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Unité INRA/INAPG de Physiologie de la Nutrition et du Comportement Alimentaire, Institut National Agronomique de Paris-Grignon, Paris Cedex 05, France
1To whom correspondence should be addressed. E-mail: tome{at}inapg.inra.fr.
| ABSTRACT |
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-glutamyl transferase, were significantly higher
in the P50 group than in the P14 rats. Similarly, the activities of
alanine aminotransferase, arginase and serine dehydratase were
significantly higher in the liver of P50 rats compared with P14 rats.
Both amino acid transporter system A and XA,G- activities,
measured in freshly isolated hepatocytes, were significantly higher in
the P50 group (8- and 1.5-fold, P < 0.05,
respectively) compared with the P14 group. The 1.5-fold increase in the
steady-state activity of XA,G- was accompanied by a
doubling of EAAT2 mRNA, involved in the system XA,G-. This
study provides confirmation that specific biochemical and molecular
adaptive processes of the splanchnic area are involved in the response
to variations in the protein content of the diet.
KEY WORDS: rats high protein diet liver amino acid transporters gene expression.
| INTRODUCTION |
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One important metabolic adjustment to the dietary protein level is
nitrogen excretion, which is dependent on protein intake and reflects
precisely any increase in amino acid oxidation and subsequent nitrogen
elimination (14)
. Tissues in the splanchnic area, i.e.,
the intestinal mucosa and liver, are particularly affected by these
adaptations. The upper level of protein intake to which they can adapt
likely represents the limit between metabolic adaptive adjustment and
adverse effects (15)
. Indeed, the activities of the
different gut and liver enzymes and transport systems increase markedly
after an adaptation period, thereby increasing the capacity for amino
acid catabolism (16
17
18
19
20)
. Activities of hepatic transport
systems may be adapted to the portal load. Several distinct amino acid
transport systems have been characterized in the liver, including the
Na+-dependent systems A, ASC and
XA,G-. A high protein diet enhances alanine
exchange by system A (21)
, whereas the effects on systems
ASC and XA,G- are unclear. ASC is involved in
neutral amino acid transport; under baseline conditions, it ensures a
large proportion of alanine uptake by the liver (22)
. Two
different proteins may account for the ASC transport system, i.e.,
ASCT1 and ASCT2 (23)
. ASCT2 was not detected in the liver,
suggesting that ASCT1 may be the principal subtype in the liver
(24)
. According to the classification proposed by Palacin
and co-workers (25)
, five isoforms of the glutamate
transporter proteins (EAAT1 to 5) may be responsible for
XA,G- transport activity. Two of these isoforms,
EAAT2 and EAAT4, are strongly expressed in the liver as well
(personal observation, data not shown).
The objective of this work was thus to assess the effects of
long-term adaptation to a diet with a moderately high protein
content (50 g/100 g DM) on energy intake, body weight gain, body
composition and intestinal and hepatic metabolic indicators in rats.
Metabolic markers included intestinal brush border enzymes (neutral
aminopeptidase, dipeptidyl aminopeptidase IV,
-glutamyltransferase),
liver transamination [alanine aminotransferase (ALT) and aspartate
aminotransferase (AST)], liver gluconeogenesis (threonine-serine
dehydratase), liver ureagenesis (arginase), the livers ammonia
scavenging system (glutamine synthase) and liver amino acid transport
capacities (system A, system ASC, system XA,G-)
and expression (system XA,G- and system ASC).
| MATERIALS AND METHODS |
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Collagenase A (0.96 U/mg) was purchased from Boehringer Mannheim (Meylan, France). L-[2,3-3H] alanine (1.92 TBq/mmol) was purchased from Sigma (La Verpillière, France) and L-[G-3H] glutamic acid (1.81 TBq/mmol) from the Radiochemical Center (Amersham, Les Ulis, France). All other reagents were ordered from Sigma (La Verpillière, France).
Animals and diets.
Adult male Wistar rats (n = 40) from Harlan
(Gannat, France) weighing 200210 g at the beginning of the experiment
were housed individually in stainless steel wire cages at 22 ± 2°C, on a 12-h reverse light:dark cycle (07001900 h; lights on at
1900 h). All experimental procedures used during these experiments
complied with the guidelines of the French National Animal Care
Committee. Twenty-four rats were used for body weight, food intake
and body carcass measurements and 16 for intestinal and liver metabolic
studies because liver collagenase dissociation and body carcass
composition were not possible concomitantly. Two diets were used. The
P14 diet was an AIN-93M modified diet (26)
. In place of
casein and cystine, this diet contained 140 g of total milk
protein per kilogram of diet. The P50 diet was also an AIN-93M modified
diet, containing 500 g of total milk protein per kilogram of diet.
