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Unit of Pharmacokinetics, Metabolism, Nutrition and Toxicology, 7369 School of Pharmacy, Université Catholique de Louvain, 73 B-1200 Brussels, Belgium
3To whom correspondence should be addressed.
| ABSTRACT |
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KEY WORDS: lipogenesis triglycerides fructans liver rats oligofructose
| INTRODUCTION |
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OFS is a nondigestible oligomer of ß-D-fructose, obtained
by enzymatic hydrolysis of inulin extracted from chicory root; these
fructans are also present in vegetables such as onions, artichoke,
asparagus and garlic. OFS is highly fermented in the cecocolon, in both
human and rodents, leading to the selective proliferation of
bifidobacteria [for review, see Roberfroid and Delzenne (1998)
]. In rats, the addition of OFS to a standard diet
enriched in saccharose decreases both serum and hepatic TAG by reducing
de novo fatty acid synthesis in the liver (Agheli et al. 1998
, Kok et al. 1996
). This phenomenon is due
mainly to a decrease in the expression and activity of key lipogenic
enzymes such as fatty acid synthase (FAS) (Delzenne and Kok 1998
). The hypotriglyceridemic effect of OFS has also been
observed in rats and hamsters fed a fat- and cholesterol-rich diet;
such effects could be attributed to extrahepatic events such as the
modulation of bile acid metabolism or an increase in the catabolism of
triglyceride-rich lipoproteins in the circulation (Kok et al. 1998b
, Trautwein et al. 1998
).
Could fructans like OFS, through their influence on lipid homeostasis,
be considered as "functional foods" beneficial for human health?
Several papers support their beneficial influence on serum lipids in
humans (Jackson et al. 1999
), but a recent study did not
show any influence of fructans on circulating TAG in patients with type
2 diabetes (Alles et al. 1999
). Analysis of the effect
of dietary supplementation with fructans in models mimicking metabolic
alterations occurring in obese/noninsulin-dependent diabetes mellitus
(NIDDM) patients is therefore important. This study was designed to
characterize the metabolic effects of supplementing OFS to the diet of
obese male Zucker rats with a genetic deficiency in the leptin
receptor, leading to insulin resistance and preferential utilization of
carbohydrates toward fatty acid storage as TAG in the liver and adipose
tissue.
| MATERIALS AND METHODS |
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Genetically obese Zucker (fa/fa) male rats, weighing 140
± 10 g at the beginning of the experiment, were obtained
from Iffa Credo (Les Oncins, France) 5 wk after birth. All animals
received care in compliance with institutional guidelines from the NIH
(NRC 1985)
. Rats were housed in individual cages in a room with
temperature control and an automatic light:dark cycle (lights on from 0700 to 1900h). Rats were randomly assigned to one of the two
groups. Control rats were given free access to a powdered nonpurified
standard diet obtained from a commercial source (UAR AO4, UAR
Villemoisson-sur-Orge, France). This diet contained the following
(g/100 g dry weight): 19% protein (consisting of an equivalent mix of
soy and fish proteins); 70% total carbohydrates obtained from corn,
wheat, barley and bran (containing 3% saccharose and 5% cellulose);
3.2% total lipids; 7.3% minerals and vitamins; 0.32% methionine; and
0.04% choline. OFS-fed rats were fed the same diet containing
100 g raftilose P95/kg. The energy value for the
control and OFS diet was 13.86 and 13.08 kJ/g, respectively. Body
weight and food intake were monitored two times per week. Serum
metabolites were measured during the experiment in rats in the
postprandial state, i.e., at 0900 h and after 9 h food
deprivation in the afternoon, at 1700 h.
After 8 wk of treatment, an oral glucose and lipid tolerance test was
performed according to the procedure described by Iritani et al. 1999
. Food was removed 24 h before the test; the rats were
fed by gavage a glucose load (2 g/kg body) followed by a lipid load (5
g corn oil/kg). Corn oil was commercially available and the fatty acid
composition (g/100 g fatty acids) was as follows: myristic acid 0.6;
palmitic acid 13.4; stearic acid 2.2; palmitoleic acid 0.3; oleic acid
28.7; linoleic acid 47.8; and linolenic acid 1.5. Glucose, triglyceride
and insulin concentrations in plasma were determined using blood
obtained from the tail vein.
After 10 wk of treatment, at 0900 h (corresponding to the postprandial period), all rats were anesthetized with pentobarbital (60 mg/kg body). Blood was collected from the cava and portal veins. Some liver samples were clamped immediately in liquid nitrogen and kept at -80°C. Some pieces were frozen in isopentane, then cut cryostatically for histochemical fat staining with Sudan 7b. Some liver specimens were fixed in 10% formalin, embedded in paraffin and cut with a microtome for hematoxylin and eosin staining.
