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Lipoic Acid Inhibits Oxidative Stress 53 Journal of Exercise Physiologyonline (JEPonline) Volume 11 Number 1 February 2008 Managing Editor Tommy Boone, Ph.D. Editor-in-Chief Jon Linderman, Ph.D. Review Board Todd Astorino, Ph.D. Julien Baker, Ph.D. Tommy Boone, Ph.D. Lance Dalleck, Ph.D. Dan Drury, DPE. Hermann Engels, Ph.D. Eric Goulet, Ph.D.. Robert Gotshall, Ph.D. Len Kravitz, Ph.D. James Laskin, Ph.D. Melissa Knight-Maloney, Ph.D. Derek Marks, Ph.D. Cristine Mermier, Ph.D. Daryl Parker, Ph.D. Robert Robergs, Ph.D. Brent Ruby, Ph.D. Jason Siegler, Ph.D. Greg Tardie, Ph.D. Lesley White, Ph.D. Chantal Vella, Ph.D. Thomas Walker, Ph.D. Ben Zhou, Ph.D. Official Research Journal of The American Society of Exercise Physiologists (ASEP) ISSN 1097-9751 Nutrition and Exercise DIETARY SUPPLEMENTATION WITH LIPOIC ACID INHIBITS EXERCISE-INDUCED OXIDATIVE STRESS ANGELA PENDLETON1, SUNAM GURUNG1, SHAWN STOVER1 . 1Department of Biology and Environmental Science, Davis & Elkins College, Elkins, West Virginia, USA ABSTRACT Pendleton A, Gurung S, Stover S. Dietary Supplementation With Lipoic Acid Inhibits Exercise-Induced Oxidative Stress. JEPonline 2008;11(1):53-59. Acute anaerobic exercise can promote oxidation of lipids. It was hypothesized that exercise-induced lipid peroxidation would be significantly reduced in fast-twitch skeletal muscle by 12 weeks of dietary supplementation with lipoic acid, and that lipid peroxidation would be reduced even further by combining 12 weeks of supplementation with 12 weeks of high intensity sprint training. Twentyfour mice were randomly divided into three groups: control, lipoic acid supplemented (LA), and supplemented/sprint trained (LA+Ex). LA and LA+Ex mice were fed lipoic acid (150 mg/kg body weight) two days a week for 12 weeks. LA+Ex mice participated in a high intensity training program consisting of treadmill running two days a week for 12 weeks. After the diet and exercise training regimen, experimental and control mice engaged in six consecutive 30 s sprints on a rodent treadmill at a pace of 30 m/min, with a 1 min recovery interval between each sprint. Concentrations of malondialdehyde (MDA), a product of lipid peroxidation, were determined spectrophotometrically in fast- and slowtwitch muscles. In mice receiving 12 weeks of dietary supplementation with lipoic acid, MDA concentration was unchanged in the slow-twitch soleus. However, MDA concentration was dramatically reduced in the fast-twitch extensor digitorum longus (EDL), relative to control, indicating a significant decrease in lipid peroxidation. Mice that had been both sprint trained and supplemented for 12 weeks also expressed a significant decrease in EDL MDA concentration, relative to control. The effects of the two treatments do not appear to be additive, as there was no significant difference found between LA and LA+Ex groups. Key Words: Antioxidant, Peroxidation, Malondialdehyde Lipoic Acid Inhibits Oxidative Stress 54 INTRODUCTION The generation of reactive oxygen species (ROS) such as singlet oxygen, superoxide radical, and hydroxyl radical occurs as a consequence of normal cellular metabolism (1). ROS-related molecular damage includes DNA strand breaks and single base modifications (2), oxidation of amino acid side chains and fragmentation of polypeptides (3), and the degradation of polyunsaturated fatty acids and phospholipids by lipid peroxidation (4). Processing of ROS is carried out by the body’s endogenous antioxidant defense system, which includes enzymatic activity of superoxide dismutase (SOD), glutathione peroxidase (GPx), and glutathione reductase (GR), in conjunction with exogenous antioxidants consumed through diet (1). Oxidative stress may be defined as a condition in which the cellular production of ROS exceeds the body’s physiological capacity to render it inactive (4). The increase in oxygen uptake during aerobic exercise is accompanied by an elevation in ROS. Acute aerobic exercise generates ROS by creating a disturbance in electron transport that leads to excessive leakage of superoxide radicals (4). However, long-term endurance training effectively reduces the damage associated with increased oxygen uptake by enhancing the body’s antioxidant defenses. It has been demonstrated that GPx (5), GR (5), and SOD (6) activities increase in response to endurance training. Acute anaerobic exercise can promote oxidation of lipids. In rats, a single one-minute sprint at 45 m/min elevates lipid hydroperoxides and