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Vol. 302, Issue 2, 442-450, August 2002


Effect of Hyperinsulinemia and Type 2 Diabetes-Like Hyperglycemia on Expression of Hepatic Cytochrome P450 and Glutathione S-Transferase Isoforms in a New Zealand Obese-Derived Mouse Backcross Population

Georgia J. Pass1, Walter Becker, Reinhart Kluge2, Katharina Linnartz, Leona Plum, Kirsten Giesen and Hans-Georg Joost3

Institute for Pharmacology and Toxicology, Medical Faculty of the Technical University of Aachen, Aachen, Germany

    Abstract
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

In subgroups of a New Zealand obese mouse-derived backcross population with defined aberrations of glucose homeostasis, a comprehensive study of the hepatic expression of cytochrome P450 and glutathione S-transferase was performed. Three patterns of alterations in response to insulin resistance (normoglycemia/hyperinsulinemia) or diabetes (hyperglycemia/hypoinsulinemia) were observed: mRNA levels of Cyp2b9, Cyp3a16, Cyp4a14, and Gstt2 as assessed by Northern- and dot-blot analysis were increased markedly in liver from diabetic mice with no or only a slight increase in insulin resistant mice. Western-blot analysis detected the corresponding changes of the CYP2B and CYP4A proteins. In contrast, expression of Cyp2c22, Cyp2c29, and Cyp2c40 was reduced in diabetic, but normal in insulin resistant mice. These alterations were correlated with changes in serum free fatty acid levels and, therefore, seem to be mediated by the peroxisome proliferator activated receptor-alpha . Furthermore, expression of Cyp1a2, Cyp7b1, Gstm3, and Gstm6 was reduced in both diabetic and insulin resistant mice. Because this third pattern was not correlated with the alterations of serum free fatty acid levels, it seems to reflect an early alteration in the course of the disease, and may be related to the progression of the syndrome from insulin resistance to the type 2-like diabetes.

    Introduction
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

New Zealand obese (NZO) mice exhibit a polygenic syndrome of obesity, insulin resistance, dyslipidemia, and hypertension that is similar to the human metabolic syndrome (Ortlepp et al., 2000). Like other rodents with morbid obesity, the strain exhibits impaired glucose tolerance and eventually develops a type 2 diabetes-like hyperglycemia and hypoinsulinemia. Thus, the NZO mouse is a suitable model for the identification of obesity and diabetes genes and for the characterization of their interaction (Leiter et al., 1998; Plum et al., 2000).

We have recently established a backcross model of NZO mice with the lean and atherosclerosis-resistant SJL strain (Ortlepp et al., 2000). The male NZO × F1 (SJL × NZO) backcross population (referred to as NSZO) is heterogeneous and includes normoglycemic/normoinsulinemic animals, insulin resistant animals with a compensatory hyperinsulinemia, and diabetic animals with hyperglycemia/hypoinsulinemia. This heterogeneity defines different stages in the development of diabetes and reflects the different genetic burden of the subgroups. A striking characteristic of the backcross is that only a few female mice develop hypoinsulinemia, despite a marked obesity and hyperinsulinemia. In a genome-wide scan of the NSZO backcross population, we identified a susceptibility locus for obesity/hyperinsulinemia (Kluge et al., 2000) and a separate locus for hyperglycemia/hypoinsulinemia that was contributed by the SJL genome (Plum et al., 2000); together, these loci are responsible for approximately 90% of the prevalence of diabetes in the backcross.

In addition to the genome-wide search for disease susceptibility loci, we have used the NSZO backcross population for identification of differences in hepatic gene expression that may be related to the metabolic abnormalities. With the use of cDNA arrays, we identified transcripts that were differentially expressed in liver of normoglycemic, normoglycemic/hyperinsulinemic, and diabetic NSZO mice. Among these, several cytochrome P450 (P450) and glutathione S-transferase (GST) isoforms were identified (W. Becker, R. Kluge, T. Kantmer, K. Linnartz, M. Korn, G. Tschank, L. Plum, K. Giesen, and H.-G. Joost, unpublished results). This finding is particularly interesting, because members of these families are involved in the extramitochondrial oxidation of fatty acids and in the metabolism of steroids. Fatty acids and/or steroids have been thought to be involved in the pathogenesis of insulin resistance and diabetes (Kahn and Flier, 2000; Masuzaki et al., 2001).

