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Department of Medicine, Division of Endocrinology, University of Arkansas for Medical Sciences, and The John L. McClellan VA Medical Center (S.R., P.A.K.), Little Rock, Arkansas 72205; and Veterans Administration Medical Center and Department of Medicine (T.P.C., R.R.H., S.M.), University of California, San Diego, California 92023
Address all correspondence and requests for reprints to: Philip A. Kern, M.D., Associate Chief of Staff-Research, John L. McClellan Memorial Veterans Hospital, 4300 West 7th Street, Little Rock, Arkansas 72205. E-mail: kernphilipa{at}exchange.uams.edu
| Abstract |
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| Introduction |
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When ob/ob mice were treated ip with recombinant leptin, they not only ate less food and lost weight, but were also found to have decreased plasma insulin and glucose levels (2, 3, 4). It was also observed that very low doses of leptin were able to normalize blood glucose and body temperature without having any effect on food intake and body weight. Together with data demonstrating that the leptin receptor is found in many tissues, these results suggested that leptin may also have peripheral effects not related to satiety.
Several other reports have suggested that leptin has direct metabolic effects on cells. Emilsson et al. (5) have reported that leptin inhibited insulin secretion when added to culture of isolated pancreatic islet cells. In HEPG-2 cells, leptin inhibited insulin-stimulated insulin receptor substrate (IRS-1) tyrosine phosphorylation (6). In contrast to the inhibition of IRS-1 tyrosine phosphorylation, Takahashi et al. (7) have reported that leptin induced tyrosine phosphorylation of several proteins, including STAT-1, in renal adenocarcinoma cells. In cultured adipocytes, Bai et al. (8) demonstrated that leptin inhibited the insulin and dexamethasone-stimulated synthesis of fatty acids and total lipids. All these studies clearly indicate that leptin has direct effects on other metabolic pathways, in addition to its effect on the hypothalamus in regulating food intake.
In this report, we studied the direct effects of leptin on insulin action by examining glucose transport and lipoprotein lipase in differentiated preadipocytes from rat and 3T3-L1 cells, as well as in isolated adipocytes from the rat and the ob/ob mouse. We found no effect of leptin on insulin action, even in the ob/ob adipocytes, which would be expected to be very sensitive to exogenous leptin. Leptin also did not have any effect on the basal and insulin-stimulated glucose transport in rat and human skeletal muscle cells.
| Materials and Methods |
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Animals and adipocyte cultures
Male Sprague-Dawley rats, weighing between 180 and 220 g,
were killed after an overnight fast, and the epididymal adipose tissue
was removed immediately. Adipocytes were isolated from the adipose
tissue by a collagenase digestion and were cultured for up to 24
h, as described previously (9). The same methods were used to obtain
adipocytes from ob/ob mice, which were purchased from
Jackson labs and were killed at 68 weeks of age.
Cell culture and differentiation
3T3-L1 cells were grown on 75-cm2 culture flasks
(Costar, Irvine, CA), in DMEM (Gibco BRL), supplemented with 10% FCS
and an antibiotic mixture containing penicillin and streptomycin. For
the experiments, cells were cultured in 12-well dishes, were grown to
confluence, and were differentiated by incubation in DMEM medium with
10% FBS containing 1 µg/ml insulin, 0.5 mM
isobutylmethylxanthine, and 0.25 µM dexamethasone for
48 h, according to the methods described by Clancy and Czech (10).
Cells were then maintained in DMEM, containing 10% serum and 1 µg/ml
insulin, for 34 days. Medium was then changed to DMEM, containing
10% FBS, for 23 days.
The stromal vascular fraction containing the preadipocytes was prepared from the collagenase digestion of the adipose tissue, as described previously (11), cultured in 12-well dishes, and differentiated using the methods described for 3T3-L1 cells.
The L6 cell culture was a gift from Dr. Amira Klip (The Hospital for
Sick Children, Toronto, Ontario, Canada). These cells were maintained
in
MEM, supplemented with 2% FBS, and an antibiotic mixture
containing penicillin, streptomycin, and amphotericin, according to
previous methods (12). For experiments, the cells were seeded in
12-well dishes and grown for 57 days, when they became differentiated
into myotubes.
