1
Toxicology Letters. 49 (1989) I-13 Elsevier
TOXLET
022 11
Protein A protects mice from depletion of biotransformation enzymes and mortality induced by Salmonella typhimurium endotoxin
P.D. Dwivedi, A.S. Verma, Anil Mishra, K.P. Singh, A.K. Prasad, A.K. Saxena, K.K. Dutta, N. Mathur and P.K. Ray Immunobiology
Division. Industrial Toxicology Research Centre. P.O. Box No. 80, Mahatma Gandhi
Marg, Lucknow 226001 (India) (Received
10 October
(Revision
received 2 May 1989)
(Accepted
3 1 May 1989)
Ke.v words: Protein
1988)
A; Biotransformation
enzymes;
Salmonella typhimurium endotoxin;
Protection
SUMMARY Changes
in hepatic microsomal
demethylase,
glutathione
levels of aspartate
transaminase,
Swiss albino mice exposed Animals
exposed
(5 pg/per
mouse) protected
mixed-function
Stransferase),
glutathione
alanine
oxidase enzyme levels (aniline hydroxylase, content,
transaminase
total sulphydryl
and alkaline
to Salmonella typhimurium endotoxin
to the same dose of endotoxin the animals
but pretreated
from both mortality
content,
phosphatase
(S&l50
were studied
fig per mouse,
with protein
and depletion
aminopyrine
and plasma enzyme in male
LCsO 141.82 fig).
A of Sfuphylococcus
of biotransformation
aureus
enzymes.
INTRODUCTION
Endotoxins, such as that derived from SaImonella typhimurium, can cause a variety of changes in the physiology of an animal. The administration of endotoxin to the mouse increases its body temperature [l] and the levels of free fatty acids and triglycerides. It decreases lipoprotein lipase [2], hepatic cytochrome P-450, aminopyrine demethylase and lipid peroxidase levels [3-51. Administration of bacterial endotoxin (extracted from the cell wall of gram-negative bacteria) lowers mouse serum glucose level and increases levels of serum pyruvate and acid phosphatase, whereas red blood Address
for correspondence:
No. 80, Mahatma
0378-4274/89/$3,50
Gandhi
Marg,
Dr. P.K. Ray, Director, Lucknow
Industrial
Toxicology
Research
226001, India.
@ 1989 Elsevier Science Publishers
B.V. (Biomedical
Division)
Centre,
Post Box
2
cells, haemoglobin and haematocrit values do not seem to change after endotoxin shock [6]. Endotoxin has been shown to be a potent activator for interleukin-1 production from human monocytes [7]. Protein A, a cell wall glycoprotein of Staphylococcus aweus Cowan I, has a multipotent immunopotentiating property [8-lo]. Prior studies showed that protein A, when infused intravenously, can cause regression of primary rat mammary tumours [I I-1 31, dog tumours [14] and mouse tumours [IS]. In the present study, it has been investigated whether protein A can minimise or diminish the toxic effects of endotoxins derived from S. typhimurium, with particular reference to its role in hepatic xenobiotic-metabolising enzymes. Endotoxins are known to decrease the levels of xenobiotic-metabolising enzymes, thereby proving that they are toxic to the liver 13, 4]. As protein A showed abrogation of endotoxin-induced mortality caused by endotoxin in our preliminary studies, it was of interest to know whether protein A was responsible for the change in xenobiotic-metabolizing enzyme levels, thereby reducing the toxicity of endotoxin. MATERIALS
AND METHODS
Animals Male outbred Swiss albino mice (20 &-2 g) obtained from the ITRC animal breeding colony and raised on a commercial pellet diet (Hindustan Lever, Bombay) and water ad libitum were used in the present study. Chemicals Endotoxin extracted from S. typhimurium (LPS) was supplied by Difco Laboratory, U.S.A. Protein A was purchased from Pharmacia Fine Chemicals, Sweden.
