Primate CR better metabolism

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Primate CR improves metabolism, the pdf-availed below paper appears to evidence. It looks good.

Metabolic shifts due to long-term caloric restriction revealed in nonhuman primates.Rezzi S, FP, Shanmuganayagam D, Colman RJ, Nicholson JK, Weindruch R.Exp Gerontol. 2009 Mar 2. [Epub ahead of print]PMID: 19264119

The long-term health benefits of caloric restriction (CR) are well known but the associated molecular mechanisms are poorly understood despite increasing knowledge of transcriptional and related metabolic changes.

We report new metabolic insights into long-term CR in nonhuman primates revealed by the holistic inspection of plasma (1)H-NMR spectroscopic metabolic and lipoprotein profiles.

The results revealed attenuation of aging-dependant alterations of lipoprotein and energy metabolism by CR, noted by relative increase in HDL and reduction in VLDL levels. Metabonomic analysis also revealed animals exhibiting distinct metabolic trajectories from aging that correlated with higher insulin sensitivity. The plasma profiles of insulin-sensitive animals were marked by higher levels of gluconate and acetate suggesting a CR-modulated increase in metabolic flux through the pentose phosphate pathway. The metabonomic findings, particularly those that parallel improved insulin sensitivity, are consistent with diminished adiposity in CR monkeys despite aging. The metabolic profile and the associated pathways are compatible with our previous findings that CR-induced gene transcriptional changes in tissue suggest the critical regulation of peroxisome proliferator-activated receptors as a key mechanism.

The metabolic phenotyping provided in this study can be used to define a reference molecular profile of CR-associated health benefits and longevity in symbiotic superorganisms and man.

Keywords: Ageing; Amino acids; Biomarkers; Caloric restriction; Chemometrics; Insulin sensitivity; Lipoproteins; Metabonomics/metabolomics; Nuclear magnetic resonance spectroscopy.

Abbreviations: Nuclear magnetic resonance (NMR); principal component analysis (PCA); projection to latent structure (PLS); projection to latent structure discriminant analysis (PLS-DA); orthogonal-projection to latent structure discriminant analysis (OPLS-DA); free amino acids (FAAs); branched-chained amino acids (BCAAs); pentose-phosphate pathway (PPP); trimethylamine (TMA); dimethylamine (DMA); glycerophosphocholine (GPC).

Introduction

Caloric restriction (CR) has long been known to extend maximum lifespan and oppose the development of a broad array of age-associated biological and pathological changes in a diverse range of organisms (Weindruch and Walford, 1988). Accordingly, CR is widely viewed as the most potent dietary means of slowing the aging process. Although the precise molecular mechanisms for this action remain controversial, it is axiomatic that at some level major shifts in energy metabolism are of central importance ( et al., 2008).

Since 1989 we have been testing the ability of adult-onset (8-14 years of age at initiation) CR to retard the aging process in a nonhuman primate model, the rhesus monkey (Ramsey et al., 2000a; Ramsey et al., 2000b). Rhesus macaques at the Wisconsin National Primate Research Center have an average lifespan of ~27 years and a maximum lifespan of ~40 years. In the present study we have sought to capture a global view of the metabolic effects of long-term CR in primates using wellvalidated plasma NMR spectroscopy-based metabolic screening techniques (Nicholson et al., 1995).

Metabonomics provides a powerful approach to study regulatory physiological processes through the quantitative analysis of metabolites in biofluids and tissues of living organisms (Nicholson et al., 1999). This approach efficiently characterizes metabolic phenotypes of mammals via data mining of complex metabolic profiles that encapsulate the expression of both host genome and gut microbiome ( et al., 2007; Nicholson et al., 2004). The approach was also successfully applied to the diagnosis of pathophysiological states (Brindle et al., 2002) and the pharmacometabonomic prediction of drug metabolism and toxicity from pre-dose metabolic models (Clayton et al., 2006). Recent applications also revealed metabonomics to be particularly well-suited for assessing the effects of nutritional interventions (Rezzi et al., 2007a). As a result of this, we have recently developed the “nutrimetabonomics†concept which opens up new possibilities for

characterizing imprinted metabolic signatures associated with dietary patterns and lifestyle (Rezzi et al., 2007b).

Metabonomics has recently been used to study CR-induced metabolic changes in mouse (Selman et al., 2006) and dog models (s et al., 2008; Wang et al., 2007). The results indicate that mice responded to acute CR by rapidly switching from lipid biosynthesis to fatty acid catabolism, ï¢-oxidation, and gluconeogenesis, as evidenced by liver and muscle transcripts analyses (Selman et al., 2006). The CR-induced switch in energy metabolism towards energy conservation and gluconeogenesis was sustained by the observed increased plasma levels of lactate, 3-D-hydroxybutyrate, creatine and the glucogenic amino acids, methionine, glutamine, alanine, and valine, as revealed by metabonomic analysis (Selman et al., 2006). In addition, the alteration of the plasma lipoprotein profile by CR was reported as a major metabonomic outcome in both mouse and dog models (s et al., 2008; Selman et al., 2006). In addition, metabonomics associated long-term CR

with modulations of basal energy metabolism via decreased urinary excretion of creatine, 1-methylnicotinamide, lactate, acetate and succinate as well as changes of gut microbial activity with significantly higher levels of hippurate, phenylacetylglycine, 4-hydroxyphenylacetate, and dimethylamine (Wang et al., 2007).

For the first time, we report a metabonomic investigation of phenotypic changes associated with long-term CR in nonhuman primates. NMR-based metabolic profiling coupled with multivariate statistics were applied to plasma taken from monkeys subjected to CR for 15 years. Metabolic fluctuations differentiating normally aging subjects from CR animals are identified and discussed.

