om
20.42 f 1.92
Theophylline
-_~______
0
16.82 ” 3.29 *
9.52 k 0.67 *
3.61 i 0.40 *
--.--.-
NaF
Additian to the medium:
.-^--
17.25 L 2.63 -F
12.25 !: 1.33 *
8.25 I: 0.91 *
Monaiodoacetate l~...“l”“.-._-
Glycerol release (PM/~ cell lipid per 3h) ,-” -~
14.70 f 1.51
~
Epinephrine
--
tions.
-~
4.99 :k 0.67 *
3.59 f 0.65 *
6.53 * 0.48 *
N-ethyl maleimide .._^-^..“-- -- __~-
4.91 f 0.39 *
7.25 +- 1.12 *
4.01 + 0.55 *
Antimycin A
_~_.____
16.21 f 2.34 **
16.40 t 1.35 **
12.06 I 1.55 ***
- ---_-
2,4-Dinitrophenol ^-____-
_.~___
Fat cells were incubated in Krebs-Ringer bicarbonate buffer containing glucose (5 mMf, albumin (4%, wiv) and, when indicated, epinspbrlne (50 PM), tbeophylline (5 mM), dibutyryl cyclic AMP (1 mMf and the metabolic inhibitors at the following concentrations: NaF, 10 mM; monoiodoacetate, 1 mM; iV-ethylmaleimide, 0.45 mM; antimycin, 20 HM; 2.4-dtit~ophe~ol. 1 mM. The determination of glycerol was performed 3 h later. Each vahae represents the mean + S.E. of IO determina-
EFFECTS OF GLycoLYs~s AND OXIDATIVE PHOSPHORYLATION INIIIBITORS ONTHE DIBUTYRYLCYCLIC AMP (1 mM) STIMULATED LII’QSYSlS IN HUMAN FAT CELLS
TABLE
ADIPOCYTES
ON LIPOLYSIS.
HUMAN
INHIBITORS INCUBATED
CYCLIC OF EPINEPHRINE
AMP AND ATP LEVELS,
IN THE PRESENCE
INTRACELLULAR
GLUCOSE
UPTAKE,
PYRUVATE
(50 PM) OR DIBUTYRYLCYCLIC
AND AMP
c 1.12
15.73 +- 3.57 ***
17.31 i 2.68 **’
Dibutyryl cyclic AMP C monoiodoacetate (15)
63.42
62.87
77.82
t 5.90 ***
+_7.60 ***
+ 8.86
8.44 i 2.15 *
r 1.64 *
8.15 i 1.21 *
15.71
* P < 0.001 vs. epinephrine ** P < 0.001 vs.dibutyryl cyclic AMP. *** P > 0.05 vs. dibutyryl cyclic AMP.
20.81 * 2.17
5.03 i 0.36 *
Dibutyryl cyclic AMP + NaF (15)
5.94 f 0.32 *
Epinephrine + N-ethylmaieimide (10)
Dibutyryl cyclic AMP (15)
3.45 * 0.59 *
Epinephrine + monoiodoacetate (10)
29.10
+ 1.46
11.44
---
3b)
3b)
3.17 f 0.50
(&M/g cell lipid/
&M/g cell lipid/
1.93 2 0.18
Free fatty acid release
Glycexol l%lWASe
Epinephrine + NaF (10)
Epinephrine (10)
0 (5)
Addition to the medium
N.D.
N.D.
N.D.
235 ? 32 *
261 ? 66 +
217 + 44 *
576 t 76
81 +_16
(PM/g cell lipid)
Cyclic AMP level
5*
6’
7
305
272
4’s
7*”
96 + 10
4126*
47+
37i.
942
225 + 28
+ 3.13 *
I 2.97
--
+ 7.08
1.13 i 0.87 **
4.81 + 1.90 **
23.01
N,D.
7.68 + 2.19 *
12.01
30.88
20.19
+ 3.66
&M/g cell Lipid/
(nM/g cell lipid) 3h) -.--____
Ghxose uptake
ATP level
*
0.22 ?r 0.08 *’
0.59 + 0.10 *
1.29 1. 0.11
N.D.
