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Journal of Lipid Research, Vol. 42, 587-596, April 2001
Copyright © 2001 by Lipid Research, Inc.


Original Article

Identification of platelet-activating factor as the inflammatory lipid mediator in CCl4-metabolizing rat liver

Gopal K. Marathea, Kathleen A. Harrisong, L. Jackson Roberts, IIe, Jason D. Morrowe, Robert C. Murphyg, Larry W. Tjoelkerf, Stephen M. Prescottb,d, Guy A. Zimmermanb,c, and Thomas M. McIntyrea,b,c
a Department of Pathology, University of Utah, Salt Lake City, UT 84112
b Department of Internal Medicine, University of Utah, Salt Lake City, UT 84112
c Eccles Institute of Human Molecular Biology and Genetics, University of Utah, Salt Lake City, UT 84112
d Huntsman Cancer Institute, University of Utah, Salt Lake City, UT 84112
e Department of Medicine and Department of Pharmacology, Vanderbilt University, Nashville, TN 37232
f ICOS Corporation, Bothell, WA 98021
g Department of Pediatrics, National Jewish Medical and Research Center, Denver, CO 80206

Correspondence to: Thomas M. McIntyre, at 4130 Eccles Institute of Human Genetics, 2030 E. 15 N., University of Utah, Salt Lake City, UT 84112-5330., tom.mcintyre{at}hmbg.utah.edu (E-mail)


  ABSTRACT
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Unmitigated oxidative stress is deleterious, as epitomized by CCl4 intoxication. In this well-characterized model of free radical-initiated damage, liver metabolism of CCl4 to CCl3. causes lipid peroxidation, F-ring isoprostane formation, and pathologic leukocyte activation. The nature of the mediator that couples oxidation to the hepatotoxic inflammatory response is uncharacterized. We found that oxidatively modified phosphatidylcholines were present in the livers of CCl4-exposed rats and not in livers from control animals, that CCl4 metabolism generated lipids that activated 293 cells stably transfected with the human platelet-activating factor (PAF) receptor, and that this PAF-like activity was formed as rapidly as isoprostane-containing phosphatidylcholine (iPC) during oxidation. iPC and the PAF-like activity also had similar chromatographic properties. The potential for iPC activation of the PAF receptor has been unexplored, but we conclude that iPC themselves did not activate the PAF receptor, as phospholipase A1 hydrolysis completely destroyed iPC, but none of the PAF-like bioactivity. Oxidatively fragmented phospholipids are potent agonists of the PAF receptor, but mass spectrometry characterized PAF as the major inflammatory component coeluting with iPC.

Oxidatively fragmented phospholipids and iPC are markers of free radical generation in CCl4-intoxicated liver, but PAF generation by activated hepatic cells generated the inflammatory agent. Marathe, G. K., K. A. Harrison, L. J. Roberts II, J. D. Morrow, R. C. Murphy, L. W. Tjoelker, S. M. Prescott, G. A. Zimmerman, and T. M. McIntyre. Identification of platelet-activating factor as the inflammatory lipid mediator in CCl4-metabolizing rat liver. J. Lipid Res. 2001. 42: 587;–596.

Supplementary key words: PAF, inflammation, liver, isoprostane, oxidation


  INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Platelet-activating factor (PAF, 1-O-alkyl-2-acetyl-sn-glycero-3-phosphocholine) activates inflammatory cells expressing the single known receptor for PAF (1) and does so at exceedingly low concentrations. Receptor specificity depends on the sn-1 ether bond, the choline head group, and, as a distinguishing feature, the short sn-2 acetyl residue (2). Biosynthesis by inflammatory cells occurs primarily by transacetylation from acetyl-CoA, and both this final enzyme and the phospholipase A2 that generates the lysolipid acceptor are activated in appropriately stimulated cells.

We (3) and others (4) (5) find that a second way exists to create PAF receptor agonists: through the oxidative fragmentation of phosphatidylcholines containing a polyunsaturated fatty acyl residue in the sn-2 position (6). The esterified fatty acyl peroxides formed by such an oxidative attack can undergo ß scission that, because of the varied location of the peroxide function along the fatty acyl residue, generates a large number of phospholipid products with short and/or functionalized sn-2 residues (7) (8) (9). Some of these directly bind and activate the PAF receptor, and do so with an affinity that is within an order of magnitude of that for PAF (10). These oxidatively generated PAF receptor agonists are products of an unregulated chemical reaction and are not under the stringent control accorded cellular enzymatic reactions. The structural diversity between PAF and its mimetics therefore represents mechanistic differences in the formation of potent PAF receptor agonists, and it implies that the unregulated formation of PAF-like mimetics may circumvent the tight control of a potent inflammatory system.