Chemicals.
Raftilose P95 (Raffinerie Tirlemontoise, Tienen, Belgium), a mixture of glucosyl-(fructosyl)n-fructose and (fructosyl)m-fructose with an average degree of polymerization of 48, was used as the fructan source.
Analytical procedures.
Triglycerides, phospholipids, total cholesterol and glucose
concentrations were measured in the serum with the use of kits coupling
enzymatic reaction and spectrophotometric detection of reaction end
products (Triglycerides ESPAS, Phospholipids-PAP, Cholesterol PAP
and Glucose PAP, Elitech, Brussels, Belgium). The same kits were used
for liver lipid analysis, after a chloroform-methanol extraction
according to Folch et al. (1957)
. Insulin concentrations
were determined on frozen plasma samples using a RIA kit from CIS bio
international (Insulin-CT, Oris group, Gif-sur-Yvette, France).
Fatty acid synthase (FAS) activity was measured according to the method
of Linn (1981)
. ATP citrate lyase (ATPCL) and malic
enzyme (ME) activities were measured in the cytosolic fractions
according to Takeda et al. (1969)
and Hsu and Lardy (1969)
, respectively. The esterification pathway
was assessed by measuring phosphatidate phosphohydrolase (PAP) activity
as described by Cheng and Saggerson (1978)
. Protein
concentration was measured by the method of Lowry et al. (1951)
, using bovine serum albumin as standard.
Total RNA was isolated from frozen liver (200 mg) by using the RNAgent total RNA isolation system (Promega, Leiden, Netherlands). The quantification of FAS mRNA was performed by reverse transcriptase-polymerase chain reaction (RT-PCR) as described in the RT-PCR system kit (Promega, Leiden, Netherlands). Amplification was carried out under standard cycling conditions. Specific primer pairs were as follows: 1) FAS, sense 5'- CCAGGCTGTGGAACACAGTGATGGAAC-3' and anti sense 5'-CCAGGCTGTGGAACACAGTGATGGAAC-3'; and 2) ß-actin, sense 5'-CTGACCGAGCGTGGCTACAG-3' and anti sense 5'-GGTGCTAGGAGCCAGGGCAG-3'. Cycle numbers used for each primer pair were adjusted to ensure linear amplification. Reaction products were separated on 1.8% agarose gel in TAE buffer (2 mol/L Tris base; 5.7% acetic acid; 0.05 EDTA, pH 8) containing 0.1 g/L ethidium bromide. RT-PCR products were visualized under short-wave UV light and photographed. Photographs were scanned and the density of the bands was calculated using the program Image Master (Pharmacia Biothec Benelux, Roosendaal, The Netherlands). The FAS/ß-actin mRNA ratio was used as a relative estimate of FAS mRNA abundance.
Statistical analysis.
Data are presented as means ± SEM. Data were analyzed by two-way ANOVA when testing for the interaction of time and treatment. Students t test was applied to compare results at one particular time point. StatView512+ (Abacus Concepts, Berkeley, CA) was used as software. The level of significance was set at P < 0.05.
| RESULTS |
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Serum triglyceride concentrations increased gradually with time during the study in both the control and OFS-fed rats. In the postprandial state, TAG levels started at 0.71 ± 0.04 mmol/L and reached 2.95 ± 0.37 mmol/L in control rats within 7 wk of treatment. They increased from 0.68 ± 0.10 to 3.43 ± 0.3 mmol/L in OFS-fed rats. In food-deprived rats, TAG concentrations reached 2.72 ± 0.29 and 3.09 ± 0.35 mmol/L in control and OFS-fed rats, respectively. No significant differences in glycemia were observed between groups when measured in the postprandial or food-deprived states (data not shown).
After 8 wk of treatment, we evaluated the putative effect of OFS on
glycemia and triglyceridemia, after an oral load in glucose and lipids,
in rats that had been deprived of food for 24 h. Within 1 h
after gavage, triglyceridemia decreased in both control and OFS-fed
rats; between 1 and 2 h, a large increase in serum triglyceridemia
was observed, which was significantly higher in OFS-fed than in
control rats (Fig. 2A
) (P = 0.0024). The areas under the curves between 1 and
5 h were 16.34 ± 0.65 and 24.76 ± 1.52
mmol/(L · h) for control and OFS-fed rats, respectively
(P = 0.001). Glycemia peaked at 30 min, and returned to
basal values within 2 h (Fig. 2B
). Control and
OFS-fed groups did not differ. The evolution of insulinemia also
did not differ between OFS-fed and control rats (Fig. 2C
) (P = 0.08).
|
At the end of the study, glycemia was significantly lower than controls
in both the portal and the cava veins of OFS-fed rats (Table 2
). Serum insulin was 100% greater in the OFS group compared with
controls, but differences were not significant (P = 0.120) due to interindividual variability. Phospholipemia,
triglyceridemia and cholesterolemia did not differ between groups
(Table 2)
.
