© 2001 by the American Diabetes Association, Inc. Combined Treatment With Benzylamine and Low Dosages of Vanadate Enhances Glucose Tolerance and Reduces Hyperglycemia in Streptozotocin-Induced Diabetic Rats
1 Departament de Bioquìmica i Biologia Molecular, Facultat de Biologia, Universitat de Barcelona, Barcelona, Spain
Semicarbazide-sensitive amine oxidase (SSAO) is highly expressed in adipose cells, and substrates of SSAO, such as benzylamine, in combination with low concentrations of vanadate strongly stimulate glucose transport and GLUT4 recruitment in 3T3-L1 and rat adipocytes. Here we examined whether acute and chronic administration of benzylamine and vanadate in vivo enhances glucose tolerance and reduces hyperglycemia in diabetic rats. Acute intravenous administration of these drugs enhanced glucose tolerance in nondiabetic rats and in streptozotocin (STZ)-induced diabetic rats. This occurred in the absence of changes in plasma insulin concentrations. However, the administration of benzylamine or vanadate alone did not improve glucose tolerance. The improvement caused by benzylamine plus vanadate was abolished when rats were pretreated with the SSAO-inhibitor semicarbazide. Chronic administration of benzylamine and vanadate exerted potent antidiabetic effects in STZ-induced diabetic rats. Although daily administration of vanadate alone (50 and 25 µmol · kg-1 · day-1 i.p.) for 2 weeks had little or no effect on glycemia, vanadate plus benzylamine reduced hyperglycemia in diabetic rats, enhanced basal and insulin-stimulated glucose transport, and upregulated GLUT4 expression in isolated adipocytes. In all, our results substantiated that acute and chronic administration of benzylamine with low dosages of vanadate have potent antidiabetic effects in rats.
The semicarbazide-sensitive amine oxidase (SSAO) belongs to the large family of copper-containing amine oxidases (EC 1.4.3.6) that convert primary amines to aldehydes, with the concomitant production of hydrogen peroxide and ammonia. These proteins are characterized by broad substrate selectivity among species, which makes it difficult to ascertain their biological function. The enzyme readily oxidizes exogenous (e.g., benzylamine, tyramine) or endogenous (e.g., phenylethylamine, histamine) aromatic primary amines, but also endogenous (e.g., methylamine, aminoacetone) aliphatic primary amines (1). More recently, a new function has been assigned to SSAO: the vascular adhesion protein-1 (VAP-1), found to be identical to SSAO, belongs to the family of adhesive proteins implicated in processes like inflammation or cell-to-cell interaction (2,3,4). The relation between the enzymatic and adhesive functions of SSAO/VAP-1 remains to be determined. Adipose tissue contains high levels of SSAO (5,6,7,8,9), and an increase in the expression of the membrane-bound SSAO has been reported in adipocyte differentiation (8,10). As to the function of adipocyte SSAO, hydrogen peroxide, one of the reaction products, has insulinomimetic properties (11). Moreover, membrane fractionation and vesicle immunoisolation analysis have shown that a portion of the SSAO protein or enzymatic activity colocalizes with intracellular GLUT4-containing vesicles (5,12). We recently reported that substrates of SSAO can stimulate glucose transport in rat adipocytes (12,13,14). The amine-induced stimulation of glucose transport was observed in the presence of ineffective concentrations of vanadate and was abolished by semicarbazide and catalase (12,13). These observations suggested that the SSAO-dependent generation of hydrogen peroxide is responsible for the increased stimulation of glucose transport via a chemical interaction. The combination of vanadate and hydrogen peroxide can form peroxovanadate, a powerful insulinomimetic agent that may be partly responsible for this effect (13,15). In addition, the combination of SSAO substrates with vanadate stimulates glucose transport through translocation of GLUT4 to the adipocyte cell surface (12,13). Furthermore, the combination of SSAO substrates and vanadate stimulates phosphatidylinositol (PI) 3-kinase activity and tyrosine phosphorylation of insulin receptor substrate (IRS)-1 and -3 in conditions in which the insulin receptors themselves are only slightly activated (14). All these data support the view that the combination of SSAO substrates and vanadate stimulates glucose transport via a pathway that does not involve the insulin receptor. In this study, we examined the acute and chronic effects of benzylamine and vanadate on control and diabetic rats. We demonstrated potent antidiabetic properties of benzylamine and vanadate in streptozotocin (STZ)-induced diabetic rats.