The procedures for culturing the muscle cells from human muscle biopsies and for the measurement of glucose transport were the same as those described by Ciaraldi et al. (13).
Glucose transport
3T3-L1 cells. The differentiated cells were treated with
leptin (0.5 µg/ml) for 24 h before the day of the experiment.
Before glucose transport assay, the cells were preincubated with 1 mL
serum-free DMEM for 4 h. The cells were then washed twice with
Krebs-Ringer phosphate buffer and incubated in the same buffer for 30
min. To determine insulin-stimulated glucose transport, insulin (10
nM) was added, and the incubation was continued for another
30 min. 2-Deoxy (3H)glucose was added to produce a final
concentration of 0.1 mM (1 µCi/100 nmol) and incubated
for 10 min at room temperature. Leptin was added back to the respective
wells during the transport assay. The medium was aspirated, and the
cells were washed three times with PBS and dissolved in 0.5 ml of 0.2 N
NaOH. Radioactivity in the lysate was determined by scintillation
counting. Cell protein content was determined using BioRad reagent.
Non-carrier-mediated transport of deoxyglucose was determined in the
presence of 10 µM cytochalasin B.
Isolated mature adipocytes. Glucose transport in adipocytes, isolated from fat pads from rat and ob/ob mouse, was determined using the procedure described by Foley et al. (14). In this method, the uptake of (U-14C)-D-glucose was measured at very low glucose concentration (300 nM). One ml of the cell suspension (5% lipocrit in DMEM) was incubated with leptin (0.5 µg/ml) for 124 h, as specified in the table or figure legends. At the end of this incubation, the cells were washed three times with PBS and incubated with 10 nM insulin for 60 min and then with 0.1 µCi of (14C)-glucose (300 nM) for another 60 min at 37 C with shaking. Leptin was added back to the respective tubes of cells during these incubations. Then, 200 µl of the reaction mixture was transferred to a long microfuge tube containing 100 µl silicone oil. The tubes were then centrifuged for 20 sec, and top phase, containing the adipocytes, was cut and transferred to a scintillation vial to determine the radioactivity. Glucose transport was expressed as nanomoles of glucose.
L6 cells. Deoxy (3H)glucose transport was assayed in these cells using the same method described for 3T3 cells, except that the concentration of deoxyglucose used was 10 µM.
Measurement of lipoprotein lipase (LPL)
LPL was measured, in the medium, after release with heparin, as
described previously (15). The culture medium was removed from the
dishes, and 1 ml of fresh medium containing heparin (10 u/ml) was added
and incubated for 60 min at room temperature.
LPL catalytic activity was measured using an emulsified 3H-triolein substrate, as described previously (16). After incubation of 100 µl of sample with 100 µl of substrate for 60 min, liberated 3H-fatty acids were separated from the reaction mixture using the method of Belfrage (17). The LPL activity is expressed as nanomoles of fatty acids released in 60 min.
Glucose incorporation into lipids. Incorporation of 14C-D-glucose into lipids was determined using the methods described by Lima et al. (9). Briefly, the adipocytes were washed and resuspended to 5% lipocrit. One ml of the cell suspension was incubated in a 20-ml plastic scintillation vial with leptin for 3 h and then with 0.1 µCi of (U-14C)D-glucose (5 mM), with or without insulin (10 nM), for 1 or 2 h, as indicated, at 37 C with shaking. At the end of this incubation, the reaction mixture was treated with 5 ml Doles reagent (isopropanol:n-heptane:H2SO4, 4:1:0.1, vol/vol) for lipid extraction (18).
Statistics. Data are presented as the mean ±SD. Students t test was used to assess the significance of effects of leptin on the various parameters studied. P < 0.05 was the accepted level of significance.
