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(The FASEB Journal. 2000;14:1345-1351.)
© 2000 FASEB

Natriuretic peptides: a new lipolytic pathway in human adipocytes

CORALIE SENGENÈS, MICHEL BERLAN, ISABELLE DE GLISEZINSKI, MAX LAFONTAN and JEAN GALITZKY1

INSERM U 317 and Laboratoire de Pharmacologie Médicale et Clinique, Faculté de Médecine, 31073 Toulouse Cedex, France

1Correspondence: INSERM U317, Laboratoire de Pharmacologie Médicale et Clinique, Faculté de Médecine, 37 Allées Jules Guesde, 31073 Toulouse Cedex, France. E-mail: galitzky{at}cict.fr


   ABSTRACT
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
Atrial natriuretic peptide (ANP) receptors have been described on rodent adipocytes and expression of their mRNA is found in human adipose tissue. However, no biological effects associated with the stimulation of these receptors have been reported in this tissue. A putative lipolytic effect of natriuretic peptides was investigated in human adipose tissue. On isolated fat cells, ANP and brain natriuretic peptide (BNP) stimulated lipolysis as much as isoproterenol, a nonselective ß-adrenergic receptor agonist, whereas C-type natriuretic peptide (CNP) had the lowest lipolytic effect. In situ microdialysis experiments confirmed the potent lipolytic effect of ANP in abdominal s.c. adipose tissue of healthy subjects. A high level of ANP binding sites was identified in human adipocytes. The potency order defined in lipolysis (ANP > BNP > CNP) and the ANP-induced cGMP production sustained the presence of type A natriuretic peptide receptor in human fat cells. Activation or inhibition of cGMP-inhibited phosphodiesterase (PDE-3B) (using insulin and OPC 3911, respectively) did not modify ANP-induced lipolysis whereas the isoproterenol effect was decreased or increased. Moreover, inhibition of adenylyl cyclase activity (using a mixture of {alpha}2-adrenergic and adenosine A1 agonists receptors) did not change ANP- but suppressed isoproterenol-induced lipolysis. The noninvolvement of the PDE-3B was finally confirmed by measuring its activity under ANP stimulation. Thus, we demonstrate that natriuretic peptides are a new pathway controlling human adipose tissue lipolysis operating via a cGMP-dependent pathway that does not involve PDE-3B inhibition and cAMP production.—Sengenès, C., Berlan, M., De Glisezinski, I., Lafontan, M., Galitzky, J. Natriuretic peptides: a new lipolytic pathway in human adipocytes.


Key Words: human fat cells • ANP • BNP • lipolysis • microdialysis


   INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
IN 1981, DE BOLD ET AL. (1) showed that infusion of atrial tissue extracts in rats induced strong natriuresis. The first member of the natriuretic family was discovered: atrial natriuretic peptide (ANP). Subsequently two other natriuretic peptides were isolated: brain natriuretic peptide (BNP) (2) and C-type natriuretic peptide (CNP) (3) . Their biological activities are mediated by specific receptors bearing a guanylyl cyclase activity (NPr-A, NPr-B) or not (NPr-C). NPr-A and NPr-B are the active receptors whereas NPr-C seems to be involved in clearance of the peptide. Moreover, some studies have established that NPr-C might be negatively coupled to adenylyl cyclase via a Gi protein (4 , 5) . Natriuretic peptides are involved in the regulation of blood pressure and blood volume. They inhibit renin, vasopressin, and aldosterone release. They markedly stimulate diuresis and natriuresis and are potent vasodilators.

ANP receptors have been identified in various tissues including rat fat cells (6 7 8 9) . Furthermore, some studies have shown that human adipose tissue expresses natriuretic peptide receptor messenger RNA (10) . However, despite the presence of natriuretic peptide receptors in rodent fat cells and ANP-induced cyclic GMP (cGMP) production (6 7 8 , 11) , no biological responses have yet been reported for fat cells.

