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Vol. 290, Issue 3, 1409-1416, September 1999
Department of Chemistry,
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Abstract |
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An increase in arginase activity has been associated with the
pathophysiology of a number of conditions, including an impairment in
nonadrenergic and noncholinergic (NANC) nerve-mediated relaxation of
the gastrointestinal smooth muscle. An arginase inhibitor may rectify
this condition. We compared the effects of a newly designed arginase
inhibitor, 2(S)-amino-6-boronohexanoic acid (ABH), with the currently available
N
-hydroxy-L-arginine
(L-HO-Arg), on the NANC nerve-mediated internal anal
sphincter (IAS) smooth-muscle relaxation and the arginase activity in
the IAS and other tissues. Arginase caused an attenuation of the
IAS smooth-muscle relaxations by NANC nerve stimulation that was
restored by the arginase inhibitors. L-HO-Arg but not ABH
caused dose-dependent and complete reversal of
N
-nitro-L-arginine-suppressed
IAS relaxation that was similar to that seen with
L-arginine. Both ABH and L-HO-Arg caused an
augmentation of NANC nerve-mediated relaxation of the IAS. In the IAS,
ABH was found to be
250 times more potent than L-HO-Arg
in inhibiting the arginase activity. L-HO-Arg was found to
be 10 to 18 times more potent in inhibiting the arginase activity in
the liver than in nonhepatic tissues. We conclude that arginase plays a
significant role in the regulation of nitric oxide synthase-mediated
NANC relaxation in the IAS. The advent of new and selective arginase inhibitors may play a significant role in the discrimination of arginase isozymes and have important pathophysiological and therapeutic implications in gastrointestinal motility disorders.
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Introduction |
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Arginase
catalyzes the divalent cation-dependent hydrolysis of
L-arginine to form L-ornithine and urea.
Enzymatic activity is found at highest levels in mammalian liver
(Herzfeld and Raper, 1976
), where this reaction constitutes the final
step of the urea cycle. Urea production provides a mechanism for
excreting nitrogen in the form of a highly soluble, nontoxic compound,
thus avoiding the potentially dangerous consequences of high ammonia
levels. In addition to its presence in the liver, arginase activity has also been found in a number of extrahepatic tissues that lack a
complete urea cycle. Such tissues include the lactating mammary gland
(Yip and Knox, 1972
; Jenkinson and Grigor, 1994
), kidney (Kaysen and
Strecker, 1973
; Gotoh et al., 1996
; Vockley et al., 1996
; Morris et
al., 1997
), prostate (Vockley et al., 1996
), and activated macrophages
(Gotoh et al., 1996
). In most of these tissues, the arginase present
represents a second isozyme (arginase II) that is distinct in
immunologic properties, amino acid sequence, and subcellular location
from the more abundant live isozyme (arginase I). The comparative
properties of the two arginase isozymes have been discussed in a number
of recent reviews (Iyer et al., 1998
; Perozich et al., 1998
; Jenkinson
et al., 1996
). The biological functions of arginase II have been the
subject of considerable interest; current thinking is that this isozyme
provides a supply of L-ornithine for proline and polyamine
biosynthesis, and along with arginase I, it serves to regulate the
levels of L-arginine available for nitric oxide (NO) production.
Because both NO synthase (NOS) and arginase compete for the same
substrate, the possibility of reciprocal regulation of both arginine
metabolic pathways has recently been explored (Modolell et al., 1995
;
Wang et al., 1995
). Furthermore,
N
-hydroxy-L-arginine
(L-HO-Arg), an intermediate in the NOS reaction (Pufahl et al., 1992
; Yamaguchi et al., 1992
; Klatt et al., 1993
; Furchgott, 1995
; Pufahl et al., 1995
), is an endogenous arginase inhibitor (Chenais et al., 1993
; Daghigh et al., 1994
; Boucher et al.,
1994
; Buga et al., 1996
). The phenomenon of reciprocal regulation
between arginase and NOS has only been examined recently (Langle et
al., 1995
, 1997
; Chakder and Rattan, 1997
). In the internal anal
sphincter (IAS), it was shown that the exogenous administration of
arginase causes an attenuation of the NOS-mediated nonadrenergic and
noncholinergic (NANC) relaxation (Chakder and Rattan, 1997
).
