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(Journal of Nutrition. 2000;130:1247-1255.)
© 2000 The American Society for Nutritional Sciences


Article

Accumulation of Advanced Glycation Endproducts in Aging Male Fischer 344 Rats during Long-Term Feeding of Various Dietary Carbohydrates1

Linda B. Lingelbach, Alyson E. Mitchell, Robert B. Rucker and Roger B. McDonald2

Department of Nutrition, University of California, Davis, CA 95616-8669

2To whom correspondence should be addressed.


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
The observation of accelerated collagen glycation in association with enhanced progression of many age-associated diseases in hyperglycemic subjects has led researchers to propose a role of glycation in the aging process. Although short-term studies in healthy animals suggest that feeding a diet high in fructose may increase serum glucose concentrations and increase glycemic stress, the effects of a long-term feeding, i.e., life span, are unknown. This study was designed to evaluate the long-term effects of dietary carbohydrates on serum and tissue markers of glycemic stress. Three-month-old male Fischer 344 rats were given free access to or restricted to 60% caloric intake of one of five isocaloric diets that contained as their carbohydrate source either cornstarch, glucose, sucrose, fructose or equimolar amounts of fructose and glucose. Rats were killed at 9-, 18- or 26-mo of age. Glycated hemoglobin, serum glucose and fructosamine levels were measured as markers of serum glycemic stress. Collagen-associated fluorescence and pentosidine concentrations were measured in skin, aortic, tracheal and tail tendon collagen as markers of advanced glycation endproducts (AGE). The source of dietary carbohydrate had little effect on markers of glycemic stress and the accumulation of AGE. Restricting the amount of calories consumed resulted in lower serum glucose concentrations, glycated hemoglobin levels and pentosidine concentrations in tail tendon collagen. Our data suggest that the rate of collagen glycation is tissue-specific. These results suggest that long-term feeding of specific dietary carbohydrates does not alter serum glucose concentrations or the rate of collagen glycation. Rather, age-related accumulation of AGE is more closely related to caloric intake.


KEY WORDS: • collagen crosslinks • collagen-associated fluorescence • energy restriction • pentosidine • Fischer F344 rats


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Physiological alterations associated with the aging process may reflect, in part, tissue damage caused by an interaction between glucose and long-lived proteins. Several investigations of humans and of laboratory animals have demonstrated an accumulation of irreversible nonenzymatic glycosolated crosslinks with age. These crosslinks are associated with dysfunctions at both the cellular and tissue levels, e.g., diabetes-related increase in opacity of the eye lens (Cerami 1985Citation , Kristal and Yu 1992Citation , Monnier 1989Citation ). Crosslinks occur when reducing sugars react with proteins to form reversible Amadori products. Given sufficient time, the Amadori products spontaneously undergo further nonenzymatic rearrangement to form irreversible crosslinks called advanced glycation endproducts (AGE).3 AGE, including pentosidine, are correlated strongly with cellular dysfunction. In vivo, the rate of AGE accumulation is thought to reflect serum glucose levels. Cerami and colleagues report that the concentration of AGE in lens protein of adult-onset diabetics (Type II) is related directly to the level of serum glucose (Cerami 1985Citation ). In contrast, rodents calorically restricted over a lifetime maintain lower serum glucose concentrations, have decreased AGE accumulation, have a delayed or blunted onset of age-associated disorders and have a longer life span than do animals given free access to food (Masoro et al. 1989Citation , Miksik et al. 1991Citation , Reiser 1994Citation ).

The results of several investigations suggest that diets high in mono- or disaccharides may increase serum glucose concentrations and, in turn, lead to a greater accumulation of AGE. The relevance of these investigations to age-related dysfunction is unclear as the majority of studies are of short duration and conducted in young animals. In a recent review of studies using rodents and published in the Journal of Nutrition from 1990–1995, McDonald (1997)Citation noted that ~9 out of 10 studies evaluating the impact of diet on various outcomes used animals that were less than 12 wk of age. In addition, 56% of the studies fed the experimental diet for less than 12 wk. Twelve weeks is less than 7% of the average lifespan for rats. It is likely that results from studies conducted in young animals may reflect more closely events associated with rapid growth and development rather than aging per se. This point is given emphasis by results from investigations evaluating the effect of age and diet on glucose homeostasis and insulin resistance. Several early studies preformed in young rats (2–12 mo of age) suggested that glucose intolerance and insulin resistance increase with age and when animals are fed diets high in sucrose (Reaven et al. 1979Citation and Reaven et al. 1983Citation , Reiser and Hallfrisch 1977Citation , Wright et al. 1983Citation ). However, when older rats (18–26 mo of age) were included, differences in glucose intolerance were seen in the 26- and 12-mo-old rats only in comparison to the 2-mo-old rats. There were no significant differences in glucose tolerance or insulin secretion between the 12- and 26-mo-old animals (Eiffert et al. 1991Citation , Hara et al. 1992Citation , McDonald 1990Citation , Ruhe et al. 1992Citation ). These data suggest that to determine more precisely the effect of diet on aging and/or adult-onset disease in animal models for human aging (i.e., diabetic, cardiovascular disease, cancer, etc) investigations should be carried out over a large portion of the animal’s lifespan.

