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* Servicio de Bioquímica-Investigación, Hospital Ramón y Cajal, Madrid, Spain;
Instituto de Fermentaciones Industriales, CSIC, Madrid, Spain; and ** Departamento de Bioquímica y Biología Molecular, Universidad de Alcalá, Madrid, Spain
4 To whom correspondence should be addressed. E-mail: miguel.a.lasuncion{at}hrc.es.
| ABSTRACT |
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KEY WORDS: LDL receptor red grape juice polyphenols cholesterol trafficking LDL cholesterol
Polyphenols, a ubiquitous group of secondary plant metabolites, represent a large group of natural antioxidants abundant in fruits, vegetables, and beverages such as grape juice, wine, and tea. Several studies have linked wine consumption to a reduction in cardiovascular diseases (13), attributing some of the cardioprotective effects to the polyphenols present in red wine and grape products (4). Oxidation of LDL was proposed to play a crucial role in atherogenesis (5), and polyphenols were shown to exhibit strong antioxidant properties that could protect LDL from oxidation (69).
In addition to their antioxidant activity, polyphenols also possess many different biological properties that may contribute to their cardioprotective effects, including the ability to inhibit platelet activity and thrombosis (1012) and the potential to reduce plasma lipids. In vivo studies showed that administration of green tea (13), dealcoholized red wine (8), grape seed procyanidins (14), naringin (15), or polymethoxylated flavones (16) lowered plasma cholesterol in laboratory animals with diet-induced hypercholesterolemic. Recently, reduction of cholesterol LDL plasma concentration was reported in women consuming a lyophilized grape powder (17) or red wine (18). The mechanisms underling this hypolipidemic effect may involve the upregulation of LDL receptor expression (19,20), inhibition of hepatic lipid synthesis (21) and lipoprotein secretion (22,23), or increased cholesterol elimination via bile acids (14).
Intracellular cholesterol homeostasis is under the control of the sterol regulatory element-binding protein (SREBP)5 transcription factor (24,25). Once LDL is internalized by the LDL receptor, endosomes fuse with lysosomes and LDL cholesteryl esters are hydrolyzed. Then, free cholesterol is released into the cytoplasm and reaches the different intracellular compartments. Free cholesterol in the endoplasmic reticulum (ER) can be converted to cholesteryl ester by the enzyme acyl-CoA cholesterol acyltransferase (ACAT), transported to the plasma membrane, or used for other metabolic purposes. Free cholesterol in the ER has a negative feedback effect on cholesterol biosynthesis and expression of the LDL receptor via SREBP (24,25). To elucidate the mechanism that accounts for the hypocholesterolemic effect of red grape juice consumption, the present study addresses the effects of red grape juice on intracellular cholesterol homeostasis in human cell lines in vitro.
| MATERIALS AND METHODS |
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Cell culture. Human hepatocarcinoma HepG2 cells (ATCC HB 8065) obtained from the American Type Culture Collection were maintained in DMEM supplemented with 10% FBS and antibiotics, at 37°C in a humidified atmosphere containing 5% CO2. For experiments, cells were incubated in DMEM containing 10% LPDS, supplemented or not with human LDL and/or RGJ. On other occasions, pure antioxidants, lovastatin, and/or compound S-58035 were also added to the incubation medium. For controls, cells were supplemented with glucose and fructose, each at a concentration of 2.1 g/L of medium.
Analysis of polyphenols in red grape juice. Analysis of flavonoids, phenolic acids, and flavan-3-ols was performed following a previously described method (26). Briefly, 5 mL of RGJ (68° Brix) was diluted with 15 mL of water, separated into 2 aliquots and extracted 3 times each with diethyl ether and ethyl acetate. The organic fractions were mixed and dried with anhydrous Na2SO4 for 30 min, concentrated to dryness and dissolved in 1 mL of methanol/water (50:50). After being filtered through a 0.45-µm membrane, a 100 µL of sample was injected into a reverse-phase Nova-Pak C18 column (300 mm x 3.9 mm, 4µm), using a Waters liquid chromatography system equipped with a 600-MS controller, a 717Plus autosampler, and a 996 photodiode-array detector (26). Detection was performed by scanning from 220 to 380 nm. For anthocyanins, 100 µL of diluted RGJ, previously filtered through a 0.45-µm membrane, was injected into a reverse-phase Nova-Pak C18 column (150 mm x 3.9 mm, 4 µm), and separated by a multistep linear gradient method, as described (27). Detection was performed by scanning from 260 to 600 nm.
