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Departments of
* Nutrition and
Biochemistry, Cellular and Molecular Biology, University of Tennessee, Knoxville Tennessee 37996, USA; and
Department of Pediatrics, University of Tennessee, Medical Center, Knoxville, Tennessee 37920, USA
1Correspondence: University of Tennessee, 1215 Cumberland Ave., Department of Nutrition JHB 229, Knoxville, Tennessee 37996-1900, USA. E-mail:moustaid{at}utk.edu
| ABSTRACT |
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Key Words: lipoprotein lipase fatty acid synthase insulin glucose adipocytes
| INTRODUCTION |
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We have previously demonstrated that attenuation of hyperinsulinemia in
obese Zucker rats by diazoxide (DZ), an inhibitor of glucose-mediated
insulin secretion, resulted in decreased rate of weight gain, enhanced
adipocyte insulin receptor binding, and improved glucose tolerance
(21
, 22)
. This was associated with marked reduction of
postabsorptive plasma triglyceride (TG) levels in DZ-treated obese
animals. In these studies, food intake did not appear to be
significantly changed by DZ. To identify potential cellular mechanisms
accounting for the reduction in adiposity and plasma TG concentrations
by DZ, we studied the effects of this drug on key markers of adiposity
(namely, FAS, LPL, and leptin) in obese and lean Zucker rats.
Furthermore, we tested the direct effects of DZ on adipocyte metabolism
using cultured 3T3-L1 adipocytes. Our study demonstrates that DZ exerts
direct effects on adipose tissue by decreasing the lipogenic effect of
insulin, thus accounting in part for its weight-reducing effects.
| MATERIALS AND METHODS |
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At the end of the 6 wk period and after an overnight fast (12 h), rats were anesthetized with an intramuscular (i.m.) injection of ketamine (65 to 100 mg/kg body weight). Blood was drawn into heparinized tubes by cardiac puncture and plasma was frozen. Omental fat was harvested for analysis. Animal procedures were reviewed and approved by the University of Tennessee Animal Care and Use Committee.
Plasma parameters
Glucose level was measured by the glucose oxidase method (Sigma
Chemical, St. Louis, Mo.). Insulin concentration was determined by
radioimmunoassay (RIA) using a double-antibody method (Linco Research,
St. Louis, Mo.). Leptin was assayed in plasma with double antibody RIA
using guinea pig anti-rat leptin, 125I-labeled
rat leptin as tracer, and rat leptin as standard (Linco Research).
Triglyceride and cholesterol levels were measured by enzymatic methods
using kits purchased from Sigma Diagnostics. Plasma free fatty acids
(FFA) were determined by an enzymatic colorimetric method (Wako
Chemicals, Richmond, Va.).
FAS activity
Adipose tissue was homogenized in 250 mM sucrose buffer. Fatty
acid synthase activity was assayed spectrophotometrically in cytosolic
extracts of adipose tissue by measuring the oxidation rate of NADPH, as
previously described (23)
. Data were expressed as
nanomoles of NADPH oxidized/(min·mg) of cytosolic protein, which was
assayed by the method of Bradford (24)
.
LPL Northern analysis
RNA was isolated by centrifugation of adipose tissue homogenates
using the cesium chloride density gradient method and analyzed by
Northern blotting, as we previously described (25)
.
Membranes were hybridized with 32P-labeled cDNA
probes for LPL (kindly provided by Dr. S. Fried, Rutgers University,
N.J.) and 18S (Promega, Madison, Wis.). Unbound probe was removed by
washing membranes in 2x saline-sodium phosphate-EDTA (SSPE) for 45 min
at 25°C and then in 0.1x SSPE-0.1% sodium dodecyl sulfate for 60
min at 65°C. After washing, membranes were exposed to X-ray film
(Dupont, Wilmington, Del.). Autoradiograms were analyzed by
densitometric scanning, and data were expressed as a ratio of LPL to
18S.
3T3-LI cell culture
3T3-L1 cells were grown and differentiated as described
previously (23)
. Briefly, cells were grown to confluence
in standard medium (Dulbeccos modified Eagles medium supplemented
with 10% fetal bovine serum). At confluency, cells were induced to
differentiate by the addition of dexamethasone (250 nM) and
iso-butylmethlyxanthine (0.5 mM) to standard medium for 72 h.
Cells were maintained for three additional days in standard medium,
then changed to serum-free medium (containing 1% bovine serum
albumin), followed by treatment with diazoxide (5 µM) and/or insulin
(10 nM) as indicated in the figure legends.