Oxidation of arachidonoyl-containing phosphatidylcholine has a second outcome, which is the formation of a series of isomers of prostaglandins. Again this occurs through unregulated chemical reactions that are not regulated or directed by the cyclo-oxygenases responsible for cellular prostanoid synthesis. The ability to detect these products of chemical oxidation with great specificity and sensitivity has made this class of lipid oxidation products premier markers of oxidative processes, particularly in vivo, where measures of oxidative stresses have been limited (11) (12). Isoprostanes are initially formed by oxidation of arachidonate esterified at the sn-2 position of cellular and lipoprotein phospholipids (13), and these arachidonoyl phospholipid peroxides may rearrange to a series of regio- and stereoisomers of eicosanoid mediators including the F2-isoprostanes (12) (14). An E-ring isoprostane-containing phosphatidylcholine (iPC), generated in the absence of cellular reductants, has been implicated as an inflammatory agonist (15). The PAF receptor, ordinarily selective for the sn-2 acetyl residue of PAF, responds to phosphatidylcholines with longer, functionalized sn-2 residues (S. S. Davies, G. K. Marathe, G. A. Zimmerman, S. M. Prescott, and T. M. McIntyre, unpublished data), but whether an iPC might also interact with the PAF receptor is undetermined.

Oxidatively fragmented phospholipids with PAF-like activity are readily formed in vitro during the oxidation of lipoprotein particles (4) (5) (10) or cultured cells (16). These and other oxidatively fragmented phospholipids are found in vivo in atherosclerotic lesions (5) and in the circulation after exposure to cigarette smoke (17) (18) (19) or other oxidative stress (19). Isoprostanes are recovered under the same circumstances: F-ring isoprostanes mark the oxidative stress of smokers (20) (21), ex vivo lipoprotein oxidation (21) (22), and atherosclerotic plaques (23) (24). Whether isoprostanes and PAF-like lipids are formed in parallel or always coexist is unclear, but both are the products of phospholipid oxidation.

CCl4 metabolism is an established model of liver necrosis and fibrosis, and the liver damage created by this metabolism is free radical dependent. CCl4 is oxidized by cytochrome P- 450 to the CCl3· radical, which generates oxygen radicals (25) and phospholipid peroxides (26) in abundance. These underlie liver damage in this model because either introduction of the protective enzyme superoxide dismutase (25) or interference with the inflammatory oxidative burst suppresses both peroxide formation and liver damage. In the context of CCl4 poisoning, F-ring iPC increase dramatically, as much as 140-fold, in the liver (13) (27), confirming the oxidative nature of this insult. The PAF receptor in other models contributes to leukocyte influx in inflamed liver (28), and it appears to be responsible for the hemologic derangement subsequent to CCl4-induced liver damage (29).

Receptor antagonists define a role for the PAF receptor in oxidative liver disease but do not distinguish between PAF, PAF-like lipids, or iPC as the relevant agonist. Here we show that the livers of rats metabolizing CCl4 contain inflammatory phospholipids. These copurify with iPC, and they activate leukocytes via their PAF receptor. However, neither iPC nor oxidatively fragmented PAF-like lipids were the proinflammatory agonist(s) extracted from CCl4-metabolizing liver. Instead we find that oxidants, which stimulate cellular PAF generation in vitro (30), lead to the accumulation of significant amounts of hepatic PAF. Thus in an established model where the proximal insult is free radical generation, oxidation activates PAF generation rather than increasing the formation of oxidatively fragmented phospholipids with PAF-like activity.


  MATERIALS AND METHODS
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ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Recombinant PAF acetylhydrolase (PAF-AH) was from ICOS (Bothell, WA). PAF, acyl PAF, and BN52021 were purchased from Biomol Research Laboratories (Plymouth Meeting, PA). FURA-2AM ester was from Molecular Probes (Eugene, OR). Pefabloc was from Pentapharm (Basel, Switzerland). Human albumin was from Baxter Health Care (Glendale, CA). WEB 2086 was a generous gift from Boehringer Ingelheim Pharmaceuticals (Ridgefield, CT). The solvents (J. T. Baker, Phillipsburg, NJ) used were high performance liquid chromatography (HPLC) grade. Trypsin-ethylenediaminetetraacetic acid (EDTA) was from GIBCO (Grand Island, NY), and fetal bovine serum was from HyClone (Logan, UT). Lipase (with phospholipase A1 activity) from Rhizopus arrhizus was from Boehringer Mannheim (Indianapolis, IN). In experiments where recombinant PAF-AH was used, PAF-like lipids or PAF was treated with 4 µg of this enzyme in Hanks' balanced salt solution containing 0.5% human serum albumin (HBSS-A) for 1 h.