| Results |
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| Discussion |
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Several reports have suggested that leptin has direct effects on peripheral cells. Cohen et al. (6) found that leptin (48 ng/ml) inhibited insulin-stimulated IRS-1 tyrosine phosphorylation in HEPG-2 cells. This inhibitory effect would be expected to impair insulin action in liver, leading to elevated hepatic glucose output. In another study, Takahashi et al. (7) showed that leptin induced tyrosine phosphorylation of several proteins, including STAT-1, in renal adenocarcinoma cells. In adipocytes, Bai et al. (8) showed that leptin inhibited the insulin and dexamethasone-stimulated synthesis of fatty acids and total lipids. Such an inhibition of lipid synthesis would go against a role for leptin as an anabolic hormone. Emilsson et al. (5) described a leptin-mediated inhibition of insulin secretion by isolated pancreatic islet cells. Leptin also serves as the adipose-brain signal for the onset of sexual maturation (19, 20) and is part of the signal for the pulsatile release of gonadotropins. In a recent study, it was reported that leptin inhibited the FSH and IGF-I-stimulated progesterone production by rat ovarian granulosa cells (21). These studies provide evidence that leptin may have direct effects on other metabolic pathways, in addition to its effect on the hypothalamus in regulating food intake.
In this study, we searched for an effect of leptin on both basal and insulin-stimulated glucose or lipid metabolism in adipocytes and muscle cells, but found no effect. Because the cell lines, such as 3T3-L1 cells, are sometimes not representative of primary cultures, we examined glucose transport, [14C]-incorporation into lipids, and LPL activity in rat adipocytes. In addition, we examined the effects of leptin on ob/ob cells. Because these cells are not exposed to leptin in vivo, they would likely be most sensitive to leptin, just as the ob/ob mouse is much more sensitive to the appetite-suppression effects of injected leptin. The lack of effect of leptin on insulin, glucose transport on LPL activity in adipocytes in our studies indicates that leptin-mediated partial reversal of diabetes is probably mediated through the hypothalamus, involving decreased food intake and stimulation of the autonomous nervous system. In different studies reported in the literature, the time required to detect the metabolic changes in response to leptin varied from 10 min to 2 days. In our studies, we have incubated the cells with leptin for up to 48 h, wherever possible. In the case of isolated adipocytes, we used 324 h incubation because it was difficult to keep them functionally intact beyond 24 h.
A recent study described a leptin-mediated inhibition of insulin action in adipocytes (22). In another recent report, leptin was shown to increase basal glucose transport and glycogen synthesis in C2C12 muscle cells (23). In both these studies, the source of leptin was different from that used by us, although it is not clear why this should be important, given that both preparations are recombinant and pure and have been tested for bioactivity. In the study by Müller et al. (22), adipocytes were cultured with leptin in a medium containing high glucose (25 mM) and adenosine, an insulin agonist, and this may have affected the data. In another recent study, Mick et al. (24) have observed that leptin has no effect on glucose transport and insulin action in isolated rat adipocytes.
Leptin receptors exist in two major forms, the long one with the complete intracellular domain and the short one with truncated intracellular domain. The long form is thought to mediate the biological effects of leptin and is expressed in large amounts in the choroid plexus and the hypothalamus and, to a smaller extent, in lung and kidney. Using PCR, Lee et al. (25) demonstrated the presence of several forms of the leptin receptor in adipose tissue. Although the short form of the leptin receptor is predominant (26) in the adipose tissue, detectable levels of the long functional form have been reported in one study (25) but not in another (5). Yamashita et al. (27) have recently reported that the short form of the leptin receptor can also perform signal transduction, when expressed in Chinese hamster ovary cells, although (to a lesser extent, compared with the long form). The physiological significance of this finding in these genetically altered cells needs to be determined. Therefore, it is not clear whether adipocytes have adequate levels of functional leptin receptors to interact with leptin and to be metabolically regulated.
Although Ghilardi et al. (26) have shown that skeletal muscle does not express the functional form of leptin receptor, Liu et al. (28) have reported that leptin inhibited glycogen synthesis in soleus muscle from ob/ob mice in vitro. On the contrary, Berti et al. (23) have shown that leptin increased glycogen synthesis in cultured muscle cells. Muoio et al. (29) have found that leptin stimulated fatty acid oxidation and inhibited triglyceride synthesis in isolated muscle preparation. Therefore, the peripheral effect of leptin on the metabolism in muscle is uncertain.
In summary, we examined the effects of leptin on glucose transport, glucose metabolism, and LPL activity in adipocytes and cultured muscle cells, and we found no effect. These data suggest that the predominant effects of leptin are mediated through its action on the hypothalamus and not through direct effects on muscle or adipose tissue.
| Acknowledgments |
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| Footnotes |
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Received August 6, 1997.
| References |
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