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PATHOPHYSIOLOGY ELSEVIER
Pathophysiology 1 (1994) 143-149
Effect of oleic, linoleic, 3,-linolenic, and a-linolenic acids on VLDL-TG and -cholesterol synthesis in rat primary cultured hepatocytes Yoko Fujiyama-Fujiwara *, Osamu Igarashi Institute of Environmental Science for Human Life, Ochanomizu University 2-1-1, Ohtsuka, Bunkyo-ku, Tokyo 112, Japan
Abstract
We examined the effect of various polyunsaturated fatty acids (PUFAs), oleic acid (OA), linoleic acid (LA), 3,-linolenic acid (GLA) and a-linolenic acid (ALA), on very low density lipoprotein (VLDL) lipid synthesis in rat primary cultured hepatocytes. Incorporation of [14C]glycerol into triglyceride (TG) was enhanced by the addition of fatty acids (FFAs) in the hepatocytes. However, the effects of these FFAs on total TG synthesis from [14C]glycerol, the sum of the incorporated TG from [14C]glycerol in the cells and in the medium was not changed. These results suggest that PUFAs regulate VLDL secretion. The radioactivity of TG in medium in the presence of LA, GLA or ALA was significantly lower than that with OA, although the activity of TG in cells did not change. Total cholesterol synthesis from [lac]acetate was enhanced dose-dependently by the addition of OA, whereas LA, GLA and ALA decreased the synthesis and secretion into the medium. These results suggested that PUFAs were not only the substrates for esterification to various lipids through acyl-CoA synthetase but also may regulate de novo synthesis or the secretion of lipoprotein from hepatocytes. Key words: Polyunsaturated fatty acid; Lipid synthesis; Hepatocyte; (Rat)
1. Introduction
Polyunsaturated fatty acids (PUFAs) are known to reduce the plasma cholesterol level [1-3]. Some mechanisms of involved in cholesterol lowering have been reported [4-7]. One of the most important mechanisms is lipid synthesis and the secretion of lipoprotein in hepatocytes, because plasma lipid levels are regulated mainly by the liver [8]. In order to investigate lipid synthesis in ceils, acetate or glycerol is generally used as a precursor for synthesizing fatty acids, cholesterol and triglyceride (TG). Lipid synthesis from acetate is known to be regulated by many factors [9-13].
PUFAs exert a variety of cholesterol-decreasing effects [14-16] and not only the quantity of fatty acids, but also their quality appears to regulate lipid synthesis from acetate [17]. ~/-linolenic acid (GLA), the metabolite from linoleic acid (LA) by A6-desaturase, has been reported to have the ability to reduce plasma cholesterol by 170-times as much as by LA [16]. In the present experiments, we examined the effect of various PUFAs, oleic acid (OA), LA, G L A and a-linolenic acid (ALA), on lipid synthesis and lipoprotein secretion in order to clarify the role of PUFAs in the regulation of lipid metabolism in hepatocytes.
2. Materials and methods
* Corresponding author. Abbreviations: PUFA, polyunsaturated fatty acid; OA, oleic acid; LA, linoleic acid; GLA, y-linolenic acid; ALA, a-linolenic acid; EPA, eicosapentaenoic acid; DHA, docosahexaenoic acid; VLDL, very low density lipoprotein; TG, triglyceride;TC, total cholesterol. 0928-4680/94/$07.00 © 1994 Elsevier Science B.V. All rights reserved SSDI 0928-4680(93)E0006-T
Materials
[14C]glycerol (54 m C i / m m o l ) and [14C]acetate (57.5 m C i / m m o l ) were purchased from ICN Biomedicals, Casta Mesa, CA, USA. OA, LA and ALA were purchased from Sigma, St. Louis, MO, USA. G L A was
Y. Fujiyama-Fujiwara, O. Igarashi / Pathophysiology 1 (1994) 143-149
144
Fatty Acid Composition nmol/mg protein 500
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nmol/mg protein 500 400 300 200 I00 0
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nmol/mg protein
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145
Y. Fujiyama-Fujiwara,O. Igarashi/ Pathophysiology 1 (1994) 143-149 dpm / jg protein
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Fig. 2. Effect of oleic acid concentration on the incorporation of [14C]glycerolinto TG. Rat hepatocytes were incubated for 24 h in serum-free medium containing [14C]glycerolafter preincubation with OA at the concentrations shown. After incubation, the cells were harvested, the lipids of cells and medium were extracted, and the lipid subfractions were separated by TLC. The amounts of 14C label incorporated TG were measured. (A) Total TG, (B) TG in cells, (C) TG in medium. The data are plotted as the mean + S.D. for three separate incubations. Significant differences from 0 raM: * P < 0.05, * * P < 0.01.
