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Original Basic 363 Guzm á n DC et al. Eff ect of Sibutramine on Rat Brain … Horm Metab Res 2009; 41: 363 – 367 received 08.08.2008 accepted 15.12.2008 Bibliography DOI 10.1055/s-0028-1128145 Published online: February 4, 2009 Horm Metab Res 2009; 41: 363 – 367 © Georg Thieme Verlag KG Stuttgart · New York ISSN 0018-5043 Correspondence H. J. Olgu í n Laboratorio de Farmacolog í a Instituto Nacional de Pediatr í a Avenida Im á n N ° 1 3rd piso Colonia Cuicuilco CP 04530 Mexico City Mexico Tel.: + 52 / 55 / 1084 38 83 Fax: + 52 / 55 / 1084 38 83 juarezol@yahoo.com Key words ● ▶ obesity ● ▶ free radicals ● ▶ ATPase ● ▶ tryptophan ● ▶ brain Eff ect of Sibutramine on Na + , K + ATPase Activity and Tryptophan Levels on Male and Female Rat Brain sidered as a potential risk factor leading to neu- rodegenerative disorders [5] . Neurodegenerative disorders are induced to a great extent by the presence of free radicals (FR) within the CNS [6] . This tissue, due to its high oxygen demand and to the presence of consider- able amounts of polyunsaturated fatty acids within neuron membranes, may be more vulner- able to oxidative damage, caused by reactive oxy- gen species, whose production takes place during a variety of pathologic processes [7] , and due to the susceptibility of membrane fatty acids to free radical attack or lipid peroxidation. Lipid peroxidation is responsible of inhibiting Na + , K + ATPase activity [8] , and oxidative stress induces a 50 % decrease in this enzyme ’ s activity in synaptic membranes under the eff ect of chronic administration of homocysteine [9] , and also a plasma membrane fl uidity loss [10] . Na + , K + ATPase inhibition basically induces the release of excitatory amino acids in the CNS, such as serotonin (5-HT) and its metabolites [11] , which is well represented in female rat brains [12] . These neurotransmitters have an important role in hunger and body weight control [13] , by decreasing calories intake, for example, acting on Introduction & Obesity could be described as the New World Syndrome. Its prevalence is continuously increas- ing among people from a number of countries, irrespective of age or gender [1] . Obesity is char- acterized by the excess of body fat, which most of the times, but not always, is accompanied by an increase in body weight, and it is present when the body mass index (BMI) is ≥ 30 units in the adults [2] . According to the latest Health National Questionnaire, overweight is represented with a 39.4 % frequency in Mexico, whereas obesity had a 26.1 % frequency [3] . Obesity is better repre- sented among women worldwide, with a fre- quency of 30.9 % , compared with only 21.2 % in men; whereas overweight is better represented in men and it occurs when the BMI is > 27 [4] . BMI is higher among people with low educational level [3] . Not so long ago, an overweight person was con- sidered as having a healthy status, however, today it is well known that obesity carries multiple consequences in people ’ s health, shortens life expectancy, and induces, complicates or enhances other pathologic processes [2] , and it is now con- Authors D. C. Guzm á n 1 , N. L. Ru í z 1 , E. H. Garc í a 2 , G. B. Mej í a 1 , P. P. T é llez 1 , G. E. Jimenez 1 , M. De la Rosa Apreza 1 , H. J. Olgu í n 2 , 3 Affi liations 1 Laboratorio de Neuroqu í mica, Instituto Nacional de Pediatr í a (INP), Mexico City, Mexico 2 Laboratorio de Farmacolog í a, INP, Mexico City, Mexico 3 Departamento de Farmacolog í a, Facultad de Medicina, Universidad Nacional Aut ó noma de M é xico, Mexico City Mexico Abstract & Some drugs that are clinically used in weight control, like sibutramine, act on the serotoner- gic metabolism, but its relation with free radi- cal (FR) production in