Feeding the nitric oxide synthase inhibitor L-Nnitroarginine elevates serum very low density lipoprotein and hepatic triglyceride synthesis in rats Tsuyoshi Goto,* Shoko Ohnomi,* Abdelkrim Khedara,* Norihisa Kato,* Hiroshi Ogawa,† and Teruyoshi Yanagita‡ *Department of Applied Biochemistry, Hiroshima University, Higashi-Hiroshima, Japan;†Department of Hygiene, Kinki University School of Medicine, Osaka, Japan; and ‡Department ofApplied Biological Sciences, Saga University, Saga, JapanThis study was conducted to study the influence of dietary L-Nnitroarginine (L-NNA), a nitric oxide (NO)synthase inhibitor, on serum lipids and lipoproteins and on the activities of enzymes related to lipid metabolismin rats. Feeding rats a diet containing 0.2 g/kg L-NNA for 5 weeks elevated serum concentrations of triglyceride,cholesterol, phospholipid, and free fatty acid and reduced serum nitrate (an oxidation product of NO). Theelevation in serum triglyceride was mainly due to the elevation in very low density lipoprotein (VLDL)triglyceride. Contents of cholesterol and phospholipid in the VLDL fraction also were elevated by L-NNA. L-NNAtreatment caused significantly higher activity of hepatic microsomal phosphatidate phosphohydrolase (therate-limiting enzyme in triglyceride synthesis) and lower activity of hepatic carnitine palmitoyltransferase (therate-limiting enzyme in fatty acid oxidation). Activities of hepatic enzymes responsible for fatty acid synthesissuch as glucose-6-phosphate dehydrogenase, malic enzyme, and fatty acid synthase were unaffected by L-NNA. The activity of hepatic microsomal phosphocholine cytidyltransferase (the rate-limiting enzyme in phosphatidyl-choline synthesis) was reduced significantly by L-NNA. Our results suggest that lower NO production caused theelevations in hepatic triglyceride synthesis by higher esterification of fatty acid and lower fatty acid oxidation,leading to an enrichment of VLDL triglyceride.
(J. Nutr. Biochem. 10:274 –278, 1999) Elsevier Science Inc.Keywords: nitric oxide; serum lipoproteins; hypertriglyceridemia; phosphatidate phosphohydrolase; carnitine palmitoyltransferase Introduction
which in turn causes some aggravation effects such ashypertension.9
Nitric oxide (NO) is an important cellular regulator.1,2 It has
Recently we have found that feeding L-Nnitroarginine
been shown to play roles in blood vessel dilation,1,2 immune
(L-NNA), which is a powerful specific inhibitor of NO
reactions,1,3 and the central and peripheral nervous sys-
synthase, to rats caused higher concentrations of serum
tems.1,2 NO production is enhanced by estrogen, inflamma-
triglyceride and cholesterol and lower serum nitrate (an
tion, and exercise through elevation of NO synthase activ-
oxidation product of NO).10 Adding excess L-arginine to
ity.4 – 8 NO is inactivated by reaction with superoxide
the diet containing L-NNA elevated serum nitrate by sup-
anion,1 and oxidative stress causes lower level of NO,
pressing competitive inhibition of NO synthase by L-NNA,and suppressed elevations of these lipids in serum. On thebasis of these facts, we speculate that lower NO productioncauses hyperlipidemia.10 Kurowska and Carrol11 also re-ported that feeding rabbits a diet containing the NO donor
Address correspondence to Dr. N. Kato, Department of Applied Biochem-
sodium nitroprusside caused a reduction in low density
istry, Hiroshima University, Higashi-Hiroshima, Japan. Received September 4, 1998; accepted January 29, 1999.
lipoprotein (LDL) cholesterol and a trend of reduction in
J. Nutr. Biochem. 10:274 –278, 1999 Elsevier Science Inc. 1999. All rights reserved.
655 Avenue of the Americas, New York, NY 10010
Higher VLDL by lower NO: Goto et al.
serum total cholesterol. Local generation of NO within the
Effect of dietary L-NNA on serum lipids and apolipoproteins
epicardial coronary arteries serves to inhibit platelet adhe-
sion and aggregation12 and to inhibit smooth muscle prolif-
eration.13 Therefore, lower NO generation seems to lead toatherosclerosis.
