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(Journal of Nutrition. 2000;130:637-641.)
© 2000 The American Society for Nutritional Sciences


Article

Intravenous Infusion of Hexamethonium and Atropine But Not Propranolol Diminishes Apolipoprotein A-IV Gene Expression in Rat Ileum1

Kei Sonoyama2, Kazuhito Tajima, Reiko Fujiwara and Takanori Kasai

Laboratory of Food Biochemistry, Research Group of Food Science, Division of Applied Bioscience, Graduate School of Agriculture, Hokkaido University, Sapporo 060-8589 Japan

2To whom correspondence should be addressed.


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
To clarify the role of neural factors in the regulation of apolipoprotein (apo) A-IV expression in the small intestine, we investigated the effect of neural blockers on mRNA levels of apo A-IV in rat small intestine. Either ganglionic blocker (hexamethonium), cholinergic blocker (atropine) or ß-adrenergic blocker (propranolol) was infused intravenously to unrestrained conscious rats for 8 h, and then total RNA was isolated from the small intestine and analyzed using Northern hybridization. Apo A-IV mRNA levels in the ileum were significantly lower in hexamethonium- or atropine-infused rats than in saline- (control) or propranolol-infused rats. Immunoblot analysis showed no difference in plasma apo A-IV concentrations between hexamethonium- and saline-infused groups. The lower mRNA levels of apo A-IV in the ileum of hexamethonium-infused rats were observed even in bile-drained rats, indicating that the lower expression was not due to any changes in bile availability. The ileal apo A-IV mRNA levels were significantly higher in rats infused with lipid emulsion into the ileum than in rats infused with glucose-saline, and the concomitant infusion of intravenous hexamethonium did not affect the higher levels of apo A-IV mRNA. These results suggest that the basal expression of the ileal A-IV gene is at least partially regulated in a site-specific manner by cholinergic neurons.


KEY WORDS: • apolipoprotein A-IV • small intestine • neural blockers • dietary lipid • rats


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Apolipoprotein (apo)3 A-IV is a component of triglyceride-rich lipoproteins mainly synthesized by enterocytes in the small intestine (Elshourbagy et al. 1985Citation ). Although the precise function of apo A-IV is not known, it has been shown to modulate lipoprotein metabolism (Chen and Albers 1985Citation , Dvorin et al. 1986Citation , Stein et al. 1986Citation , Steinmetz and Utermann 1985Citation , Steinmetz et al. 1990Citation ), food intake (Fujimoto et al. 1992Citation and Fujimoto et al. 1993Citation ) and gastric functions (Okumura et al. 1994Citation , and Okumura et al. 1996Citation ). For this reason, information on the expression of apo A-IV in the small intestine should lead to a better understanding of the regulation of lipoprotein metabolism, feeding behavior and gastric functions.

Although a number of reports have demonstrated that the expression, synthesis and lymphatic output of intestinal apo A-IV were stimulated by dietary fat (Apfelbaum et al. 1987Citation , Gordon et al. 1982Citation , Hayashi et al. 1990Citation , Kalogeris et al. 1996Citation ), the mechanism underlying this phenomenon is not entirely clear. As dietary lipid stimulates the release of several gastrointestinal peptide hormones which in turn regulate feeding behavior and gastrointestinal functions (Aponte et al. 1985Citation , Jin et al. 1993Citation ), it is possible that some humoral factors released in response to dietary lipid are involved in the stimulation of intestinal apo A-IV by lipid. In fact, Kalogeris et al. (1998)Citation recently reported that the synthesis and lymphatic output of apo A-IV protein in rat jejunum were increased by intravenous infusion of peptide YY (PYY), a gastrointestinal hormone whose release from enteroendocrine cells in the distal bowel was stimulated by dietary lipid (Aponte et al. 1985Citation , Aponte et al. 1989Citation , Pappas et al. 1985Citation ). This increase in apo A-IV synthesis was not accompanied by any corresponding changes in mRNA levels (Kalogeris et al. 1998Citation ). In contrast, we observed that apo A-IV mRNA levels increased in response to exogenous PYY in a dose- and time-dependent fashion in differentiated Caco-2 intestinal cells (Sonoyama et al. 2000Citation ). To date, no experimental evidence has sufficiently explained the above inconsistent observations. Nevertheless, PYY has been proposed to act as a humoral factor mediating lipid stimulation of intestinal apo A-IV synthesis.

