Abstract
Proteasome inhibitors are novel therapeutic agents for the treatment of cancer and other severe disorders. One of the possible side effects is influencing the metabolism of proteins. The aim of our study was to evaluate the influence of three proteasome inhibitors MG132, ZL3VS and AdaAhx3L3VS on protein metabolism and leucine oxidation in incubated skeletal muscle of control and septic rats. Total proteolysis was determined according to the rates of tyrosine release into the medium during incubation. The rates of protein synthesis and leucine oxidation were measured in a medium containing L-[1-14C]leucine. Protein synthesis was determined as the amount of L-[1-14C]leucine incorporated into proteins, and leucine oxidation was evaluated according to the release of 14CO2 during incubation. Sepsis was induced in rats by means of caecal ligation and puncture. MG132 reduced proteolysis by more than 50% and protein synthesis by 10–20% in the muscles of healthy rats. In septic rats, proteasome inhibitors, except ZL3VS, decreased proteolysis in both soleus and extensor digitorum longus (EDL) muscles, although none of the inhibitors had any effect on protein synthesis. Leucine oxidation was increased by AdaAhx3L3VS in the septic EDL muscle and decreased by MG132 in intact EDL muscle. We conclude that MG132 and AdaAhx3L3VS reversed protein catabolism in septic rat muscles.
Keywords: proteasome inhibitors, protein metabolism, sepsis
The ubiquitin–proteasome system (UPS) is a proteolytic system that is localized in cytosol and nucleus and requires ATP and mostly also the cofactor ubiquitin for proteolysis. Proteins to be degraded by UPS are tagged by polyubiquitin chain in a process precisely regulated by a system of ubiquitinating and deubiquitinating enzymes that assure the specificity and control of proteolysis. The proteasome contains protease active sites that account for the cleavage preferences: chymotryptic, tryptic and peptidylglutamyl (Glickman & Ciechanover 2002). The great importance of the UPS is now evident. It is responsible for the breakdown of a large variety of cell proteins, involved in important biological processes, including cell cycle, cell growth, gene expression, DNA repair, stress response and also programmed cell death (Drexler 1998; Hershko et al. 2000). The activated breakdown of myofibrillar proteins, i.e. actin and myosin, in many serious disorders, including cancer, renal failure, acidosis, infections, burns and sepsis, correlates with enhanced activity of the UPS (Tiao et al. 1994; Mitch & Price 2003).
Many proteasome inhibitors have been developed (Kisselev & Goldberg 2001). They are divided into several groups according to the chemical structure and proteasome specificity. Most of them (except the fungal metabolite, lactacystine) are based on short oligopeptidic sequences with an electrophilic structure at the C-terminus. This electrophilic structure can be an aldehyde, a boronate (reversible inhibitors), an epoxyketone or a vinylsulfone (irreversible inhibitors) (Lee & Goldberg 1998). Proteasome inhibitors have been introduced as novel therapeutic agents. The first drug of this class is Bortezomib (Velcade®, Millennium Pharmaceuticals, Cambridge, MA, USA), used for the treatment of multiple myeloma. This and other novel proteasome inhibitors are currently undergoing clinical trials as potential treatment for a growing number of other cancer types (Mack et al. 2003; Davis et al. 2004) and other diseases, such as stroke and inflammatory diseases (Di Napoli & Papa 2003).
The mechanism of action of proteasome inhibitors predicts large-scale effects in the organism. In general, proteasome inhibitors seem to have manageable adverse effects, e.g. thrombocytopenia, fatigue and peripheral neuropathy (Richardson et al. 2003). As it is presently believed, the proteasome is responsible for a substantial part of proteolysis in physiological state. Several authors studied the ability of proteasome inhibitors to reduce enhanced protein degradation in various catabolic diseases, including denervation, hyperthyroidism, burn and sepsis (Tawa et al. 1997; Fang et al. 1998; Hobler et al. 1998; Fischer et al. 2000), and their findings support the hypothesis that the ubiquitin–proteasome pathway plays a central role in muscle wasting in these catabolic states.