Lipid analysis
Human low density lipoprotein (LDL) was isolated by density flotation from normolipidic subjects, oxidized for the stated period of time, and quenched with 100 µM butylated hydroxytoluene and 200 µM EDTA, and the extracted lipids were separated on an aminopropyl column before being subjected to reversed-phase HPLC separation as described (10). An aliquot of the most active PAF-like fraction eluting at minute 6 was dried under nitrogen, resuspended in HBSS-A, and sonicated before being assayed for bioactivity as described below.

iPC was isolated and purified by HPLC from rat liver 2 h after administration of CCl4 as described previously (13) (27) in accordance with National Institutes of Health (Bethesda, MD) guidelines. The amount of esterified F2-isoprostane was determined by subjecting an aliquot to alkaline hydrolysis followed by quantitation of the free F2-isoprostane by negative ion chemical ionization gas chromatography-mass spectrometry (GC-MS). This was accomplished by derivatization to the pentafluorobenzoyl ester, trimethylsilyl ether derivatives as previously described (14). A portion of the HPLC-purified iPC extracted from liver lipids (approximately 10 µg) was subjected to hydrolysis with 50 units of phospholipase A1 (R. arrhizus) for 11 h at 37°C (10) and then injected into a 5-µm ODS reversed-phase HPLC column (2 x 150 mm; Phenomenex, Torrance, CA) and resolved with a gradient from 80% to 98% solvent B over a period of 10 min, where solvent A is H2O-0.05% acetic acid (pH 5.7) and solvent B is CH3CN;–methanol 65:35. The fractions eluting from this column were dried under nitrogen and assayed for PAF-like bioactivity and for isoprostane content (14). In addition, PAF and certain PAF-like lipids were quantitated by negative ion GC-MS after hydrolysis with phospholipase C and derivatization of the liberated diacylglycerols with pentafluorobenzoyl chloride as described previously (10).

On-line HPLC mass spectral analysis was carried out with a Sciex API-III+ triple quadrupole mass spectrometer (PE-Sciex, Thornhill, Ontario, Canada). For all electrospray ionization analyses, the curtain gas flow was 1.2 l/min nitrogen with a nebulizer pressure at 38 lb/in2. The orifice potential was maintained at 75 V and the electrospray ionization potential was maintained at approximately +4,200 V. Precursor ion scanning MS/MS was carried out with collision energy Elab = 20 eV and collision gas thickness 240 x 1013 argon atoms/cm2.

PAF-like activity analysis
The human PAF receptor (hPAFR) cDNA was obtained by the polymerase chain reaction (PCR) (sense primer, 5'-ATAAGCGGC CGCGACCAGCTGATCATTCCAGCCCACAGCAATG; antisense primer, 5'-GAAGTCTAGAAAGACTTCAGGCCTGGAAGCAGG). The PCR product was cloned into the NotI and XbaI restriction sites of the mammalian expression plasmid pRc/CMV (InVitrogen, Carlsbad, CA), via the NotI and XbaI sites located within the PCR primers. The expression construct was introduced into HEK293 cells, using the 1,2-dioleoyl-3-trimethylammoniumpropane (DOTAP) transfection reagent (Boehringer Mannheim, Indianapolis, IN) according to the supplier protocol. After 17 days of selection in Dulbecco's modified Eagle's medium (GIBCO) supplemented with 1 mM L-glutamine, penicillin (100 U/ml), streptomycin (100 µg/ml), 10% fetal calf serum, and Geneticin (0.8 mg/ml; GIBCO), clones were isolated with cloning rings. Levels of PAF receptor expression by individual clones were monitored by Northern blotting. Signaling via the overexpressed PAF receptor was confirmed by measuring calcium mobilization in response to 25 nM PAF.

Subconfluent hPAFR 293 cells were used to quantitate intracellular Ca2+ after they were suspended with Versene (GIBCO-BRL, Gaithersburg, MD). These cells were pelleted and resuspended in fresh culture medium containing FURA-2AM to a final concentration of 1 µM. After incubation in the dark for 45 min at 37°C, the cells were washed with HBSS-A and resuspended at a density of 2.25 x 106 cells/ml. Fluorescence was measured at 37°C with dual excitation at 340 and 380 nm and emission at 510 nm (10). In a few experiments, cells were treated with the PAF receptor antagonist BN52021 (10 µM) and then used in this assay. In experiments involving rPAF-AH, polar phosphatidylcholine preparations were dried under nitrogen, suspended in HBSS-A, sonicated, and then treated with recombinant PAF-AH. Human neutrophils were isolated by dextran sedimentation and centrifugation over Ficoll as described (31), labeled with FURA-2, and analyzed for intracellular Ca2+ mobilization as described previously (10).


