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Competition for tetrahydrobiopterin between phenylalanine hydroxylase and nitric oxide synthase in rat liver

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Competition for tetrahydrobiopterin between phenylalanine hydroxylase and nitric oxide synthase in rat liver

PASTOR, Catherine, et al.

Abstract

Tetrahydrobiopterin (BH4) is an important cofactor for two hepatic enzymes, inducible nitric oxide synthase (iNOS) and phenylalanine hydroxylase (PAH), and competition for BH4 between the two enzymes might limit hepatic iNOS or PAH activity. To test this hypothesis, we determined whether conversion of phenylalanine to tyrosine was modified by changes in NO synthase activity, and conversely whether NO synthesis was limited by the rate of phenylalanine conversion to tyrosine in rat hepatocytes and perfused livers. NO production was decreased only slightly, when flux through PAH was maximized in isolated perfused livers, and in isolated hepatocytes only when BH4 synthesis was inhibited. Increases in NO synthesis did not reduce tyrosine formation from phenylalanine. Phenylalanine markedly increased biopterin synthesis, whereas arginine had no effect. Thus, basal BH4 synthesis appears to be adequate to support iNOS activity, whereas BH4 synthesis is increased to support PAH activity.

PASTOR, Catherine, et al . Competition for tetrahydrobiopterin between phenylalanine

hydroxylase and nitric oxide synthase in rat liver. Journal of Biological Chemistry , 1996, vol.

271, no. 40, p. 24534-8

DOI : 10.1074/jbc.271.40.24534 PMID : 8798714

Available at:

http://archive-ouverte.unige.ch/unige:74411

Disclaimer: layout of this document may differ from the published version.

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Competition for Tetrahydrobiopterin between Phenylalanine Hydroxylase and Nitric Oxide Synthase in Rat Liver*

(Received for publication, April 12, 1996, and in revised form, July 11, 1996)

Catherine M. Pastor‡, Debra Williams‡, Toshie Yoneyama‡, Kazuyuki Hatakeyama‡, Scott Singleton§, Edwin Naylor§, and Timothy R. Billiar‡

From the Departments of ‡Surgery and §Biochemical Genetics, University of Pittsburgh, Pittsburgh, Pennsylvania 15261

Tetrahydrobiopterin (BH4) is an important cofactor for two hepatic enzymes, inducible nitric oxide synthase (iNOS) and phenylalanine hydroxylase (PAH), and com- petition for BH4 between the two enzymes might limit hepatic iNOS or PAH activity. To test this hypothesis, we determined whether conversion of phenylalanine to tyrosine was modified by changes in NO synthase activ- ity, and conversely whether NO synthesis was limited by the rate of phenylalanine conversion to tyrosine in rat hepatocytes and perfused livers. NO production was de- creased only slightly, when flux through PAH was max- imized in isolated perfused livers, and in isolated hepa- tocytes only when BH4 synthesis was inhibited.

Increases in NO synthesis did not reduce tyrosine for- mation from phenylalanine. Phenylalanine markedly in- creased biopterin synthesis, whereas arginine had no effect. Thus, basal BH4 synthesis appears to be adequate to support iNOS activity, whereas BH4 synthesis is in- creased to support PAH activity.

Nitric oxide (NO)1has a diverse array of physiologic effects which may be either beneficial or detrimental, depending on the anatomic site and rate of NO synthesis. Accordingly, reg- ulation of NO synthesis rates, particularly by the inducible form of NO synthase (iNOS), is critical in determining whether the net effect of NO will be good or ill. Rates of NO production by iNOS in intact cells can reflect regulatory events at many steps, including transcription, translational efficiency, and sta- bility of mRNA and protein (1, 2). Cellular NO synthesis rates also may be regulated by processes which affect availability of the various substrates and cofactors (e.g. arginine and tetrahy- drobiopterin (BH4)) required for NO synthesis (2).