The aim of the present study is to evaluate the direct effects of MG132 and new proteasome inhibitors – ZL3VS and AdaAhx3L3VS – on protein and leucine metabolism in skeletal muscle. In addition to evaluating changes in proteolysis, we studied also changes in protein synthesis and leucine oxidation, as the effects of proteasome inhibitors on these parameters are not clear. The experiments were performed by means of isolated muscles of both intact and septic rats. MG132 belongs to the group of peptide aldehydes. It is a strong inhibitor of the proteasome, but inhibits partly also cathepsins and calpains. ZL3VS is a vinylsulphone inhibitor and AdaAhx3L3VS is a vinylsulphone inhibitor with extended peptide portion, which reveals equal potency to all individual catalytic activities of the proteasome (Kessler et al. 2001).
Methods
Materials
MG132, cycloheximide, amino acids, Folin-Ciocalteu phenol reagent and albumin were purchased from Sigma Chemical (St Louis, MO, USA); L-[1-14C]leucine was purchased from Amersham (Buckinghamshire, UK); Aminoplasmal-15 from B. Braun Medicals (Melsungen, Germany); hydroxide of hyamine from Packard Instruments (Meriden, CT, USA). ZL3VS and AdaAhx3L3VS were synthesized by Benedikt M. Kessler and colleagues (Harvard Medical School, Boston, MA, USA). The remaining chemicals were obtained from Lachema (Brno, Czech Republic).
Animals
Male Wistar rats (BioTest, Konarovice, Czech Republic) weighing 40–60 g, housed under controlled conditions (12-h light-dark cycle, 22 °C, 55–65% humidity) were used for the study. All experiments were performed according to the guidelines set by the Institutional Animal Use and Care Committee of Charles University, Praha, Czech Republic.
Induction of sepsis
Sepsis was induced in rats by means of caecal ligation and puncture (CLP). Under ether anaesthesia, rats underwent laparotomy and the caecum was ligated below the ileocaecal valve and was punctured twice with a No.18 gauge needle. The abdomen was closed with a running 2–0 silk suture and 10 ml of sterile saline solution per 100 g of body weight was administered subcutaneously on the back for hydration (Pedersen et al. 1989). Mortality 18 h after CLP was 27%. Sham-operated control rats underwent laparotomy and manipulation, but no ligation and puncture, of the caecum.
Muscle incubation
Rats were anaesthetized with pentobarbital (6 mg/100 g body weight, intraperitoneally) 18 h after CLP or sham operation, and blood was taken for analysis. Soleus (SOL) and extensor digitorum longus (EDL) muscles were then quickly dissected and excised with intact tendons. The muscles were mounted on stainless steel clips at approximate resting length and immediately they were transferred to 2.5 ml of oxygenated Krebs-Henseleit bicarbonate buffer with 6 mm glucose and 2 mU/ml of insulin (pH 7.4, 37 °C). Muscles were pre-incubated for 30 min in a thermostatically controlled bath (37 °C) with a shaking device (70 cycles/min). After pre-incubation, muscles were quickly rinsed in 0.9% NaCl and were transferred to a second set of vials containing fresh media.
Bilateral muscles were individually pre-incubated and were incubated in a medium with the addition of 30 µm MG132, ZL3VS or AdaAhx3L3VS, or in a medium without proteasome inhibitors, respectively, so that incubations with and without proteasome inhibitors from the same rat could be compared.
Protein metabolism measurement
Total proteolysis was determined according to the rates of tyrosine release into the medium during 2-h incubation, and was expressed as nmol/g wet weight/h. Cycloheximide (0.5 mm) was added into the medium in order to prevent reincorporation of amino acids in the muscle proteins.
