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Vol. 285, Issue 1, 155-161, April 1998

The Effects of Ethanol and Acetaldehyde on the Metabolism of Prostaglandin E2 and Leukotriene B4 in Isolated Rat Hepatocytes1

Joseph A. Hankin, Carl E. Clay and Robert C. Murphy

Department of Pediatrics, Division of Basic Sciences, National Jewish Medical and Research Center, Denver, Colorado


    Abstract
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

The effects of ethanol and acetaldehyde on the metabolism of leukotriene B4 (LTB4) and PGE2 were investigated in isolated cultures of rat hepatocytes. LTB4 undergoes initial cytochrome P450-dependent omega -oxidation leading to the principal metabolites 20-hydroxy-LTB4, 20-carboxy-LTB4 and the omega /beta -oxidation product 18-carboxy-LTB4. The addition of low concentrations of ethanol (25 mM) dramatically changes the relative amounts of these metabolite products by inhibiting the alcohol dehydrogenase-mediated oxidation of 20-hydroxy-LTB4. Addition of acetaldehyde to the incubation, up to 1 mM, had no significant effect on overall metabolism or distribution of metabolites. Above 1 mM acetaldehyde, beta -oxidation of LTB4 was inhibited. Thus the effect of ethanol on the metabolism of LTB4 appears to be due to ethanol itself and not to secondary effects from the metabolic transformation of ethanol to acetaldehyde in the cells. PGE2 is metabolized in isolated rat hepatocytes to produce chain-shortened products of beta -oxidation characterized as dinor-PGE1, dinor-PGE2, tetranor-PGE1, tauro-dinor-PGE1 and tauro-dinor-PGE2. Low concentrations of ethanol (25 mM) were found to increase the relative concentration of dinor-PGE1 in the metabolic distribution, with a corresponding decrease in concentration of tetranor-PGE1. The amount of dinor-PGE2 that was produced remained relatively unchanged in response to increasing concentrations of ethanol. Acetaldehyde concentrations from 0.1 mM to 1 mM did not affect metabolite distribution or the overall magnitude of PGE2 metabolism. Concentrations of acetaldehyde higher than 1 mM decreased all beta -oxidation metabolites. Ethanol, at physiologically relevant concentrations, could alter eicosanoid metabolism in the liver by inhibiting LTB4 metabolism and altering that of PGE2.


    Introduction
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

Arachidonic acid serves as a substrate for two different enzymatic cascades, the PGH synthase cascade and the 5-lipoxygenase cascade, to yield a diverse family of lipid mediators, namely the prostaglandins (Smith, 1992) and leukotrienes (Henderson, 1994), respectively. These molecules exert potent biological activities relevant to intracellular communication through specific G protein-linked receptors (Yokomizo et al., 1997; Narumiya, 1995). The concentrations of these lipid mediators within tissues and the resultant biological response elicited by these eicosanoids are regulated in large measure by the rate at which these compounds are metabolized to inactive compounds. Both leukotrienes and prostaglandins are metabolized by a variety of enzymatic processes, including peroxisomal beta -oxidation and microsomal cytochrome P450-dependent omega -oxidation. Other specific enzymatic pathways include the 15-hydroxy prostaglandin dehydrogenase pathway, which inactivates PGE2 and PGF2alpha , and the 12-hydroxyeicosanoid dehydrogenase pathway, which metabolizes LTB4 (Hansen, 1976; Wainwright and Powell, 1991; Yokomizo et al., 1993), but these pathways are not expressed in the rat hepatocyte.

Previously, the metabolism of LTB4 in the hepatocyte was found to be mediated by a cytochrome P450-dependent omega -oxidation to 20-hydroxy-LTB4 (Murphy and Wheelan, 1997; Kikuta et al., 1994) followed by alcohol dehydrogenase (Baumert et al., 1989; Shirley and Murphy, 1990) and an aldehyde dehydrogenase-dependent (Sumimoto and Minakami, 1990) conversion of the omega -hydroxy metabolite to 20-carboxy-LTB4. Once a carboxylic acid moiety is formed at the terminal carbon atom of LTB4, it is converted to a CoA thioester where it can undergo subsequent beta -oxidation to 18-carboxy-LTB4 (Shirley and Murphy, 1990). Relatively small quantities of ethanol present during hepatocyte incubations have been found to reduce substantially the rate of LTB4 metabolism (Baumert et al., 1989; Shirley et al., 1992) with subsequent accumulation of 20-hydroxy-LTB4 and formation of a C-1 beta -oxidation product, 3-hydroxy-LTB4 (Shirley et al., 1992; Shirley and Murphy, 1992). Both of these LTB4 metabolites retain significant biological activity as chemotactic agents (Shirley et al., 1992). This alteration in LTB4 metabolism at low concentrations of ethanol could play an important role in the development of liver disease in human subjects because of the development of a concentration gradient of chemotactic agents within the hepatocyte (Shirley et al., 1992).

