Abstract
BACKGROUND AND PURPOSE
Metabolic dysfunction due to loss of mitochondria plays an important role in diabetes, and stimulation of mitochondrial biogenesis by anti-diabetic drugs improves mitochondrial function. In a search for potent stimulators of mitochondrial biogenesis, we examined the effects and mechanisms of lipoamide and α-lipoic acid (LA) in adipocytes.
EXPERIMENTAL APPROACH
Differentiated 3T3-L1 adipocytes were treated with lipoamide or LA. Mitochondrial biogenesis and possible signalling pathways were examined.
KEY RESULTS
Exposure of 3T3-L1 cells to lipoamide or LA for 24 h increased the number and mitochondrial mass per cell. Such treatment also increased mitochondrial DNA copy number, protein levels and expression of transcription factors involved in mitochondrial biogenesis, including PGC-1α, mitochondrial transcription factor A and nuclear respiratory factor 1. Lipoamide produced these effects at concentrations of 1 and 10 µmol·L−1, whereas LA was most effective at 100 µmol·L−1. At 10 µmol·L−1, lipoamide, but not LA, stimulated mRNA expressions of PPAR-γ, PPAR-α and CPT-1α. The potency of lipoamide was 10–100-fold greater than that of LA. Lipoamide dose-dependently stimulated expression of endothelial nitric oxide synthase (eNOS) and formation of cGMP. Knockdown of eNOS (with small interfering RNA) prevented lipoamide-induced mitochondrial biogenesis, which was also blocked by the soluble guanylate cyclase inhibitor, ODQ and the protein kinase G (PKG) inhibitor, KT5823. Thus, stimulation of mitochondrial biogenesis by lipoamide involved signalling via the eNOS-cGMP-PKG pathway.
CONCLUSIONS AND IMPLICATIONS
Our data suggest that lipoamide is a potent stimulator of mitochondrial biogenesis in adipocyte, and may have potential therapeutic application in obesity and diabetes.
Keywords: lipoic acid, lipoamide, mitochondria, peroxisome proliferator-activated receptor-γ co-activator-1α (PGC-1α), mitochondrial transcription factor A (TFAM), nuclear respiratory factor 1 (NRF1)
Introduction
Mitochondria play a central role in the maintenance of energy stores, regulation of metabolism and pathways of cell death. Mitochondrial dysfunction has been suggested as a causal factor of insulin resistance and diabetes (Choi et al., 2005). Anti-diabetic thiazolidinediones enhance insulin sensitivity and appear to exert their therapeutic effects by changing morphological features and protein profiles of mitochondria in 3T3-L1 adipocytes (Wilson-Fritch et al., 2003; 2004;). Thus, rosiglitazone treatment up-regulated decreased gene transcripts encoding mitochondrial proteins of ob/ob mice at the onset of obesity. This gene up-regulation by rosiglitazone was accompanied by an increase in mitochondrial mass and morphology, and also a markedly enhanced oxygen consumption and palmitate oxidation in adipocytes (Wilson-Fritch et al., 2004).
α-Lipoic acid (LA) is a multifunctional antioxidant (Packer et al., 1995; 1997a;) and mitochondrial nutrient (Liu and Ames, 2005). LA improves insulin sensitivity in patients with type 2 diabetes (Evans and Goldfine, 2000), experimental diabetic retinopathy (Civitarese et al., 2006), diabetic vascular complications (Da Ros et al., 2005) and diabetic neuropathy (Stevens et al., 2000; Bruckner et al., 2002). It has been suggested that stimulating peroxisome proliferator-activated receptor-γ co-activator-1α (PGC-1α) could suppress reactive oxygen species (ROS) and mitochondrial dysfunction-related neurodegeneration (St-Pierre et al., 2006). PGC-1α is known to be a key regulator of mitochondrial biogenesis and respiration. We therefore hypothesized that one of the mechanisms of the effects of LA on diabetic symptoms and complications is to stimulate mitochondrial biogenesis and remodelling during adipogenesis. In a previous study, we reported that LA plus acetyl-L-carnitine, both at 1 µmol·L−1 or 10 µmol·L−1, significantly stimulated the expression of PGC-1α, and the mitochondrial transcription factors, nuclear related factor 1 (NRF1), NRF2 and mitochondrial transcription factor A (TFAM), and the mitochondrial electron transport complexes (ETCs), as well as the ETC activities and mitochondrial DNA (mtDNA) copy numbers. In contrast, LA or acetyl-L-carnitine alone at such concentrations hardly affected these parameters (Shen et al., 2008). Further study found that 100 µmol·L−1 LA was required to fully stimulate mitochondrial biogenesis.