For more than a decade, experimental, type 1-like diabetes has been known to cause significant alterations in the expression of individual P450 isoforms in the rat (Favreau and Schenkman, 1988; Barnett et al., 1990, 1993; Donahue and Morgan, 1990; Cheng and Morgan, 2001). Streptozotocin-induced hypoinsulinemia has been reported to induce hepatic expression of CYP2B, CYP2E1, and CYP1A2 (Thummel and Schenkman, 1990; Barnett et al., 1993) and to suppress CYP2C11, CYP2C13, CYP2A2, and CYP3A2 (Thummel and Schenkman, 1990). In addition, induction of CYP4A isoforms in streptozotocin-induced diabetic male rats, presumably mediated by the peroxisome proliferator-activated receptor-alpha (PPARalpha ), has been reported (Kroetz et al., 1998).

In contrast to the large amount of information available on the effect of hypoinsulinemia on P450 expression, few studies have investigated the P450 expression in animals with a type 2 diabetes-like syndrome, and these studies have reported, in part, contradictory results (Cheng and Morgan, 2001). Barnett and coworkers (1993) found that type 2 diabetes had no effect on the microsomal activity of CYP1, CYP2B, CYP2E, CYP3, and CYP4A in the obese-hyperglycemic (ob/ob) mouse. In contrast, Enriquez and coworkers (1999) reported a decrease in CYP2E1 activity and an up-regulation in Cyp4a11 and Cyp4a14 mRNA in the same mouse model.

It seems reasonable to assume that these seemingly conflicting results are due to a varying expression of the enzymes at different stages of the development of insulin resistance and diabetes. Thus, we felt that a comprehensive comparison of the P450 and GST expression in mouse populations with different, well-defined metabolic abnormalities of glucose homeostasis was necessary. The objective of this study, therefore, was to compare hepatic P450 and GST expression in the three groups of NSZO mice that are normoglycemic/normolinsulinemic, hyperinsulinemic, or hyperglycemic/hypoinsulinemic. In addition, comparisons in expression were made between male and female NSZO mice in an attempt to find associations between gender-specific gene expression and the development of the type 2 diabetes-like syndrome.

    Materials and Methods
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

Animals. The research was approved by the Animal Experimentation Ethics Committee at the Regierungspräsidium Cologne, Germany. SJL and NZO mice were obtained from Bomholtgard (Ry, Denmark). Housing and generation of F1 hybrids (SJL × NZO) and back-crosses (NZO × F1) were as described previously by this group (Ortlepp et al., 2000; Plum et al., 2000). In brief, after weaning (3 weeks of age), mice were maintained on either a standard rodent food (1314) or a fat-enriched diet (C1057; Altromin, Lage, Germany). The high-fat diet contained 16% fat, 46.8% carbohydrates, 17.1% protein, and 15.4 kJ/g digestible energy. The standard diet contained 5% fat, 48% carbohydrates, 22.5% protein, and 12.5 kJ/g digestible energy. Mice were killed at the age of 22 weeks in isoflurane anesthesia by exsanguination. Blood was then collected, and livers were immediately excised and snap frozen in liquid nitrogen. Samples were stored at -70°C until required.

Serum Parameters and Plasma Insulin. Blood glucose, serum cholesterol, and serum triglycerides were measured by AutoAnalyzer (Johnson & Johnson, Neckargemünd, Germany). Plasma insulin was determined in duplicate by radioimmunoassay (Amersham Biosciences, Freiburg, Germany) with anti-rat insulin antiserum and 125I-labeled rat insulin as tracer. Free and bound radioactivity were separated with an anti-IgG antibody and samples were measured for activity using gamma scintillation counting. Plasma free fatty acid (FFA) content was measured using a FFA determination kit (Roche Diagnostics, Mannheim, Germany) (Table 1).


                              
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TABLE 1
Body weight and metabolic parameters in the NSZO backcross mice groups

For the purpose of this study, representative animals that were maintained on a high-fat diet were then selected from the backcross progeny and classed into the three groups according to their blood glucose (BG) and plasma insulin (PI) levels: normoglycemic (BG <15 mM, PI <15 ng/ml), diabetic (BG >25 mM, PI <3 ng/ml), and hyperinsulinemic (BG <15 mM, PI >15 ng/ml) (Table 1). For animals maintained on a standard diet, only mice with normal BG and PI were selected for comparison with normoglycemic animals that had been maintained on a high-fat diet to determine whether there was an effect on P450 and GST levels due to diet alone.