The aim of our work was to study the biological effect of natriuretic peptides in human adipose tissue. We demonstrate, for the first time, that atrial natriuretic peptide is a powerful lipolytic agent both in situ in human adipose tissue and in vitro isolated fat cells. ANP acts through guanylyl cyclase activation and cGMP production. However, its lipolytic effect does not involve phosphodiesterase (PDE) inhibition or cyclic AMP (cAMP) production.


   MATERIALS AND METHODS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
In vitro studies
Adipose tissue
Human subcutaneous (s.c.) adipose tissue (1–2 g) was obtained from 16 normal or moderately overweight women undergoing plastic surgery. Their mean age was 45.7 ± 3.5 years and their mean body mass index was 24.4 ± 1.3 kg/m2. The study was approved by the Ethical Committee of Toulouse University Hospital.

Adipocyte preparation and lipolysis measurements
Isolated adipocytes were obtained according to the method of Rodbell (12) by collagenase digestion of adipose fragments in Krebs Ringer bicarbonate buffer containing albumin (3.5 g/100 ml) (KRBA) and glucose (6 mmol/l) at pH 7.4 and under gentle shaking at around 60 cycles/min at 37°C. Then, the fat cells were filtered through a silk screen and washed three times with KRBA buffer to eliminate collagenase. Isolated adipocytes were brought to a suitable dilution (2000–3000 cells/assay) in KRBA buffer for lipolysis assays and incubated with pharmacological agents in a final volume of 100 µl and for 90 min at 37°C. At the end of the incubation, 20 to 50 µl aliquots of the infranatant were taken for glycerol determination (13) , which was used as the lipolytic index. Total lipid was determined gravimetrically after solvent extraction.

Determination of cAMP and cGMP concentrations
Fat cells were preincubated in 1 ml of KRBA for 15 min at 37°C in the presence of 0.1 mmol/l IBMX (nonspecific PDE inhibitor). Cells were then further incubated for 10 min in the presence or absence of 0.1 µmol/l ANP or of 10 µmol/l forskolin (a specific adenylyl cyclase activator). The reaction was stopped by addition of a solution of chloroform, methanol, 1N HCl (2V/1V/0,1V). After centrifugation (5000 rpm, 5 min), the aqueous phase of each sample was freeze-dried and redissolved in ELISA buffer in order to measure cyclic nucleotide content according to the kit manufacturer’s instructions (Cayman Chemical Company, Ann Arbor, Mich.).

Radioligand binding assay
Isolated adipocytes were broken in a hypotonic lysing medium (5 mmol/l Tris pH 7.5, 5 mmol/l EDTA) containing several protease inhibitors (100 µmol/l phenylmethylsulfonyl fluoride, 0.5 mg/ml bacitracin, 1 µmol/l aprotinin, 10 µmol/l thiorphan). Then crude adipocyte membranes were pelleted by centrifugation (48,000 g, 15 min at 4°C). The pellet was washed twice with 10 ml of binding buffer [50 mmol/l Tris pH 7.5, 5 mM MgCl2, 1% bovine serum albumin (BSA), 0.5 mg/ml bacitracin, 1 µmol/l aprotinin, 10 µmol/l thiorphan]. The pellet was finally resuspended in the same buffer at a final concentration of 1–2 mg of protein per milliliter and immediately used for binding experiments. Assays were performed in a final volume of 400 µl containing 100 µl membrane suspension, 100 µl [125I]-ANP. Nonspecific binding was defined in the presence of 1 µmol/l of unlabeled ANP. Saturation experiments were carried out under constant shaking for 45 min at 25°C. The incubation was stopped by centrifugation (13,000 g for 10 min). The pellet was washed twice with 500 µl of binding buffer and the radioactivity was counted in a gamma counter.

Measurements of PDE-3B activity
Adipocytes were incubated in KRB (pH 7.4) in the presence of insulin (0.1 µmol/l) (insulin was used for its potency to activate adipocyte type III phosphodiesterase), OPC 3911 (10 µmol/l) (PDE-3B specific inhibitor), or ANP (0.1 µmol/l) for 30 min at 37°C. The reaction was stopped by addition of an equal volume of hypotonic buffer (20 mmol/l Tris, 1 mmol/l EDTA pH 7.4) containing 1 complete mini tablet of protease inhibitors per 10 ml. Cells were homogenized and stored at -80°C until used. The day of the assay, cell homogenate was centrifuged at 48,000 g for 20 min at 4°C. The pellet was washed and rehomogeneized in TES buffer (10 mmol/l TES, 5 mmol/l MgCl2 pH 7.4) and recentrifuged.