Lipoamide is the neutral amide of LA. Unlike LA, lipoamide does not occur naturally in either animals or plants. Lipoamode was first synthesized from LA based on the mixed carbonic-carboxylic anhydride method (Reed et al., 1958). Lipoamide has been shown to be a better cofactor for α-oxo-acid dehydrogenase enzymes than free LA, and it is able to promote the recovery of post-ischemic myocardium in rats (Sumegi et al., 1994). It also has been shown to be an antioxidant in vitro (Bisby and Parker, 1998) and prevents Fenton-type chemistry and resultant oxidative damage and apoptosis more efficiently than LA in a lysosomal membrane system (Persson et al., 2001).
To find more effective stimulators of mitochondrial biogenesis and therapeutic agents for treating diabetes and/or its complications, in the present study, we investigated the stimulating effect of lipoamide compared with that of LA, on mitochondrial biogenesis.
Methods
Cell culture and adipocyte differentiation
Murine 3T3-L1 pre-adipocytes (American Type Culture Collection) were cultured in Dulbecco's modified Eagle's medium (DMEM) supplemented with 10% fetal bovine serum (FBS) and allowed to reach confluence. Differentiation of pre-adipocytes was initiated with 1 µmol·L−1 insulin, 0.25 µmol·L−1 dexamethasone and 0.5 mmol·L−1 3-isobutyl-1-methylxanthine in DMEM supplemented with 10% FBS. After 48 h, the culture medium was replaced with DMEM supplemented with 10% fetal bovine serum and 1 µmol·L−1 insulin. The culture medium was changed every other day with DMEM containing 10% FBS. Cells were used 9–10 days following induction of differentiation, and when at least 90% exhibited the adipocyte phenotype. Cells were made quiescent by incubation in DMEM supplemented with 0.1% BSA for 24 h, then treated with LA or lipoamide for 24 h.
Western blot analysis
Cell lysates (10 µg protein per lane) were subjected to 10% SDS-PAGE, then transferred to nitrocellulose membranes and blocked with 5% non-fat milk/Tris-buffered saline with Tween (TBST) for 1 h at room temperature. Membranes were incubated with primary antibodies directed against PGC-1α (1:1000), α-tubulin (1:10 000), OxPhos Complex I (NADH ubiquinol oxidoreductase 39-kDA subunit 1:2000), OxPhos Complex II (succinate-ubiquinone oxidoreductase 70-kDA subunit 1:2000), OxPhos Complex III (ubiquinol-cytochrome c oxidoreductase core II 1:2000) or endothelial NO synthase (eNOS; 1:1000) in 5% milk/TBST at 4°C overnight. After washing with TBST three times, membranes were incubated with horseradish peroxidase-conjugated secondary antibody for 1 h at room temperature. Western blots were developed using ECL (Roche Mannheim, Germany) and quantified by scanning densitometry (Boudina et al., 2005). Relative protein expression of complexes and PGC-1α by using Western blotting normalized to tubulin expression. Results were presented as percent control.
DNA isolation and real-time PCR
Total DNA was extracted using a kit (QIAamp DNA Mini kit; Qiagen, Germany), and quantitative PCR was done using 18S rRNA primers for a nuclear target sequence and primers for a mitochondrial DNA d-loop target. The following primers were used: mitochondrial d-loop forward: 5′-AATCTACCATCCTCCGTG-3′, reverse: 5′-GACTAATGATTCTTCACCGT; 18SrRNA forward: 5′-CATTCGAACGTCTGCCCTATC-3′ and reverse: 5′-CCTGCTGCCTTCCTTGGA-3′. Quantitative PCR was performed in Mx3000P Real-Time PCR system (Stratagene, La Jolla, CA, USA).
The ratio of mitochondrial d-loop to 18S was then calculated. Results were presented as percent control (Shen et al., 2008).
Electron microscopy
On day 9, cells were treated with LA (10 µmol·L−1) or lipoamide (10 µmol·L−1) for 24 h. For each individual adipocyte profile in the image area, the number of mitochondria and the total mitochondrial section area were determined by transmission electron microscopy (Wilson-Fritch et al., 2004). Measurements were made on 10 individual adipocytes treated with or without LA or lipoamide. These 10 cells were from the same experiments, but each experiment was repeated three times. For each individual adipocyte profile in the area, the number of mitochondria and the total mitochondrial section area were determined. All electron microscopic photographs were analysed without knowledge of the treatments.