Northern- and Dot-Blot Analysis. Total hepatic RNA was extracted according to the method of Chomczynski and Sacchi (1987). For Northern-blot analysis, RNA from individuals in each group were pooled according to total RNA concentration. Total RNA for each pooled group (15 µg/lane) was then separated by denaturing formaldehyde electrophoresis on 1% agarose gels and transferred by capillary blot to nylon membranes (Hybond N+; Amersham Biosciences) in 10× standard saline citrate (SSC). Equal loading of RNA was ascertained by ethidium bromide staining. For dot-blot analysis, 10 µg RNA from each individual animal was loaded directly onto nylon membranes with the aid of a commercial dot-blot apparatus (Invitrogen, Carlsbad, CA). After application of RNA, blots were then washed with 2× SSC and allowed to dry at room temperature for 1 h. For Northern and dot blots, the RNA was cross-linked to the membrane by irradiation under UV at 0.4 J/cm2.

mRNA levels of specific isoforms of P450 or GST were detected by hybridization with cDNA probes. For each probe, one Northern blot and one dot blot were prehybridized together for 3 h at 42°C in a prehybridization buffer containing 4× standard saline/phosphate/EDTA, 50% formamide, 5× Denhardt's solution, 0.5% SDS, and 0.1 mg/ml fish sperm DNA. The 32P-labeled cDNA probe (see below) was then added to the prehybridization buffer and incubated overnight at 42°C. Blots were washed four times with 0.8× SSC containing 0.1% SDS (once for 15 min at 42°C; three times for 20 min at 55°C). Hybridization signals were then scanned using a PhosphorImager and quantified using the ImageQuant Analysis program (Canberra Packard, Toronto, Canada). A dilution series of a reference RNA sample was applied to each dot-blot membrane, and its hybridization signals were also evaluated to ensure that detection was in the linear range.

cDNA Probes. IMAGE cDNA clones (Lennon et al., 1996) were purchased from the Resource Center/Primary Database (Berlin, Germany). IMAGE clone ID and GenBank accession numbers for the probes used are shown in Table 2. Identity of all clones was verified by nucleotide sequencing. Plasmids were digested with appropriate restriction enzymes, and inserts were isolated from agarose gels with the help of a commercial kit (QIAGEN, Hilden, Germany). Probes were labeled with [alpha -32P]dCTP (Amersham Biosciences) by random oligonucleotide priming.


                              
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TABLE 2
P450 and GST genes investigated and the IMAGE clone ID and GenBank accession numbers of the ESTs used for hybridization

Preparation of Hepatic Cytosol and Microsomal Fractions. All procedures were carried out at 0 to 4°C. Livers from individual mice were homogenized in 0.1 M phosphate buffer (pH 7.4) with 1.15% KCl using a Potter-Elvehjem homogenizer and centrifuged at 9000g for 20 min. The supernatant was then centrifuged at 108,000g for 60 min. The resulting cytosolic fraction (supernatant) was distributed into individual eppendorf tubes, snap frozen in liquid nitrogen, and stored at -70°C for later use. The microsomal pellet was resuspended in the same buffer and centrifuged at 108,000g for 60 min. Phosphate buffer (0.1 M, pH 7.4) with 20% glycerol was used to resuspend the final microsomal pellet, and this was also snap frozen in liquid nitrogen and stored at -70°C for later use. Protein concentration of microsomal and cytosolic fractions was estimated using the method of Bradford (1976). Microsomes and cytosol from animals in the different groups were then pooled relative to their protein concentration for use in Western-blot analysis.

Western-Blot Analysis. SDS-polyacrylamide gel electrophoresis was performed using either a 10% (CYP4A, CYP2C, and CYP2B) or 12% (GSTµ) separating gel. Pooled samples (15 µg of protein/lane) were solubilized and heated at 95°C for 5 min. The proteins were electroblotted from the gel to a nitrocellulose membrane and were then visualized by Ponceau Red to confirm transfer and to ensure equal loading of proteins for each pooled sample. Membranes were blocked in 3% bovine serum albumin in Tris-buffered saline/Tween 20 for 30 min at room temperature. Immunoblot analysis was performed by incubation (3 h) with appropriate dilutions of primary antibody (1:1000, CYP2C and CYP4A; 1:4000, CYP2B; and 1:100, GSTµ) followed by incubation (45 min) with polyclonal horseradish peroxidase-conjugated anti-sheep antibody (CYP2B and CYP2C) or anti-rabbit antibody (CYP4A and GSTµ). Polyclonal antibodies to rat CYP4A1/4A2/4A3, CYP2B1/2B2, CYP2C12 (Chemicon International Inc., Temecula, CA), and GSTµ (DPC Biermann, Bad Nauheim, Germany) were used to detect mouse CYP4A, CYP2B, CYP2C, and GSTµ isoforms, respectively, in the pooled hepatic microsomal (P450) and cytosolic (GST) fractions for each mouse group. Bands were visualized by enhanced chemiluminescence.