2.00 _+0.72
1.42 I 0.78 *
3.82 i 0.49
2.30 i 0.51
‘&M/g cell lipidj3h)
Pyruvate output
? 2.39
?; 2.13
?1 2.33
2.50 _t 0.67 **
3.29 tl 0.92 **
16.32
N.D.
1.32 ?: 0.29 *
3.19 i- 0.90 *
20.41
13.50
lipid/3h) .- ---
f&M/g cell
Lactate output
+
pyruvate
t 2.41
f. 2.05
+ 2.54
2.72 + 0.93 **
3.88 + 1.14 **
17.61
N.D.
3.32 + 0.52 *
4.61 i- 1.14 *
24.23
15.80
3W
(&M/g cell lipid/
output
La&ate
Experimental conditions were as in Table I except for the determination of cyclic AMP which was determined as followed: fat cells were first incubated in KrebsRinger bicarbonate buffer containing glucose (5 mM), albumin (4%. w/v) and, where indicated, the metabolic inhibitors at the same concentrations as in Table I. After a preincubation of 1 h, epinephrine (50 FM) and theophylline (5 mM) were added and the assays further incubated; determination of cyclic AMP was performed 30 min later. Each value represents the mean i S.E. with the number of determinations in parentheses. N.D.: not determined.
(1 mM)
OUTPUT
BY ISOLATED
OF GLYCOLYSIS
EFFECTS
LACTATE
TABLE II
391
7.1-fold increase in the intracellular cyclic AMP level. Confirming the previous reports of Carlson et al. [ 28,291, this reponse of human fat cells contrasts with the much more striking increase of cyclic AMP usually found in rat fat cells [30]. Although the experimental conditions for the determination of cyclic AMP and lipolysis were different regarding both the incubation times and the lipolytic agents used (see Material and Methods), it is of interest to note that NaF, monoiodoacetate and N-ethylmaleimide induced parallel changes in the intracellular cyclic AMP and ATP levels as well as in the magnitude of epinephrine-stimulated lipolysis. Under these conditions, these effects were accompanied by a strong reduction of glucose uptake, pyruvate and lactate output, thus confirming the occurrence of glycolysis inhibition (Table II). These latter metabolic disturbances were also induced by NaF and monoiodoacetate when fat cells were incubated with dibutyryl cyclic AMP in the place of epinephrine (Table II); however, no significant inhibition of the lipolytic activity of dibutyryl cyclic AMP was observed under these conditions. As shown in Table III, the oxidative phosphorylation inhibitor antimycin A severely impaired the intracellular cyclic AMP and ATP levels as well as the adipocytes extramitochondrial redox state reflected by the lactatelpyruvate ratio. In fact, cyclic AMP accumulation induced by epinephrine and theophylline was strongly reduced (67%); furthermore, the marked inhibitory effect induced by antimycin A on epinephrine-induced lipolysis was accompanied by a 50% decrease in the intracellular ATP level and a 17-fold increase in the lactate/ pyruvate ratio. Under the same experimental conditions, 2,4dinitrophenol which failed to effect epinephrine-stimulated lipolysis (Table I) had no significant effect on the intracellular cyclic AMP and ATP levels nor on the lactate/ pyruvate ratio (Table IV). However, when the albumin concentration in the medium was lowered from 4 to l%, 2,4dinitrophenol induced a marked uncoupling effect which was accompanied by both a strong inhibition (61%) of epinephrine-stimulated lipolysis and a parallel decrease (58%) in the cyclic AMP accumulation in response to epinephrine and theophylline (Table IV). Since the above data give no indication on the relative significance of glycolysis and oxidative phosphorylation in the regulation of epinephrine-induced lipolysis, we investigated the influence of glucose on both the ATP level and the lipolytic activity of adipocytes studied either in the basal state or in the presence of epinephrine. As shown in Table V, the basal ATP level in adipocytes incubated in a glucose free medium was markedly reduced