Statistics
The reported values represent the mean ± SD.
Statistical analysis of subgroup was preformed by one-way analysis of
variance, with significant differences between means determined by post
hoc analysis using Dunnetts mutiple range test (see Tables 1
and 2
)
and General linear model univarate analysis of variance (see Figs. 1
2
3
4B
) at P<0.05.
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| RESULTS |
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Effects of diazoxide on plasma glucose, lipids, and insulin
Table 2
shows postabsorptive plasma levels of glucose, FFA, cholesterol, TG,
and insulin after 6 wk of C (control) or DZ (diazoxide) treatment. As
expected, postabsorptive plasma glucose and insulin concentrations were
significantly higher among C obese animals compared with C lean rats.
Postabsorptive plasma levels of TG (P<0.001), FFA
(P<0.001), glucose (P<0.001), and insulin
(P<0.001) were significantly decreased in DZ obese as
compared with C obese. In lean animals, however, only plasma FFA
(P<0.001) and insulin (P<0.001) were
significantly decreased by DZ treatment (P<0.001). Plasma
cholesterol concentrations were not significantly affected by DZ
treatment in either obese or lean animals.
Effects of diazoxide on plasma leptin
Plasma leptin levels were dramatically elevated in obese vs. lean
(P<0.001). There were no significant differences in lean
animals treated with DZ when compared to lean control animals. However,
DZ did significantly decrease plasma leptin levels of obese treated
animals compared to obese control animals (P<0.03)
(Fig.
1).
Effects of diazoxide on FAS enzyme activity in lean and obese
animals
Adipose tissue FAS enzyme activity was significantly higher in C
obese rats than C lean animals (P<0.0001). DZ treatment
decreased adipose tissue FAS enzyme activity in both lean
(P<0.0001) and obese (P<0.01) rats as compared
with their respective control animals (Fig. 2
).
Effects of diazoxide on FAS enzyme activity in 3T3-L1 adipocytes
To test whether diazoxide exerts a direct effect on FAS activity,
cultured 3T3-L1 cells were treated with 5 µM diazoxide. In cultured
3T3-L1 cells, no direct effects of diazoxide (5 µM) on FAS activity
were observed. DZ significantly attenuated insulins effect on FAS
activity (P<0.001) (Fig. 3
).
LPL mRNA content
As previously reported, the control lean animals expressed
dramatically less LPL mRNA than did their C obese counterparts
(Fig. 4
). DZ obese rats showed a markedly lower LPL mRNA content than C obese
animals (P<0.01) (Fig. 4B
). However, DZ
treatment did not affect LPL mRNA in lean animals as compared with
their controls.
| DISCUSSION |
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It has been suggested that in young obese Zucker rats, the development
of hyperinsulinemia leads to an enhanced lipogenic state
(26)
. Insulin hypersecretion is believed to precede the
development of hyperphagia, although this does not appear to be
necessary for the early increase in weight found in preweaning obese
rats (27)
. This is supported by previous observations that
food restriction in obese rats results in increased energy efficiency
(28)
. Insulin can act as a satiety signal, and brain
insensitivity to the effect of insulin in hyperinsulinemic obese
animals may lead to the development of hyperphagia (29)
.
In our previous studies, we found that DZ reduces weight gain, improve
insulin sensitivity, and reduces the rate of fat production, yet may
not produce a major effect on feeding behavior in either obese or lean
rats (21
, 22)
. We have recently reported differences in
feeding behavior between DZ obese and control obese groups during the
first 2 wk of DZ treatment, when body weight differences were emerging
(30)
. In the current and earlier studies, however, food
intake was measured during the final week of drug treatment when the
shift in metabolic and behavioral controls may already have occurred.
Our recent studies demonstrate that food intake of DZ obese rats was
markedly decreased as compared with control obese between 7 and 11 wk
of age (30)
. Maggio and Vasselli (31)
demonstrated that suppression of hyperinsulinemia by DZ in obese Zucker
rats resulted in decreased food intake and rate of weight gain and
suggested that hyperinsulinemia contributed to both obesity and
hyperphagia in the Zucker rat.
The synthesis and storage of fat involves the interaction of nutrients,
hormonal factors, and key regulatory enzymes such as fatty acid
synthase. Hyperinsulinemic animals are characterized by enhanced
adipose tissue FAS activity (32)
contributing to fat
accretion in an obesity state. Similarly, insulin increases FAS
activity and gene transcription in human adipocytes (6)
.