Our previous study provided evidence that hypercholes-
terolemia caused by L-NNA is mediated by lower synthesis
of bile acid from cholesterol,14 and that hypertriglyceride-
mia caused by L-NNA is due in part to lower hepatic fatty
acid oxidation.10 In this study, we further examined the
influence of L-NNA on serum lipoproteins and on hepatic
enzymes related to triglyceride synthesis in rats. Materials and methods
aSignificantly different from the contorl group (P Ͻ 0.05).
Male Wistar rats (Hiroshima Laboratory Animal Center, Hiro-
shima, Japan) weighing 50 to 70 g were used. Animals wereindividually housed in metal cages in a temperature-controlled(24°C) room with a 12-hour light-dark cycle (lights on, 8:00 am to
enzyme (ME), and fatty acid synthase (FAS) in the cytosol were
8:00 pm). All rats had free access to deionized water and experi-
assayed spectrophotometrically as described by Freedland21 and
mental diet. Composition of the basal diet was (in g/kg): casein,
Martin et al.,22 respectively. Activity of hepatic carnitine palmi-
200; sucrose, 217; ␣-corn starch, 433; corn oil, 50; cellulose
toyltransferase (CPT) in liver homogenate was measured using
powder, 50; salt mixture,15 35; vitamin mixture,15 10; DL-
L-carnitine, palmitoyl CoA, and 5,5Ј-dithio-bis (2-nitrobenzoic
methionine, 3; and choline bitartrate, 2. L-NNA (Aldrich Chemical
acid) according to the method of Bieber and Fiol.23
Company Inc., Milwaukee, WI USA) was added to the basal diet
Results were expressed as means Ϯ SE and analyzed by
at the level of 0.2 g/kg. After 5 weeks of consuming the diets, food
was removed from the cages at 8:00 am, and the rats were lightlyanesthetized with diethylether and euthanized between 1:00 pmand 3:00 pm. Blood was collected by heart puncture, and samples
were allowed to clot on ice. Serum samples were obtained bycentrifugation. Liver was immediately removed, weighed, and
Gain in body weight (g/5 wk) was unaffected by L-NNA
stored at Ϫ80°C until use. Portions of the fresh liver were used for
feeding (P Ͼ 0.05; control 285 Ϯ 4, L-NNA 270 Ϯ 6). Food
preparation of subcellular fractions.
intake (g/5 wk) also was unaffected by L-NNA (P Ͼ 0.05;control 712 Ϯ 14, L-NNA 685 Ϯ 18).
Serum concentrations of triglyceride, cholesterol, and
phospholipid were higher in the L-NNA group than in the
Serum lipoprotein fractions [very low density lipoprotein (VLDL),
control group (P Ͻ 0.05; Table 1). Serum free fatty acid was
d Ͻ 1.006 g/mL; LDL, d:1.006 –1.063 g/mL; and high densitylipoprotein (HDL), d:1.063–1.210 g/mL] were separated by step-
significantly elevated in the L-NNA group, whereas serum
wise density-gradient ultracentrifugation (TL-100, Beckman, San
ketone bodies were unaffected by L-NNA. Serum concen-
Francisco, CA USA).16 Total liver lipids were extracted by the
tration of nitrate was significantly reduced by L-NNA.
method of Folch et al.17 Concentrations of triglyceride, choles-
Serum concentrations of apo A-I and A-IV were signif-
terol, phospholipid, and free fatty acid were measured by kits from
icantly higher in the L-NNA group than the control group,
Wako Pure Chemical Co. (Osaka, Japan). Concentration of ketone
whereas concentrations of apo B and E were unaffected by
bodies (acetoacetate and 3-hydroxybutyrate) were measured by a
L-NNA. The ratio of apo B:apo A-I was unaffected by
kit (Ketone Test Sanwa Chemical Institute, Nagoya, Japan).
Concentrations of serum apolipoproteins (apo A-I, A-IV, B, and E)
Concentrations of triglyceride in the VLDL, LDL, and
were estimated by rocket electroimmunoassay.16 To estimate NO
HDL fractions were significantly higher in the L-NNA
production, serum concentration of nitrate (an oxidation product ofNO) was measured by a kit (Nitrate/Nitrite Assay Kit, Cayman
group than in the control group (P Ͻ 0.05; Figure 1).
