Hypertension. 1997;30:624-628
(Hypertension. 1997;30:624.)
© 1997 American Heart Association, Inc.
In Vivo Plasma Lipid Oxidation in Sugar-Induced Rat Hypertriglyceridemia and Hypertension
Mohammed El Hafidi;
Guadalupe Baños
From the Department of Biochemistry, Instituto Nacional de
Cardiología "Ignacio Chávez," Juan Badiano 1,
Mexico.
Correspondence to Mohammed El Hafidi, Department of Biochemistry, Instituto Nacional de Cardiologia "Ignacio Chávez," Juan Badiano 1, México, DF 14080. E-mail florence{at}mail.internet.com.mx
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Abstract
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Abstract Fe(II) and Fe(III) are required for the catalysis of
lipid peroxidation through generation of reactive oxygen species
that
damage cell membranes. This study investigated the effect
of free
radicals and lipid peroxidation, induced by
intraperitoneal
injection of iron-dextran in vivo,
in the plasma of the sugar-induced
hypertriglyceridemic and hypertensive male
and female rats.
Lipid peroxidation was measured by the malondialdehyde
(MDA)
equivalent, using a fluorescence method of
2-thiobarbituric
acid reactive substances (TBARS). Iron increased TBARS
generation
by fourfold (
P<.0001) in male control rats and
by twofold
(
P<.01) in female control rats, and the
difference between
TBARS concentration in female as compared with male
animals
was statistically significant (
P<.05). In the case
of the
sugar-fed group, iron-dextran produced an increase of TBARS
concentration by twofold in both male (
P<.001) and female
rats (
P<.01), and no significant difference in TBARS
concentration
was observed between sugar-fed female and male rats. The
analysis
of fatty acid composition by gas
chromatography showed a significant
diminution of 50%
in the proportion of arachidonic acid (C20:4n-6)
in the
male control group in comparison with the female group
(
P<.0001). In female control rats, a small diminution in
the proportion of C20:4n-6 and in the other polyunsaturated
fatty acids
was observed (
P<.05). A significant difference
in the
C20:4n-6 proportion was found between the male and female
group of
control rats. In the sugar-fed group, iron induced
a significant
diminution of arachidonic acid (
P<.001) in
both female and male rats in comparison with the sugar-fed
group
without iron.
Key Words: hypertriglyceridemia iron-dextran lipid peroxidation arachidonic acid
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Introduction
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Reactive
oxygen species are important mediators of cellular
injury via damage to
membranes or alteration of enzyme activities.
The polyunsaturated fatty
acids of the membrane and of the
lipoprotein particles are particularly
susceptible to free
radical attack, ultimately forming lipid
hydroperoxides, lipid
hydroxides, hydrocarbons, and aldehydes as their
stable degradation
products; these are implicated in many
pathologies such as
atherosclerosis, aging, cancer,
etc.
1 Recent data have suggested
the possibility that the
small, dense oxidized LDL are the
more atherogenic
particles.
2 However, the increase in the
small, dense LDL
is due to the increase in the level of triglycerides
in
human plasma.
3 Smaller, denser LDL are more susceptible
to
lipid peroxidation.
4 5 Oxidation of LDL occurs in
atherosclerotic
lesions in experimental animals; antibodies to oxidized
LDL
have been found to correlate with the progression of
atherosclerotic
lesions in humans.
6 7 In men and women, it
has been suggested
that antioxidant supplementation decreases the
progression
of atherosclerosis and that the high intake
of vitamin E (an
antioxidant ) lowers the risk of coronary
heart disease in
both women and men.
8 9 10 It has been
reported that the sex
difference in cardiovascular
diseases may be partially attributable
to modulation of lipoprotein
metabolism by estrogens
11 12 13 and their
antioxidant effect.
14 15 16 It has been shown that
estrogens
and catecholestrogens inhibit microsomal lipid peroxidation
stimulated
by iron and NADPH.
17 18 Iron catalyzes lipid peroxidation
because of its ability to react with oxygen to form species
capable of
initiating peroxidative events. Both Fe(II) and
Fe(III) are required
for the catalysis of lipid peroxidation.
19 The experiments
described in this article were designed to
investigate the effect of
free radicals and lipid peroxidation
induced by
intraperitoneal injection of iron-dextran in male
and female hypertriglyceridemic (HTG)
Wistar rats. The hypertriglyceridemia
was
induced in rats by consumption of commercial sugar at 30%
in their
drinking water for a period of 18 to 20 weeks. Also
we examine the sex
difference in the lipid peroxidation in
the HTG rat and the possible
role of estrogens as radical trappers.