  RESULTS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

CCl4-exposed liver contains inflammatory phospholipids
CCl4 metabolism produces a profound oxidative stress through its metabolism to CCl3· and other free radicals, and should produce both fragmented PAF-like phospholipids and iPC. The polar phospholipid fraction we extracted from CCl4 - exposed livers included iPC, based on the isoprostane content after phospholipid hydrolysis (see below). This material was then tested as an inflammatory, Ca2+-mobilizing agonist for freshly isolated human polymorphonuclear leukocytes (PMN). PMN loaded with the Ca2+-sensitive dye FURA-2 demonstrated a sharp and rapid increase in intracellular Ca2+ in response to the positive control 10-9 M PAF ( Fig 1A). We next exposed PMN to various concentrations of purified iPC, where the quantity of phospholipid was determined by phosphorus analysis, a value that agreed with the content of isoprostane determined after hydrolysis to free fatty acids and analysis by GC-MS. We found that this preparation caused transient increases in intracellular Ca2+ in PMN, and did so in a concentration-dependent fashion (Fig 1B), where full activation was achieved at submicromolar concentrations. We determined whether oxidized phospholipids (or PAF) accounted for the biologic activity in CCl4-exposed livers by enzymatically digesting the preparation with a nonspecific phospholipase A2 (not shown), or with PAF-AH (Fig 1C), an enzyme that selectively inactivates phospholipids with modified or short sn-2 residues, to find that this treatment abolished the inflammatory activity of iPC. Clearly the active species were intact phospholipids and could not be lysophosphatidylcholine, which was increased by this hydrolysis of oxidized phospholipids. These data show that the iPC preparations were inflammatory agonists for human leukocytes, but were less potent than PAF on a molar basis.



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Figure 1. Intact isoprostane-containing phosphatidylcholines (iPC) from CCl4-treated rat liver are inflammatory. The effect of high performance liquid chromatography (HPLC)-purified iPC derived from CCl4-treated rats on human polymorphonuclear leukocytes (PMN) was tested as follows. Freshly isolated PMN were loaded with the Ca2+-sensitive dye FURA-2 and then treated with synthetic platelet-activating factor (PAF) (A) or iPC purified from the livers of CCl4-treated rats (B) at the stated concentrations. A: Full activation of human PMN with 10-9 M PAF that completely desensitized these cells to a second exposure to the same concentration of PAF. B: Dose-dependent increase in calcium concentration, in response to iPC: line a = 10-11 M iPC; line b = 10-10 M iPC; line c = 10-9 M iPC; line d = 10-8 M iPC; line e = 10-7 M iPC. C: Stimulation by the maximally effective concentration of iPC is abolished by pretreatment with recombinant human PAF-AH (acetylhydrolase) (rPAF-AH) that inactivates PAF and oxidatively fragmented phospholipids.

iPC preparations act through the PAF receptor
We questioned whether the polar phospholipids isolated from CCl4-metabolizing liver activated leukocytes via their PAF receptors, or through some other phospholipid-recognizing entity. We therefore determined whether the active phospholipids extracted from liver were capable of activating 293 cells stably expressing the hPAFR, as this receptor recognizes intact phospholipids, albeit ones with an exceedingly short sn-2 residue. These cells specifically responded to PAF ( Fig 2A and Fig B) and to oxidatively fragmented phospholipids with PAF-like activity (10). We examined Ca2+ transients in these hPAFR 293 cells in response to 10-9 and 10-10 M PAF and found (Fig 2A and Fig B) that both concentrations were effective in inducing a marked increase in intracellular Ca2+ levels. There was not a significant difference in fluorescence with this 10-fold change in concentration, but only the 10-9 M initial exposure completely desensitized the cells to a subsequent challenge with 10-10 M PAF.



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Figure 2. Intact iPC from CCl4-treated rat liver are PAF receptor agonists. iPC was purified from CCl4-treated rat liver and the specified concentration was added to FURA-2AM-loaded hPAFR 293 cells. A: and B: establish the sensitivity of changes in the 340/380 nm ratio to PAF for these cells (open arrow), and PAF receptor desensitization was confirmed by a subsequent exposure to 10-10 M PAF (closed arrow). C–F: define the concentration-dependent increase in intracellular Ca2+ accumulation by iPC (open arrow) and PAF receptor desensitization (filled arrow) in the same batch of hPAFR 293 cells. G: and H: show inhibition of iPC- or PAF-induced increases in Ca2+ accumulation by BN-52021, a selective PAF receptor antagonist. I: demonstrates the loss of iPC PAF receptor agonistic activity after treatment with recombinant PAF-AH. IsoPC, Isoprostane-containing phosphatidylcholine; rPAF-AH, recombinant PAF-AH.