Prostaglandins (PGE2 and PGF2alpha ) as well as thromboxane B2 are metabolized by peroxisomal CoA-dependent beta -oxidation (Diczfalusy, 1994). An intermediate step of beta -oxidation involves oxidation of a 3-hydroxy-acyl-CoA ester that requires NAD+ as cofactor. In addition, a common metabolic pathway for these prostanoids, before chain shortening, involves reduction of the double bond at carbon-5 in a series of complex enzymatic steps that ultimately require intracellular reducing equivalents (Smeland et al., 1992). In spite of these requirements of both oxidizing and reducing equivalents for prostaglandin metabolism, little is known about whether ethanol or acetaldehyde affects prostaglandin metabolism through either direct or indirect biochemical interactions.

There have been no investigations of whether acetaldehyde metabolism through aldehyde dehydrogenase is linked to an alteration in the metabolic processing of LTB4. Furthermore, little is known about the effect of ethanol on prostaglandin metabolism in the hepatocyte. Previous interest in the interaction between ethanol and eicosanoids has focused largely on the effect of ethanol in altering the biosynthesis of these cyclooxygenase products (Pennington, 1985; Nebert, 1994). The effect of ethanol in altering beta -oxidation of PGE2 in the isolated rat hepatocyte has not been previously reported.

    Materials and Methods
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

Materials. The following drugs and chemicals were kindly provided by or obtained from the sources indicated: PGE2, LTB4, 20-carboxy LTB4 and 20-hydroxy-LTB4 (Cayman Chemical Co., Ann Arbor, MI), synthetic 3-hydroxy-LTB4 (Prof. J.R. Falck, University of Texas, Dallas, TX, tritium-labeled PGE2 ([5,6,8,11,12,14,15-3H(N)]PGE2, 171 Ci/mmol) (DuPont-New England Nuclear Co., Boston, MA), all solvents used for HPLC and sample dilution (Fisher Scientific, Fair Lawn, NJ), scintillation cocktail used for radioactive detection (Packard Instrument Co., Meriden, CT) and HBSS (Gibco BRL Life Technologies, Gaithersburg, MD).

Rat hepatocyte preparation. Rat hepatocytes were prepared for use at the University of Colorado Hepatobiliary Center according to the collagenase perfusion procedure described by Li et al., (1991). Cells (4 × 106/ml) were suspended in modified Waymouth's MB 752/1 cell medium and stored at 4°C. Within 1 hr of preparation, cells were pelleted at 112 × g to resuspend them in the incubation buffer.

Metabolism of LTB4 and PGE2: cell incubation. Stock solutions of LTB4 (20 µM + 0.2% BSA) and PGE2 (20 µM PGE2 with 0.4 µCi/mL 3H-PGE2) were prepared in HBSS and refrigerated before obtaining cells. Solutions of ethanol in HBSS (0 mM, 50 mM, 100 mM, 200 mM and 400 mM) and acetaldehyde in HBSS (0.2 mM, 0.6 mM, 2.0 mM, 60 mM and 200 mM) were prepared ahead of time in a cold room (7.2°C) and then sealed and stored on ice. Isolated rat hepatocytes (2 × 106 cells) were gently resuspended in each of eleven 15-ml polypropylene centrifuge tubes containing 0.5 ml of the different ethanol/acetaldehyde stock solutions as well as a control tube containing 0.5 ml of HBSS alone. To each of the 11 tubes in sequence, we added 0.5 ml of LTB4 stock solution for final concentrations of 10 µM LTB4 along with 2 × 106 rat hepatocytes/ml. The final concentrations of ethanol/acetaldehyde in each experiment were half the concentrations of the corresponding stock solutions. The same sequence of events was followed using PGE2 as substrate in 11 additional 1-ml incubations for final concentrations of 10 µM PGE2 along with 2 × 106 rat hepatocytes/ml. After incubation of the capped tubes for 25 min in a shaking water bath (37°C), we added 4 ml of cold 100% ethanol to each tube to terminate cell activity, precipitate cellular proteins and extract eicosanoids. The ethanolic solutions were stored for 2 hr at -20°C, after which the reaction contents were centrifuged at 224 × g, and the supernatant was separated from the residual pellet and retained for analysis. These incubations for both PGE2 and LTB4 were repeated in four separate experiments (four different rat livers).