kindly donated by Idemitsu Petrochemical, Tokyo. All fatty acids had 99% or more purity. Dulbecco's modified Eagle's medium (DME) was purchased from Nissui Pharmaceutical, Tokyo and fetal bovine serum (FBS) from Sanko Junyaku, Tokyo. Collagenase was from Wako Pure Chemical Industry, Osaka and gentamicin from Schering-Plough, Osaka.
Cell culture Hepatocytes were prepared from male rats (200 g, Wistar strain) fed commercial chow (CE-2 Nippon Clear, Tokyo) as previously described [18]. Isolated hepatocytes were seeded into a 35-mm diameter collagen-coated dish (1 • 106 cells/dish) with 1 ml of D M E containing 10% FBS and gentamicin (10 mg/1) and used for experiments after 17 h incubation. P U F A s were dissolved in 20% BSA solution and added to the culture medium.
The subclasses of extracted lipids were separated by thin-layer chromatography (TLC) [20]. The T G fraction was scraped off and the radioactivity was measured by a liquid scintillation counter.
Cholesterol synthesis and secretion Hepatocytes preincubated with P U F A s were incubated with [14C]acetate for 24 h. The lipids from cells or medium were extracted by the method of Folch et al. [19]. Free cholesterol and cholesterol ester of cells or medium were separated by TLC [20] and the radioactivity of each fraction was measured.
Other analyses Protein concentrations in cells were determined by the method of Lowry et al. [21]. The significance of differences of the mean values was evaluated by Student's t-test.
Triglyceride synthesis and secretion Hepatocytes were incubated with 0.125, 0.25 or 0.5 mM PUFA. After a 24-h incubation, the medium was changed to serum-free DME, the cells were further incubated with [14C]glycerol (1.0 /~Ci/dish) for 24 h, and the medium was removed and the cells were harvested using a rubber policeman. Cells and medium were separately extracted by the method of Folch et al. [19].
3. R e s u l t s
Elongation or desaturation of the added PUFAs in rat hepa tocytes Rat hepatocytes were incubated with OA, LA, G L A or A L A at the indicated concentrations for 24 h (Fig. 1). OA, L A and A L A were incorporated into cells dose-dependently, but were not elongated or desatu-
Fig. 1. Fatty acid composition after incubation of various PUFAs in rat hepatocytes. Hepatocytes were incubated with OA, LA, GLA or ALA at the concentrations shown for 24 h. After incubation, cells were harvested and the lipids of cells were esterified by HCl-methanol. Fatty acid methyl esters were measured by GLC. Significant differences from without PUFAs ( • ): * P < 0.05, * * P < 0.01.
Y. Fujiyama-Fujiwara, O. Igarashi/Pathophysiology 1 (1994) 143-149
146
d p m / m g cell protein
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Fig. 3. Effect of oleic acid, linoleic acid, y-linolenic acid and a-linolenic acid on the incorporation of [14C]glycerol into TG. Rat hepatocytes were incubated for 24 h in serum-free medium containing [I4C]glycerol after preincubation with 0.5 m M of fatty acids as shown. After incubation, the cells were harvested, the lipids of cells and medium were extracted, and the lipid subfractions were separated by TLC. The a m o u n t s of 14Clabel incorporated T G were measured. (A) Total TG, (B) TG in cells, (C) T G in, medium. The data are plotted as the mean +_ S.D. for three separate incubations. Significant differences from oleic acid: * P < 0.05, * * P < 0.01.
rated. Most of the incorporated GLA was elongated to dihomo-y-linolenic acid (DGLA), but not metabolized to arachidonic acid. ALA was not metabolized to other n - 3 fatty acids, but rather decreased the formation of arachidonic acid.
