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Department of Veterinary Morphophysiology and Animal Production, University of Bologna, via Tolara di Sopra 50, 40064 Ozzano Emilia (BO), Italy
1 Endocrinology Unit and Center for Applied Biomedical Research (CRBA), Sant Orsola-Malpighi Hospital, 40100 Bologna (BO), Italy
2 NEF-Laboratory, Department of Cytomorphology, University of Cagliari at Monserrato, 09042 Monserrato (CA), Italy
(Requests for offprints should be addressed to N Govoni; Email: ngovoni{at}vet.unibo.it)
| Abstract |
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| Introduction |
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Ghrelin is synthesized as a prohormone, which is then proteolytically processed to yield a 28-amino acid peptide. A unique modification is imposed on the hormone during biosynthesis in the form of n-octanoic acid bound to the Ser-3 residue; this is required for biologic activity. Such acylation is thought to be critical for transport across the bloodbrain barrier, receptor binding and overall bioactivity (Muccioli et al. 2001, Banks et al. 2002). The major site of ghrelin production is the stomach mucosa (Date et al. 2000, Tomasetto et al. 2000, Rindi et al. 2002), whereas lower amounts derive from small and large intestine, pancreas, kidney, immune system, placenta, pituitary, testis, ovary and hypothalamus (Casanueva and Dieguez 2002). With the possible exception of mouse (Tomasetto et al. 2000), ghrelin cells have been demonstrated to be independent from somatostatin (D), serotonin (enterochromaffin, or EC) and histamine (enterochromaffin-like, or ECL)-producing cells (Date et al. 2000, Rindi et al. 2002), and comprise P/D1-type cells in human, A-like cells in rat and X cells in dog (Rindi et al. 2002). In all species, ghrelin cells have been consistently revealed to be closed-type endocrine cells, with no contacts with the lumen (Rindi et al. 2002), in keeping with the indirect mechanisms of stimulation of ghrelin secretion. Across the different areas of gastric mucosa, ghrelin cells are mainly located in the acid-secreting mucosa, between the neck and the base of oxyntic glands, fewer being found within glands of the pyloric mucosa (Rindi et al. 2004). Ghrelin-immunoreactive cells have been reported to be numerous from the neck to the base of oxyntic glands in various farm animals, and abundant in cardiac and pyloric glands in swine (Hayashida et al. 2001). Circulating ghrelin levels depend on acute and chronic changes in energy balance, fasting increasing and feeding decreasing its concentrations. Hayashida and colleagues (2001) demonstrated that plasma ghrelin levels in the cow are reduced 1 h after feeding and return to prefeeding levels within 4 h. Also, in rat 48 h starvation resulted in increased plasma ghrelin (Wren et al. 2000). In food-deprived weanling pigs, Salfen and colleagues (2003) recently demonstrated a short-lived suppression of plasma ghrelin (at 12 h), followed by an increase at 3036 h.
On the basis of these observations, the aims of this study in prepubertal gilts were to study both distribution and possible changes of acyl-ghrelin-immunoreactive cells in the main areas of gastric mucosa, to validate an RIA for measurement of acyl-ghrelin in porcine plasma and to determine plasma acyl-ghrelin profiles during fasting and after refeeding.
| Materials and Methods |
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A total of 16 Large White prepuberal gilts, with an average weight of 102.8 ± 2.21 kg (mean ± S.E.M.) was used. The animals were housed in individual crates in a controlled building and exposed to a constant temperature (22 °C) and artificial photoperiod (12 h light/12 h dark). Pigs were fed daily a corn/soybean meal ration (14% crude protein, 2848 kcal/kg metabolizable energy) supplemented with vitamins and minerals, according to the National Research Council guidelines (National Research Council 1988), whereas water was freely available. Animals were housed and used according to EEC animal-care guidelines; the experimental design and procedures had previously been submitted and approved by the Ethical Committee of Bologna University.
Experiment 1: tissues for immunohistochemistry
In order to immunolocalize the cellular distribution of ghrelin peptide within the stomach, eight gilts were slaughtered under different feeding conditions (n=4, normal alimentation; n=4, 72-h fasting). For each animal, approximately 5 x 5 cm samples of gastric wall were taken immediately after death from the oxyntic, cardiac and pyloric regions, from either the anterior or the posterior gastric wall. The mucosa was rapidly separated from the remainder of the wall with a scalpel, delicately stretched onto filter paper (luminal side up), briefly left to adhere, immersion-fixed in paraformaldehyde (40 g/l in 0.1 M phosphate buffer) for 3 h and rinsed in PBS (10 mM PO4, pH 7.27.4/150 mM NaCl) containing 70 g/l sucrose and 0.2 g/l NaN3 (1236 h). For each area, several (three or four) samples of mucosa were cut and used to compose at least three mixed blocks encompassing the three gastric areas mentioned per each animal. Tissues were then dipped in fluid cryoembedding medium, oriented in aluminum foil moulds in dense cryoembedding medium (fluid medium, 110 g/l polyvinyl alcohol 698, 10 g/l Tween-20, and 0.5 g/l NaN3; dense medium, 65 g/l polyvinyl alcohol 5698, 42.6 g/l polyethylene glycol 400, 10 g/l Tween-20, and 0.5 g/l NaN3; Cocco et al. 2003), snap-frozen in melting freon cooled with liquid nitrogen, and stored in the vapour phase of a liquid nitrogen tank. Sections were obtained using a cold-knife Microm HM-560 cryomicrotome (Ferri et al. 2002) at a thickness setting of 5 or 10 µm, collected onto poly-L-lysine treated slides, air-dried, wrapped in aluminium foil and stored in a tank of liquid nitrogen until use.