compared with the basal ATP level found in adipocytes incubated with glucose; furthermore, in the absence of glucose, ATP was not significantly affected by epinephrine, which induced, on the contrary, a 50% decrease in the ATP level of adipocytes incubated with glucose. Glucose also influenced the rate of lipolysis, stimulation by epinephrine being 3.5-fold in the absence of glucose and 5.6-fold in the presence of glucose. Changes in the intracellular cyclic AMP level and in the glycerol release induced by the simultaneous addition of epinephrine and theophylline were similarly influenced by glucose, the omission of glucose resulting in a 50-60% decrease in both the lipolytic activity and cyclic AMP level (Table VI). The following experiments were carried out to determine whether inhibition of oxidative phosphorylation may further increase the antagonistic effect
392
393 TABLE
IV
EFFECTS
OF 2,4-DINITROPHENOL
LAR CYCLIC ADIPOCYTES
ON EPINEPHRINE-STIMULATED
LIPOLYSIS,
AMP AND ATP LEVELS AND LACTATEIPYRUVATE INFLUENCE OF ALBUMIN CONCENTRATION
RATIO
Experimental conditions as in Table II. except for the metabolic inhibitor (1 mM). Each value represents the mean f S.E. of 5-15 determinations. Addition to the medium
Albumin
4% Epinephrine + 2,4-dinitrophenol
Epinephrine
Glycerol release WM/g cell lipid/3h)
11.98
Cyclic AMP level (pM/g cell lipid)
572
ATP level (nM/g cell lipid)
90
Lactatelpyruvate ratio
TABLE
6.2
k
which
Albumin
1.71
11.52
HUMAN
was. 2,4dinitrophenol
1%
Epinephrine
9.06 * 1.55 (P > 0.05)
INTRACELLU-
IN ISOLATED
+
Epinephrine + 2,4-dinitrophenol 1.45
4.49 + 0.36 (P < 0.001)
* 76
408 ? 87 (P > 0.05)
356
* 34
148 k 12 (P< 0.001)
f
8
81 ? 9 (P > 0.05)
97
+ 10
18r 3 (P < 0.001)
?
2.8
7.8 t 1.9 (P > 0.05)
+
50.1 t 9.9 (P < 0.001)
6.5
1.7
V
INFLUENCE OF GLUCOSE ON THE INTRACELLULAR DUCED BY EPINEPHRINE (50 PM) IN ISOLATED HUMAN
ATP LEVEL FAT CELLS
AND
ON
LIPOLYSIS
IN-
Fat cells were incubated for 3 h in Krebs-Ringer bicarbonate buffer containing albumin (4%. w/v) and, when indicated glucose (5 mM) and epinephrine (50 PM). At the end of the incubation, the intracellular ATP level and the glycerol released into the medium were determined. Each value represents the mean + S.E. of 5 determinations. Addition to the medium
None
-
None ATP level (nM/g cell lipid)
92
Glycerol release (PM/g cell lipid/3h)
TABLE
f 18
1.48 *
0.28
Glucose
Epinephrine
None
67 + 11 (P > 0.05)
211
5.26 r 0.92 (P < 0.001)
Epinep brine * 16
2.47 *
108 k 17 (P < 0.001)
0.35
13.83 f 1.20 (P < 0.001)
VI
INFLUENCE OF GLUCOSE ON LIPOLYSIS AND ON CYCLIC AMP ACCUMULATION INDUCED EPINEPHRINE (50 PM) AND THEOPHYLLINE (5 mM) IN ISOLATED HUMAN FAT CELLS
BY
Fat cells were incubated in Krebs-Ringer bicarbonate buffer containing albumin (4%. w/v) and, when indicated, glucose (5 mM). After a preincubation of 1 h, the glycerol released into the medium was determined. Epinephrine (50 PM) and theophylline (5 mM) were then added and the assays further incubated. Determination of intracellular cyclic AMP levels and glycerol in the medium was performed 30 min later. Each value represents the mean + S.E. of 10 determinations. Addition to the medium
None
Glucose Epinephrine theophylline
None
Glycerol release (PM/g ceil lipid/30 Cyclic AMP @M/g cell lipid)
0.50
*
0.08
min) 84
* 10
1.70 ? 0.23 (P < 0.001) 256 + 51 (P < 0.001)
+
Epinephrine theophylline
None
0.53 107
f
0.15
? 17
3.46 * 0.31 (P < 0.001) 636 f 53 (P < 0.001)
+
394 TABLE VII INFLUENCE OF ANTIMYCIN A ON THE EFFECTS EPINEPHRINE (50 J&T) OR DIBUTYRYLCYCLIC ISOLATED HUMAN FAT CELLS
INDUCED BY GLYCOLYSIS AMP (1 mM) STIMULATED
INHIBITION LIPOLYSIS
ON IN
Fat cells were incubated for 3 h in Krebs-Ringer bicarbonate buffer containing albumin (4%. w/v) and when indicated glucose (5 mM), epinephrine (50 MM), dibutyryl cyclic AMP (1 mM), NaF (10 mM) and antimycin A (20 PM). Each value represents the mean f S.E. of five determinations. Expt.