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Methods
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Study Design
Weanling male and female Wistar rats, aged 25 days and weighing
50±5 g, were used and randomly distributed into two
groups: one was
given 30% commercially refined sugar in their
drinking tap water for
18 to 20 weeks; the other group received
only tap water. Both groups
were fed standard laboratory rat
chow ad libitum. At the end of the
treatment period, measurements
of the rats blood pressure were taken
by the tail-cuff
method: the cuff was connected to a pneumatic pulse
transducer
(Narco Bio-Systems from Healthdyne Co) and a Programmed
Electro-Sphygmomanometer
from the same company. The recordings
were obtained in duplicate
by means of a Narco Bio-Systems
polygraph.
Each group was then divided into eight subgroups of five rats each and
treated as follows: male and female groups without iron or sugar
(groups 1M and 1F), male and female groups with sugar but without iron
(groups 2M and 2F), male and female experimental groups with iron
overload and without sugar (groups 3M and 3F), and male and female
groups with sugar and with iron overload (groups 4M and 4F). Iron
overload was induced by intraperitoneal injection
of iron-dextran at 10, 25, and 50 mg/kg body weight on day 1,
day 3, and day 5, after 18 weeks of sugar treatment. Two days after the
last injection, the rats were killed by decapitation, taking care to
avoid hemolysis. Rats not treated with iron-dextran received the
corresponding volume of saline with dextran-500 in order to obtain the
same final injected liquid volume.
TBARS Activity
After decapitation, blood was collected from the animals
in a tube containing 2% EDTA plus 0.05% BHT. Then it was
centrifuged at 3000 rpm at 4°C during 20 minutes. The plasma
obtained was stored at -70°C until the lipid analysis was
carried out. We used 0.1 mL plasma for the determination of lipid
peroxidation, measuring TBARS by a fluorescence
method.20 Briefly, we added 0.05 mL of 4% [wt/vol] BHT
and 1 mL phosphate buffer to 0.1 mL of plasma. After incubation at
37°C for 30 minutes, 1.5 mL of 20% acetic acid and 1.5 mL 0.8%
2-thiobarbituric acid were added. The mixture was heated for 45 minutes
in boiling water and TBARS were extracted into 5x103 L
of n-butanol. After a brief centrifugation the
fluorescence of the butanol layer was measured at 515 nm
excitation and 553 nm emission in a spectrofluorometer (Aminco
Bowman Series 2 Luminescence Spectrometer). The value is expressed
as mmol TBARS (MDA equivalents) per liter of plasma. An MDA
standard was prepared from 1,1,3,3-tetraethoxypropane.
Lipid Extraction and FA Composition Determination
Plasma lipid extraction was performed as described by Folch et
al.21 The fat was hydrolyzed in a KOH/MetOH (1
mol/L) solution containing 0.02% BHT at 90°C for 30 minutes.
The free FA, in the presence of heptadecanoic acid (C17:0) as internal
standard, was extracted with hexane-diethylether (1/1, vol/vol)
and dried over anhydrous sulfate sodium. After evaporation to dryness
of the solvent under a gentle stream of nitrogen, FA were esterified at
laboratory temperature overnight to their corresponding methyl esters
in methanol containing 2% of concentrated sulfuric acid and 0.005% of
BHT. FA methyl esters were separated and identified by gas liquid
chromatography on a model Carlo Erba Fratovap 2300
fitted with a 25 mx0.25 mm interior diameter fused-silica
capillary column coated with CP-Sil 88 (film thickness,
0.25x10-3 mm) at an isotherm temperature
of 195°C and helium gas flow rate 1 mL/min.
Data Analysis
FA are expressed as percentage of each individual FA of the
total FA identifiable by gas liquid chromatography.
Peak areas and retention time of FA were measured by means of a
computer program (Gold, Beckman). Identification of individual methyl
ester components was made by comparison of the retention time with a
standard mixture.
Statistical analysis was performed on a personal computer using
a statistical and graphic system (SigmaPlot, SigmaStat 1.0, Jandel Co,
1992-1994). Data are presented as the mean±SD. Significance of
differences was determined by Students t test.
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Results
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Body Weight and Triglyceride Level
Table 1
shows that weight and weight
gain were significantly
greater in males than in females; within the
same sex group
there was no difference in weight due to the type of
treatment.
