired t-test was used to analyze all the animals studied. Although 12% O2 was used in the hypoxic experiments, PO2 at the outlet of the flow-through chamber varied from 9.8 to 7.8% O2. The observation of an increase in ethane with hypoxia supports a recent hypothesis that implicates hypoxia in the release of oxyradicals from erythrocytes (26). This process involves the autoxidation of Hb bound to the inner surface of the erythrocyte membrane (25). Autoxidation would be expected to induce lipid peroxidation of the erythrocyte membrane, lipoproteins, and adjacent endothelial cells (10).

Several in vitro studies have shown that higher levels of ethane are produced at reduced PO2 (3, 24), even though lipid peroxidation as determined by other methods increases with increasing PO2. These observations have been attributed to a preferential reaction of O2 with the alkyl radicals, producing O2-containing products instead of alkanes. The possible contribution of such in vitro mechanisms to the enhanced ethane release detected under hypoxic conditions needs to be considered.

However, a number of in vivo studies have demonstrated enhanced lipid peroxidation by various methods under hypoxic conditions and during ischemic insults (25). During chronic hypoxia, with rats maintained at 15% O2 for 2 wk, Yoshikawa et al. (30) found increased lipid peroxidation as measured by MDA formation in abdominal aortic wall tissue, brain tissue, and serum. An increase in lipid hydroperoxide was also found in rat hearts on adaptation to high-altitude hypoxia (10). MDA production increased in brain and blood of stroke-prone spontaneously hypertensive rats for which evidence of regional ischemia was present. The loss of unsaturated fatty acids was found in cat brain with middle cerebral artery occlusion. Increases in MDA were found in experimentally induced canine heart infarcts and in ischemic rat heart (20). Ischemia of the hindlimbs of dogs was found to produce an increase in hydroperoxide and diene conjugation of sarcoplasmic reticulum membranes. These results suggest that hypoxic conditions do actually increase oxidative stress. The studies reported here are consistent with this hypothesis. Increasing the number of animals in each group may enable statistical differences on the effect of hypoxia to be observed.

Conclusion

The decrease in breath ethane from 2.20 to 1.61 pmol ethane/ml CO2 for DR rats at normoxic PO2 and from 2.60 to 1.90 pmol ethane/ml CO2 at a hypoxic PO2 indicates a significant dependence on diet. These results support the hypothesis that DR reduces oxygen free radical damage. The establishment of breath ethane as a reliable biomarker for such damage was shown to require normalization by CO2 production. In this way it was possible to correct for differences in metabolic activity, providing a more reliable measure of the OSS of the animal.


    ACKNOWLEDGEMENTS

The editorial assistance of S. Sehnert is gratefully acknowledged.


    FOOTNOTES

This study was supported in part by National Institute of Environmental Health Sciences Grant ES-03156 and US Air Force Grant F-49620-95-0270.

The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. §1734 solely to indicate this fact.

Address for reprint requests: J. M. Rifkind, Gerontology Research Center, National Institute on Aging, 5600 Nathan Shock Dr., Baltimore, MD 21224.

Received 8 July 1998; accepted in final form 20 October 1998.


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Abstract
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Methods
Results
Discussion
References

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