Protein synthesis and leucine oxidation were measured during 1-h incubation in the medium containing L-[1-14C]leucine (0.2 µCi/ml). Medium for both pre-incubation and incubation was enriched with a solution of amino acids – Aminoplasmal-15 (2.2 mm amino acids). At the end of incubation, 0.4 ml of hydroxide of hyamine was added into the hanging well in order to capture 14CO2 generated from oxidized leucine and the reaction was stopped by means of the addition of 0.2 ml of 35% (v/v) perchloric acid solution. After 1 h of shaking at room temperature, the muscles were frozen in liquid nitrogen, homogenized, protein precipitated in 6% (v/v) HClO4 and washed three times in the same solution. The amount of L-[1-14C]leucine incorporated into proteins was determined after dissolution of homogenized muscles in 1 m NaOH. Protein synthesis was then expressed as nmol of incorporated leucine/g of muscle protein/h. Leucine oxidation was calculated as nmol of 14CO2 trapped in the hanging well/g wet weight/h. We expressed protein synthesis as nmol of incorporated leucine per gram of muscle protein preferably to gram of wet muscle weight as we did with proteolysis and leucine oxidation, because of the non-constant loss of muscle tissue during homogenization.
Experimental design
We have performed three separate studies. In the first, we studied changes in protein metabolism caused by the proteasome inhibitor MG132 in the muscles of healthy rats. The second study was performed in order to determine changes in protein metabolism induced by CLP. In the third experiment, we evaluated the influence of proteasome inhibitors on protein metabolism in the muscles of septic rats.
Other techniques
Tyrosine concentration was measured fluorimetrically as described by Waalkes and Udenfriend (1957). Protein content was measured according to Lowry et al. (1951). The radioactivity was determined with the liquid scintillation radioactivity counter LS 6000 (Beckman Instruments, Fullerton, CA, USA).
Aspartate aminotransferase (AST), alanine aminotransferase (ALT) and l-lactate dehydrogenase (LDH) were measured by using commercial tests (Boehringer, Mannheim, Germany). Blood count was evaluated by using a blood particle analyser, Coulter Counter JT3 (Coulter Electronics, Luton, UK). Na+ and K+ were determined with the help of ion-selective electrodes on AVL 983-S (Block Scientific, Englewood, NJ, USA).
Statistical analysis
The results have been expressed as the mean ± SEM. Statistical analysis was performed by using paired t-test, two-sample t-test and anova followed by Bonferroni test. Statistical software ncss 2001 was used for the analysis.
Results
The first experiment was performed in order to evaluate changes in protein metabolism by MG132 in the muscles of intact rats and it revealed that MG132 inhibited proteolysis in both SOL and EDL by more than 50%, and protein synthesis by 21 and 10%, respectively. Leucine oxidation decreased significantly (by 16%) only in EDL muscle (Table 1).
Table 1.
Muscle | Control | MG132 | |
---|---|---|---|
Proteolysis (nmol tyrosine/g wet weight/h) | SOL (n = 8) | 82 ± 4 | 39 ± 2* |
EDL (n = 8) | 75 ± 2 | 31 ± 1* | |
Protein synthesis (nmol leucine/g of protein/h) | SOL (n = 9) | 1393 ± 67 | 1095 ± 124** |
EDL (n = 10) | 731 ± 49 | 658 ± 55** | |
Leucine oxidation (nmol leucine/g wet weight/h) | SOL (n = 10) | 74.3 ± 6.8 | 67.7 ± 6.4 |
EDL (n = 10) | 68.3 ± 4.5 | 57.4 ± 6.2*** |
Mean ± SEM. Paired t-test
P < 0.001
P < 0.01
P < 0.05. EDL, extensor digitorum longus; SOL, soleus.
In the second study, we observed a significant decrease in haematocrit, haemoglobin, thrombocytes, Na+ and Cl– levels and dry weight of the spleen, the liver and the kidneys in septic rats. LDH, AST, ALT and K+ levels and the spleen wet weight were increased (Table 2). Haematologic changes indicate that our model of sepsis is most likely accompanied with disseminated intravascular coagulation; reduction of dry-to-wet weight ratio of the spleen, the liver and the kidneys represents their oedema; decrease in Na+ and Cl– levels is caused most probably by haemodilution in generalized oedematous state, and increase in K+ level by cell integrity impairment. Increased hepatic enzyme levels indicate that CLP alters hepatic function and splenomegaly is the marker of a serious infection.