There exists a substantial need for data that describe the effects of macro- and micronutrient composition of diets on long-term feeding and the aging process. This investigation is part of a larger effort to describe generally the effects of a long-term feeding protocol on rodents. The specific purpose of the present study was to evaluate the long-term effects of dietary sugars and calorie restriction on serum and tissue markers of glycemic stress. To this end, serum glucose, fructosamine and glycated hemoglobin concentrations were measured as short-term markers of glycemic stress in rats given free access to food or 60% of the amount eaten by animals given free access to isocaloric diets that contained, as the carbohydrate source, cornstarch, sucrose, glucose, fructose or equimolar amounts of glucose and fructose. Collagen-associated fluorescence and pentosidine concentrations in skin, trachea, aorta and tail tendon collagen were also assessed as long-term markers of advanced glycation in these animals.


    MATERIALS AND METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Male Fischer 344 (F344) rats (n = 150) were selected randomly from a larger colony that was maintained as described previously (McDonald et al. 1988Citation ). Briefly, 3-mo-old rats were obtained from the National Institute of Aging animal colony maintained by Harlan Sprague-Dawley Laboratories (Indianapolis, IN). Upon arrival, rats were housed individually in hanging wire cages (23.5 x 45.5 x 19 cm) and provided free access to distilled, autoclaved water (pH 3.5). The rats were randomly assigned to one of five isocaloric, semi-purified diets which differed only in carbohydrate source (either cornstarch, sucrose, glucose, fructose or equimolar amounts of fructose and glucose) and given free access to food or restricted to 60% of the mean caloric intake of the carbohydrate-matched rats that were given free access to food (Table 1Citation ).The mineral and vitamin mix was increased by 40% in the caloric-restricted diet in order to ensure proper nutrient density. At 9, 18 or 26 mo (n = 5 rats per diet group/age) blood was collected from the tail vein of unanesthetized, 4-h food-deprived rats and separated into serum for subsequent analysis of glucose concentration. One week later, 4-h food-deprived rats were anesthetized with halothane and killed by pneumothorax. Whole blood was collected via cardiac puncture and various tissues were removed. Blood was allowed to clot on ice for 2 h and serum was separated via centrifugation. Serum was stored at -20°C for subsequent analyses. Tissues collected included a section of skin removed from the mid-dorsal region of the back (1 x 3 cm), a 3-cm section of the tail closest to the body of the rat, the trachea and a 1–2-cm section of the descending aorta. The tissue samples were immediately frozen in liquid nitrogen and stored at -70°C until analysis was performed. The University of California-Davis Animal Care and Use Committee approved all methods and procedure performed on the rats.


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Table 1. Composition of diets

 
Blood analysis.

Fasting serum glucose concentration in 10 µL of the serum collected from tail-vein blood was determined using a quantitative, enzymatic method (Procedure No. 510; Sigma Diagnostics, St. Louis, MO). Total glycated hemoglobin concentration in 50 µL of whole blood collected during cardiac puncture was quantified colorimetrically (Shimadzu Model UV160, Kyoto, Japan) after being separated from unbound hemoglobin using an affinity resin (Procedure No. 442; Sigma Diagnostics, St. Louis, Mo). Total hemoglobin concentration in 20 µL of whole blood was determined using the Drabkin’s colorimetric assay (Procedure No. 525, Sigma Diagnostics). Fructosamine concentration in 100 µL of serum collected during cardiac puncture was determined using a colorimetric assay in which glycated proteins reduce nitroblue tetrazolium (Procedure No. 465, Sigma Diagnostics). Albumin concentration in 10 µL of serum was determined colorimetrically using a dye-binding procedure in which bromcresol purple binds albumin (Procedure No. 625, Sigma Diagnostics).

Collagen-associated fluorescence in tail tendon and skin.

Collagen-associated fluorescence was used to quantify the amount of glycation-related crosslinking in skin and tail tendon samples. Fluorescence was measured using a modification of the method developed by Sell and Monnier (Sell and Monnier 1989aCitation ). Briefly, ~50 mg wet tail tendon or skin that had been scraped with a razor blade to remove excess epidermis and subcutaneous fat was homogenized in phosphate buffered saline (PBS), washed in a chloroform/methanol solution and digested with 280 U of Type VII collagenase (Sigma Diagnostics) at 37°C for 24 h and centrifuged. The pellet and an aliquot of the supernatant were hydrolyzed separately in 6 mol/L HCl, and hydroxyproline content was measured using a colorimetric assay (Woessner 1961Citation ). The volume of the remaining supernatant was adjusted to 2 mL, and the fluorescence spectra were measured using 330 ex/390 em wavelengths to measure pentosidine-associated fluorescence and at 370 ex/440 em wavelengths to measure general AGE-associated fluorescence (Perkin and Elmer Model LS50B, Norwalk, CT).

Pentosidine analysis in trachea and tail tendon.

