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Selenite supplementation modulates the hepatic metabolic sensors AMPK and SIRT1 in binge drinking exposed adolescent rats by avoiding oxidative stress

Nogales Bueno, Fátima; Cebadero Domínguez, Óscar; Romero Herrera, Inés; Rua, Rui Manuel; Carreras Sánchez, Olimpia; Ojeda Murillo, María Luisa

Abstract

Binge drinking (BD) is the main alcohol consumption pattern among teenagers. Recently, oxidative stress (OS) generated by BD exposure has been related to hepatic metabolic deregulation and cardiovascular dysfunction. This study analyzed if BD by generating oxidative stress modulates the alteration in hepatic energy homeostasis through two important regulators of energy metabolism: the NAD+-dependent sirtuin deacetylase (SIRT1) and AMP-activated protein kinase (AMPK) and if supplementation with the antioxidant selenium (Se) improves these metabolic disorders. Four groups of adolescent rats supplemented or not with Se (0.4 ppm) and exposed to intermittent i.p. BD were used. BD rats showed an increased AST/ALT ratio, total bilirubin in serum and lipid peroxidation in the liver. The BD rats also showed a higher abdominal/thoracic ratio and increased levels of TG, gluc, and chol compared to the control group, provoking an increase in mean blood pressure (MBP). This alcohol consumption pattern decreased hepatic Se deposits, cytoplasmic GPx activity, and GSH levels as well as the expressions of two metabolic sensors and the pAMPK/AMPK ratio. Se supplementation restored antioxidant parameters and decreased lipid oxidation, avoiding OS and improving the hepatic expression of pAMPK and SIRT1, contributing to the improvement of metabolic (better lipid profile and IRS-1 expression) and vascular function (lower MBP), and to the increase of hepatic functionality (lower AST/ALT ratio). All these actions decrease cardiometabolic risk factor development in the short and long term and could disrupt the relationship between BD and MS, two problems which are currently affecting adolescents.