An excess of arginase has recently been associated with a number of
pathological conditions that include gastric cancer (Wu et al., 1992
,
1994
; Leu and Wang, 1992
; Straus et al., 1992
; Ikemoto et al., 1993
),
certain forms of liver injury (Ikemoto et al., 1993
), and pulmonary
hypertension after the orthotopic liver transplantation (Langle et al.,
1995
, 1997
). Furthermore, high levels of arginase may cause impairment
in NANC relaxation of the IAS (Chakder and Rattan, 1997
). Previous
studies in our laboratory have shown that arginase pretreatment causes
a significant suppression of the NANC nerve-mediated relaxation of the
IAS (Chakder and Rattan, 1997
) that is mediated primarily via the
L-arginine-NOS pathway (Rattan and Chakder, 1992
; Rattan et
al., 1992
). The impairment in NANC relaxation by excess arginase may be
related to L-arginine depletion (Wang et al., 1995
).
Furthermore, the suppressed relaxation could be restored by the
arginase inhibitor L-HO-Arg. It is possible, therefore,
that patients with certain conditions associated with an increase in
arginase activity may stand to benefit from treatment with arginase
inhibitors. However, an arginase inhibitor such as L-OH-Arg
may not be selective because it also serves as a NOS substrate (Pufahl
et al., 1992
, 1995
; Chenais et al., 1993
; Klatt et al., 1993
; Boucher
et al., 1994
; Furchgott, 1995
; Griffith and Stuehr, 1995
). Because of
this, the exact role of arginase in pathophysiology and the potential
therapeutic actions of arginase inhibitors remains undetermined.
The purpose of the present investigation therefore was to test a newly
designed and selective arginase inhibitor,
2(S)-amino-6-boronohexanoic acid (ABH) (Baggio et al., 1997
)
for its effectiveness in the physiologically relevant system. We also
examined the effectiveness of ABH on the arginase activity of the IAS,
rectum, brain, and liver.
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Materials and Methods |
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Functional Studies
Preparation of Smooth-Muscle Strips.
Studies were performed
on circular smooth muscle strips of the IAS obtained from adult
opossums (Didelphis virginiana) of either sex after
pentobarbital anesthesia (40 mg/kg; i.p.) and subsequent
exsanguination. The entire anal canal was isolated carefully using
sharp dissection and transferred to a dissecting tray containing
oxygenated (95% O2 plus 5%
CO2) Krebs' solution. The composition of the
Krebs' solution was 118.07 mM NaCl, 4.69 mM KCl, 2.52 mM
CaCl2, 1.16 mM MgSO4, 1.01 mM NaH2PO4, 25 mM
NaHCO3, and 11.10 mM glucose. The anal canal was
cleaned of the extraneous connective tissue and the blood vessels,
opened by an incision along the longitudinal axis, and pinned flat with
the mucosal side facing up. The mucosa and submucosa was removed by a
sharp dissection. Circular smooth-muscle strips were obtained from the whole circumference of the anal canal and divided into two equal strips
(
1 × 8 mm). Both ends of the muscle strips were secured with
silk sutures (4-0; Ethicon Inc., Sommerville, NJ) and used for the
measurement of isometric tension.
Measurement of Isometric Tension.
The IAS smooth-muscle
strips prepared as described above were mounted onto the
thermostatically controlled 2-ml muscle baths (37°C) containing
oxygenated (95% O2 and 5%
CO2) Krebs' solution. One end of the muscle
strip was fixed to the bottom of the muscle bath with a tissue holder
to the stand, and the other end was attached to an isometric force
transducer (model FT03; Grass Instruments Co., Quincy, MA) for the
measurement of isometric tension. The smooth-muscle tension was
recorded on a Dynograph recorder (model R411; Beckman Instruments,
Schiller Park, IL). After an equilibration period of 1 h with
intermittent washings, the optimal length and the baseline of the
resting tension of each smooth-muscle strip was determined as described
(Moummi and Rattan, 1988
). Only those smooth-muscle strips that
developed spontaneous and steady tension and relaxed in response to
electrical field stimulation (EFS) were used.