    Synthesis and purification of pentosidine standard. The method for the synthesis and purification of pentosidine was similar to the methods described by Sell and Monnier (Sell and Monnier 1989bCitation ), and Reiser (Reiser 1994Citation ). Briefly, a pentosidine standard was synthesized by heating equal amounts (500 mL each) of L-arginine, L-lysine, and D-ribose (100 mmol/L each) at 80°C for 1 h. The mixture was run through Dowex-50W ion exchange resin (Sigma Diagnostics, St. Louis, MO). The resin was washed with 1 L of 1 mol/L pyridine and pentosidine was eluted with 1 L of 2 mol/L NaOH. The elutant was collected, adjusted to pH 7.4 with HCl, and concentrated via rotary evaporation. The concentrated pentosidine solution was further purified by chromatography on a 1.5 cm x 85 cm Bio-Gel P2 column (Bio-Rad, Richmond, CA) that had been equilibrated with 0.02 mol/L HEPES buffer containing 0.15 mol/L NaCl. Elutant was collected in 10 mL fractions. The presence of pentosidine in the fractions was determined by UV absorbance (325 nm) and fluorescence (335 ex/385 em). Those fractions with the greatest fluorescence were assumed to contain the greatest concentration of pentosidine and were pooled. Pooled fractions were adjusted to a pH of 8.5 with NaOH, dried via rotary evaporation, washed with methanol, then lyophylized. The pentosidine sample was reconstituted in 5 mL of HPLC-grade H2O and further purified by reverse-phase HPLC on a Vydac C18 column using a mobile phase of acetonitrile/water (13:87, v/v) that contained 0.01 mol/L n-heptafluorobutyric acid as a counterion at a flow rate of 1 mL/min. The elutant was collected in 30-s fractions between min 24–28 when the pentosidine peak was detected at 325 nm using an online spectrophotometer (Fig. 1Citation ).Fluorescence (335 ex/383 em) was measured, and the fractions with the greatest fluorescence were pooled then analyzed by electrospray ionization mass spectrometry (Quattro-BQ; VG Biotech, Altrinchain, Greater Manchester, United Kingdom) to confirm that pentosidine was the product. The results of the mass spectrometry analysis of the synthetic pentosidine standard were identical (that is, within conditions and machine variations) to the data reported by Sell and Monnier (Sell and Monnier 1989bCitation ). The corrected m/z was 379.2 with fragments indicating loss of H2O (m/z, 361), COOH (m/z, 334) and H2N-CH-COOH (m/z, 304). The synthetic pentosidine reported by Sell and Monnier was 379.6.



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Figure 1. HPLC chromatogram of the pentosidine standard using pyridoxamin as the internal standard (IS). The pentosidine peak was confirmed by electrospray ionization mass spectrometry (see text for explanation).

 
    Tissue preparation and assessment. Tail tendon (~50 mg) was washed in ethanol, dried, and hydrolyzed in 6 mol/L HCl at 110°C for 24 h. Hydrolysates were dried, reconstituted in 500 µL of ultrapurified water, filtered through 0.2 µm Nylon filters, then stored at -20°C until analyzed. Trachea ~ 20 mg was washed in PBS to remove any blood or extra tissue. Samples were then hydrolyzed, reconstituted and filtered, as described above. Preparation of aorta samples were identical to that of the trachea. Collagen content was analyzed in an aliquot of the hydrolysates using the Woessner colorimetric method (Woessner 1961Citation ).

Hydrolysates were analyzed for pentosidine concentration using reverse-phase HPLC. The HP1100 system equipped with a Vydac C18 column and on-line fluorimeter was used. Tail hydrolysates were separated using a flow rate of 1.0 mL/min with an analysis time of 40 min. The initial mobile phase composition was held at acetonitrile/water (5:95, v/v) for 5 min followed by a 35-min gradient to acetonitrile/water (17:83, v/v). Trachea hydrolysates were separated using a flow rate of 1 mL/min with an analysis time of 19 min. A linear gradient from acetonitrile/water (10:90, v/v) to acetonitrile/water (13:87, v/v) was run over 15 min followed by a 4-min isocratic hold at (13:87, v/v). Aorta samples were run using a flow rate of 1 mL/min and a linear gradient from acetonitrile/water (10:90, v/v) to acetonitrile/water (17:83, v/v) for 35 min. In each sample, pyridoxamine was used as an internal standard. A purified pentosidine standard was run at the beginning and end of each day to verify proper calibration.

Statistical analysis.

Differences in the main effects and the interactions between effects were determined by a combination of ANOVA using dietary carbohydrate, calorie restriction and age as independent variables. Post-hoc comparison utilized Fisher’s Least Significant Difference. Differences were considered significant at P < 0.05.


    RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Serum glucose and fructosamine concentrations and percentage glycated hemoglobin

    Serum glucose concentration. Calorie intake and age significantly affected serum glucose concentrations (Table 2Citation ).Calorie-restricted rats had significantly lower serum glucose concentrations compared to carbohydrate-matched rats that were given free access to food. Within both feeding groups (free access or calorie-restricted), serum glucose concentrations were not different in the 9- and 18-mo-old rats but significantly lower in the 26-mo-old rats. There were no significant differences in serum glucose concentrations among rats given free access to food vs. calorie-restricted rats at 26 mo of age. Although there were some individual differences in serum glucose concentrations among the carbohydrate groups, there was no significant main effect of dietary carbohydrate on serum glucose.


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Table 2. Serum glucose concentration in food-deprived, male F344 rats given free access to food or calorie-restricted1

 
One objective of this research was to determine if dietary fructose increases serum glucose and other serum markers of glycemic stress as well as the accumulation of AGE. To more precisely evaluate this possibility, we performed analyses after grouping the diets into those that contained fructose (sucrose, fructose and fructose + glucose) and those that did not (starch and glucose). Serum glucose concentrations of the 9- and 18-mo-old rats given free access to diets containing fructose were significantly greater than in age-matched rats given free access to diets not containing fructose; serum glucose concentrations did not differ between the 26-mo-old rats in the fructose and nonfructose diet groups (Fig. 2Citation ).Dietary fructose did not have a significant effect on serum glucose concentration in calorie-restricted rats.



