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MONOFLUOROPHOSPHATE-a2-MACROGLOBULIN
METABOLISM OF THE COMPLEX MONOFLUOROPHOSPHATE-a2-MACROGLOBULIN
IN THE RAT
LUIS ESTEBAN, ALFREDO
RIGALLI, RODOLFO C. PUCHE
Laboratorio de Biología
Osea, Facultad de Ciencias Médicas, Universidad Nacional de Rosario
Key words: monofluorophosphate, a2-macroglobulin,
a2-macroglobulin-monofluorophosphate complex, (ionic) serum F,
(protein bound) serum F
Abstract
Sodium
monofluorophosphate (MFP) is a drug used in the treatment of primary
osteoporosis. Following the intake of MFP, a small fraction of the
drug is absorbed intact and forms a complex with a2-macroglobulin
(MFP-a2M) inactivating the antiproteasic activity of the globulin. The
complex has been shown to occur in the serum of rats and human being.
This paper reports data on the metabolism of this complex in the rat.
In vitro experiments showed that liver and bone tissue remove MFP-a2M
from the incubation medium. When the experiments were pursued beyond
the time needed to reduce the complex concentration to very low
levels, fluorine (F) reappears in the medium in two forms: bound to
low molecular weight macromolecule/s (2,200 ± 600 Da) and as ionic F.
Concentrations of these F fractions increase while that of the complex
decreases as a function of time. In vitro, uptake of the complex by
liver or bone tissue was not affected by the presence of colchicine or
methylamine. These drugs, however, inhibited intracellular metabolism
of the complex, as indicated by the impairment of the return of F
species to the extracellular space and the increase in F content of
the tissue. The cellular receptors responsible for the uptake of the
complex in liver and bone are insensitive to low concentration of
calcium and inhibited by polyinosinic acid[5']. These features
characterize the “scavenger” receptor, one of the two receptor
types known to remove inactive a2M from the circulation. Injection of
polyinosinic acid [5'] to living rats also hindered the disappearance
of the complex from serum. It is concluded that the metabolism of the
MFP-a2M complex involves binding to receptors, uptake by cells,
lysosomal degradation and return of F bound to low molecular weight
macromolecule/s to the extracellular space. It is assumed, however,
that inorganic F is the final product of lysosomal hydrolysis of the
protein moiety.
Resumen
Metabolismo del complejo monofluorfosfato-a2-macroglobulina en la
rata. El monofluorfosfato de sodio (MFP) es una de las drogas
empleadas para el tratamiento de la osteoporosis. Después de cada
dosis de MFP, una fracción de la misma se absorbe intacta, forma un
complejo con la a2-macroglobulina del plasma (MFP-a2M) que provoca la
pérdida de la actividad antiproteásica de la globulina. Este trabajo
describe el metabolismo del complejo MFP-a2M. Experimentos in vitro
demostraron que los tejidos óseo y hepático extraen el complejo
MFP-a2M del medio de incubación. Cuando los experimentos se
prolongaron más allá del tiempo necesario para reducir la
concentración del complejo a niveles insignificantes, el flúor
reapareció en el medio de incubación en dos formas: ligado a
moléculas de bajo peso molecular (2.200 ± 600 Da) y como flúor
iónico. Las concentraciones de estas fracciones aumentaron en el
medio de incubación en función inversa a la concentración del
complejo. El clearance del complejo MFP-a2M, efectuado in vitro por
los tejidos óseos y hepático, no fue afectado por la presencia de
colchicina o metilamina. Estas drogas inhibieron el metabolismo
intracelular del complejo, indicado por el aumento del contenido
tisular de flúor y la ausencia del fenómeno de circulación de
especies de flúor al medio de incubación, aludido más arriba. Los
receptores celulares responsables del clearance del complejo son del
tipo “scanverger”: insensibles a bajas concentraciones de ión
calcio e inhibidos por ácido [5']poli-inosínico. Se concluye que el
metabolismo del complejo MFP-a2M involucra ligamiento a receptores de
membrana, incorporación a las células, degradación lisosomal y
retorno al espacio extracelular de especies de flúor, de peso
molecular progresivamente más bajo, hasta flúor iónico. Se atribuye
la mayor biodisponibilidad de flúor del MFP (respecto del NaF), a los
fenómenos descriptos.