Uptake of RGJ polyphenols by HepG2 cells. HepG2 cells were cultured in 175-cm2 flasks in DMEM containing 10% FBS to reach 80% confluence; then the medium was changed to DMEM containing 10% LPDS, LDL (0.31 mmol cholesterol/L), and RGJ (5 mL/L). At 0, 3, 9, and 20 h of incubation, cells were harvested, washed with PBS, and treated on ice with 300 µL of lysis buffer (Cell Signaling) for 20 min. The cell protein content was determined [bicinchoninic acid (BCA) protein assay kit, Pierce]. Lysates were incubated with 200 µL of 0.1 mol/L ascorbic acid, 100 µL of 0.78 mol/L sodium acetate buffer (pH 4.8), and 100 µL ß-glucuronidase (131100 kU/L ß-glucuronidase and 1070 kU/L sulfatase) from Helix pomatia at 37°C for 8 h. The mixture was extracted twice with 1 mL of ethyl acetate, and pooled supernatants were concentrated to dryness with a SPD121P Speed-Vac system (Thermo Electron). The sample was reconstituted in 300 µL of methanol:water (50:50, v:v), filtered through a 0.45-µm membrane, and 200 µL were subjected to HPLC analysis as described (26).
LDL receptor activity and cell-surface expression. Human LDL was isolated by ultracentrifugation and labeled with the fluorescent probe DiI as described elsewhere (28). HepG2 cells (4 x 105 cells/well), treated with the test compounds for 20 h in 10% LPDS, were washed twice with PBS and then incubated in duplicate in 10% LPDS medium containing DiI-LDL (0.10 mmol cholesterol/L) for 2 h at 37°C to allow DiI-LDL uptake. Nonspecific DiI-LDL uptake was assessed in a third well containing a 50-fold excess of unlabeled LDL. Cells were washed and analyzed by flow cytometry (FACScalibur, BD Biosciences).
To analyze cell-surface expression of the LDL receptor protein, cells were incubated with anti-LDL receptor monoclonal antibody IgG C7 (15 mg/L) and then FITC-labeled goat anti-mouse IgG, and analyzed by flow cytometry as described previously (29).
Analysis of cholesterol biosynthesis and lipid determinations. To examine cholesterol biosynthesis, HepG2 cells (6 x 106 cells) were incubated in 10% LPDS medium containing [14C]-acetate (1.5 mCi/L) for 20 h, lysed with 10% KOH, and total cellular de novo cholesterol was analyzed by reverse-phase HPLC as described previously (30). Cell total cholesterol and free cholesterol were measured using an enzymatic method followed by HPLC analysis using cholesterol oxidase and cholesterol esterase as described previously (31). For free cholesterol, cholesterol esterase was not included in the reaction mixture; esterified cholesterol was calculated by subtracting free cholesterol from total cholesterol. Triglycerides were measured using a colorimetric enzymatic kit (A. Menarini Diagnostics).