the CNS is still unknown. The aim of the work was to evaluate the eff ect of sibutramine on FR production. Female and male Wistar rats (250 g weight) were used; the animals received sibutramine (10 mg / kg each 36 hours) intraperitoneally during 15 days. At the end of the study, the rats were sacrifi ced and their brains used to measure lipid peroxida- tion (TBARS), Na + , K + ATPase activity, reduced glutathione (GSH), and tryptophan (TRP) levels, by means of validated methods. The activity of Na + , K + ATPase and total ATPase was increased in males and decreased in females. GSH concen- tration was increased and the levels of TBARS decreased by an eff ect related to sibutramine in the female group. Sibutramine decreased TRP concentration in the female group, but increased it in the male one, with respect to the control group. Our results suggest that sibutramine produce an antioxidant eff ect stimulated by the endogenously produced tryptophan and it protects the fl uidity of plasma membrane in rat brain. D ow nl oa de d by : U ni ve rs ite L av al . C op yr ig ht ed m at er ia l. Original Basic364 Guzm á n DC et al. Eff ect of Sibutramine on Rat Brain … Horm Metab Res 2009; 41: 363 – 367 the subtype 6 5-HT receptor [14] , which also exerts an antioxi- dant eff ect on damaged tissues [15] . Free radicals are reactive species containing an unpaired elec- tron, and may rise from either nitrogen or oxygen metabolism, and have been involved in oxidative stress as well as in brain dysfunction and age related neurodegenerative disorders [16] . Reduced glutathione (GSH) is an important active species to scavenge the endogenously produced free radicals during diverse processes, such as aging and during the pathogenesis of neuro- degenerative diseases, insofar that its absence leads to oxidative stress (OS) [17] . It has been proposed that GSH interacts with nitric oxide (NO), leading to the formation of S -nitrosoglutath- ione (GNSO), depending upon the presence of endogenous oxy- gen [11] . Such interaction can be explained since NO requires the presence of GSH to diff use across the cells. It is worth men- tioning that NO could also be a physiologically important media- tor in alimentary behavior, since it is known to induce hyperphagia [18] . Due to their undesirable eff ects, such as pulmonary hyperten- sion and cardiovascular diseases [19] when prescribed to patients, the clinical use of some drugs such as fenfl uramine and dexfenfl uramine in the treatment of obesity has been stopped. The use of these products is given up, and some other novel drugs such as sibutramine ( N -[1-{(4-chlorophenyl)cyclobutyl]- 3-methylbutyl}- N , N -dimethylamine hydrochloride monohy- drate) is now currently used as an alternative for the long-term treatment of morbidly obese patients [20] , which has recently been approved for prescription use in the U.S.A., Mexico, and Brazil; however, its possible interaction with the normal meta- bolic routes producing hydrogen peroxide-derived free radicals is not elucidated yet [21] . Pharmacologically, sibutramine is known to induce hunger quenching, by inhibiting serotonine- norepinephrine turnover, although its primary amine metabo- lite M2 may increase lipolysis in human adipose tissue via a pathway involving beta-adrenoceptors [22] . The aim of this work was to determine the eff ect of sibutramine on the activity of Na + ,K + ATPase, lipid peroxidation, and levels of GSH and TRP in the brain of male and female rat. Materials and Methods & Twenty-eight young Wistar rats, 12 males and 16 females, weighing 250 g, were used for this study, and randomly sepa- rated into two groups consisting in 6 and 8 rats each one, respec- tively. The two sets of each gender received: group 1, 0.9 % NaCl vehicle and group 2, sibutramine 