Dirección postal: Dr. Rodolfo C. Puche, Laboratorio de
Biología Osea, Facultad de Medicina, Santa Fe 3100, 2000 Rosario,
Argentina
Fax: 54-0341-400337; E-mail: rpuche@unrctu.edu.ar
Received: 9-XI-1998 Accepted: 8-II-1999
Sodium monofluorophosphate (MFP) is a drug used in the treatment of
primary osteoporosis1, 2. It has greater gastric tolerance than NaF
and it can be administered with calcium salts3, 4. After an oral dose
of MFP, a fraction of the dose is absorbed without hydrolysis and
binds to plasma proteins5, a phenomenon observed in rats5, 6 and human
beings7. MFP binds to a2-macroglobulin (a2M) and to C3 (a member of
the complement system) with the loss of activity of these proteins8.
This protein-bound fluorine (F) compartment assumedly explains the
greater bioavailability of F from MFP than from NaF6, 7.
This paper investigates the metabolism of MFP-a2-macroglobulin complex
(MFP-a2M) in the rat. The data obtained show that liver and bone
actively remove the complex from the extracellular space. F returns to
the latter space as ionic F and bound to low molecular weight
macromolecule/s.
Material and Methods
Animals. Female rats IIM/Fm strain, substrain “m”9, were
employed in all experiments. “In vivo” experiments were carried
out with seven weeks old rats (200 ± 21 g, mean ± SEM). Liver and
bone tissue (parietal bones) were obtained from 7 and 3 weeks old rats
(30 ± 5 g), respectively.
Reagents. MFP was obtained from Ozark Mahoning, Tulsa, OA USA. The
drug employed in these experiments contained 96.5% of the theoretical
amount of MFP and 3.5% of ionic F, measured as shown elsewhere5.
a2-macroglobulin (a2M), colchicine, methylamine, EDTA and polyinosinic
[5'] acid were purchased from Sigma Chemical Co. (St. Louis, MO).
Other drugs were analytical grade.
Preparation of MFP-a2M. a2M was isolated from human (citrated) plasma
as reported by Swenson and Howard10 and dissolved in Krebs Ringer
Bicarbonate buffer (KRB) to attain a concentration of 40 g/l (0.2 mM).
Human plasma was obtained at the blood bank of the University
Hospital.
MFP was added to a2M solution to attain a 1 mM concentration and
incubated for 30 min at 20°C8. The mixture was then chromatographed
on a column (110 ml volume, 80 cm length) filled with Sephadex G-100
(Pharmacia, Uppsala, Sweden) suspended PBS (saline containing 50 mM
phosphate, pH 7.4). MFP-a2M eluted in the first 25-30 ml while free
MFP and traces of ionic F eluted together at 105-110 ml. According to
previous studies8, the MFP-a2M complex contains 1 mole of F per mole
of a2M.
Molecular weight estimation. A column (20 ml volume, 17 cm length) was
filled with Sephadex G-50 (Pharmacia, Uppsala, Sweden) suspended PBS
(saline containing 50 mM phosphate, pH 7.4). The column was loaded
with 0.2 ml aliquots of plasma or incubation medium. Elution was
performed with PBS. Forty fractions of 0.5 ml were collected. Protein
concentration was monitored by UV absorption at 280 nm and total F was
measured as said below.
The column was calibrated with a mixture of oxytocin (1000 Da), C
peptide (3000 Da) and insulin (6000 Da) for molecular weight
estimation. Kav was plotted against molecular weights (Figure 4). Kav
was calculated as the ratio (Ve-Vo)/(Vt-Vo) where Ve, Vo and Vt stands
for elution, void and column volumes, respectively.
Measurement of fluorine (F)
Total F (protein bound + ionic) content of plasma, urine,
chromatography fractions, tissue, etc., was accomplished by means of
the isothermic distillation method of Taves11.
