Relationship between malondialdehyde level and glutathione peroxidase activity in diabetic rats
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1 Clinica Chimica Acta 340 (2004) Relationship between malondialdehyde level and glutathione peroxidase activity in diabetic rats Durdi Qujeq a, *, Hamid Reza Aliakbarpour b, Khodaberdi Kalavi c a Department of Biochemistry and Biophysics, Faculty of Medicine, Babol University of Medical Sciences, Babol, Iran b Department of Laboratory, Azad Islami University of Babol, Babol, Iran c Department of Hematology, Faculty of Paramedicine, Gorgan University of Medical Sciences, Gorgan, Iran Received in revised form 11 September 2003; accepted 15 September 2003 Abstract Background: This investigation describes the relationship between glutathione peroxidase activities, an antioxidant enzyme, and the oxidative status in diabetic rat blood. Methods: Malondialdehyde level and glutathione peroxidase activity were measured by spectrophotometric techniques. Results and conclusions: Malondialdehyde content in the diabetic rats group was increased compared to that in the controls [3.08 F 0.32 (mean F S.E.) vs F 0.29 mmol/g hemoglobin, P >0.01]. Glutathione peroxidase activity in the diabetic rats group was increased compared to that in the control [10.27 F 1.39 (mean F S.E.) vs F 0.38 Amol NADPH/min/g hemoglobin, P>0.01]. Our results show a positive correlation between serum glutathione peroxidase and malondialdehyde concentration in diabetic rats. D 2003 Elsevier B.V. All rights reserved. Keywords: Oxidative damage; Glutathione peroxidase activity; Diabetic; Rat; Glucose; Malondialdehyde; Antioxidant enzyme; Oxygen free radicals 1. Introduction There is much evidence that reactive oxygen molecules contribute to organ injury in many systems, including the heart, liver, and central nervous system [1 3]. Oxygen free radicals have also been implicated in ischemia reperfusion renal failure and acute toxininduced nephropathy [4 6]. Reactive oxygen species (ROS) are constantly formed in the human body and removed by an antioxidant defense system. In healthy * Correspondence author. Tel.: ; fax: address: dqujeq@hotmail.com (D. Qujeq). individuals, the generation of ROS appears to be approximately in balance with antioxidant defense. An imbalance between ROS and antioxidant defenses in favor of the former has been described as oxidative stress. In some human disease, increased oxidative stress may make an important contribution to disease pathology [7,8]. ROS are generally cytotoxic, because of the oxidative damage they can cause to cellular components. However, at low concentrations, ROS may function as physiological mediators of cellular response. For example, hydrogen peroxide mimics the stimulatory effects of insulin on glucose transport and lipid synthesis in adipocytes [9]. Oxidative stress, which is associated with the formation of lipid peroxides, is suggested to contribute to pathological /$ - see front matter D 2003 Elsevier B.V. All rights reserved. doi: /j.cccn
2 80 D. Qujeq et al. / Clinica Chimica Acta 340 (2004) processes in aging and many diseases, such as diabetes, atherosclerosis and cataract [10]. Increased oxidative stress as a result of increased free radical formation has also been suggested as a contributor to vascular damage in diabetes [11 13]. Small amounts of (ROS), including hydroxyl radicals ('OH), superoxide anions (O 2 ') and hydrogen peroxide (H 2 O 2 ), are constantly generated in aerobic organisms in response to both external and internal stimuli [14 17]. In contrast, high doses and/or inadequate removal of ROS result in oxidative stress, which may cause server metabolic malfunction and damage to biological macromolecules [17,18]. Oxidative stress, superoxide production and an imbalance in antioxidant enzymes has been related with many other specific pathologies as chronic granulomatous disease, diabetic complications, hepatitis, rheumatoid arthritis, influenza virus, ulcer, pneumonia, HIV infection, cataract and glaucoma [18,19]. The objective of this study is to illustrate the relationship between an antioxidant enzyme, glutathione peroxidase and oxidative status, malondialdehyde level. 