Endocrinology Vol. 141, No. 3 876-882
Copyright © 2000 by The Endocrine Society
Epidermal Growth Factor Secreted from Submandibular Salivary Glands Interferes with the Lipolytic Effect of Adrenaline in Mice1
Francesc Tebar,
Montserrat Grau,
Maria-Pau Mena,
Anna Arnau,
Maria Soley and
Ignasi RamÍrez
Department of Biochemistry and Molecular Biology, Faculty of
Biology, University of Barcelona, Diagonal 645, 08028-Barcelona,
Spain
Address all correspondence and requests for reprints to: Dr. Ignasi Ramírez, Departament de Bioquímica i Biologia Molecular, Facultat de Biologia, Universitat de Barcelona, Avda Diagonal 645, 08071-Barcelona, Spain. E-mail:
sunyer{at}porthos.bio.ub.es
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Abstract
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We had described that epidermal growth factor (EGF) interfered with the
lipolytic effect of catecholamines in isolated adipocytes. Since
catecholamines stimulate the release of EGF from submandibular salivary
glands to blood plasma in male mice, we studied whether EGF affected
also the lipolytic response to adrenaline in whole animals. We studied
the effect of adrenaline in sialoadenectomized and sham-operated mice
receiving or not a high dose of EGF following adrenaline injection.
There was no difference in plasma EGF concentration between
sham-operated and sialoadenectomized animals receiving saline. After
adrenaline administration plasma EGF increased by 20-fold in
sham-operated but did not increase in sialoadenectomized mice. Indeed,
the increase was much higher (more than 100-fold) in mice receiving
exogenous EGF. The effect of adrenaline on plasma concentration of both
glycerol and nonesterified fatty acids was higher as lower was plasma
EGF concentration. Isolated adipocytes obtained from sham-operated or
sialoadenectomized mice had identical lipolytic response to adrenaline.
The lipolytic response of adipocytes to isoproterenol was decreased by
addition of EGF. To study whether the interference with the in
vivo lipolytic effect of adrenaline had further metabolic
consequences, we measured plasma ß-hydroxybutyrate concentration in
plasma. There was no difference in the response to adrenaline between
sham-operated and sialoadenectomized mice in spite of the difference in
plasma nonsterified fatty acid concentration. Studies in isolated
hepatocytes indicated that ketogenesis run at near maximal rate in this
range of substrate concentration. These results suggest that EGF in the
physiological range decreases the lipolytic effect of adrenaline but
does not compromise further metabolic events like the enhancement of
ketogenesis.
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Introduction
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EPIDERMAL GROWTH FACTOR (EGF) is a mitogen
for many cells in culture, adipocyte precursors among them. In these
cells, EGF stimulates proliferation and blocks differentiation (1, 2).
The physiological relevance of this effect of EGF in adipose tissue
development was established by Serrero and Mills (3). They found that
daily sc administration of EGF to newborn rats for 10 days resulted in
a substantial decrease of fat pad weight, but also in an increase of
adipocyte precursor cell number.
Besides of the mitogenic effect, EGF is able to affect the function of
nonproliferating cells too. A remarkable example is mature
adipocytes. In these cells EGF has opposed effects to those in their
precursors: it stimulates adipogenesis (4). In keeping with this
function, it has been reported that EGF stimulates metabolic pathways
leading to lipid accumulation in differentiated adipocytes. Thus, EGF
stimulates acetyl-CoA carboxylase activity (5) and increases conversion
of 14C-glucose into fatty acids (6). EGF
stimulates also the release of lipoprotein lipase from adipocytes (6)
and inhibits both glucagon- and isoproterenol-stimulated lipolysis
(7).
Metabolic studies in mature adipocytes generate questions at both the
molecular and physiological levels. Regarding molecular mechanisms
involved in the effect of EGF, progress has been slow because the
magnitude of effects in mature adipocytes is small. Although effects of
EGF resemble those of insulin, it becomes clear that the mechanisms
involved are different. This was shown for the effect on lipolysis.