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Figure 2. Serum glucose concentrations in male F344 rats provided (A) free access to food or (B) calorie-restricted. Diets that contained fructose [fructose (+)] include the sucrose, fructose and fructose + glucose diets. The fructose (-) diets are the cornstarch and glucose diets. Within a panel, bars with common letters above them do not differ significantly, P >= 0.05. Values are means ± SEM, n = 3–5.

 
    Percentage glycated hemoglobin. Calorie restriction and age significantly affected the percentage of glycated hemoglobin (Table 3Citation ).In general, calorie-restricted rats had significantly lower glycated hemoglobin levels than their carbohydrate and age-matched counterparts given free access to food. The exception to this effect was seen in the 26-mo-old rats in which percentage glycated hemoglobin did not differ significantly between the calorie-restricted rats and those given free access to food. The main effect of age reflected primarily the significant decrease in glycated hemoglobin in the 26- vs. 9- and 18-mo-old rats given free access to food. While other individual differences existed, no consistent pattern was observed.


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Table 3. Percentage glycated hemoglobin in male F344 rats given free access to food or calorie-restricted1

 
Although the source of dietary carbohydrate did not have a significant main effect on glycated hemoglobin levels, 9-mo-old rats given free access to a diet containing fructose had a significantly higher percentage of glycated hemoglobin than did identically aged rats given free access to a diet that did not contain fructose (Fig. 3Citation ).This effect of fructose was not observed in the age-matched, calorie-restricted rats.



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Figure 3. Glycated hemoglobin levels in male F344 rats provided (A) free access to food or (B) calorie-restricted. Glycated hemoglobin is measured as a percentage of the total hemoglobin concentration. Values are means ± SEM, n = 3–5. Within a panel, bars with similar letters above them do not differ significantly, P >= 0.05.

 
A positive but weak correlation (r2 = 0.30, P < 0.0001) between serum glucose concentrations and the percentage of glycated hemoglobin was observed in rats given free access to food. This effect was not observed in the calorie-restricted rats (r2 = 0.006, P < 0.5237). Total hemoglobin concentrations did not differ among the diet groups (data not shown).

    Serum fructosamine. Age significantly affected serum fructosamine concentrations. That is, serum fructosamine concentrations decreased significantly with age (Table 4Citation ).No other main effects were noted. A significant, but weak correlation between serum fructosamine and serum glucose concentrations was observed in the rats allowed free access to food (r2 = 0.097, P < 0.0074) and in the calorie-restricted rats (r2 = 0.077, P < 0.0200).


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Table 4. Serum fructosamine concentrations in male F344 rats given free access to food or calorie-restricted1

 
Serum albumin concentrations were not affected by dietary carbohydrate or calorie restriction and were unchanged between 9 and 18 mo of age in all diet groups (23.80 ± 0.72 g/L, free access to food; 23.70 ± 0.82 g/L, calorie-restricted and 22.08 ± 0.66 g/L, free access to food; 23.72 ± 0.60 g/L, calorie-restricted, respectively). Serum albumin concentrations were significantly lower in 26-mo-old rats that were allowed free access to food (19.33 ± 1.21 g/L) but were not lower in rats that were calorie-restricted (22.29 ± 1.63 g/L).

Collagen-associated fluorescence

    Skin collagen. Aging significantly affected the pentosidine- (330 ex/390 em) and general AGE-related (370 ex/440 em) fluorescence in skin collagen isolated from rats given free access to food (Fig. 4Citation ).A significant age-related effect on skin collagen for general AGE-related fluorescence was observed in calorie-restricted rats. The source of dietary carbohydrate did not affect significantly collagen-associated fluorescence in skin, although a few individual differences were noted (e.g., 12- vs. 26-mo-old rats fed fructose). There was no significant effect on skin collagen-associated fluorescence when the data were grouped by diets containing fructose and those that did not (data not shown).



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Figure 4. Collagen-associated fluorescence in skin collagen in male F344 rats provided free access to food or calorie-restricted. Values are expressed as fluorescence units measured in solutions of equal volume and expressed per unit collagen. Values are means ± SEM, n = 3–5. Age had a significant effect of fluorescence measured at 330 ex/390 em and 370 ex/440 em in collagen from rats given free access to food. Age had a significant effect on fluorescence measured at 370 ex/440 em in collagen from the calorie-restricted rats P < 0.05. The source of dietary carbohydrate did not significantly affect collagen-associated fluorescence, P >= 0.05.

 
    Tail collagen. There was no significant effect of aging, dietary carbohydrate or caloric intake on pentosidine-related tail collagen fluorescence (Fig. 5Citation ). There was a significant effect of age, but not dietary carbohydrate or caloric intake, on general AGE-related fluorescence in collagen isolated from tail tendon. There was no significant effect on tail collagen-associated fluorescence when the data were group by diets containing fructose and those that did not (data not shown).