BH4 is an important cofactor for full activity of all NOS isoforms (3–5). Although initial reports indicated that BH4 directly participated in the enzymatic synthesis of NO, more recent evidence contradicts the earlier reports and indicates that BH4 is an allosteric effector of NOS which stabilizes the active dimeric form of the enzyme (4, 6, 7). The importance of BH4 in NO synthesis has been demonstrated by experiments

which showed that inhibition of BH4 synthesis also inhibits NO synthesis (3, 8, 9) which is consistent with observations that iNOS expression and BH4 synthesis are coinduced in a number of cell types (10).

One potential mechanism for modulating NOS activity might be via competition for BH4 with another enzyme requiring the same cofactor. Such a possibility exists in several tissues in- cluding the liver. Phenylalanine hydroxylase (PAH) is a hy- droxylase which catalyzes a coupled reaction in which phenyl- alanine is oxidized to tyrosine and BH4 is oxidized to the corresponding 4a-hydroxytetrahydropterin (11, 12). Thus, BH4 functions catalytically in this hydroxylation system. Conver- sion of 4a-hydroxytetrahydropterin to the quinonoid dihydro- pterin derivative occurs via a dehydratase, and regeneration of BH4 is completed by action of the dihydropterin reductase which reduces the quinonoid dihydropterin to BH4 (13).

Under normal conditions, hepatocytes express high levels of PAH but no iNOS activity. The expression of iNOS can be induced in the liver by various stimuli such as endotoxin, cytokines or Corynebacterium parvum (14, 15), which may re- sult in competition between PAH and iNOS for BH4. However, PAH and iNOS differ in their interactions with BH4 in ways which may affect the competition. First, BH4 functions cata- lytically in the PAH system but not in the iNOS reaction.

Second, the apparent Kmfor BH4 is much lower for the iNOS (0.02– 0.3 mM) (4) than for PAH (2 mM) (13). Third, BH4 is a negative effector of PAH, binding to a high affinity pterin regulatory site on the enzyme to form an inactive enzyme complex at low phenylalanine concentrations and thereby re- ducing intracellular free BH4 concentrations (16, 17). Further- more, phenylalanine regulates the BH4 biosynthetic pathway by controlling its first and rate-limiting enzyme, GTP cyclohy- drolase I, through interacting with the p35 GTP cyclohydrolase I regulator protein (18). The activity of GTP cyclohydrolase I is stimulated at high phenylalanine concentrations in the pres- ence of p35 protein (18). Thus, free BH4 concentrations are regulated by phenylalanine levels. Consequently, both free BH4 levels and demand for BH4 by PAH will be greatest when phenylalanine levels are high, and free BH4 levels and demand will be low when phenylalanine levels are low. Nonetheless, the low apparent Km of iNOS suggests that it will successfully compete with PAH for BH4 at low and high phenylalanine concentrations.

By varying phenylalanine concentrations, we tested whether the level of PAH activity could affect BH4 levels and conse- quently limit hepatic NO production in livers induced to ex- press iNOS. Competition between the two enzymes for BH4 might constitute a way to selectively inhibit hepatic iNOS.

Conversely, we also tested whether synthetic rates of hepatic NO synthesis might inhibit hepatic conversion of phenylala- nine to tyrosine. Previously, the BH4 requirement for iNOS and PAH activities has been studied independently and mostly

* This work was supported by National Institutes of Health Grants GM-44100 and GM-37753. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked “advertisement” in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

Recipient of the George H. A. Clowes Memorial Career Develop- ment Award of the American College of Surgeons. To whom correspond- ence should be addressed: Dept. of Surgery, A1010 Presbyterian Uni- versity Hospital, 200 Lothrop St., University of Pittsburgh, Pittsburgh PA 15261. Tel.: 412-648-9862; Fax: 412-648-1033.

1The abbreviations used are: NO, nitric oxide; iNOS, inducible nitric oxide synthase; BH4, tetrahydrobiopterin; PAH, phenylalanine hydrox- ylase; KHB, Krebs-Henseleit-bicarbonate; DAHP, 2,4-diamino-6-hy- droxypyrimidine;L-NMMA, NG-monomethyl-L-arginine.

© 1996 by The American Society for Biochemistry and Molecular Biology, Inc. Printed in U.S.A.