NANC Nerve Stimulation with EFS.
EFS was delivered via a
pair of platinum wires from a Grass stimulator (model S88; Grass
Instruments Co., Quincy, MA) connected in series to a Med-Lab
Stimu-Splitter II (Med-Lab Instruments, Loveland, CO). The
Stimu-Splitter was used to amplify and measure the stimulus intensity
using the optimal stimulus parameters for the neural stimulation (12 V,
0.5-ms pulse duration, 200-400 mA, 4-s train) at varying frequencies
from 0.5 to 20 Hz. These parameters of EFS are known to cause
relaxation of the IAS smooth muscle via the selective activation of
NANC myenteric neurons. Neurally mediated relaxation of the IAS
smooth-muscle strips was quantified in response to different
frequencies of EFS. All of the experiments were performed in the
presence of atropine (1 × 10
6 M) and
guanethidine (3 × 10
6 M).
Drug Responses.
To determine the influence of arginase on
the NANC nerve-mediated relaxation of the IAS, we first determined the
effects of different doses of arginase on the relaxation. Arginase at
30 U/ml was found to be the most effective in causing the attenuation of relaxation. The effectiveness of the arginase inhibitors
(L-OH-Arg and ABH) on the arginase-induced attenuation of
the EFS-induced IAS relaxation was then tested. The optimal doses of
arginase and L-OH-Arg in the IAS have been reported
(Chakder and Rattan, 1997
). To determine the selectivity of the
arginase inhibitors in the IAS, we tested their effects on the
suppressed IAS relaxation by the NOS inhibitor
N
-nitro-L-arginine
(L-NNA; 3 × 10
5 M).
This was then compared with the reversal by the NOS substrate L-arginine in different concentrations. To
examine the physiological relevance of the arginase inhibitors in the
IAS relaxation, we examined the influence of different concentrations
of arginase inhibitors on the EFS-induced IAS relaxation.
Synthesis of the Arginase Inhibitor ABH.
The details of the
synthesis of ABH, a boronic acid-based arginine isostere, have been
described elsewhere (Baggio et al., 1997
). ABH is the most potent
inhibitor of Mn2+2-arginase
reported to date, with an estimated binding constant of 0.1 µM
(Baggio et al., 1997
). In the hydrated form, the boronic acid moiety of
ABH is believed to mimic the putative tetrahedral intermediate formed
during arginine hydrolysis and thus may serve as a transition-state analog.
Enzymatic Studies
Tissue Preparation. Tissue samples of the opossum (IAS) muscle, the adjoining rectal tissue, the liver, and the brain were homogenized with an Ultraturrax tissue homogenizer (Tekmar, Cincinnati, OH) in 10 mM Tris-HCl, 150 mM KCl, and 25 mM MnCl2, pH 7.4. The resulting homogenates were then dialyzed overnight against 10 mM Tris-HCl, 150 mM KCl, and 25 mM MnCl2, pH 7.4. The dialyzed homogenates were centrifuged to remove insoluble material and concentrated with Amicon Centricon 30 microconcentrators (Amicon Corp., Danvers, MA) to give stock protein concentrations of 2.4 mg/ml for the IAS smooth muscle, 3.6 mg/ml for the rectal smooth muscle, 3 mg/ml for the brain, and 17. 5 mg/ml for the liver. Protein concentrations were estimated with the Pierce Coomassie protein reagent (Pierce Chemical Co., Rockford, IL) using BSA as a standard.
Arginase Assay.