Quantitative real-time RT-PCR assay. Total RNA was extracted with Trizol reagent according to the manufacturer's instructions. Total RNA (2 µg) was reverse-transcribed using M-MLV RT enzyme (Promega). Real-time PCR amplification was performed on a LightCycler and data analysis software version 3.5 (Roche Diagnostics GmbH), using FastStart DNA Master SYBR Green I (Roche Diagnostics GmbH). The primers used are listed in supplemental Table S1. Amplification cycles used were 95°C for 10 s, 60°C for 20 s, and 72°C for 20 s, except for ABCG1 and ABCG5, for which the annealing temperature was 62°C. Melting curves were evaluated for each gene, and PCR reaction products were separated on a 2% agarose gel and stained with ethidium bromide to confirm the presence of a single product. All analyses were performed in duplicate, and relative mRNA levels were determined using glyceraldehyde-3-phosphate dehydrogenase as a reference. The relative expression ratio (R) for each target gene was calculated taken into account the reaction efficiency (E) and the crossing point (CP) of the unknown sample vs. the control (Roche Diagnostics, LC relative quantification software, 2001). At least 4 independent experiments were performed in duplicate for each determination.
ACAT inhibition. ACAT inhibition with S-58035 was used as an indirect measure of free cholesterol reaching the ER. Cells (4 x 105 per well) were incubated in 10% LPDS-containing DMEM supplemented with LDL (0.31 mmol cholesterol/L), in the presence or absence of lovastatin (2.5 µmol/L), S-58035 (5 mg/L), and RGJ (5 mL/L) for 20 h. Cells were washed twice with PBS, and LDL receptor activity was assessed using the DiI-LDL uptake assay described above.
Western blot analysis of SREBP-1. After incubation, cells were washed with PBS and then treated with lysis buffer. Cell protein content was determined (BCA protein assay kit) and loaded equally (50 µg protein/lane) onto 10% polyacrylamide gels, electrophoresed, and transferred onto a nitrocellulose membrane. Membranes were blocked with 1% defatted milk powder in Tris-buffered saline (TBS; 25 mmol/L Tris pH 7.4, 136 mmol/L NaCl, 2.6 mmol/L KCl) containing 0.1% Tween 20, incubated overnight at 4°C with anti-mouse SREBP-1 (Santa Cruz Biotechnology) and then with horseradish peroxidase-conjugated secondary antibody, and developed with the enhanced chemiluminescence detection system (Amersham Biosciences). Nuclear extracts were obtained as described previously (32) and Western blot was performed as described above, with 100 µg protein loaded per lane. To inhibit rapid degradation of nuclear fragments of SREBPs, cells were treated with N-acetyl-leucinal-leucinal-norleucinal at a final concentration of 25 mg/L 2 h before protein extraction and throughout the extraction procedure.
Fluorescence microscopy. HepG2 cells were cultured on 12-mm glass coverslips in 24-well dishes for 48 h in medium containing 10% FBS. The medium was then replaced with medium containing 10% LPDS and incubated in the presence of DiI-LDL (0.155 mmol cholesterol/L), RGJ (5 mL/L), or tamoxifen (5 µmol/L) for 20 h. For staining of free cholesterol, cells were washed and fixed in 4% paraformaldehyde for 15 min, washed 3 times with PBS and then stained with filipin (50 mg/L in PBS) for 45 min. Immunostaining was performed as previously described (33), using anti-CD63 (1:100) and Alexa-conjugated anti-mouse IgG (1:400) antibodies. DNA was stained with DAPI. Cells were mounted for microscopy and examined on an Olympus BX51 reflected fluorescence microscope. Merged images were prepared using Adobe Photoshop 6.0.
Statistical analysis. All values are presented as means ± SEM. Means were compared using Student's t test or ANOVA followed by post hoc multiple comparisons. Comparisons of cholesterol biosynthesis data were made by 1-way repeated measures ANOVA and pairwise comparisons by the Student-Newman-Keuls method. The interactions between RGJ and LDL on LDL receptor activity were analyzed by two-way ANOVA. When the interaction was significant, the subsequent analysis of the effect of RGJ was performed by 1-way ANOVA separately for each group (presence of LDL in the medium). Comparisons of gene expression data were made either by the confidence interval method (for each experimental condition vs. the control) or by 1-way ANOVA and Tukey's HSD post hoc test (for comparisons between the experimental conditions); in the latter case, data from the control condition were excluded from the analyses. Differences with P-values < 0.05 were considered significant. Analyses were performed with Statgraphics Plus v5.0 (Statistical Graphics).
| RESULTS |
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To confirm that the effects of RGJ were not mediated by its antioxidant activity, other antioxidants were also evaluated. BHT (110 µmol/L) and Trolox (0.110 µmol/L) did not stimulate LDL receptor activity in cells exposed to LDL (data not shown), confirming that the effect of RGJ polyphenols cannot be attributed to antioxidant activity.