thiobarbituric acid reactive substances (TBARS) in skeletal muscle, indicating significant lipid peroxidation (7). In mice, six 30 s sprints at a pace of 30 m/min significantly increase the concentration of malondialdehyde (MDA), a lipid peroxidation marker, in skeletal muscle (8). In humans, six 150 m sprints significantly increase plasma levels of MDA (9). Furthermore, previous studies indicate that sprint training can attenuate the effects of oxidative stress. In rats, activities of GPx and GR increase significantly in cardiac and skeletal muscle following sprint training (10). In mice, sprint training reduces lipid peroxidation in skeletal muscle, as indicated by a decrease in MDA concentration (8). In humans, sprint training produces a decrease in plasma concentrations of MDA and protein carbonyls, both biomarkers of oxidative stress, when compared to untrained subjects (11). In human tissues, endogenous -lipoic acid (LA) can be found in trace amounts in -ketoacid dehydrogenase, -ketogutarate dehydrogenase, and pyruvate dehydrogenase complexes (12). Exogenous LA is taken up by a variety of cells and reduced by NADH- or NADPH-dependent enzymes to dihydrolipoate, or DHLA (13). Both LA and DHLA exhibit antioxidant activity by chelating transition metals such as iron, copper, and mercury (14). Furthermore, the reduced and oxidized forms of lipoic acid are able to scavenge a broad array of reactive oxygen and nitrogen species, including hydrogen peroxide, hydroxyl radical, and nitric oxide radical (15). Finally, DHLA is a strong reducing agent and is able to regenerate several major physiological antioxidants, including vitamin C, vitamin E, and glutathione (13). Glutathione plays a major role in defending tissues against oxidative stress (16). The availability of cysteine, a precursor for glutathione synthesis, is a critical determinant of cellular glutathione levels (17). DHLA provides cysteine by reducing cystine, which is abundant in extracellular space (18). While reducing cystine to cysteine, DHLA is oxidized to LA, which is taken up by cells and reduced back to DHLA. Thus, DHLA, a potent reducing agent, can be continuously regenerated (17). Several lines of evidence demonstrate the effectiveness of LA supplementation in reducing lipid peroxidation. Manda et al. (19) reported a significant decrease in the generation of TBARS in Xirradiated mouse cerebellar tissue following treatment with LA. Baydas et al. (20) demonstrated an Lipoic Acid Inhibits Oxidative Stress 55 LA-mediated protective effect against lipid peroxidation in the glial cells of diabetic rats. Finally, a study by Sundaram and Panneerselvan (21) reported that administration of LA in conjunction with carnitine, a mitochondrial metabolite, produces a significant decrease in skeletal muscle lipid peroxidation in aged rats. The present study investigated the hypotheses that 1) exercise-induced lipid peroxidation can be significantly reduced in fast-twitch skeletal muscle by long-term dietary supplementation with LA, and 2) exercise-induced lipid peroxidation in fast-twitch skeletal muscle can be reduced even further by combining long-term LA supplementation with long-term, high intensity sprint training. METHODS Animals The Institutional Animal Care and Use Committee of Davis & Elkins College approved this study. Twenty-four male albino ICR (CD-1®) mice (Harlan, Indianapolis, IN), 5-7 weeks old when the study began, were housed individually in ventilated cages (Maxi-Miser Positive Individual Ventilation System, Thoren Caging Systems, Inc., Hazelton, PA). The caging system was located in a room maintained at 18-24°C with 12:12 light-dark cycles. The 24 mice were randomly divided into three groups: control (n=8), lipoic acid supplemented (LA, n=10), and lipoic acid supplemented/sprint trained (LA+Ex, n=6). Initially, each group had eight mice. However, two mice in the LA+Ex group refused to run on the treadmill during the first week of training and were transferred to the LA group. Dietary Supplementation All mice received and consumed approximately six grams of food daily (Fortified Diet for Rats and Mice, Kaytee Products, Inc., Chilton, WI). -lipoic acid (Sigma, St. Louis, MO) was mixed with powdered food and fed to LA and LA+Ex mice at a dose of 150 mg/kg body weight two days a week for 12 weeks. All mice had free access to water. Table 1. The mouse training schedule. Training Number of Speed Incline (°) Week Sprints (m/min) Exercise Protocols LA+Ex mice participated in a high intensity training program consisting of treadmill running two days a week 1-3 3 24 5 4 4 24 5 for 12 weeks. Each session included three to six 30 s sprints at a pace of 24-30 m/min on a 5-15° incline (Table 5-6 4 27 10 1), with a 1 min recovery interval between each sprint. 