Diffusible F. Plasma or incubation buffer (1.5-2 ml) were
ultrafiltered through Centriflo membranes (Amicon Corp., Lexington,
MA, USA), with a 25000 molecular weight cut-off. F was measured in the
ultrafiltrate by the method of Taves11. The reader should note that
besides ionic F, this fraction may contain low molecular weight
protein-bound F.
The difference between total and diffusible F is assumed to measure
MFP-a2M.
F was measured in the Taves’ distillate with an ion-specific
electrode (94-09 Orion Research Inc., Cambridge, MA, USA) after
samples were treated as stated above. Electrodes were assembled as
indicated by Hallsworth et al.12
In vitro studies
The tissues employed (liver or bone) were excised, rinsed twice
with KRB at 4°C and cut into small pieces (0.5 mm), by hand, with
scalpels.
Incubation of tissue (liver: 20-25 mg/4 ml of KRB, bone: 90-100 mg/4
ml) was done in plastic tubes, at 37°C. Shaking was accomplished by a
gentle stream of carbogen (95% O2-5% CO2). MFP-a2M was added to KRB to
attain a concentration 40-50 µM. In experiments designed to measure
only the rate of disappearance of MFP-a2M from the incubation medium,
aliquots were removed at 0, 2, 7.5, 15, 20 and 30 minutes, centrifuged
and kept frozen until F analysis. The data obtained fitted first order
kinetics (C = Co exp-ket), where Co is the initial concentration, C
that at time t and ke is the rate constant (min-1) of disappearance of
MFP-a2M from the incubation medium.
Some experiments were done to investigate the return of F to the
extracellular space. Aliquots were removed at 0, 2, 7.5, 15, 30, 60
and 90 minutes, centrifuged and kept frozen until F analysis. In
parallel experiments, the incubation media were chromatographed on
Sephadex G50 (see above, Molecular weight estimation). Total F content
of fractions was determined in each fraction.
Minced tissue was treated with the following additions to the
incubation medium, as indicated below: EDTA (4.7 mM), methylamine (65
mM), or polyinosinic acid[5'] (250 µg/ml). Colchicine treatment was
done as follows: tissue was incubated during one hour in KRB with the
drug (10 µM), recovered by centrifugation at low speed and
reincubated in KRB+a2M-MFP. The rationale for the use of these drugs
is explained in the Discussion section. Briefly, EDTA and polyinosinic
acid[5'] were used to characterize the type of membrane receptor for
a2M-MFP; methylamine and colchicine inhibit at different points the
process of internalization and proteolysis of the complex
receptor-a2M-MFP.
At the end of the experiments with colchicine and methylamine, control
and treated tissue were recovered by centrifugation and assayed for
total F. Tissue content of F is expressed as µmol/g of wet tissue.
In vivo experiments
Rats (220 ± 21 g) fed ad libitum with standard chow were used in
the following experiments. These were designed to investigate the
clearance of MFP-a2M, to verify the inhibitory effect of polyinosinic
acid[5'] on that variable, and to determine the F species of rat serum
after an oral dose of MFP. Two types of experiments were done:
1) after intravenous injection of the complex.
The rats were hydrated with 15 ml of tap water administered by gastric
tube to insure a significant urine flow. Anaesthesia was done by
intraperitoneal injection of 120 mg urethane/100 g body weight. The
left femoral vein was catheterized to facilitate iv injections of the
complex or of polyinosinic acid or to obtain blood samples. Urine was
collected through a vesical catheter.
The animals received MFP-a2M (0.1 µmoles/100 g bw) by iv injection.
Some rats received polyinosinic acid [5'] (5 mg in 0.2 ml of PBS/EDTA,
pH = 7.4)13, one minute before the injection of the MFP-a2M complex.
Urine was collected during 15 minu-tes before the injection of the
complex and during the rest of the experiment. At the times indicated
in Figure 5 (left panel), 0.2 ml blood samples were drawn from the
catheter inserted into the femoral vein. The samples were centrifuged
5 min at 8000 g and aliquots of plasma were separated and frozen at
-20°C for F assays (total and diffusible).