The arginase activity of tissue homogenates
was evaluated using the radioactive
L-[guanidino-14C]arginine assay of
Rüegg and Russell (1980)
. Assays were performed in 100 mM
2-(N-cyclohexylamino)-ethanesulfonic acid-NaOH, 0.1 mM
MnCl2 at pH 9.0. The reactions were initiated by
the addition of 5 µl of tissue homogenate to 45 µl of reaction
mixture that contained the
2-(N-cyclohexylamino)-ethanesulfonic acid buffer, the
appropriate concentration of arginine (0.5-5 mM), and
5.0 × 104 cpm of L-[guanidino-
14C]arginine. The IAS, rectal, and brain
homogenates were incubated with the assay mixture at room temperature
for 1 h, whereas the liver sample was incubated for 5 min. The
reactions were stopped by the addition of 200 µl of a solution
containing 0.25 M acetic acid, 7 M urea, and 10 mM arginine at pH 4.5. Arginase has essentially no activity at the low pH of the stop
solution. [14C]Urea was separated from
unreacted
L-[guanidino-14C]arginine
by treatment with 200 µl of 1:1, v/v, slurry of Dowex 50W-X8 in water
and quantitated by adding 200 µl of the supernatant from the Dowex
treatment to 3 ml of Liquiscint (National Diagnostics, Manville, NJ)
for liquid scintillation counting in a Beckman LS 5000CE counter
(Beckman Instruments, Berkeley, CA). The data were analyzed using
double-reciprocal plots of the initial velocity measurements; S.E.s
were determined by regression analysis.
Arginase Inhibition Studies. Assays in the presence of the inhibitors L-HO-Arg (1-100 µM) and ABH (0.05-100 µM) were performed as described above. The amino acid D-ornithine served as a control in these experiments, because this amino acid, unlike L-ornithine, is not an inhibitor of arginase.
Drugs and Chemicals.
Bovine liver arginase,
L-HO-Arg, L-NNA, D-NNA,
L-arginine hydrochloride, D-arginine,
D-ornithine, and atropine sulfate were purchased from Sigma
Chemical Co. (St. Louis, MO). Guanethidine monosulfate was purchased
from Ciba Pharmaceuticals (Summit, NJ). EDTA (tetrasodium salt) was
purchased from Fisher Scientific Co. (Fair Lawn, NJ). ABH was
synthesized as described (Baggio et al., 1997
).
L-[guanidino-14C]Arginine (specific
activity 2.5 GBq mmol
1) was purchased from
NEN/DuPont (Boston, MA). All chemicals used were of the highest purity
available. Solutions of all the chemicals were prepared in Krebs'
solution fresh on the day of the experiment.
Data Analysis. The responses to EFS and other relaxants were expressed as the percentage of maximal relaxation caused by 5 mM EDTA. The results are expressed as means ± S.E. Statistical significance between different groups was determined using Student's t test, and a p value <0.05 was considered significant.
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Results |
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Influence of Exogenous Administration of Arginase before and after
Arginase Inhibitors L-HO-Arg and ABH on NANC Nerve-Mediated
Relaxation of IAS.
First, we determined the effects of different
concentrations of arginase on the IAS relaxation by the NANC nerve
stimulation. Arginase at 30 U/ml was found to be optimal in causing the
attenuation of the NANC nerve-mediated relaxation of the IAS. In
experiments examining the influence of L-HO-Arg, the IAS
relaxations in response to 0.5, 1, and 2 Hz of EFS in control
experiments were 31.0 ± 0.7, 55.9 ± 3.0, and 67.7 ± 3.9%, respectively. After the arginase pretreatment, the IAS
relaxation in response to EFS was significantly suppressed, and these
values in response to 0.5, 1, and 2 Hz EFS were 12.1 ± 2.5, 28.2 ± 7.3, and 36.6 ± 7.4%, respectively (Fig. 1A; p < .05;
n = 5). The pretreatment of the tissues with
L-HO-Arg (1 × 10
4
M) before the addition of arginase antagonized the effect of arginase
in attenuating the EFS-induced IAS relaxation. The effect of ABH in
antagonizing the arginase-suppressed IAS relaxations was similar to
that of L-HO-Arg (Fig. 1B; p < .05; n = 5).