Metabolite separation: reverse-phase HPLC. Reverse-phase HPLC with gradient elution coupled with mass spectrometry was used to separate and identify standard compounds and metabolites of eicosanoids. The extracts from the incubation samples were dried by rotary evaporation and brought up to 1.0 ml with a mixture of solvents matching initial HPLC conditions [75% A and 25% B; A = 8.3 mM acetic acid buffered at pH 5.0 with NH4OH, B = acetonitrile/methanol (65:35 v/v)]. These 1-ml suspensions were filtered (0.2-µm syringe filters Nalge; Rochester, NY) and 500-µL aliquots were set up for HPLC analysis using a Gilson Auto-injector 231-401 (Gilson Medical Electronics, Middletown, WI). Reverse-phase HPLC was carried out using a 4.6 × 250 mm Ultremex C-18 column (Phenomenex, Rancho Palos Verdes, CA) at a flow rate of 1.0 ml/min and a linear gradient from 25% B to 75% B in 25 min. The HPLC column was connected to a radioactivity monitor (Flow One/Beta Radiomatic, Tampa, FL) for quantification of radioactive PGE2 metabolites. Components were identified as metabolites of LTB4 by the characteristic UV absorbance pattern centered at a wavelength of 270 nm using an HPLC photodiode array detector.

Identification of the PGE2 and LTB4 metabolites was carried out using electrospray LC/MS and LC/MS/MS as previously described (Wheelan and Murphy, 1995). Briefly, the effluent of the HPLC (1-mm Ultremex C-18 column; flow at 50 µl/min, elution gradient same as that used for the 4.6-mm column) was electrosprayed into a tandem mass spectrometer (Sciex API-III+, Toronto, Canada) operated in a negative ion mode with an orifice potential of -50 V. The curtain gas flow of 1.2 l/min, nebulizer pressure at 40 psi and ion sprayed voltage of -2800 V (air as nebulizing gas) were employed at the electrospray interface. Collision induced decomposition of the carboxylate anions for the primary eicosanoids and their metabolites and monitoring of specific characterizing transitions of precursor to product ions were carried out at a collision energy of 20 eV and collision gas (argon) of 200 × 1012 molecules/cm2. The characterizing multiple reaction monitor (MRM) transitions had been determined from the product ion spectra obtained for PGE2 and its metabolites (Hankin et al., 1997) and for LTB4 and its metabolites (Wheelan et al., 1996). Where possible, HPLC retention times of synthetic standards were used to confirm metabolite identification.

The quantity of PGE2 metabolites reported was calculated on the basis of the starting specific radioactivity of PGE2 (20 µCi/µmol) used in each incubation experiment. The total radioactivity---and therefore the total quantity of metabolites---present in the sample analyzed by reverse-phase HPLC was determined by scintillation counting of an aliquot of the metabolite extract using an external standard method. The quantity of each PGE2 metabolite was calculated from the integrated radioactivity content of each metabolite eluting from the HPLC relative to total eluted radioactivity. The quantity of LTB4 and LTB4 metabolites identified were calculated from calibration curves of synthetic LTB4, 20-COOH-LTB4, 20-OH-LTB4 and 3-OH-LTB4 injected on the same HPLC system used to analyze the LTB4 metabolites. A linear relationship between quantity injected on column and detector response (0.72 pmol/mAU) was observed for all four standards and was applied to all LTB4 metabolites identified. Recovery of PGE2 metabolites was estimated to be 50% to 60% of starting PGE2 on the basis of radioactivity consistent with the formation of some metabolites that may have exchanged the radioactive label during metabolism. The recovery of LTB4 metabolites was 10% to 20% of starting LTB4; this was probably a result of the formation of non-UV-absorbing metabolites (Shirley and Murphy, 1992) and/or the poor extraction efficiency of polar metabolites.