10 mg / kg, given each 36 h dur- ing a period of 15 days. At the end of this time, the animals were sacrifi ced by decapitation, their brains were extracted and kept in 0.9 % NaCl at 4 ° C until sliced. Brain dissection was carried out by cutting in the sagital plane, then the left portion was homo- genized in 5 volumes of 0.05 M Tris-HCl (pH 7.2) and used to determine lipid peroxidation (TBARS) and Na + , K + ATPase activ- ity; whereas the right portion was homogenized in 5 volumes of 0.1 M perchloric acid (HClO 4 ) and used to evaluate reduced glu- tathione (GSH) and tryptophan (TRP) levels. Homogenized brain samples were kept at − 20 ° C until analyzed. Study design Determination of Na + , K + ATPase and total ATPase activities One mg of 0.05 M Tris-HCl-homogenized brain tissue was incu- bated in a solution containing 3 mM MgCl 2 , 7 mM KCl, and 100 mM NaCl, with or without 0.06 mM ouabain. Four mM Tris- ATP was added and then incubated for another 30 min at 37 ° C in a Dubnoff Labconco shaking water bath. The reaction was stopped by adding 100 μ L of 5 % trichloroacetic acid. Samples were centrifuged at 3500 rpm for 5 min at 4 ° C [23] and a super- natant aliquot was taken to measure inorganic phosphate (Pi) by means of the method developed by Fiske and Subarrow [24] . Supernatant absorbance was read at 660 nm in a Helios- α (UNI- CAM) spectrophotometer and the diff erences between the absorbances of the solutions with or without ouabain was taken as the Na + , K + ATPase activity, which was expressed as Pi μ M per gram of wet tissue per minute, whereas the total ATPase activity was determined in the absence of ouabain. Measurement of lipid peroxidation (TBARS) TBARS determination was carried out according to the method of Gutteridge and co-workers [25] , as follows: Each tissue sam- ple was homogenized in 5 mL of phosphate buff er pH 7.4, from which a 1 mL aliquot was taken and added to 2 mL of a thiobar- bituric acid (TBA) solution containing TBA (1.25 g), trichloroace- tic acid (40 g), and concentrated HCl (6.25 mL) dissolved in 250 mL deionized water. The whole mixture was heated to the boiling point of water for 30 min (Thermomix 1420). Samples were then put in an ice bath for 5 min and then centrifuged at 3000 × g for 15 min (Sorvall RC-5B Dupont). Supernatant absorb- ances were read in a three-set scheme at 532 nm spectrophoto- metrically (Helios- α , UNICAM). Thiobarbituric acid reactive substances concentration was expressed as malondialdehyde μ moles per gram of wet tissue. Determination of reduced glutathione (GSH) According to a modifi ed method from Hissin and Hif [26] , HClO 4 - homogenized tissue was centrifuged at 5000 rpm for 5 min (Mikro 12 – 42, Germany), and reduced glutathione levels were measured in the supernatant. An amount of 1.8 mL of phosphate buff er pH 8.0 / 0.2 % EDTA was poured in a test tube, then 1 mL aliquot of the supernatant and 100 μ L of 1 mg / ml orthophthalde- hyde dissolved in methanol (w / v), were added. The entire mix- ture was incubated at room temperature for 15 min, totally protected from light, and then the samples were read in a Perk- inElmer LS 55 spectrofl uorometer at 350 nm / 420 nm, excitation / emission. To analyze the data, an FL Win Lab version 4.00.02 software was used. GSH levels values were inferred from a previ- ously constructed standard curve, and expressed as nanomoles of GSH per gram of wet tissue. Determination of Tryptophan (TRP) After centrifuging the HClO 4 -homogenized tissue at 10 000 rpm for 10 min in a microcentrifuge (Hettich Zentrifugen, Mikro 12 – 42 model, Germany) [27] , tryptophan levels were determined in the supernatant fraction. Samples were fi ltered in a Millex HV Groups 1 2 Females Control (NaCl 0.9 % ) (8) Sibutramine (10 mg / kg) (8) Males Control (NaCl 0.9 % ) (6) Sibutramine (10 mg / kg) (6) Number of animals in each group is shown in the parentheses. D ow nl oa de d by : U ni ve rs ite L av al . C op yr ig ht ed m at er ia l. Original Basic 365 Guzm á n DC et al. Eff ect of Sibutramine on Rat Brain … Horm Metab Res 2009; 41: 363 – 367 (Sep-Pack C18, Millipore) fi lter, and 20 μ l was injected to the liq- uid chromatograph to determine the TRP levels. Values were inferred from a standard curve and expressed as TRP nanomoles per gram of wet tissue. HPLC equipment: High performance liquid chromatograph with turbochrom system version 4.1 (PerkinElmer) was used. It includes a variable wavelength detector Spectra System UV1000 (Termo Separation Products), manual injector Rheodyne, four gradient pump LC-1150 (GBC Scientifi c Equipment), double channel interphase PerkinElmer, and 3.9 × 150 mm Nova Pack C 18 column (Waters). Chromatographic conditions: 0.01 M sodium acetate mobile phase pH 4.0, methanol (85:15, v / v), 1 ml / min fl ux velocity, 254 nm wavelength. Reagents: AcONa · 3H 2 O, perchloric acid (reagent grade, Merck), methanol (HPLC, Caledon Laboratories), TRP standard (Sigma), and deionized water. Statistical analysis The analysis of variance test (ANOVA) with its corresponding contrasts was used, having confi rmed variance homogeneity previously. Every probability value less than 0.05 was consid- ered statistically signifi cant [28] . The analysis was carried out by using the JMP Statistical Discovery from SAS software, version 6.0.0. Results & The animal ’ s body weight showed no appreciable diff erences during the treatment with sibutramine ( Table 1 ). The Na + , K + ATPase activity was signifi cantly higher in male rats ( ● ▶ Fig. 1 ). Total ATPase activity showed a similar pattern ( ● ▶ Fig. 2 ), since in the brain of male rats it had a signifi cantly higher activity, ANOVA (p < 0.05). ● ▶ Fig. 3 shows reduced glutathione levels indicating that female rats had higher levels than their male counterparts, furthermore, GSH levels increased notably in females that received sibu- tramine, ANOVA (p < 0.05). Lipid peroxidation decreased in sibu- tramine-treated animals ( ● ▶ Fig. 4 ), however, these changes were only statistically signifi cant in the case of the female rats, ANOVA (p < 0.05). Tryptophan levels decreased in the female rats at the expense of sibutramine treatment, whereas this drug induced tryptophan levels to increase in the male rats. In both cases, the diff erences in tryptophan levels were statistically signifi cant ( ● ▶ Fig. 5 ). However, among the control groups, tryptophan concentration was notably higher in female than in male rats, ANOVA (p < 0.05). Table 1 Body weight in female and male rat brain treated with sibutramine Number of dose administered Groups 1 2 3 4 5 6 7 Ctrl-F 219.73 ± 19.6 257.23 ± 22.87 259.06 ± 21.96 262.69 ± 22.34 262.25 ± 26.48 272.88 ± 25.28 280.0 ± 24.50 Sibu-F 225.19 ± 13.36 267.0 ± 15.77 261.44 ± 17.56 274.63 ± 17.64 274.19 ± 14.72 278.19± 17.61 283.20 ± 26.17 Ctrl-M 377.5 ± 38.72 389.83 ± 34.51 373.17 ± 32.76 397.83 ± 28.89 393.92 ± 27.59 424.75 ± 28.45 418 ± 24.52 Sibu-M 360.33 ± 21.81 363.83 ± 26.93 378.42 ± 30.17 360.08 ± 26.12 385.25 ± 26.30 406.08 ± 25.42 420.32 ± 20.40 Mean ± SD. Ctrl-F: control female; Ctrl-M = control male; Sibu-F = sibutramine female; Sibu-M = sibutramine male * * µM P i/g o f w et ti ss ue /m in 25 30 20 15 10 5 0 CtrlF SibuF CtrlM SibuM Fig. 1 Activity of Na + , K + ATPase enzyme in female and male rat brain treated with sibutramine. Mean ± SD. Ctrl. = control; Sibu-F = sibutramine female; Sibu-M = sibutramine male. ANOVA * p < 0.05. 70 µM P i/g o f w et ti ss ue /m in 60 50 40 30 20 10 0 CtrlF * * SibuF SibuMCtrlM Fig. 2 Activity of total ATPase enzyme in female and male rat brain treated with sibutramine. Mean ± SD. Ctrl. = control; Sibu-F = sibutramine female; Sibu-M = sibutramine male. ANOVA * p < 0.05. 