The membrane fraction (20–40 µg) was incubated for 15 min in a final volume of 100 µl of TES buffer containing 250 mmol/l sucrose, 0.5 µmol/l cAMP, 0.5 U/ml adenosine deaminase, 2% BSA, and ~100 000 dpm/assay of [3H]cAMP at 30°C in the presence or absence of 10 µmol/l OPC 3911 or 10 µmol/l IBMX (nonspecific PDE inhibitor). The reaction was stopped at 95°C for 2 min. Then 50 µl of Crotalux atrox snake venom (2 mg/ml) was added. Samples were further incubated for 20 min at 30°C. The reaction was stopped at 95°C for 2 min. Unreacted cAMP was removed by mixing samples with 500 µl of a 33% slurry of Dowex AG-1 x 2 (Bio-Rad, Hercules, Calif.). The mixture was shaken and centrifuged for 5 min at 15,000 g. Finally, 0.2 ml of the supernatant was removed and counted in 4 ml of scintillation liquid. PDE activities were expressed as picomoles of cAMP transformed per minute and per milligram of protein (determined using a Bio-Rad kit, DC protein assay). In our experimental conditions, PDE-3B activity represented 84.6 ± 4.16% of the total PDE activity present in the membrane fraction.

In vivo studies
Subjects
Seven lean men (mean age: 22.3±1.5 years) were involved in the study. The mean body weight and body mass index of the subjects were 73.7 ± 5.3 kg (range: 70–81 kg) and 23.0 ± 1.6 kg/m2 (range: 21–25 kg/m2), respectively. All were drug-free and had a stable weight for at least 3 months before the beginning of the study. All subjects gave their written informed consent before the study. The studies were performed according to the Declaration of Helsinki and approved by the Ethical Committee of Toulouse University Hospital.

The subjects were investigated at 8 AM after an overnight fast and were placed in a semirecumbent position. A microdialysis study was performed as described previously (14) . Briefly, a microdialysis probe (Carnegie Medicine, Stockholm, Sweden) of 20 x 0.5 mm and 20,000 mol wt cutoff was inserted into the abdominal s.c. adipose tissue (SCAT) and connected to a microinjection pump (Harvard apparatus, S.A.R.L., Les Ulis, France). The probe was perfused with Ringer solution (139.3 mmol/l sodium, 2.7 mmol/l potassium, 0.9 mmol/l calcium, 140.5 mmol/l chloride, 2.4 mmol/l bicarbonate, and 5.6 mmol/l glucose; B. BRAUN Medical SA, Boulogne, France) supplemented with ethanol (1.7 g/l) in order to estimate local SCAT blood flow changes (14) . No outgoing dialysate was collected during the first 30 min after the implantation. The in vivo recovery rate was then determined for each probe using measurement of dialysate glycerol concentrations at various perfusion rates. This calibration procedure has previously been described for the estimation of the interstitial glycerol concentration in adipose tissue (14) . Briefly, the probes were perfused at four successive rates (0.8, 1.5, 2.5, and 3.5 µl/min), separated by appropriate washout periods, and glycerol concentrations were determined in the dialysate for each perfusion rate. Dialysate concentrations were plotted (after log transformation) against the perfusion rates. Linear regression analysis was used to calculate the glycerol concentration at zero flow, corresponding to the interstitial glycerol concentration.

After this calibration period, the perfusion flow rate was maintained at 2.5 µl/min. Two 15 min fractions of the outgoing dialysate were collected for basal evaluations. After this, the probe was infused with initial perfusate solution supplemented with 10 µmol/l ANP. Collection of 15 min fractions was performed during 60 min of ANP infusion. During the last 60 min, the initial perfusate (without ANP) was infused and 15 min fractions of the dialysate were collected.