Statistical analysis. The statistical analysis of the combined data from four separate experiments was performed using JMP software (SAS Institute, Cary, NC). The S.E.M. of four replicate experiments was calculated for each concentration of ethanol and acetaldehyde employed. The statistical results are expressed as error bars on the subsequent figures and are individually described in the figure legends. The significance of the difference between data-points was established with application of an analysis of variance using Fisher's protected measure of least significant difference with a multiple comparison procedure.

    Results
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

LTB4 metabolism and ethanol. As previously reported (Shirley et al., 1992), the incubation of LTB4 (10 µM) with rat hepatocytes resulted in rapid omega -oxidation that yielded 20-hydroxy-LTB4, which was subsequently oxidized to the major metabolites 20-carboxy-LTB4 and 18-carboxy-LTB4 (fig. 1A). The identity of the LTB4 metabolites was confirmed by HPLC retention time and mass spectrometric data. Dramatic changes in the abundance of these metabolites were observed when increasing concentrations of ethanol were added to the hepatocyte incubation (fig. 2). In the presence of 25 mM ethanol (fig. 1B), the major metabolite was observed to be 20-hydroxy-LTB4, and the quantities of 20-carboxy-LTB4 and 18-carboxy-LTB4 significantly decreased over initial levels of hepatocytes not exposed to ethanol. Furthermore, there was a doubling of the residual amount of LTB4 remaining in the incubation supernatant. A small increase of 3-OH-LTB4 was observed with 25 mM ethanol present in the incubation media. These major effects on LTB4 metabolism evident at 25 mM ethanol did not appear to be significantly altered when the concentration of ethanol was increased up to 100 mM (fig. 2). The abundance of 3-hydroxy-LTB4 observed at 25 mM LTB4 only slightly increased when higher concentrations of ethanol were present in the incubation media. The effect of ethanol on beta -oxidation of 20-hydroxy-LTB4 was assessed by relating the quantity of 18-COOH-LTB4 to total omega -oxidized products (18-COOH-LTB4 and 20-COOH-LTB4) formed at various concentrations of ethanol (table 1). There was no apparent inhibition of the metabolism of 20-COOH-LTB4 to 18-COOH-LTB4 even with high ethanol concentrations (100-200 mM) present in the incubation media.


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Fig. 1.   Separation and identification of metabolites of LTB4 (10 µM) in isolated rat hepatocytes (2 × 106 cells/ml) using reverse-phase HPLC with effluent monitored at 270 nm. HPLC peaks were structurally characterized by mass spectrometry in separate experiments. A) Representative control incubation with no ethanol or acetaldehyde added. Metabolite 20-hydroxy-LTB4 (20-OH-LTB4) is a product of omega -oxidation that subsequently undergoes beta -oxidation leading to the formation of the major metabolites 20-carboxy-LTB4 (20-COOH-LTB4) and 18-carboxy-LTB4 (18-COOH-LTB4). Several small metabolites appear in UV trace that were not considered in this work, along with an impurity i at 24 min that did not have the characteristic triene absorbance centered at 270 nm. B) Formation of LTB4 metabolites produced during incubation with rat hepatocytes and addition of 25 mM ethanol. Note the increase in 20-hydroxy-LTB4 with decreases in 20- and 18-carboxy-LTB4. C) Formation of LTB4 metabolites produced during incubation with rat hepatocytes and addition of 100 mM acetaldehyde.


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Fig. 2.   Quantity of major metabolites formed from LTB4 during incubation with rat hepatocytes in relation to increasing ethanol concentrations in incubation medium. Data-points on the log scale correspond to ethanol concentrations of 0, 25, 50, 100 and 200 mM. Error bars represent the S.E.M. of four separate experiments. The increase in 20-hydroxy-LTB4 observed above 25 mM ethanol and the decreases in 20-carboxy-LTB4 and 18-carboxy-LTB4 are all significantly different from control incubations (*P < .05; **P < .01).

