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Pesqui. Odontol. Bras. vol.14 n.1 São Paulo Jan./Mar. 2000
Efeito da amputação unilateral do incisivo inferior sobre o metabolismo da glicose em glândulas submandibulares de ratos submetidas a desnervação simpática e parassimpática
ALMEIDA-DE-FARIA, M.; BAUER, J. A.; NICOLAU, J. Effect of unilateral incisor tooth amputation on the glucose metabolism in submandibular glands of rats following sympathetic and parasympathetic denervation. Pesq Odont Bras, v. 14, n. 1, p. 25-31, jan./mar. 2000.
The autonomic nervous system is of major importance in the regulation of physiological functions of the salivary glands, including the sialadenotrophic process. It is well known that the secretory function as well as other functions in the salivary glands depend upon the energy produced in the gland. The acini volume density, some enzymes of the glucose metabolism, such as hexokinase, phosphofructokinase, pyruvate kinase, glucose-6-phosphate dehydrogenase and lactate dehydrogenase were evaluated following sympathetic and parasympathetic denervation of submandibular glands of rats, submitted to unilateral incisor amputation, five days after denervation. Sympathectomized glands submitted to amputation showed a reduction in the activity of hexokinase and phosphofructokinase-1, varying from 27.5 to 36.7 % for hexokinase and from 22.8 to 38.4 % for phosphofructokinase-1. Although no variation was observed in the enzymatic activity of parasympathectomized animals, the acini volume density showed a significant decrease.
UNITERMS: Denervation; Amputation; Enzymes; Glucose metabolism.
In humans, the enlargement of the salivary glands, sialadenosis, is frequently associated with some pathologies such as, diabetes mellitus and hepatic diseases. The enlargement of the salivary glands can be experimentally induced in some laboratory animals by either chronic administration of sympathomimetic drugs, such as isoproterenol (IPR)6,24, or repeated amputations of the lower-incisor teeth15,21,31,32. In either intervention, the development of the sialadenosis process is a function of an increased activity of the sympathetic nervous system. Comparing the enlargement caused by isoproterenol with that caused by the lower-incisor teeth amputations, we have, previously, shown differences in the glycolytic enzymes10 and in the adenine nucleotide contents19 in the submandibular salivary glands of rats. The periodic amputation of the lower and upper incisors of female rats has shown no differences in radioligand binding assays of a1, b, a2 receptors between control and experimental glands in terms of densities and affinities7.
Taking into consideration that the autonomic nervous system plays an important role in the development of the sialadenotrophic process we examined the effect of the sympathetic and parasympathetic denervation of the submandibular salivary glands of rats submitted to periodic amputations on some enzymes from the glycolytic and pentose-phosphate pathways.
MATERIALS AND METHODS
Male rats of the Wistar strain (180-220 g) were kept in individual cages with water and food ad libitum. The animals were subjected to either sympathetic or parasympathetic denervation followed by unilateral amputation of the lower left incisor tooth (AMPT). Five days after denervation, AMPT was performed every other day, by cutting down the tooth to the pulp, under light ether anesthesia. The body weight of each animal was recorded throughout the experimental period. The animals were divided into the following groups : (a) rats with AMPT after sympathetic denervation; (b) rats with AMPT after parasympathetic denervation; (c) rats with AMPT keeping the innervation intact and (d) rats submitted only to light ether anesthesia without AMPT.
Denervations were carried out in the left submandibular salivary gland (SMG). Rats were anesthetized with an intraperitoneal injection (30 mg/Kg body wt) of sodium pentobarbital. Sympathectomy was performed by removing the superior cervical ganglion and parasympathectomy by sectioning and removing a segment of about 5 mm, from the proximal part of the lingual nerve. The right SMG was used as control. All the surgery procedure was carried out with the help of a stereoscopic microscope.
Samples for Enzymatic Assay
Twenty-four hours after the last AMPT, the animals were anesthetized with an intraperitoneal injection of 10 % chloral hydrate (300 mg/kg body wt) and perfused with 0.9 % NaCl solution. Immediately after perfusion the SMG were removed, freed from the adherent tissue and weighed. The glands were homogenized at 10 % with 50 mmol/l imidazol buffer, pH 7.0, containing 2 mmol/l EDTA and 1 mmol/l 2-mercaptoethanol, in a glass homogenizer with a Teflon pestle. After centrifugation of the homogenate at 12,350 g for 30 min, the supernatant was used for the enzymatic and proteinic determinations.
For histometric studies the animals were anesthetized with an intraperitoneal injection of 10 % chloral hydrate (300 mg/kg body weight), perfused with 4 % para-formaldehyde solution in 0.1 mol/l phosphate buffer, pH 7.4, and fixed in this solution. The fixed samples were embedded in paraffin, sectioned at 5 mm and submitted to HE staining. Histometric evaluation was made by counting the number of acini in 5 randomly selected view-field from sections of each examined gland, with the help of an ocular grid.