Both EGF and insulin modulate the cAMP signal generated by
lipolytic hormones like glucagon or catecholamines (6). While the
target of insulin action is the cyclic GMP-inhibited phosphodiesterase
(cGI-PDE) (8), through a phosphatidylinositol 3-kinase-dependent
mechanism (9), the target of EGF action is the interaction between Gs
and Gi proteins in the control of adenylate cyclase (7). This effect
does not involve wortmannin-sensitive substrates (6), which is in
keeping with the recent observation that EGF does not stimulate
phosphatidylinositol 3-kinase in 3T3-L1 adipocytes (10).
Concerning the physiological relevance of the effects observed in
differentiated adipocytes, different approaches raised opposite
conclusions. Thus, surgical removal of the major production site of EGF
in mice, submandibular salivary glands, impaired adipose tissue weight
gain induced by ovariectomy (11), or by aging (12) in mice. On the
contrary, systemic administration of EGF reduced fat mass in rats (13).
Because all these studies involved long-term experiments, some indirect
effects could explain the differences in these results. Adipose tissue
mass depends on the balance between adipogenic and lipolytic hormones.
In mice, among other effects, catecholamines stimulate the secretion of
EGF from submandibular salivary glands to saliva and also to blood
plasma (14). We took advantage of this model to determine not only if
exogenous EGF could interfere with the lipolytic effect of adrenaline,
as we had found in isolated cells (6, 7), but also whether endogenous
EGF secreted upon adrenaline stimulation could do so.
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Materials and Methods
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Animals
Adult Swiss-CD1 mice were obtained from Interfauna (Barcelona,
Spain). All animals were male, fed ad libitum, and
maintained under a constant 12-h light, 12-h dark cycle (lights on at
0800 h) and controlled conditions of humidity (4555%) and
temperature (22 ± 1 C). All experimental procedures were approved
by the Committee on Animal Care of the University of Barcelona.
Sialoadenectomy
In diethyl ether-anaesthetized mice, a small incision was made
to expose the submandibular salivary glands, which were then ligated
and excised. In control (sham-operated) animals, the glands were
exposed, and a ligature was passed, but not tied. The wound was
stitched and disinfected. Sham-operated and sialoadenectomized animals
were kept fasted for the next 24 h. We have observed that postsurgery
fasting allows similar recovery and growth pattern of both groups. Two
weeks later, mice had recovered completely and were used for
experiments.
Experiments in whole animals
Mice were anaesthetized (sodium pentobarbital 60 mg
kg-1) before receiving an iv (0.37 mg
kg-1) plus an ip (1.25 mg
kg-1) injection of adrenaline
(Sigma, St. Louis, MO). In some experiments, animals were
immediately injected with EGF (Roche Molecular Biochemicals, Mannheim, Germany) (0.25 mg
kg-1, iv). Control animals received identical
volumes of saline. At indicated time, blood was collected into
heparinized syringes from the inferior vena cava. Blood plasma was
obtained by centrifugation. A sample was deproteinized and neutralized
as indicated in (15) and used for glucose (16), glycerol (17),
nonesterified fatty acid (NEFA) (NEFA C ACS-ACOD method, Wako Pure Chemical Co., Neuss, Germany), and
ß-hydroxybutyrate (18) quantification. Another sample was processed
as indicated in (19) for EGF quantification. Immediately after
bleeding, submandibular salivary glands were excised and homogenized in
10 ml PBS. After centrifugation (100,000 x g for 60
min at 4 C) the supernatant was stored at -40 C for EGF quantification
(19).
To study the effect of immobilization stress, mice (under a very light
ether anesthesia) were fixed with adhesive tape to a table in a supine
position. In less than 1 min, the effect of ether completely
disappeared and acute stress symptoms were observed. After 20 min,
animals were killed and processed as indicated above. Liver glycogen
and plasma glucose were determined as indicated elsewhere (15).