Drugs and chemicals
(-)Isoproterenol hydrochloride (nonselective ß-adrenergic receptor agonist), R-(-)PIA (phenylisopropyladenosine, a specific A1-adenosine receptor agonist), UK14304 ({alpha}2-adrenergic receptor agonist), IBMX (nonselective phosphodiesterase inhibitor), insulin, BSA (fraction V), and forskolin were from Sigma-Aldrich (Saint Quentin Fallavier, France). OPC 3911 {N-cyclohexyl-N-2-hydroxyethyl-4(6-(1,2-dihydro-2-oxo-quinolyloxy))butyramide} was kindly provided by Otsuka Pharmaceutical (Tokushima, Japan). Crude collagenase, enzymes for glycerol assays and tablets of protease inhibitors came from Boehringer Mannheim Corp. (Mannheim, Germany). Human {alpha}-ANP (1–28) and CNP (C-type natriuretic peptide) were from Neosystem Laboratories (Strasbourg, France). Human BNP (1–32) came from Novabiochem (France Biochem, Meudon, France). Bromo cGMP was from Alexis Biochemicals (Coger SA, Paris, France). Human 3-[125I]-iodotyrosyl 28 ({alpha}-ANP) was from Amersham France (Les Ulis, France). For microdialysis experiments, the human atrial natriuretic peptide was from Clinalpha (France Biochem).

Data analysis
Values are given as means ± SEM of (n) separate experiments. Student’s paired t tests were used for comparisons between matched pairs. Differences were considered significant when P<0.05. The concentration-response curves were fitted by nonlinear regression and EC50 (half-maximal effective drug concentration) calculated using the program Prism (GraphPad Software, San Diego, Calif.).


   RESULTS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
In vitro lipolytic effects of natriuretic peptides
The effects of ANP, BNP, and CNP were compared to that of isoproterenol (ß-adrenergic agonist) taken as a reference for the lipolytic effect. The concentration response curves are depicted in Fig. 1A . Spontaneous glycerol release (basal lipolysis), maximum lipolytic effects, and calculated pD2 values for isoproterenol, ANP, BNP, and CNP are given in Table 1 . In comparison with isoproterenol, ANP and BNP induced a strong lipolytic effect; maximal values were similar to those obtained with isoproterenol whereas CNP had a maximum effect corresponding only to 17.7% of that of isoproterenol. pD2 values gave the relative rank order of potency: ANP > BNP >> CNP.



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Figure 1. A) Comparison of the lipolytic effects of isoproterenol (•), ANP ({circ}), BNP ({square}), and CNP ({Delta}) in human fat cells. Lipolysis is expressed in percent maximum effect of isoproterenol. Values are means ± SEM of 8 to 16 experiments. B) Changes in ethanol ratio (ethanol dialysate concentration/ethanol perfusate level x 100) and extracellular glycerol concentrations in human s.c. adipose tissue during the infusion of 10 µmol/l ANP in the probes. Values are means ± SEM of 7 subjects. *Significantly different from basal value.


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Table 1. Maximum lipolytic effects and pD2 of isoproterenol, ANP, BNP, and CNP on human fat cellsa

cGMP is classically considered to be the second messenger generated after natriuretic peptide receptor A or B (NPr-A or -B) activation. Bromo cGMP (a membrane-permeable cGMP analog) increased lipolysis (0.83±0.28 vs. 0.43±0.02 µmol glycerol/100 mg lipid; n=5, P<0.05); at 4 mmol/l, its effect represented 47.8 ± 13.2% of the maximal lipolytic effect initiated by the highest isoproterenol concentration.

In situ lipolytic effects of ANP
The effects of 10 µmol/l ANP on extracellular glycerol concentration and on blood flow in SCAT are depicted in Fig. 1B . The concentration of ANP was chosen because in vitro experimentation using [3-(125I)-iodotyrosyl 28] {alpha}-ANP showed that the recovery was ~5% (personal data). So it was expected that the local ANP concentration in adipose tissue could reach a maximal concentration around 0.5 µmol/l. A further dilution of ANP occurs in the extracellular space, and the true concentration of ANP around the receptor level was probably still lower. Due to the vasodilating effect of ANP, the ethanol outflow/inflow ratio (expressed as a percentage, i.e., the ethanol concentration measured in the dialysate divided by the ethanol concentration measured in the perfusate x 100) was lowered in the probe during ANP infusion. A significant effect was observed within 15 min of infusion and the maximum effect was obtained 30 min after infusion. The ethanol ratio returned to preinfusion values 30 min after the cessation of the infusion. Simultaneously, the extracellular glycerol concentration in SCAT increased significantly within 30 min of ANP infusion; the maximum effect (~250%) being observed after 45 min. Then the extracellular glycerol concentration progressively decreased after the end of infusion and reached preinfusion values after 45 min.