Table 2.
Sham (n ≥ 8) | CLP (n ≥ 11) | Sham (n ≥ 8) | CLP (n ≥ 11) | ||
---|---|---|---|---|---|
Thrombocytes (*109/l) | 1052.5 ± 54.7 | 467 ± 53.7* | Alanine aminotransferase (µkat/l) | 0.4 ± 0.01 | 1.3 ± 0.1* |
Haematocrit | 0.34 ± 0.01 | 0.29 ± 0.01** | Aspartate aminotransferase (µkat/l) | 1.9 ± 0.1 | 3.9 ± 0.4* |
Haemoglobin (g/l) | 106.8 ± 2.5 | 89.1 ± 5.2** | Spleen weight (mg/g of body weight) | 3.3 ± 0.2 | 4.1 ± 0.3** |
Na+ (mmol/l) | 134.5 ± 1.4 | 128.1 ± 0.9* | Dry-to-wet weight ratio of the spleen | 0.228 ± 0.003 | 0.206 ± 0.006** |
K+ (mmol/l) | 3.4 ± 0.1 | 3.8 ± 0.1** | Dry-to-wet weight ratio of the liver | 0.268 ± 0.005 | 0.246 ± 0.002** |
Cl– (mmol/l) | 98.1 ± 1.4 | 95 ± 1.0** | Dry-to-wet weight ratio of the left kidney | 0.224 ± 0.002 | 0.213 ± 0.003** |
Lactate dehydrogenase (µkat/l) | 2.6 ± 0.5 | 8.7 ± 1.6** | Dry-to-wet weight ratio of the right kidney | 0.224 ± 0.002 | 0.212 ± 0.004** |
Mean ± SEM. Two-sample t-test
P < 0.001 vs. control (sham-operated)
P < 0.05 vs. control (sham-operated). CLP, caecal ligation and puncture
Table 3 summarizes that CLP resulted in negative protein balance in both SOL and EDL muscles – we observed an increase in proteolysis and a decrease in protein synthesis. In addition, an increase in leucine oxidation was observed.
Table 3.
Muscle | Sham | CLP | |
---|---|---|---|
Proteolysis (nmol tyrosine/g wet weight/h) | SOL (n ≥ 9) | 78.8 ± 2.3 | 98.2 ± 5.8* |
EDL (n ≥ 10) | 73.8 ± 1.7 | 93.7 ± 5.7* | |
Protein synthesis (nmol leucine/g of protein/h) | SOL (n = 10) | 1350 ± 74 | 1142 ± 72* |
EDL (n = 11) | 699 ± 55 | 529 ± 53* | |
Leucine oxidation (nmol leucine/g wet weight/h) | SOL (n = 11) | 71 ± 7 | 127 ± 10** |
EDL (n = 11) | 68 ± 4 | 132 ± 9** |
Mean ± SEM. Two-sample t-test
P < 0.05vs. control (sham-operated)
P < 0.001 vs. control (sham-operated). EDL, extensor digitorum longus; SOL, soleus.
The third experiment was designed in order to evaluate the influence of MG132, ZL3VS and AdaAhx3L3VS on protein metabolism in the muscles of septic rats. MG132 and AdaAhx3L3VS decreased proteolysis (Table 4) and had no effect on protein synthesis (Table 5) in both SOL and EDL muscles. Moreover, ZL3VS had no effect on protein synthesis, and had a significant effect on proteolysis only in EDL muscle. AdaAhx3L3VS increased leucine oxidation in EDL muscle by 14%, whereas other proteasome inhibitors had no significant effect on leucine oxidation in the septic muscle (Table 6).
Table 4.