The difference between plasma total and diffusible F was assumed to
measure MFP-a2M. The data fitted the same function (C = co exp -ket)
described above. The rate constant of MFP-a2M dissappearance from
plasma (ke, min-1) was calculated using a computer program14.
2) after a single oral dose of MFP.
The animals were anesthetized as said above. Four rats received the
injection of 5 mg of polyinosinic acid [5'] dissolved in 0.2 ml of
PBS/EDTA, pH = 7.4, through a catheter placed in the femoral vein,
fifty minutes after a dose of 40 µmol MFP/100 g b.w by gastric
intubation. Control rats (n = 4) received only the oral dose of MFP.
At the times indicated in Figure 5 (right panel), aliquots of blood
samples were taken and processed as stated above.
Calculation of the rate constant was done with the plasma values
obtained from 60 minutes onwards, because when serum MFP-a2M reaches
its maximum value after the oral adminis-tration of MFP6. The data
fitted the same function (C = Co exp -keet) described above. The rate
constant of disappearance of MFP-a2M from the circulation (ke, min-1)
was calculated using a computer program [14].
Two hours after the oral administration of MFP, the animals were
sacrificed by exsanguination. Plasma was saved for chromatography on
Sephadex G50 as indicated above to determine the presence of F bound
to peptide/s and their molecular weight.
Statistical techniques
Regression analysis and Student’s “t” test for grouped and
paired data were employed for evaluation of the data15.
Results
In vitro experiments
Liver and bone tissue removed the complex MFP-a2M from the
incubation medium (Figures 1 and 2, Table 1). As discussed below,
these results suggested the existence of receptors responsible for the
removal of the complex from the extracellular space. Some of these
experiments were done with human a2M (instead of rat a2M) because it
is known that inactive a2M is recognized by receptors present in rat
tissue16.
Some experiments were designed to identify the type of receptor
responsible for the removal of MFP-a2M from the incubation medium. The
phenomenon was strongly hindered by polyinosinic acid[5'] but not
affected by very low levels of Ca++ (EDTA addition) (Figure 2, Table
1). As discussed below, these results suggested that the “scavenger”
type of receptor (sensitive to polyinosinic acid[5'], insensitive to
Ca++)13.
When liver or bone tissue were incubated beyond the time needed to
remove MFP-a2M from the incubation buffer, F returned to the
extracellular space (Figure 1). In these experiments, extracellular F
eluted from Sephadex G50 columns in three fractions (Figure 3). The
first, eluting with a peak at 1-2 ml, is the complex MFP-a2M. A second
fraction, eluting at 6-7 ml, is F bound to low molecular weight
macromolecule/s (2200 ± 600 Da) (Figure 4). The third, with a peak at
10-12 ml, reacted directly with the ion selective electrode, and had
the same elution pattern as ionic F. The disappearance of MFP-a2M and
appearance of ionic fluoride and F bound to low molecular weight
macromolecule/s is a function of time (Figure 3).
Treatment of the tissue with colchicine (10 µM) did not affect the
removal of MFP-a2M from the incubation medium (Table 1) but inhibited
recirculation of F to the extracellular space (Figure 1, right panel)
and consequently, increased the liver F content (Controls: 7.7 ± 1.2
µmoles/g, Colchicine: 17.3 ± 3.4 µmoles/g, N = 4, P = 0.0188). The
same effects were observed after methylamine addition (Controls: 10.0
± 1.5 µmoles/g; Methylamine: 38.8 ± 3.1 µmoles/g, N = 4, P <
0.001) (Table 1, Figure 1, right panel).
In vivo experiments
a) Injection of MFP-a2M to living rats. These experiments were done
to corroborate evidence obtained in vitro. After iv injection of
MFP-a2M, the rate constant for removal of the complex from the
circulation had a significant value in control rats (Ke = -0.057 ±
0.0028 min-1, P = 0.0481). In the animals that received 5 mg of
polyinosinic acid[5'] by intravenous injection (Figure 5, left panel)
the constant did not differ from zero (-0.015 ± 0.0071 min-1).
The urinary excretion of F did not increase during these experiments.