2. Materials and methods 2.1. Materials EDTA, sodium chloride and thiobarbituric acid were purchased from Sigma (St. Louis, MO, USA). Other reactives such as streptozotocin were purchased from Merck (Germany) Animals All animals survived the study without signs of illness. Male Wistar rats, 10 weeks old and between 220 and 260 g in body weight, were randomly assigned to two groups. One group of rats (diabetic group) received a single tail-vein injection of streptozotocin (50 mg/kg) under light anesthesia with diethyl ether. Streptozotocin was dissolved in a citrate solution (0.15 mol/l citric acid and 0.25 mol/l sodium phosphate, ph 4.6). It takes 1 month for the proposed model to achieve diabetes. Control group received an equivalent volume of 0.15 mol/l citrate buffer alone. Control and diabetic rats were caged separately but housed under similar conditions. Both groups of animals were fed with the same diet and water ad libitum. Blood samples for analyses were collected after 3 months between 7:00 and 8:00 am from each animal. On the day of the experiments, a blood plasma sample was collected and malondialdehyde, glucose level, and glutathione peroxidase activity were determined. The glucose concentration of plasma was measured by Trinder s method [20] Sample Venous peripheral blood samples (1 ml) from rats were collected in EDTA-coated tubes. Erythrocytes were separated from plasma and mononuclear cells by centrifugation (10 min at 1500 x g) and washed three times with isotonic saline by centrifugation at 1500 x g. After the final wash, the red blood cells were lysed by hypotonic shock using cold distilled water. Different dilution was used as hemolysate Determination of malondialdehyde Concentration of malondialdehyde was measured by the thiobarbituric acid test [21]. Results were expressed as mmol thiobarbituric acid reactive substances/g hemoglobin Assay of glutathione peroxidase Glutathione peroxidase activity was determined according to the previously reported method [22]. An enzyme unit was defined as the amount of enzyme that catalyzes the release of Amol NADPH/min at 37 jc. Specific activity was in terms of units per gram hemoglobin. The amount of hemoglobin was determined by Merck test cat. no Results Body weight in diabetic and non-diabetic rats is shown in (Fig. 1). All rats injected with streptozotocin developed severe diabetes as indicated by increasing plasma glucose level (range mg/dl). Plasma glucose levels in diabetic rats were elevated approximately threefold as compared with controls. Plasma glucose concentration in diabetic and non-diabetic rats is shown in (Fig. 2).Hemoglobin content in the
3 D. Qujeq et al. / Clinica Chimica Acta 340 (2004) Fig. 1. Body weight in diabetic (column 1) and control rats (column 2). Each column represents the mean value F S.E., P >0.01. diabetic rats group was 1.96 F 0.03 mmol/l and in the control 2.04 F 0.04 mol/l. Malondialdehyde content in the diabetic rats group was increased compared to that in the control [3.08 F 0.32 (mean F S.E.) vs F 0.29 mmol/g hemoglobin, P>0.01] (Fig. 3). Glutathione peroxidase activity in the diabetic rats group was increased compared to that in the control [10.27 F 1.39 (mean F S.E.) vs F 0.38 Amol NADPH/min/g hemoglobin, P>0.01] (Fig. 4). Fig. 5 Fig. 3. Malondialdehyde level in diabetic (column 1) and control rats (column 2). Each column represents the mean value F S.E., P >0.01. shows relationship between malondialdehyde level and glutathione peroxidase activity in diabetic rats ( y =0.61x F 0.53, r = 0.88). There was a positive Fig. 2. Plasma glucose concentration in diabetic (column 2) and control rats (column 1). Each column represents the mean Fig. 4. Glutathione peroxidase activity in diabetic (column 1) and value F S.E., P >0.01. control rats (column 2).
4 82 D. Qujeq et al. / Clinica Chimica Acta 340 (2004) Fig. 5. Relationship between malondialdehyde level and glutathione peroxidase activity ( y = 0.61x F 0.53, r = 0.88, P < 0.05). correlation between malondialdehyde level and glutathione peroxidase activity. 4. Discussion As previously demonstrated, reactive oxygen species generated during metabolism can enter into reactions that, when uncontrolled, can affect certain processes leading to clinical manifestations [2,5,7]. Reactive oxygen species are key participants in damage caused by diabetic complications. Oxidative stress, superoxide production and an imbalance in antioxidant enzymes have been related to diabetic complications. Diabetes is one of the pathological processes known to be related with an unbalanced production of reactive oxygen species, such as hydroxyl radicals (HO'), superoxide anions (O 2 ') and hydrogen peroxide (H 2 O 2 ). Therefore, cells must be protected from this oxidative injury by antioxidant enzymes. Glutathione peroxidase catalyses the reduction of hydroperoxides using glutathione, thereby protecting mammalian cells against oxidative damage. Also, glutathione peroxidase, active in reactive oxygen species neutralization and within cells, removes superoxide and peroxides before they react with metal catalysis to form more reactive species. Determination of malondialdehyde by thiobarbituric acid is used as an index of the extent of lipid peroxidation. As previously demonstrated, malondialdehyde used