Experiment 2: plasma sampling
Eight animals were fitted with an indwelling jugular catheter (Vygon, Ecouen, France) under general anaesthesia with thiopental sodium (15 mg/kg; pentothal sodium; Gellini, Latina, Italy); catheters were rinsed daily with physiological saline containing sodium heparin (190 IU/ ml; Eparina Vister, Pfizer, Latina, Italy) and antibiotics. After 2 days, the gilts were completely deprived of food for 72 h and then refed with the same diet given during the prefast period; water was available ad libitum. At the end of the fasting period all gilts were weighed again. Blood samples were withdrawn 12 and 6 h prior to the start of the fasting period ( 12 h, 6 h) and at 6, 12, 24, 48 and 72 h during fasting; animals were then bled 6, 12, 24 and 48 h after refeeding. In the prefast and refeeding periods meals were given after blood-sample collection. Blood samples were drawn into chilled polypropylene tubes containing sodium EDTA (1.8 mg/ml) and aprotinin (500 U/ml blood kallikrein inactivator; Sigma-Aldrich, St Louis, MO, USA). After immediate centrifugation (3000 g) for 10 min at 4 °C, plasma was stored at 80 °C until assayed for ghrelin, insulin, glucose and non-esterified fatty acids (NEFAs).
Immunohistochemistry
For each immunostaining session, comparable numbers of tissue sections from fed and fasted animals were treated in parallel. Slides were brought to room temperature, treated with Triton X-100 (0.1% in water; 1 h), and incubated overnight with the primary antiserum (at room temperature, in a humid chamber). The secondary incubation was carried out using Cy3-conjugated, affinity-purified anti-rabbit secondary antibodies (Jackson Immunoresearch Laboratories, West Grove, PA, USA). After mounting with PBS/glycerol, slides were observed using an Olympus BX60 fluorescence microscope, equipped with a PM30 photographic system (Olympus, Milan, Italy) and a Fuji FinePix S2 PRO (Fujifilm, Milan, Italy) digital camera. A rabbit antiserum raised to the rat ghrelin111 peptide (kindly provided by Dr M Kojima) was used at 1:(10 000200 000) dilutions. Pre-absorption control experiments were carried out using the homologous N-terminal acyl-ghrelin110 synthetic peptide (octanoylated at Ser-3), as well as the corresponding non-octanoylated peptide, up to approximately 30 µM. Routine immunostaining controls included substitution of each layer, in turn, with PBS. Sets of immunostained preparations, containing two/three sections each from a fed and a fasted animal, were assessed by two independent observers in a blind fashion, each main gastric mucosal area (cardiac, oxyntic, and piloric) being compared across each set. In order to address the possible degranulation of a restricted subpopulation of ghrelin cells, as well as overall changes in cellular ghrelin content, each preparation was assessed for: labelled cell frequency, overall cell-labelling intensity and the spectrum of cell-labelling intensities; that is, the proportion of brightly compared with weakly immunostained cells.