The animals were divided into 8 groups of 8 mice each and were treated as follows: Normal saline 0.5 ml i.p. twice weekly for 2 weeks. Group I (Control) Group II Protein A (5 pg per mouse) i.p. twice weekly for 2 weeks. Group III Protein A (5 fig per mouse) i.p. twice weekly for 2 weeks. Endotoxin 50 ,ug in 0.5 ml normal saline i-p. 48 h after the last injection of protein A. Group IV Protein A (5 pg per mouse) i.p. twice weekly for 2 weeks. Endotoxin 100 pg in 0.5 ml normal saline i.p. 48 h after the last injection of protein A. Group V Protein A (5 ,ug per mouse) i.p. twice weekly for 2 weeks. Endotoxin 150 ,ug in 0.5 ml normal saline i.p. 48 h after the last injection of protein A. Group VI Endotoxin 50 ,ug in 0.5 ml normal saline per mouse once i.p.
3
Group VII ~ndotoxin 100 ,ug in 0.5 ml normal saline per mouse once i.p. Group VIII Endotoxin 150 I;tgin 0.5 ml normal saline per mouse once i.p. Preparation
of enzyme source material from mouse liver
The animals were killed 48 hours after the last treatment by cervical dislocation. Livers were removed, blotted free of blood, and washed in ice-cold saline. Tissue homogenates were made in 10% of 0.25 M sucrose. Homogenates were centrifuged at 9000 x g for 20 minutes at 4°C. The resulting supernatant (postmitochondrial supernatant) was used for the measurement of cytochrome P-450 dependent enzymes and glutathione S-transferase (GST) activity. Total sulphydryl (-SH) and glutathione (GSH) contents were measured in tissue homogenate. Co~Iectio~ of blood and separation of plasma
Blood was collected in heparinised test tubes from the retro-orbital plexus of the animals; plasma was separated by centrifugation of blood and was used for estimation of alkaline phosphatase (ALK-P), alanine transaminase (ALT) and aspartate transaminase (AST). Enzyme assays
Aminopyrine demethylase (APD) activity was assayed according to Cochin and Axelrod [ 161. The specific activity was expressed as nanomoles. of formaldehyde fo~ed/min/mg protein. Aniline hydroxylase (AH) activity was assayed by measuring the formation of p-aminophenol according to Kato and Gillette [17] and the activity was expressed as nanomoles of p-aminophenol fo~ed/min/mg protein. GST activity was determined according to the method of Habig et al. [18] using l-chloro2,4_dinitrobenzene (CDNB) as substrate. Total sulphydryl and GSH contents were assayed according to Jollow et al. [19]. AST and ALT in plasma were measured according to the method of Reitman and Frankel [20]. ALK-P in plasma was measured by the method of Wotten [21] using dinitrophenyl phosphate as substrate. Protein content was determined according to Lowry et al. [22], using bovine serum albumin as a reference standard. statistical
analysis
The LCsOvalue of endotoxin was determined by Probit analysis [23]. The effect of different doses of protein A on the toxicity of endotoxin was analysed by using two-way classification with an unequal number of animals in different groups. The model thus used was: Xijk=p++i+Bj+lij+eijk,
where x@ denotes mortality at the ith level of endotoxin and jth level of protein A, and Li and Bi denote the endotoxin and protein A effects, respectively. & represents the interaction between the two factors, ,U the overall mean effect; eijk denotes the independent random error, which is normally distributed at mean zero variance.
4
TABLE
I
DETERMINATION
OF LETHAL
Dose of endotoxin
AND SUBLETHAL
&g)
DOSES OF ENDOTOXIN
S/T (24 h)
S/T (48 h)
0
lo/lo
lo/lo
50
lo/lo
IO/l0
100
s/10
S/IO
200
s/10
2/10
400
2/10
O/IO
S/T = Surviving
animals/total
95% upper confidence
animals;
LCso = 141.82 pg per mouse;
95% lower confidence
= 110.71;
= 18 1.62.
