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,**,3
* Department of Biochemistry,
Edison Biotechnology Institute, and
** Department of Biomedical Sciences, College of Osteopathic Medicine, Ohio University, Athens, OH 45701
3To whom correspondence should be addressed. E-mail: chenx{at}ohiou.edu.
| ABSTRACT |
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KEY WORDS: type II diabetes obesity tannic acid glucose transport adipocyte differentiation
Type II diabetes (T2D)4 and obesity have become health problems of epidemic proportion in this and other developed countries (1). Obesity is intimately associated with syndrome X, which is characterized by hyperinsulinemia (insulin resistance), hyperlipidemia, and hyperglycemia, and which ultimately leads to T2D (2). Obesity is one of the most important contributing risk factors to syndrome X and T2D. Weight gain, particularly that associated with T2D, is due in part to adipogenesis (3,4). Adipogenesis is a 2-step process within which clonal expansion of preadipocytes precedes adipocyte differentiation (5). It leads to an increase in both the number and size (volume) of adipocytes (6,7). Overweight and obesity are the result of excessive adipogenesis (3,4,7). Therapeutically and historically, for biomedical, economical, and convenience reasons, antidiabetic drugs have focused on hyperglycemia, while largely ignoring the overweight or obesity problem. Even worse, most of the antidiabetic drugs promote weight gain, i.e., adipogenesis, while reducing blood glucose (8). The current strategy, as effective as it may be for the short term, is not desirable for the long-term treatment of the large majority of the T2D patients who are overweight or obese. In comparison, reducing hyperglycemia, hyperlipidemia, and hyperinsulinemia without increasing adiposity or with a reduction of body weight would constitute a much preferred treatment alternative.
In a previous study, we reported that banaba extract (BE) possessed activities that both stimulated glucose transport and inhibited adipocyte differentiation in 3T3-L1 cells (9). The 2 activities working together seem to be an ideal combination for the prevention and treatment of syndrome X and T2D. However, the identity of the component in BE responsible for these 2 activities was not known. More recently, in the process of isolating and identifying effective antidiabetic compounds, we serendipitously discovered that the 2 activities reside in the tannin fraction of BE. Tannins are polyphenolic compounds found in foods such as legumes, vegetables, fruits, and beverages (10). Tannins were reported to possess multiple biological activities including anticancer (10), antioxidant (11), and antimicrobial activities (12). Based on their chemical structures, tannins are further divided into hydrolyzable and condensed tannins (10). The main components of hydrolyzable tannins are gallotannins, also referred to as tannic acid (TA), and ellagitannins (10). TA has not been studied systematically for its potential functions in the processes of glucose transport or adipogenesis. Because commercially available TA covers a relatively well-defined class of structure within tannins, we decided to investigate its bioactivities. In this study, we used 3T3-L1 adipocytes as cell models and glucose uptake assays as a way in which to measure activities that stimulated glucose transport and inhibited adipocyte differentiation in an attempt to characterize the properties of TA. In addition, the mechanisms by which TA mediates its activities, especially glucose transport activity, were investigated.
| MATERIALS AND METHODS |
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Cells. 3T3-L1 preadipocytes, Madin-Darby canine kidney (MDCK), and Chinese hamster ovary (CHO) cells were purchased from American Type Culture Collection. CHO-IR cells (13) were a gift from Dr. Alan Saltiels laboratory. The 3T3-L1 preadipocytes were cultured in DMEM containing 10% (v:v) calf serum with 50 kIU/L penicillin, and 0.05 g/L streptomycin at 37°C in a 10% CO2 cell incubator. MDCK and mouse L cells were maintained in DMEM with 10% FBS, 50 kIU/L penicillin, and 0.05 g/L streptomycin at 37°C in a 5% CO2 cell incubator. CHO-IR cells were maintained in MEM containing nucleotides, 10% FBS, 2 mmol/L L-glutamine, 50 kIU/L penicillin, and 0.05 g/L streptomycin at 37°C in a 5% CO2 cell incubator.
BE and tannic acid. BE was prepared as previously described (9). Tannin in BE was removed with either a gelatin (14) or a bovine serum albumin (BSA) procedure (15) with minor modifications. In both procedures, 100 g/L was prepared in 2 mL of distilled water. To use gelatin to remove tannin, BE was centrifuged for 5 min at 9200 x g and filtered with a 0.2-µm filter; 1 mL of 40 g/L gelatin was added and mixed with the filtered BE, which was then centrifuged for 5 min at 9200 x g. The supernatant was transferred to a new tube and the pellet, which contained tannin and gelatin, was discarded. This step was repeated once. The supernatant was collected in a new tube, and mixed with 1 mL of 40 g/L gelatin, and centrifuged at 30,000 x g for 20 min to remove residual tannin. The resulting supernatant was transferred to a new tube and the pellet discarded. A 5-fold volume of ethanol was added to remove excess gelatin in the remaining BE; this solution was then centrifuged at 30,000 x g for 10 min, and the final tannin-free supernatant was transferred to a new tube and vacuum-dried. The dried supernatant sample, BE (TA)gelatin, was subsequently tested for glucose uptake activity.