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Figure 5. Collagen-associated fluorescence in tail tendon collagen from male F344 rats provided free access to food or calorie-restricted. Values are expressed as fluorescence units measured in solutions of equal volume and expressed per unit collagen. Values are means ± SEM, n = 3–5. Age had a significant effect on fluorescence measured at 370 ex/400 em in tail tendon collagen in rats given free access to food and calorie-restricted rats, P < 0.05. The source of dietary carbohydrate did not significantly affect collagen-associated fluorescence, P >= 0.05.

 
Pentosidine

There were significant main effects of calorie restriction and age on pentosidine concentration in collagen from tail tendon. In general, an age-related increase in pentosidine concentration was delayed with calorie restriction (Table 5Citation ). That is, a significant increase in pentosidine concentration was observed in the 18-mo-old rats given free access to food relative to the levels observed in the 9-mo-old rats, whereas a significant increase in pentosidine concentration was not observed until 26 mo of age in the calorie-restricted rats. The source of carbohydrate in the diet did not affect pentosidine concentrations in collagen from tail tendon.


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Table 5. Tail tendon pentosidine concentrations in male F344 rats given free access to food or calorie-restricted1

 
Pentosidine concentration in trachea collagen was affected significantly by age but not by calorie restriction or dietary carbohydrate (Table 6Citation ). Within the group of rats allowed free access to food, a significant effect of age was observed at both 18 and 26 mo. Within the calorie-restricted group, an effect was only observed at 26 mo. Within each age group, overall pentosidine concentrations were similar between the rats given free access to food and the calorie-restricted group. Dietary carbohydrate did not have an effect on pentosidine concentrations. Those rats consuming a diet that contained fructose had similar pentosidine concentrations compared to those rats that were fed a diet that did not contain fructose. Pentosidine was not quantifiable in aorta collagen collected from individual rats. For each diet group, we pooled five aortas per age group to increase the total amount of pentosidine but were unsuccessful at isolating a distinguishable pentosidine peak.


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Table 6. Trachea pentosidine concentrations in male F344 rats given free access to food or calorie-restricted1

 

    DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
The purpose of the present investigation was to evaluate the long-term effects of specific dietary carbohydrates on serum glucose concentration and whether or not a possible diet-induced increase in serum glucose causes greater advanced glycation endproduct accumulation in rats. To this end, 3-mo-old male F344 rats were fed one of five different carbohydrate diets and were allowed free access to food or were restricted to 60% of the intake of the free access group. Rats from all groups were killed at 9-, 18- or 26-mo of age. In general, the type of dietary carbohydrate had little effect on serum glucose, glycated hemoglobin and fructosamine concentrations, as well as the accumulation AGE. Calorie restriction vs. free access to food resulted in significantly lower serum glucose concentration, percentage glycated hemoglobin, and, our marker of AGE accumulation, pentosidine in tail tendon collagen. These results suggest strongly that caloric intake, rather than a specific dietary carbohydrate, influences the accumulation of AGE.

The effects that specific dietary carbohydrates may have on serum glucose concentration are controversial. Several investigations suggest that diets high in sucrose or fructose increase serum glucose concentrations as compared to diets containing complex carbohydrates. For example, Hallfrisch and colleagues fed 3-wk-old rats isocaloric diets that contained either 54% sucrose or cornstarch for 11 wk and then evaluated the animals’ response to an intraperitoneal glucose tolerance test (Hallfrisch et al. 1979Citation ). Although resting levels of serum glucose were slightly lower in the rats fed cornstarch, the area under the curve for serum glucose following the glucose tolerance test was significantly greater in rats given sucrose. These investigators suggest that the greater serum glucose concentrations reflect metabolism of the fructose moiety of the sucrose molecule. That is, entry of fructose into the liver cell bypasses glucokinase and thus has a greater potential of leaving the liver as glucose. However, our previous investigations (Hara et al. 1992Citation , McDonald 1990Citation , Ruhe et al. 1996Citation ) and the data presented here are not consistent with the hypothesis that dietary simple sugars, sucrose and fructose, increase serum glucose to a greater extent than do complex carbohydrates, i.e., cornstarch. In general, we find no significant differences in serum glucose concentration within groups of rats given free access to food or restricted to 60% of the free access group regardless of the carbohydrate provided in the diet (Table 2Citation and Figure 2Citation ).

Although the reasons for differing results among investigations with regard to the effect of dietary carbohydrates on serum glucose concentration are unclear, we suggest that the differences reflect, in part, the age of the animal used in the experiment and/or the length of time the diet was given. The majority of investigations evaluating the interactions between dietary carbohydrates and serum glucose concentration have utilized young, developmentally immature animals fed diets for short periods (usually less than 12 wk). This approach is problematic for at least two reasons. First, developmentally immature animals are rapidly growing and have yet to obtain their "maintenance body weight," which occurs in most rats and mice about 4–5 mo of age. Developmentally immature rodents have significantly different endocrine profiles, many which affect glucose metabolism, than do mature rodents that have established a relatively consistent body weight. Second, short-term feeding does not allow sufficient time for metabolic adaptation to the diet. This is particularly important with regard to carbohydrate as previous investigations have demonstrated that hepatic enzymes involved in glucose metabolism are regulated, in part, by the level and type of portal vein-delivered sugars (Mayes 1993Citation ). The importance of using developmentally mature rodents and long-term feeding protocols to evaluate glucose metabolism in response to various carbohydrates has been demonstrated. That is, young (2–3-mo-old) rats consistently show greater serum glucose concentrations and glucose tolerance in response to dietary sucrose as compared to older (6 to 26 mo of age) rats (Eiffert et al. 1991Citation , Hallfrisch et al. 1979Citation , Hara et al. 1992Citation , McDonald 1990Citation , Reaven et al. 1979Citation and 1983Citation , Reiser and Hallfrisch 1977Citation , Ruhe et al. 1992Citation , Wright et al. 1983Citation ). Differences in serum glucose concentrations are not generally observed when comparing 6-, 12-, or 24–26-mo-old animals, a finding consistent with the data presented here. Such observations suggest that future investigations use feeding protocols longer than 12 wk and include developmentally mature animals when evaluating the effect of diets high in carbohydrate on age-related metabolic adaptations or specific adult-onset disease.