Muscle | CLP (n = 8) | CLP + MG132 (n = 8) | CLP (n = 9) | CLP + ZL3VS (n = 9) | CLP (n = 8) | CLP + AdaAhx3L3VS (n = 8) |
---|---|---|---|---|---|---|
SOL | 83 ± 13 | 36 ± 2* | 81 ± 4 | 75 ± 4 | 68 ± 5 | 54 ± 3* |
EDL | 76 ± 8 | 30 ± 2* | 80 ± 5 | 66 ± 4* | 70 ± 3 | 47 ± 2* |
Mean ± SEM in nmol tyrosine/g wet weight/h. Paired t-test
P < 0.05vs. septic control. We usedanova followed by Bonferroni test to see whether the means of MG132, ZL3VS and AdaAhx3L3VS are equal. Because the P-value is less than 0.05, we reject that hypothesis.
Table 5.
Muscle | CLP (n = 8) | CLP + MG132 (n = 8) | CLP (n = 7) | CLP + ZL3VS (n = 7) | CLP (n = 8) | CLP + AdaAhx3L3VS (n = 8) |
---|---|---|---|---|---|---|
SOL | 1145 ± 105 | 1362 ± 150 | 927 ± 119 | 927 ± 38 | 1327 ± 121 | 1414 ± 87 |
EDL | 525 ± 51 | 614 ± 75 | 517 ± 116 | 360 ± 51 | 438 ± 31 | 482 ± 50 |
Mean ± SEM in nmol leucine/g of muscle protein/h. Paired t-test. EDL, extensor digitorum longus; SOL, soleus.
Table 6.
Muscle | CLP (n = 8) | CLP + MG132 (n = 8) | CLP (n = 8) | CLP + ZL3VS (n = 8) | CLP (n = 8) | CLP + AdaAhx3L3VS (n = 8) |
---|---|---|---|---|---|---|
SOL | 136 ± 22 | 118 ± 19 | 101 ± 11 | 106 ± 13 | 143 ± 12 | 156 ± 12 |
EDL | 134 ± 17 | 114 ± 19 | 129 ± 20 | 113 ± 15 | 134 ± 12 | 157 ± 17* |
Mean ± SEM in nmol leucine/g wet weight/h. Paired t-test
P < 0.05vs. septic control. EDL, extensor digitorum longus; SOL, soleus.
Discussion
When MG132 was added into the incubation medium and its effect on muscles of intact rats was investigated, proteolysis and protein synthesis decreased in both SOL and EDL muscles and leucine oxidation decreased significantly only in EDL muscle. The decrease of proteolysis is in agreement with the study of Tawa et al. (1997), and supports the concept that a substantial part of proteolysis in skeletal muscles of healthy rats is mediated by the UPS. The decrease in protein synthesis and leucine oxidation may be caused partially by lower supply of amino acids resulting from decreased proteolysis, and/or by other possible effects of MG132 – decreased degradation of protein synthesis regulators through the proteasome and lower consumption of ATP by the proteasome, inactivating branched-chain alpha-keto acid dehydrogenase (BCKAD – the rate-limiting enzyme in the catabolism of branched-chain amino acids valine, leucine and isoleucine) (Lombardo et al. 1998). Decreased protein synthesis was also observed (Fang et al. 1998; Hobler et al. 1998) in EDL muscles incubated in the presence of N-acetyl-L-leucinyl-L-leucinal-L-norleucinal (LLnL). However, neither MG132 nor LLnL induced any changes in protein synthesis in incubated rat diaphragm muscle (Bailey et al. 1996) and in epitrochlearis muscle (Tawa et al. 1997), respectively. Therefore, it may be suggested that the effect of proteasome inhibitors may differ in different muscle types.
Sepsis induced by CLP caused negative protein balance and increased leucine oxidation in both muscle types. These findings are in agreement with studies describing an increase in proteolysis (Hasselgren et al. 1989; Chai et al. 2003), a decrease in protein synthesis (Zamir et al. 1992) and increased leucine oxidation (Holeček 1996) in the muscles of septic rats. The increased leucine oxidation is caused probably by the BCKAD activation. Its activation was observed in skeletal muscle after the administration of endotoxin, tumour necrosis factor or interleukin-1 to rats in several studies (Nawabi et al. 1990; Holeček et al. 1997).