as the best available measure of global reactive oxygen species was substantially elevated in diabetes [11 13]. In the present study, we found significantly increased glutathione peroxidase activity and malondialdehyde concentrations in diabetic rats as compared with control subjects. Our results confirm previous data of an enhanced reactive oxygen species level in diabetes mellitus [8,11,14]. Higher amounts of reactive oxygen species play a role in the diabetic complications as well as in a number of disease states. As a safeguard against the accumulation of reactive oxygen species, enzymatic antioxidant activities exist. Therefore, when oxidative stress arises as consequence of a pathologic event, a defense system promotes the regulation and expression of antioxidant enzyme such as catalase and glutathione peroxidase. Our results demonstrate that serum glutathione peroxidase activity correlates positively with malondialdehyde level in diabetes. Our findings of the positive relationship of glutathione peroxidase activities and serum malondialdehyde concentrations may support an idea of an imbalance between the antioxidant enzymes system and reactive oxygen species level in diabetes. An overproduction of reactive oxygen species, especially in diabetes, cannot be properly balanced by the antioxidant enzymes. References [1] Janero DR. Therapeutic potential of vitamin E against myocardial ischemic reperfusion injury. Free Radic Biol Med 1991;10: [2] Marubayashi S, Dohi K, Ochi K, Kawasaki T. Role of free radicals in ischemic rat liver cell injury: prevention of damage by alpha-tocopherol administration. Surgery 1985;99: [3] Soko RJ, McKim JM, Devereaux MW. a-tocopherol ameliorates oxidant injury in isolated copper-overloaded rat hepatocytes. Pediatr Res 1996;39: [4] Iwasa K, Ikata T, Fukuzawa K. Protective effect of vitamin E on spinal cord injury by compression and concurrent lipid peroxidation. Free Radic Biol Med 1989;6: [5] Paller MS, Hoidal JR, Ferris TF. Oxygen free radicals in ischemic acute renal failure in the rat. J Clin Invest 1984; 74: [6] Bird JE, Milhoan K, Wilson CB, Young SG, Mundy CA, Part- Hasrathy S, et al. Ischemic acute renal failure and antioxidant therapy in the rat: the relation between glomerular and tubular dysfunction. J Clin Invest 1988;81:
5 D. Qujeq et al. / Clinica Chimica Acta 340 (2004) [7] Halliwell B. The role of oxygen radicals in human disease, with particular reference to the vascular system. Haemostasis 1993;23: [8] Gutteridge JMC. Lipid peroxidation and antioxidants as biomarkers of tissue damage. Clin Chem 1995;41: [9] Bae YS, Kang SW, Seo MS, Baines IC, Tekle E, Chock PB, et al. Epidermal growth factor induced generation of hydrogen peroxide. J Biol Chem 1997;272: [10] Jianj ZY, Hunt JV, Wolff SP. Ferrous ion oxidation in the presence of xylenol orange for detection of lipid hydroperoxide in low density lipoprotein. Anal Biochem 1992;202: [11] Gallou G, Ruelland A, Legras B, Maugendre D, Allannic H, Cloarec L. Plasma malondialdehyde in type 1 and type 2 diabetic patients. Clin Chim Acta 1993;214: [12] Jennings PE, Jones AF, Florkowski CM, Lunec J, Barnett AH. Increased diene conjugates in diabetic subjects with microangiopathy. Diabet Med 1987;4: [13] Lyons TJ. Oxidized low density lipoproteins: a role in the pathogenesis of atherosclerosis in diabetes? Diabet Med 1991;8: [14] Hurst R, Bao Y, Jemth P, Mannervik B, Williamson G. Phospholipid hydroperoxide glutathione peroxidase activity of rat class Theta gluthatione transferase T2-2. Biochem Soc Trans 1997;25:S559. [15] Jornot L, Peterson H, Jound AF. Hydrogen peroxide-induced DNA damage is independent of nuclear calcium but dependent on redix-active ions. Biochem J 1998;335: [16] Mills EM, Takeda K, Yu ZX. Never growth factor treatment prevents the increase in superoxide produced by epidermal growth factor in PC12 cells. J Biol Chem 1998;273: [17] Chopra S, Wallace HM. Induction of spermidine/spermine N1 acetyltransferase in human cancer cells in response to increased production of reactive oxygen species. Biochem Pharmacol 1998;55: [18] Czene S, Tiback M, Harm S, Ringdahl M. ph-dependent DNA cleavage in permeabilized human fibroblasts. Biochem J 1997; 323: [19] Wojtaszek P. Oxidative burst: an early plant response to pathogen infection. Biochem J 1997;322: [20] Trinder P. Determination of glucose in blood using glucose oxidase with an alternative oxygen acceptor. Ann Clin Biochem 1996;6:24 7. [21] Yagi HAA. Simple fluorimetric assay for lipoperoxide in blood plasma. Biochem Med 1976;15: [22] Paglia DE, Valentine WN. Studies on the guantitative and qualitative characterization of erythrocyte glutathione peroxidase. J Lab Clin Med 1967;70:
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