Similarly, tannin was also removed from BE with 20 g/L BSA using an established procedure (15). Briefly, 200 µL of 10% BE was mixed with 200 µL of 20 g/L BSA, centrifuged at 30,000 x g for 10 min. To remove the excess BSA, 200 µL of ethanol was added to BE and the mixture was centrifuged at 30,000 x g for 10 min. The resulting BE solution, BE (TA)BSA, was dried and tested for its biological activity.
TA, a major constituent of tannins and a mixture of several structurally-related gallotannin compounds, was purchased from Sigma and dissolved in double distilled water as a 10 g/L stock solution.
Glucose uptake assay. The assay was performed essentially as previously described (9) with minor modifications. Briefly, 3T3-L1 preadipocytes grown in 24-well plates were induced by the combination of IBMX, dexamethasone, and insulin (MDI) to differentiate into adipocytes. Adipocytes were washed and incubated as described (9). Insulin, BE, BE (TA), or TA were individually added to the cells at 1 µmol/L, 0.1 g/L, 0.1 g/L, and 20 mg/L, respectively, with each addition done in triplicate; then the adipocytes were incubated at 37°C for 15 min. Glucose uptake was initiated by the addition of 0.1 mL of Krebs-Ringer phosphate (KRP) buffer supplemented with 1 mCi/L [3H] 2-deoxy-D-glucose and 1 mmol/L cold regular glucose as the final concentration to the cells. After 10 min, the medium was aspirated and the plates were washed with ice-cold PBS to terminate the induced glucose uptake. The cells were lysed and the radioactivity taken up by the cells was determined using a scintillation counter (Beckman Instruments).
Adipocyte differentiation assays. 3T3-L1 preadipocytes were induced by MDI to differentiate into adipocytes as previous described (9). Two days after induction, the MDI-containing medium was replaced with 10% FBS-DMEM containing 1 mg/L insulin. The medium was replaced again with fresh culture medium every other day for 8 d. The degree of the differentiation of the cells was investigated by adding BE, BE (TA), or TA for 15 min at 0.1 g/L, 0.1 g/L, and 20 mg/L, respectively, followed by a glucose uptake assay at the end of the induction period as described above. Alternatively, preadipocytes were induced with 0.1 g/L of BE, BE (TA), or 20 and 40 mg/L of TA in the culture medium containing MDI-inducing cocktail for the first 2 d of adipogenesis. After the first 2 d of incubation, the medium was changed to fresh FBS-DMEM. The glucose uptake assay was performed to monitor the degree of differentiation 10 d after induction. The rationale behind this assay was that differentiated adipocytes are capable of insulin-mediated glucose transport, whereas undifferentiated preadipocytes are not (16; unpublished observation). Thus, glucose uptake can be used to measure indirectly the degree of adipocyte differentiation. To visualize directly the morphology of differentially treated cells, preadipocytes treated with MDI, BE + MDI, or TA + MDI were stained with Oil Red O (17).
Mechanism study using inhibitors. Fully differentiated adipocytes grown in 24-well plates were washed twice with serum-free medium, and placed in the same medium for 2 h in 10% CO2 at 37°C before use. The cells were washed with 0.5 mL of KRP buffer 3 times and incubated for 30 min in 0.45 mL of KRP at 37°C in 10% CO2. The inhibitors, including HNMPA-(AM)3 for IR tyrosine kinase activity (18), wortmannin for phosphatidylinositol-3-kinase (19), and cytochalasin for inhibiting glucose transporter 4 (GLUT 4) (20), were added individually to the cells at 200 µmol/L for HNMPA-(AM)3, 200 nmol/L for wortmannin, and 5 µmol/L for cytochalasin B. The cells were incubated at 37°C for 1 h in 10% CO2. After 1 h, the cells were induced with 1 µmol/L insulin or 40 mg/L of TA for 15 min in 10% CO2 at 37°C. The glucose uptake assay was performed as described above.
