|
|
||||||||
1School of Biochemistry, University of Litoral, Santa Fe; 2Endocrinology Research Center, Hospital Ricardo Gutierrez, Buenos Aires; and 3School of Veterinary Sciences, University of La Plata, La Plata, Argentina
Submitted 1 June 2004 ; accepted in final form 19 October 2004
| ABSTRACT |
|---|
|
|
|---|
experimental diabetes; lipids; free fatty acids; triglycerides; insulin secretion
-cells. Several animal models have been developed that allow the investigation of islet pathology, leading to autoinmune diabetes mellitus in vivo. Among them, the BB rats and NOD mice are genetic spontaneous models of the disease (14, 19). Moreover, the repeated administration of multiple low doses of streptozotocin (mld-STZ) to susceptible strains of mice produces insulitis-related diabetes (24). The diabetic syndrome induced in C57BL/6J mice by mld-STZ mimics in some basic aspects of recent-onset Type 1 diabetes in human patients. Earlier events have been described in this experimental model since Wang and Gleichman (40) found a progressive decrease of GLUT2 protein and mRNA expression in pancreatic islets from C57BL/6J male mice with mld-STZ on day 4 after the first streptozotocin injection, which clearly preceded the onset of hyperglycemia. Our laboratory has recently demonstrated (18) that islets from mld-STZ of C57BL/6J mice show increases in apoptotic cells already at day 4 after the first injection of the diabetogenic drug. Moreover, isolated or microfocal cell death and insulitis are present from day 6, whereas moderate hyperglycemia and diminished insulin secretion from in vitro perifused pancreatic islets appear at day 9 after mld-STZ.
It is well known that IDDM is a disease that reflects a variety of genetic, environmental (e.g., dietary constituents), and immunological factors (5). Both
-cell dysfunction and insulin resistance are also present in IDDM, although differences with non-IDDM can be observed in the kinetics of their appearance (17). Recently, Ebeling et al. (11) showed that IDDM is associated with increased intramuscular triglyceride content. Patients with IDDM have elevated basal lipid oxidation rates, which is in agreement with their insulin resistance. Also, an increase of both adipose tissue lipolysis and free fatty acid (FFA) mobilization was observed in the early stages of insulin deficiency (35). On the other hand, Linn et al. (25), working with NOD mice fed a fat-rich diet, demonstrated that progression to diabetes was associated with impairment of insulin-stimulated whole body glucose disposal, thus suggesting that insulin action may also be relevant to diabetes progression even in the presence of normoglycemia. At present, the role of lipids in the development of Type 1 diabetes has not been extensively studied. However, although plasma lipid levels could be normal before the onset of hyperglycemia, once insulin deficiency develops, plasma fatty acid levels in addition to glucose go up and consequently may cause
-cell glucolipotoxicity. This process could impair the function of residual
-cells, and this could be particularly important at the onset of the disease (31).
The aim of the present work was to analyze the role of lipids in the development of Type 1 diabetes induced by mld-STZ administration in C57BL/6J mice. To achieve this goal, the following items were evaluated before and after the onset of hyperglycemia: 1) the temporal evolution of plasma trygliceride and FFA levels, 2) the possible changes in the oxidative and nonoxidative pathways of glucose metabolism in the gastrocnemius muscle (a target tissue of insulin action), and 3) the contribution of adipose tissue to these changes. Plasma insulin levels and glucose stimulated insulin secretion in perifused islets were also evaluated at the same time periods.
| MATERIALS AND METHODS |
|---|
|
|
|---|
Experimental design. After a 1-wk period of acclimatization, nonfasted C57BL/6J mice were injected with 0.1 ml citrate buffer ip (0.1 M trisodium citrate, 0.1 M citric acid, pH = 4.5) or 40 mg/kg body wt of streptozotocin (Sigma, St. Louis, MO) dissolved in 0.1 ml of citrate buffer for 5 consecutive days (mld-STZ). Animals were killed by cervical dislocation at days 4 (before the 4th injection), 6, and 12 after the first injection of streptozotocin or buffer alone. The weight and energy intake of each mouse were recorded every day during the experimental period.