7-8 5 27 10 LA and control mice were not involved in the training 9 5 30 15 process. At the end of the training period, trained and 10-12 6 30 15 untrained mice engaged in six consecutive 30 s sprints on a rodent treadmill at a pace of 30 m/min (15° incline), with a 1 min recovery interval between each sprint. An electrified grid (0.1 mA) at the rear of treadmill was used sparingly as motivation to run. All exercise procedures were carried out between 8:00 and 9:00 a.m. Assessment of Lipid Peroxidation Mice were sacrificed by cervical dislocation. Sacrifice of exercised animals was carried out immediately after the final 1 min recovery interval. Soleus and extensor digitorum longus (EDL) muscles were extracted from hind limbs, rinsed with cold distilled water, homogenized in 20 mM TrisHCl buffer (pH 7.4), and reacted with N-methyl-2-phenylindole (R1) at 45°C. R1 combines with MDA to generate a stable chromophore with maximal absorbance at 586 nm (Colorimetric Assay for Lipid Peroxidation, Oxford Biomedical Research, Oxford, MI). To account for background absorbance, matched negative controls containing Tris-HCl buffer in place of tissue homogenate were prepared. Experimental samples and controls were analyzed spectrophotometrically at 586 nm. MDA Lipoic Acid Inhibits Oxidative Stress 56 concentrations were calculated from the absorbance values using the following formula: [MDA] = ([A586 – b]/a) x df, where [MDA] is the M concentration of MDA in the sample, A586 is the net absorbance of the sample at 586 nm, a is the slope of the MDA standard curve (MDA standards were included in the assay kit), b is the intercept of the standard curve, and df is the dilution factor of the sample. Statistical Analyses A one-way analysis of variance (ANOVA) was used to determine variability between group means. Two-sample t tests were used to compare specific groups in the one-way ANOVA. All t tests were two-tailed, and an alpha level of p<0.05 was regarded as statistically significant. Data are expressed as mean ± standard deviation. RESULTS In mice receiving 12 weeks of dietary supplementation with lipoic acid, MDA concentration was unchanged in the slow-twitch soleus. However, MDA concentration was dramatically reduced in the fast-twitch EDL , indicating a significant decrease in lipid peroxidation (Figure 1). Furthermore, mice that had been both sprint trained and LA-supplemented for 12 weeks also expressed a significant decrease in EDL MDA concentration (Figure 1). There was no significant difference between the LA and LA+Ex groups. 20 18 16 MDA ( M) 14 * * LA 12 10 LA+Ex 8 Control 6 4 2 0 Soleus EDL Tris buffer Figure 1. Results of lipoic acid supplementation and sprint training. Values represent mean ± standard deviation; *Significantly different from control (p<0.05); Samples containing only the homogenization buffer were analyzed to control for nonspecific absorbance. DISCUSSION In the present study, experimental and control mice engaged in an acute anaerobic exercise session, consisting of six consecutive 30 s sprints on a rodent treadmill at a pace of 30 m/min (15° incline), with a 1 min recovery interval between each sprint. It has been previously demonstrated that this protocol effectively induces lipid peroxidation in fast-twitch skeletal muscle, as indicated by a significant increase in MDA concentration in the EDL (8). However, the mechanism by which acute anaerobic exercise leads to oxidative stress remains unclear. It has been suggested that glycolytic power peaks very early during high intensity exercise and is followed by significant mitochondrial ATP synthesis (22,23). In addition to the contribution of aerobic metabolism, and the subsequent Lipoic Acid Inhibits Oxidative Stress 57 disturbance in electron transport, the elevation in ROS generated by sprint exercise may also be affected by ischemia/reperfusion. The sudden uptake of oxygen following a sprint may react with accumulated metabolic intermediates to generate elevated levels of ROS (4,24). Beneficial effects of high intensity sprint training have also been established by previous research. Lipid peroxidation, as indicated by MDA concentration, is significantly decreased in the fast-twitch EDL after 12 weeks of sprint training (8). The mechanism behind the peroxidation reduction is unclear. It