Statistical Analysis. For mRNA species, the mean value obtained from the normoglycemic male high-fat animals was taken to be 100%. The mean values obtained from all other groups were then expressed relative to this. All data are expressed as mean ± standard error (S.E.). Overall differences between mouse groups for each transcript were determined by one-way ANOVA. When the analysis indicated an overall difference between the groups for each transcript, the data were corrected using Bonferonni`s post hoc analysis for multiple comparisons. Pair wise comparisons among glycemic status, sex, and diet were carried out. A P value of <0.05 was considered significant.

    Results
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

Characteristics of the Animals

The characterization of this population of NSZO backcross mice that had been fed on a fat-enriched diet will be reported elsewhere by our group (Plum et al., 2002). For the purpose of this study, three groups (normoglycemic, hyperinsulinemic, and diabetic) of selected animals were assembled according to their metabolic parameters. In addition, NSZO mice were fed on a standard diet, and one group of both males and females that were of normal blood glucose and plasma insulin were selected to test for diet effects. Table 1 summarizes the body weight and metabolic parameters measured in the NSZO mice that where selected for the present study.

The concentration of plasma FFAs, which are known inducers of certain P450 isoforms (e.g., CYP4A subfamily) (Tollet et al., 1994; Zangar and Novak, 1997), is also shown in Table 1. As expected, a significant increase in plasma FFAs was observed with a fat-enriched diet in both sexes (males, p = 0.004; females, p = 0.001). Hyperinsulinemia significantly reduced the concentration of FFAs in the plasma in males (p = 0.018) but failed to do so in female mice (p = 0.213). The level of FFAs in the plasma was the same between males and females when maintained on a fat-enriched diet. On a standard diet, the level of FFAs in the plasma of male mice was greater than in females.

Expression of Cytochrome P450 Isoforms

Effects of Hyperinsulinemia and Diabetes. The data obtained from hybridization of P450 probes to Northern blots of pooled RNA and dot blots of RNA from individuals from each group are presented in Table 3 and Figs. 1 and 2. From these results, it was possible to distinguish three groups of the investigated P450 isoforms according to their response to diabetes or hyperinsulinemia. The first group showed an increase in P450 expression in the liver of diabetic NSZO backcross mice. It also showed a slight increase, or no change, in expression in the liver of hyperinsulinemic animals. This pattern of expression was found for the female-specific isoforms Cyp2b9 and Cyp3a16 and also for Cyp4a14, which is involved in fatty acid oxidation and known to be induced by PPARalpha (Kroetz et al., 1998; Enriquez et al., 1999) (Table 3; Fig. 1).


                              
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TABLE 3
Patterns of regulation of P450 and GST mRNA with regard to glycemic status, sex, and diet

Data taken from dot blots of RNA from individual animals from each group. Significant differences between mouse groups were determined by analysis of variance (ANOVA). When the analysis indicated an overall significant difference between groups (P < 0.05), the Bonferonni's multiple comparisons test was used for pair wise comparisons among glycemic status, sex, or diet. Data are expressed relative to normoglycemic animals, males, or high-fat diet.


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Fig. 1.   Analysis of P450 expression in normoglycemic (N), diabetic (D), and hyperglycemic (H) NSZO mice fed on a fat-enriched or standard diet. Animals maintained on standard diet were of normal glucose status. Northern blots of pooled hepatic RNA from individuals from each group and bar diagrams from dot-blot analyses of individual animals from each group are shown. Data are expressed as a percentage relative to the male high-fat normoglycemic group (mean ± S.E.).