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Liver weight was 20% lower in OFS-fed rats than in controls
(P = 0.002) (Table 1)
. Hepatic triglyceride
concentration was 57% lower in OFS-fed rats compared with control
rats (P = 0.04), and hepatic PL concentration was also
lower (P = 0.04). This was confirmed by histologic
examination of the liver (Fig. 3
). Fat staining performed on cryostat section in controls (Fig. 3A
) showed numerous micro- and macrovacuolar Sudan 7b
positive hepatocytes, which were present mainly in the midzonal,
partially in the periportal area of the hepatic lobule. Fewer fat
positive cells were found in the liver of OFS-treated rats (Fig. 3B
); these cells were dispersed mainly in the periphery of
the midzonal area. This difference in fatty degeneration of hepatocytes
between Zucker rats fed control and OFS-containing diets, was also
visible after hematoxylin and eosin staining (white vacuoles) (Fig. 3C
and Fig. 3D
).
|
| DISCUSSION |
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The influence of OFS on lipemia and glycemia in Zucker rats varied with
the duration of the treatment. In contrast to the results obtained in
rats fed OFS in either standard or lipid-rich diets, in which a
lower triglyceridemia was observed from wk 1 of treatment (Kok et al. 1996
and 1998a
), serum TAG were not modified by
OFS treatment in either the postprandial or food-deprived state. A
glucose and lipid load test was performed after 8 wk of treatment. The
increase in triglyceridemia occurring 2 h after an oral load of
glucose and corn oil was significantly higher in OFS-fed than in
controls rats, suggesting either a higher capacity to absorb lipids
from the intestinal tract and/or a greater secretion of endogenous VLDL
from the liver. The putative promoting effect of OFS on lipid
absorption is disturbing because it is generally accepted that dietary
fiber promotes the fecal excretion of bile acids and thus interferes
with the absorption of dietary lipids. However, some investigators have
obtained results suggesting that the intestinal activity of lipase and
the secretion of bile acids, two processes participating in TAG
digestion, are higher in rats fed a diet containing fermentable fibers
such as guar gum or pectin (Favier et al. 1997
,
Foreman and Scheemann 1982
, Levrat et al.
2000
). Could such a mechanism also occur in OFS-fed rats?
The question remains open. What about a putative effect on VLDL
secretion? This question will be discussed below.
Knowing the putative atherogenic role of postprandial
hypertriglyceridemia in humans, it is essential to clarify the
mechanism and the putative relevance in humans of the higher
triglyceridemia observed in OFS-treated rats after a fat load.
After 10 wk of treatment, serum TAG and cholesterol levels, measured in
the cava and portal veins, were similar in control and OFS-fed
rats. However, OFS feeding led to a dramatic decrease in the
concentration of TAG in liver. This phenomenon, which reduced the
relative liver weight, was confirmed by histologic analysis. In Zucker
rats fed the standard diet, accumulation of lipid vacuoles, stained by
Sudan 7b, was observed mainly in the midzonal area and partially in the
periportal zone of the liver lobule, as previously shown by
Koneru et al. (1995)
. The phenomenon was much less
dramatic in the liver of rats fed OFS, in which only rare enlarged
fat-containing hepatocytes were dispersed, mainly in the periphery
of the midzonal area.
Obese Zucker rats develop hepatic steatosis due to excessive synthesis
and storage of TAG in the liver (Fukuda et al. 1982
).
Therefore, we measured the activities of key enzymes involved in fatty
acid synthesis (ME, ATPCL and FAS) and esterification (PAP). The only
significant effect was a lower activity of ME, which provides NADPH for
fatty acid elongation by FAS complex in OFS-fed rats, whereas the
other enzyme activities and FAS mRNA were not different. This effect
differed from the huge decrease in lipogenic enzyme mRNA and activities
observed in the liver of OFS-fed Wistar rats (Delzenne and Kok 1999
). Glucose and insulin are important regulators of
fatty acid synthesis because they coordinately promote lipogenic enzyme
gene expression (Girard et al. 1997
). Postprandial
insulin was significantly lower in nonobese rats fed
fructan-enriched diets, in which hepatic lipogenesis was strongly
inhibited (Kok et al. 1998b
). Is the present
study, we did not detect any modifications of glycemia during OFS
treatment, but a lower serum glucose concentration was observed in the
portal and cava veins at the end of the study in OFS-fed rats. This
effect was accompanied by a higher concentration of insulin. Although
the role of insulin as a regulator of VLDL secretion is controversial,
several studies support its role as a promoter of VLDL secretion from
liver tissue in vivo and in vitro (Zammitt 1996
). A
higher secretion of VLDL in Zucker rats treated with OFS could explain
the lower TAG accumulation in the liver. This hypothesis remains to be
tested. De novo lipogenesis is not the sole source of fatty acids for
TAG synthesis in the liver. In Zucker rats, the large fat mass releases
nonesterified fatty acids that reach the liver. We have shown that the
epididymal fat mass is lower in OFS-fed rats, but the postprandial
and post- food deprivation concentrations of nonesterified fatty acids
in the serum was not modified by the treatment, at least until wk 5
(data not shown).