24534

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in cultured cells. The present study is unique in simultaneously studying NO and tyrosine synthesis in both intact liver and isolated hepatocytes.

EXPERIMENTAL PROCEDURES

Animals—Male Sprague-Dawley rats (200 –240 g) were fasted for 24 h prior to the experiment, with free access to water, and anesthetized with sodium pentobarbital (Nembutal, 50 mg/kg intrapertoneally).

NOS Induction—To induce iNOS, C. parvum (28 mg/kg intrave- nously; Wellcome Biotechnology, London, UK) was injected 5 days before liver perfusion. We have previously shown that this treatment results in high levels of nitrite (NO22)1nitrate (NO32) release from perfused livers (19) and isolated hepatocytes (14).

Liver Perfusion—Livers were perfused in situ with a Krebs-Hense- leit-bicarbonate (KHB) buffer (118 mMNaCl, 1.2 mMMgSO4, 1.2 mM

KH2PO4, 4.7 mMKCl, 26 mMNaHCO3, 2.5 mMCaCl2) as described in detail previously (19). All components (from Sigma) were chosen to avoid any contamination with nitrate. The perfusate was oxygenated with a mixture of 95% O2, 5% CO2, and the pH was maintained at 7.40.

Arginine and phenylalanine were added to the perfusate as described under “Results.”

After the surgical procedure, the livers were allowed to recover over 30 min using a nonrecirculation KHB perfusion. Because metabolite measurements are limited by low concentrations in a single pass model, the liver were perfused in a recirculation system during the experimen- tal periods to allow accumulation of the end products of NO (NO221 NO32), tyrosine and total biopterin in the perfusate. The total volume of recirculation was 105 ml (40 ml for reservoir and 65 ml for system and tubing). Three recirculation periods of 20 min each, designated through- out as E1, E2, and E3, were performed. Each recirculation period was preceded by a 5-min rinse period during which the livers were perfused with the same buffer and chemicals as during the following experimen- tal period. The rinse periods allowed the elimination of any toxic me- tabolites that may have accumulated during the previous period.

Livers (n55) were perfused with KHB during the first recirculation period (E1), KHB 10.5 mMphenylalanine during the second period (E2), and KHB1 5 mMphenylalanine in the third period (E3). In a second group (n55), to optimize NO221NO32release, 0.1 mMarginine was added to the previous perfusion conditions. Finally, to determine the effect of NO inhibition on tyrosine release, four additional livers were perfused with 5 mMNG-monomethyl-L-arginine (L-NMMA) in sim- ilar conditions (KHB, KHB1 0.5 mMphenylalanine, KHB1 5 mM

phenylalanine).

The viability of perfused livers was assessed by oxygen consumption, perfusate potassium, and lactate dehydrogenase release at the end of each 20-min recirculation period as described previously (19). At the end of each experiment, the livers were weighed and then freeze-dried over 48 h. The wet/dry weight ratios were calculated to determine any swelling induced by the perfusion or by the C. parvum administration.

All metabolic results were normalized to the dry weight of the liver.

Hepatocyte Isolation and Cell Cultures—Rat hepatocytes were iso- lated using a modification of the in situ collagenase B (Boehringer Mannheim) perfusion technique of Seglen (20). Hepatocytes were sep- arated from nonparenchymal cells by differential centrifugation at 503 g, four times. Hepatocyte purity assessed by microscopy was greater than 98%, and viability consistently exceeded 95% by trypan blue exclusion. Hepatocytes were isolated from three separate rats, 5 days after a C. parvum injection (28 mg/kg intravenously).

Hepatocytes from C. parvum-stimulated rats were plated onto six- well gelatin-coated tissue dishes, 1.53106cells/well in 2 ml or onto 10-cm Petri dishes at 4.53106cells/plate in 5 ml of culture medium.

Culture medium consisted of Williams’ Medium E (Life Technologies, Inc.) with 0.5 mM L-arginine, 1mMinsulin, 15 mMHEPES,L-glutamine, penicillin, streptomycin, and 10% low endotoxin calf serum (Hyclone, Logan UT). After a 2-h incubation at 37 °C in 95% air and 5% CO2to allow attachment, the medium was discarded, and the cells were washed twice with phosphate-buffered saline (Life Technologies, Inc.).