300 nM /g o f w et ti ss ue 250 200 150 100 CtrlF * * SibuF CtrlM SibuM 50 0 Fig. 3 Leves of reduced glutathione in female and male rat brain treated with sibutramine. Mean ± SD. Ctrl. = control; Sibu-F = sibutramine female; Sibu-M = sibutramine male. ANOVA * p < 0.05. D ow nl oa de d by : U ni ve rs ite L av al . C op yr ig ht ed m at er ia l. Original Basic366 Guzm á n DC et al. Eff ect of Sibutramine on Rat Brain … Horm Metab Res 2009; 41: 363 – 367 Discussion & Sibutramine had null eff ect on the activity of Na + , K + ATPase, whereas total ATPase activity had a slight sibutramine-induced increase in both female and male rats. These diff erences were only related to gender, maybe due to the higher basal activity in male rats. These fi ndings suggest that sibutramine may not induce any disturbance on the plasma membrane fl uidity and, therefore, its use keeps the structural composition of plasma membrane intact, especially within the female brain [29] . Such results may be taken as positive, since in those subjects suff ering from obesity and overweight, the decreased membrane fl uidity or an impairment of physical-chemical properties as a conse- quence of oxidative injury that might be part of obesity-related pathologies [30] is seen; so the use of sibutramine may reduce this eff ect. Basal GSH levels were higher in females than in males, probably as consequence of the estrogens as natural antioxidants, which contain at least three rings of the steroid nucleus that are neces- sary for the neuroprotective activity of the target tissue [31] . This eff ect was enhanced in the presence of sibutramine, which suggests that this drug may protect the brain from the endog- enously generated oxidative damage [32] and, in doing so, may also get the entire central nervous system less vulnerable to hydrogen peroxide- and hydroxyl radicals-derived oxidative damage, whose production takes place during the normal meta- bolic pathways in the female CNS [21] . Both in female and in male rats, lipid peroxidation products were shown to decrease after sibutramine treatment, especially in females. This eff ect may be attributable to sibutramine chem- ical structure, in which the presence of certain functional groups such as dimethylamine and chlorine in aromatic position may confer it a considerable electrophilic character, so that it can eas- ily interact with lipid structures within the brain [16] . Endogenous tryptophan was higher in female than in male rats, and the decrease in its concentration after sibutramine treat- ment strongly suggests that there was an appreciable serotoner- gic activity [33] . These results suggest that serotonergic pathways seem to protect the brain, due to the antioxidant activity of the indolamines, which take place in this pathway [15] . On the other hand, though the animal ’ s body weight showed no appreciable diff erences, it is advisable to take into account the presence of hypothalamic neuropeptides, such as 5-HT and its metabolites, and their interactions with subtype 6 5-HT receptors, when sib- utramine is to be used in the control of food intake and lowering body weight in the clinical practice, since these neurotransmit- ters play an active role in the control of hunger [34, 35] . In con- clusion, sibutramine may exert an antioxidant eff ect mediated by endogenous tryptophan, which could impede membrane fl u- idity to be disturbed within the brain. References 1 Nammi S , Koka S , Chinnala K , Boini K . Obesity: An overview on its current perspectives and treatment options . Nutr J 2004 ; 3 : 1 – 8 2 Taylor RW , Keil D , Gold EJ , Williams SM , Goulding A . 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