The addition of protein replaced an equivalent amount of sucrose and
starch. The composition of the test diets is shown in Table 1
.
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For the first week (prefeeding period, until d 0) 24 rats were adapted to the laboratory conditions. They were divided into three groups of eight rats matched for body weight and called P14, P14-pair fed (P14-pf) and P50. During this prefeeding period, the three groups had free access to the standard diet, P14. For the next 3 wk (experimental period, d 121), the P14 and P50 groups had free access to the P14 or P50 diets, respectively. The P14 pair-fed group received the same daily energy intake as the P50 group. Food intake and body weights were measured daily at 1700 h. All diets were moistened (water/powdered diet, 1:2) to prevent spillage. Water was available at all times. After 21 d and overnight food deprivation, the rats were weighed and killed using sodium pentobarbital (45 mg/kg body). Brown adipose tissue from the interscapular fat pad and four deposits of white adipose tissue (WAT), the epididymal, retroperitoneal, visceral and subcutaneous fat pads, were carefully removed and weighed. Liver, digestive tract, heart, kidneys and spleen were excised, washed free of gross blood in a NaCl 9 g/L solution and weighed. The stripped carcass was also weighed.
Intestinal and hepatocyte experiments.
After wk 1 of acclimatization, 16 rats were divided into two groups of eight rats also called P14 and P50. Rats consumed ad libitum the P14 and P50 diets, and were housed as previously described. After 21 d, these rats were anesthetized with an injection of pentobarbital (45 mg/kg body) for the isolation of hepatocytes and intestinal sampling.
Intestinal brush border homogenate preparation.
Small intestines were removed during liver collagenase dissociation (see below), placed in an ice-cold 9 g/L NaCl solution and divided into two equal pieces (proximal and distal). After being washed twice with the same solution, the gut pieces were everted and scraped. The homogenates were stored immediately at -80°C. Enzymatic assays were conducted on the homogenates during the week after the sampling.
Preparation of isolated hepatocytes.
Liver cells were isolated using the collagenase dissociation method
described by Seglen with a few modifications. Livers were perfused in
situ through the lower vena cava at a rate of 40 mL/min with a HEPES
buffer (HEPES 10 mmol/L, NaCl 137 mmol/L,
Na2HPO4, 0.7 mmol/L, pH 7.65, 37°C)
(27)
. A slit was made in the portal vein to allow the free
outflow of the perfusate. After 30 min, CaCl2 (2.7 mmol/L)
and collagenase (0.2 g/L) were added to the buffer and the perfusion
was continued for another 15 min. The collagenase-digested liver
was carefully removed and gently broken up in a Petri dish to disperse
cells. The cell suspension was passed over a nylon mesh and washed free
of collagenase with HEPES buffer. A Percoll continuous gradient (1
volume of cell suspension/2 volumes Percoll) in HEPES buffer was used
to separate hepatocytes from nonparenchymal liver cells. Cell viability
was
9095%, as estimated by trypan blue exclusion. Freshly
isolated hepatocytes were used immediately for amino acid uptake
measurements or frozen in liquid nitrogen and stored at -80°C for
subsequent analysis.
Enzyme assays.
All determinations of enzyme activities were performed
spectrophotometrically. Neutral aminopeptidase (EC 3. 4. 11.11) and
dipeptidyl aminopeptidase activities (EC 3.4.14.5) were assayed in the
intestine using the technique described by Maroux et al.
(28)
. Gut
-glutamyl transferase (EC 2.3.2.2) activity
was assayed using a kit (Sigma diagnostic kits, La Verpillière,
France). Liver enzyme activities were measured on cell homogenates
prepared by the sonication of 1 x 106 hepatocytes for
5 s. Alanine aminotransferase (EC 2.6.1.2) and AST (EC 2.6.1.1)
assays were performed as described by Bergmeyer et al.