Then the cells were incubated for 18 or 24 h in an amino acid-free incubation medium (Earle’s balanced salt solution; Life Technologies, Inc.) with 1mMinsulin, 15 mMHEPES, penicillin, streptomycin, and 2%

low endotoxin dialyzed calf serum (Life Technologies, Inc.). In this incubation medium, arginine (0 or 0.5 mM) and phenylalanine (0, 0.05, 0.1, or 0.5 mM) were added as well as 2,4-diamino-6-hydroxypyrimidine (DAHP), an inhibitor of GTP-cyclohydrolase I (0 or 10 mM) to some cells.

After incubation, culture medium was collected for nitrite (NO22) and nitrate (NO32), tyrosine, and biopterin content. Then cells were lysed by freeze thawing for determination of intracellular biopterin, BH4, and

protein content.

Assays—To determine the NO release in the cell supernatant or in the perfusate, NO221NO32were measured by a procedure based on the Griess reaction, as described elsewhere (21, 22). Tyrosine release and total biopterin were measured with a high performance liquid chroma- tography. Oxidized and reduced forms of biopterin were analyzed by the differential oxidation method of Fukushima and Nixon (23). The con- centration of protein was determined by the method of Smith et al. (24) using the bicinchoninic acid protein assay reagent (Pierce).

Statistical Analysis—The results are expressed as mean6S.E. In each group, data were analyzed using one-way analysis of variance with repeated measurements. When the results were significant, the mean values were compared by the Fischer test. Comparisons between groups were analyzed using one-way analysis of variance or Student’s t test.

Significance was established at a p value,0.05.

RESULTS

C. parvum injection was used to induce hepatic iNOS expres- sion since we have previously characterized the in vivo induc- tion of iNOS in rat liver during chronic inflammation triggered by C. parvum. A high level of iNOS induction is achieved in the intact liver by 5 days postinjection (19), and hepatocytes have been shown to be the major site of NO production in this model (14, 15).

NO221NO32, Tyrosine, and Biopterin Release in Perfused Livers

In the absence of phenylalanine, tyrosine release (Fig. 1, upper) was low and unaffected by addition of arginine or L- NMMA to the perfusate. Phenylalanine (0.5 or 5 mM) increased tyrosine release, in KHB, KHB10.1 mM L-arginine, and KHB 15 mM L-NMMA perfusions. Tyrosine release was not affected by the addition of arginine, whereasL-NMMA perfusion, which completely blocked NO22 1 NO32 release, increased tyrosine release at 5 mMphenylalanine concentration compared to KHB perfusion.

Consistent with our previous observations (19), in the ab- sence of added arginine, perfused livers released high levels of NO221NO32(Fig. 1, middle). This release was increased by the addition of 0.1 mM arginine, whereas L-NMMA, as already mentioned, completely blocked this release. Addition of phenyl- alanine (0.5 or 5 mM) slightly decreased NO221NO32release in the three conditions (KHB, KHB10.1 mMarginine, and KHB 1L-NMMA). Both concentrations of phenylalanine induced a marked rise in biopterin release (Fig. 1, lower), whereas nei- ther arginine orL-NMMA had an effect on the release of bio- pterin from the perfused livers.

When phenylalanine (0.5 and 5 mM) was added to the KHB perfusate, hepatic oxygen consumption significantly increased from 5.860.5 to 7.560.5mmol/min/dry weight g, probably as a result of the catabolism of the carbon skeleton of phenylala- nine. Addition of arginine or L-NMMA had no effect on the hepatic oxygen consumption. Liver injury increased slightly during the KHB perfusion since lactate dehydrogenase release increased from 17.8 6 2.7 to 87.2 6 9.0 milliunits/min/dry weight g from E1to E3. However, this injury was not associated with a decline in the biosynthetic capacity of the livers, since tyrosine and biopterin release were similar during the early (E2) and late (E3) perfusion periods.L-NMMA perfusion signif- icantly worsened the hepatic injury compared to the KHB perfusion (257.2 651.7 versus 87.269.0 milliunits/min/dry weight g, during E3-perfusion).