Experiments in isolated adipocytes
Adipocytes were isolated from the epididymis by the method of
Rodbell (20) with minor modifications. One gram of adipose tissue
(combining the mass obtained from several mice) was digested in plastic
vials with 3 ml of Krebs-Henseleit buffer containing 1 mM
CaCl2, 5 mM glucose, 3% BSA (buffer
A), and 0.5 mg of collagenase/ml. Digestion was carried out at 37 C for
40 min and under constant shaking (120 cycles/min). Dispersed cells
were filtered through a double-layered nylon mesh and washed four times
with buffer B (as buffer A but with 0.5 mM
CaCl2). After counting in a Neubauer
hemocytometer, the cells were suspended in buffer B. Lipolysis was
determined in isolated adipocytes as the amount of glycerol produced by
the cells during an incubation period. After isolation, adipocytes
(1.75 x 105 cells/ml) were placed in
plastic vials (containing the indicated additions) at 37 C, under
constant shaking and oxygenation with
O2/CO2 (95%:5%). Both at
zero time and 30 min afterwards, a sample (1 ml) was withdrawn and
immediately placed into enough perchloric acid to give a final
concentration of 3%. Neutralized supernatants were used to determine
glycerol (17). In every experiment, incubations were performed in
triplicate. Preliminary experiments showed that the rate of lipolysis
was proportional to cell density between 0.5 x
105 and 4 x 105
adipocytes/ml, and linear with incubation time for at least 60 min,
even in the presence of lipolytic agents.
Experiments in isolated hepatocytes
Hepatocytes were isolated from the liver of adult male mice as
previously described (15). Initial cell viability measured by the
trypan blue exclusion test was over 90% and decreased less than 10%
during the incubations (up to 60 min). Isolated hepatocytes were then
incubated (2 x 106 cells/ml, final volume 2
ml) in a 20 mM-HEPES (pH 7.4)-containing buffer
supplemented with 1%-albumin (21), but without glucose. Oleate-albumin
complex was prepared as in (22) immediately before use. At the end of
the incubation a sample of the suspension was placed into enough
ice-cold HClO4 to give a final concentration of
3%. After neutralization, ß-hydroxybutyrate and acetoacetate
concentrations were determined (18).
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Results
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In a preliminary experiment we studied the effect of different ip
doses of adrenaline primed by an iv dose of 0.37 mg
kg-1 (Fig. 1
).
All three doses raised plasma glycerol concentration up to similar
level. ß-Hidroxybutyrate, a product of fatty acid metabolization in
liver, showed a similar pattern. Plasma EGF concentration increased
only after the middle (0.75 mg kg-1) and the
highest (1.5 mg kg-1) doses. The increase of
glycerol concentration was significant since the second min after
adrenaline injection (1.25 mg kg-1), reached
maximal value at 10 min and decreased thereafter (Fig. 2
).
ß-Hidroxybutyrate concentration reached also maximal value at 10 min,
but remained higher than control values for at least 60 min. EGF
content in submandibular glands decreased to a half in about 10 min
after adrenaline injection and remained low for at least 60 min. EGF in
plasma progressively increased during the first 10 min, and decreased
thereafter. The kinetics of EGF secretion upon adrenaline injection was
similar to that obtained after phenylephrine injection (19).

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Figure 1. Dose-dependent effect of adrenaline on lipolysis
and EGF in plasma. Anaesthetized mice were injected with 0.37 mg
kg-1 of adrenaline (iv) and the indicated dose ip.
Controls received iv and ip volumes of saline. After 10-min samples
were obtained to measure plasma glycerol, and ß-hydroxybutyrate, and
plasma and submandibular gland (SMG) EGF concentration. Results are the
mean ± SE of five animals per group. Statistical
comparisons vs. control value were made by Students
t test. * P < 0.05; **
P < 0.01; *** P < 0.001.
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Figure 2. Time-course of the effect of adrenaline on
lipolysis and EGF in plasma. Anaesthetized mice were injected with
adrenaline (0.37 mg kg-1 iv and 1.25 mg
kg-1 ip). Controls received iv and ip volumes of saline.
At indicated times, animals were killed and samples were obtained to
measure plasma glycerol, and ß-hydroxybutyrate, and plasma and
submandibular gland (SMG) EGF concentration. Results are the mean
± SE of five animals per group. Statistical significance
of differences vs. corresponding control value are
indicated by: * P < 0.05; ** P
< 0.01; *** P < 0.001.