(29)
. Serine-threonine dehydratase (EC 4.2.1.16)
activity was measured using the method described by Friedemann and
Heugen (30)
. Arginase (EC 3.5.3.1) activity was determined
using the method described by Schimke (31)
. Glutamine
synthase (EC 6.3.1.2) was assayed indirectly on the basis of the
formation of L-
-glutamylhydroxamic acid from glutamate
and hydroxylamine. L-
-Glutamylhydroxamate was assayed
colorimetrically after reaction with FeCl3
(32)
. The protein content was determined using the
bicinchoninic acid method from Pierce (Rockford, IL) (33)
with bovine serum albumin as a standard. Results were expressed as
moles of product formed per minute per milligram of protein.
Transport experiments.
Amino acid uptake was measured at 37°C in isolated rat hepatocytes using a rapid filtration method. Briefly, 100 µL of cell suspension containing 1 x 106 viable hepatocytes was preincubated for 2 min at 37°C. Uptake was initiated by adding 900 µL of transport buffer containing 10 µmol/L L-glutamate or 100 µmol/L L-alanine trace-labeled with 3.7 GBq/L of [3H]-L-glutamate or [3H]-L-alanine, respectively. After 2 min, the reaction was stopped by the addition of 4 mL of ice-cold stop buffer (transport buffer devoid of radiolabeled amino acid), and rapid filtration through a membrane filter (Millipore HAWP, 0.45 µm, Les Ulis, France). The filters were washed twice with 4 mL of the ice-cold stop buffer and the amount of amino acid transported was measured by liquid scintillation counting. The composition of the transport buffer was as follows: HEPES 10, mmol/L; NaCl, 137 mmol/L; KCl, 5 mmol/L; CaCl2, 2.8 mmol/L; MgSO4, 1 mmol/L; Na2HPO4, 0.3 mmol/L; KH2PO4, 0.3 mmol/L; glucose, 10 mmol/L; and (aminooxy)acetic acid, 0.5 mmol/L, pH 7.6. A transamination inhibitor, (aminooxy)acetic acid, was used to prevent the metabolism of alanine and glutamate. An Na+-free transport buffer (prepared by replacing NaCl with choline chloride and omitting Na2HPO4) was used to determine the Na+-independent uptake of glutamate or alanine. Na+-dependent transport of L-glutamate or L-alanine was calculated as the difference between the transport measured in Na+-containing and Na+-free buffers. Specific inhibitors were also used to determine the contribution of individual transport systems to the uptake of alanine and glutamate. To determine the glutamate transport through the XA,G- system, Na+-dependent glutamate uptake occurring in the presence of a 100-fold excess of D-aspartate was subtracted from the uptake measured in the absence of D-aspartate. Similarly, the contribution of system A to L-alanine transport was calculated from the difference between Na+-dependent alanine uptake and the uptake measured in the presence of a 100-fold excess of methyl-amino-isobutyric acid (MeAIB). Alanine remaining after Na+-dependent uptake, i.e., the proportion unaffected by MeAIB, was assumed to represent the contribution of system ASC. Results are expressed as picomoles of amino acid transported per milligram of cell protein.
Reverse transcription-polymerase chain reaction (RT-PCR) analysis.
Freshly isolated hepatocytes were resuspended in a denaturing solution
(guanidinium thiocyanate, 4 mol/L; sodium citrate, 25 mmol/L; sarcosyl,
5 g/L, pH 7). Total RNA was extracted according to the method described
by Chomczynski and Sacchi (34)
. After RNA integrity had
been confirmed by ethidium bromide staining, first strand cDNA was
synthesized from 4 µg of total RNA using
oligo(dT)1218 as primers in the presence of Moloney murine leukemia
virus reverse transcriptase (Life Technology, Cergy, France) for 1 h at 37°C. For PCR, 5 µL of each RT product was used
(50 µL final reaction volume), with primers chosen
from conserved parts of the coding regions of EAAT1, EAAT2, EAAT3,
EAAT4 and ASCT1 (Table 2
). Amplifications were performed using a MJ Research PTC-200
Thermocycler (Prolabo, Fontenay-sous-bois, France) for 35 cycles, which
comprised denaturation (95°C, 45 s), annealing (56°C, 45 s), and extension (72°C, 1 min) with the AmpliTaq Gold DNA polymerase
(Perkin Elmer, Villebon, France). To permit semiquantitative analysis,
RT-PCR of the housekeeping gene ß-actin was also amplified and
used as an internal standard for the PCR. After amplification, 10
µL of each EAAT1 (384 bp), EAAT2 (914 bp), EAAT3 (539 bp),
EAAT4 (479 bp) and ASCT1 (495 bp) PCR reaction product was mixed with 4
µL of the product of the ß-actin (473 bp) PCR reaction,
and the PCR products were separated by electrophoresis through a 2%
agarose gel, stained with ethidium bromide and quantified using the
Alpha Innotech digital imaging system (Alpha Innotech, San Leandro,
CA). The PCR products were sequenced by Cybergene (Paris,
France).