NO221NO32, Tyrosine, and Biopterin Release in Hepatocytes

In the Absence of Phenylalanine—In order to allow more specific manipulation of the two pathways, the relationships between iNOS and PAH activities and BH4 availability were also studied in hepatocytes isolated from rats previously in-

Competition for Tetrahydrobiopterin in the Liver 24535

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jected with C. parvum. Cultured hepatocytes, in amino acid- free incubation medium, released small amount of tyrosine (42.067.6 nmol/1.53106 cells/18 h) and moderate levels of NO221 NO32 (164.0 64.0 nmol/1.5 3106 cells/18 h) in the supernatant. Addition of 0.5 mM arginine caused a 2.7-fold increase in NO221NO32release but had no effect on tyrosine release. NO synthesis in the hepatocytes exhibited some de- pendence on the de novo biosynthesis of BH4, since NO22 1 NO32release decreased by 16.5% when DAHP was added in the medium. DAHP did not influence the low basal levels of tyro- sine synthesis seen in the absence of phenylalanine. Thus, iNOS in the hepatocytes is slightly dependent on de novo BH4 biosynthesis but any increase in BH4 requirement for iNOS activity with arginine addition had no consequence on PAH activity.

In the Presence of Phenylalanine—In the absence of arginine (Fig. 2, upper), increasing phenylalanine concentrations in the medium increased tyrosine release. In these conditions, the high requirement of BH4 for PAH has only a slight impact on NO221NO32 release at 0.5 mM phenylalanine concentration.

When 0.5 mMarginine was added in the medium (Fig. 2, mid- dle), the addition of phenylalanine had no effect on NO22 1 NO32. When de novo BH4 biosynthesis was inhibited by DAHP (Fig. 2, lower), the release of tyrosine associated with phenyl- alanine addition was dramatically reduced. In the presence of DAHP, the addition of phenylalanine, which only slightly in- creased tyrosine release, resulted in a concentration-dependent decrease in NO221NO32. This indicates that iNOS activity is likely to be limited only when BH4 levels are dramatically lowered by the inhibition of BH4 synthesis plus increased flux through PAH.

We then tested the capacity of exogenous BH4 to overcome the effects of DAHP and phenylalanine. As shown in Table I, the addition of 100 mM BH4 increased basal NO22 1 NO32 release and also overcame the inhibitory effects of DAHP and phenylalanine on NO221NO32release. BH4 also overcame the inhibitory effect of DAHP on tyrosine release in the presence of phenylalanine but did not increase basal levels of tyrosine release in the presence of phenylalanine. As shown in Table II, the addition of phenylalanine increased total biopterin release, although intracellular levels were not affected. Also shown is the suppression of intracellular biopterin and BH4 levels in DAHP-treated cells and even further reductions when phenyl- FIG. 1. Tyrosine, NO221NO32, and total biopterin release in

isolated perfused liver. Livers from rats (n514) previously injected with C. parvum (28 mg/kg intravenously) were perfused with KHB buffer and substrates as indicated. Phenylalanine (Phe, 0, 0.5, or 5 mM);

arginine (Arg, 0 or 0.1 mM), andL-NMMA (5 mM). *p,0.05 versus no phenylalanine in the same group; **p,0.05 versus 0.5 mMphenylala- nine in the same group; †p,0.05 versus the KHB group.

FIG. 2. Tyrosine and NO221NO32release in hepatocytes. Hepa- tocytes from rats previously injected with C. parvum (28 mg/kg intra- venously) were incubated in an amino-free incubation medium with varying concentrations of phenylalanine (Phe, 0, 0.05, 0.1, and 0.5 mM).

Upper panel, no other substrate; middle panel, arginine (0.5 mM); lower panel, arginine (0.5 mM) and DAHP (10 mM). *p, 0.05 versus no phenylalanine.

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alanine is combined with DAHP, which is consistent with the effects of DAHP on NO221NO32and tyrosine release.

DISCUSSION

BH4 is an essential cofactor for several enzymes, including aromatic acid hydroxylases and all three NO synthases (13).