[125I]ANP binding studies on fat cell membranes
ANP receptors were quantified on human fat cell membrane preparations by saturation experiments, using [125I]ANP as a ligand. Specific binding of [125I]ANP was saturable and of high affinity (Fig. 2 ). Nonspecific binding defined in the presence of 1 µmol/l of ANP represented ~10% of the total radioactivity bound. Scatchard analysis indicated a homogeneous population of [125I]ANP binding sites with a Kd value of 72.9 ± 16.0 pmol/l and a Bmax value of 400 ± 38 fmol/mg protein (n=5).



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Figure 2. Characterization of atrial natriuretic peptide (ANP) receptors in human s.c. white fat cell membranes. A) Saturation binding curves of 125I-ANP in membranes from s.c. white adipose tissue. B) Scatchard transformation of specific binding data in human s.c. adipose tissue. Means calculated from 5 separate experiments were Bmax = 400 ± 38 fmol/mg protein; Kd = 72.9 ± 16 pmol/l.

Intracellular cAMP and cGMP determination in fat cells
The effects of ANP on intracellular cyclic nucleotide formation were investigated in the presence of IBMX. Basal intracellular cGMP and cAMP were 0.98 ± 0.25 and 29.7 ± 2.1 pmol/100 mg lipid/10 min, respectively. In these conditions, forskolin (10 µmol/l) induced an increase in cAMP level (191.8±33.6 pmol/100 mg lipid/10 min) but did not modify the cGMP level (1.5±0.3 pmol/100 mg lipid/10 min). ANP (0.1 µmol/l) potently increased (187-fold) the cGMP level (183.7±68.3 pmol/100 mg lipid/10 min), whereas the cAMP level remained unchanged (40.8±9.1 pmol/100 mg lipid).

Putative role of PDE-3B in ANP-induced lipolysis
The activity of type 3B phosphodiesterase (PDE-3B), the main enzyme involved in cAMP degradation in the adipocyte, is known to be inhibited by cGMP in acellular systems (15) . To explore the putative involvement of PDE-3B in ANP-induced lipolysis, in a first set of studies human white fat cells were preincubated for 30 min at 37°C in KRBA containing 0.5 µmol/l OPC 3911, a potent and highly specific inhibitor of PDE-3B. Adipocytes were then exposed to increasing concentrations of ANP or isoproterenol. As shown in Fig. 3 , OPC 3911 did not modify the ANP concentration-response curve (pD2 were 9.29±0.24 and 9.51±0.30, respectively), whereas the isoproterenol effect was potentiated as assessed by the shift to the left of the concentration-response curve; pD2 value was significantly (P<0.05) increased from 7.70 ± 0.11 to 8.22 ± 0.12.



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Figure 3. Effect of exposure to OPC 3911 (a PDE-3B specific inhibitor) of isoproterenol- or ANP-induced lipolysis in human fat cells. Adipocytes were preincubated 30 min in the presence (white symbols) or absence (black symbols) of 0.5 µmol/l OPC 3911. Then lipolysis was induced with increasing concentrations of isoproterenol (circles) or ANP (squares) for 60 min. Values are the means ± SEM of 6 separate experiments.

Since PDE-3B is known to be activated by insulin (16 , 17) , a second set of experiments was designed to compare ANP- (1 nmol/l) and isoproterenol-induced (10 nmol/l) lipolysis after pretreatment (30 min) of fat cells by 100 nmol/l insulin. As shown in Fig. 4A , ANP exhibited similar lipolytic effects in control and insulin-treated cells whereas isoproterenol-induced lipolysis was significantly reduced (values were reduced from 49.5±7.6% of the maximum isoproterenol effect to 7.6±7.6%) after insulin treatment.