Ghrelin assay
Ghrelin concentrations in plasma were measured by RIA, after solid-phase extraction, using a commercial rabbit anti-human ghrelin antibody (T-4745; Peninsula Laboratories, San Carlos, CA, USA). To estabilish the specificity of the T-4745 antiserum against octanoyl-ghrelin two different tests were performed: a cross-reactivity test was conducted via a binding assay by using decreasing concentrations (ranging from mg to pg) of octanoyl-ghrelin, des-octanoyl-ghrelin, octanoyl-ghrelin 15, octanoyl-ghrelin 114, motilin (all human, from Peninsula Laboratories) and porcine octanoyl-ghrelin (Phoenix Pharmaceuticals, Belmont, CA, USA) standards by an RIA test. Cross-reactivity was calculated according to Abraham et al.(1971). Moreover, a chromatographic separation of the molecular forms of ghrelin by reversed-phase HPLC (RP-HPLC) was performed, using a HP1090 HPLC instrument (Hewlett Packard, Palo Alto, CA, USA) equipped with a Lichrospher 100 RP-18 (5 µm) column (Merck, Darmstadt, Germany), and a linear gradient from 30 to 65% of acetonitrile (CH3CN) in 0.1% trifluoroacetic acid (TFA) for 18 min at a flow rate of 1 ml/min at 45 °C. Retention times of the standards had been established by HPLC injections of the same peptides on a variable-wavelength HP1050 detector (Hewlett Packard) set at l=220 nm. After injection of extracted plasma samples on HPLC, fractions corresponding to the octanoylated (human and porcine) and des-octanoylated ghrelin, according with their retention times, were collected and assayed separately with T-4745 antiserum by RIA. Before extraction, 1 ml plasma was diluted with an equal volume of 1% TFA and centrifuged at 4 °C for 15 min. Acidified plasma was then loaded onto a C18 Sep-Pak-Vac, 200 mg/3 cc cartridge (Waters Corp., Milford, MA, USA) preequilibrated with 1 ml (CH3CN/ water (60:40) in 1% TFA. After three washes with 3 ml 1% TFA, absorbed peptide was eluted with 2.5 ml CH3CN/water (60:40) in 1% TFA. The eluated peptide was evaporated under nitrogen and dissolved in 250 µl 0.1 M PBS buffer, pH 7.4, to be subjected to RIA. The recovery of extraction for radioiodinated ghrelin added to plasma samples was 90%. RIA was carried out using 125I-labelled human ghrelin (Peninsula). 100 µl ghrelin (Peninsula) standard calibration solutions and extracted samples were incubated with antibody at 4 °C for 24 h, then iodinated solution (14 000 c.p.m./100 µl) was added. After an overnight incubation at 4 °C, bound and free ligands were separated using a goat anti-rabbit IgG serum and normal rabbit serum (both from Peninsula). The intra- and inter-assay coefficients of variation of the combined method of extraction and RIA were 6.0 and 9.0% respectively.
Insulin and metabolite assays
Insulin was determined using an RIA kit (Diagnostic Products Corporation, Los Angeles, CA, USA). The sensitivity was 0.4 IU/ml, the intra- and inter-assay coefficients of variations were less than 3 and 10%, respectively. Samples were assayed for glucose with a glucose oxidase kit (Sigma Chemical Co., St Louis, MO, USA) and for NEFAs by means of a colorimetric procedure (Wako Chemicals, Richmond, VA, USA). The intra- and inter-assay coefficients of variations were 2.5 and 2.6% for glucose and 4 and 6.2% for NEFAs, respectively.
Statistical analysis
Statistical comparisons of effect of fasting and refeeding period on plasma ghrelin, insulin, glucose and NEFAs were performed with one-way ANOVA with Duncan post hoc analysis. A P value of <0.05 was considered significant. Results are shown as means ± S.E.M.
| Results |
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In all animals studied, ghrelin-immunoreactive endocrine cells were stained brightly in the three main regions of gastric mucosa. In pre-absorption experiments, the homologous N-terminal ghrelin110 synthetic peptide octanoylated at Ser-3 completely prevented staining at low concentrations (<1 µM), whereas the corresponding des-octanoylated peptide was virtually ineffective (>30 µM). Labelled cells were most numerous in the oxyntic mucosa, in which they were mainly distributed from the neck to the base of the oxyntic glands (approximately 1020 cells per cross-sectioned gland, in 5 µm sections; Fig. 1a
), less abundant in cardiac glands (310 cells per gland; Fig. 1b and d
) and least numerous in pyloric glands (13 per cross-sectioned gland; Fig. 1c
). In addition, a smaller population of ghrelin-immunoreactive cells was revealed in the epithelium lining gastric pits, between the neck of the oxyntic, cardiac or pyloric glands and the luminal surface (Fig. 1ac, e
). Although small, such a population was consistently represented in the various regions of the gastric mucosa, and accounted for about 25% of ghrelin-immunoreactive cells seen on sections. In all areas and locations, labelled cells showed the typical morphology of closed-type cells, lying close to the basal lamina of the glands, or of the pit epithelium, and devoid of visible elongations reaching the glands or the gastric lumen (Fig. 1d and e
). When multiple sets of preparations from fed and fasted animals were compared, no clear-cut differences were revealed in terms of the frequency of labelled cells, or in their overall staining intensity. Although weakly labelled cells were more evident in a few specimens from animals of the fasted group, differences were not confirmed across other specimens from the same, as well as from other, animals in the same group. Hence, an overall undistinguishable picture was revealed between the fed and fasted groups (Fig. 1f and g
, respectively).