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Fig. 2.   Analysis of Cyp2c expression in normoglycemic (N), diabetic (D), and hyperglycemic (H) NSZO mice fed on a fat-enriched or standard diet. Animals maintained on standard diet were of normal glucose status. Northern blots of pooled hepatic RNA from individuals from each group and bar diagrams from dot-blot analyses of individual animals from each group are shown. Data are expressed as a percentage relative to the male high-fat normoglycemic group (mean ± S.E.).

The level of Cyp2c22 mRNA was found to follow the second pattern of expression, with the level of this isoform dramatically decreased in the liver of diabetic mice (Fig. 2). A smaller decrease in male hyperinsulinemic mice compared with males of normal glycemic status was also detected; however, this was not reflected in hyperinsulinemic females. This striking effect of diabetes on the expression of Cyp2c22 prompted a more thorough investigation into the effect of diabetes and hyperinsulinemia on expression of the Cyp2c subfamily in general. Therefore, the mRNA levels of Cyp2c29, Cyp2c39, Cyp2c40, and the putative mouse Cyp2c23 were examined. A down-regulation was also observed for Cyp2c29 and Cyp2c40 in diabetic mice, however, the degree of decrease for these two transcripts was not as great as that found for Cyp2c22 (Fig. 2). Two main bands were detected in Northern-blot analysis of Cyp2c39 and the pattern of expression was found to be similar to that observed for Cyp2c29 (results not shown). Cyp2c29 and Cyp2c39 mRNA are 88% identical in the nucleotide sequence, and therefore the main band detected with both probes on the Northern blot was considered to represent Cyp2c29 mRNA. This conclusion was based on the fact that a database search revealed around 20-fold more expressed sequence tags (ESTs) for Cyp2c29, suggesting that Cyp2c39 is expressed at a much lower level. Cyp2c23 was found to be highly variable among individual animals within all groups.

The third group, comprising Cyp1a2 and Cyp7b1, showed a decrease in the level of mRNA in diabetic mice, coupled with a further (nonsignificant) decrease in hyperinsulinemic animals.

Sexual Dimorphic Expression and Dietary Effects. The expression of Cyp2b9, Cyp2c29, Cyp3a16, and Cyp7b1 was sexually dimorphic. With the exception of Cyp7b1, expression was lower in male mice compared with females. The dimorphism for Cyp2b9 could also be extended to the effect of physiological state, with the level of this transcript increased in hyperinsulinemic males yet unchanged in hyperinsulinemic females. Similarly, although the level of expression of the putative Cyp2c22 was the same in normoglycemic males and females, a decrease in Cyp2c22 mRNA levels was observed with hyperinsulinemia in male mice only. Diet also influenced the expression of Cyp1a2, Cyp3a16, and Cyp4a14 isoforms. Cyp4a14 mRNA levels were higher in both males and females receiving a fat-enriched diet. On the other hand, the levels of Cyp1a2 (males and females) and Cyp3a16 (males) mRNA were decreased by a fat-enriched diet compared with a standard diet (Fig. 1).

No differences in expression of Cyp2e1 were observed among all groups, although this isoform has been found to be induced in other models of diabetes (Cheng and Morgan, 2001). Similarly, the level of Cyp2j5 was not affected by hyperinsulinemia, diabetes, sex, or diet.

Glutathione S-Transferase Expression

The expression of both Gstm3 and Gstm6 mRNA in NSZO mice followed the third pattern of expression described in the previous section, with a reduction in mRNA levels for these two isoforms in diabetic animals. Hyperinsulinemia seemed to reduce this expression to an even greater extent (Fig. 3).


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Fig. 3.   Analysis of Gst expression in normoglycemic (N), diabetic (D), and hyperglycemic (H) NSZO mice fed on a fat-enriched or standard diet. Animals maintained on standard diet were of normal glucose status. Northern blots of pooled hepatic RNA from individuals from each group and bar diagrams from dot-blot analysis of individuals from each group are shown. Data expressed as a percentage relative to the male high-fat normoglycemic group (mean ± S.E.).

The level of expression of Gstt2 was low in all animal groups. However, the pattern of expression observed for this transcript did not conform with any of the three patterns identified above. This isoform was up-regulated in diabetic male animals and down-regulated with hyperinsulinemia for both male and females (Fig. 3).

No change in Gsta2 mRNA was detected with the onset of diabetes or hyperinsulinemia. No differences between males and females were found for all of the GST isoforms studied. A fat-enriched diet seemed to cause some down-regulation for Gsta2 (males only).