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Data are given as means ± SEM Statistical analyses were performed using Students t test for comparison of amino acid uptakes and enzyme activities between the P14 and the P50 groups. Food intake and body weight comparisons between groups were performed using Tukeys test after ANOVA had established significant differences among the groups. All analyses were performed using the SAS Statistical package (SAS/STAT version 6.12 for windows 95, SAS Institute, Cary, NC). Probability values < 0.05 were considered to indicate significant differences.
| RESULTS |
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During the prefeeding period (until d 0) all groups fed the P14 diet
had similar daily intake (360 ± 4 kJ/d) and growth rate (4.4
± 0.2 g/d). During the experimental feeding period (d 121), the
rats consuming the P50 diet had 16 ± 1% lower energy intakes and
body weight than those consuming the P14 diet (Fig. 1
). Energy intakes were 323 ± 7 and 387 ± 6 kJ/d,
respectively (P < 0.001). The lower energy intake in
the P50 group was due in part to a considerably lower energy intake on
d 1 (-28%, P < 0.001). By the end of the experiment,
the body weight gain was
86.0 ± 5.3 g in the P50 group
vs. 112.7 ± 4.3 g in the P14 group (P < 0.01). However, there were no differences in body weight gain between
the P50 and P14-pf groups. Moreover, at the end of the experiment,
energy efficiency did not differ among the three groups, with a mean
energy efficiency value of 0.014 ± 0.001 g gain/kJ.
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Body weight was significantly lower in both the P50 and P14-pf groups
compared with the P14 group, whereas no difference was observed between
the P50 and P14-pf rats (Table 3
). The stripped carcass weight was significantly lower in the P14-pf
group compared with the P14 group, whereas the P14 and the P50 groups
did not differ. In addition, the stripped carcass/body weight ratio was
significantly higher in the P50 group compared with the P14 group,
whereas no difference was observed between the P14 and P14-pf groups.
Comparisons of organ weights between the P14 and P14-pf groups
indicated a lower weight for the liver, spleen and heart in the P14-pf
group. In contrast, when the P50 group was compared with both the P14
and the P14-pf groups, liver, spleen and heart weights did not differ
but kidney weight was greater in P50 rats. The P50 group had less
adipose tissue than either the P14 and or the P14-pf rats. Adipose
tissue weight was significantly lower in the P14-pf group than in the
P14 group as well, but the effect was less marked than in the P50
group. Similar differences were also observed in the WAT/stripped
carcass ratio.
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The activities of the intestinal brush border membrane enzymes, neutral
aminopeptidase and
-glutamyl-transferase, were all significantly
greater in the P50 group than in the P14 group (Table 4
). Similarly, in the liver, the activities of ALT, arginase and serine
dehydratase were significantly higher in the P50 group, whereas AST and
glutamine synthase activities were not affected by diet. Moreover, in
rat liver cells obtained from rats fed the high protein diet for
21 d, a twofold increase in total alanine uptake was observed
(Table 5
). With both diets, the accumulated level of alanine was significantly
reduced when choline chloride was substituted for sodium chloride in
the transport buffer (sodium-independent transport). Furthermore, in
the presence of MeAIB, a reduction in alanine transport was observed.
Under these conditions, system A activity (characterized by the
difference in alanine accumulation in the presence or absence of MeAIB,
at a 100-fold excess level) was approximately eightfold greater in the
P50 group than in the P14 group. By contrast, ASC activity
(characterized by the Na+-dependent alanine
transport minus system A activity) was not significantly affected by
the dietary protein level. Global glutamate uptake was higher in liver
cells of P50 rats compared with those of P14 rats. In both diet groups,
the addition of D-aspartate to the transport buffer
decreased glutamate entry into the cells. The dietary protein level
also influenced XA,G- activity, which was higher
in the P50 diet group.
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To investigate the effect of a high protein diet on the expression of
XA,G- isoforms further, semiquantitative
RT-PCR assays were performed. EAAT1 and EAAT3 were present, but
were too poorly expressed to be quantified accurately (data not shown).