Elevation in serum triglyceride by L-NNA treatment was
Portions of the fresh liver from individual rats were homoge-
due mainly to the elevation in VLDL triglyceride. L-NNA
nized in an ice-cooled 0.25 M sucrose solution containing a 10 mM
feeding also elevated VLDL cholesterol (P Ͻ 0.05),
Tris-HCl buffer (pH 7.4) and 1 mM EDTA. Microsomal and
whereas concentrations of cholesterol in the LDL and
cytosolic fractions were prepared as described previously.18 The
VLDL fractions were unaffected by L-NNA. Concentra-
fractions were stored at Ϫ80°C. Protein was assayed by a kit
tions of phospholipid in the VLDL and HDL fractions were
(Bio-Rad Protein Assay, Bio-Rad Laboratories, Richmond, CA
elevated by L-NNA (P Ͻ 0.05). Concentration of LDL
USA) using bovine serum albumin as the standard.
phospholipid was unaffected by L-NNA.
Activity of Mg2ϩ-dependent phosphatidate phosphohydrolase
Relative liver weight and concentrations of hepatic
(PAP) in liver microsomes and cytosol was assayed as describedpreviously.18 Activities of phosphocholine cytidyltransferase
cholesterol and phospholipid were unaffected by L-NNA
(CTP) in the microsomes and cytosol and of choline kinase (CK)
(Table 2; P Ͼ 0.05). There was a trend of elevation in liver
in the cytosol were measured by the reported methods.19,20
triglyceride concentration in rats that received L-NNA
Activities of glucose-6-phosphate dehydrogenase (G6PD), malic
(0.05 Ͻ P Ͻ 0.1). Activities of G6PD, ME, and FAS were
Distributions of triglyceride, cholesterol, and phospholipid among various lipoprotein fractions in rats fed diet with or without
L-Nnitroarginine (L-NNA). The vertical bars indicate the SE (n ϭ 10). *P Ͻ 0.05. VLDL, very low density lipoprotein; LDL, low density lipoprotein; HDL,high density lipoprotein.
unaffected by L-NNA. Activity of CPT, which is the
further demonstrated that the hypertriglyceridemia by L-
rate-limiting enzyme of mitochondrial -oxidation, was
NNA was ascribed mainly to a higher concentration of
reduced significantly by L-NNA addition.
triglyceride in VLDL fraction. Concentrations of choles-
The activity of microsomal Mg2ϩ-dependent PAP, which
terol and phospholipid in VLDL fraction also were clearly
controls the branching point in glycerolipid biosynthesis,
elevated by L-NNA, but not by very much. NO appears to
was elevated significantly by L-NNA, whereas the cytosolic
be an important regulator of serum VLDL triglyceride.
activity was unaffected (Table 3). Microsomal activity of
L-NNA treatment caused higher serum free fatty acid
CTP, the rate-limiting enzyme in phosphatidylcholine bio-
and lower activity of hepatic CPT (the rate-limiting enzyme
synthesis, was reduced significantly by L-NNA, whereas
of fatty acid oxidation) without affecting hepatic activities
the cytosolic activity was unaffected. Cytosolic activity of
of G6PD, ME, and FAS. This study further demonstrated
CK, the first enzyme on the de novo phosphatidylcholine
higher activity of PAP and lower activity of CTP in liver
biosynthesis pathway, was unaffected by L-NNA.
microsomes by L-NNA. It has been suggested that PAP andCTP are involved in the rate-limiting step of triglyceridesynthesis and phosphatidylcholine synthesis, respectively,
Discussion
and appear to exist in both soluble and particle forms, with
Consistent with our previous study10 was the finding that
the distribution of these forms being affected by the pre-
L-NNA treatment caused a marked hypertriglyceridemia.
vailing metabolic status.19,24 –26 The enzymes translocate
On the other hand, elevations in serum cholesterol and
from cytosol to the endoplasmic reticulum to become
phospholipid by L-NNA were only slight. The present study
functionally active and may help to regulate glycerolipidand phospholipid metabolisms.19,25 All of these resultssuggest that dietary L-NNA causes higher triglyceride
Effect of dietary L-NNA on liver lipids and the activities of
enzymes relating to fatty acid synthesis and oxidation in rats
Effect of dietary L-NNA on the activities of hepatic phos-
phatidate phosphohydrolase, phosphocholine cytidyltransferase, andcholine kinase in rats
aSignificantly different from the control group (P Ͻ 0.05). L-NNA–L-N nitroarginine. Higher VLDL by lower NO: Goto et al.
synthesis by increasing esterification of fatty acid and lower
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