                              
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TABLE 1
The extent of beta -oxidation of 20-carboxy-LTB4 during incubation of LTB4 with isolated rat hepatocytes. Values represent the ratio of picomoles of 18-carboxy-LTB4 to total picomoles of omega -carboxy-LTB4 metabolites (18-carboxy-LTB4 × 100/18-carboxy-LTB4 + 20-carboxy-LTB4) Error represents S.E.M. of four trials.

LTB4 metabolism and acetaldehyde. Addition of acetaldehyde to the incubation medium of isolated rat hepatocytes did not affect the apparent rate of metabolism or disposition of LTB4 into different metabolites when concentrations up to 1 mM were present in the incubation media (fig. 3). At higher concentrations of acetaldehyde (30 mM), there was a decrease in abundance of 18-carboxy-LTB4 with a corresponding increase in the concentration of precursors 20-carboxy-LTB4 and LTB4. At 100 mM acetaldehyde, there were decreases in all metabolites and increases in unmetabolized LTB4 (fig. 1C). The extent of beta -oxidation was altered significantly when acetaldehyde in the incubation media was greater than 1 mM, which suggests that acetaldehyde affects some steps of 20-carboxy-LTB4 beta -oxidation (table 1).


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Fig. 3.   Quantity of major metabolites of LTB4 in isolated rat hepatocytes observed at increasing acetaldehyde concentrations in the incubation medium. Data-points on the log scale correspond to acetaldehyde concentrations of 0, 0.1, 0.3, 1, 30 and 100 mM. Error bars represent the S.E.M. of four separate experiments. The increase in relative abundance of LTB4 and the decrease in 18-carboxy-LTB4 between 1 and 100 mM acetaldehyde were statistically significant (*P < .05; **P < .01).

PGE2 metabolism and ethanol. Incubation of PGE2 with isolated rat hepatocytes for 25 min resulted in the rapid metabolism of this prostaglandin as revealed by the HPLC separation of radioactive components (fig. 4A). Five major radioactive peaks could be separated, and they were identified via mass spectrometric techniques as unchanged PGE2, dinor-PGE1, dinor-PGE2, tetranor-PGE1 and an HPLC peak (retention time 8.5 min) corresponding to two coeluting taurine conjugates, tauro-dinor-PGE1 and tauro-dinor-PGE2, as previously described (Hankin et al., 1997). The absolute magnitude of the taurine conjugates of the dinor-PGE metabolites was found to vary 4-fold between experimental days, from 7% to 30% of the total metabolites. However, the absolute quantity of total metabolites was remarkably similar in day-to-day hepatocyte preparations. No dose-dependent effect of ethanol or acetaldehyde was observed on the extent of taurine conjugation (data not shown). The quantity of dinor-PGE1 and dinor-PGE2 as taurine conjugates was calculated by proportioning the total amount of coeluting taurine conjugates by the ratio of dinor-PGE1 to dinor-PGE2 observed in these experiment. Independent mass spectrometric analysis of the taurine conjugate HPLC peak in four separate samples revealed the molecular ion ratios of tauro-dinor-PGE1 to tauro-dinor-PGE2 to be constant relative to the ratios of the HPLC radioactive peak for dinor-PGE1/dinor-PGE2 found in these samples. Thus the effect of ethanol on formation of the beta -oxidized products dinor-PGE1, dinor-PGE2 and tetranor-PGE2 could be assessed independently of the conjugation reaction.


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Fig. 4.   Distribution of radioactive metabolites of PGE2 with [5,6,8,11,12,14,15-3H(N)]PGE2 (171 Ci/mmol) incubated with isolated rat hepatocytes and varying concentrations of ethanol and acetaldehyde. Metabolites separated by HPLC were detected with an online radioactivity monitor. A) Control metabolite profile with 10 µM PGE2 and 2 × 106 cells/ml. B) Metabolite profile after incubation of cells in medium containing 25 mM ethanol. C) Metabolite profile after incubation of cells in medium containing 100 mM acetaldehyde.