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Figure 4. A) Effect of exposure to insulin of isoproterenol- or ANP-induced lipolysis in human fat cells. Adipocytes were preincubated 30 min in the presence (white columns) or absence (black columns) of 1 µmol/l insulin. Then lipolysis was induced with 0.01 µmol/l isoproterenol (Iso) or 1 nmol/l ANP for 60 min. Values are the means ± SEM of 4 separate experiments. B) Effect of UK 14304 plus PIA pretreatment of human fat cells on isoproterenol or ANP-induced lipolysis. Adipocytes were preincubated for 30 min in the presence (white columns) or absence (black columns) of 1 µmol/l PIA and 1 µmol/l UK 14304. Lipolysis was then induced with 1 µmol/l isoproterenol or 1 nmol/l ANP. Values are means ± SEM of 8 separate experiments. **P<0.01 when compared to control value.

In a third set of experiments, cAMP levels were pharmacologically reduced through activation of Gi protein in fat cells using a mixture of the {alpha}2-agonist UK 14304 (1 µmol/l) plus the adenosine agonist phenylisopropyladenosine (1 µmol/l). In these conditions of potent inhibition of adenylyl cyclase activity and of reduced cAMP levels, the PDE-3B activity was expected to be strongly decreased. Preincubation of adipocytes with the inhibitory mixture totally abolished the lipolytic effect usually found with the PDE-3B inhibitor OPC 3911 (from 76.9±7.9 to 1.4±6.8% of the maximal isoproterenol effect) and decreased the lipolytic effects of isoproterenol, but did not modify ANP-induced lipolysis (Fig. 4B ).

Finally, PDE-3B activities in human adipocytes were determined in order to evaluate the effect of ANP on low Km cAMP PDE. The results are reported in Table 2 . PDE-3B activity was significantly higher when cells were treated with insulin (0.1 µmol/l) and significantly lower when treated with OPC 3911 (10 µmol/l). PDE-3B activity was not modified in adipocytes treated with ANP (0.1 µmol/l).


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Table 2. Effect of insulin, OPC 3911, and ANP on low Km PDE-3B activities in human fat cellsa


   DISCUSSION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
The original findings of this present study are, first, that the natriuretic peptides exert potent lipolytic effects in human s.c. adipose tissue. Lipolytic action was revealed (ANP > BNP >> CNP) in vitro on isolated fat cells and in situ using ANP and the microdialysis method. Second, it is shown that this lipolytic effect involved a cGMP-dependent pathway unrelated to inhibition of cGMP inhibitable phosphodiesterase PDE-3B of the adipocyte and changes in cAMP production.

Our data clearly show that natriuretic peptides can control human adipocyte lipolysis. Their lipolytic effect represented 92.8 ± 1.4%, 84.5 ± 5.5%, 17.7 ± 3.4% of the maximal effect of isoproterenol for ANP, BNP, and CNP, respectively (Table 1) . Our in vitro data show a statistical difference in glycerol production between basal and in the presence of ANP 10-11 M. This result shows that ANP is lipolytic at a concentration close to circulating ANP levels in humans (10 to 20 pmol/l). Moreover, as expected from the presence of NPr-A mRNA in human adipocyte (10) , we identify, using binding experiments with [125I]ANP on membranes from isolated human adipocytes, a single population of high-affinity ANP binding sites (Fig. 2) . According to the relative affinity of the different natriuretic peptides for this site (reflected by the pD2 values depicted in Table 1 ), the ANP receptor has the pharmacological profile of a Npr-A receptor (18 , 19) . As expected for a guanylyl-cyclase-containing receptor, its activation promotes a strong increase in intracellular cGMP in the human adipocyte. The fact that ANP induced-lipolysis could be mimicked with a cell-permeable analog of cGMP (bromo-cGMP) raised the question of the target that can be activated by cGMP in adipocytes to lead to hormone-sensitive lipase activation.