With the sensitivity of the system established, we examined the effect of iPC to find a concentration-dependent increase in fluorescence (Fig 2C–F). iPC at a concentration of 10-7 M was just submaximal, with an incomplete desensitization to rechallenge with 10-10 M PAF. However, iPC at 10-6 M induced the same level of fluorescence as 10-9 M PAF, and it completely desensitized the cells to a subsequent exposure to 10-10 M PAF. Equivalent fractions derived from a control rat liver lipid extract produced only a weak increase in intracellular Ca2+ (data not shown), showing that accumulation of the PAF-like bioactivity resulted from CCl4 metabolism. To confirm that the change in Ca2+ levels was due to activation of the ectopic PAF receptor, we included the selective PAF receptor antagonist BN52021 in the assay. This abolished the Ca2+ flux induced by PAF and iPC, and this effect could be overcome, because this is a competitive inhibitor, by restimulation with a much higher concentration of PAF (Fig 2G and Fig H). In addition, this activity required the phospholipid esterified sn-2 residue because hydrolysis of this residue destroyed the ability of iPC preparations to interact with the PAF receptor (Fig 2I). We conclude from this bioassay that the iPC fraction contains a PAF receptor agonist(s), but is approximately 1,000-fold less potent than the natural ligand PAF.

Formation of PAF-like activity and iPC are temporally correlated
We used a cell-free model system to determine whether fragmentation of fatty acyl peroxides to PAF-like lipids proceeds in parallel with nonenzymatic rearrangement of esterified arachidonoyl residues to esterified isoprostanes. We oxidized LDL with Cu+ for various times, isolated the newly generated polar phospholipids by reversed-phase chromatography, and then assayed the fractions for activity, using 293 cells ectopically expressing the cloned hPAFR. We found ( Fig 3) that PAF-like activity could be detected by 30 min, was maximal after 2 h of oxidation, remained at this level for 2 h, and then declined to a constant level that was maintained for at least 18 h. This parallels esterified isoprostane formation under these same conditions, where isoprostane accumulation is just detectable by 60 min of Cu+ oxidation and maximal by 90 min (22).



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Figure 3. Formation of PAF-like activity is an early event in acellular low density lipoprotein (LDL) oxidation. The rate of accumulation of PAF-like activity in oxidized LDL was measured by examining changes in intracellular calcium levels in Fura-2AM-loaded hPAFR 293 cells that ectopically express the hPAFR. LDL was isolated from human blood by density flotation and oxidized with copper for the stated periods of time before PAF-like phospholipids were isolated as described in Materials and Methods. An equal aliquot of this HPLC-purified material was added to the Ca2+-reporting hPAFR 293 cells (open arrow), and the extent of PAF receptor desensitization was subsequently tested by adding 10-10 M PAF (filled arrow). There is a time-dependent accumulation of a PAF receptor agonist that accordingly induces homologous desensitization of the PAF receptor.

PAF-like activity and iPC cochromatograph during HPLC
The polar phospholipids derived from the extracts of CCl4-exposed liver were isolated by reversed-phase HPLC and the elution profile of PAF-like activity was compared with that of esterified isoprostanes. This experiment showed that the major portion of the PAF-like bioactivity eluted 6, 7, and 8 min after injection ( Fig 4), which resembled the elution profile of the PAF-like lipids isolated from oxidized LDL (10) (32). Quantitation of the isoprostane content of these fractions by GC-MS showed that the elution profile of iPC mirrored PAF-like activity (Fig 4).



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Figure 4. PAF-like bioactivity and iPC coelute during RP-HPLC. Polar phospholipids from CCl4-treated rat liver were purified by reversed-phase HPLC, and aliquots of the collected fractions were examined for their effect on Fura-2AM-loaded hPAFR 293 cells (squares) or subjected to alkaline hydrolysis to quantitate isoprostane content (circles) as described in Materials and Methods.