When enzymes requiring BH4 coexist in a cell, it is not known how BH4 is regulated or whether competition for BH4 will take place, limiting enzyme activity. It is unlikely that BH4 would be limiting in sites, such as the brain or adrenal glands, where a low output or constitutive NO synthase coexists with aro- matic acid hydroxylases, due to the relatively low activity of the constitutive NO synthase enzymes. In this regard, hepatocytes are unique, containing high PAH activity in the presence of activating concentrations of phenylalanine (25) and expressing high levels of the high output or inducible NOS during inflam- matory conditions (14). Using both isolated perfused livers and cultured hepatocytes from rats prestimulated to express high levels of iNOS, we studied whether the availability of BH4 could limit NO or tyrosine synthesis. We found little evidence that competition for BH4 limited the activity of either PAH or iNOS. This finding was true even if flux through PAH or iNOS were maximized by the addition of excess substrate. Under conditions in which de novo BH4 production was limited by DAHP, PAH was more susceptible to inhibition than iNOS.

Furthermore, only when de novo BH4 synthesis was inhibited did increased flux through PAH limit NO synthesis. Our re- sults also indicate that, whereas basal BH4 production was adequate to maintain near-maximal NO synthesis, PAH activ- ity was maintained by increasing biopterin synthesis.

Several reasons may explain that increased flux through PAH has little effect on NO synthesis. First, even though the utilization of BH4 by PAH is relatively high (1 mol of BH4 per mol of tyrosine produced) (11), phenylalanine stimulates an increase in biopterin synthesis to meet the BH4 requirement of PAH (17, 18). This production is likely to take place through the interaction of phenylalanine with the recently described feedback regulator protein for GTP cyclohydrolase I, resulting

in increased activity of this rate-limiting enzyme for biopterin biosynthesis (18). Second, the Kmfor BH4 for the NOS is 0.02 to 0.3mM(4) and minor changes in BH4 availability would not be expected to have a major effect on NOS activity. Further- more, there is no evidence for stoichiometric BH4 turnover by NOS. In fact, Giovanelli et al. (4) demonstrated that the NOS produced 18 mol of NO per mol of BH4. Studies on murine (6) and human (7) iNOS indicate that BH4 functions to maintain the enzyme in an active configuration.

Similar arguments are likely to explain the minimal effect of increased flux through iNOS on the conversion of phenylala- nine to tyrosine by PAH. Here, the low utilization of BH4 by iNOS would be expected to have little impact in the face of increased BH4 production, resulting from the interaction of phenylalanine and GTP cyclohydrolase I (18). Furthermore, as BH4 is utilized, any negative feedback exerted by BH4 on GTP cyclohydrolase I would be removed. This may explain our find- ing that BH4 and biopterin content within the cells remain constant. We did observe a slight increase in tyrosine produc- tion when NOS activity was blocked withL-NMMA. Whether this is due to increased BH4 availability is unclear. Since NO can interfere with a number of enzyme systems, such as mito- chondrial respiration (26), nonspecific effects on cellular me- tabolism must also be considered.

Our in vitro experiments using excess exogenous BH4 also suggest important differences in the utilization and actions of this cofactor by the two enzymes. Added BH4 increased NO221 NO32release both in the presence and absence of phenylala- nine, whereas the addition of phenylalanine alone, which stim- ulates BH4 synthesis, did not. The observation that only extra- cellular release of biopterin and not intracellular levels of BH4 increased with phenylalanine addition suggests that the higher quantities of BH4 produced with phenylalanine addition are rapidly oxidized by PAH and released into medium. Thus, this BH4 may not be available to iNOS. It is also interesting to note that excess BH4 suppressed tyrosine release. The reason for this is not readily apparent, but high levels of BH4 have been TABLE I