Analytical methods. Blood samples were obtained from cardiac punction and immediately centrifuged at 4°C. The plasma samples obtained were immediately assayed or stored at 20°C and examined within the following 3 days. Plasma glucose (2), triglycerides (23), and FFA (39) were determined by spectrophotometric methods. Immunoreactive insulin was measured by Herbert et al.'s methods (16). Pork monoiodine 125I-insulin was obtained from CENEXA, School of Medicine, University of La Plata, Argentina. The rat insulin standard was obtained from Novo Nordisk (Copenhagen, Denmark). Guinea pig anti-porcine insulin antiserum (Sigma) was sufficiently nonspecific to allow pork-labeled insulin to be displaced by mouse and rat insulin. The insulin assay sensitivity was 0.5 µU/ml, intra-assay coefficients of variation were 8.7, 6.2, and 5.1% for 15, 510, and 1050 µU insulin/ml determination ranges, respectively; interassay coefficients of variation were 6.6, 5.0, and 5.2% for the given ranges.
The epididymal adipose tissue was removed and weighed. The activities of glucose-6-phosphate (G-6-P) dehydrogenase and lipoprotein lipase (LPL) were measured in the epididymal tissue as previously described (6, 37). The triglycerides content of the fat pad tissue was measured by the method of Folch et al. (12). The gastrocnemius muscle was rapidly removed from all the animals and frozen. The homogenates of frozen muscle powder were used for the determination of triglyceride, glycogen, protein, and G-6-P contents (8) and also for determining the activities of glycogen synthase (13), pyruvate dehydrogenase complex (PDHc) (9), and pyruvate dehydrogenase kinase (PDH-kinase) (9).
Glycogen synthase activity. In vitro glycogen synthase activity (GSA) was determined by the method of Golden et al. (13). The glycogen synthase independent activity was the activity measured at low G-6-P concentration, and the total GSA was the activity measured at high G-6-P concentration. The fractional velocity of glycogen synthase was calculated as the rate of incorporation of labeled [U-14C]uridine-diphosphoglucose into glycogen at 0.1 mM G-6-P divided by the rate at 10 mM and expressed as a percentage (15). Details of the methodology used were previously described elsewhere (7).
Extraction and assay of PDHc and PDH-kinase activities. The extraction of PDHc from the gastrocnemius muscles has been previously described in detail (9). The activity of PDHc was spectrophotometrically determined at 30°C by measuring the reduction of NAD+. The complete assay mixture contained 30 mM phosphate buffer (pH 7.4), 2.5 mM NAD+, 0.5 mM Coenzyme-A, 0.5 mM thiamine pyrophosphate, 0.5 mM dithiothreitol, 5 mM MgCl2, 10 units pig heart dihydrolipoyl dehydrogenase, 0.5 mM pyruvate, and appropriate amounts of PDHc (0.51 mg protein) in a final volume of 2 ml. PDH activity was expressed as nanomoles of NADH formed per minute, per gram of wet weight tissue, per milligram of soluble protein, and per unit of citrate synthase (8).
The isolation and assay of PDH-kinase were done as previously described by Popov et al. (30) and D'Alessandro et al. (9). The PDH-kinase activity was assayed by determining the ATP-dependent inactivation of the PDH activity as a function of time. The apparent first-order rate constant (K2 min1) was calculated from a least squares linear regression analysis of ln (inactivation by ATP) against time of incubation.
Perifusion of pancreatic islets. Control or mld-STZ mice were decapitated, and the islets were isolated by collagenase digestion and collected under a stereoscopic microscope as previously described (7). After the islets were washed twice with a Krebs-Henseleit bicarbonate buffer, groups of 40 islets isolated from each mouse were perifused using the technique described by Burr et al. (4), with slight modifications (18). A Krebs-Ringer bicarbonate buffer was utilized as the perifusion buffer and was supplemented with 1% (wt/vol) dextran 70 (Sigma, St. Louis, MO) and 3.3 mM glucose. The pH of the buffer, kept under constant 95% O2-5% CO2 gassing, was 7.387.40. Samples were collected, after an initial 15-min recuperation period, in 0.25 mM EDTA in tubes kept at 4°C and immediately frozen at 20°C. Samples from minutes 1 and 2 were used for baseline determinations. A stimulus of 16.5 mM glucose was added to the perifusion buffer from minutes 3 to 40. Perifusion flux was 0.91.1 ml/min. Aliquots from the effluent were collected at 1-min intervals until minute 40. Samples were stored at 20°C until insulin analysis (16).