Furthermore, experimental evidence suggests the existence of receptors on intestinal afferent nerves that are capable of responding to nutrient stimulation (Paintal 1973Citation ). Thus, neural factors may be other factors that mediate the upregulation of intestinal apo A-IV synthesis via dietary lipid. To test this hypothesis, the present study investigated the effect of neural blockers on the expression of apo A-IV mRNA in the intestine of unrestrained conscious rats.


    MATERIALS AND METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Animals

In all experiments, male Wistar rats (Japan SLC, Hamamatsu, Japan), which were 7-wk-old at the start of the experiments, were housed in individual cages in a temperature-controlled (23 ± 2°C) room with a dark period from 1900 to 500 h. The rats were acclimatized for 3–5 d with free access to water and to a purified diet consisting of 250 g/kg (24% of total energy) of casein, 650 g/kg (64% of total energy) of sucrose, 50 g/kg of (12% of total energy) corn oil, 40 g/kg of mineral mixture, and a 10 g/kg of vitamin mixture (Sonoyama et al. 1995Citation ). This diet is used as a standard rat diet in our laboratory because we have found that it yields a maximal growth rate.

In expt. 1, the effect of intravenous administration of hexamethonium, a ganglionic blocker, on apo mRNA levels in the intestine was investigated. A total of 12 rats was anesthetized by an intraperitoneal injection of Nembutal (sodium pentobarbital 50 mg/kg body weight; Abbott Laboratories, North Chicago, IL). A silicone tube (No. 00; 0.5 mm i.d., 1.0 mm o.d.; Dow Corning Co., Kanagawa, Japan) was inserted into the right cervical vein, and the distal end of the cannula was then exteriorized at the back of the neck and filled with saline containing 1 x 106 IU/L of heparin. After being allowed to recover for 2 d, food-deprived and unrestrained rats were then intravenously infused for 8 h with either hexamethonium bromide [10 mg/(kg · h), 1 mL/h, (Wako Pure Chemical Industries, Osaka, Japan)] or a vehicle (0.15 mol/L NaCl, 1 mL/h) (n = 6 per group). At the end of the infusion period, rats were anesthetized by an intraperitoneal injection of Nembutal. Following laparotomy, rats were killed by bleeding from abdominal aorta, and blood was collected for determination of plasma apo A-IV and apo A-I concentrations. Two 10-cm sections of the intestine were excised, one at 2 cm distal to the ligament of Treitz as the jejunal segment, and the other just proximal to the ileocecal valve as the ileal segment. The luminal contents were then washed with 10 mL of ice-cold saline. The mucosa was scraped with a glass slide and immediately plunged into liquid nitrogen. It was then stored at -80°C for RNA isolation.

In expt. 2, the effect of intravenous hexamethonium on the intestinal apo mRNA was examined in bile-drained rats. In a total of 12 rats, a cannula was inserted into the right cervical vein as described in expt. 1. After being allowed to recover for 2 d, the rats were deprived of food for 18 h and then anesthetized by an intraperitoneal injection of Nembutal. Rats were laparotomized and subjected to bile drainage. To achieve this, the tip of a polyethylene catheter (SP10; 0.28 mm i.d., 0.61 mm o.d.; Natsume Seisakusyo, Tokyo, Japan) was inserted into the common bile-pancreatic duct at a point 5 mm proximal to the ampulla of Vater and connected to a silicone tube (No. 00). The distal end of the cannula was then externalized at the back of the neck, and the bile was drained completely. On the next day of surgery, food-deprived and unrestrained rats were intravenously infused for 8 h with either hexamethonium bromide or a vehicle (n = 6 per group). Following infusion, the intestinal mucosa was isolated and stored as described in expt. 1.

In expt. 3, the effect of propranolol and atropine which are ß-adrenergic and cholinergic blockers, respectively, on the intestinal apolipoprotein mRNA was investigated. In a total of 24 rats, a cannula was inserted into the right cervical vein as described in expt. 1. After being allowed to recover for 2 d, food-deprived and unrestrained rats were intravenously infused for 8 h with either hexamethonium bromide [10 mg/(kg · h), 1 mL/h], propranolol hydrochloride [2 mg/(kg · h), 1 mL/h, Wako Pure Chemical Industries], atropine sulfate monohydrate [0.5 mg/(kg · h), 1 mL/h, Wako], or a vehicle (n = 6 per group). Following infusion, the intestinal mucosa was isolated and stored as described in expt. 1.