Effect of PUFAs on TG synthesis from [14C]glycerol Fig. 2A shows the dose effect of OA on the synthesis of TG from [laC]glycerol. OA enhanced the TG synthesis in a dose-dependent manner. The distribution of synthesized TG between ceils and medium is shown in Fig. 2 (B and C). 0.25 mM and 0.5 mM OA increased the radioactivity of the TG fraction in the ceils and in the medium, respectively.
Effect of PUFAs on cholesterol synthesis from [14C]acetate Fig. 4 shows the dose effect of OA on the total cholesterol (TC) synthesis from [14C]acetate. OA enhanced the TC synthesis from [14C]acetate. As shown
dpm/pg protein
dpm/pg )rotein Total
The effects of LA, GLA and ALA on TG synthesis were compared with that of OA (Fig. 3), and no differences were observed between OA, LA, and GLA. Although cellular TG synthesis did not change, the distribution of TG in the medium by the addition of LA and GLA was significantly decreased compared to the addition of OA. ALA significantly decreased both synthesis and secretion of TG compared with OA.
dpmlpg cell protein B
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I I I I 0 I I I I I I oI ! 0 0.125 0.25 0.5 o 0.125 0.25 0,5 0.125 0.25 0.5 Oleate (raM) O l e a t e (raM) Oleate (raM) Fig. 4. Effect of oleic acid concentration on the incorporation of [I4C]acetate into total cholesterol. Rat hepatocytes were incubated for 24 h in serum-free medium containing [i4C]acetate after preincubation with O A at the concentrations shown. After incubation, the cells were harvested, the lipids of cells and m e d i u m were extracted, and the lipid subfractions were separated by TLC. T h e amounts of 14C label incorporated free and esterified cholesterol were measured. (A) Total TC, (B) T C in cells, (C) TC in medium. T h e data are plotted as the m e a n 5: S.D. for three separate incubations. Significant differences from 0 mM: * P < 0.05, ** P < 0.01.
I
0
147
Y. Fujiyama-Fujiwara, 0. Igarashi / Pathophysiology 1 (1994) 143-149
protein Medium
d p m / p g cell
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Fig. 5. Effect of oleic acid, linoleic acid, 7-1inolenicacid and a-linolenic acid on the incorporation of [14C]acetateinto TC. Rat hepatocyteswere incubated for 24 h in serum-free medium containing[14C]acetateafter preincubation with 0.25 mM of fatty acids as shown. After incubation, the cells were harvested, the lipids of cells and medium were extracted, and the lipid subfractionswere separated by TLC. The amounts of 14C label incorporated free and esterified cholesterol were measured. (A) Total TC, (B) TC in cells, (C) TC in medium. The data are plotted as the mean + S.D. for three separate incubations. Significantdifferences from oleic acid: * P < 0.05, * * P < 0.01.
in Fig. 4 (B and C), O A increased the synthesis of TC in both cells and medium. Fig. 5 shows the effect of PUFAs (0.25 mM) on TC synthesis from [14C]acetate. LA, G L A and ALA significantly decreased the synthesis and secretion of TC compared with OA.