Phosphatidylcholines with PAF-like activity and iPC differ at the sn-1 position
The results to this point do not define whether isoprostane-containing phospholipids themselves are PAF receptor agonists or whether PAF-like lipids copurify with these isoprostane reservoirs, an issue resolved as follows. The PAF-like lipids in oxidized LDL are all alkyl phosphatidylcholines (10), and therefore are resistant to phospholipase A1 digestion. In contrast, rat liver phosphatidylcholines are virtually all diacyl phospholipids with only trace amounts of alkyl phosphatidylcholines (33). To explore whether the PAF-like activity found in CCl4-poisoned livers was derived from this trace pool of alkyl phosphatidylcholines, we treated the individual fractions with phospholipase A1. The controls show this protocol effectively distinguishes PAF ( Fig 5A) from the less potent acyl analogue (Fig 5B). After hydrolysis of diacyl phosphatidylcholines, followed by chromatography on a normal-phase system to remove the reaction products, it was apparent that nearly all the biologic activity found in iPC preparations was recovered at the end of the procedure (Fig 5C).



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Figure 5. PAF-like activity in CCl4-exposed liver is resistant to phospholipase A1 treatment. PAF as a negative control (A) or its acyl homolog (B) as a positive control were treated with phospholipase A1 (PLA1) and tested as Ca2+-mobilizing agonists in hPAFR 293 cells. The iPC preparation from CCl4-treated rat liver was similarly treated (or not treated) with phospholipase A1 and tested (C) for its ability to stimulate intracellular Ca2+ accumulation in FURA-2AM-loaded hPAFR 293 cells. IsoPC, Isoprostane-containing phosphatidylcholine.

In sharp contrast to the results of the foregoing analysis of PAF-like activity, when we analyzed these phosphatidylcholines by electrospray liquid chromatography (LC)-MS, we found ( Fig 6) that virtually all the esterified isoprostanes were removed from the iPC preparation by phospholipase A1 treatment. Before phospholipase A1 digestion, the most abundant peaks in the analysis of total liver-derived iPC were positive ions at m/z 860.6 and 832.6, corresponding to 1-stearoyl-2-(F2-isoprostanoyl)-sn-glycero-3-phosphocholine and 1-palmitoyl-2-(F2-isoprostanoyl)-sn-glycero-3-phosphocholine, respectively. Other abundant oxidized components, quite possibly corresponding to the 1-palmitoyl 2-neuroprostane-sn-glycero-3-phosphocholine (34) and 1-palmitoyl hydroxylheptadecatrienoyl phosphatidylcholine, were detected at m/z 856.6 and 758.6, respectively. It is notable that all are polar phospholipids, and all were completely destroyed by phospholipase A1 digestion (Fig 6, inset). Thus, diacyl isoprostane-containing phosphatidylcholines or other diacyl polar phospholipids are not the PAF receptor agonists found in the livers of CCl4-exposed animals.



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Figure 6. iPC in CCl4-exposed liver is sensitive to phospholipase A1 (PLA1) treatment. Reversed-phase liquid chromatography-mass spectrometry (LC-MS) of the iPC from CCl4-treated rat liver was performed by electrospray ionization and monitoring of specific ions for phospholipid molecular species: m/z 832.6 corresponding to palmitoyl F2-isoprostanoyl glycerophosphocholine; m/z 860.6 corresponding to stearoyl F2-isoprostanoyl glycerophosphocholine; m/z 856.6 corresponding to palmitoyl docosapentenoyl (plus O3) glycerophosphocholine; and m/z 758.6 corresponding to palmitoyl hydroxyheptadecatrienoyl glycerophosphocholine. Insets correspond to the identical ions monitored after PLA1 treatment of the sample. These data show that all the detectable iPC is derived from diacyl phosphatidylcholines.

Identification of PAF in CCl4-exposed liver
We searched for the identity of the inflammatory phospholipid(s) found in CCl4-exposed livers by purifying the material remaining after phospholipase A1 treatment, using reversed-phase HPLC and analysis by MS/MS. One abundant molecular ion in these polar liver phosphatidylcholines was observed at m/z 524 ( Fig 7), a mass-to-charge ratio that corresponds to [M+H]+ for PAF, (1-O-hexadecyl-2-acetyl)phosphatidylcholine. This tentative identification was confirmed by derivatization and analysis by GC-MS (inset), and comparison of HPLC retention times with that of authentic PAF. This quantitative approach revealed the presence of nanogram amounts of PAF in the iPC preparation. A second peak of PAF-like activity eluting at 22.7 min (Fig 7) in the polar phospholipids purified from liver lipids eluted after PAF, and analysis of this smaller amount of activity by electrospray MS/MS revealed the presence of a component that generated a protonated [MH+] ion at m/z 552. This corresponds to the previously identified (10) C4 butanoyl analogue of PAF. The abundance of this C4 PAF analogue, relative to the PAF in this sample as measured by GC-MS, could be readily assessed from the relative abundance of the corresponding [M+H]+ precursor ions that formed m/z 184 after collision-induced dissociation (35) and the area of the corresponding LC-MS/MS response (Fig 7A and Fig D). The butanoyl analogue of PAF was estimated to be 24.3% as abundant, on a molar basis, as PAF present in this extract. This suggests the inflammatory activity in CCl4-inflamed liver was predominantly the result of cellular PAF synthesis for two reasons. First, the C4 butanoyl analogue of PAF is produced in far greater abundance than PAF during the oxidative fragmentation of phospholipid peroxides (10), so the ratio of their relative abundance is inverted in CCl4-exposed liver. Second, the C4 butanoyl analogue of PAF is only about 10% as potent as PAF as an agonist for the PAF receptor (10), so only a few percent, at best, of the total biologic activity could come from this PAF-analogue.