In expt. 4, whether stimulation of apo A-IV mRNA expression by intestinal lipids was affected by an intravenous infusion of hexamethonium was investigated. In a total of 18 rats, a cannula was inserted into the right cervical vein as described in expt. 1. In addition, following laparotomy a silicone tube (No. 00) was inserted through the fistula into the ileum at a point 10 cm proximal to the ileocecal valve, and the distal end of the cannula was exteriorized at the back of the neck. After being allowed to recover for 2 d, food-deprived and unrestrained rats were intravenously infused for 8 h with either hexamethonium bromide [10 mg/(kg · h), 1 mL/h] or a vehicle under (n = 6 and 12 per hexamethonium- and vehicle-infused groups, respectively). Of these 18 rats, 6 rats from both the hexamethonium- and vehicle-infused groups were simulataneously enteraly infused with a lipid emulsion composed of 20 mmol/L of monoolein, 40 mmol/L oleic acid, 2.21 mmol/L of phosphatidylcholine and 16.15 mmol/L of sodium taurocholate. The composition of the lipid emulsion was identical to that reported by Kalogeris et al. (1996)Citation . The remaining six rats in the vehicle-infused group were simultaneously enteraly infused with glucose-saline solution composed of 145 mmol/L of NaCl, 0.4 mmol/L of KCl and 0.28 mol/L of glucose. Following infusion, the intestinal mucosa was isolated and stored as described in expt. 1.

This study was approved by the Hokkaido University Animal Use Committee, and animals were maintained in accordance with the guidelines for the care and use of laboratory animals of Hokkaido University.

Isolation and analysis of RNA

Total RNA was isolated from the intestinal mucosa using Isogen (Nippon Gene, Tokyo, Japan) according to the manufacturer’s protocol. Samples of total RNA (10 µg/lane) were electrophoresed on denaturing 2.2 mol/L of formaldehyde, a 1% agarose gel, and then transferred to a nylon membrane (Biodyne Plus, Pall, NY). Blots were hybridized with a digoxigenin-labeled apo A-IV probe of a 54-base oligonucleotide as previously described (Sonoyama et al. 1995Citation ). Prehybridization, hybridization and detection were all carried out with a DIG luminescence detection kit (Boehringer Mannheim, Mannheim, Germany). The hybridization was performed at 42°C overnight, and posthybridization washing was performed twice with 0.1 x SSC, 0.1% SDS at 65°C for 15 min. Following detection, each filter was then sequentially rehybridized with a digoxigenin-labeled apo A-I probe of a 54-base oligonucleotide (Sonoyama et al. 1995Citation ). The bands were developed on X-ray film and then quantitated using NIH Image.

Immunoblotting for plasma apo A-IV and apo A-I quantitation

In expt. 1, the immunoblot analysis of plasma was performed for the semiquantitaion of apo A-IV and apo A-I. Whole plasma were subjected to 12% SDS-PAGE under reducing conditions (Laemmli 1970Citation ). Electrophoresed proteins were electrophoretically transferred to nitrocellulose membrane (Hybond C extra; Amersham International plc., Amersham, United Kingdom) and immunostained with the rabbit antihuman apo A-IV IgG (Alpha Biomedical Laboratories, Bellevue, WA) or the rabbit anti-rat apo A-I serum (a gift from Dr. Fumihiko Horio, Nagoya University, Nagoya, Japan) as previously described (Sonoyama et al. 1995Citation ). The relative quantities of apo A-IV and apo A-I were estimated by using NIH Image.

Statistical analysis

All results were expressed as means ± SEM. Student’s t test was applied to compare the mean values of two groups (expts. 1 and 2). ANOVA and the Tukey-Kramer HSD was applied to compare the mean values among four and three groups in expts. 3 and 4, respectively. All statistical calculations were carried out using JMP computer software (SAS Institute, NC). Differences were considered significant if P < 0.05.


    RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
In expt. 1, the jejunal apo A-IV mRNA levels did not differ between hexamethonium- and vehicle-infused groups (Fig. 1Citation ).In contrast, the ileal apo A-IV mRNA levels in the hexamethonium-infused rats were significantly lower than those in the vehicle-infused rats. Apo A-I, mRNA levels did not differ between the groups in either jejunum or ileum. Similar results were observed in the fed rats (data not shown). Relative concentrations of plasma apo A-IV and apo A-I did not differ between the two groups (Fig. 2Citation ).



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Figure 1. Effects of intravenous infusion of hexamethonium (HEX) on the jejunal (left) and ileal (right) apo A-IV (upper) and apo A-I (lower) mRNA levels in unrestrained conscious rats. Values are means ± SEM, n = 6; *Significantly different from the value for the vehicle-infused (-Hex) group (P < 0.05). The values of apo A-IV and apo A-I mRNA were normalized to the value of 18s rRNA which was stained with methylene blue, and the values are expressed relative to the average values for jejunum in rats infused with the vehicle, which is set to 100. Insets illustrate the representative Northern blots of intestinal RNA. The methylene blue staining of 18S rRNA is also shown.