Effects of RGJ on cellular lipid mass and cholesterol biosynthesis. To explore whether changes in LDL receptor activity and cell-surface expression are correlated with cell lipid content, both cell cholesterol and triglycerides were quantified. Incubation of HepG2 cells in the presence of LDL significantly increased the cell total cholesterol content, whereas the effect was proportionally much higher for esterified cholesterol (403% of the control) than for free cholesterol (125% of the control) (Table 3). RGJ did not have any detectable effect on cell total cholesterol content in cells incubated in medium lacking LDL. However, in the presence of LDL, RGJ significantly increased total cholesterol. This was confirmed by oil red O staining for neutral lipids (data not shown). Analysis of free and esterified cholesterol revealed significant changes only in esterified cholesterol (149% of the control). Although incubation with LDL did not cause appreciable changes in the triglyceride content of the cells, RGJ caused a significant reduction either in the presence (78.4% of the control) or absence of LDL (81.7% of the control) (Table 3).
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Effect of RGJ on gene expression. We next used quantitative RT-PCR to assess relative changes in the expression of selected genes related to lipid metabolism (Table 4). In cells incubated in the absence of LDL, RGJ significantly reduced the expression of ABCA1, ABCG8, and apoB, whereas the other genes were unaffected. LDL repressed the expression of the LDL receptor, hydroxymethylglutaryl-CoA (HMG-CoA) reductase, and NPC1L1, which are all involved in cholesterol accretion. LDL did not affect the expression of the other genes examined. The simultaneous addition of RGJ abrogated the effect of LDL on the expression of the LDL receptor, partially counteracted the effect on HMG-CoA reductase, and markedly reduced the expression of CYP7A1 and apoB (Table 4).
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| DISCUSSION |
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The LDL receptor and most of the enzymes involved in the cholesterol biosynthesis pathway are regulated at the transcriptional level by a family of membrane-bound transcription factors, the SREBPs (24). In response to a decrease in free cholesterol availability in the ER, SREBP is processed proteolytically, and the active fragment migrates to the nucleus where it interacts with the sterol response elements present in the promotor of those genes and activates their transcription (24). Consistent with this, we observed that incubation of cells with LDL was accompanied by a reduction in SREBP-1 processing. Interestingly, simultaneous treatment with RGJ prevented this effect of LDL. Very recently, Kuhn et al. (19) proposed that the upregulation of LDL receptor expression induced by green tea polyphenols is mediated by inhibition of ubiquitin/proteosome-mediated degradation of active SREBP-2. It remains to be seen whether this mechanism also applies to RGJ polyphenols. Nevertheless, the increased levels of active SREBP are likely to be responsible for the effect of RGJ on the expression of the LDL receptor and HMG-CoA reductase.
In contrast to the LDL receptor and enzymes involved in cholesterol biosynthesis, the expression of genes involved in cholesterol efflux is induced in response to cholesterol loading (38,39). In cells incubated in the presence of LDL, we found that RGJ caused repression of ABCA1 and ABCG5, which are involved in cholesterol efflux, CYP7A1, which directs cholesterol to the synthesis of bile acids, and apoB, which is required for lipoprotein synthesis and secretion. This suggests that RGJ interferes with the intracellular availability of free cholesterol for regulatory purposes. To study how LDL-derived free cholesterol reached the ER, cells were treated with S-58035, a specific inhibitor of ACAT. As expected, LDL inhibited LDL receptor activity, and S-58035 further decreased this activity, a finding that is in agreement with the results of previous studies (40,41). In contrast, S-58035 did not have any effect on RGJ-treated cells, which displayed increased LDL receptor activity. Taken together, these results suggest that RGJ compromises the availability of LDL-derived free cholesterol in the ER, thus explaining the counteracting effect of RGJ in the response to LDL.