Western-Blot Analysis

Western-blot analysis of microsomal (P450) and cytosolic (GST) protein was carried out in an attempt to correlate protein concentration to those results obtained at the mRNA level. Immunoblots using polyclonal antibodies to rat CYP2B1/2B2 and CYP4A1/4A2/4A3 supported the results obtained from the hybridization of Cyp2b9 and Cyp4a14 cDNA, respectively, to Northern and dot blots of RNA. Two CYP2B-related immunoreactive bands were detected, and the intensity of the bands was in accordance with that found at the mRNA level (Fig. 4). A clear sexual dimorphism was apparent, with the level of CYP2B-related protein considerably higher in females compared with males, however, changes were only observed in males with the onset of diabetes and hyperinsulinemia. Similarly, two CYP4A-related immunoreactive bands, one major and one minor, were detected in both males and females (Fig. 4), and the bands were of greater intensity in microsomes from animals with diabetes. On the other hand, although Cyp4a14 mRNA levels were higher in both males and females receiving a fat-enriched diet (Fig. 1), this result was not supported at the protein level (Fig. 4).


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Fig. 4.   Hepatic protein levels of CYP2B, CYP2C, CYP4A, and GSTµ in normoglycemic (N), diabetic (D), and hyperglycemic (H) NSZO mice fed on a fat-enriched or standard diet. Western blots of pooled hepatic microsomes (P450) or cytosol (GST) were probed with antibodies directed against rat CYP4A, CYP2B, CYP2C, and GSTµ.

Western-blot analysis using a CYP2C antibody showed a decrease in CYP2C-related immunoreactive protein in liver microsomes from diabetic mice (Fig. 4), however, this change did not reflect the highly significant decrease found in mRNA for Cyp2c22. There are several known murine isoforms belonging to this subfamily (at least six). In this study, the mRNA levels of three classified Cyp2c genes (Cyp2c29, Cyp2c39, and Cyp2c40) and two novel Cyp2c isoforms (Cyp2c22 and Cyp2c23) were examined, and a considerable amount of variability was found in the expression between each transcript. Therefore, because of the unspecificity of the polyclonal rat CYP2C antibody used, it is likely that a number of CYP2C isoforms would have contributed to the one immunoreactive band.

Western-blot analysis showed two GSTµ-related immunoreactive bands. Compared with the changes in mRNA levels, only minor differences in intensity were found between each group (Fig. 4). There are four known isoforms belonging to the GSTµ subfamily in the mouse (GSTµ1, GSTµ2, GSTµ3, and GSTµ6). Therefore, as for CYP2C, it is likely that these other GSTµ isoforms would have contributed to the two bands detected.

    Discussion
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

This study provides the first comprehensive examination of P450 and GST expression in a polygenic mouse model of type 2 diabetes. Our findings indicate that hyperinsulinemia and type 2 diabetes-like hyperglycemia greatly affect the expression of a number of P450 and GST isoforms. Specifically, expression of Cyp2b9, Cyp3a16, Cyp4a14, and Gstt2 was increased, whereas expression of Cyp1a2, Cyp2c22, Cyp2c29, Cyp2c40, Gstm3, and Gstm6 was suppressed in diabetes. Hyperinsulinemia altered expression of Cyp3a16, Cyp2b9, Gstm3, and Gstm6 in male mice. Although there are a number of studies in the literature reporting changes in selected P450 and GST isoforms with diabetes in the leptin deficient ob/ob mouse or fa/fa rats (Barnett et al., 1992; Enriquez et al., 1999; Roe et al., 1999; Liang and Tall, 2001), this is the first study to show that a broad range of P450 and Gst genes are either up-regulated or down-regulated by the pathophysiological alterations associated with diabetes and insulin resistance.

Reduced Expression of CYP2C Isoforms in Diabetes. One of the most notable and novel findings to emerge from this study was the degree of down-regulation of the putative mouse Cyp2c22 mRNA in diabetic animals. This isoform has not yet been described in the mouse. The cDNA clone used here corresponds to a mouse transcript (UniGene entry Mm.29119; www.ncbi.nlm.nih.gov/UniGene/) that shows 87% identity to the rat Cyp2c22 nucleotide sequence. Emi et al. (1990) first described this isoform in primary cultures of rat hepatocytes and found that it was highly induced after plating hepatocytes on collagen-coated culture dishes. They speculated that CYP2C22 may be involved in the metabolism of steroid hormones because of its similarity with sex-specific isoforms of CYP2C (e.g., CYP2C11 and CYP2C12). To date, no further studies have reported on the regulation of this isoform in the rat. In NSZO mice, Cyp2c22 showed no sexually dimorphic pattern of expression, whereas the related Cyp2c genes, Cyp2c29 and Cyp2c40, were predominantly expressed in females. Transcript levels of these genes were also down-regulated in diabetes and insulin resistance, but to a much lower extent than that found for Cyp2c22.