Enzymatic activity of the supernatants was assayed by changes in absorption at 340 nm due to reduction of NADP or oxidation of NADH. The reaction was initiated by adding the homogenate supernatant to the reaction mixture in the cuvette and the absorbance was monitored for 10 min, at 25ºC in a Beckman-DU spectrophotometer, using a 1 ml cuvette with 1 cm path length. The specific activity was expressed in U/mg protein. One unit of enzymatic activity corresponds to the amount of enzyme that converts 1 mmol of substrate per minute. Enzymatic activity was measured as follows: Hexokinase (HK,EC 126.96.36.199) in a reaction medium containing 50 mmol/l imidazol buffer, pH 7.2, 5 mmol/l MgCl2, 5 mmol/l ATP, 1 mmol/l glucose, 0.4 mmol/l NADP and 0.3 U/ml Glucose-6-phosphate dehydrogenase29; Phosphofructokinase-1 (PFK, EC 188.8.131.52) in a medium containing 50 mmol/l triethanolamine buffer, pH 7.0, 2 mmol/l EDTA, 0.5 mmol/l fructose-6-phosphate, 0.65 mmol/l NADH, 0.4 U/ml aldolase, 0.08 U/ml triosephosphate isomerase and 0.08 U/ml glycerophosphate dehydrogenase18; Pyruvate kinase ( PK, EC 184.108.40.206) in a medium containing, 50 mmol/l imidazol buffer, pH 7.2, 5 mmol/l MgCl2, 0.1 mol/l KCl, 1 mmol/l ADP, 0.15 mmol/L NADH, 2 mmol/l phosphoenolpyruvate and 0.9 U/ml lactate dehydrogenase16; Lactate dehydrogenase (LDH, EC 220.127.116.11) in a reaction mixture containing 49.5 mmol/l phosphate buffer, pH 7.5, 0.6 mmol/l pyruvate and 0.18 mmol/l NADH3; Glucose-6-phosphate dehydrogenase (G-6-PD, EC 18.104.22.168) in a reaction medium containing 0.1 mol/l tris-HCl buffer, pH 7.4, 20 mmol/l MgCl2, 0.1 mmol/l NADP and 5.5 mmol/l glucose-6-phosphate11.
Protein was estimated in the supernatant fraction by the method of LOWRY et al.17 using bovine serum albumin as standard.
Values were expressed as means ± SD, and statistical analyses were carried out using a repeated-measure ANOVA. Differences between means were then analysed for statistical significance using the multiple comparison of Student-Newman-Keus1. Differences between means were considered to be significant at the level of P < 0.05.
Sympathectomized rats submitted to AMPT showed a reduction in the activity of HK and PFK-1, varying from 27.5 to 36.7 % for HK and from 22.8 to 38.4 % for PFK-1 (Table 1). No variation in the activity of the other studied enzymes, PK, LDH and G-6-PD, was observed in the SMG of sympathectomized animals.
In SMG of parasympathectomized animals no variation was observed in the activity of the studied enzymes, indicating that the glycolytic and the pentose-phosphate pathways were not influenced by the parasympathetic branch of the autonomic nervous system (Table 2). When the innervation was kept intact, no alteration was observed in the activity of enzymes from the SMG of animals submitted to AMPT (Table 3).
Histometric studies (Table 4) showed no difference between the SMG from the control and sympathectomized animals. However, the parasympathectomized glands showed a statistically significant decrease in the volume density of the acini, which varied from about 5% for one AMPT to about 24.5 % for the six AMPT group. On the other hand, animals with intact innervation presented a statistically significant increase in the volume density of acini when compared to that of the control, which varied from about 8 % for three AMPT to about 15 % for the six AMPT group (Table 4).
It is important to emphasize that the biologic model used in the present investigation presents some differences in relation to those described elsewhere14,27,33. We have used unilateral amputation of the left lower incisor tooth instead of bilateral AMPT. Another difference is related to the time between denervation and the beginning of the AMPT. We started AMPT five days after denervation while others started it within a period not longer than 24 hours.
It is well known that the salivary glands develop atrophy when submitted to parasympathetic denervation, however this phenomenon is reversed by AMPT of the lower incisor teeth14,27,33. In our study, the AMPT was not able to reverse the atrophy of SMG caused by parasympathectomy. It is possible that (a) when we started the AMPT the glands were already atrophied and (b) the stimulus produced by unilateral amputation was not sufficient to reverse the existing atrophy.
Histometrical analysis showed a reduction in the acini volume density of the parasympathectomized glands. The magnitude of this reduction increased with the number of AMPT. In contrast, non denervated glands showed an increase in the acini volume density, while no alterations were observed in the sympathectomized animals. Therefore, parasympathetic innervation responds for the trophism of SMG, and the development of sialadenosis is dependent upon the integrity of the autonomic nervous system14,15. The enlargement of salivary glands caused by AMPT leads to hypertrophy and hyperplasia4,26. No hypertrophy was observed in the sympathectomized SMG after AMPT. This agrees with the reported results showing that the effect of AMPT is mediated via sympathetic branch of the autonomic nervous system5. In animals with intact innervation of SMG the hypertrophy was present after the third AMPT. In all groups, the observed difference was caused by alterations in the volume of acini (atrophy or hypertrophy), which agrees with the data already reported21,26,32.