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Figure 7. PAF and butanoyl PAF are present in CCl4-metabolizing liver. Reversed-phase LC-MS of the iPC preparations extracted from CCl4-exposed rat liver after phospholipase A1 treatment was performed, using electrospray ionization monitoring and MS/MS monitoring of those precursor ions of m/z 184 (phosphocholine) after collisional activation. A: m/z 524.5 corresponding to PAF. B: m/z 482.4 corresponding to the loss of ketene from m/z 524, a specific ion loss for PAF. C: m/z 496.4 corresponding to palmitoyl glycerophosphocholine. D: m/z 552.4 corresponding to butanoyl PAF. Inset: Histogram of quantitative gas chromatography-MS analysis of PAF after its hydrolysis with phospholipase C and derivatization with pentafluorobenzoyl chloride. The material analyzed was from 10% of the reversed-phase LC-MS fraction.


  DISCUSSION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

CCl4 metabolism by hepatocytes, but also by endogenous macrophage-like Kupffer cells (36), results in severe hepatic necrosis and fibrosis. Liver injury in this established model derives from a mixture of free radicals and reactive oxygen species (25) (37), lipid peroxidation (26) (38), activated Kupffer cells (39), and infiltrating PMN (36) (40) (41), each of which has an underlying role in the resulting liver damage. For instance, selective blockade of selectin-mediated leukocyte influx (42), depletion of leukocytes with anti-PMN antibody (36), loss of the anti-inflammatory cytokine interleukin 10 (40) (41), and selective depletion of Kupffer cells with GdCl3 (36) (39) all ameliorate hepatic damage in this model. Although activated leukocytes appear to be the direct cause of much of damage, the agonists for these effector cells in this established model of oxidative liver damage are unknown.

iPC are formed in abundance by liver metabolizing CCl4 (13) (27). These are primarily of the F2 class as endogenous substances reduce the isoprostane endoperoxide to F-ring compounds. D- and E-ring compounds are more abundant in the absence of reductants, as is the case for iPC isolated from LDL oxidized in the absence of reductants (15). This E-ring iPC preparation was inflammatory and stimulated monocyte-endothelial cell interactions through a G protein-linked receptor (15). A PAF receptor antagonist is effective in blocking bioactivity in this system, even though PAF itself is inactive (43). This information implicates the PAF receptor, but indicates that the relevant mediator was not PAF. The G protein-linked PAF receptor generally has a stringent requirement for the sn-2 acetyl residue of PAF, but we and others find that a modest increase in length to butanoyl residues or the presence of an {omega}-oxy function yields potent PAF receptor ligands and activators (6). The potential for phosphatidylcholines with longer, but highly modified, sn-2 residues, such as F2 isoprostanes, to function as PAF receptor agonists is unknown. This became an important issue when we found that PAF receptor agonists and iPC were formed over the same time period, and that these activities comigrate.

We found that HPLC purification of iPC isolated from the livers of rats exposed to CCl4 yields material that potently activated both human neutrophils and 293 cells stably expressing the hPAFR. Thus CCl4 metabolism generates agents that attract and activate inflammatory cells that are critical in this model of hepatic injury. In light of the reported bioactivity of an E-ring iPC (15), we anticipated that the abundant F-ring iPC formed in livers metabolizing CCl4 would be recognized by the PAF receptor and would define a new class of inflammatory mediators. Instead we found that virtually all the iPC were diacyl species that were sensitive to phospholipase A1 digestion, but that none of the PAF receptor agonists were of this class. The latter point was expected as the PAF receptor has a several hundred-fold preference for sn-1 alkyl residues that are not substrates for phospholipase A1 hydrolysis. Nevertheless, the disparity in lipase sensitivity of the iPC and PAF receptor agonists showed that iPC were not the active components in the livers of rats metabolizing CCl4.