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To determine whether the effects of the adrenaline dose chosen for next
experiments (priming dose of 0.37 mg kg-1 iv,
followed by 1.25 mg kg-1 ip) were similar to
those of a physiological stress situation, we compared the effect of
adrenaline in anaesthetized mice to that of immobilization of conscious
mice. In both, adrenaline injected and immobilized mice liver glycogen
was decreased and plasma glucose concentration was increased (Table 1
). The raise of plasma glucose
concentration (2.0-fold) and the decrease of liver glycogen content
(40%) was higher in adrenaline injected than in immobilized mice
(1.7-fold increase and 28% decrease for plasma glucose and liver
glycogen, respectively). In both models, submandibular gland EGF
content decreased and plasma EGF concentration increased in a similar
extent.
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Table 1. Effect of adrenaline administration to anaesthetized
mice or immobilization of conscious mice on glycogenolysis and plasma
EGF
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Because we wanted to study the effect of a stress hormone in surgically
manipulated animals, we had to allow them to recover from surgical
stress before the experiment. We let the animals to stand for 2 weeks
before adrenaline administration (time required for complete wound
healing); therefore, we had to compare first both groups: sham-operated
and sialoadenectomized mice. Results are shown in Table 2
. There were no differences in the
appearance of sialoadenectomized and sham-operated mice. Both groups
had similar body, epididymal adipose tissue, and liver weight. Both had
similar daily food intake. Sialoadenectomized mice had somehow lower
water intake, but the differences were not significant. They also had
similar blood plasma glucose, glycerol, and nonesterified fatty acids
concentration. Finally, although sialoadenectomized mice had no
submandibular glands, plasma EGF concentration was not decreased.
Next we studied the effect of adrenaline injection, with or without an
additional supplementation of EGF, in sham-operated and
sialoadenectomized mice. The results are shown in
Fig. 3
. Plasma EGF concentration did
not increase in sialoadenectomized mice upon adrenaline administration,
but increased near 20-fold in sham-operated animals. As expected,
plasma EGF concentration at the time the mice were killed was even
higher in both groups of mice receiving an exogenous bolus of EGF.
Adrenaline injection to sham-operated mice decreased EGF content in
submandibular salivary glands from 207 ± 12 nmol/g
(saline-injected mice value) to 112 ± 9 nmol/g in adrenaline
injected mice, and to 93 ± 12 nmol/g in adrenaline + EGF injected
mice (differences are significantly different to control value,
P < 0.001).
Adrenaline administration increased glycerol and NEFA concentration in
plasma of sham-operated animals, the increase was significantly higher
in sialoadenectomized mice. Exogenous EGF reduced the effect of
adrenaline on glycerol concentration and almost abolished that on NEFA
concentration in both groups of animals. To determine whether the
alteration in the lipolytic response to adrenaline had consequences on
ketogenesis we determined ß-hydroxybutyrate concentration in plasma.
Adrenaline administration increased ß-hydroxybutyrate concentration
in sham-operated and sialoadenectomized mice up to similar values.
Exogenous supplementation of EGF reduced the response to adrenaline in
both groups of animals.
In Fig. 4
we show the relationship
between plasma EGF concentration and the effect of adrenaline
(adrenaline minus saline values) on plasma glycerol and NEFA
concentration. There was a significant negative correlation for both
glycerol and NEFA. There was, however, no significant correlation
between the effect of adrenaline on plasma ß-hydroxybutyrate
concentration and plasma EGF (not shown).

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Figure 4. Relationship between plasma EGF concentration and
the lipolytic effect of adrenaline. Data in Fig. 3 was used to plot the
relationship between mean plasma EGF and the effect of adrenaline on
glycerol or NEFA concentration. The effect of adrenaline was calculated
as the difference between mean adrenaline (with or without EGF
injection) and its corresponding mean saline value.
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To rule out that the enhanced lipolytic response to adrenaline in
sialoadenectomized mice was due to differences in the sensitivity of
adipose tissue cells to catecholamines, we studied the effect of
adrenaline in isolated adipocytes from sham-operated and
sialoadenectomized animals. The results are shown in Fig. 5A
. From the four experiments done, we
obtained a basal (nonstimulated) lipolysis that was similar in cells
from sham-operated and sialoadenectomized mice (0.13 ± 0.03 and
0.12 ± 0.01 µmol glycerol released/30 min x
106 adipocytes, respectively; differences were
not significant). There were no differences either in
ED50 value (0.22 ± 0.01 and 0.21 ±
0.01 µM for sham-operated and sialoadenectomized mice,
respectively), or in maximally stimulated lipolysis (2.22 ± 0.25
and 2.06 ± 0.08 µmol glycerol released/30 min x
106 adipocytes for sham-operated and
sialoadenectomized mice, respectively).