Basal urinary F excretion of controls was (mean ± SEM) 51 ± 10
nmoles F/90 minutes; after iv injec-tion of MFP-a2M: 42 ± 9 nmoles/90
minutes, N = 4, P > 0.05. In polyinosinic[5'] acid treated rats,
basal F excretion was 55 ± 18 nmoles/90 minutes; after iv injection
of the complex: 48 ± 9 nmoles/90 minutes, N = 4, P > 0.05.
b) Clearance of MFP-a2M formed after the oral intake of MFP. We have
shown elsewhere5, 6 that after an oral dose of MFP, the complex
appears in plasma with maximum level 60 minutes after dosing. The rate
constant for the removal of MFP-a2M from plasma was (mean ± Sem)
-0.018 ± 0.003 min-1, P = 0.0186. The constant mesured in animals
that received 5 mg of polyinosinic acid [5'] did not differ from zero:
0.0010 ± 0.0051 min-1 (Figure 5, right panel).
The observed rate constant for the removal of the MFP-a2M complex
formed in vivo in the rat (-0.018 min-1) is 3 times lower than that
observed after iv injection of the complex preformed in vitro with
human a2M (-0.057 min-1). The data may reflect differences in the
metabolism of the complexes MFP-a2M (rat) and MFP-a2M (human) by the
living rat. These experiments, however, are qualitatively similar:
polyinosinic acid [5'] interferes in vivo with the serum clearance of
the complex MFP-a2M.
Discussion
The presence of the complex monofluorophosphate-a2-macroglobulin
(MFP-a2M) has been shown previously in the sera of rats and human
beings8, after an oral dose of MFP. MFP and a2M react spontaneously at
room temperature. The bond is stable. Its nature and the binding site,
however, are still unknown8.
The complex MFP-a2M shares two features with other a2M complexes
(e.g.: trypsin-a2M): loss of antiproteasic activity and its rapid
removal of the complex from circulation8. With one exception, the
experiments reported in this paper were done with a2M isolated from
human plasma. Human a2M is recognized by receptors present in rat
liver16. To verify whether the receptor described in liver was also
present in bone tissue, complementary experiments were done with the
latter.
The receptor for MFP-a2M in rat liver and bone tissue exhibits the
features reported for the “scavenger” receptor: it is sensitive to
polyinosinic acid[5'] and indiferent to low Ca++ levels13. It is
believed that its presence in bone has physiological significance
because MFP is used to increase bone mass through activation of
osteoblasts. Present data do not allow to compare tissue scavenging
activities. The reader should note the differences in the age of donor
animals and in the number of cells of both tissues per unit of wet
weight.
Removal of MFP-a2M from the extracellular space is shown to occur both
in vitro and in vivo. In vitro, the phenomenon is initially so rapid
(75% of initial concentration disappears from the incubation medium in
5-7 minutes) that it is assumed to be the sum of binding to receptors
and (the energy-dependent) uptake by the cells. This assumption is
supported by the data obtained from 0 to 30 minutes, both panels of
Figure 1. Methylamine of colchicine (see below) did not interfere with
binding or uptake of the complex.
Receptor-mediated internalization and degradation of the protein has
been described for all receptor bearing cell types. The data obtained
fits the general scheme gained on a2M metabolism (reviewed in17).
Immediately after ligand binding, the a2M receptors that are initially
scattered over the cell surface, begin to aggregate over clathrin
coated areas of the membrane. This aggregation is necessary for
internalization of the receptor-ligand complex. Coated regions rapidly
become invaginated into so-called coated pits and within minutes,
ligand and receptors can be located in intracellular coated vesicles
that are connected with the cellular surface only by a tubular neck.
Inhibitors of this process, antitubulins like colchicine18,
downregulate uptake and degradation of a2M. Within minutes, a2M
accumulates in the lysosomes where it is degraded. The degradation
products are rapidly ejected from the cells and appear extracellularly
with a short lag time (minutes) corresponding to the time it takes for
internalized a2M to reach the lysosomes, indicating almost instant
lysosomal degradation. Weak and highly diffusible bases like
methylamine that may neutralize pH of uncoated vesicles19, are potent
inhibitors of both ligand degradation and the reappearance of a2M
receptor in the surface membrane. The data shown in the Figures and in
the Table 1, fully agree with this description.