The values presented for enzyme estimation are means f standard errors. Student’s r-test was used for determination of statistical significance. Differences that resulted in probability values smaller than 0.05 were considered to be significant. RESULTS
Determination of lethal and sublethal doses of S. typhimurium endotoxin Fifty mice were divided into 5 equal groups and were given 0, 50, 100, 200 and 400 ,ug of endotoxin per mouse respectively by the intraperitoneal route in 0.5 ml sterile saline (Table I). The control group received only saline. The LC5,, value of en-
q
Untreated
Control
Gr.
61 Gr with
pretreatment
of lug
q
Gr. with
pretreatment
of 2 up
PA.
0
Gr. with
pretreatment
of 5 ,ug PA.
PA
100
200
150 fig
Fig.
1. Effect of varying doses (lOWlO pretreated
Endotoxin
/mouse
pg per mouse) of S. typhimurium
with protein
endotoxin
A (PA) (I,2 and 5 fig doses, respectively).
on mortality
of mice
5
dotoxin
(48 h) was determined
to be 141.82 pg per mouse
limit (95%) of 110.71 and an upper confidence
with a lower confidence
limit of 181.62.
Determination of the EDJO dose of protein A The extent of protection provided by protein A (PA) in mice against endotoxin lethality was estimated by using the latter in doses of 100, 150, 200 and 400 ,ug per mouse respectively in PA-pretreated mice. Mice were divided into 4 groups, viz. control (without pretreatment) and those exposed to 1.O, 2.0 and 5.0 pg PA, respectively (Fig. 1). Survival was recorded for 7 days, but there was no death in any group after 2 days of endotoxin exposure. When 100 pg of endotoxin (En) was administered, the mortality in the untreated group (control) was 25%, whereas in 1 ,ug PA-pretreated (PA + En) animals the mortality was 16.7 % and with 2 pg PA (PA + En) it was 8.3 %. No mortality was observed in animals treated with 5 pg PA (PA + En). With 150 pg of endotoxin equal protection was observed in 2 and 5 ,ug PA-treated groups (8.3%) which is significantly lower (P~0.05) than the mortality in the untreated group (33.3 96); 1 pg PA did not give any protection in this group (PA + En). With 200 pug of endotoxin, the mortality was 73%. The mortalities with 1, 2 and
LJ Untrratw!
Control
En
PA +En (100&g 1
•m pA
El
61
/x-J En
En(SOfig) PA+En(50mg)
I”
(lOO,ug)
(15Omg)
PA +En
(15Obg)
120 I
NS
PA bg
Fig. 2. Abrogation
of S. r_@irvlurium endotoxin-induced
tein A in mice. Note the significant endotoxin
50 Endotoxin
difference
between
(En) alone (50, 100, 150 fig) as compared
100 /mouse
150
depression
of hepatic aniline hydroxylase
the enzyme
levels estimated
with mice pretreated
after treatment
with protein
by prowith
A (PA) (5 pg).
6 5 pg PA-pretreated groups (PA + En) were 50,46.7 and 40 %, respectively. that all the doses of PA afforded an appreciable amount of protection treated with 200 pg of endotoxin.
This shows in animals
Endotoxin at the 400 ,ug level produced 90% mortality in animals, whereas mortality in mice treated with 1 and 2 pg PA was 80%, which is not significantly different from controls. However, the mortality in animals with 5 pg PA was 70%, which is significantly lower (P < 0.05) than that of controls. Hence, PA at both 2 and 5 yg doses appears to give effective protection against various doses of endotoxin (1 O&400 pug). The highest dose of 5 pg was therefore chosen for all further studies since it produced consistent data. Effect of protein A on hepatic xenobiotic-metabolising enzymes and glutathione levels in endotoxin-intoxicated mice The abrogative effect of protein A on endotoxin-induced depression of hepatic aniline hydroxylase (AH) activity is shown in Figure 2. The endotoxin-treated groups showed a dose-dependent loss of AH activity of 36, 52 and 69% at the 50, 100 and 150 pg doses, respectively, while pretreatment with protein A showed 13, 23 and 40 %
cl
Untreotrd
Control
ml PA Ezi
En (50&g
q El Q III
1
PA+En(5Oag)
NS
ag
lndotoxin
PA+lOONg 15Oug
ondotoxin
PA+15Otig
50
PA
lndotoxin
lOOmu
Endotoxin
100
endotoxin
150
/ mouse
Fig. 3. Abrogation of S. typhimurium endotoxin-induced depression of hepatic aminopyrine demethylase (APD) by protein A in mice. Note the significant (P-C 0.001) difference between APD levels after treatment with endotoxin
(En) alone (50, 100, 150 pg) as compared
with mice pretreated
with protein
A (PA).