4. Discussion
As shown in Fig. 2, fatty acids added to the cell medium enhanced T G synthesis from [14C]glycerol, but the distribution of the synthesized T G was different between inside and outside of the cells. The release of T G produced from [14C]glycerol was lower in LA and G L A than that of OA, although T G synthesis inside hepatocytes did not change. These results suggested that OA, LA and G L A might regulate the release of T G as V L D L but not change the extent of de novo synthesis of TG. On the other hand, A L A decreased both synthesis and secretion of TG. Davis et al. [22] found that the unsaturation of fatty acids was inversely related to T G secretion in rat cultured hepatocytes, but a strong correlation with intracellular T G accumulation could be determined. Studies using rat hepatocytes showed that, under the condition of eicosapentaenoic acid (EPA) administration, incorporation of [t4C]glycerol into both secreted T G and cellular T G was reduced [23-25]. The treatment of docosahexaenoic acid (DHA) caused a greater accumulation of intracellular T G than OA, although D H A inhibited T G secretion more than O A [26]. Homan et al. [27] reported that E P A inhibited T G secretion but not intracellular synthesis of T G in H e p G 2 cells. As shown in Fig. 1, ALA was not metabolized to EPA. Therefore the effect of ALA was not
mediated through EPA. The mechanism by which EPA reduces T G synthesis is thought to inhibit the activity of acyl-CoA:l,2-diacylglycerol transferase [24,28]. However, ALA was not observed to inhibit the enzyme in those experiments. Our results suggest that the effect of T G synthesis is different between G L A and ALA, although both fatty acids possess the same number of carbon atoms and double bonds. Moreover, many observations have suggested that OA stimulated the secretion of apoB [21,29,30] and that OA stimulation for apoB secretion was post-transcriptional in nature [31,32]. According to our results, it appears that O A regulates V L D L - T G at the secretion stage, as this fatty acid enhanced the secretion of T G without changing the incorporation of [14C]glycerol into cellular TG. Cholesterol synthesis from [14C]acetate, when LA, G L A and A L A were added to hepatocytes, decreased both inside and outside of the cells. In contrast to the T G synthesis, the amount of product released from the cells was much higher than that inside the cells. T G synthesis from [taC]acetate in cells was not changed by the addition of PUFAs (data not shown). Therefore, PUFAs also might regulate the synthesis a n d / o r secretion of cholesterol. Fuki et al. [33] and Cianflone et al. [34] reported that OA increased the synthesis of cholesterol and cholesteryl ester and that cellular cholesterol content regulated the synthesis and secretion of apoB. Since the results of G L A on V L D L - T G and cholesterol were more effective than that of LA, this may explain why G L A reduces the plasma cholesterol level to a greater degree than LA. We previously reported that primary cultured rat hepatocytes have a low activity of A6-desaturation [18]. So, as shown in Fig. 1, the addition of OA, LA and
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Y. Fujiyama-Fujiwara, O. Igarashi/ Pathophysiology 1 (1994) 143-149
ALA did not increase their metabolites. Only GLA was converted into dihomo-3J-linolenic acid (DGLA) by chain elongation but was not changed into arachidonic acid. DGLA is a precursor of PGE1. Krone et al. [11] reported that some of prostaglandins regulate cholesterol metabolism. In our study, most of the GLA which was incorporated into hepatocytes was converted into DGLA. Therefore, the effect of PUFAs on the synthesis of VLDL and cholesterol might be derived from themselves a n d / o r their metabolites such as DGLA and prostaglandins. PUFAs incorporated into cells were not only the substrates of various lipid metabolisms through acyl-CoA synthetase but also appear to regulate de novo synthesis and secretion of TG and cholesterol directly.
Acknowledgements We are most grateful to Dr. Yasushi Saito, Chiba University for valuable discussions. We thank Idemitsu Petrochemical Co., Ltd. for gift of gammalinolenic acid.