is possible that the beneficial effect is due to an increased capacity for oxidative phosphorylation. Previous studies have confirmed increased mitochondrial mass in response to conditions of oxidative stress (25,26). Furthermore, an increase in reduced glutathione (GSH) may contribute to the training adaptation. Endurance training has been shown to increase GSH content in hind limb muscles of dogs (27) and rats (6). High intensity sprint training may produce a similar effect. GSH plays a prominent role in the cellular defense against oxidative stress by scavenging ROS, both directly and as a substrate for GPx (16). Conversion of GSH to GSSG, the oxidized form of the molecule, is catalyzed by GPx during the reductive detoxification of hydrogen peroxide (28). GSH is regenerated from GSSG by activity of GR (29). Although some epithelial cells have the capacity to take up intact GSH (30), most cells rely on de novo synthesis to maintain cellular stores. GSH is synthesized by a two-step process involving the enzymes, -glutamate-cysteine ligase (GCL) and glutathione synthetase (GS). GCL catalyzes the intracellular reaction that results in attachment of a sulfhydryl-containing cysteine residue to a glutamate residue. Activity of GS adds a glycine residue to complete the tripeptide (16). Normally, ROS are broken down rapidly by defensive mechanisms. Toxic effects of oxidative stress are only observed when the rate of ROS formation exceeds the rate of inactivation. Previous studies have demonstrated that LA can effectively inhibit the adverse effects of oxidative stress, both in vitro and in vivo. It has been reported that LA protects cultured neurons against glutamate-induced cytotoxicity by regenerating GSH levels (31). Furthermore, it has been demonstrated that, in old rats, a diet supplemented with LA improves mitochondrial function, increases metabolic rate, and decreases lipid peroxidation by inhibiting age-related loss of GSH (32). In the present study, it was hypothesized that lipid peroxidation would be significantly reduced in the EDL by 12 weeks of dietary supplementation with LA, and that lipid peroxidation in the EDL would be reduced even further by combining 12 weeks of LA supplementation with 12 weeks of high intensity sprint training. Although the first hypothesis was supported by data, there was no significant difference found between the LA and LA+Ex groups, in terms of lipid peroxidation (Figure 1). It is possible that there is a ceiling on the amount of GSH that can be regenerated. A sprint trainingand/or LA-induced upregulation of GSH will have to be quantified to determine if this is true. CONCLUSIONS In summary, results of the present study are consistent with previous work that demonstrates a decrease in lipid peroxidation in response to long-term, high intensity sprint training (8). Furthermore, results indicate that long-term dietary supplementation with LA can also reduce the impact of oxidative stress by preventing excessive lipid peroxidation. However, the effects of the two treatments do not appear to be additive, as there was no significant difference found between LA and LA+Ex groups. Lipoic Acid Inhibits Oxidative Stress 58 ACKNOWLEDGEMENTS Research equipment was obtained through grants from the West Virginia Experimental Program to Stimulate Competitive Research (WVEPSCoR) and the West Virginia IDeA Network of Biomedical Research Excellence (WV-INBRE). The project described was supported by the National Center for Research Resources (NCRR), a component of the National Institutes of Health (NIH). Contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the NCRR or NIH. Support was provided by a subcontract from the West Virginia University Research Corporation under an NIH Prime Agreement through the Marshall University Research Corporation. Address for correspondence: Shawn Stover, Ph.D., Department of Biology and Environmental Science, Davis & Elkins College, 100 Campus Drive, Elkins, WV 26241. Phone: (304) 637-1275; Email: [email protected]. REFERENCES 1. Sen CK, Packer L and Hanninen O, editors. Exercise and Oxygen Toxicity. Amsterdam: Elsevier Science, 1994. 2. Halliwell B and Guttheridge JMC. Free Radicals in Biology and Medicine. 2nd edition. New York: Clarendon Press, Oxford University Press, 1989. 3. Levine RL and Stadtman ER. Oxidative modification of proteins during aging. Exp Gerentol 2001;36: 1495-1502. 4. Bloomer RJ and Goldfarb AH. Anaerobic exercise and oxidative stress – a review. 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