Materials. We obtained 2-deoxy-D-[1,2-3H]glucose (2-DG; 26 Ci/mmol) from NEN Life Science Products and [14C]benzylamine (59 Ci/mmol) from Amersham Pharmacia Biotech (Arlington Heights, IL). Purified porcine insulin was a kind gift from Eli Lilly (Indianapolis, IN). STZ, semicarbazide hydrochloride, benzylamine hydrochloride, sodium orthovanadate, and other chemicals were purchased from Sigma Aldrich (St. Louis, MO). Ketamine was obtained from Mérieux (Imalgene, Mérieux, France) and collagenase type I from Worthington. The osmotic minipumps used in the chronic studies were from Alza. All electrophoresis reagents and molecular weight markers were obtained from Bio-Rad. Enhanced chemiluminescence reagents (super signal substrate) were obtained from Amersham. Anti-GLUT4 antibody (OSCRX) was produced from rabbit, as previously reported (15). Rabbit polyclonal antibodies against rat â1-integrin were kindly given by Dr. C. Enrich (Universitat de Barcelona).
Animals.
Glucose tolerance tests.
Chronic treatment of diabetic animals.
Glucose transport measurements in isolated rat adipocytes and preparation of membrane extracts.
Amine oxidase activity assays.
Electrophoresis and immunoblot analysis.
Analytical methods.
Calculations and statistical analysis.
Acute administration of benzylamine and vanadate enhanced glucose tolerance in nondiabetic rats. We have previously reported that in vitro substrates of SSAO, such as benzylamine or tyramine, in combination with low concentrations of vanadate strongly stimulate glucose transport and GLUT4 recruitment in 3T3-L1 and rat adipocytes (12,13). In this study, we examined whether the combination of SSAO substrates and vanadate exhibit insulin-like effects in vivo. Control anesthetized nondiabetic rats were injected via the tail vein with vehicle (PBS) or 7 µmol/kg benzylamine and/or 20 µmol/kg sodium orthovanadate. Glucose load (0.8 g/kg body wt by saphenous vein) was carried out 30 min after administration of benzylamine, vanadate, or both. Acute intravenous administration of vanadate did not alter glucose tolerance (Fig. 1A), and acute administration of benzylamine only caused reduced glycemia values 5 min after glucose injection, but the integrated glucose area under the curve remained unaltered (Figs. 1B and D). In the same conditions, administration of benzylamine plus vanadate reduced glycemia at different times after glucose injection (Fig. 1C) and increased glucose tolerance by 35% (Fig. 1D). No changes in glucose concentrations in urine were detected between the control and benzylamine + vanadate groups (0.38 ± 0.07 vs. 0.42 ± 0.09 mmol/l, respectively) during the glucose tolerance test (data not shown).
As expected, plasma insulin was maximal 5 min after glucose injection (Table 1), and returned to basal levels 30 min later (data not shown). The acute administration of benzylamine, vanadate, or both had no effect on plasma insulin levels (Table 1).
Semicarbazide treatment prevented the effects of benzylamine and vanadate on glucose tolerance in nondiabetic rats. To determine whether the effect of benzylamine plus vanadate on glucose tolerance was a consequence of the SSAO activity, rats previously treated for 3 days with the SSAO inhibitor semicarbazide (5 mg · kg-1 · day-1 i.p.) were subjected to a glucose tolerance test. Semicarbazide treatment caused >90% inhibition of SSAO activity in adipose tissue extracts (data not shown). In keeping with the inhibition of SSAO activity, isolated rat adipocytes from semicarbazide-treated rats did not respond to the combination of 0.1 mmol/l benzylamine plus 0.1 mmol/l vanadate by stimulating glucose transport (data not shown). Acute administration of benzylamine (7 µmol/kg body wt) with vanadate (20 µmol/kg body wt) in semicarbazide-treated rats had no effect on glucose tolerance (Fig. 1D). In these conditions, plasma insulin levels were normal (data not shown).
Acute administration of benzylamine plus vanadate enhanced glucose tolerance in STZ-induced diabetic rats. As expected from previous reports (22,23), isolated adipocytes from diabetic rats showed a reduced maximal stimulation of glucose transport in response to insulin (Table 2). Interestingly, the combination of 0.1 mmol/l benzylamine and 0.1 mmol/l vanadate stimulated glucose transport to a similar extent in adipocytes from diabetic and nondiabetic rats (Table 2). Moreover, in diabetic rats, this stimulation was comparable to that of insulin, although it reached only 7080% of insulins effect in control animals (Table 2).