The addition of ethanol did alter the metabolism of PGE2 to some extent (fig. 5). When cells were incubated with 25 mM ethanol, there was a statistically significant increase in the amount of dinor-PGE1, the major beta -oxidation product, with a corresponding decrease in the amount of its subsequent beta -oxidation metabolite, tetranor-PGE1 (fig. 4B). There appeared to be a dose-dependent decrease in quantity of dinor-PGE1 when hepatocytes contained between 50 and 200 mM ethanol. Interestingly, this increase in dinor-PGE1 at low ethanol concentration was not reflected by changes in dinor-PGE2, which is formed by a slightly different mechanism of beta -oxidation that does not involve prior saturation of the double bond at carbon-5 (Hankin et al., 1997).


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Fig. 5.   Abundance of major metabolites of PGE2 in isolated rat hepatocytes in relation to increasing ethanol concentrations in incubation medium. Data-points on the log scale correspond to ethanol concentrations of 0, 25, 50, 100 and 200 mM. Error bars represent the S.E.M. from four separate experiments. The increase in abundance of dinor-PGE1 at 25 mM ethanol and the corresponding decrease in tetranor-PGE1 at 50 mM ethanol concentrations were significantly different from control incubations (*P < .05; **P < .01).

PGE2 metabolism and acetaldehyde. When the incubation of PGE2 was carried out in isolated rat hepatocytes in the presence of acetaldehyde (0, 0.1, 0.3, 1, 30 and 100 mM), the relative abundances of dinor-PGE1, dinor-PGE2 and tetranor PGE1 metabolites remained relatively constant from 0 to 0.3 mM acetaldehyde (fig. 6), which are concentrations of acetaldehyde that may be generated in vivo (Weiner, 1997). However, all metabolites were observed to decrease when high concentrations of acetaldehyde (fig. 6) were incubated with PGE2. The amount of nonmetabolized PGE2 increased in a dose-dependent manner between 1 and 100 mM acetaldehyde.


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Fig. 6.   Abundance of major metabolites of PGE2 in isolated rat hepatocytes in relation to increasing acetaldehyde concentrations in incubation medium. Data-points on the log scale correspond to acetaldehyde concentrations of 0, 0.1, 0.3, 1, 30 and 100 mM. The increase in abundance of PGE2 at 100 mM acetaldehyde and the decrease in tetranor-PGE1 were significantly different from control incubations (*P < .05; **P < .01).

    Discussion
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

Leukotrienes and prostaglandins play important roles in mammalian systems in normal physiology as well as in pathophysiology. For example, they are thought to be major lipid mediators of the inflammatory response (Henderson, 1994; Mayatepek and Hoffman, 1995) and to be responsible for many physiological processes (Smith, 1992; Williams and DuBois, 1996). Because they are substances that serve as chemical messengers, communicating events that lead to cellular activation and corresponding biochemical responses, termination of their activity becomes an important consideration. For eicosanoids in general, metabolism is the major process that limits the biological activity of these substances. Metabolism of both prostaglandins and leukotrienes can involve specific metabolic pathways such as 15-hydroxy prostaglandin dehydrogenase and 12-hydroxy eicosanoid dehydrogenase (Hansen, 1976; Wainwright and Powell, 1991) as well as more general noneicosanoid specific pathways, including serving as substrates for cytochrome P450s and beta -oxidation. The liver is known to metabolize both prostaglandins and leukotrienes rapidly to a series of metabolites involving both of these more general metabolic cascades that lead to biologically inactive metabolites.

There are interesting differences in metabolism between these two families of eicosanoids. Prostaglandins are largely metabolized by peroxisomal beta -oxidation after formation of the CoA ester at the C-1 carboxylic acid group in the endoplasmic reticulum (Diczfalusy, 1994). Leukotrienes, and in particular LTB4, are metabolized initially by cytochrome P450 in the endoplasmic reticulum, leading to the omega -oxidized product 20-hydroxy-LTB4. This metabolite is then further oxidized to 20-carboxy-LTB4, a process that involves alcohol dehydrogenase, aldehyde dehydrogenase and possibly cytochrome P450 (Sumimoto and Minakami, 1990). Omega carboxy-LTB4 is then a substrate for beta -oxidation after formation of the omega -CoA thioester, resulting in a series of chain-shortened omega /beta -oxidized metabolites, the major dicarboxylic acid metabolite being 18-carboxy-LTB4. The isolated rat hepatocyte metabolism of PGE2 and LTB4 does not involve the more esoteric metabolic pathways of 15-hydroxy prostaglandin dehydrogenase or 12-hydroxy eicosanoid dehydrogenase found in other tissues, but it does provide a model in which to study the effects of ethanol on hepatic eicosanoid metabolism.