Mechanism study using protein phosphorylation assay. Total protein (3060 µg) isolated from BE- or TA-treated adipocytes, or the biotinylated protein marker were mixed with SDS sample buffer and heated at 95100°C for 5 min. Each sample and a marker were subjected to 8% SDS-PAGE. After electrophoresis, the proteins on the gel were transferred to a nitrocellulose membrane, which was blocked and then incubated with the desired primary antibody overnight at 4°C with gentle agitation. After overnight incubation, the membrane was washed, and then incubated with the HRP-conjugated secondary antibody for 1 h at room temperature. After the membrane was washed again, the proteins on the membrane were detected by a Western blotting LumiGLO system (Cell Signaling Technology) and finally visualized by exposing the membrane to an X-ray film in a cassette for the proper time, usually from 1 to 10 min.
GLUT 4 translocation and confocal microscopy. This assay was performed as described by Kupriyanova et al. (21) with minor modifications. 3T3-L1 preadipocytes grown in 2-well cell culture chambers were differentiated into adipocytes with the induction of MDI. Adipocytes in chambers were repeatedly washed and incubated as described (9,21). Insulin, BE, BE (TA), or TA were added individually to the cells at the same concentrations as in the glucose uptake assay, and the cells were incubated at 37°C for 15 min for induction of GLUT 4 translocation. After incubation, the cells were washed with cold PBS, fixed with ice-cold 100% methanol, and incubated at 20°C for 20 min. The methanol was removed and the chambers were air-dried; 1 mL of 0.3% H2O2 in methanol was added to each chamber to block endogenous peroxidase at room temperature. The cells were washed with PBS and incubated with 4% paraformaldehyde to fix cell surface antigens for 30 min at room temperature. The cells were washed and then blocked with 250 µL of 5% normal serum (donkey serum) in PBS with 0.2% Triton X-100, 1% dimethyl sulfoxide each at room temperature for 50 min. The blocking solution was removed and the primary antibody against GLUT 4 was added to the cells, which were subsequently incubated overnight at 4°C. After overnight incubation, the cells were washed and then incubated with the secondary antibody [fluorescein isothiocyanate-conjugated affinipure F(ad)2 fragment Donkey anti-Mouse IgG] at 37°C for 30 min. The cells were finally washed, mounted, and photographed with a Zeiss LSM510 confocal microscope. The excitation wavelength was 488 nm, and detection occurred at 520 nm.
Northern blot analyses. Total RNA was isolated from 3T3-L1 cells induced with different reagents and conditions with a standard procedure. 32P-labeled DNA fragments complementary to each mRNA were used individually as the probe for the detection of their respective mRNA; 10 µg of total RNA was used per lane. The mRNA level of ß-actin in the same samples was used as the sample loading reference.
Statistical analysis. All assay data were analyzed statistically using 1- or 2-way ANOVA. The experimental samples of the same treatment conditions were compared with negative control (untreated) samples, positive (insulin- or BE-treated) samples, or with experimental (TA-treated) samples under different conditions (different mixtures, concentrations, or cell types). In the figures, values are means and the standard deviations of samples. Samples were replicated either in duplicate or triplicate and each experiment was repeated at least 3 times. P < 0.05 was set as the level of significant difference.
| RESULTS AND DISCUSSION |
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3T3-L1 cells remain undifferentiated after treatment of TA. Preadipocytes of 3T3-L1 cells differentiate into adipocytes upon MDI induction. When TA was added to the preadipocytes in the presence of MDI, preadipocytes remained largely undifferentiated as shown by Oil Red O staining of the treated cells (Fig. 1B). The TA-treated cells remained in their undifferentiated cell morphology (Fig. 1B, panel f) and were incapable of insulin-mediated glucose transport (Fig. 1C). This result indicates that TA inhibits the differentiation induced by MDI. This observation is particularly puzzling in that TA has an insulin-like glucose transport stimulatory activity in adipocytes, whereas it exhibits "anti-insulin" activity in preadipocytes. At present it is unclear how TA mediates these 2 apparently contradictory activities. Some compounds were reported to exhibit similar apparently conflicting activities (23,24). It is possible that TA regulates these 2 activities in 2 different cell types through 2 different targets and 2 different signaling pathways.
Inhibitors of the insulin-mediated pathway also block TA-induced glucose transport. To identify the signaling pathway used by TA to stimulate glucose transport, inhibitors of the insulin-mediated glucose transport cascade were selected and applied. The reason for the selection of certain inhibitors was based on the speculation that TA may use the same pathway as insulin for the induction of glucose transport. The study showed that the inhibitors abolished both the insulin- and TA-induced glucose transport to a similar degree (Fig. 3A). This result suggests that TA uses the glucose transport signaling pathway mediated by insulin for its glucose transport-stimulatory activity. More interestingly, HNMPA-(AM)3, an inhibitor of the tyrosine kinase activity of the IR, also completely blocked the activity of TA (Fig. 3A). This result strongly suggests that TA stimulates glucose transport by activating the IR.