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Influence of Arginase Inhibitors on NANC Nerve-Mediated IAS
Relaxation in the Presence of NOS Inhibitor L-NNA.
It
is well known that the NOS inhibitor L-NNA causes a marked
suppression of IAS relaxation by NANC nerve stimulation. To test the
selectivity of the arginase inhibitors in the IAS, we tested their
effects on the IAS relaxation suppressed by the NOS inhibitor
L-NNA (3 × 10
5 M). These
results were then compared with the reversal of the NANC relaxation of
the IAS by the NOS substrate L-arginine at different
concentrations. Interestingly, the L-NNA-suppressed IAS
relaxation was completely reversed by L-HO-Arg (Fig.
2A). In control experiments, the fall in
the basal IAS tension in response to 0.5, 1, 2, and 5 Hz EFS was
26.7 ± 3.6, 46.4 ± 4.05, 64.1 ± 3.0, and 74.8 ± 3.9%, respectively. L-NNA caused a significant attenuation
of the IAS relaxation to 0 ± 0, 0.6 ± 0.6, 1.8 ± 1.1, and 5.4 ± 2.1%, respectively (p < .05;
n = 5). The NANC nerve-mediated IAS relaxation in the
presence of L-NNA plus
L-HO-Arg (3 × 10
4
M) was indistinguishable from that of control values (p > .05; n = 5). In this regard,
L-HO-Arg was nearly as potent as
L-arginine in causing the reversal (Fig. 2B). In
contrast to L-HO-Arg, the newly synthesized
arginase inhibitor ABH (3 × 10
4 M) failed
to cause any reversal of L-NNA-suppressed IAS
relaxation (Fig. 2C; p > .05; n = 4).
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Influence of Arginase Inhibitors on IAS Relaxation Caused by NANC
Nerve Stimulation.
To determine the physiological significance of
arginase in the gastrointestinal smooth muscle, we examined the effects
of arginase inhibitors on the NANC nerve-mediated IAS relaxation. Both
L-HO-Arg (Fig. 3A) and ABH
(Fig. 3B) caused significant and concentration-dependent augmentation
of the NANC nerve-mediated IAS relaxation by EFS. This was particularly
evident at the lower frequencies of EFS. In control experiments for
these series of studies, the fall in the IAS tension with 0.5 and 1 Hz
EFS before and after L-HO-Arg (3 × 10
4 M) was 35.5 ± 7.0 and 54.7 ± 7.0% (0.5 Hz) and 57.4 ± 4.9 and 68.8 ± 4.9% (1 Hz),
respectively (p < .05; n = 4). Similar
data were obtained in experiments with ABH: 29.3 ± 5.7 and
49.6 ± 3.9% (0.5 Hz) and 56.5 ± 7.0 and 73.6 ± 3.5%
(1 Hz), respectively, of the fall in the basal IAS tension before and
after the selective arginase inhibitor (1 × 10
4 M) (p < .05;
n = 4).
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Basal Levels of Arginase Activity in Different Tissues.
A
comparison of the basal arginase activity of different tissues is given
in Fig. 4. Of the tissues examined, the
liver was found to contain the highest levels of arginase activity
(7400 nmol/min/mg protein), consistent with the role of this tissue in
nitrogen metabolism and urea synthesis. Of the nonhepatic tissues tested, the IAS was found to contain the highest levels of arginase activity (7.8 nmol/min/mg protein), whereas the rectum and brain had
lower levels (1.7 nmol/min/mg protein). The
Km values for each of these enzymes
were similar, ranging from 1.0 to 1.9 mM. These
Km values are similar to those for the
native and recombinant rat liver enzymes (Cavalli et al., 1994
).
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Influence of Arginase Inhibitors L-HO-Arg ABH on Basal
Arginase Activity in Different Tissues.
Of the different tissues
investigated, L-HO-Arg was found to be the most potent in
inhibiting arginase activity in the liver (Fig.