 


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Figure 2. Effects of intravenous infusion of hexamethonium (HEX) on the relative concentrations of plasma apo A-IV (left) and apo A-I (right) in unrestrained conscious rats. Values are means ± SEM, n = 6. The values of apo A-IV and apo A-I are expressed relative to the average values in rats infused with the vehicle, which is set to 100. Insets illustrate the representative Western blots.

 
In bile-drained rats (expt. 2), the ileal apo A-IV mRNA levels were significantly lower in the hexamethonium-infused rats than in the vehicle-infused rats (Fig. 3Citation ). In the jejunum, however, the apo A-IV mRNA levels did not differ between the groups (data not shown). There was no significant difference in the apo A-I mRNA levels between the two groups in both jejunum and ileum (data not shown).



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Figure 3. Effects of intravenous infusion of hexamethonium (HEX) on the ileal apo A-IV mRNA levels in bile-drained and unrestrained conscious rats. Values are means ± SEM, n = 6. *Significantly different from the value for the vehicle-infused (-Hex) group (P < 0.05). The values of apo A-IV mRNA were normalized to the value of 18s rRNA which was stained with methylene blue, and the values are expressed relative to the average values in rats infused with the vehicle, which is set to 100. Insets illustrate the representative Northern blots of intestinal RNA. The methylene blue staining of 18S rRNA is also shown.

 
In expt. 3, whereas intravenous infusion of hexamethonium and atropine similarly diminished the ileal apo A-IV mRNA (Fig. 4Citation ), propranolol had no effect. Jejunal apo A-IV mRNA levels were unaffected by these neural blockers, and apo A-I mRNA levels in both jejunum and ileum also did not differ among the groups (data not shown).



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Figure 4. Effects of intravenous infusion of hexamethonium (HEX), propranolol (PRO), and atropine (ATR) on the ileal apo A-IV mRNA levels in unrestrained conscious rats. Values are means ± SEM, n = 6; values with different letters are significantly different (p < 0.05). The values of apo A-IV mRNA were normalized to the value of 18s rRNA which was stained with methylene blue, and the values are expressed relative to the average values in rats infused with the vehicle (CON), which is set to 100. Insets illustrate the representative Northern blots of intestinal RNA. The methylene blue staining of 18S rRNA is also shown.

 
In expt. 4, the ileal apo A-IV mRNA levels were significantly higher in rats infused with the lipid emulsion into the ileum than in rats infused with the glucose-saline (Fig. 5Citation ). In addition, no significant difference was observed between hexamethonium- and vehicle-infused rats receiving the ileal lipid (Fig. 5)Citation . In the jejunum, no significant differences were observed in the apo A-IV mRNA levels among the groups (data not shown). Apo A-I mRNA levels were not affected by any of the treatments in either the jejunum or ileum (data not shown).



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Figure 5. Effects of intravenous infusion of hexamethonium (HEX) and intraileal infusion of lipid emulsion (Lipid) on the ileal apo A-IV mRNA levels in unrestrained conscious rats. Values are means ± SEM, n = 6; values with different letters are significantly different (P < 0.05). The values of apo A-IV mRNA were normalized to the value of 18s rRNA which was stained with methylene blue, and the values are expressed relative to the average values in rats infused with the vehicle, which is set to 100. Insets illustrate the representative Northern blots of intestinal RNA. The methylene blue staining of 18S rRNA is also shown.

 

    DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Ganglionic and cholinergic blockers (hexamethonium and atropine, respectively), but not a ß-adrenergic blocker (propranolol), suppressed the apo A-IV gene expression in the ileum of unrestrained conscious rats. As the apo A-I mRNA levels were not affected by the neural blockers, the downregulation of gene expression via neural blockades in the ileum is likely specific for the apo A-IV gene. No explanation for why the neural blockers did not diminish jejunal apo A-IV mRNA was found. Nevertheless, expression of the apo A-IV gene in the small intestine is believed to be regulated, at least in part, by the cholinergic nerve including at least one nicotinic synapse in a site-specific manner.

However, despite the lower levels of apo A-IV mRNA in the ileum, the plasma concentrations of apo A-IV in hexamethonium-infused rats were comparable to those in the vehicle-infused rats. This may be due to translational and/or posttranslational regulation of intestinal apo A-IV synthesis and secretion. In addition, the infusion period of hexamethonium may have been too short to detect the decrease in plasma apo A-IV. Furthermore, since the apo A-IV expression is lower in the ileum than in the jejunum, the lower expression of apo A-IV in the ileum of rats infused with hexamethonium may not have contributed greatly to changes in plasma concentrations of apo A-IV.