The mechanism by which such nondigestible carbohydrate such as
oligofructose may modulate systemic lipid metabolism remains unknown.
It could be related to the lower food and energy intakes at the
beginning of the treatment, or to OFS fermentation in the ceco-colon. A
possible role of the microflora in providing a hepatotrophic factor or
in modifying their bioavailability would be interesting to test. On the
other hand, short-chain carboxylic acids such as acetate and
propionate are end products of bacterial fermentation of fructans,
which reach the liver through the portal vein. Some in vitro studies
indicate that both acetate and propionate have antagonistic effects on
lipid metabolism (acetate is a lipogenic substrate, whereas propionate
is an effective inhibitor of lipid synthesis in isolated hepatocytes)
(Demigné et al. 1995
and 1999
). Their putative
role as regulators of TAG synthesis and secretion in the liver of obese
Zucker rats remains to be evaluated.
In conclusion, this study suggests that the metabolic response to
dietary fructans is different in obese Zucker rats than in other animal
models. They do not have the hypotriglyceridemia observed in numerous
studies of animals and humans (Roberfroid and Delzenne 1998
). This study suggests that fructans do not counteract the
hyperlipidemia associated with insulin resistance due to a
leptin-receptor defect. This could explain why some authors failed
to find a hypotriglyceridemic effect of fructans in diabetic patients
(Alles et al. 1999
). However, we found that dietary
fructan supplementation counteracted both fat mass development and the
hepatic steatosis that occur in obese Zucker rats. The putative
influence of dietary fructans on body weight and fat mass, if confirmed
in humans, would constitute an interesting tool in the control of
obesity. A recent paper reported that in severely obese people (body
mass index >45 kg/m2), 86% were found to have
steatosis (Marceau et al. 1999
). The pathologic
consequences of TAG accumulation in the liver are not well understood,
but more and more studies suggest that fatty liver is more sensitive to
viral infection (hepatitis C), ischemia, or toxic compounds
(Hourigan et al. 1999
, Koneru et al. 1995
). Future studies will be designed to analyze the mechanism
of the "hepatoprotective" effect of dietary fructans in obese
animals to clarify its putative usefulness in the control of the
hepatic alterations linked to obesity in humans.
| FOOTNOTES |
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2 C. D. is financed by Danone Institute
(Brussels, Belgium). ![]()
4 Abbreviations used: ATPCL, adenosine
triphosphate citrate lyase; FAS, fatty acid synthase; ME, malic enzyme;
NIDDM, noninsulin-dependent diabetes mellitus; OFS, oligofructose;
PAP, phosphatidate phosphohydrolase; PL, phospholipids; RT-PCR,
reverse transcriptase-polymerase chain reaction; TAG,
triacylglycerol. ![]()
Manuscript received October 1, 1999. Initial review completed November 7, 1999. Revision accepted February 3, 2000.
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O. Aprikian, J. Busserolles, C. Manach, A. Mazur, C. Morand, M.-J. Davicco, C. Besson, Y. Rayssiguier, C. Remesy, and C. Demigne Lyophilized Apple Counteracts the Development of Hypercholesterolemia, Oxidative Stress, and Renal Dysfunction in Obese Zucker Rats J. Nutr., July 1, 2002; 132(7): 1969 - 1976. [Abstract] [Full Text] [PDF] |
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C. Daubioul, N. Rousseau, R. Demeure, B. Gallez, H. Taper, B. Declerck, and N. Delzenne Dietary Fructans, but Not Cellulose, Decrease Triglyceride Accumulation in the Liver of Obese Zucker fa/fa Rats J. Nutr., May 1, 2002; 132(5): 967 - 973. [Abstract] [Full Text] [PDF] |
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N. M. Delzenne, N. Kok, P. Deloyer, and G. Dandrifosse Dietary Fructans Modulate Polyamine Concentration in the Cecum of Rats J. Nutr., October 1, 2000; 130(10): 2456 - 2460. [Abstract] [Full Text] |
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