protection of enzymatic loss in AH activity in the same group (Fig. 2). No significant difference in enzyme activity was observed in protein-A-treated animals when compared to the controls (Fig. 2). Treatment with protein A alone did not result in any significant elevation of aminopyrine demethylase (APD) activity (Fig. 3). Treatment with endotoxin caused a dosedependent inhibition of APD activity in mice by 26, 57 and 78% in the 50, 100 and 150 fig treated groups, respectively (Fig. 3). However, protein A pretreatment restored APD activity by 18, 32 and 40% in the 50, 100 and 150 pg endotoxin-exposed groups, respectively. The protective effect of protein A on endotoxin-induced depression of glutathione S-transferase (GST) activity is shown in Figure 4. The protein-A-treated group showed no significant change in GST when compared to the control. The 50, 100 and 150 fig endotoxin-treated mice showed a decrease in GST activity of 16, 32 and 45 %>respectively. However, in animals pretreated with protein A there was a protection of 17 and 20% in the 100 and 150 fig endotoxin-treated group, respectively. However, in treated animals, protein A resulted in activity of GST that was almost comparable to that of the control groups (Fig. 4).
El
Untreated
Control
q En (~00~9) PAiEnUOOugf
•n
Protein A
KI
&I
En&Oug)
/?z-J En (15Ofig)
Ll
PA+En (5Otig) E; $ 60 O-7 a
NS
PA+En (15049)
PA Ng Endotoxm
/mouse
Fig. 4. Abrogation of S. ~y~~~uri~ endotoxin-indu~d depression of hepatic glutathione-S-transferase (GST) by protein A in mice. Note the si~ifi~nt difference between the enzyme levels estimated after treatment with endotoxin (En) alone (50, 100,150 pg) as compared to those pretreated with protein A (PA).
,
il
Untrcatrd
i
PA
q
En (50.44
El
NS
Control
Fig. 5. Effect of protein
A challenge
PA+En(
in animals
Protein
A treatment
depletion
50 Endotoxin
glutathione
mice. Note that protein
showing
1 5O~lg)
PA
an hepatic
En(lOOag) PA+En
ag
(En) (50, 100, 1.50 ,~lgf treated
q Q‘I’
(100~~1
En (15Ougl PA+En
Ll
(15O.ag)
lmouso (GSH)
levels in S. f~phi~ur~~~
A (5 p(g) significantly
of GSH levels following
increased
endotoxin
alone did not result in any significant
(P~0.02)
endotoxin GSH levels
inoculation.
increase in GSH content
(Fig. 5). The endotoxin-treated group showed a reduction of 10, 21 and 41% with increasing doses of endotoxin. However, protein A pretreatment restored the GSH content by bringing it back to the normal level in the 50 pug endotoxin group but it was 8 and 14% less than control
in the 100 and 150 pig endotoxin
groups,
respective-
Protein A treatment alone showed a margina increase of 996 in total sulphydryl (-SH) content. Endotoxin treatment caused a 12, 6 and 12% decrease in total SH content in 50, 100 and 150 ,ug exposed animals. In this case protein A pretreatment did not markedly affect the total -SH content (Fig. 6). Efect qf protein A on plasma enzymes, e.g. alkaline phosphatase (ALK-P) , aspartate transaminase ( AST) and alanine transaminase (ALT) , in endotosin-intoxicated mice Protein A treatment alone did not affect the plasma enzyme levels of ALK-P, AST and ALT as compared to the enzyme levels among controls treated with normal saline (Table II). Treatment of mice with endotoxin resulted in a significant elevation of plasma ALK-P (2~70~), AST (3462%) and ALT (103-169%) in a dose-depen-
9
c) ml fzI lzl 120
Untreated PA
El 1,‘.