In vivo, the rate constant for disappearance of the complex is three
times greater with a2M of human origin than that measured with the
complex formed sponta-neously in rat plasma after an oral dose of MFP.
These results are polyinosinic acid[5'] probably related to species
differences in a2M. Both in vivo and in vitro, polyinosinic acid[5']
affects adversely the rate constants for the disappearance of MFP-a2M
from the extracellular space.
The urinary excretion of ionic fluoride was not affected in short term
experiments (90 minutes), after the iv injection or its endogenous
formation. These findings suggest that the ionic F produced by
degradation of the complex in 90 minutes is insufficient to affect the
F basal urinary excretion. In 7-hour experiments published elsewhere6,
however, the urinary excretion of fluoride increased over basal
levels: 9.8 ± 1.2 (N = 6) vs 0.2 ± 0.09 (n = 12) µmoles/7 hours.
It is concluded that the metabolism of the MFP-a2M complex follows the
pathways: uptake through the scavenger receptor, lysosomal degradation
and return of F bound to low molecular weight macromo-lecule/s.
Inorganic F is the final product of peptide degradation.
These phenomena contribute to explain the greater F bioavailability of
MFP (compared with NaF), shown elsewhere by pharmacokinetic studies in
rats6 and human beings7.
Acknowledgements: This work partially supported by a grant
from the Programa de Modernización Tecnológica, Préstamo BID
802/OC-AR (Project PMT-PICT0246), Consejo Nacional de Investigaciones
Científicas y Técnicas and by a research contract between CASASCO
SAIC and Fundación Universidad Nacional de Rosario.
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TABLE 1.– Experiments in vitro. Rate constants of the removal of
MFP-a2M from the incubation medium
Tissue Addition Rate constant min-1 P
Liver none 0.29 ± 0.04
EDTA 0.28 ± 0.08 0.916
Bone none 0.49 ± 0.02
EDTA 0.41 ± 0.14 0.589
Liver none 0.28 ± 0.06
Polyinosinic 0.06 ± 0.05 0.036
Bone none 0.42 ± 0.11
Polyinosinic 0.10 ± 0.03 0.031
Liver none 0.27 ± 0.09
Colchicine 0.28 ± 0.15 0.789
Liver none 0.25 ± 0.10
methylamine 0.27 ± 0.12 0.885
The figures indicate the mean ± SEM (N = 4)
Fig. 1.– Left panel: change of MFP-a2M concentration in the
incubation medium as a function of time. Experiments with liver and
bone are indicated by solid and open squares, respectively. Bars
indicate SEM of the mean (n = 4). Right panel: change of MFP-a2M
concentration in the incubation medium with liver tissue treated with
colchicine (solid triangles) and methylamine (open triangles). Bars
indicate SEM of the mean (n = 4).
Fig. 2.– Uptake of MFP-a2M complex in vitro by bone (left panel) and
liver tissue (right panel) Controls: solid line and solid triangles,
EDTA: dashed line and open triangles, polyinosinic acid [5']: dashes
and points line and open squares. Bars indicate SEM of four
experiments. Curves were derived with a computer; rate constants are
listed in Table 1.
Fig. 3.– Liver tissue incubated with MFP-a2M. Elution patterns of
total F of the incubation medium chromatographed on Sephadex G50, at
the start and 15, 30 and 60 minutes later.
Fig. 4.– Molecular weight estimation of the macromolecule/s eluted
with a peak at 6-7 ml from the column of Sephadex G50. Experiments in
vitro (liver and bone tissue): solid triangle ± SEM of four
experiments. Experiments in vivo (plasma of rats after an oral dose of
MFP): solid square ± SEM of four experiments. Standards (open
triangles) were, from left to right: oxytocin, C-peptide and insulin.
Fig. 5.– Removal of MFP-a2M from rat serum, in vivo. The complex was
injected intravenously (left panel, solid squares) or it was produced
by oral administration of MFP to the animals (right panel, solid
squares). Open squares show the data of animals that also received
polyinosinic [5'] acid. Bars indicate the SEM of 4 experiments.
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