5A). The IC50 values for the
inhibition of arginase activity in liver, IAS, rectum, and brain
homogenates by L-HO-Arg were 2.4, 25, 42, and 40 µM,
respectively. Thus, liver arginase activity is approximately 10- to
20-fold more sensitive to inhibition by L-HO-Arg than the
arginase activities in the other tissues. The ability of ABH to inhibit
arginase activity in the tissues was in striking contrast to the
inhibition observed with L-HO-Arg. ABH was found to be the
most potent inhibitor of arginase activity in brain and rectum,
followed by IAS and liver; the corresponding IC50 values
were 0.05, 0.05, 0.10, and 0.44 µM for the arginase activities in
brain, rectum, IAS, and liver, respectively (Fig. 5B). Inhibition
constants for ABH were estimated by titrating the inhibitor into assay
mixtures containing an arginine concentration fixed at the
Km value and assuming competitive
inhibition. These experiments yielded estimated
Ki values of 0.018, 0.026, 0.05, and 0.19 µM for the arginase activities in brain, rectum, IAS, and liver,
respectively. The estimated Ki for ABH
inhibition of the liver enzyme is in good agreement with the
Kd of 0.11 µM determined by titration
calorimetry (R.B., S. L. Harper, F.A.E., D. W. Speicher, D.E.A., and
D.W.C., unpublished results).
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Influence of NOS Inhibitor L-NNA and L-NNA
plus Arginase Inhibitors on Arginase Activity in Different
Tissues.
It is well known that L-HO-Arg is not only an
intermediate in the biosynthesis of NO but is also a substrate for NOS.
Thus, it is possible that the tissue variations in the inhibition of arginase activities by L-HO-Arg could be due to depletion
of added L-HO-Arg by conversion to NO. To test this
possibility, the effects of L-HO-Arg on the arginase
activities in the different tissue homogenates were determined in the
presence of the NOS inhibitor L-NNA. L-NNA at
80 µM had no effect on the activities of the various arginases in the
presence of L-HO-Arg (Fig.
6), indicating that depletion of added
L-HO-Arg by the action of NOS was not a concern in these
experiments. Furthermore, the results indicate that the tissue-specific
variations in arginase inhibition by L-HO-Arg are likely to
result from inherent differences in the arginases expressed in these
tissues.
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Discussion |
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The present studies have shown that the newly synthesized arginase
inhibitor ABH is a potent, tissue-selective inhibitor of arginase. The
data show that ABH was
5, 250, 840, and 800 times more potent than
L-HO-Arg in inhibiting the arginase activity in liver, IAS,
rectum, and brain homogenates, respectively. Of the tissues examined,
ABH was more potent in inhibiting brain, rectum, and IAS arginase
activity than the liver, with estimated Ki values of 0.018, 0.026, 0.05, and
0.19 µM, respectively, assuming competitive inhibition. Although
complete inhibition patterns were not determined, previous studies have
shown that ABH can displace the competitive inhibitor
L-OH-Arg from the rat liver enzyme (Baggio et
al., 1997
). In contrast to the inhibition results with ABH,
L-OH-Arg was more potent in inhibiting arginase
activity in liver homogenates than in the other tissues (Fig. 5A).
Two isozymes of arginase have been described in mammals, the hepatic
(type I) arginase and nonhepatic type (type II) arginase (Hecker et
al., 1995
; Gotoh et al., 1996
; Buga et al., 1996
; Boucher et al., 1994
;
Jenkinson et al., 1996
; Daghigh et al., 1994
). Type I arginase is found
predominantly in mammalian liver and red blood cells, whereas the type
II enzyme is thought to be expressed in macrophages and kidney and
endothelial cells. Although the expression patterns for the arginase in
opossum rectum, brain, IAS, and liver are not known, the differential
effects of ABH and L-OH-Arg on the arginase activities in
these tissues are consistent with type II enzyme expression in the
nonhepatic tissues. Verification must wait the purification and
characterization of the type II enzyme.