Next, we addressed whether RGJ affects the endocytic pathway. After being endocytosed, LDL enters distinct endosomal compartments: first, it enters the early endosome compartments and then the late endosome/lysosome compartments, where LDL cholesteryl ester is hydrolyzed by acid lipase (42,43). It was reported that disruption of intracellular cholesterol trafficking induces upregulation of LDL receptor expression in human hepatocytes (29,44,45). Treatment with tamoxifen, for instance, was shown to exert a strong stimulatory effect on LDL receptor expression in cells exposed to LDL, an effect that was attributed to the retention of LDL-derived free cholesterol in the endosomal/lysosomal compartment (29). In the present study, the filipin staining pattern in cells treated with RGJ was weak and diffuse, quite different from that of tamoxifen-treated cells, which showed intensely stained enlarged vesicles (Fig. 5, F). Because DiI-LDL uptake was similar in the presence of either tamoxifen or RGJ, we conclude that the effect of RGJ was not mediated by the retention of free cholesterol in endosome/lysosome vesicles.
Finally, we analyzed the nature of the LDL-accumulating compartment by examining the expression of CD63, a protein localized to late endosomes (34). Most vesicles containing DiI-LDL also showed CD63 labeling in control and tamoxifen-treated cells, whereas this colocalization was not observed in cells treated with RGJ (Fig. 6, F). These results indicate that RGJ interferes with LDL trafficking through the endocytic pathway, probably by preventing the fusion of lysosomes with endosomes. Based on current understanding of this pathway (43,46), this effect would delay lipolytic processing of LDL and reduce the efflux of lipoprotein cholesterol to the ER, thus explaining the counteracting effect of RGJ on gene expression in cells exposed to LDL.
Epidemiologic and clinical studies suggest that polyphenols are good candidates to explain the protective effects of vegetables, fruits, and red wine against certain cancers and cardiovascular diseases (3,4,12,47). In addition to their antioxidant (6,7), vasorelaxant (48), and anti-inflammatory (17) properties, the effects on cholesterol homeostasis shown here may contribute to the cardioprotective effects of Vitis vinifera polyphenols. Although we were not able to attribute the effects of RGJ to a single polyphenol or family of polyphenols present in RGJ, the variety of polyphenols present in the RGJ concentrate, including flavonols, anthocyanins, flavan-3-ols, procyanidins and phenolic acids, and the limited availability of pure compounds, make the search for the active compound(s) a complex task. The finding that other potent antioxidants do not mimic the effect of RGJ indicates that antioxidant protection is not responsible for the effects of RGJ on LDL receptor activity. Our observation that RGJ interferes with the endocytic pathway offers an alternative mechanism to account for the activity of grape polyphenols.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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2 Supplemental Table 1 and supplemental references are available with the online posting of this paper at www.nutrition.org. ![]()
3 Present address: Department of Pharmacology, Boyer Center for Molecular Medicine, Yale University, School of Medicine, New Haven, CT 06536-0812. ![]()
5 Abbreviations used: ACAT, acyl-CoA cholesterol acyltransferase; apo B, apolipoprotein B; BCA, bicinchoninic acid; DiI,1,1'-dioctadecyl-3,3,3,3'-tetramethylindocarbocyanineperchlorate; ER, endoplasmic reticulum; FBS, fetal bovine serum; HMG-CoA, hydroxymethylglutaryl-CoA; LPDS, lipoprotein-deficient serum; RGJ, concentrated red grape juice; SREBP, sterol regulatory element-binding protein. ![]()
Manuscript received 21 December 2005. Initial review completed 8 February 2006. Revision accepted 9 April 2006.
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