The paucity of alkyl iPC resistant to phospholipase A1 digestion in the extracts of rat liver is not surprising in that their precursor, alkyl PC, is nearly undetectable in this tissue (33) (44). The situation in humans may differ from that of rats as, unlike the rat, the human liver pool of phosphatidylcholine contains 3.5% alkyl phosphatidylcholine (33). These less abundant phospholipids should oxidize in parallel with their diacyl analogues to yield alkyl iPC, which might possess biologic activity, and fragmented PAF-like phospholipids that will be biologically active. We expect this as even where alkyl phosphatidylcholines comprise just 0.5% of the total phosphatidylcholine pool, as they do in human LDL, we find that all the biologically active PAF-like lipids formed during oxidation are derived from these rare alkyl phosphatidylcholines (10). Thus, we anticipate that human liver subjected to severe oxidant stress should contain oxidatively modified phospholipids with PAF-like activity as well as the authentic PAF we find in the rat model. In fact, we did find small amounts of the C4 analogue of PAF in the CCl4-exposed rat liver, and both this analogue and PAF can be generated from the oxidative fragmentation of alkyl arachidonoyl phosphatidylcholine (10) (45). However, the formation of PAF is not a preferred oxidative reaction and far more sn-2 butanoyl and butenoyl residues accumulate than acetyl residues (10) (46). The ratio of acetyl to butanoyl residues found in CCl4-exposed liver was grossly inverted from this, so cellular generation of PAF is the major source of inflammatory lipids, at least in the rat model.

One might question how it is that PAF, a modified alkyl PC, is found in this rat model of liver injury when there is insufficient alkyl PC to produce alkyl iPC. The answer to this likely derives from the distribution of the limited amount of alkyl PC. Whereas rat hepatocytes may not contain this precursor for PAF synthesis, cells such as Kupffer cells, endothelial cells, platelets, and infiltrating monocytes that synthesize PAF do. For leukocytes, up to half of the phosphatidylcholine pool is alkyl phosphatidylcholine (47). Whether infiltrating leukocytes could be a significant source is currently unclear as the earliest reported (40) (41) time point for a CCl4-induced neutrophilic influx was 12 h; nevertheless, these cells could aid in the further recruitment of an inflammatory response at later times.

The question then becomes how these cells were stimulated to produce PAF. CCl4 metabolism by cytochrome P-450 generates the reactive trichloromethyl radical, and this event generates superoxide and hydrogen peroxide (25). Hydrogen peroxide stimulates the synthesis of PAF (30) (48) (49), and PAF is synthesized by stimulated macrophages (50) and Kupffer cells (51). The lyso-PAF acetyltransferase responsible for the bulk of PAF synthesis in stimulated cells remains unidentified, but it is known to be highly dependent on the rapid increase in intracellular Ca2+ in appropriately stimulated cells (52). Because CCl4 metabolism elevates in vivo liver Ca2+ levels and Ca2+ channel blockers normalize markers of liver function in this hepatotoxic model (53), calcium-dependent activation of PAF synthesis may occur in Kupffer cells under these conditions.

Inappropriate or excessive PAF has the potential to modify liver function, and PAF is an established hepatotoxic agent (54) (55). PAF stimulates and primes liver Kupffer cells and neutrophils for an exaggerated production of superoxide (56), and it is a juxtacrine signaling molecule produced by activated endothelial cells in the recruitment of leukocytes to the extravascular compartment (57). Inappropriate production of PAF leads to pathologic inflammation, and PAF clearly is involved in liver damage as PAF receptor antagonists reduce hepatic damage after ischemia/reperfusion (28) (58), transplant (59) (60), and lipopolysaccharide-induced (61) injury. We conclude that the liver injury induced by CCl4 metabolism is the inappropriate production of the powerful inflammatory and hepatotoxic lipid mediator PAF in common with these other routes to liver damage. We also conclude that even in a model where the precipitating insult is the abundant formation of free radicals that activated cellular synthesis of inflammatory mediators, rather than the uncontrolled oxidative fragmentation of phospholipids to PAF-like mimetics, is the main source of inflammatory mediators that promote and extend organ damage.


  ACKNOWLEDGMENTS

We thank Margaret Vogel, Jessica Phibbs, and Wenhua Li for leukocyte isolation and Diana Lim for preparation of the figures. This work was supported by NIH HL 44513, HL 44525, HL 34303, GM 42056, GM 15431, and DK 48831. J.D.M. is a recipient of a Burroughs Wellcome Fund Clinical Scientist Award in Translational Research.

Manuscript received October 12, 2000; and in revised form November 29, 2000

Abbreviations: iPC, isoprostane-containing phosphatidylcholine; PAF, platelet-activating factor; HPLC, high performance liquid chromatography


  REFERENCES
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
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