Therefore, attenuation of circulating insulin by diazoxide can
potentially reduce adipose tissue FAS activity and lipid storage in
obese subjects. In our study, parallel to the decreased insulinemia, DZ
treatment resulted in decreased adipose tissue FAS activity and plasma
FFA levels in both lean and obese animals. Further, it is possible that
the anti-obesity effect of DZ may be at least partly due to its
extrapancreatic effects in peripheral tissue, and therefore may be in
part independent of its insulin-lowering action. In evaluating the
direct effect of DZ on adipocytes, we recently demonstrated that
DZ-induced membrane hyperpolarization resulted in indirect inhibition
of Ca2+ influx, thereby causing decreased
lipogenesis and increased lipolysis in primary cultures of human
adipocytes (33)
. We have previously shown that the product
of the obesity gene, agouti, regulates adipocyte
intracellular Ca2+ and stimulates FAS activity
via a Ca2+-dependent process (23
, 34)
. This was supported by studies demonstrating that treatment
of obese yellow (Avy/a) mice with nifedipine, a
Ca2+ channel blocker, resulted in a significant
decrease in fat pad weights and adipose FAS activity (35)
.
In the present study, although DZ alone failed to decrease FAS activity
in 3T3-L1 adipocytes, it completely inhibited insulin-induced FAS
activity. Our recent report that adipocytes express sulfonylurea
receptors and adipocyte energy storage may be modulated by this
receptor (33)
supports this mechanism. Moreover, the
sulfonylurea K+[ATP] antagonist glibenclamide,
which depolarizes ß cells and thereby stimulates insulin release,
also increased intracellular Ca2+ in adipocytes
(33)
. Glibenclamide also caused a comparable stimulation
of FAS activity, which was inhibited by DZ and the calcium channel
antagonist nifedipine (33)
. Thus, antagonism of
K+[ATP] channels stimulates
Ca2+ influx and, consequently, lipogenesis,
whereas the K+[ATP] channel agonist DZ
antagonizes these effects and presumably inhibits lipogenesis. These
data strongly support diazoxide-induced antagonism of
insulin-stimulated adipocyte lipogenesis and suppression of lipolysis,
possibly coupled with suppression of insulin release as a likely
mechanism for the anti-obesity effects of diazoxide (33)
.
Fat cell hypertrophy and increased adipose LPL activity are the
earliest manifestations of obesity in hyperinsulinemic obese Zucker
rats (36)
. Insulin regulation of LPL activity is well
documented (7
, 8)
. In our study, the suppression of plasma
insulin resulted in significant reduction of adipose LPL mRNA in obese
but not lean animals. When given with a meal, diazoxide has been shown
to inhibit insulin secretion (37)
. Studies by Picard et
al. (38)
have demonstrated that insulin secretion is
necessary for the full expression of the response of LPL in adipose
tissue and that when food intake is controlled, DZ is still capable of
reducing LPL in adipose tissue (38)
. Our study shows that
decreasing insulin levels by treatment with DZ causes a reduction in
LPL in obese animals. This decreased insulinemia was also associated
with significant reduction of plasma triglyceride concentration only in
DZ obese animals. The lack of treatment effect on LPL mRNA in lean rats
may be due to the absence of significant changes in the rate of weight
gain, triglycerides, and adiposity in these animals.
In our study, plasma leptin concentrations were significantly higher in
obese than in lean rats, as documented in other obesity models
(19
, 20)
. DZ treatment resulted in a significant
suppression of circulating leptin in obese rats presumably as a result
of decreased adiposity. Since ob gene expression has
previously been shown to be increased by insulin, it is also likely
that marked reduction in circulating leptin levels in DZ obese is a
consequence of decreased ob gene transcription after
decreased insulinemia and decreased rate of weight gain and adiposity.
In conclusion, we postulate that diazoxide-induced antagonism of
adipocyte lipogenesis, and possibly coupled with partial normalization
of insulin levels, resulted in a reversal of increased FFA and
triglyceride synthesis. DZ suppression of insulin release
(37)
, its early anorectic effects (30)
, and
its direct anti-insulin effects on adipocytes via recently documented
sulfonylurea receptors (33)
are likely mechanisms for the
anti-obesity effects of diazoxide. The combined effect resulted in
decreased rate of weight gain.
| FOOTNOTES |
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| REFERENCES |
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