Ezl
En (5ONg) PA+En(50q)
q
En (?OO~g) PA+En
(lOO&gf
III
En(l50tig)
X
PA+ En ( 150 ug
Q
1
30.98
NS Fig. 6. Effect of protein
Control
A (PA) challenge
PA
100 50 ug Endotoxin /moos8
on hepatic
total sulphydryl
(SH) levels in S. ~yp~~~uri~~ en&-
toxin (En) (50, 100, 150 pg) treated mice.
dent manner. Pretreatment with protein A resulted in substantial lowering of ALK-P (9-21%), AST (I 3-19s) and ALT (19-24s) values (Table II). Although protein A pretreatment did not totally normalise the enhanced plasma enzyme levels caused by endotoxin exposure, it did reduce to some extent the enhanced levels of plasma enzymes. DISCUSSION
The xenobiotic-metabolising enzyme system is responsible for the biotransfo~ation of many drugs, xenobiotics, pesticides and certain endogenous substances including steroids, fatty acids and prostagtandins. The activity of the drug-metabolising enzyme system is necessary for inactivation of many therapeutic agents as well as for the activation of several prodrugs. Toxicity induced by endotoxin, such as early mortality of test animals and enhancement of ALK-P and AST/ALT, has been shown to be significantly abrogated by pretreatment of test mice with protein A. It is well known that endotoxin depresses the xenobiotic-metabolizing enzyme system [24-271, but there is no definite information about their exact mode of action. Endotoxins may act in two or more
10
TABLE
11
EFFECT MICE,
OF VARYING PRETREATED
PHOSPHATASE
DOSES WITH
(ALK-P),
(SO-150 fig) OF ENDOTOXIN
5 .ug PROTEIN
ASPARTATE
(En) CHALLENGE
A (PA) ON PLASMA
TRANSAMINASE
ACTIVITY
GIVEN
TO
OF ALKALINE
(AST) AND ALANINE
TRANSAMIN-
ASE (ALT) ACTIVITIES Treatment
ALK-P
Control
(NS)
Protein
A
alone (5 fig) Endotoxin PA +
(50 pg)
En (50 ,ug)
Endotoxin
fig) PA+En
(s)
AST (GOT)
Increase
(96) ALT (GPT)
Increase
58.3
+ 1.44
0.0
125.28+ 4.2
0.0
45.0 *3.1
0.0
60.6
f 1.83
4.0
127.22k4.5
0.0
45.5
0.0
73.28 & 3.24
26.0
66.9 +5.49 15(9)
167.73f 5.8 136.0 k6.1
34 9(9)
87.7
+3.1
92.41+ 73.6
5.7 *2.85
(%)
103 62(20)
(100
pg) PA+En(lOO~g) Endotoxin
Increase
51.0
188.7
+7.0
51
76.58*4.8
32(13)
164.3
kg.12
31(13)
99.22k6.7
70.0
202.3
k7.7
78.85+5.1
35(21)
174.58k8.94
k3.17
105.8 +6.7 85.7 +3.5
132 88(19)
(150 (15Opg)
Each value is mean
k SE of 6 animals.