RNA isolation and reverse transcription PCR
Total RNA was extracted using TRIzol reagent (Invitrogen, Carlsbad, CA, USA) according to the manufacturer's instructions. To synthesize first-strand cDNA, 1 µg of RNA was reverse transcribed, and the synthesized cDNA were amplified in triplicate using specific primers. The primers used are shown in Table 1. Quantitative PCR was performed in Mx3000P real-time PCR system (Stratagene). Reactions were performed with 12.5 µL SYBR-Green Master Mix (ABI, Warrington, UK), 0.5 µL of each primer (10 µmol·L−1), 1 µL template (cDNA) or no template (NTC), and RNase-free water was added to a final volume of 25 µL. The cycling conditions were as follows: 50°C for 2 min, initial denaturation at 95°C for 10 min, followed by 40 cycles of 95°C for 30 s, 55°C for 1 min and 72°C for 30 s. Each quantitative PCR was performed in triplicate. The evaluation of relative differences of PCR product amounts among the treatment groups was carried out using the ΔΔCT method. The reciprocal of 2CT for each target gene was normalized to that for 18S rRNA, followed by the comparison with the relative value in control cells. Results were presented as percent control.
Table 1.
Primers for quantitation of mRNA by real-time quantitative PCR
| Gene | Forward | Reverse |
|---|---|---|
| Nrf1 | 5′-CGCAGCACCTTTGGAGAA-3′ | 5′-CCCGACCTGTGGAATACTTG-3′ |
| Tfam | 5′-GGAATGTGGAGCGTGCTAAAA-3′ | 5′-TGCTGGAAAAACACTTCGGAATA-3′ |
| Ppar-α | 5′-TCACACAATGCAATCCGTTT-3′ | 5′-GGCCTTGACCTTGTTCATGT-3′ |
| Ppar-g | 5′-CACTCGCATTCCTTTGAC- 3′ | 5′-CCCACAGACTCGGCACTC-3′ |
| Cpt-1 | 5′-TGTCCAAGTATCTGGCAGTCG -3′ | 5′-CATAGCCGTCATCAGCAACC-3′ |
Mitochondrial respiration
Oxygen consumption by intact cells was measured as described (Wilson-Fritch et al., 2004). After treatment, adipocytes were washed in KRH buffer plus 1% BSA. Cells from each condition were divided into triplicate aliquots and measured in a BD Oxygen Biosensor System plate (BD Biosciences). Plates were sealed and ‘read’ on a fluorescence spectrometer (Molecular Probes, Eugene, OR, USA) at 1 min intervals for 60 min at an excitation wavelength of 485 nm and emission wavelength of 630 nm. We have used 2 × 105 cells in the assay. The oxygen consumption rate of cells generally follows Michaelis-Menten kinetics with respect to oxygen concentration. Vmax is the maximum consumption rate.
Activity of mitochondrial complexes I, II and III
Adipocytes were cultured in 100 mm plates and washed in PBS. Following addition of trypsin, the cells were pelleted by centrifugation at 300 g for 5 min at 4°C. All of the subsequent steps were performed on ice. The resulting pellet was then resuspended in 0.5 mL of mitochondrial isolation buffer (215 mmol·L−1 mannitol, 75 mmol·L−1 sucrose, 0.1% BSA, 1 mmol·L−1 EGTA, 20 mmol·L−1 HEPES, pH 7.2) and homogenized on ice with a 2 mL glass homogenizer (Dounce, Fisher Scientific, Pittsburgh, PA, USA). The mitochondria were then purified by differential centrifugation at 1300 g for 5 min to pellet unbroken cells and the nuclei. The supernatant fraction was then centrifuged at 13 000 g for 10 min to pellet the mitochondria. The pellet was resuspended in EGTA-free isolation buffer (Kanazawa et al., 2002).
Briefly, complex I activity was assayed by monitoring the decrease of NADH at 340 nm. Final concentration of mitochondrial protein was 30 µg·mL−1. Reaction was started by adding 200 µmol·L−1 NADH and scanned at 340 nm for 3 min. Rotenone (3 µmol·L−1) was added into the reaction system as blank control. Complex II was assayed with mitochondria (final concentration 30 µg·mL−1), and the reaction was started with 10 mmol·L−1 succinate and scanned at 600 nm for 2 min. Complex III activity was measured in a mixture containing 250 mmol·L−1 sucrose, 1 mmol·L−1 EDTA, 50 mmol·L−1 K phosphate, pH adjusted to 6.5 to reduce auto-oxidation of reduced coenzyme Q1 (CoQ1), 2 mmol·L−1 KCN, 50 µmol·L−1 cytochrome C, 0.1% BSA, and the reaction was initiated by 20 µg·mL−1 mitochondria and 50 µmol·L−1 reduced CoQ1, recording the increase of absorption at 550 nm for 2 min (Sun et al., 2006).
cGMP immunoassays
Adipocytes were pretreated 1 h with 100 µmol·L−1 L-NAME, and then stimulated with lipoamide for 24 h. cGMP was measured using a cGMP immunoassay (R&D Systems Inc., Minneapolis, MN, USA) according to the supplier's protocol.