The higher potency of L-OH-Arg against hepatic arginase than the nonhepatic tissue extracts might be related to the ability of L-OH-Arg to serve as a substrate for NOS. Thus, in those tissues expressing high levels of NOS, added L-OH-Arg would be rapidly converted to NO and citrulline, lowering the effective concentration of L-OH-Arg and lowering arginase inhibition. To assess this possibility, inhibition studies with L-OH-Arg were repeated in the presence of L-NNA, a known inhibitor of NOS. Control experiments showed that L-NNA had no effect on the arginase activities of the various tissues. The combination of L-NNA and L-OH-Arg was no more effective than L-OH-Arg alone in inhibiting the arginase activities, indicating that the differential inhibition of the arginase activities in liver, brain, rectum, and IAS is not due to NOS depletion of L-OH-Arg and is therefore likely to reflect differences in affinity of the arginases for the inhibitor.
The functional data in the IAS also support the concept that ABH is more selective in inhibiting arginase than is L-HO-Arg. This was evident from the IAS studies in the presence of the NOS inhibitor L-NNA. As discussed in the introduction, L-HO-Arg may also serve as NOS substrate. The experiments were performed to examine the influence of L-HO-Arg on the NANC relaxation of the IAS that was attenuated by the NOS inhibitor. The effects of L-HO-Arg and ABH in reversing the attenuation of the NANC relaxation were compared with L-arginine, an authentic substrate for NOS. Interestingly, L-HO-Arg caused the reversal of L-NNA-attenuated NANC relaxation of the IAS with a potency comparable with L-arginine. ABH, on the other hand, had no effect on the IAS relaxation suppressed by the NOS inhibitor. This suggests that L-HO-Arg may in part be a substrate for NOS and that it may be less selective than ABH in inhibiting arginase.
Before this study, there was limited information on the physiological
relevance of arginase in the NANC relaxation in the gastrointestinal
smooth muscle. The present data showed that the arginase inhibitors
L-HO-Arg and ABH caused an augmentation of the NANC
relaxation of the IAS. Because the NOS pathway is the predominant
pathway responsible for the NANC relaxation of the IAS (Rattan et al.,
1992
; Rattan and Chakder, 1992
), the augmentation of the IAS relaxation
is speculated to be caused by the up-regulation of the NOS pathway by
an increase in the tissue levels of L-arginine. We
previously showed that exogenously administered L-arginine in the normal tissues has no significant effect on the NANC relaxation of the IAS unless the tissues are made L-arginine-deficient
(Chakder and Rattan, 1997
). In the basal state, in the normal tissues, exogenous L-arginine has no significant effect on either
the basal IAS tone or the NANC relaxation (Chakder and Rattan, 1997
).
Conversely, in the L-arginine-deficient tissues, exogenous
L-arginine causes a significant fall in the basal IAS tone
and reversal of the impaired NANC relaxation in the IAS smooth muscle
(Rattan and Chakder, 1997
; Chakder and Rattan, 1997
). It is possible
that the effect of exogenous L-arginine in the
L-arginine-deficient tissues is caused by an increase in
the uptake of the amino acid, leading to an augmentation of the NANC
relaxation via the up-regulation of the NOS pathway. Such mechanisms
may not be operative in the normal tissues because of the normal state
of equilibrium of L-arginine levels at the cellular levels.
The augmentation of the NANC relaxation in the presence of arginase
inhibitors may be due to the increase in the intracellular
L-arginine levels, as proposed in other nongastrointestinal tissues (Boucher et al., 1994
; Hecker et al., 1995
; Buga et al., 1996
;
Jenkinson et al., 1996
).
Surprisingly, in contrast to the potencies in the arginase inhibitory
activity in the IAS, where ABH was found to be
250 more potent than
L-HO-Arg, in the smooth-muscle NANC relaxation experiments,
the potencies of these two agents were approximately similar in
augmenting the NANC relaxation. There is a plausible explanation for
these findings. In the functional data, the smooth-muscle relaxation is
the final outcome of the multiple pathways that involve not only
arginase but NOS. The net IAS smooth-muscle relaxation in response to
NANC nerve stimulation in the presence of inhibitors is the result of
their interaction with different pathways available to them.