By contrast, EAAT2 and EAAT4 were strongly expressed. A doubling of
EAAT2 mRNA was noted in rats that consumed the high protein diet for 3
wk compared with the P14 group, as shown by the analysis of its level
of expression (Fig. 2
). Values represent the ratio of EAAT2 mRNA to ß-actin mRNA. In
contrast, the expression of EAAT4 did not differ in the two groups
(EAAT4/ß-actin ratio of 67.6 ± 3.6 vs. 71.8 ± 10.7). For
ASCT1, a zwitterionic amino acid transporter responsible for ASC
activity in the liver, the high protein diet had no effect on the mRNA
expression of this gene (ASCT1/ß-actin ratio of 87.5 ± 10.6 vs.
90.5 ± 8.6).
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| DISCUSSION |
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To discriminate between the effect of depression in energy intake and
the effect of the high protein content of the diet, a pair-fed
group (14 g/100 g) was included in the experiment. Interestingly, we
noted different effects on body composition in the P50 and P14-pf
groups, suggesting a specific effect of the dietary protein
concentration. The principal effect on body composition in the P14-pf
group (having a reduction in energy intake without any changes in the
macronutrient composition of the diet) was a decrease in body weight
associated with an overall decrease in the mass of tissues and organs,
including lean body mass, adipose tissue, liver, spleen and heart
(Table 3)
. In contrast, the reduction in body weight observed in the
P50 group was associated mainly with a reduction in fat mass compared
with both the P14 and the P14-pf groups, without any significant
effects on lean body mass. This resulted in an increase in the ratio
between lean and fat mass. Both the anorexic effect and the reduction
in fat mass in response to a high protein diet could be related to the
specific orientation of energy metabolism, with amino acids as the
principal energy substrate. Indeed, the diversion of amino acids to
catabolic pathways and gluconeogenesis is generally associated with a
higher thermogenic effect of the diet (38)
. The precise
mechanisms involved in such diversion, and the role of amino acid
transport systems in directing amino acids specifically into the
various metabolic pathways require further elucidation.
Adaptation to a high protein diet has been correlated with an increase
in the activity of enzymes involved in protein digestion and in
splanchnic nitrogen metabolism (9
,17)
. Moreover,
splanchnic amino acid catabolism appears to be a major adaptive
response to an increase in the protein content of the diet
(39
,40)
. The high protein diet significantly enhanced the
levels of intestinal peptidases (Table 4)
, consistent with previous
findings that intestinal enzymes and peptide and amino acid
transporters adapt to diets with different protein contents
(16)
. These results also indicated that different pathways
involved in liver amino acid metabolism were activated, including amino
acid transport, transaminations, and the capacities for gluconeogenesis
and ureagenesis. Indeed, increasing the protein intake produced more
postprandial portal amino acid flow, and the liver has been shown to
play a prominent role in the first-pass metabolism of these amino
acids. It has become increasingly apparent that the activities of
membrane proteins catalyzing the selective transport of amino acids
play a major mechanistic role in the regulation of hepatic physiology,
particularly when the amino acid flow is increased. These results
strongly suggest that in periportal hepatocytes, which represent the
largest liver parenchymal cell population, the response to a high
protein diet is driven by the modulations of system A activity and
subsequent catabolic enzyme systems. In perivenous hepatocytes,
activation of system XA,G- may play a scavenging
role by increasing glutamate uptake and the subsequent transfer of
ammonia to glutamate through glutamine synthase activity
(41)
.
Our results clearly demonstrated a dramatic activation of system A in
the liver by a high protein diet without major nutritional regulation
of system ASC. The recent identification of the protein rATA2
responsible for the system A amino acid transport activity will allow
further investigation of the cellular mechanisms involved in its
up-regulation by high protein diets (42)
. The
expression of ASCT1 mRNA, measured using semiquantitative RT-PCR,
was not affected by the dietary protein level, and ASCT1 protein
expression parallels system ASC activity. System A components in
hepatocytes have been reported to be elicited in catabolic states such
as chronic starvation (43)
, a very high protein diet
(
90% casein) (44)
and burn injury (22)
or
in hyperinsulininemic rats (45)
. The activation of system
A in hepatocytes was associated with an increase in the activities of
enzymes involved in amino acid catabolism, including ALT, arginase and
serine dehydratase (Table 4)
. Such activation ensures the efficient
uptake and subsequent catabolism of amino acids by periportal
hepatocytes, thus preventing a rise in their peripheral concentration
with a high protein diet. The additional increase in ALT activity
drives certain amino acids toward catabolic pathways. Indeed, liver
arginase activity was clearly higher in rats fed the high protein diet,
showing that amino acids in excess of immediate requirements for
synthesis were deaminated, and their nitrogen oriented towards the urea
cycle. As already documented, increased amino acid catabolism and
subsequent urea excretion are associated with an increase in kidney
size (Table 3)
, and these have been related to a higher glomerular
filtration rate (46)
. In addition, rat liver serine
dehydratase, which catalyzes the pyridoxal phosphatedependent
deamination of L-serine or L-threonine to
produce pyruvate or
-ketobutyrate, is regarded as a gluconeogenic
enzyme. To date, it has been shown that serine dehydratase is increased
dramatically under conditions of gluconeogenesis, such as starvation,
diabetes mellitus or after the consumption of excess dietary protein
(90% casein) (47)
. Even if the dietary protein
concentration is increased only slightly (2-fold), the high
protein diet induced dramatic stimulation (
50%) of serine
dehydratase activity (Table 4)
. Because total oxidation of any
substrate is impossible, it has been suggested that the principal
pathway of amino acid carbon metabolism in the liver of rats fed a high
protein diet is conversion to glucose (38)
.