Regarding the relationship between the age-related accumulation of AGE and diet, some investigations have suggested that diets high in fructose increase serum glucose concentration and thus increase AGE accumulation. The data presented do not support this suggestion. That is, the type of dietary carbohydrate does not significantly affect serum markers of glycemic stress, i.e., higher than physiological concentration of serum glucose, fructosamine and glycated hemoglobin. Moreover, collagen concentrations of pentosidine, a tissue marker of AGE, are not affected significantly by the type of dietary carbohydrate. However, the restriction of calories to 60% of that consumed by animals given free access to food results in a significant decrease in serum glucose, glycated hemoglobin and pentosidine concentrations in tail tendon collagen. These findings clearly suggest that caloric intake rather than specific dietary carbohydrate has greater influence on markers of glycemic stress.

Several previous investigations have directly or indirectly implicated serum glucose as the primary factor affecting the age-related rate of accumulation of pentosidine. For example, Masoro and colleagues proposed that the serum glucose-lowering effect of calorie restriction results in decreased AGE accumulation and is one factor that may influence the greater life span of the calorie-restricted animals (Masoro et al. 1989Citation ). Additionally, the series of investigations by Monnier, Sell and their colleagues have consistently shown greater AGE accumulation in hyperglycemic and Type II diabetic humans (Brownlee et al. 1988Citation , Cerami et al. 1988Citation , Kohn et al. 1984Citation , Monnier et al. 1984Citation and 1992Citation , Sell et al. 1992Citation , Vlassara et al. 1986Citation ). Our data, however, are not entirely consistent with the concept that serum glucose is the primary factor accounting for AGE accumulation. We found that only in tail tendon collagen was there an effect of calorie restriction on the rate of AGE accumulation. Moreover, we did not observe a significant correlation between serum glucose and pentosidine accumulation for any of the tissue measured. The correlation between serum glucose and glycated hemoglobin was significant, but weak. The idea that serum glucose may not be a precise predictor of the age-related accumulation of pentosidine is consistent with the recent work of Iqbal et al. These investigators report that age-related pentosidine accumulation in the skin of female broiler breeders is significantly less than that observed in humans and rats despite the fact that the serum glucose concentration is four times greater in the hens (Iqbal et al. 1999Citation ). They conclude that the formation of pentosidine, and possibly other AGE as well, is not solely dependent on the concentration of serum glucose. Although the reasons for the differing results are not clear, we suggest that the relationship between serum glucose and pentosidine concentrations may be important only in individuals with above physiological concentrations of serum glucose (i.e., greater than 6.9 mmol/L, resting). Since only 15–20% of those over the age of 65 y display hyperglycemia and/or type II diabetes, it is unlikely that pentosidine is a relevant marker of biological aging.

The pattern of AGE accumulation among the tissues examined in this investigation was not consistent. Trachea collagen had the greatest concentration of pentosidine of the three tissues evaluated, yet did not show a decrease in accumulation of this AGE benchmark as a result of calorie restriction. Conversely, the pentosidine concentration of tail tendon collagen was roughly half the amount of that found in trachea collagen, and calorie restriction significantly reduced its accumulation. We were unable to detect pentosidine for accurate analyses in pooled (n = 5) aorta samples. We can only speculate as to the reasons for differences in the apparent susceptibility of specific tissues to the accumulation of AGE. Differences among tissues in the amount of specific collagen types may influence the pattern of crosslinking. Reiser proposed that the rate of glycation may be influenced by the location of glycation sites, which may differ among tissues due to differences in the structure of collagen (Reiser et al. 1992Citation ). Reiser did not observe an effect of calorie restriction in reducing the accumulation of pentosidine in aortic collagen from aging C57BL/6N NIA mice (Reiser 1994Citation ). Sell also observed that calorie restriction does not affect the accumulation of pentosidine in tail tendon, ear auricle or aorta collagen from C57BL/6N NIA mice (Sell and Monnier 1997Citation ). However, calorie restriction did blunt the accumulation of pentosidine in tail tendon and ear auricle in the shorter-lived DBA/2N NIA strain of mice. Cefalu reported that calorie restriction reduces pentosidine content in skin collagen in aging Brown Norway rats (Cefalu et al. 1995Citation ). Novelli et al. reported that the age-related increase in collagen-associated fluorescence measured in skin and aortic collagen is not sensitive to calorie restriction in aging Sprague-Dawley rats (Novelli et al. 1998Citation ). Discrepancies in the literature may reflect differences in the methods used to prepare tissues and detect pentosidine, differences in the animal models studied and/or differences in the susceptibility of specific tissues to the accumulation of AGE. Nonetheless, it is clear that the accumulation of pentosidine, as well as dietary effects on the accumulation, is tissue-specific. Future investigations should consider these factors in their interpretation of results.