Transfection of siRNA
On day 6 after 3T3-L1 differentiation, the media of 3T3-L1 cells in six-well plates were changed to siRNA Transfection Medium (Santa Cruz Biotechnology, Santa Cruz, CA, USA), and the cells were transfected with eNOS- and control-siRNA (Santa Cruz Biotechnology) using siRNA Transfection Reagent (Santa Cruz Biotechnology) according to the instructions provided by the manufacturer. On day 7, media of 3T3-L1 adipocytes were changed to DMEM, and 3T3-L1 adipocytes were treated for 24 h with 10 µmol·L−1 lipoamide (Tedesco et al., 2008; Cheng et al., 2009).
Statistics
All values are expressed as means ± s.e.mean. Statistical significance was determined by using one-way anova with Bonferroni's post hoc tests between the two groups. The criterion for significance was set at P < 0.05.
Materials
Anti-rabbit PGC-1α;, eNOS siRNA and control siRNA were purchased from Santa Cruz Biotechnology, anti-α-tubulin from Sigma (St. Louis, MO, USA), anti-OxPhos complexes I, II and III from Invitrogen, SYBR™GREEN PCR Master Mix from ABI, BD Oxygen Biosensor System plates from BD Biosciences (CA, USA), cGMP immunoassay was from R&D Systems; R-α-lipoic acid (Tris salt) was a gift from Dr K. Wessel (Viatris, Germany); DL-α-lipoamide from Fluka (Buchs, Switzerland); mitochondrial d-loop, NRF1, TFAM, 18S rRNA, PPAR-γ, PPAR-α and CPT-1 primers were synthesized by Bioasia Biotech (Shanghai, China); other reagents for cell culture were from Invitrogen. NG-nitro-L- arginine methyl ester (L-NAME), NG-methyl L-arginine (L-NMMA) and KT5823 were purchased from Sigma. The drug and molecular target nomenclature follows Alexander et al. (2009).
Results
Expression of mitochondrial biogenesis genes
The PGC-1α; protein is a co-activator that promotes mitochondrial biogenesis and mitochondrial fatty acid oxidation. The effect of LA on PGC-1α protein expression in adipocytes was dose-dependent (Figure 1A), and increased significantly at 100 µmol·L−1 LA. However, over the range of 0.1–100 µmol·L−1, lipoamide produced a bell-shaped effect on PGC-1α, with a maximum protein expression at 10 µmol·L−1 lipoamide (Figure 1A).
Figure 1.

Effects of LA or lipoamide on the expression of PGC-1α, NRF1 and TFAM in adipocytes. (A) Protein expression of PGC-1α. Upper: representative Western blot image; below: quantification of PGC-1α protein expression of adipocytes incubated with LA or lipoamide for 24 h. Values are mean ± SEM from three independent experiments. *P < 0.05 versus control; **P < 0.01 versus control. (B) mRNA abundance of NRF1 and (C) mRNA abundance of TFAM. Total RNA was analyzed by quantitative RT-PCR with gene-specific oligonucleotide probes in adipocytes. The cycle number at which the various transcripts were detectable was compared to that of 18S rRNA as an internal control. Results are presented relative to values in untreated control cells (100%). All values are mean ± SEM of four independent experiments. *P < 0.05 versus control; **P < 0.01 versus control. LA, lipoic acid; NRF1, nuclear related factor 1; PGC-1α, PPAR-γ co-activator-1α; PPAR, peroxisome proliferator-activated receptor; TFAM, mitochondrial transcription factor A.
The transcription factors NRF1 and TFAM are involved in regulating expression of nuclear genes encoding major mitochondrial proteins that regulate mtDNA transcription and replication. TFAM is identified as a d-loop DNA binding protein (Choi et al., 2005). The relative abundance of mRNA transcripts encoding NRF1 and TFAM were examined by QRT-PCR. Treatment with LA at 0.1–100 µmol·L−1 resulted in a trend toward a dose-dependent increase in expression of NRF1 and TFAM mRNA with a significant increase at 100 µmol·L−1 LA. However, over the range of 0.1–100 µmol·L−1, lipoamide produced a bell-shaped dose-related effect on both NRF1 (Figure 1B) and TFAM (Figure 1C) mRNA expression.
Mitochondrial protein and DNA
A decrease of mtDNA content is found in tissues of diabetic patients. The d-loop is known as the major site of transcription initiation of both the heavy and light strands of mtDNA. We examined in vitro whether LA or lipoamide could increase mtDNA expression (Figure 2). Lipoamide significantly increased the ratio of mtD-loop/18S rRNA at concentrations of 1.0 and 10 µmol·L−1, and LA significantly increased the ratio of mtD-loop/18S rRNA at 100 µmol·L−1.
Figure 2.