Next, we tested the direct effect of EGF on lipolysis in isolated mice
adipocytes (Fig. 5B
). We had previously observed in rat cells (6, 7)
that EGF interfered the lipolytic effect of catecholamines. Our purpose
was, therefore, to demonstrate that it happens also in mouse cells. EGF
did not affect basal glycerol release. In the presence of the
ß-adrenergic agonist isoproterenol, lipolysis increased to 0.55
± 0.01 µmol glycerol/30 min x 106 cells,
but only to 0.34 ± 0.02 µmol glycerol/30 min x
106 cells in cells incubated with isoproterenol
and EGF. Very similar results were obtained if cells were incubated in
the presence of adrenaline instead of isoproterenol (data not
shown).
Finally, to understand the results concerning plasma
ß-hydroxybutyrate concentration we studied the effect of EGF on
ketogenesis in isolated hepatocytes. Results are shown in Fig. 6
. In the absence of EGF, increasing
concentrations of oleate resulted in an enhanced rate of ketogenesis
with an estimated maximal rate of 646 ± 78 nmol
KB/106 cells x 60 min and
S0.5 (substrate concentration that allows a
half-maximal rate of ketogenesis) of 0.29 ± 0.04 mM.
EGF did not affect maximal rate of ketogenesis (709 ± 107 nmol
KB/106 cells x 60 min, nonsignificant
differences) but increased moderately S0.5 value
(0.45 ± 0.05 mM, P < 0.05).

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Figure 6. Effect of EGF on ketogenesis in isolated
hepatocytes. Hepatocytes were isolated from nonoperated mice. After
isolation cells were incubated with the indicated concentration of
oleate either without ( ) or with () EGF (100 nM).
After 60 min, incubation medium was obtained to determine ketone bodies
(KB). Each experimental condition was made in triplicate. The results
are the mean ± SE of four identical experiments made
with different cell preparations.
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Discussion
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Adrenaline stimulates the secretion of EGF from submandibular
salivary glands to both saliva and plasma in mice (14, 19). We have
found that EGF interferes with the lipolytic response of isolated
adipocytes to catecholamines (7). Our purpose in this paper was to find
out whether this happens also in the whole animal. To this end we took
advantage of the male mice model in which sialoadenectomy abolishes the
increase in plasma EGF upon catecholamine administration. We could
therefore test whether endogenous EGF had any effect on adipose tissue
response to catecholamines.
Based on preliminary experiments, we chose a dosage procedure that
induced somehow stronger effect than immobilization stress on liver
glycogen and plasma glucose concentration. It was described that plasma
glucose concentration is sensitive to stress intensity (23); it was
thus a good parameter to compare both models. In spite of this small
difference, the effect on EGF in submandibular glands and plasma was
identical.
Although sialoadenectomized mice had not submandibular glands, plasma
EGF concentration was not decreased. This was observed by many
investigators before (14, 19, 24, 25) and was attributed to the fact
that EGF is synthesized in other cell types, some of which can
overexpress the gene as a consequence of sialoadenectomy (26). What
surgical removal of submandibular glands does is to abolish the
increase of plasma EGF concentration upon adrenergic stimulation (14, 19). This explains why both groups have similar plasma EGF
concentration when maintained in nonstressful conditions.
Our in vivo experimental design allowed to study the effect
of both endogenous and exogenous EGF on the response of adipose tissue
to adrenaline. The results demonstrate that EGF interferes with the
lipolytic effect of adrenaline in the whole animal system: as lower is
plasma EGF concentration, stronger is the effect of adrenaline on both
glycerol and NEFA concentrations. The difference in the lipolytic
response to adrenaline between sham-operated and sialo-adenectomzed
mice cannot be attributed to differences in adipose tissue mass or
to adipocyte sensitivity to catecholamines. Rather, it may be the
consequence of the interference with stimulation of lipolysis in
adipocytes. Indeed, exogenous EGF decreased the effect of adrenaline,
and the differences between sham-operated and sialoadenectomized mice
disappeared. This is in keeping with the observation that plasma EGF
concentration was similar in both groups animals.