The data presented here are consistent, in general, with the literature describing the beneficial effects of calorie restriction in delaying the physiological consequences of aging. We find that rats calorie-restricted to 40% less than that of rats given free access to food show significant delays in the accumulation of AGE (Fig. 5)Citation . Although 40% restriction is commonly used among investigators who evaluate possible mechanisms associated with the positive effect of calorie restriction, it is a severe restriction and most likely does not represent a protocol that could be tested in humans. There is no substantial evidence, however, to suggest that milder restrictions significantly delay age-related decline and specific pathology. For example, Holloszy et al. found that 24–26-mo-old male Long-Evans rats were able to maintain daily exercise (wheel running) when the animals were restricted to 5% less than animals allowed free access to food (Holloszy et al. 1985Citation ). Weindruch and colleagues have reported that mice restricted to 90% of the calories consumed by animals allowed free access to food beginning early in life had a significantly reduced incidence of tumors and other pathologies as well as a significantly longer life span than did the free-access mice (Weindruch 1995Citation ). These investigators suggest that the pathologies associated with free access feeding may confound results and recommend that future long-term studies include a mild calorie-restricted group in order to control for the effects of disease. Our previous and current data support this suggestion.

In conclusion, these data suggest that specific dietary carbohydrates do not affect the aging process by altering serum glucose concentrations or the accumulation of AGE in specific tissues. We find that AGE accumulation reflects more closely calorie intake rather than dietary carbohydrate. Moreover, the inhibitory action of calorie restriction on age-associated accumulation of pentosidine differs between tissues from the same animals. The present data as well as previous investigations demonstrate that long-term feeding protocols should include developmentally mature animals that are subject to a mild calorie restriction in order to evaluate more precisely the effect of diet on mechanisms underlying age-related metabolic adaptation or adult-onset disease.


    ACKNOWLEDGMENTS
 
The authors thank Carol Murtagh-Mark for her skillful assistance, Karen Reiser for her intellectual input, Jan Peerson for her assistance with the statistical analysis and Rodney Ruhe for critically reviewing this manuscript.


    FOOTNOTES
 
1 This study was supported in part by gifts from the California Age Research Institute and the Sugar Association, Inc. Back

3 Abbreviations used: AGE, advanced glycation endproducts; PBS, phosphate buffered saline. Back

Manuscript received August 26, 1999. Initial review completed October 5, 1999. Revision accepted January 18, 2000.


    REFERENCES
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 

1. Brownlee M., Cerami A., Vlassara H. Advanced glycosylation end products in tissue and the biochemical basis of diabetic complications. N. Engl. J. Med. 1988;318:1315-1321[Medline]

2. Cefalu W. T., Bell-Farrow A. D., Wang Z. Q., Sonntag W. E., Fu M. X., Baynes J. W., Thorpe S. R. Caloric restriction decreases age-dependent accumulation of the glycoxidation products, N(carboxymethyl)lysine and pentosidine, in rat skin collagen. J. Gerontol.:BS 1995;50A:B337-B341

3. Cerami A. Hypothesis. Glucose as a mediator of aging. J. Am. Geriatr. Soc. 1985;33:626-634

4. Cerami A., Vlassara H., Brownlee M. Role of advanced glycosylation products in complications of diabetes. Diabetes Care 1988;11(Suppl 1):73-79

5. Eiffert K. C., McDonald R. B., Stern J. S. High sucrose diet and exercise: effects on insulin-receptor function of 12- and 24-mo-old Sprague-Dawley rats. J. Nutr. 1991;121:1081-1089

6. Hallfrisch J., Lazar F., Jorgensen C., Reiser S. Insulin and glucose responses in rats fed sucrose or starch. Am. J. Clin. Nutr. 1979;32:787-793[Abstract/Free Full Text]

7. Hara S. L., Ruhe R. C., Curry D. L., McDonald R. B. Dietary sucrose enhances insulin secretion of aging Fischer 344 rats. J. Nutr. 1992;122:2196-2203

8. Holloszy J. O., Smith E. K., Vining M., Adams S. Effect of voluntary exercise on longevity of rats. J. Appl. Physiol. 1985;59:826-831[Abstract/Free Full Text]

9. Iqbal M., Probert L. L., Alhumadi N. H., Klandorf H. Protein glycosylation and advanced glycosylated endproducts (AGEs) accumulation: an avian solution?. J. Gerontol.:BS 1999;54:B171-B176

10. Kohn R. R., Cerami A., Monnier V. M. Collagen aging in vitro by nonenzymatic glycosylation and browning. Diabetes 1984;33:57-59[Abstract]

11. Kristal B. S., Yu B. P. An emerging hypothesis: synergistic induction of aging by free radicals and Maillard reactions. J. Gerontol. 1992;47:B107-B141[Abstract]

12. Masoro E. J., Katz M. S., McMahan C. A. Evidence for the glycation hypothesis of aging from the food-restricted rodent model. J. Gerontol. 1989;44:B20-B22[Abstract]