Total food consumption was the same in both male and female
groups; therefore, the only difference was the intake of sucrose.
The
triglyceride level was significantly higher in both female
and male sugar-fed rats in comparison with the female and male
control
groups (
P<.05).
Blood Pressure
Mean blood pressure for all four groups of rats for 18 weeks is
shown in Table 1. Blood pressure in sugar-fed males (group 2M) was
significantly greater than in control males (group 1M)
(P<.001) at the end of the 18-week period. No significant
difference in blood pressure between sugar-fed females (group 2F) and
control females (group 1F) was observed. However, blood pressure in
sugar-fed males (group 2M) was significantly higher than in sugar-fed
females (group 2F) (P<.05).
Plasma Thiobarbituric Acid Reactivity
Iron-dextran produced a significant increase in the concentration
of TBARS, an index of high lipid peroxidation, in plasma of control
groups (Figure panel A) as described in
the literature22 and in the plasma of the sugar-fed rats
(Figure panel B). During the preparation of the plasma, the addition of
BHT did not increase the concentration of TBARS, which suggests that
the increased concentration of TBARS in the plasma with iron overload,
in comparison to the plasma without iron, reflects in vivo formation of
MDA. It is important to point out that iron increased TBARS generation
by fourfold (P<.0001) in control males and by twofold
(P<.01) in control females and the difference between
TBARS concentration in females as compared with males was statistically
significant (P<.05). In the case of the sugar-fed group,
iron-dextran produced an increase of TBARS concentration by twofold in
both male (P<.001) and female (group 4F and 4M) rats
(P<.01), and no significant difference in the index of
lipid peroxidation was observed between sugar-fed female and male
rats.

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Figure 1. Effect of iron-dextran treatment on MDA generation in the
control rats (A) in comparison with the sugar-fed rats (B). Shaded bars
correspond to the experiments with iron overload and open bars
correspond to experiments without iron. The results given are the
mean±SD of 5 to 8 animals. ***Significant difference between male
groups with and without iron in both sugar-fed and control animals
(P<.0001); **significant difference between female groups
with and without iron in the sugar-fed animals only; *significant
difference between female with and without iron in the control groups
only; a, significant difference between female vs male rats in the
control groups (P<.001).
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Plasma FA Composition
Tables 2 and 3 show the
analyses of FA composition of plasma from control and sugar-fed
groups, respectively, and from rats exposed to iron compared with the
same groups without iron overload. A decrease in polyunsaturated FA was
observed in both groups of rats exposed to oxidative stress. A
significant diminution of 50% in the proportion of
arachidonic acid (C20:4n-6) was noted in the male
control group (group 1M) in comparison to that of the female group
(group 1F) (P<.0001). Also, a proportion of
dihomo-
-linolenic (C20:3n-6), eicosapentaenoic (C20:5n-3),
and docosahexaenoic acid (C22:6n-3) decreased to 27.85%, 56.87%, and
35.65%, respectively, in the male control group (group 1M)
(P<.01). In the female control group (group 1F), a small
lowering in the proportion of C20:4n-6 and in the other polyunsaturated
FA was observed (P<.05). A significant difference in the
C20:4n-6 proportion was found between the male and female groups of
control rats (Table 2). In the sugar-fed group (Table 3), the same
phenomenon was observed. Indeed iron induced a significant diminution
of arachidonic acid to 35.76% (P<.001) in
both sugar-fed female and male rats in comparison with the other
sugar-fed group without iron. A proportion of C20:3n-6, C20:5n-3, and
C22:6n-3 decreased to 17.64%, 26.15%, and 25.53%, respectively, in
male controls ( group 1M) (P<.01).
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Discussion
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It has been well established that a diet rich in sucrose induces
hypertriglyceridemia and hypertension in
rats, but the mechanism
by which
hypertriglyceridemia induces hypertension
is not
clear.
23 24 25 Our study showed that there is no
difference
in triglyceride concentration and in blood
pressure between
male and female sugar-fed rats. The higher blood
pressure cannot
be explained by larger total body weight in the
sugar-fed animals,
because there was no statistically significant
difference in
weight between control and sugar-fed rats. Body
composition
was not examined; it is not known whether sucrose feeding
resulted
in an increased percentage of adipose tissue at the expense
of
other tissues. The analysis of the plasma FA composition
in
both sugar-fed male and female rats in comparison with the
control
group showed a significant increase in palmitoleic
and oleic acid and a
significant decrease of linoleic and arachidonic
acid.