Nonanesthetized diabetic rats were injected via the tail vein with vehicle or 7 µmol/kg body wt benzylamine and/or 20 µmol/kg sodium orthovanadate. An oral glucose tolerance test (2 g/kg body wt) was carried out 15 min after drug injection (Fig. 2). The acute intravenous administration of benzylamine plus vanadate reduced glycemia (Fig. 2A) and enhanced glucose tolerance in the STZ-induced diabetic rats (42% increase), but benzylamine or vanadate alone did not alter glucose tolerance (Fig. 2B). The effect of benzylamine plus vanadate on glucose tolerance in vivo was independent of changes in plasma insulin concentrations (Table 3). In addition, the improvement in glucose tolerance induced by benzylamine plus vanadate was abolished in semicarbazide-treated diabetic rats, indicating that intact SSAO activity was required to improve glucose tolerance (Fig. 2B). No changes in glycosuria were detected in control or benzylamine + vanadate groups (515 ± 55 vs. 447 ± 43 mmol/l, respectively) during the tolerance test.
Chronic administration of benzylamine plus vanadate reduced hyperglycemia in diabetic rats. Based on the finding of potent insulin-like effects of acute administration of benzylamine plus vanadate, we tested chronic administration of these compounds in diabetic rats. To this end, STZ-induced diabetic rats were implanted subcutaneously with osmotic minipumps releasing benzylamine (84 µmol · kg-1 · day-1) or were sham-operated. Preliminary studies have indicated that benzylamine is stable for 2 weeks in implanted osmotic minipumps, based on its capacity to further stimulate glucose transport in isolated adipocytes after this period (data not shown). Another group of diabetic animals was subjected to daily intraperitoneal injection of vanadate (50 µmol/kg body wt) for 2 weeks, as compared with a group of diabetic rate that received both benzylamine and vanadate. Although treatment with vanadate caused a moderate reduction of glycemia, only the combination of benzylamine plus vanadate normalized glycemia after 1 week of treatment (Fig. 3A). Administration of benzylamine plus vanadate for 2 weeks did not alter SSAO activity in extracts from adipose cells (data not shown).
In other studies, diabetic rats were daily injected intraperitoneally with 25 µmol/kg vanadate for the 1st week and 50 µmol/kg vanadate for the 2nd week. These rats, as well as diabetic rats treated with 84 µmol/kg benzylamine alone, remained hyperglycemic (Fig. 3B; data not shown). However, the combination of benzylamine plus vanadate reduced hyperglycemia in diabetic rats from day 10 of treatment (Fig. 3B). The chronic treatment with benzylamine plus vanadate caused a substantial decrease in food and water consumption to normal levels, and a 45% increase in the weight of epididymal adipose tissue (Table 4). All these variations occurred in the absence of changes in body weight. The effects on food and water intake were not detected when benzylamine or vanadate was administered alone (Table 4).
The normalization of glycemia caused by chronic treatment with both benzylamine and vanadate took place in the absence of changes in plasma insulin concentrations (Table 4).
Chronic administration of benzylamine plus vanadate stimulated glucose transport and GLUT4 expression in adipocytes from diabetic rats.
Treatment with benzylamine plus vanadate increased GLUT4 expression (by sevenfold) more than vanadate alone (Fig. 5). In addition, there was a correlation between the amount of GLUT4 and basal glucose transport in adipocytes (data not shown). No changes in GLUT4 expression were detected in soleus or extensor digitorum longus muscles in response to chronic treatment with benzylamine plus vanadate (data not shown).
Previous studies have demonstrated that many SSAO substrates, in combination with low vanadate concentrations, stimulate glucose transport in rat and 3T3-L1 adipose cells (14). The stimulation of glucose transport is dependent on SSAO activity and hydrogen peroxide production rather than on aldehyde production (13). The enhanced glucose transport induced by SSAO substrates plus vanadate is characterized by the recruitment of GLUT4 glucose transporters to the cell surface, as demonstrated by subcellular fractionation and plasma membrane lawn techniques (12,13). As to the nature of the mechanisms involved, SSAO substrates plus vanadate markedly stimulate tyrosine phosphorylation of IRS-1 and -3 as well as PI 3-kinase activity (14). On the basis of these data, we proposed that SSAO substrates and vanadate synergistically stimulate one or several tyrosine protein kinases or inhibit protein tyrosine phosphatases, leading to activation of an intracellular pathway similar to that triggered by insulin (14). In keeping with these observations in vitro, we found that acute administration of an SSAO substrate, benzylamine, together with a low dosage of vanadate, enhances glucose tolerance in nondiabetic and diabetic rats. This effect did not alter the profile of plasma insulin concentrations after glucose challenge, was not associated with alterations in renal glucose reabsorption, and required SSAO activity. These data indicate that the combination of benzylamine and vanadate stimulates glucose disposal after a glucose challenge in vivo. Because the benzylamine plus vanadate combinations stimulated glucose transport in isolated rat adipocytes