13. Mayes P. A. Intermediary metabolism of fructose. Am. J. Clin. Nutr. 1993;58:754S-765S[Abstract/Free Full Text]

14. McDonald R. B. Effect of age and diet on glucose tolerance in Sprague-Dawley rats. J. Nutr. 1990;120:598-601

15. McDonald R. B. Some considerations for the development of diets for mature rodents used in long-term investigations. J. Nutr. 1997;127:847S-850S[Medline]

16. McDonald R. B., Carlson K., Day C., Stern J. S., Horwitz B. A. Effect of gender on the response to a high fat diet in aging Fischer 344 rats. J. Nutr. 1989;119:1472-1477

17. McDonald R. B., Horwitz B. A., Stern J. S. Cold-induced thermogenesis in younger and older Fischer 344 rats following exercise training. Am. J. Physiol. 1988;254(Regulatory Integrative Comp. Physiol. 23):R908-R916[Abstract/Free Full Text]

18. Miksik I., Struzinsky R., Deyl Z. Change with age of UV absorbance and fluorescence of collagen and accumulation of epsilon-hexosyllysine in collagen from Wistar rats living on different food-restriction regimes. Mech. Ageing Dev. 1991;57:163-174[Medline]

19. Monnier V. M. Toward a Maillard reaction theory of aging. Prog. Clin. Biol. Res. 1989;304:1-22

20. Monnier V. M., Kohn R. R., Cerami A. Accelerated age-related browning of human collagen in diabetes mellitus. Proc. Natl. Acad. Sci. USA 1984;81:583-587[Abstract/Free Full Text]

21. Monnier V. M., Sell D. R., Nagaraj R. H., Miyata S., Grandhee S., Odetti P., Ibrahim S. A. Maillard reaction-mediated molecular damage to extracellular matrix and other tissue proteins in diabetes, aging and uremia. Diabetes 1992;41(Suppl 1):36-41

22. Novelli M., Masiello P., Bombara M., Bergamini E. Protein glycation in the aging male Sprague-Dawley rat: effects of antiaging diet restrictions. J. Gerontol.:BS 1998;53A:B94-B101

23. Reaven E. P., Gold G., Reaven G. M. Effect of age on glucose-stimulated insulin release by the beta-cell of the rat. J. Clin. Invest. 1979;64:591-599

24. Reaven E., Wright D., Mondon C. E., Solomon R., Ho H., Reaven G. M. Effect of age and diet on insulin secretion and insulin action in the rat. Diabetes 1983;32:175-180[Abstract]

25. Reiser K. M. Influence of age and long-term dietary restriction on enzymatically mediated crosslinks and nonenzymatic glycation of collagen in mice. J. Gerontol. 1994;49:B71-B79[Abstract]

26. Reiser K. M., Amigable M., Last J. A. Nonenzymatic glycation of type 1 collagen: The effects of aging on preferential glycation sites. J. Biol. Chem. 1992;267:24207-24216[Abstract/Free Full Text]

27. Reiser S., Hallfrisch J. Insulin sensitivity and adipose tissue weight of rats fed starch or sucrose diets ad libitum or in meals. J. Nutr. 1977;107:147-155

28. Ruhe R. C., Coordt M. C., McDonald R. B. Effects of caloric restriction and source of dietary carbohydrate on glycemic status of the Fischer 344 rat. Aging 1996;8:287-291[Medline]

29. Ruhe R. C., Curry D. L., Herrmann S., McDonald R. B. Age and gender effects on insulin secretion and glucose sensitivity of the endocrine pancreas. Am. J. Physiol. 1992;262(Regulatory Integrative Comp. Physiol. 31):R671-R676[Abstract/Free Full Text]

30. Sell D. R., Lapolla A., Odetti P., Fogarty J., Monnier V. M. Pentosidine formation in skin correlates with severity of complications in individuals with long-standing IDDM. Diabetes 1992;41:1286-1292[Abstract]

31. Sell D. R., Monnier V. M. Isolation, purification and partial characterization of novel fluorophores from aging human insoluble collagen-rich tissue. Connect. Tissue Res. 1989a;19:77-92[Medline]

32. Sell D. R., Monnier V. M. Structure elucidation of a senescence cross-link from human extracellular matrix. Implication of pentoses in the aging process. J. Biol. Chem. 1989b;264:21597-21602

33. Sell D. R., Monnier V. M. Age-related association of tail tendon break tie with tissue pentosidine in DBA/2 vs. C57BL/6 mice: the effect of dietary restriction. J. Gerontol.:BS 1997;52:B277-B284

34. Vlassara H., Brownlee M., Cerami A. Nonenzymatic glycosylation: role in the pathogenesis of diabetic complications. Clin. Chem. 1986;32:B37-B41

35. Weindruch R. Animal models. Masoro E. J. eds. Handbook of Physiology: Aging 1995:37-52 Oxford University Press New York.

36. Woessner J. F. The determination of hydroxyproline in tissue and protein samples containing small proportions of this amino acid. Arch. Biochem. Biophys. 1961;93:440-447[Medline]

37. Wright D. W., Hansen R. I., Mondon C. E., Reaven G. M. Sucrose-induced insulin resistance in the rat: modulation by exercise and diet. Am. J. Clin. Nutr. 1983;38:879-883[Abstract/Free Full Text]




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