The results clearly show that sympathetic denervation caused a coordinated reduction in the enzymatic activity of HK and PFK-1, key enzymes of the glycolytic pathway. The role of HK and PFK-1 in regulating the carbohydrate metabolism is well known. HK, the first enzyme that catalyzes phosphorylation of glucose, may be regulated by a variety of metabolites23, and by its distribution between the mitochondrial and soluble fractions34. The redistribution of the enzyme between the mitochondrial and soluble fractions may have some metabolic signification in sialadenosis caused by IPR, but not by AMPT, since this sialadenotrophic procedure does not interfere in its redistribution10.
On the other hand, the activity of PFK-1, the enzyme that phosphorylates fructose-6-phophate, may be regulated by a series of allosteric effectors, substrates and products28 as well as by Fructose-2,6-bisphosphate13. In the SMG of rats, PFK-1 is sinergically regulated by ATP, fructose-6-phosphate and fructose-2,6-bisphosphate12,25. This metabolite (fructose-2,6-bisphosphate) is a potent effector in the regulation of the allosteric nature of PFK-1. At the same time that it stimulates the activity of PFK-1, it inhibits the activity of fructose-1,6-bisphosphatase22,30. The enzyme fructose-1,6-bisphosphatase is found in various tissues, especially in those with a pronounced neoglycogenic process. It is also present in SMG, however its activity is very low and does not vary with starvation, so that it may be concluded that in this gland the neoglycogenic process is not operant20. Therefore, it is our belief that, in salivary glands, the role played by fructose-2,6-bisphosphate, is the activation of PFK-1. Previous results from our laboratory (manuscript in preparation) have shown a reduction of fructose-2,6-bisphosphate content and PFK-2 activity in submandibular glands of rats treated with the beta adrenergic agonist IPR. PFK-2 is a bi-functional enzyme that catalyses the synthesis and degradation of fructose-2,6-bisphosphate. The kinase activity is due to the dephosphorylated form while the phosphatase activity is due to the phosphorylated form2,8.
Considering that the mechanism of AMPT involves the beta adrenoceptor stimulation5,26 and that the beta adrenoceptor stimulation induces activation of the adenyl cyclase-cAMP-protein kinase system, how can one explain the reduced activity of the enzyme PFK-1 in sympathectomized glands? A possible explanation is the following: we started AMPT five days after denervation so that the axons were already degenerated. The absence of axons leads to an increased sensitivity of the parenchymal cells to stimulating agents9. The supersensitivity may trigger the cAMP-adenyl cyclase system, influencing the activity of PFK-1, with the AMPT procedure.
Considering that enzymes may be used as markers of metabolic events, variation in the activity of glucose-6-phosphate dehydrogenase was expected. However, our results did not show variation in the specific activity of this enzyme, which agrees with the results of previous studies in rats, performed in our laboratory10.
Despite the pronounced atrophy caused by parasympathectomy, the activity of the key enzymes of the glycolytic flow did not show alterations, presenting values comparable to those of the control group.
Although parasympathectomy may be considered responsible for the maintenance of the glandular mass, it does not exert influence on the activity of the key enzymes of the glycolytic pathway. Only the sympathectomized glands presented reduction in the activity of HK and PFK-1. AMPT was not able to promote the enlargement of the denervated glands.
This work was financially supported by FAPESP and CNPq. J.N. is recipient of a fellowship from CNPq.
ALMEIDA-DE-FARIA, M.; BAUER, J. A.; NICOLAU, J. Efeito da amputação unilateral do incisivo inferior sobre o metabolismo da glicose em glândulas submandibulares de ratos submetidas a desnervação simpática e parassimpática. Pesq Odont Bras, v. 14, n. 1, p. 25-31, jan./mar. 2000.
O sistema nervoso autônomo é de grande importância na regulação da fisiologia das glândulas salivares, incluindo o processo sialadenotrófico. Já é bem conhecido o fato de que a função secretora, bem como, outras funções desempenhadas pelas glândulas salivares dependem de energia produzida nas glândulas. A histometria dos ácinos, algumas enzimas do metabolismo de carboidratos como, hexoquinase, fosfofrutoquinase-1, piruvato quinase, glicose-6-fosfato desidrogenase e lactato desidrogenase foram avaliados na glândula submandibular de ratos com desnervação simpática e parassimpática, submetidos a amputação unilateral dos dentes incisivos, cinco dias após a desnervação. Nas glândulas simpatectomizadas submetidas a amputação dos incisivos observou-se uma redução nas atividades da hexoquinase (27,5 36,7 %) e da fosofofrutoquinase-1 (22,8 38,4 %). Embora, nehuma variação foi observado nas atividades enzimáticas, houve uma redução significante do volume acinar.
UNITERMOS: Desnervação; Amputação; Enzimas; Metabolismo de carboidratos.
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Recebido para publicação em 06/10/99
Enviado para reformulação em 20/12/99
Aceito para publicação em 15/02/00