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TA stimulates phosphorylation of protein factors in the insulin-mediated glucose transport pathway and induces GLUT 4 translocation. After demonstrating elimination of TA-induced glucose transport by inhibitors selective to the insulin-mediated pathway and lack of glucose transport activity in IR-deficient cells, we went further to determine the direct activation of the protein factors involved in the insulin cascade by TA. Western blots revealed that the IR and Akt, 2 important factors involved in the transmission of insulin signaling (27), were phosphorylated after cells were treated with TA (Fig. 3C). The phosphorylation of the IR further suggests that TA may induce glucose transport by directly or indirectly activating the IR. The effector of the insulin-induced glucose transport in adipocyte is GLUT 4 (27). Immunostaining with anti-GLUT 4 antibodies followed by confocal fluorescent microscopy revealed that TA induced translocation of GLUT 4 in a fashion similar to that of insulin (Fig. 3D). This result is consistent with the results of inhibitor and protein phosphorylation studies (Fig. 3A and C) that showed that TA uses the insulin-mediated signaling pathway for its glucose transport-stimulatory activity. It would be interesting to determine whether TA activates the insulin-mediated glucose transport pathway by binding directly to IR. Such a study has to wait until a single active compound in TA is identified and used in an IR binding assay. It is also important to investigate whether TA is capable of IR-dependent but GLUT 4-independent glucose transport such as GLUT 1-mediated glucose transport.
TA inhibits adipocyte differentiation and affects key genes involved in adipogenesis. Preadipocytes treated with MDI and TA as differentiation induction agents showed a decrease in glucose uptake with the increase of the TA concentration (Fig. 4A). This result, combined with the Oil Red O staining results of the cells treated with different concentrations of TA (data not shown), indicates that the more TA is added, the fewer preadipocytes differentiate into adipocytes, and the lower the glucose transport activity of the cells.
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induced by MDI in preadipocytes was inhibited by TA (Fig. 4B). However, although the expression of the PPAR-
gene is absolutely required in adipogenesis, it is not a very early gene in the process (28). Additional Northern blot analyses showed that other earlier genes involved in cell proliferation of preadipocytes after induction of MDI (29), such as c-fos, c-jun, and c-myc, were all affected by the treatment of TA (Fig. 4C). These changes in patterns of gene expression clearly demonstrate the effect of TA on the adipogenesis induced by MDI, and suggest interesting but complicated signaling cascade(s) during the inhibition process. Further studies are required to identify the initial target(s) of TA and the signaling pathway(s) used by TA for the inhibition of adipocyte differentiation. Tannins, as plant-derived compounds, are a part of our daily diet. TA was previously shown to be antilipogenic in an animal study (30) and antidiabetic in human T2D patients (31). However, the mechanism by which TA mediates these activities was not investigated in detail at molecular levels. This study is the first to demonstrate that TA induces glucose transport through activation of the insulin-mediated signaling pathway in adipocytes. In addition, TA inhibits adipocyte differentiation by inhibiting or altering the expression of key genes involved in the adipogenesis process. However, many questions remain to be answered. TA is still a mixture of hydrolyzable tannin compounds. What is the most effective compound in TA for the 2 activities? How does TA activate IR and mediate the inhibition of adipocyte differentiation? How is glucose metabolized in adipocytes after it is transported under the stimulation of TA? What are TAs effects on muscle and liver cells? Is TA bioavailable in vivo and can it be used to treat T2D? The answers to these questions will shed more light on how TA works as an antidiabetic and antiadipocyte differentiation compound. The combination of the 2 activities of TA makes it ideally suited as a prototypic compound for further structural and functional studies to develop novel pharmaceuticals that treat symptoms of syndrome X and T2D, such as hyperglycemia, hyperinsulinemia, and hypertriglyceremia, without concomitant weight gain or even with weight loss. A drug with such a combination of properties should be a much better option for up to 90% of T2D patients who have diabetes-associated weight problems.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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2 These authors contributed equally to this study, and should be considered as first authors. ![]()
4 Abbreviations used: BE, banaba extract; BSA, bovine serum albumin; CHO, Chinese hamster ovary; FBS, fetal bovine serum; GLUT 4, glucose transporter 4; HNMPA-(AM)3, hydroxy-2-napthalenylmethylphosphonic acid-tris acetoxymethylester; HRP, horseradish peroxidase; IBMX, 3-isobutyl-1-methyl-xanthine; IR, insulin receptor; KRP, Krebs-Ringer phosphate; MDCK, Madin-Darby canine kidney; MDI, IBMX, dexamethasone, and insulin; PPAR, peroxisome proliferator-activated receptor; TA, tannic acid; T2D, Type II diabetes. ![]()
Manuscript received 14 July 2004. Initial review completed 13 August 2004. Revision accepted 16 November 2004.
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