The addition of proteasome inhibitors to incubated muscles of septic rats showed their considerable effect on protein balance. MG132 decreased proteolysis by more than 50%, AdaAhx3L3VS by around 20%, and the effect of ZL3VS was significant only in EDL muscle. In the conditions of the present experiment, MG132 was a much stronger inhibitor of proteolysis than AdaAhx3L3VS. Regarding the two vinylsulphone inhibitors tested, AdaAhx3L3VS had a stronger effect on proteolysis. The structure of AdaAhx3L3VS is extended with aminohexanoic spacers, what was designed to resemble the natural substrates of the proteasome (unfolded polypeptides), but modified, in order not to be cleaved by the proteasome. This structure has also been shown to be more potent than its shorter counterpart ZL3VS in cell culture (Kessler et al. 2001).
We found no change in protein synthesis in septic muscle incubated with any of the three proteasome inhibitors tested, whereas in intact muscle, MG132 decreased the protein synthesis. Such discrepancies suggest that the changes induced by sepsis could modulate the effect of MG132 on protein synthesis observed in healthy rats so that it does not provoke further decrease in protein synthesis observed in sepsis. Considering the study of Hobler et al. (1998), who showed that LLnL decreased protein synthesis in incubated EDL muscles of septic rats, we suggest that the effect on protein synthesis may differ by using various inhibitors of the proteasome.
Leucine oxidation that was increased in the septic muscle was further increased after the addition of AdaAhx3L3VS into the medium. Considering the reduced supply of leucine because of the decreased proteolysis, the increase in leucine oxidation should be caused by increased activity of BCKAD.
It should be noted that the parameters of protein metabolism were studied in two types of muscle – fast twitch (EDL) and slow twitch (SOL) muscles – and we observed some distinct effects (Tables 4 and 6). The possible cause can be a higher proteasomal activity in SOL than in EDL muscle that was observed both in control rats and in rats with disseminated intravascular coagulation (Tsujinaka et al. 1995). A similar difference in the regulation of proteolysis and protein synthesis in fast and slow muscle fibres was also observed (Tiao et al. 1997; Šafránek et al. 2003).
It should also be stated that MG132 has also been shown to target cysteine and serine proteases and may, therefore, influence other proteolytic systems in the cells (Lee & Goldberg 1998). The inhibition of calpains and cathepsins, however, requires 10-fold higher concentrations of MG132 than the inhibition of the proteasome (Kisselev & Goldberg 2001). Tawa et al. (1997) tested the effect of MG132 in incubated muscle of intact rats with results similar to that in the first part of our work. In their study, conditions were chosen to block the lysosomal and Ca2+-dependent processes, and evidence that MG132 was functioning by inhibiting the UPS was given. We, therefore, suppose that in our current model, the effect of MG132 is mediated mainly by influencing the proteasome.
In conclusion, proteasome inhibitors used in our study showed beneficial effect on proteocatabolism induced by sepsis, as they decreased the protein breakdown and did not change the protein synthesis. This could prove to be useful in potential clinical use of proteasome inhibitors – namely in cancer diseases – that are very often accompanied with muscle wasting and cachexia. Unfortunately, the compounds used in our study do not have any potential to be used in humans, as MG132 is not specific for the proteasome and ZL3VS and AdaAhx3L3VS act irreversibly. Further studies are needed in order to establish whether the proteasome inhibitors with a clinical potential do have similar beneficial effect on negative protein balance. We also suggest that as AdaAhx3L3VS increased leucine oxidation in septic muscle the effects of these agents on leucine oxidation should be monitored.
Acknowledgments
This work was supported by grant GAČR 303/03/1512. B. Kessler was supported by a Multiple Myeloma Research Foundation (MMRF) Senior Fellowship. We are grateful for the technical support to R. Ryšavá, H. Buzková, I. Altmanová and T. Muthný.
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