We previously reported that bile diversion into the colon for 7 d diminished ileal apo A-IV mRNA levels in rats (Sonoyama et al. 1994Citation ). In addition, we showed that apo A-IV mRNA levels increased in the residual ileum following massive small bowel resection in rats, and that the increase was abolished by bile diversion into the colon (Sonoyama et al. 1996Citation ). Furthermore, we demonstrated that the bile-pancreatic diversion into the ileum increased ileal apo A-IV mRNA levels in rats (Sonoyama et al. 1997Citation ). These observations suggest that a biliary component stimulates the apo A-IV gene expression in the ileum. In the present study, however, the ileal apo A-IV mRNA levels in bile-drained rats (expt. 2) were comparable to those in normal rats (expt. 1). This may be due to the relatively shorter period of bile-drainage in expt. 2. As the ganglionic blocker hexamethonium inhibits pancreaticobiliary secretion and intestinal motility, it may diminish apo A-IV mRNA through a decreased supply of biliary components to the ileum. In the present study, however, the lower levels of ileal apo A-IV mRNA in rats infused with hexamethonium were observed even in bile-drained rats. Thus, the lower expression of the ileal apo A-IV gene by hexamethonium is not due to any changes in bile availability in the ileum. In addition, the lower expression of the ileal apo A-IV mRNA in rats infused with hexamethonium may be secondary to changes in motility of the intestine, mediated either through altered luminal pressure, stretch response within the mucosa, or some other causes. In the present study, however, we did not determine the motility of the intestine. Therefore further investigations will be required to clarify the relationship between intestinal motility and expression of apo A-IV gene.

In the present study, concomitant infusion of a ganglionic blocker did not suppress the lipid-stimulated expression of apo A-IV mRNA in the ileum. Thus, neural factors likely are associated with basal but not lipid-stimulated expression of apo A-IV gene in the ileum. Kalogeris et al. (1996)Citation demonstrated that ileal infusion of lipid emulsion stimulated the apo A-IV synthesis in not only the ileum but also the proximal jejunum, suggesting the presence of a signal elicited from the ileum. In addition, Kalogeris et al. (1998)Citation reported that the synthesis and lymphatic output of apo A-IV protein in rat jejunum were increased by an intravenous infusion of PYY, a gastrointestinal peptide hormone whose release from enteroendocrine cells in the distal bowel was stimulated by dietary lipid (Aponte et al. 1985Citation , Aponte et al. 1989Citation , Pappas 1985Citation ). Furthermore, we observed that apo A-IV mRNA levels increased in response to exogenous PYY in a dose- and time-dependent fashion in differentiated Caco-2 intestinal cells (Sonoyama et al. 2000Citation ). These observations suggest that PYY is a possible ileal-derived humoral factor stimulating the expression, synthesis and output of apo A-IV in the intestine. Since experimental evidence suggests that PYY release from the distal intestine is regulated by neural factors (Fu-Cheng et al. 1997Citation ), it is of interest to investigate whether there are some interactions between the humoral and neural factors in the regulation of the apo A-IV expression in the intestine.

In the present study, we mentioned only two classical neurotransmittions, i.e., adrenergic and cholinergic neurons, in regard to the neural regulation of the apo A-IV gene expression in the intestine. However other neurotransmitters including dopamine, 5-hydroxytryptamine, histamine, adenosine and adenine nucleotide, and also nitric oxide have been proposed as regulators of cellular function in the gastrointestinal tract (Burks 1994Citation ). In addition, the present study did not reveal whether the neural regulation of intestinal apo A-IV gene is mediated by the central or enteric nervous system. Therefore, further studies will be necessary to elucidate the precise mechanism for the neural regulation of the apo A-IV expression in the small intestine.

In conclusion, we propose that basal but not lipid-stimulated expression of apo A-IV gene in the small intestine is at least in part regulated by cholinergic neurons in a site-specific manner.


    FOOTNOTES
 
1 This work was partly supported by Grant-in-Aid for Encouragement of Young Scientists from The Ministry of Education, Science, Sports and Culture of Japan, and by The Akiyama Foundation. Back

3 Abbreviations used: apo, apolipoprotein; PYY, peptide YY. Back

Manuscript received June 25, 1999. Initial review completed August 9, 1999. Revision accepted November 17, 1999.


    REFERENCES
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 

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