Statistical analysis. Results are expressed as means ± SE. The statistical significance between groups was determined by analysis of variance, followed by inspection of all differences between pairs of means by the Newman Keuls' test (34). Differences with P values of <0.05 were considered statistically significant.
Reagents. Enzyme for the assays, substrate, and coenzymes were purchased from Sigma or Boehringer Mannheim Biochemical (Indianapolis, IN). Uridin-5'-diphospho [U-14C]glucose was purchased from New England Nuclear (Boston, MA). All other chemicals were reagent grade.
| RESULTS |
|---|
|
|
|---|
|
Muscle metabolites and glycogen synthase, PDHc, and PDH-kinase activities. The gastrocnemius muscle of mld-STZ mice at 12 days after the first injection shows a significant decrease (P < 0.05) of glycogen and G-6-P contents compared with control mice injected with citrate buffer. Furthermore, the glycogen synthase activity, expressed as percent of fractional activity, was significantly lower (P < 0.05) in this group of mice. The above changes were not observed at day 6 after the first injection (Table 2). No changes in total GSA were recorded either in the control mice or in mld-STZ mice either at day 6 or day 12 postinjection (data not shown).
|
|
|
Insulin secretion from perifused islets. The patterns of glucose-stimulated insulin secretion of perifused islets from control and mld-STZ mice at days 6 and 12 after the first injection are shown in Fig. 1. At day 6, mld-STZ mice show a normal biphasic pattern, with a first phase lasting from minute 3 to minute 7, and the second phase lasting from minute 10 to minute 40. The insulin secretion patterns of mld-STZ mice evolved, and perifused islets from these animals at day 12 after the first injection showed a significant deterioration of the first and second phase of insulin secretion.
|
| DISCUSSION |
|---|
|
|
|---|
First, 6 days after the first dose of streptozotocin, plasma FFA levels were significantly increased, whereas both glucose and insulin levels remained similar to those observed in the control group of mice injected with citrate buffer. At that time, a marked increase in triglyceride content within the gastrocnemius muscle was accompanied by both a diminished PDHc and increased PDH-kinase activities, suggesting an impaired glucose oxidation. Furthermore, a decrease of both triglyceride content and LPL activity was recorded in epididymal fat tissue.
Second, a more pronounced increase of FFA levels occurred after 12 days of the first injection of streptozotocin together with hypertriglyceridemia, hyperglycemia, and a significant reduction of plasma insulin level. Both the adipose tissue and the gastrocnemius muscle showed a further deterioration of all the parameters mentioned after 6 days. Moreover, in the gastrocnemius muscle, an impaired nonoxidative pathway of glucose metabolism was observed at this time point. Also, perifused islets of mice after 12 days of mld-STZ showed a significant reduction of the first and second phase of insulin secretion patterns under the stimulus of glucose. Furthermore, our laboratory's previous results showed apoptosis and necrosis of the
-cell at this time, indicating that there has been a significant loss of mass (18). However, as in perifused isolated islets in which we compare groups of islets that have a good viability, these results suggest that pancreas from mld-STZ mice have not only reduced mass but also an impaired residual islet functional secretion.
Regarding plasma FFA levels, Kurtz et al. (21) recently observed in NOD mice (a genetic model of autoimmune Type 1 diabetes) a moderate increase of plasma FFA level in the prediabetic animal when both plasma glucose and insulin levels were within normal range. These findings are in agreement with our present results in the early stages of diabetes development. In the presence of hyperglycemia and moderate insulin deficiency (12 days after the first dose), we observed a further increase of plasma FFA and triglyceride levels. Similarly, Ebara et al. (10), using the same animal model, showed a significant increase of plasma triglyceride and cholesterol levels 4 wk after the first administration of mld-STZ, whereas Kunjathoor et al. (20) observed a moderate increase of plasma triglyceride in the same strain of mice after 24 wk of mld-STZ treatment. A significant increase of plasma FFA was observed by Kurtz et al. (21) in NOD mice in the presence of overt diabetes.