Generally, lipolysis in adipocytes is stimulated by hormones that activate adenylyl cyclase, elevate cAMP, and activate cAMP-dependent protein kinase, resulting in phosphorylation and activation of hormone-sensitive lipase (HSL). The enzyme PDE-3B, the main one involved in the degradation of cAMP in adipocyte, is known to be inhibited by cGMP in acellular assays (15 16 17 , 20) . Inhibition of PDE-3B increases lipolysis; an ANP-induced cGMP production could therefore inhibit PDE-3B. We therefore focused our study on PDE-3B as a putative intermediate of the ANP lipolytic effect. However, our results show that ANP-induced lipolysis was independent of PDE-3B inhibition. Different data supported this point. First, inhibition of PDE-3B activity with the specific inhibitor OPC 3911 (15 , 21) , which significantly potentiates the lipolytic effect of isoproterenol, was without effect on the lipolytic response initiated by ANP (Fig. 3) . Second, PDE-3B activation by insulin (16 , 17) led to inhibition of isoproterenol-induced lipolysis, whereas a full lipolytic effect was conserved with ANP (Fig. 4A ). Third, since the substrate of PDE-3B is cAMP, we compared isoproterenol- and ANP-induced lipolysis in the presence of a mixture of agonists for fat cell {alpha}2-adrenergic receptors and A1-adenosine receptors. These drugs exert potent antilipolytic actions through inhibition of adenylyl cyclase activity (22 23 24) , reduction of cAMP formation, and consequently PDE-3B substrate availability. In that context, the lipolytic effect of ANP was still preserved whereas the isoproterenol-induced lipolysis was strongly blunted (Fig. 4B ). Fourth, exposure of cells to ANP did not change the cAMP levels whereas forskolin (as expected) did. Finally, and to confirm our hypothesis, quantification of PDE-3B activity in adipocytes exposed to ANP, insulin and OPC 3911 was undertaken. Our data clearly show that ANP did not modify PDE-3B activity whereas insulin activated it and OPC 3911 inhibited it. Thus, we conclude that ANP promotes cGMP intracellular accumulation and lipolysis independently of PDE-3B inhibition.

The activation of cGMP-dependent protein kinase (PKG) could represent the key mechanism of the action of ANP in human adipocytes. Such a potential role for PKG is consistent with previously described effects of ANP observed in other systems (25 , 26) . Hormone-sensitive lipase, the sole enzyme able to catalyze triglyceride hydrolysis in adipocyte, is known to be principally phosphorylated by a cAMP-dependent protein kinase (27) . However, some earlier studies observed in acellular systems that HSL could also be phosphorylated by a cGMP-dependent PKG (28) . Taken together, one can propose that ANP-induced lipolysis involves cGMP generation and thus PKG activation, leading finally to the phosphorylation and stimulation of the HSL. Further studies are needed to completely delineate all the components involved in the activation of ANP-dependent lipolytic cascade.

Until now, most of the pharmacological approaches of the physiopathology of the human fat cell have focused their attention on the adrenergic control of this cell. This was based on the fact that norepinephrine and epinephrine are the two main hormones controlling human adipocyte lipolysis through different adrenergic receptor subtypes (29) . However, Uehlinger et al. (30) have described that ANP infusion increased NEFA levels in control subjects. They attributed this result to a sympathetic nervous system activation. Our data suggest that part of this lipid mobilization could be due to a direct effect of ANP on human adipocyte. Finally, many studies have shown the possible dysregulation of the adrenergic control in adipose tissue lipolysis in obese subjects. The present finding of a new control of lipolysis by natriuretic peptides in human adipose tissue raises the question of the physiological role of this new lipolytic pathway and its putative involvement in the development and in the pathogenesis of obesity.


   ACKNOWLEDGMENTS
 
The authors wish to express their gratitude to Marie-Thérèse Canal, Marie Adeline Marquès, and Claire Thalamas for their contribution to the study. Microdialysis studies were supported by a grant of the Toulouse University Hospital and carried out in the Clinical Investigation Center of Toulouse-Purpan Hospital.

Received for publication August 18, 1999. Revision received December 6, 1999.
   REFERENCES
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 

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