References [1] Mattson, F.H. and Grundy, S.M. (1985) Comparison of effects of dietary saturated, monosaturated and polyunsaturated fatty acids on plasma lipids and lipoproteins in man. J. Lipid Res. 26, 194-202. [2] Huang, Y.-S., Mank, M.S. and Horrobin, D.F. (1984) The effects of dietary cholesterol on blood and liver polyunsaturated fatty acid on plasma cholesterol in rats fed various types of fatty acid diet. Lipids 19, 664-672. [3] Ishikawa, T., Fujiyama, Y., Igarashi, O., Morino, M., Tada, N., Kagami, A., Sakamoto, T., Nagano, M. and Nakamura, H. (1989) Effect of gammalinolenic acid on plasma lipoproteins and apolipoproteins. Atherosclerosis, 75, 95-104. [4] Grundy, S.M. and Ahrens, E.H. (1970) Effects of unsaturated dietary fats on absorption, excretion, synthesis and distribution of cholesterol in man. J. Clin. Invest. 49, 1135-1152. [5] Shepherd, J., Packard, C.J., Grundy, S.M., Yeshurun, D., Gotto, A.M., Jr. and Taunton, O.D. (1980) Effects of saturated and polyunsaturated fat diets on the chemical composition and metabolism of low density lipoproteins in man. J. Lipid Res. 21, 91-99. [6] Schonfeld, G., Patsch, W., Rudel, L.L., Nelson, C., Epstein, M. and Olson, R.E. (1982) Effects of dietary cholesterol and fatty acids on plasma lipoproteins. J. Clin. Invest. 69, 1072-1080. [7] Illingworth, D.R., Harris, W.S. and Connor, W.E. (1984) Inhibition of low density lipoprotein synthesis by dietary omega-3 fatty acids in humans. Arteriosclerosis 4, 270-275. [8] Brown, M.S. and Goldstein, J.L. (1986) A receptor-mediated pathway for cholesterol homeostasis. Science 232, 34-47. [9] Morisaki, N., Matsuoka, N., Saito, Y. and Kumagai, A. (1984) Lipid metabolism in nephrotic rats induced by daunomycin injection. Metabolism 33, 405-410. [10] Cighetti, G., Del Puppo, M., Paroni, R., Fiorica, E. and Galli Kienle, M. (1987) Panthethin inhibits cholesterol and fatty acid synthesis and stimulates carbon dioxide formation in isolated rat hepatocytes. J. Lipid Res. 28, 152-161.
[11] Krone, W., Klass, A., Nagele, H., Behnke, B. and Greten, H. (1988) Effect of prostaglandins on LDL receptor activity and cholesterol synthesis in freshly isolated human mononuclear leukocytes. J. Lipid Res. 13, 1663-1669. [12] Whiting, M.J., Wishart, R.A., Lewis, G. and Mackinnon, A.M. (1989) Bile acid synthesis by cultured rabbit hepatocyte: stimulation by three lipoprotein fractions. Biochim. Biophys. Acta 1005, 137-142. [13] Junker, L.H. and Davis, R.A. (1989) Receptor-mediated uptake of low density lipoprotein stimulates bile acid synthesis by cultured rat hepatocytes. J. Lipid Res. 30, 1933-1941. [14] Sugano, M., Ide, T., Ishida, T. and Yoshida, K. (1986) Hypocholesterolemic effect of gammalinolenic acid as evening primrose oil in rats. Ann. Nutr. Metab. 30, 289-299. [15] Horrobin, D.F. and Mank, M.S. (1987) The role of linoleic acid and its metabolites in the lowering of plasma cholesterol and the prevention of cardiovascular disease. Int. J. Cardiol. 17, 241-255 (1987). [16] Horrobin, D.F. and Mank, M.S. (1983) How do polyunsaturated fatty acids lower plasma cholesterol levels? Lipids 18, 558-562. [17] Yang, Y.T. and Williams, M.A. (1978) Comparison of Cls-, C20and C2z unsaturated fatty acids in reducing fatty acid synthesis in isolated rat hepatocytes. Biochim. Biophys. Acta 531,133-140. [18] Fujiyama-Fujiwara, Y., Ohmori, C. and Igarashi, O. (1989) Metabolism of y-linolenic acid in primary cultures of rat hepatocytes and in Hep G2 cells. J. Nutr. Sci. Vitaminol. 