L-HO-Arg acts at both the levels, as an arginase inhibitor and as a substrate for the NOS. ABH, on the other hand, is selective for arginase inhibition only. We (Rattan and Chakder, 1992
; Rattan et
al., 1992
; Chakder and Rattan, 1993
) and others (Tottrup et al., 1992
;
O'Kelly et al., 1993
) have shown that the NOS pathway is the
predominant pathway for the NANC nerve-mediated smooth-muscle relaxation. Therefore, the augmentation of the NANC relaxation in the
IAS by L-HO-Arg may be due to the summation of its effects in causing an increase in the intracellular concentrations of L-arginine, as an NOS substrate plus the arginase
inhibition. It is reasonable therefore that in the final analysis, the
potencies of the ABH and L-HO-Arg in causing an
augmentation of the IAS smooth-muscle relaxation did not turn out to be
significantly different. Furthermore, because of the lack of the
present knowledge for the relative role of the two pathways in the NANC
relaxation, and the actions of the inhibitors on L-arginine
uptake mechanisms, it is difficult to predict the influence of
these agents on the NANC relaxation. In the enzymatic assays, however,
the comparison is straightforward because one is only examining their
influence on the arginase activity.
The increase in the levels of arginase has been associated with a
number of pathological conditions, including gastric cancer (Wu et al.,
1992
. 1994
; Leu and Wang, 1992
; Straus et al., 1992
; Ikemoto et al.,
1993
). Additionally, elevated arginase levels after human orthotopic
liver transplantation have been shown to cause pulmonary hypertension
and reduced hepatic blood flow (Langle et al., 1995
, 1997
). Higher
blood levels of arginase have been found in patients with various
tumors (Straus et al., 1992
; Wu et al., 1992
, 1994
; Leu and Wang,
1992
; Parajuli and Singh, 1996
) or in certain forms of hepatic injury
(Ikemoto et al., 1993
). Arginase inhibitors, therefore, may have a
significant role in the pathophysiology and potential therapy of a
number of disease conditions.
In addition to its therapeutic potentials, the newly described arginase inhibitor ABH may play a novel role in the identification of isozyme-specific arginase pathways and their therapeutic potentials for the specific control of the hemodynamic effects associated with the unregulated arginase activity.
We conclude that arginase plays a significant role in the down-regulation of NOS-mediated NANC relaxation in the IAS. Whether the NOS down-regulation is involved in the pathophysiologic conditions associated with the increase in arginase levels remains to be determined. The availability of the new arginase inhibitor ABH may facilitate the distinction between different isozymes of arginase, ABH being more selective for arginase II and L-HO-Arg for arginase I. The advent of new arginase inhibitor may have important pathophysiological and specifically targeted therapeutic implications in a variety of disease conditions, including certain gastrointestinal motility disorders.
| |
Footnotes |
|---|
Accepted for publication April 12, 1999.
Received for publication September 9, 1998.
1 This work was supported by National Institutes of Health Grants DK-35385 (to S.R.), DK-44841 (to D.E.A.), and GM 49758 (to D.W.C.) and an institutional grant from Thomas Jefferson University.
Send reprint requests to: Dr. Satish Rattan, Professor of Medicine and Physiology, 901 College, Thomas Jefferson University, 1025 Walnut St., Philadelphia, PA 19107. E-mail: satish.rattan{at}mail.tju.edu
| |
Abbreviations |
|---|
NANC, nonadrenergic noncholinergic;
IAS, internal anal sphincter;
EFS, electrical field stimulation;
ABH, 2(S)-amino-6-boronohexanoic acid;
L-HO-Arg, N
-hydroxy-L-arginine;
NO, nitric oxide;
NOS, nitric oxide synthase;
L-NNA, N
-nitro-L-arginine.
| |
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