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This is an Accepted Manuscript of an article published by Royal Society of Chemistry in Food and Function on 12 /03/2021 available at: https://doi.org/10.1039/D0FO02831B Table 1. Nutritional and hepatic parameters. C BD CS BDS Increased body weight (g/day) 5.45 ± 0.24 5.10 ± 0.31 5.38 ± 0.35 5.30 ± 0.35 Kcal intake (Kcal/day) 53.7 ± 3.2 49.44 ± 2.96 55.67 ± 3.34 48.5 ± 2.9 Se from solid intake (µg/day) 3.1 ± 0.2 2.8 ± 0.2 3.13 ± 0.3 2.72 ± 0.2 Se from liquid intake (µg/day) -- -- 2.46 ± 0.21 2.18 ± 0.19 Total Se intake (µg/day) 3.1 ± 0.2 2.8 ± 0.2 aaa 5.6 ± 0.3 ccc 4.9 ± 0.3 HSI (g/g body weight (%)) 3.6 ± 0.10 3.9 ± 0.08 * 3.67 ± 0.15 3.71 ± 0.11 AST (U/L) 127 ± 5.2 223 ± 17.1 ***, a 142 ± 4.5 175 ± 12.1 ATL (U/L) 41 ± 1.4 55 ± 2.9 ** 42 ± 3.4 57 ± 3.0 •• AST/ALT ratio 3.15 ± 0.15 4.1 ± 0.19 *, a 3.4 ± 0.20 3.1± 0.27 Total Bilirubin (mg/dL) 0.53 ± 0.034 0.71 ± 0.041 ** 0.53 ± 0.036 0.61 ± 0.035 Serum Se levels (µg/L) 213.1 ± 8.3 180.28 ± 6.3 *, aaa 342.1 ± 8.5 ccc 245.1 ± 9.1 ••• Serum MDA levels (mmol/mg protein) 80.5 ± 4.8 139.4 ± 9.9 ***, a 96.4 ± 6.1 109.2 ± 7.5 Serum Se/MDA 100 ± 6.86 45 ± 5.70 ***, a 130± 7.91 c 72 ± 6.37 •• The results are expressed as mean ± SEM and analysed by a multifactorial analysis of variance (one-way ANOVA) followed by the Tukey´s test. The number of animals in each group is 8. HSI: Hepatic somatic index. Groups: C: control group, BD: binge drinking alcohol group, CS: control selenium group, and BDS: binge drinking alcohol selenium group. Signification: BD vs C: *p<0.05, **p<0.01, ***p<0.001; BD vs BDS: a p<0.05, aaa p<0.001; C vs CS: Cp<0.05, CCCp<0.001; BDS vs CS: ●p<0.05, ●●p<0.01, ●●●p<0.001. Table 2. Cardiometabolic risk factors. C BD CSe BDSe Weight (g) 97 ± 4.6 82.8 ± 5.8 92.2± 4.8 80.9± 6.2 Cranium–caudal length (cm) 16.78 ± 0.26 15.82 ± 0.32 16.7 ± 0.37 15.6 ± 0.18 Body Mass Index (BMI) (kg/m2) 32.33± 2.1 32.34± 1.9 31.8± 2.3 32.9± 1.8 Thoracic Circumference (cm) 8.34 ± 0.23 8.5 ± 0.44 9 ± 0.35 8.7 ± 0.2 Abdominal circumference (cm) 8.5 ± 0.22 9.45 ± 0.32 * 9.43 ± 0.22 c 8.84 ± 0.26 Abdominal/ Thoracic ratio 1.02 ± 0.06 1.11 ± 0.06 *, a 1.04 ± 0.07 1.01 ± 0.04 Glucose (mg/dL) 169.2 ± 7.2 205.7 ± 6.3 * 175.8 ± 10.2 239.1 ± 12 ••• Triglycerides (mg/dL) 65.6 ± 1.2 95.6 ± 4.6 **,a 72.7 ± 3.6 80.3 ± 4.3 Cholesterol (mg/dL) 86.4 ± 2.1 96 ± 2.3 * 86.3 ± 2.3 101.2 ± 3.3 • Urine albumin (g/dl) 12.73 ± 1.24 12.43 ± 0.96 11.38 ± 0.80 12.68 ± 1.04 MBP (mmHg) 81.9 ± 3.4 101.9 ± 3.6 **, a 82.6 ± 4.1 90.8 ± 2.9 The results are expressed as mean ± SEM and analysed by a multifactorial analysis of variance (one-way ANOVA) followed by the Tukey´s test. The number of animals in each group is 8. Groups: C: control group, BD: binge drinking alcohol group, CS: control selenium group, and BDS: binge drinking alcohol selenium group. Signification: BD vs C: *p<0.05, **p<0.01; BD vs BDS: a p<0.05; C vs CS: Cp<0.05; BDS vs CS: ●p<0.05, ●●●p<0.001. Figure 1. Expression of IRS-1 in the liver of adolescent rats. Representative western blot of protein (normalized to β-actin). The results are expressed as mean ± SEM and analysed by a multifactorial analysis of variance (one-way ANOVA) followed by the Tukey´s test. The number of animals in each group is 8. Groups: C: control group, BD: binge drinking alcohol group, CS: control selenium group, and BDS: binge drinking alcohol selenium group. Signification: BD vs C: ***p<0.001; BD vs BDS: a p<0.05; BDS vs CS: ●p<0.05. 0 20 40 60 80 100 120 CBD CS BDS IRS-1 protein expression (% Ctrl) β-actin ~ 42 KDa IRS-1 ~ 170 KDa ***, a ● Figure 2. Expression of AMPK (A), pAMPK (B) and its ratio (C) in liver of adolescent rats. Representative western blots of proteins (normalized to β-actin) (D). The results are expressed as mean ± SEM and analysed by a multifactorial analysis of variance (one-way ANOVA) followed by the Tukey´s test. The number of animals in each group is 8. Groups: C: control group, BD: binge drinking alcohol group, CS: control selenium group, and BDS: binge drinking alcohol selenium group. Signification: BD vs C: **p<0.01; BD vs BDS: a p<0.05. 0 20 40 60 80 100 120 140 CBD CS BDS AMPK protein expression (% Ctrl) 0 20 40 60 80 100 120 CBD CS BDS p-AMPK protein expression (% Ctrl) **, a a ~ 63 KDa ~ 63 KDa 0 20 40 60 80 100 120 CBD CS BDS p-AMPK/AMPK ratio AMPK p-AMPK **, a β-actin ~ 42 KDa A B C D Figure 3. Expression of SIRT-1 in the liver of adolescent rats. Representative western blot of protein (normalized to β-actin). The results are expressed as mean ± SEM and analysed by a multifactorial analysis of variance (one-way ANOVA) followed by the Tukey´s test. The number of animals in each group is 8. Groups: C: control group, BD: binge drinking alcohol group, CS: control selenium group, and BDS: binge drinking alcohol selenium group. Signification: BD vs C: **p<0.01; BD vs BDS: a p<0.05. Figure 4: Oxidative metabolism of ethanol after BD exposition in hepatocytes, and its relationship to SIRT1 and AMPK via EROS and NADH/NAD+. Effects of selenium supplementation. Ethanol is oxidized in hepatocytes, mostly through the enzyme alcohol dehydrogenase (ADH) which in turn produces an increase in cytoplasmic NADH/NAD+. In BD exposition, ADH is saturated (KM = 1.4 mM) and CYP2E1 increase its activity generating great amount of ROS. The great amount of acetaldehyde generated by these enzymes enters the mitochondria and is oxidized to acetate by acetaldehyde dehydrogenase (ALDH), increasing intramitochondrial NADH/NAD+ ratio. Acetate pass to Acetyl CoA which enters in Krebs cycle (KC) and via oxidative phosphorylation (Ox-Phos) produces ATP and ROS. The increase in ATP and ROS decreases the activity of AMP-dependent protein kinase (AMPK). This decrease leads to higher Acetyl-CoA carboxylase (ACC) activity and higher Malony CoA levels which increases lipogenesis and avoids lipolisis. At high ethanol levels, KC is decreased, increasing Malony CoA levels. High ROS and NADH/NAD+ levels also decrease SIRT-1 activity, which leads to an increase in sterol regulatory element-binding protein 1 (SREBP1) and increases lipogenesis. Decreased SIRT-1 leads to a decreasse in insulin signaling pathway (IRS/PI3K/AKT) increasing insulin resistance (IR). Selenite suplementation by increasing Glutathione Peroxidase (GPx) activity avoids ROS generation and lipid oxidation increasing AMPK and SIRT-1 activities, improving hepatic lipid and energetic profile. Solid lines and hatched lines indicate stimulatory and inhibitory actions, respectively.