from nondiabetic and diabetic rats, we suggest that adipose tissue participates in this response. In addition, given the low concentrations of insulin in diabetic rats, we favor the view that benzylamine and vanadate have insulin-like effects in adipose tissue. Interestingly, the chronic administration of benzylamine plus vanadate reduced glycemia in STZ-induced diabetic rats, whereas in some experimental protocols, this combination normalized glycemia. As to the time-dependence of these effects, a moderate reduction of glycemia was already noted at day 56 after the onset of treatment, which is similar to the time-dependence shown by vanadate or peroxovanadate treatments (24,25). This antihyperglycemic effect of benzylamine plus vanadate was also accompanied by normalization in food and water intake and, as reported for vanadate alone (26), was not a consequence of any increase in plasma insulin. The chronic administration of benzylamine plus vanadate stimulated glucose uptake in adipose cells. Thus, cells obtained after combined benzylamine and vanadate treatment showed enhanced rates of basal and insulin-stimulated glucose transport and GLUT4 expression. These effects were observed only when both compounds were given in combination but not when they were given separately. The enhanced basal glucose transport may have been a result of the acute effects of benzylamine and vanadate in promoting GLUT4 recruitment to the cell surface or the presence of a larger GLUT4 population. However, the enhanced glucose uptake by adipose cells and the normalization of glycemia may also have been consequences of enhanced insulin sensitivity. Our data indicate that the combination of benzylamine and vanadate was required for both acute and chronic effects; as previously observed in vitro (12,13), benzylamine or vanadate alone had little or no effect. Studies of adipose cells in vitro have suggested that hydrogen peroxide production is crucial for triggering the stimulation of glucose transport and GLUT4 recruitment to the cell surface, as catalase blocks the effects (12,13). Given that peroxovanadate is a potent insulin-like agent (27,28,29,30,31), it may be formed either inside or outside the cell and may be responsible for the effects of the combination of vanadate and SSAO substrates. Based on the fact that peroxovanadate inhibition of protein tyrosine phosphatases (PTPs) is irreversible, whereas the effect of vanadate is reversible (32), we have indirectly evaluated the generation of peroxovanadate by assessing PTP activity in the presence of 1 mmol/l EDTA and using extracts from adipose cells obtained from diabetic rats chronically treated with different compounds. Chronic vanadate treatment inhibited PTP activity, a result that is in keeping with prior observations (33); the administration of vanadate plus benzylamine also inhibited PTP activity, which was comparable to the effects of vanadate alone (data not shown). These data indicate that there is no correlation between total PTP activity and activation of basal glucose transport in adipose cells or reduction of hyperglycemia in diabetic rats treated with vanadate or benzylamine plus vanadate. Thus, although peroxovanadate may explain the effects of benzylamine plus vanadate, our data do not justify any conclusion on whether peroxovanadate is the only signal generated in adipose cells in response to benzylamine plus vanadate treatment.
Restoration of adipose glucose transport activity may be insufficient to normalize glucose levels in diabetic rats after benzylamine plus vanadate treatment. In adipose cells, benzylamine plus vanadate may generate molecules that have insulin-like effects in other insulin-sensitive tissues. In addition, amelioration of adipose tissue metabolism subsequent to benzylamine plus vanadate treatment, via molecules or hormones released from adipose cells, such as leptin, tumor necrosis factor-
This study was supported by research grants from the Dirección General de Investigación Científica y Técnica (PM98/0197), Grant 1999SGR 00039 from Generalitat de Catalunya, Fondo de Investigaciones Sanitarias (00/2101), European Commission (Quality of Life, QLG-CT-1999-00295), "Accords INSERM/CSIC," "Actions Integrées Franco-Espagnoles PICASSO," COST B17 Action, and Fundació Marató de TV3 (300720). A.A. is a recipient of a predoctoral fellowship from the Universitat de Barcelona. L.M. is a recipient from a Marie Curie postdoctoral fellowship from the European Union. We thank Robin Rycroft for his editorial support, Judith Garcia for technical assistance, Mar Grasa and Luc Penicaud for scientific advice, and Roser Casamitjana for help in insulin determinations.
Address correspondence and reprint requests to Antonio Zorzano, Ph.D., Departament de Bioquìmica i Biologia Molecular, Facultat de Biologia, Universitat de Barcelona, Avda. Diagonal 645, E-08028 Barcelona, Spain. E-mail: azorzano{at}porthos.bio.ub.es. Received for publication 25 September 2000 and accepted in revised form 30 May 2001. L.M. and A.A. contributed equally to the study. 2-DG, 2-deoxy-D-[1,2-3H]glucose; IRS, insulin receptor substrate; PBS, phosphate-buffered saline; PI, phosphatidylinositol; PTP, protein tyrosine phosphatase; SSAO, semicarbazide-sensitive amine oxidase; STZ, streptozotocin; VAP-1, vascular adhesion protein-1.
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