There have been several studies investigating an interaction between ethanol and eicosanoids largely from the standpoint of the effect of ethanol on their biosynthetic pathways. In large part, this is because both synthetic pathways are highly regulated. Ethanol has been found to exert both stimulation and inhibitory effects on prostaglandin synthesis (Pennington, 1985; Nebert, 1994). Ethanol has also been found to affect the synthesis of leukotrienes (Shirley et al., 1992; Shirley and Murphy, 1992). Only few studies have specifically investigated an effect of ethanol on the metabolic inactivation of prostaglandins and leukotrienes. Ethanol has been shown to alter 15-hydroxy prostaglandin dehydrogenase activity after both acute and chronic exposure (Pennington et al., 1980). Because this enzyme requires NAD+ as cofactor, this effect of ethanol is thought to be mediated by an altered cellular redox potential, with decreased concentrations of NAD+ induced by alcohol dehydrogenase metabolism of ethanol. The effects of ethanol and acetaldehyde on prostaglandin metabolism by beta -oxidation pathways have not been previously investigated. A significant effect of ethanol on leukotriene metabolism has been previously reported (Baumert et al., 1989; Shirley et al., 1992; Shirley and Murphy, 1992). LTB4 metabolism has been shown to involve alcohol dehydrogenase as the major enzyme in the omega -oxidation of 20-hydroxy-LTB4 to 20-carboxy-LTB4. Inhibition of this metabolic pathway prevents the inactivation of LTB4, because 20-hydroxy-LTB4 and 3-hydroxy-LTB4 (a beta -oxidation product from the C-1 terminus), as well as intact LTB4, are chemotactic for the human polymorphonuclear leukocytes. The conversion of 20-hydroxy-LTB4 to 20-carboxy-LTB4 probably involves the intermediate formation of 20-oxo-LTB4, which has been isolated (Soberman et al., 1988). Two separate mechanisms have been postulated to mediate this aldehyde oxidation. The first involved a NADPH-dependent cytochrome P450 pathway, the second a disulfiram-insensitive NAD+-dependent aldehyde dehydrogenase pathway. It was suggested that in the human neutrophil, the NAD+-dependent aldehyde dehydrogenase pathway was several-fold higher in this activity than the cytochrome P450 pathway (Sumimoto and Minakami, 1990). No investigations have reported whether acetaldehyde interferes with the metabolic conversion of 20-oxo-LTB4 to 20-carboxy-LTB4.

Results of the investigations reported here confirm the effect of low-dose ethanol (25 mM) in inhibiting the metabolism of LTB4 in the isolated rat hepatocyte. In parallel incubations, acetaldehyde had surprisingly minor effects on the metabolism of LTB4 at concentrations of acetaldehyde that are relevant to ethanol metabolism (Weiner, 1997). These results suggest that conversion of 20-hydroxy-LTB4 to 20-carboxy-LTB4 via the formation of 20-oxo-LTB4 does not involve an aldehyde dehydrogenase that utilizes acetaldehyde as a substrate, such as mitochondrial type II NAD+-dependent aldehyde dehydrogenase. Even though LTB4 is known to be metabolized in mitochondrial beta -oxidation, alternative pathways of oxidation of 20-oxo-LTB4 are probably involved. Other possibilities include the peroxisomal or microsomal aldehyde dehydrogenases, which are known to metabolize aldehydes other than acetaldehyde. Ethanol was not found to effect significantly the beta -oxidation of LTB4 (20-carboxy-LTB4 to 18-carboxy-LTB4). However, acetaldehyde at high concentrations (greater than 1 mM) did inhibit the beta -oxidation of 20-carboxy-LTB4. Because ethanol did not have a significant effect on this process, it is unlikely that this inhibition of beta -oxidation is a result of reducing NAD+ concentrations within the peroxisomes, which is required for oxidation of the 20-carboxy-18-hydroxy-LTB4 acyl thioester to the 20-carboxy-18-oxo-LTB4 CoA thioester before a thiolase cleavage reaction. Acetaldehyde is probably affecting one of the enzymatic steps involved in the multifunctional beta -oxidation enzyme complex present in peroxisomes.