PA = 5 pg. Values in parentheses
Activities
are expressed
show percent protection
122.28+5.13 169 92.9 +3.86 155(24)
62 40(14) in pmoles
product
given to respective
formed/min/l
endotoxin-treated
plasma. groups.
ways, first by causing depression or activation of the reticuloendothelial system and secondly by inducing the formation of interferon, both of which appear to be implicated in reducing the hepatic metabolism of drugs. Since cytochrome P-450 is composed of an apoprotein and haem embedded in a lipophilic environment, interaction of the reactive intermediates of either of these components may lead to inactivation. Treatment with endotoxin induces haem oxygenase [28]. which can degrade haem from cytochrome P-450 in hepatic reticuloendothelial cells. Interferon inducers [29] as well as purified preparations of human interferon [30] are known to depress hepatic cytochrome P-450 dependent mono-oxygenase system enzymes. Endotoxin does not affect hepatic drug metabolism in isolated parenchymal cells [31, 321, suggesting a role of certain endogenously released factors. The macrophage, a well-known target for endotoxin, releases a number of secretory products upon endotoxin exposure of which interleukin-1 [33] has been reported to depress liver drug metabolism in endotoxin-treated mice. On the other hand, we have reported recently that protein A stimulates macrophages in both normal and tumourbearing hosts [9]. Our studies have shown that a purified protein (protein A) from S. aureu.s Cowan I can save animals from dying due to toxicity associated with endotoxin (Fig.
11
1). Animals treated with purified protein A did not show any mortality or loss of body weight indicating that protein A itself is not toxic at this dose (data not shown). Pretreatment of animals with protein A, which were subsequently exposed to endotoxin, protects the xenobiotic-metabolizing apparatus from endotoxin toxicity. It may exert its effect by modifying reticuloendothelial function [34], by abrogating this interferon-inducing ability of cells or by inhibiting interleukin-1 producing activity by macrophages, or it may directly act with the endotoxin. Interestingly, we have observed significant effects of protein A in increasing both macrophage numbers and function in normal as well as tumour-bearing hosts [9]. Protein A itself has been reported to have the ability to induce interferon activity [8]. Thus, abrogation of endotoxin activity by protein A could rest& from its competitive binding on similar types of receptors on reticuloendothelial cells as of endotoxin. The latter being too lethal, it exerts its toxicity too rapidly. However, if the endotoxin-binding sites are partly blocked by protein A, lethality can be expected to be reduced. More research, however, is needed to prove or disprove such a hypothesis. One of the known effects of endotoxin on the liver in vivo is hepatocellular necrosis [35]. E. coli endotoxin is known to cause liver injury and thereby an increase in aspartate transaminase (AST) [3.5]. Bacterial endotoxins are also known to be an important cause of cholestasis [36], which increases alkaline phosphatase activity in plasma. The studies mentioned above fully corroborate our results, showing liver injury endotoxin-treated mice and thereby an increase in AST, ALT and alkaline phosphatase activity. Pretreatment with protein A reduces levels of plasma enzymes, thus indicating a lesser magnitude of liver injury. The observations made in this study corroborate our earlier findings with cyclophosphamide [38, 391 and CC4 [40-42]. It has been shown earlier that toxicity induced following exposure to a large dose of cyclophosphamide could be abrogated by protein A pretreatment [38]. Protein-A-pretreated animals showed an excellent recovery, accelerated regeneration of the damage, and repletion of blood cells and enzymes of the hepatic mixed-function oxidase (MFO) system [38]. In conclusion, it may be said that because of the fast recovery of MFO levels this system may provide an excellent model for the investigation of xenobiotic-induced liver damage and its regeneration. Additionally, the present observations appear to indicate a unique interaction between protein A activity and hepatic metabolic activity, thus supporting our previous observations [40]. However, detailed studies are needed to understand the exact mechanism of the action of protein A in protecting the MFO system from the endotoxin toxicity reported here as well as from the cyclophosphamide and CC14 toxicity reported earlier [39,40]. ACKNOWLEDGEMENTS
We are grateful to Dr. Mukul Das and Dr. B.M. Gupta for critical evaluation of the manuscript and for their fruitful suggestions. Thanks are also due to Mr. Chedi
12
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