Interestingly, transport across the liver sinusoidal membrane is
recognized as an important mechanism controlling hepatic flux. In
particular, the transport of glutamate, as a precursor of glutamine, is
much higher in perivenous than in periportal hepatocytes, suggesting a
major role in ammonia detoxification (48)
. Liver glutamate
transmembrane delivery is thus crucial in the event of a dietary
protein excess because when surplus ammonia escapes liver urea
synthesis, glutamine may be synthesized from glutamate through
glutamine synthase, acting as a scavenger for ammonia
(49)
. Indeed, it has been shown previously that glutamate
transport is enhanced when catabolic hormones (such as corticosteroid
and glucagon) are secreted (50)
. In our study, we found
that a high protein diet increased XA,G- activity
without modifying glutamine-synthase activity (Tables 4
and 5)
.
This finding is consistent with previous observations made in catabolic
states such as major burn injury, where no appreciable increase in
glutamine synthase expression was observed in the liver
(51)
. Liver EAAT 2 and 4 subtypes participate mainly in
XA,G- activity in this tissue (personal
observation, data not shown). To improve our understanding of the
mechanisms involved in the nutritional regulation of EAAT2 and EAAT4
gene expression, we investigated the effects of dietary protein on the
abundance of EAAT 2 and EAAT4 mRNA to determine whether an increase in
XA,G- activity was associated with a similar
increase in EAAT mRNA. The 1.5-fold increase in steady-state
XA,G- activity was accompanied by a doubling
increase in EAAT2 mRNA (Fig. 2)
. The comparable magnitude of the change
in activity and mRNA suggested that dietary protein may regulate
XA,G- at the transcriptional level. However, we
did not investigate the effect of dietary protein on EAAT protein
level. This capacity for the adaptation in XA,G-
activity in various catabolic states was consistent with observations
made by Farfournoux and co-workers (52)
. However, the
mechanism(s) by which dietary protein regulate(s) EAAT gene expression
remain to be determined. The signals responsible for long-term
regulation of XA,G- may be similar to those
identified for other amino acid transporters. Insulin, glucagon,
glucocorticosteroids and thyroid hormones have been identified as
factors modulating amino acid transport and catabolism
(21
,45)
.
The results of this study suggest that rats fed a moderately high protein diet successfully adapt to the dietary protein concentration within 2 wk because their body weights, energy intake and energy efficiency were similar to those of the pair-fed controls. The results provide confirmation that specific adaptive processes are involved in the response to variations in the protein content of the diet. In the splanchnic area, and more particularly in the liver, amino acid transport systems, including both system A and system XA,G- by way of EAAT2, are controlled by the dietary protein concentration. Enhanced transmembrane amino acid delivery is associated with increased activities of catabolic pathways, such as the urea cycle and gluconeogenesis. Further studies are required to establish the nature of the transcriptional control of the EAAT2 gene, particularly by hormones. In the future, identification of the proteins involved in the regulation of amino acid transporters and enzymes of the amino acid metabolism will provide information at the molecular level about the basic mechanisms controlling body nitrogen and amino acid homeostasis and their relationship with energy metabolism and the control of body weight. Further studies are also required for precise determination of the physiologic tolerable upper limits for dietary proteins.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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Manuscript received July 5, 2000. Initial review completed August 15, 2000. Revision accepted September 29, 2000.
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