Effects of LA and lipoamide on the expression of mitochondrial DNA and proteins. (A) Mitochondrial DNA. 3T3-L1 adipocytes were treated with LA or lipoamide for 24 h. Total DNA was isolated from synchronized cells. The mtDNA contents were determined by real-time PCR. The DNA contents of mtDNA and of the 18S rRNA gene (18S rDNA) were calculated, and the relative ratios of mtDNA contents against 18S rRNA gene levels were determined in five independent experiments. (B) Expressions of mitochondrial complexes I, II and III. 3T3-L1 adipocytes were treated with LA or lipoamide for 24 h; cells were subsequently solubilized in SDS sample buffer and analyzed by Western blotting with antibodies against α-tubulin, and mitochondrial electron transport complex I, complex II and complex III. The quantitative analyses of the bands by densitometry are shown for mitochondrial complexes I, II and III, respectively. Upper: representative Western blot image; below: quantification of protein expression of complexes I, II and III. Results are presented relative to values in untreated control cells (100%). Data are mean ± SEM of four independent experiments. *P < 0.05 versus control; **P < 0.01 versus control. LA, lipoic acid A.
Western blotting was used to obtain an estimate of the actual increase in mitochondrial complexes caused by LA or lipoamide treatment. Lipoamide showed an increase of mitochondrial electron transport complex I protein, complex II protein and complex III protein at 10 µmol·L−1. However, LA at 10 µmol·L−1 had no effect on the expression of mitochondrial complex proteins (Figure 2B).
Mitochondrial morphology
LA (10 µmol·L−1) or lipoamide (10 µmol·L−1) treatment altered both the size of individual mitochondria and their structure (Figure 3). Quantitative analysis showed that LA did not affect mitochondrial area and number, while lipoamide increased the total mitochondrial section area to 170 ± 22% of control, and also increased mitochondrial numbers to 156 ± 6.2% of control (both P < 0.05). The average numbers of mitochondrial profiles per cell were counted in a double-blinded fashion in 10 cells containing whole-cell profiles sectioned through the middle of the nucleus.
Figure 3.

Electron microscopy of mitochondria from 3T3-L1 adipocytes treated with LA or lipoamide. (A) Mitochondrial morphometry in adipocytes (magnification, ×10 000): images of whole-cell profiles and mitochondrial profiles surrounding a lipid droplet by arrows. On day 8 of differentiation, 3T3-L1 adipocytes were seeded onto coverslips. On day 9, cells were treated with LA (10 µmol·L−1) or lipoamide (10 µmol·L−1). (B) Morphometric analyses of surface area of the mitochondria and mitochondrial density were performed. Results are presented relative to values in untreated control cells (100%). Values are means ± SEM of 10 cells. **P < 0.01 versus control. LA, lipoic acid.
Oxygen consumption
To determine if increased mitochondrial biogenesis was accompanied by changes in oxygen consumption, cells were treated with LA or lipoamide at 10 µmol·L−1. As shown in Figure 4, the basal rate of oxygen consumption was increased in adipocytes treated with lipoamide (10 µmol·L−1), whereas LA at the same concentration had no effect.
Figure 4.

Oxygen consumption in 3T3-L1 adipocytes. Equal volumes of cells were separated into aliquots in wells of a 96-well BD Oxygen Biosensor plate. Plates were covered and fluorescence in each well was recorded over time with a fluorescence microplate spectrophotometer to yield representative oxygen consumption curves. (A) Representative oxygen consumption curves. (B) Quantitative changes in the respiratory rate of adipocytes during each condition were calculated by kinetic measurements. Vmax is the maxium consumption rate. Values are mean ± SEM from three independent experiments; results are presented relative to values in untreated control cells (100%). *P < 0.05 versus control. LA, lipoic acid.
Activity of mitochondrial complexes I, II and III
As shown in Figure 5, lipoamide increased the activity of mitochondrial complex I and of complex II at 1.0 and at 10 µmol·L−1, but it increased the activity of mitochondrial complex III only at the higher concentration (10 µmol·L−1). LA produced a significant increase in the activity of complex II at 100 µmol·L−1, but had no effect on mitochondrial complex I and III activities.
Figure 5.

Effect of treatment with LA or lipoamide on activities of ETC complexes in adipocytes. (A) Complex I, (B) complex II and (C) complex III. Adipocytes were treated with different concentrations of LA or lipoamide for 24 h. Results are presented relative to values in untreated control cells (100%). Values are mean ± SEM from three independent experiments. *P < 0.05, **P < 0.01 versus control. LA, lipoic acid.
mRNA abundance of PPAR-γ, PPAR-α and CPT-1α
The relative abundance of mRNA transcripts encoding for PPAR-γ, PPAR-α and CPT-1α was examined by quantitative RT-PCR (Figure 6). Lipoamide treatment at 10 µmol·L−1 increased the mRNA for all three proteins PPAR-γ PPAR-α and CPT-1α. LA had no effect at the same concentration (10 µmol·L−1).
Figure 6.