Concerning the mechanisms involved in the effect of EGF on
catecholamine-stimulated lipolysis, we had observed that it was the
result of the interference with the cAMP signal induced by
catecholamines in these cells (7). It is known that besides of the
effect on cellular cAMP, the action on regional blood flow contributes
also to the in vivo lipolytic effect of adrenaline (27).
Whether the effect of EGF is attributable only to the interference with
the intracellular signal, or it involves also an interference with the
regional hemodynamic effect of adrenaline, as it happens with some
antilipolytic hormones like vasopressin (28), will require further
investigations. Although it is known that EGF has hemodynamic effects
in vivo (29), and produces vasoconstriction in isolated
aortic preparations (30, 31), nothing is known about the interaction
between EGF and adrenaline on adipose tissue vasculature.
The liver is one of the main destinations of fatty acids derived from
adipose tissue. In this organ, fatty acids may be incorporated into
complex lipids (triglycerides and phospholipids) and finally into
secreted lipoproteins, but they are also fuels that provide most of the
energy required by the cells. Ketogenesis is tightly coupled to
ß-oxidation, which in turn depends on substrate availability. Our
results illustrate the close relationship between plasma fatty acid
concentration and ketogenesis. We obtained an
S0.5 for ketogenesis from oleate of 0.29
mM, a value close to plasma NEFA concentration in control
animals. This indicates that ketogen-esis is indeed sensitive to
variation of plasma NEFA concentration.
Looking at the relationship between oleate concentration and
ketogenesis in hepatocytes, the decreased ß-hydroxybutyrate
concentration found in EGF(+adrenaline) injected mice compared with
values obtained in adrenaline injected animals can be attributed in
part to a decreased substrate availability (in these animals plasma
NEFA concentration dropped from 0.71.0 mM to 0.5
mM). In addition to substrate availability, mitochondrial
fatty acid oxidation, and hence ketogenesis, depends on the control of
carnitine palmitoyltransferase I (32). This enzyme is directly
regulated by malonyl-CoA (33), the product of the acetyl-CoA
carboxylase reaction. Both enzymes are thus, reciprocally regulated.
EGF activates acetyl-CoA carboxylase in adipocytes (5). In hepatocytes,
Holland and Hardie (34) found that EGF induced phosphorylation of this
enzyme, which was in keeping with an enhanced lipogenesis. In keeping
with these reported effects of EGF, we observed that this peptide
increased oleate S0.5 required for half-maximal
ketogenesis in hepatocytes. Therefore, besides of the decreased
substrate availability, the reduced ketogenic sensitivity of the liver
may explain the low ß-hydroxybutyrate concentration found in EGF
injected mice.
In a more physiological context, the raise of plasma EGF concentration
(the difference between sialoadenectomized and sham-operated animals
receiving adrenaline), although decreased the lipolytic response to
adrenaline, had no effect on plasma ß-hydroxybutyrate. This is
understandable because plasma NEFA concentration decreased from 1.0
mM (sialoadenectomized animals) to 0.7 mM
(sham-operated animals with higher EGF concentration in plasma), and we
observed in isolated hepatocytes that within this range of oleate
concentrations ketogenesis is near saturation and thus, unsensitive to
such a small decrease in substrate availability. Therefore, we may
conclude that, under physiological conditions, one of the metabolic
consequences of adipose tissue lipolysis (the increased ketogenesis in
liver) is not compromised by the effect of endogenously secreted EGF on
lipolysis. If the interference with the lipolytic action of adrenaline
has no further metabolic consequences, we could conclude also that such
an interference is meaningful only for adipose tissue itself: EGF would
reduce the intensity of one of the major lipolytic stimulus affecting
thus, the balance between adipogenesis and lipolysis. This would favor
triglyceride accumulation, which is in keeping with other effects of
EGF described in adipocytes (4, 5, 6), and in whole animals (11, 12).
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Footnotes
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1 This work was supported by Grants PB940863 and PB970936 from
Dirección General de Enseñanza Superior e
Investigación Científica, Ministerio de Educación y
Ciencia, Spain. 
Received July 20, 1999.
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