Several pieces of evidence suggest that the transcription factor PPARalpha may be involved in the down-regulation of Cyp2c genes in the diabetic mice. Barclay et al. (1999) were able to demonstrate that down-regulation of Cyp2c29 by the inflammatory agent, lipopolysaccharide (LPS), was partly suppressed in mice with a targeted deletion of the PPARalpha gene. Furthermore, peroxisome proliferator chemicals have been shown to down-regulate CYP2C isoforms in rats (CYP2C11 and CYP2C12) (Corton et al., 1998), providing additional evidence that PPARalpha is important in the regulation of this subfamily. Cyp2c11 is a male-specific isoform that has previously been shown to be down-regulated in diabetes (Donahue et al., 1991). In the present study, the levels of FFAs in the plasma of diabetic animals were higher than those found in normoglycemic animals. Because increased FFAs activate PPARalpha , it is likely that increased FFAs with diabetes lead to a down-regulation of Cyp2c22 and perhaps also of other members of the Cyp2c family, through activation of PPARalpha .

Expression of the putative mouse Cyp2c23 was completely different than the other four Cyp2c isoforms examined, with expression either "turned on or off" in individual animals. Expression seemed unaffected by sex or pathophysiological status of the NSZO backcross mice. Although the full sequence of mouse Cyp2c23 is not yet known, the cDNA clone used in this study showed 82% identity to the rat Cyp2c23 nucleotide sequence (UniGene Rn.2184). On the contrary, this transcript is only distantly related to the other Cyp2c isoforms studied here, showing only 57 to 59% identity of the amino acid sequences. In the rat, expression of CYP2C23 is suppressed after treatment of rats with phenobarbitone, pregnenolone, clofibrate, or 3-methylcholanthrene (Marie et al., 1993).

Role of Fatty Acids and PPARalpha in the Expression of P450 Isoforms. The CYP4A subfamily includes isoforms that are important fatty acid omega -hydroxylases and are well known to be regulated through the activation of PPARalpha (Lee et al., 1995; Barclay et al., 1999). Our finding that Cyp4a14 was dramatically induced with diabetes and by high-fat diet consequently was expected and has been demonstrated previously in rats and mice (Barnett et al., 1990; Kroetz et al., 1998; Enriquez et al., 1999). Interestingly, induction of Cyp2b9 and Cyp3a16, which are not considered to be regulated by PPARalpha , was also found. Zangar and Novak (1997) reported induction of CYP2B and CYP4A isoforms by straight-chained saturated fatty acids. Therefore, as for Cyp4a14, the induction of Cyp2b9 and Cyp3a16 observed in this study may be due to the increased FFA.

It is interesting to note that plasma levels of FFA were decreased in hyperinsulinemic animals. This finding is in contrast with the hypothesis that elevated FFAs are indicative of the development of diabetes from impaired glucose tolerance (Roden et al., 1996; Boden and Chen, 1999; Bergman and Ader, 2000). Several researchers have postulated that the effects that precede the onset of type 2 diabetes, such as insulin resistance and hepatic overproduction of glucose may be a result of the FFA themselves (Bergman and Ader, 2000). In the NSZO backcross model, the high levels of insulin seem to cause a reduction of plasma FFA, probably by stimulating the cellular uptake of triglycerides.