Effect of LA or lipoamide on expression of PPAR-γ, PPAR-α and CPT-1α mRNA in adipocytes. Adipocytes were incubated with LA or lipoamide at 10 µmol·L−1 for 24 h. PPPAR-γ, PPAR-α and CPT-1α mRNA were analysed by quantitative RT-PCR with gene-specific oligonucleotide probes of adipocytes. The cycle number at which the various transcripts were detectable was compared with that of 18S rRNA as an internal control and results expressed relative to values in untreated control cells (100%). All values are mean ± SEM of four independent experiments. *P < 0.05, **P < 0.01 versus control. LA, lipoic acid; PPAR, peroxisome proliferator-activated receptor.
eNOS expression and cGMP levels
To investigate the role of endogenous NO, eNOS protein level was measured in adipocytes incubated with LA or lipoamide (Figure 7). Lipoamide over the concentration range of 0.1 to 100 µmol·L−1 increased eNOS expression, whereas LA had no effect on eNOS expression.
Figure 7.

Effect of treatment with LA or lipoamide on eNOS expression. Representative Western blot image (upper) and quantification (below) of eNOS protein expression of adipocytes incubated with LA or lipoamide (10 µmol·L−1) for 24 h. Results are presented relative to values in untreated control cells (100%). Values are mean ± SEM from three independent experiments. *P < 0.05 versus control. LA, lipoic acid.
Figure 8A shows that eNOS expression decreased by 80% after transfection of adipocytes with eNOS siRNA. Transfection with scrambled siRNA, used as control siRNA, did not decrease the normal expression of eNOS in adipocytes (Figure 8A). Further, in cells with eNOS knocked down with siRNA, the effects of lipoamide (10 µmol·L−1) on mtDNA content (Figure 8B) and expression of biogenesis factors PGC-1α (Figure 8C), NRF1 and TFAM (Figure 8D), were clearly reduced compared with its effects in cells after transfection with control siRNA or in untreated cells.
Figure 8.

Knockdown of eNOS with siRNA prevented lipoamide-induced up-regulation of mitochondrial biogenesis factors. (A) 3T3-L1 adipocytes were transfected with control siRNA or eNOS siRNA. Representative Western blot image (upper) and quantification (lower) of eNOS protein expression of adipocytes after transfection for 48 h; (B) After transfection for 24 h, cells were incubated with lipoamide (10 µmol·L−1) for 24 h. Representative Western blot image (upper) and quantification (below) of PGC-1α protein expression; (C) mtDNA contents and (D) Nrf1 and Tfam mRNA abundance. Values are mean ± SEM from three independent experiments. **P < 0.05 and **P < 0.01 versus control and #P < 0.05 versus lipoamide alone. LA, lipoic acid; NRF1, nuclear related factor 1; PGC-1α, PPAR-γ co-activator-1α; PPAR, peroxisome proliferator-activated receptor; TFAM, mitochondrial transcription factor A.
eNOS-cGMP-PKG signaling
Nitric oxide generated by eNOS increases mitochondrial biogenesis and enhances respiration and ATP content in various mammalian cells by acting through its second messenger, cGMP (Nisoli et al., 2003; 2004;). To investigate whether eNOS and cGMP play a role in the mitochondrial biogenesis induced by lipoamide, we first tested its effects on cGMP. As shown in Figure 9, lipoamide (10 µmol·L−1) increased cGMP levels in adipocytes after 24 h incubation, and this increase was abolished in the presence of the eNOS inhibitor L-NAME.
Figure 9.

Effect of treatment with lipoamide on cGMP levels. Adipocytes were pre-incubated with L-NAME (100 µmol·L−1), then stimulated with lipoamide (10 µmol·L−1) for 24 h. Values represent mean ± SEM of 3 independent experiments. *P < 0.05 and **P < 0.01 versus untreated cells, and ##P < 0.01 versus lipoamide alone or SNP alone. L-NAME, NG-nitro-L- arginine methyl ester. LA, lipoic acid; L-NAME, NG-nitro-L- arginine methyl ester; NRF1, nuclear related factor 1; PGC-1α, PPAR-γ co-activator-1α; PPAR, peroxisome proliferator-activated receptor; TFAM, mitochondrial transcription factor A.
Pre-treatment with L-NAME, another NOS inhibitor L-NMMA or the selective guanylate cyclase inhibitor ODQ significantly inhibited lipoamide-induced mtDNA content (Figure 10A), PGC-1α; protein (Figure 10B), and mRNA for NRF1 and TFAM (Figure 10C). Next, to determine if the cGMP-dependent protein kinase G (PKG) was mediating these effects of lipoamide on mitochondrial biogenesis, we pre-treated cells with the PKG inhibitor KT5823 (1 µmol·L−1; Borniquel et al., 2006) before exposure to lipoamide. KT5823 treatment blocked the lipoamide-mediated up-regulation of mtDNA, PGC-1α; and expression of NRF1 and TFAM.