-_.-__
Addition to the medium
Glycerol release (PM/~ cell lipid per 3h)
____~
1
NaF NaF + antimycin A Epinephrine Epinephrine + NaF Epinephrine + NaF + antimycin A Dibutyryl cyclic AMP Dibutyryl cyclic AMP + NaF Dibutyryl cyclic AMP + NaF + antimycin A
2 3 4 5 6 7 8 a b c d e f
P < 0.001 P < 0.001
P < P < P < P <
vs. Expt. 1 and 3. vs. Expt. 3 and 4: non significant vs. 0.001 vs.Expt. 1; non significant vs. Expt. 0.001 vs. Expt. 1.6 and 7. 0.001 vs. Expt. 3, non significant vs. Expt. 0.001 vs. Expt. 3; non significant vs. Expt.
Glucose (5 mM) _ -_--.__~~~~_.
No &xose
1.94 1.66 12.87 6.16 2.11 22.31 18.03 4.24
1.22 0.95 5.60 1.69 1.29 17.81 17.77 3.30
?: 0.33 IO.27 Il.34 i 1.50 f- 1.11 + 2.89 C 3.57 +_0.86
a b ’ d
_ ..-- _....
f 0.35 i: 0.30 i 0.83 L 0.31 ’ 10.24 f F 1.23 i 0.85’ i 0.47 d
Expt. 1. 6. 1. 1 and 4.
induced by glycolysis inhibition on epinephrine-stimulated lipolysis (Table VII). Since, as shown in Table II, glucose uptake and glycolysis were not completely abolished by NaF, these experiments were performed in both the presence and absence of exogenous glucose. When NaF and glucose were both present, addition of antimycin A did not modify the basal glycerol release. Under these conditions, addition of epinephrine induced a 3.2-fold increase of lipolysis, an effect which was almost completely prevented by antimycin A. On the contrary, when fat cells were incubated in a glucose free medium but in the presence of NaF, addition of epinephrine or epinephrine plus antimycin A had no more significant effect on lipolysis. Under these conditions, the strong inhibitory effect of antimycin A on dibutyryl cyclic AMP-induced lipolysis remained unchanged. Discussion The regulation of the lipolytic process in human adipose tissue is a subject of dual experimental interest. Firstly, the major factor regulating the tissular fatty acid utilization, the free fatty acid blood level, is controlled by the rate of fatty acid release from fat cells; disorder8 in adipose tissue lipolytic activity may thus play an impo~ant role in the pathogenesis of metabolic diseases such as atheroma, obesity, diabetes and ketosis. Secondly, the effects of hormones or drugs, which provide a valuable tool for the study of the mechanisms involved in the lipolytic process, vary greatly from human to animals: for example, ACTH, glucagon or growth hormone which are potent lipolytic hormones in rat fat cells, are ineffective in human adipocytes [9,10]. Membrane receptors sensitive
395
to a-adrenergic agents which inhibit lipolysis are present in human adipocytes, but are lacking in rat fat cells [lO,ll]. Furthermore, NaF, monoiodoacetate, 2,4dinitrophenol and antimycin A, in the same concentrations as those used presently were found to be equally potent inhibitors of norepinephrine, theophylline or dibutyryl cyclic AMP-stimulated lipolysis in rat adipose tissue [2-51, whereas, under similar experimental conditions, the present results show that in human fat cells, the antilipolytic effects of these inhibitors are different in magnitude and depend on the lipolytic agent used. Despite these species differences, Khoo et al. [31] have recently demonstrated that the lipolytic process, in human adipose tissue, follows the same metabolic pathways as those occurring in rat fat cells, i.e. synthesis of cyclic AMP and activation of triacylglycerol lipase by a cyclic AMP-dependent protein kinase. Accordingly, ATP appears necessary not only for cyclic AMP synthesis but most probably also for the activation of triacylglycerol lipase and, therefore, stimulation of lipolysis in human fat cells should require, as in the rat [l-5], a continuous supply of