Sexually Dimorphic Expression of P450 Isoforms in Hyperinsulinemia and Diabetes. It has long been known that the expression of many P450 isoforms, including Cyp2b9 and Cyp3a16, are sexually dimorphic in mice, with expression generally greater in females compared with males (Shapiro et al., 1995). The reasons for these dimorphisms are not fully understood, although sex-dependent patterns of growth hormone secretion play an important role (Davey et al., 1999). Basal levels of Cyp2b9 and Cyp3a16 mRNA in male mice were a fraction of that observed in females, and it was interesting to find that expression of these two isoforms was greater in diabetic and hyperinsulinemic male mice only. Western-blot analysis also showed an increase in protein levels of CYP2B-related isoforms in males, in support of that found at the mRNA level. Sakuma and coworkers (2001) observed this male-only induction of Cyp2b9 in streptozotocin-induced diabetic mice. They speculated that induction of Cyp2b9 was due to changes of growth hormone secretion. No other studies have reported on this phenomenon for Cyp3a16. It may be that common sexually dimorphic characteristics which are altered in diabetes and hyperinsulinemia, such as growth hormone secretion or sex hormone levels, are responsible for the regulation of these two isoforms.

In contrast to the pattern of sexual dimorphism generally found in mice, expression of Cyp7b1 in males was approximately seven times greater than in normal females. Rose and coworkers (2001) also reported that expression of Cyp7b1 in the liver and kidney was greater in males compared with female mice. Little is known about the transcriptional regulation of Cyp7b1, however, this isoform contributes to bile acid synthesis through the 7alpha -hydroxylation of 27-hydroxycholesterol (Schwarz et al., 1997; Martin et al., 2001; Memon et al., 2001). Because this isoform is important in cholesterol metabolism, it is interesting that a nonsignificant trend for a decrease in the levels of Cyp7b1 mRNA was observed in males with hyperinsulinemia and diabetes.

Alterations in the Expression of GST Isoforms. In addition to P450 genes, a range of GST isoforms were examined due to the importance of these enzymes in the elimination of xenobiotics and in their role as deactivators of reactive intermediates produced in phase I (P450) metabolism. Alterations in GST activity and protein levels have been reported in streptozotocin-induced diabetic rats (Raza et al., 2000), with levels generally reduced with diabetes. No studies have investigated the effect of diabetes and hyperinsulinemia on the expression of Gst genes in mice. Barnett et al. (1992) did measure the overall GST activity, however, the range of GST isoforms detected with these assays is somewhat broad. From the results presented in this study, differential regulation of individual GST isoforms was evident, with a reduction in the level of Gstm mRNA, an increase in Gstt2 mRNA level, and no change in the amount of Gsta mRNA with the onset of diabetes. Moreover, expression of GSTµ3 and GSTµ6 was also reduced in hyperinsulinemic males, the same pattern of changes as found for CYP1A2 and CYP7B1. Because this expression pattern is not correlated with serum levels of FFA and insulin, it seems to reflect an early alteration in the course of the disease and may be related to the progression of the syndrome from insulin resistance to the type 2-like diabetes.

In conclusion, this study provides a comprehensive examination of the expression of P450 and GST isoforms in a polygenic mouse model. Although the data cannot be directly extrapolated to human P450 and GST isoforms, our results show that both diabetes and hyperinsulinemia can exhibit significant effects on the expression of these enzymes in mouse liver. In particular, the striking suppression of the novel Cyp2c22 with diabetes provides evidence for a new mechanism in the regulation of P450 gene expression.

    Acknowledgments

We gratefully acknowledge Katrin de Graaf, Stefanie Winandy, and Hanna Czajkowska for excellent technical assistance.

    Footnotes

Accepted for publication April 5, 2002.

Received for publication January 22, 2002.

1 Current address: Merck, Sharp and Dohme, Terlings Park, Harlow, Essex, UK.

2 Current address: Institute of Laboratory Animal Research, Medical Faculty of the Technical University of Aachen, Aachen, Germany.

3 Current address: German Institute of Human Nutrition (DIfE), Potsdam-Rehbrücke, Germany.

This project was supported by the Deutsche Forschungsgemeinschaft Grant FOR 441, Jo117/11-2.

DOI: 10.1124/jpet.102.033553

Address correspondence to: Dr. Walter Becker, Institut für Pharmakologie und Toxikologie, Medizinische Fakultät der RWTH Aachen, Wendlingweg 2, D-52072 Aachen, Germany. E-mail: walter.becker{at}post.rwth-aachen.de

    Abbreviations

NZO, New Zealand obese; NSZO, NZO × F1 (SJL × NZO) backcross population; P450, cytochrome P450; FFA, free fatty acids; GST, glutathione S-transferase; PPAR, peroxisome proliferator activated receptor; BG, blood glucose; PI, plasma insulin; SSC, standard saline citrate; EST, expressed sequence tags; SJL, Swiss Jackson Laboratory.

    References
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Abstract
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