Figure 10.

Lipoamide-regulated mitochondrial biogenesis through an eNOS-cGMP-PKG-dependent mechanism. Adipocytes were pre-incubated with L-NAME (100 µmol·L−1), L-NMMA (100 µmol·L−1), ODQ (10 µmol·L−1) or KT5823 (1 µmol·L−1) for 1 h, then stimulated with lipoamide (10 µmol·L−1) for 24 h. (A) mtDNA contents. mtDNA and 18S rRNA gene (18S rRNA) levels were calculated from a standard curve, and the relative ratios of mtDNA contents against 18S rRNA gene levels were determined in five independent experiments. (B) PGC-1α expression. PGC-1α protein was analyzed by immunoblotting. Upper: representative Western blot image; below: quantification of the PGC-1α density against that of tubulin. (C) NRF1 and TFAM mRNA were measured by qRT-PCR. Results are presented relative to values in untreated control cells (100%). Data are mean ± SEM of three independent experiments. *P < 0.05 and **P < 0.01 versus control; #P < 0.01 versus lipoamide. LA, lipoic acid; L-NAME, NG-nitro-L- arginine methyl ester; L-NMMA, NG-methyl L-arginine; NRF1, nuclear related factor 1; PGC-1α, PPAR-γ co-activator-1α; PPAR, peroxisome proliferator-activated receptor; TFAM, mitochondrial transcription factor A.
Discussion
Oxidative stress and mitochondrial loss are believed to form the foundation for the induction of multiple cellular pathways that can ultimately lead to both the onset and subsequent complications of type 2 diabetes (Mootha et al., 2003; Maiese et al., 2007a,b;). In the present study, we have shown that lipoamide stimulates mitochondrial biogenesis through the activation of a PGC-1α-dependent pathway in adipocytes. The biological activity of LA has commonly been attributed to the antioxidant properties of LA, because the reduced form of LA, dihydrolipoic acid, is a powerful mitochondrial antioxidant (Packer et al., 1995; 1997a,b; Cho et al., 2003), as it recycles other cellular antioxidants, including CoQ, vitamins C and E, and glutathione. Furthermore, dihydrolipoic acid is an effective transition metal chelator (Ou et al., 1995), notably of iron and copper (Packer et al., 1995; 1997a,b; Cho et al., 2003), and LA functions as a redox regulator of proteins such as myoglobin, prolactin, thioredoxin and the transcription factor NF-kappa B (Packer et al., 1995; Fuchs et al., 1997; Bustamante et al., 1998). Finally, LA is an inducer of phase 2 detoxifying enzymes (Suh et al., 2004; Liu, 2008).
Another mechanism of LA action may be the regulation of the acetyl-CoA/CoA ratio. A high acetyl-CoA/CoA ratio in mitochondria causes inhibition of the pyruvate dehydrogenase complex by activating pyruvate dehydrogenase kinase. LA acts as a cofactor when covalently bound to lysine residues in the second component of the α-oxo-acid dehydrogenase complex, and is known to act as an acceptor of short-chain acyl groups from acyl-CoA in vitro (Sumegi et al., 1994).
The present study shows that LA is a promoter of mitochondrial biogenesis. This is a new mechanism for the protective effects of LA in improving complications of type 2 diabetes. From our results, lipoamide was about 10 times more effective than LA in stimulating mitochondrial biogenesis in adipocytes. Lipoamide should share the same mechanism as LA, because these two low molecular weight thiols have similar structures and the same dithiol group.
PPAR-γ plays an important role not only in adipogenesis, but also in regulating lipid metabolism in mature adipocytes (Wilson-Fritch et al., 2003). Activation of PPAR-γ by glucose-lowering agents such as thiazolidinediones, high-affinity agonist ligands for PPAR-γ, led to a net flux of fatty acids from the circulation and other tissues into adipocytes (Lehrke and Lazar, 2005). PPAR-α is also known to be an important regulator of mitochondrial biogenesis and β-oxidation in tissues like heart and liver (Gulick et al., 1994; Kersten et al., 2000). We have shown here that PPAR-α and PPAR-γ levels were up-regulated by lipoamide in 3T3-L1 adipocytes. This up-regulation closely correlates with the stimulation of mitochondrial biogenesis and induction of CPT-1α involved in fatty acid oxidation. In addition, PPAR-γ was well recognized as a key regulator of adipogenic differentiation. Because we found that lipoamide could increase PPAR-γ mRNA abundance, this suggests that lipoamide could increase adipocyte differentiation.
eNOS-dependent NO production induces mitochondrial biogenesis, with concomitant increases in PGC-1α, NRF1, and TFAM expression, oxygen consumption and ATP production in adipose and muscle cells (Nisoli et al., 2003; 2004;). We have demonstrated that inhibition of NO synthesis prevented lipoamide-induced mitochondrial biogenesis in adipocytes, suggesting that NO has an autocrine function in mediating the effects of lipoamide in adipocytes. Accordingly, we also found that genetic lack of eNOS prevented lipoamide-induced mitochondrial biogenesis and the up-regulation of mitochondrial biogenesis factors in differentiated 3T3-L1 adipocytes. The up-regulation of eNOS in adipocytes by lipoamide has been previously reported (Nisoli et al., 2004; Borniquel et al., 2006).