35,597-611. [19] Folch, J., Lees, M. and Sloane-Stanley, G.H. (1957) A simple method for the isolation and purification of total lipids from animal tissues. J. Biol. Chem. 266, 497-509. [20] Skipski, V.S., Smolowe, A.F., Sullivan, R.C. and Barclay, M. (1965) Separation of lipid class by thin-layer chromatography. Biochim. Biophys. Acta 106, 386-396. [21] Lowry, O.H., Rosebrough, N.J., Farr, A.L. and Randall, R.J. (1951) Protein measurement with the Folin phenol reagent. J. Biol. Chem. 193, 265-275. [22] Davis, R. and Boogaerts, J. (1982) Intrahepatic assembly of very low density lipoproteins. Effect of fatty acids on triacylglycerol and apolipoprotein synthesis. J. Biol. Chem. 257, 10908-10913. [23] Wong, S., Reardon, M. and Nestel, P. (1985) Reduced triglyceride formation from long-chain polyenoic fatty acids in rat hepatocytes. Metabolism 34, 900-915. [24] Nossen, J.O., Rustan, A.C., Gloppestad, S.H. and Drevon, C.A. (1986) Eicosapentaenoic acid inhibits synthesis and secretion of triacylglycerols by cultured rat hepatocytes. Biochim. Biophys. Acta 879, 56-65. [25] Wong, S.-H. and Marsh, J.B. (1988) Inhibition of apolipoprotein secretion and phosphatidate phosphohydrolase activity by eicosapentaenoic and docosahexaenoic acids in the perfused rat liver. Metab. Clin. Exp. 37, 1177-1181. [26] Martin, L.J., Reaidi, G.B., Gavino, G.R. and Gavino, V.C. (1991) Effect of 4,7,10,13,16,19-docosahexaenoic acid triglyceride accumulation and secretion in rat hepatocytes in culture. Lipids 26, 374-380. [27] Homan, R., Grossman, J.E. and Pownall, H. (1991) Differencial effects of eicosapentaenoic acid and oleic acid on lpid synthesis and secretion by HepG2 cels. J. Lipid Res. 32, 231-241. [28] Rustan, A.C., Nossen, J.O., Christiansen, E.N. and Drevon, C.A. (1988) Eicosapentaenoic acid reduces hepatic synthesis and secretion of acyl-coenzyme A: 1,2-diacylglycerol acyltransferase. J. Lipid Res. 29, 1417-1426. [29] Erickson, S.K. and Fielding, P.E. (1986) Parameters of cholesterol metabolism in the human hepatoma cell line, HepG-2. J. Lipid Res. 27, 875-883. [30] Wong, S. and Nestel, P.J. (1987) Eicosapentaenoic acid inhibits the secretion of triacylglycerol and apolipoprotein B and the binding of LDL in HepG2 cells. Atherosclerosis 64, 139-146. [31] Pullinger, C.R., North, J.D., Teng, B.-B., Rifici, V.A., Ronhild
Y. Fujiyama-Fujiwara, O. Igarashi / Pathophysiology 1 (1994) 143-149 de Brim, A.E. and Scott, J. (1989) The apolipoprotein B gene is costitutively expressed in HepG2 cells: regulation of secretion by oleic acid, albumin, and insulin, and measurement of the mRNA half-life. J. Lipid Res. 30, 1065-1077. [32] Moberly, J.B., Cole, T.G., Apers, D.H. and Schonfeld, G. (1990) Oleic acid stimulation of apolipoprotein B secretion from HepG2 and Caco-2 cells occurs post-transcriptionaly. Biochim. Biophys. Acta 1042, 70-80. [33] Fuki, I.V., Preobrazhensky, S.N., Misharin, A.Y., Bushmakina,
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N.G., Menschikov, G.B., Repin, V.S. and Karpov, R.S. (1989) Effect of cell cholesterol content on apolipoprotein B secretion and LDL receptor activity in the human hepatoma cell line, HepG2. Biochim, Biophys. Acta 1001, 235-238. [34] Cianflone, K.H., Yasruel, Z., Rodriguez, M.A., Vas, D. and Sniderman, A.D. (1990) Regulation of apoB secretion from HepG2 cells. Evidence for a critical role for cholesteryl ester synthesis in the response to a fatty acid challenge. J. Lipid Res. 31, 2045-2055.