An oversupply of lipid could deteriorate insulin action in its target tissues (e.g., skeletal muscle). In C57BL/6J mice, at day 6 after the first streptozotocin injection, the present results show a substantial increase of triglyceride store within the gastrocnemius muscle that occurred concomitant with a significant reduction of the PDHc activity, a key enzyme in the control of glucose oxidation. A decreased flux through the PDHc is associated with lower active form of the PDHc and higher PDH-kinase levels, and the inhibition of this enzyme complex limits the oxidation of pyruvate derived from glycolysis (32). These, together with the observed increased of plasma FFA concentration, might be an early indication of the disturbance of lipid metabolism and/or fuel utilization in the face of basal normoglycemia. Both alloxan diabetic rats and rats with severe diabetes induced by high doses of streptozotocin also show a significant increase of muscle triglyceride concentration together with elevated FFA and reduced plasma insulin levels (32, 38). In this regard, a worsening of all the above parameters was recorded in the presence of hyperglycemia and insulinopenia at day 12 after the first administration of mld-STZ. Moreover, in gastrocnemius muscle, both glycogen and G-6-P concentrations, as well as GSA, were significantly reduced at this time, indicating an impaired nonoxidative pathway of glucose metabolism. Also, Ebeling et al. (11) observed an increase of triglyceride concentration within the skeletal muscle of patients with IDDM.
Recently, in rats with moderate or severe Type 1 diabetes induced by streptozotocin injection, Luiken et al. (26) showed an increased fatty acid transport across the plasma membrane in heart and skeletal muscle that occurred with a concomitant increase in plasma membrane transporter FAT/CD36. At present, we are unaware of any studies examining the fatty acid transport before and after the development of hyperglycemia in Type 1 diabetes induced by mld-STZ. However, we cannot discard the possibility that an increased transport of plasma FFA in tissues (e.g., gastrocnemious muscle) could contribute to the enhancement of triglyceride content.
Adipose tissue is a target tissue to supply fatty acid for whole body utilization. Plasma FFA levels, which are affected by fat cell lipolysis, exert an important modulator effect on insulin action. Our results show a significant decrease of both the triglyceride content and the LPL activity in the epididymal fat tissue of mice with mld-STZ 6 days after the first dose. This is accompanied by elevated plasma FFA levels and normoglycemia. The rate-limiting step of adipose tissue lipolysis is the hydrolysis of triglyceride by hormone-sensitive lipase. Although the enzymatic activity of hormone-sensitive lipase in the adipose tissue was not performed in the present work, one possible explanation for the significant increase of plasma FFA could be that an accelerated lipolysis operates in this tissue at day 6 after the first streptozotocin injection and keeps on doing so in the presence of hyperglycemia. In this regard, in insulin-deficient diabetes induced in rats by a high dose of streptozotocin, an increase of both adipose tissue lipolysis and circulating FFA was observed (41). Moreover, adipocytes from animals with severe diabetes show a significant increase of both basal lipolysis and a sensitivity to lipolytic agents, as well as a resistance to the antilipolytic action of insulin (36). However, Lacasa et al. (22) observed that a reduced lipid content occurring in streptozotocin-treated rat adipocytes is probably the consequence of a defective lipogenesis due to reduced lipoprotein lipase activity and glucose uptake rather than an increased fat mobilization secondary to enhanced sensitivity of lipolysis to catecholamines. Because LPL activity was reduced in mld-STZ mice and we do not measure lipogenesis and glucose uptake, we cannot discard the possibility that defective lipogenesis could also contribute to a decrease of the triglycerides content within the adipocytes.