It has been reported that oleic acid exerts a pressor
effect in rats
when administered by venous infusion
26 and
that the
linoleic acid has a hypotensive effect when administered
in the
diet.
27 28 However, alteration in plasma FA composition
in sugar-fed rats may be associated with high blood pressure.
In this report we have shown that a baseline of plasma lipid
peroxidation measured by TBARS activity was not significantly different
between sugar-fed and control groups. But a stimulatory effect of
iron-dextran on plasma TBARS concentration in both groups was observed.
The lipid peroxidation induced by iron is well documented in the
literature.19 Iron may initiate the lipoperoxidation by
the Fenton reaction with the oxygen-forming reactive oxygen species
such as the superoxide anion, which reacts with polyunsaturated FA to
form FA hydroperoxides, hydroxides, and their degradation products
such as hydrocarbons and aldehydes. However, no difference was noted
between lipid peroxidation in sugar-fed and control groups. In the
control group (group 1), the stimulation of lipid peroxidation was
greater in the male than in the female group, whereas it was not
statistically different between male and female in the sugar-fed group.
The increase of plasma TBARS concentration was well correlated with
plasma polyunsaturated FA composition in the groups both with and
without iron. Iron overload induces changes in the plasma
polyunsaturated FA such as arachidonic acid, one of the
major polyunsaturated FA susceptible to lipid peroxidation. The
analysis of FA composition permits us to validate the
determination of lipid peroxidation measured by TBARS activity. Indeed,
arachidonic acid, the major precursor of MDA formation,
was present at a lower proportion (-50%) in males than in females
in both sugar-fed and control groups treated with iron. If we compare
the proportions of plasma arachidonic acid in both
sugar-fed and control groups without treatment, we find a lower
proportion of this acid in the sugar-fed group than in the control
group and a relatively lower proportion in male than in female rats.
Therefore, we can postulate that the lack of difference in lipid
peroxidation between sugar-fed and control animals in the male group
may be due to a lower proportion of polyunsaturated FA, such as
linoleic and arachidonic acids, in the sugar-fed
groups. Between male and female animals of the control group, the
difference in the TBARS concentration may be due to a protective effect
of the many antioxidant substances in the plasma. The gender difference
points to estrogens to explain the difference in lipid peroxidation
between female sugar-fed and female control rats. Indeed estrogens and
catecholestrogens (hydroxylation products of estrogens, exhibit a
protective effect against oxidative membrane damage in
vitro,17 18 and their antioxidant effects are greater when
peroxidation is initiated by complexes containing iron and less when
peroxidation involves peroxyl radicals.18
Other studies have shown an antioxidant effect of estrogens against
peroxidation induced by ultraviolet irradiation and other pro-oxidant
systems.15 16 17 18
In many reports, it has been stated that the sex difference in
cardiovascular diseases may be partially attributable
to modulation of lipid metabolism by
estrogens13 ; the evidence that lipid peroxidation is
implicated in cardiovascular diseases6 7
suggests that the combination of the
hypertriglyceridemia and hypertension
induced by a sugar-rich diet and an oxidative stress induced by iron as
a pro-oxidant system may increase the risk of
cardiovascular complications in sugar-fed female
rats.
In brief, our results show no significant difference in the degree of
iron-induced lipoperoxidation between sugar-fed male and female rats,
and it was comparable to the level found in male controls, the female
controls having a lower degree of lipoperoxidation. This suggests that
in female controls there might be a protective factor or factors that
reduces peroxidation. On the other hand, since sugar-fed female animals
now exhibit the same degree of peroxidation as the males, the female
protecting factor or factors are not operating. The mechanisms involved
and the full identification of such factor or factors require further
study.
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Selected Abbreviations and Acronyms
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| FA |
= |
fatty acid(s) |
| LDL |
= |
low density lipoprotein(s) |
| MDA |
= |
malondialdehyde |
| TBARS |
= |
thiobarbituric acid reactive substances |
|
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Acknowledgments
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Dr Carlos Posadas, Head of the Endocrinology Department, kindly
gave us facilities for the measurement of blood
triglycerides.
Part of this work was carried out with
equipment obtained through
grant No. F554 from the National Council for
Science and Technology
(Conacyt), whom we should also like to
thank.
Received March 18, 1997;
first decision April 28, 1997;
accepted May 19, 1997.
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