energy. Although the inhibitors used here might have other actions influencing lipolysis than those on ATP synthesis, it appears from the present data that alteration of energy equilibrium in human fat cells interferes indeed with the lipolytic process at two different levels, i.e. both before and beyond cyclic AMP synthesis. It suggests, furthermore, that these different levels may be differently dependent on the metabolic pathways providing energy to human fat cells. In fact, the present data showing that the glycolysis inhibitors NaF, monoiodoacetate and N-ethylmaleimide reduce to a similar extent the rate of epinephrine-stimulated lipolysis and the intracellular levels of both cyclic AMP and ATP, strongly suggest that these inhibitors act on epinephrine-stimulated lipolysis through their interference with cyclic AMP synthesis. These effects, which contrast with the well-known stimulating action of NaF on adenylate cyclase in broken cell systems incubated in the presence of a continuous ATP generating system [ 14,321, have been already reported in intact rat fat cells or tissue [3,33] and appear, according to the present results, to be related to the fall in intracellular ATP level. This reduction of ATP level could be the consequence of the uncoupling action exerted by increased intracellular accumulation of free fatty acids [25] resulting from the association of increased lipolysis due to epinephrine and decreased reesterification induced by glycolysis inhibition. However, Table V shows that, in the absence of lipolytic agents, the omission of glucose also reduces the basal intracellular ATP level; this suggests that this fall in ATP is more likely to be related to decreased energy availability caused by glycolysis inhibition, than to uncoupling induced by intracellular free fatty acid accumulation. This is furthermore supported by the fact that exogenous glucose induces similar changes in the intracellular ATP level, in the rate of epinephrineor of epinephrine plus theophylline-stimulated lipolysis and in the cyclic AMP accumulation in response to epinephrine plus theophylline (Tables V and VI). These data thus emphasize the importance of ATP supplied by glucose oxidation in the regulation of cyclic AMP synthesis in human fat cells. The present results also show that dibutyryl cyclic AMP-induced lipolysis is unaffected by NaF, monoiodoacetate and by the removal of glucose, but markedly inhibited by N-ethylmaleimide. Since the latter compound has been
396
shown to interfere with some mitochondrial dehydrogenases and with the mitochondrial oxidative phosphorylation and translocation process [ 34,351, inhibition of dibuty~l cyclic UP-induced lipolysis by ~-ethylm~eimide cannot be considered solely as the result of glycolysis inhibition. On the contrary, the lack of inhibitory effect of NaF, monoiodoacetate or glucose omission on dibutyryl cyclic AMP-induced lipolysis suggests that ATP issued from glucose oxidation is not essential for the triacylglycerol lipase activation step. Experiments described in Table IV indicate that, in the presence of glucose, the inhibitors of oxidative phosphorylation tested also interfere with the rate of both cyclic AMP synthesis and triacylglycerol hydrolysis in human fat cells. In fact, it was found that, when studied under conditions inducing uncoupling effects (low albumin concentration), 2,4-dinitrophenol was also a potent inhibitor of both epinephrine-stimulated lipolysis and cyclic AMP synthesis, effects which simultaneously disappeared altogether by raising the albumin concentration. These data, which seem related to the ability of albumin to tightly bind nitrophenols [36], and consequently to prevent the penetration of 2,4-dinitrophenol into fat cells, suggest a relationship