In the present work, no changes in both glucose and insulin levels were recorded after 6 days of the first mld-STZ injection. At the present time, we are unaware of any data that could help to explain these results. This was an unexpected finding, because a significant increase of plasma FFA was already observed at that time. However, we have recently observed that, under the intraperitoneal glucose tolerance test, mice with mld-STZ show a significant increase of the plasma glucose level that does not return to normal values at minute 120 of the test at day 7 after the first injection (data not shown). This finding may indicate early evidence of deterioration of the whole body peripheral insulin sensitivity or an insufficient insulin release that could contribute to the early alteration of lipid metabolism. Also, in previous work from our laboratory (18), we demonstrated that a moderate basal hyperglycemia appears in C57BL/6J mice with mld-STZ at day 9 after the first injection. This was accompanied by altered insulin secretion patterns from perifused isolated islets under the stimulus of glucose.
It is well known that, in the mld-STZ model, a direct toxic effect of streptozotocin and/or a subsequent autoimmune reaction leads to the deletion of
-cells (3, 29). In this regard, the possibility that mld-STZ could be acting through a direct toxic effect on pancreas should be considered. However, in a previous work using congenitally athymic mice injected with mld-SZT (1), the toxic effect of streptozotocin was not higher than 10%. O'Brien et al. (28) showed that apoptosis, the mode of cell death responsible for
-cell loss in C57BL/6 mice with mld-STZ, precedes the appearance of T cells in the islets and continues throughout the period of insulitis. They reported two peaks in the incidence of the
-cell apoptosis: at day 5, which corresponds to an increase of the blood glucose level, and at day 11 with limphocytic infiltration in the islets (insulitis). Similar to the above results, our laboratory (18) observed an increase of apoptotic
-cells in C57BL/6J mice with mld-STZ as early as day 4 after the first dose of the diabetogenic drug, whereas insulitis was present at day 6.
Immune responses regulated by local cytokines may contribute to the diabetic state since reduction and upregulation of Th2-type cytokines were respectively associated with susceptibility and resistance to mld-STZ-induced diabetes (27). Recently, a possible synergy between cytokines and lipids in causing
-cell cytotoxicity has been inferred from results demonstrating that the toxicity of interleukin-1
is enhanced in triglyceride-rich islets and reduced in fat-depleted islets after caloric restriction, leptin, or troglytazone treatment in rats (33).
Finally, the present study suggests for the first time that, in mice with Type 1 diabetes induced by mld-STZ, an enhanced lipolysis of fat pad leads to an increase in the availability of plasma FFA, which seems to play a role in the early steps of diabetes evolution.
| GRANTS |
|---|
|
|
|---|
| FOOTNOTES |
|---|
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. Section 1734 solely to indicate this fact.
| REFERENCES |
|---|
|
|
|---|
cell function in mice injected with mononuclear splenocytes from mld-STZ diabetic mice. Proc Soc Exp Biol Med 206: 7682, 1994.[Abstract]
-cell function precedes hyperglycemia in mice given multiple low doses of streptozotocin. Diabetes 30: 424429, 1981.[Abstract]
cell behavior during the prediabetic stage. Part II Non insulin dependent and insulin dependent diabetes mellitus. Diabetes Metab 23: 473505, 1997.[ISI][Medline]
-adrenergic-receptor-coupled adenylate-cyclase system and lipolysis in fat cells of the rat. Eur J Biochem 130: 457464, 1983.[ISI][Medline]
cell loss by apoptosis in prediabetic nonobese diabetic mice. Endocrinology 140: 37673773, 1999.
-keto acid dehydrogenase and pyruvate dehydrogenase. Protein Expr Purif 2: 278286, 1991.[CrossRef][Medline]
cell adaptation and failure in the etiology of diabetes. Diabetes 51, Suppl 3: S405S413, 2002.
cytotoxicity. J Clin Invest 100: 17501754, 1997.[ISI][Medline]
This article has been cited by other articles:
![]() |
S. Botolin and L. R. McCabe Bone Loss and Increased Bone Adiposity in Spontaneous and Pharmacologically Induced Diabetic Mice Endocrinology, January 1, 2007; 148(1): 198 - 205. [Abstract] [Full Text] [PDF] |
||||
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| Visit Other APS Journals Online |