The effect of ethanol on PGE2 metabolism was not as striking as the effect of ethanol on LTB4 metabolism in the isolated rat hepatocyte. There was an alteration in beta -oxidation apparent at low doses of ethanol (25 mM) with increased formation of the metabolite dinor-PGE1 and a corresponding decrease in tetranor-PGE1. Dinor-PGE1 is typically the major metabolite of PGE2 in the isolated rat hepatocyte, and it is a product of multiple steps of enzymatic processing that includes several isomerase reactions and eventual involvement of NADPH-dependent 2,4-dienoyl-CoA reductase (Vasiliou et al., 1995), ultimately leading to saturation of the Delta 5 double bond and PGE2 before the initial steps of beta -oxidation. The involvement of this reductive step suggests the possibility of enhanced synthesis of the dinor-PGE1 metabolite in the presence of ethanol. However, we believe this is not the case, because the dinor-PGE1 metabolite was not enhanced but was decreased to some extent with higher ethanol concentrations. A decrease in the relative abundance of tetranor-PGE1 also accompanied increases in abundance of dinor-PGE1. The levels of dinor-PGE2 remained relatively constant, unlike those of dinor-PGE1 and tetranor-PGE1. The results from the experiments reported here suggest that the second round of beta -oxidation is uniquely susceptible to inhibition by ethanol---that is, the metabolism of dinor-PGE1 to tetranor-PGE1. A potential site for the effect of ethanol might be oxidation of the 3-hydroxy-CoA thioester to the 3-oxo thio CoA ester of the dinor-PGE1 metabolites. This step of beta -oxidation was found to be sensitive to the inhibition of ethanol in the metabolism of LTB4.

The effect of acetaldehyde on PGE2 metabolism was similar to that observed for LTB4 in that no major alteration in metabolite levels was observed at physiologically relevant concentrations of acetaldehyde. However, above 1 mM there was a significant effect on beta -oxidation with a decrease in relative abundance of tetranor-PGE2, the product from a second round of beta -oxidation of PGE2.

In conclusion, LTB4 is uniquely susceptible to inhibition of metabolism in the hepatocyte with low doses of ethanol because of the involvement of alcohol dehydrogenase during hepatic catabolism. Ethanol at these low doses decreased beta -oxidation of PGE2, but only in the conversion of dinor-PGE1 to tetranor-PGE1. Acetaldehyde had surprisingly minor effects on PGE2 and LTB4 metabolism at doses relevant to ethanol metabolism. The oxidation of the aldehyde 20-oxo-LTB4 to 20-carboxy-LTB4 apparently does not involve an aldehyde dehydrogenase that uses acetaldehyde as a substrate. Acetaldehyde at relatively high concentrations did appear to affect some steps of beta -oxidation of both PGE2 and LTB4. Ethanol has interesting and complex effects on the oxidative metabolism of eicosanoid, and these effects may play an important role in vivo because they occur at concentrations of ethanol that are readily achieved in the human.

    Acknowledgment

The authors wish to acknowledge the statistical assistance of Dr. David Ikle.

    Footnotes

Accepted for publication December 9, 1997.

Received for publication August 13, 1997.

1 This work was supported in part by a grant from the National Institutes of Health (AA09468).

Send reprint requests to: Robert C. Murphy, Ph.D., National Jewish Medical and Research Center, 1400 Jackson Street, Denver, CO 80206.

    Abbreviations

LTB4, leukotriene B4; HBSS, Hank's balanced salt solution; BSA, bovine serum albumin; LC/MS, liquid chromatography/mass spectrometry; LC/MS/MS, liquid chromatography/tandem mass spectrometry; MRM, multiple reaction monitoring; mAU, milliabsorbancy unit.

    References
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Abstract
Introduction
Materials & Methods
Results
Discussion
References


0022-3565/98/2851-0155$03.00/0
THE JOURNAL OF PHARMACOLOGY AND EXPERIMENTAL THERAPEUTICS
Copyright © 1998 by The American Society for Pharmacology and Experimental Therapeutics



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