between uncoupling and inhibition of both cyclic AMP synthesis and lipolysis. This is further supported by the results obtained with antimycin A, which also induces a marked inhibition of epinephrine, theophylline and dibutyryl cyclic ASP-stimulated lipolysis, as well as a strong decrease in both cyclic AMP and ATP intracellular levels. These findings thus provide evidence that, when glucose breakdown is not inhibited, ATP supplied by oxidative phosphorylation plays an important role in the regulation of both the synthesis of cyclic AMP and the activation of triacylglycerol lipase in human fat cells. In contrast, when glucose oxidation is either reduced or almost fully inhibited (Table VII), human adipocytes are completely insensitive to the lipolytic action of epinephrine, but still remain fully responsive to dibutyryl cyclic AMP. Under these conditions, furthermore, the inhibition of oxidative phosphorylation results in a marked reduction of the lipolytic effects of dibutyryl cyclic AMP. Thus it seems that, under severely reduced glucose availability, triacylglycerol lipase activation and consequently triacylgly~erol hydrolysis, is still possible, the ATP required for this process being most probably supplied in sufficient amounts by the mitochondrial oxidation of non-carbohydrate substrates, i.e. mainly fatty acids. Since, as indicated above, energy supplied by glucose breakdown appears to regulate the lipolytic process essentially at the level of adenylate cyclase, the present results suggest that the ATP requirement or concentration dependence is different for cyclic AMP synthesis and triacylglycerol lipase activation and that larger amounts of ATP are probably required for the former rather than for the latter step of the lipolytic process. This would provide additional support for the hypothesis previously formulated by Kuo and Greengard [ 371 and by Fain et al. [ 381, according to which an important part of cyclic AMP issued from adenylate cyclase activation may be inactive either by virtue of comp~timentation or by binding to fat cell proteins. In conclusion, the present report shows that, in human fat cells, the lipolytic process is, as in the rat, energy-dependent and that ATP produced by glucose breakdown is a determinant factor in cyclic AMP sysnthesis, whereas it does not seem to play an important part in the activation of triacylglycerol lipase.
391
It suggests furthermore, that the ATP required for triacylglycerol lipase activation may be sufficiently supplied by the oxidation of non-carbohydrate substrates. This led us to considere the possibility that, besides its essential role in the regulation of lipogenesis [ 391, glucose may be also, at least in vitro, an important factor for the control of catecholamine-induced lipolysis in human fat cells. Acknowledgements We are particularly indebted to Dr. R. Ronat, from the general surgery division and to Dr. D. Lewin, from the department of obstetrics-gynecology of the Centre Hospitalier de Poissy, for their courtesy in making available human adipose tissue, and to Dr. A. Fingerhut for his meaningful contribution to the English version of this study. This work was supported by grants from the Universite Renk Descartes, Paris. References 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34
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398 35 Deb&, R. and Durand, R. (1974) Biochimie 56, 161-170 36 Haurowtiz, F. (1963) in The Chemistry and Functions of Proteins, pp. 239-241, New York 37 Kuo. J.F. and Greengard, P. (1970) J. Biol. Chem. 245, 4067-4073 38 Fain, J.N.. Pointer, R.H. and Ward, W.F. (1972) J. Biol. Chem., 247. 6866+X%72 39 Flatt, J.P. (1970) in Adipose Tissue (Jeanrenaud, B. and Hepp, D. eds.). PP. 93-101, New York
Academic
Press,
Academic
Press,