NO221NO32and tyrosine levels in cultured hepatocytes

Substratesa NO221NO32in supernatant Tyrosine in supernatant

nmol/4.53106cells/24 h

None 2373690 134623

Phenylalanine (0.5 mM) 24936303 6786156b

DAHP (10 mM) 20806313 12665

Phenylalanine (0.5 mM)1DAHP (10 mM) 10696228b 15066c

BH4 (100mM) 32366323c 14368

Phenylalanine (0.5 mM)1BH4 (100mM) 36536343c 465663

Phenylalanine (0.5 mM)1BH4 (100mM)1DAHP (10 mM) 35366545c 709626

aHepatocytes from C. parvum-treated rats were harvested and incubated (4.53106cells/plate) in the incubation medium (5 ml) containing no amino acids (except 0.5 mMarginine) and substrates as indicated. Results represent mean6standard error of the mean of two separate cultures of hepatocytes from three separate animals.

bp,0.05 versus none.

cp,0.05 versus phenylalanine.

TABLE II

Pterin levels in cultured hepatocytes

Substratesa Cellular BH4 Total biopterin in cells Total biopterin in supernatant

pmol/mg protein

None 19.261.4 31.864.3 4.960.9

Phenylalanine (0.5 mM) 17.060.7 29.162.9 20.662.4

DAHP (10 mM) 1.860.1b 5.161.0b 0.660.3b

Phenylalanine (0.5 mM)1DAHP (10 mM) 1.060.4b 3.860.6b NDc

aHepatocytes from C. parvum-treated rats were harvested and incubated (4.53106cells/plate) in the incubation medium (5 ml) containing no amino acids (except 0.5 mMarginine) and substrates as indicated. Results represent mean6standard error of the mean of two separate cultures of hepatocytes from three separate animals.

bp,0.05 versus similar substrates without DAHP.

cNot determined.

Competition for Tetrahydrobiopterin in the Liver 24537

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shown to block phenylalanine-induced activation of PAH in a preparation of purified enzyme (28). Our cell culture experi- ments also show that up to 40% of the biopterin in the cells is not BH4. If it were BH2, it might be expected that the BH2 could inhibit NOS activity (29); however, because BH2 binds to NOS with an affinity 10-fold lower than BH4, it is unlikely to effectively compete for binding to NOS in the presence of higher levels of BH4. Furthermore, much of the measured total bio- pterin may be in the form of biopterin which does not bind to NOS. Any BH2 in the cultures should be converted to BH4 by dihydrofolate reductase. The high levels of oxidized biopterin in the cultured cells (40%) compared to that reported for whole liver (10%) may be due to uptake of oxidized biopterin in the medium by the cells in culture.

When one considers the major differences in the functions of iNOS and PAH, as well as the differences in the functions of BH4 in each enzyme, it is not surprising that BH4 availability to support the activity of each enzyme is also differentially regulated. PAH is a constitutively expressed enzyme which must respond to rapid changes in ambient phenylalanine con- centrations. PAH also has a higher Kmfor BH4 than iNOS and utilizes BH4 at a much faster rate. To support the high demand for BH4 in this metabolic pathway, increases in phenylalanine lead to a rapid increase in BH4 availability for the PAH en- zyme. Whereas PAH is part of a constitutive metabolic path- way, iNOS, which functions to form NO from arginine, is ex- pressed in hepatocytes only under inflammatory conditions and is a biosynthetic pathway. We have found that arginine for this reaction is most likely derived from exogenous sources, al- though an endogenous source not associated with the urea cycle also exists (19). As the Km of iNOS for BH4 is low, ambient intracellular BH4 levels, which appear to remain con- stant, are adequate to support iNOS activity. However, our finding that exogenous BH4 increases NO synthesis in hepa- tocytes raises the possibility that intracellular levels of BH4 may not support maximal NO synthesis, at least in cultured cells. We recently showed that exogenous BH4 increased NO- dependent killing of Plasmodium falciparum in human hepa- tocytes (27). Whether these effects are only an in vitro phenom- enon and whether exogenous BH4 will be a useful therapeutic approach to modify NO synthesis remains to be determined.

Thus, we conclude that the rate of flux through either iNOS or PAH is unlikely to limit the activity of the other enzyme.

Acknowledgment—We are grateful to Sidney M. Morris, Jr., Ph.D., for helpful suggestions and for reviewing the manuscript.

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