Once NO is produced in a cell, it initiates biological effects through the activation of soluble guanylate cyclase, leading to formation of cGMP. This in turn activates mechanisms involving cGMP-dependent protein kinases, thereby affecting the functions of target proteins. In our study, lipoamide was found to increase the cGMP levels in adipocytes. Therefore, it seems that NO-mediated mitochondrial biogenesis is dependent on cGMP. This assumption was examined by studying the effects of the selective guanylate cyclase inhibitor ODQ. Treatment with lipoamide was found to mimic the effects of NO, increased mtDNA content, mitochondrial ETC complex expression levels, PGC-1α protein levels, and NRF1 and TFAM mRNA levels. Pretreatment with the eNOS inhibitor L-NAME, the NOS inhibitor L-NMMA, the selective guanylate cyclase inhibitor ODQ, or the PKG inhibitor KT5823, significantly inhibited lipoamide-induced mtDNA content, and lowered levels of PGC-1α protein and NRF1 and TFAM mRNA. Thus, the stimulation of mitochondrial biogenesis by lipoamide may depend on the eNOS-cGMP-PKG pathway.
Another important finding is that lipoamide is about 10–100-fold more potent than LA for stimulating biogenesis and improving mitochondrial function. Lipoamide is a better substrate of lipoamide dehydrogenase than LA, and dihydrolipoamide is a much better substrate for the E2 component of the α-keto-acid dehydrogenase complexes than dihydrolipoic acid (Sumegi et al., 1994). The greater protection provided by lipoamide compared with LA could possibly be attributed to the presence of –CONH2 rather than –COOH. This substitution makes lipoamide relatively more stable than LA owing to the resonance stabilization of the CO-N, and much less acidic to match better to physiological pH. Its higher lipid solubility leads to better cellular penetration. Moreover, the amine group may have other possible physiological reactions, such as hydrolysis, Hofmann rearrangement to a primary amine, attack by thiol, hydroxyl, or amine that results in a thiacyclol, an oxacyclol or an azacyclol respectively.
It should be pointed out that the greater effectiveness of lipoamide over LA might be related to a greater toxicity than LA. As a therapeutic agent, the toxicity of lipoamide should be an important consideration, and low and safe doses should be used. Because lipoamide is about 10 times more effective than LA, a 10-fold lower dose than LA can be used to reduce its toxicity and guarantee its safety. Nevertheless, the toxicity of lipoamide should be further and carefully studied in the future.
In conclusion, we found that lipoamide was more effective than LA in stimulating mitochondrial biogenesis in adipocytes, and that the stimulation of mitochondrial biogenesis by lipoamide depended on the eNOS-cGMP-PKG pathway. These data suggest that lipoamide is a potent stimulator of mitochondrial biogenesis, and may have potential therapeutic application in obesity and diabetes.
Acknowledgments
The authors thank Lu Yang and Jinmin Ren for technical assistance, and Dr Edward Sharman for critical reading of this manuscript. This study was supported by Pujiang Talent Award (05PG14104) and a grant (074319105) from the Shanghai Science and Technology Committee, Shanghai, China, the National Natural Science Foundation of China (Key Program 30930105; General Program 30873058, 30770785, 30871002, and 81070325), the National Basic Research Program of China (973 Program 2007CB512005) and a support of 985 and 211 projects by Xi'an Jiaotong University.
Glossary
Abbreviations
- CPT-1α
carnitine palmitoyl transferase-1
- DMEM
Dulbecco's modified Eagle's medium
- eNOS
endothelial nitric oxide synthase
- FBS
fetal bovine serum
- LA
lipoic acid
- L-NAME
NG-nitro-L- arginine methyl ester
- L-NMMA
NG-methyl L-arginine
- NRF1
nuclear related factor 1
- ODQ
1H-[1,2,4]oxadiazolo[4,3-a]quinoxalin-1-one
- PGC-1α
PPAR-γ co-activator-1α
- PPAR
peroxisome proliferator-activated receptor
- ROS
reactive oxygen species
- TFAM
mitochondrial transcription factor A
Conflicts of interest
A patent has been filed on the compound (lipoamide) mentioned in this paper: Chinese patent application No.200710046615.8. There are no other conflicts of interest to declare.
Supporting Information
Supporting Information: Teaching Materials; Figs 1–10 as PowerPoint slide.
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