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As demonstrated by cross-reactivity test and by RP-HPLC, the T-4745 antibody fully reacted with human and porcine octanoyl-ghrelin, but did not cross-react with human des-octanoyl-ghrelin (Fig. 2
). Specific RIA for porcine acylated ghrelin measurement was then validated by inhibition of radiolabelled human ghrelin binding by serial dilutions of porcine plasma extract, showing a trend parallel to the RIA calibration curve (Fig. 2
).
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| Discussion |
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It is well known that the biological activity of ghrelin needs the Ser-3 acylation of the molecule; moreover, the seven-amino-acid sequence at the N-terminal and the acyl modification of the third residue are well conserved between species (Kojima & Kangawa 2005), thus suggesting the importance of using an antibody directed against the N-terminal region of the molecule. In fact, differences between the porcine and human amino acid sequences of the acylated ghrelin are located in positions 22 and 26, in the portion of the peptide that is not recognized by an N-terminal antibody.
Ghrelin concentrations in plasma have most of the time been determined using commercial RIA kits that recognize the acylated and des-acylated forms of the hormone. As the measurement of the so-called active ghrelin may be more relevant, in this research an RIA assay was validated for porcine acylated ghrelin; since acylated ghrelin is an unstable molecule (Kanamoto et al. 2001), all preanalytical precautions had been taken to protect it against degradation to des-acyl-ghrelin (Hosoda et al. 2004).
It has been reported that ghrelin increases after fasting in both rodents (Tschop et al. 2000) and anoretic humans (Otto et al. 2001). Partially consistent with those results, we observed significant differences in ghrelin plasma concentrations only after 72 h of fasting; however, Salfen and colleagues (2003) in weanling pigs reported a significant ghrelin increase after 3648 h of food deprivation. The differences between our and those results are possibly due to the different experimental animals (weanling pigs compared with gilts), since young animals possess fewer energy reserves and less body fat, while having higher energy requirements in connection with rapid body growth (Barb et al. 1997).
As an immediate consequence of fasting, a sharp increase of NEFAs was also observed; moreover, the drop in insulin level, seen 6 h after the start of fasting, may possibly be the signal for the gradual increase of ghrelin level, the highest concentrations of which coincide with the lowest glucose concentrations. However, Espelund et al.(2005) in 84-h fasting humans did not find any significant relationship between ghrelin fluctuations and either insulin or glucose. In agreement with previous studies (Flanagan et al. 2003) in humans, after refeeding insulin sharply increased while ghrelin returned to basal levels, thus demonstrating that postprandial hyper-insulinemia suppresses circulating ghrelin concentrations; these results are also in agreement with those of Broglio and colleagues (2004).
Nevertheless, evidence exists that meal-related insulin increases are not required for acute nutrient-induced lowering of circulating ghrelin (Gelling et al. 2004), even though studies in humans indicate that insulin is a determinant of the duration of meal-induced ghrelin suppression (Spanger et al. 2003, Murdolo et al. 2003). Whether insulin and/or glucose play a physiological role in regulating ghrelin secretion remains to be clarified.
Since in a previous study we observed a significant decrease in leptin plasma levels after 72 h of fasting and a prompt restoring after refeeding (Govoni et al. 2005), we could speculate that an inverse relationship may exist between circulating leptin and ghrelin, both hormones being involved in the central regulation of energy balance. Apart from glucose, insulin or leptin, several other parameters appear to be involved in the regulation of ghrelin, such as, for example, vagal activity: Williams and colleagues (2003) found that both atropine treatment and vagotomy block the rise of ghrelin in response to prolonged fasting.
Whereas most ghrelin is produced by and released from the stomach (Date et al. 2000, Tomasetto et al. 2000, Dornonville de la Cour et al. 2001, Hayashida et al. 2001, Rindi et al. 2002), plasma ghrelin levels are surprisingly reduced only by 65% after gastrectomy in humans (Ariyasu et al. 2001). As already mentioned, other sources might possibly contribute to ghrelin secretion (Casanueva and Dieguez 2002), thus justifying the absence of detectable changes in stomach ghrelin cells.
Studies focused on ghrelin mRNA expression or on pro-ghrelin post-translational processing might shed further light on the mechanisms underlying the adaptational response of gastric ghrelin cells. In conclusion, the present study demonstrates that starvation and refeeding influence ghrelin plasma level in prepubertal gilts, although the immunohistochemical findings do not provide evidence of any clear change in gastric ghrelin cells, probably due to a large intracellular storage of potentially releasable acyl-ghrelin.
| Acknowledgements |
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| Funding |
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This work was supported by FIRB grants no. RBNE013 XSJ_001 to E S, nos RBNE013 XSJ_002 and RBNE01 JKLF_002 to G-L F. The authors declare that there is no conflict of interest that would prejudice the impartiality of this scientific work.
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Received 9 May 2005
Accepted 21 June 2005
Made available online as an Accepted Preprint 29 June 2005
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