Materials and methods

Experimental design

This trial was conducted at the Wisconsin National Primate Research Center (Madison, WI, USA) ... of adult (8-14 years of age at study onset) male rhesus monkeys included 9 control-fed animals and 11 animals subjected to a 30% reduction in dietary intake (CR). Prior to study initiation, animals were monitored for baseline food intake and body weight (Table 1). Individuals were then equally randomized to either control or CR group based upon age, body weight and baseline food intake levels. CR animals’ food allotments were then reduced by 10% per month over a 3-month period to achieve the goal of 30% reduction from individual baseline food intake levels (Colman et al., 1998; Ramsey et al., 2000a). As voluntary food intake levels change with aging, in recent years we have occasionally altered CR animals’ food allotments in order to maintain health. ...

Table 1: Baseline animal characteristics.===================================== Baseline Control CR=====================================Age (years) 9.0±0.4 9.0±0.5Weight (kg) 11.3±0.5 11.3±0.4Food intake (kcal/day) 730±52 701±43===================================== Values are given as means±SE. CR = caloric restriction.

....

Results

Changes in food intake, weight, lean and fat masses for the CR subjects are reported in Table 2. A standard 1H-NMR spectrum of rhesus monkeys blood plasma exhibits a set of resonances arising from lipoprotein lipids and many sharper peaks from major low molecular weight molecules (Nicholson et al., 1995) as shown in Figure 1 A. Principal component analysis (PCA) and projection to latent structure discriminant analysis (PLS-DA) were performed on standard NMR spectra of plasma. Two subjects in the control group developed type 2 diabetes and were removed from statistical models to avoid any confounding effects due to this metabolic disorder.

The PCA and PLS-DA scores plot showed a clear clustering of plasma profiles related to aging in the first two principal components (Fig. 1 B, C). The plots also indicated a segregation of metabolic profiles after 9 and 15 years of CR when compared to aging in the controls. Interestingly, three CR animals exhibited a deviation of the metabolic trajectory from the other animals along the major age-related axis and co-mapped together along the second principal component (PC2) (Fig. 1B). A positive correlation was also observed between insulin sensitivity and several NMR derived metabolic variables including acetate and gluconate in these animals (Fig. 1D).

Table 2: Characteristics of experimental and control groups.============================================================= Group 2 years---Group 9 years---Group 15 years Control CR---Control CR---Control CR=============================================================Age (years) 11.1±0.3 11.0±0.5 18.1±0.4 18.1±0.5 24.1±0.4 24.1±0.5Weight (kg) 12.8±0.6 9.9±0.5* 14.0±0.6 9.6±0.4* 13.3±0.6 9.6±0.3*Lean mass (kg) 8.4±0.3 7.7±0.3* 10.3±0.4¶ 8.8±0.3*,¶ 9.0±0.3 8.1±0.2*Fat mass (kg) 4.1±0.3 2.1±0.2* 4.0±0.4 1.1±0.2*,¶ 4.3±0.5 1.6±0.2*Fat mass (%) 31.3±1.6 19.7±1.6* 26.5±2.1¶ 10.2±1.3*,¶ 30.8±2.5 15.9±1.7*,¶¶Food intake (kcal / day) 688.8±38.9 514.2±18.0* 674.1±38.1 487.0±18.3* 581.4±39.5 480.0±21.5*============================================================= Values are

given as means±SE; CR, caloric restriction. The values for CR monkeys were compared to controls. * designates significant difference at 95% confidence level; ¶ designates significant differences at 95% confidence level of the corresponding variable between 2 and 9 years groups. ¶¶ designates significant differences at 95% confidence level of the corresponding variable between 9 and 15 years groups.

To improve the distinction of metabolic biomarkers associated with CR, a cross-validated orthogonal corrected PLS-DA (O-PLS-DA) was applied to characterize aging-related metabolism in CR and control animals using pairwise comparisons, e.g., years 2 vs. 9, and 9 vs. 15. The identification of statistically influential metabolites in aging and CR is achieved by the analysis of the corresponding coefficients plots (SI Fig. 1).

Interpretation of the back-scaled O-PLS-DA loadings highlighted metabolites associated with aging (SI Fig. 1). The main metabolic changes are listed in Table 3. Overall, aging-dependant decreases in concentrations of circulating amino acids (valine, isoleucine, leucine, alanine, lysine, glutamate, glycine, serine, histidine, tyrosine and tryptophan) and modulation of lipoprotein levels were observed in both groups. The careful examination of the O-PLS-DA loadings and NMR spectra, e.g., methyl (delta 0.77-1.02) and methylene (delta 1.16-1.36) signals indicated differences in the lipoprotein profile between the two dietary groups. The 1H-NMR spectroscopic plasma profile encapsulates quantitative information on the distribution of lipoprotein species, namely VLDL, LDL and HDL (Brindle et al., 2002; Otvos et al., 1991). The lipoprotein changes were further investigated with conventional clinical analyses (Fig. 2). Clinical data suggested an upward trend

in plasma HDL median for CR animals between years 2 and 9, unlike control animals who underwent a slight but constant decrease of HDL with aging. Plasma HDL concentration in CR animals was higher on average than in the controls, particularly at year 15, as confirmed by O-PLS-DA obtained from diffusion-edited NMR profiles (SI Fig. 2). Notably, the controls exhibited significantly lower levels of HDL and higher concentrations of TG, whereas these variables were not altered by aging in CR animals. Total cholesterol and LDL levels were not aging-dependant in either group. Other metabolic differences between the groups involved levels of methylamines, specifically trimethylamine (TMA) and dimethylamine (DMA), which were markedly altered in CR animals (SI Fig. 1).

Table 3: Significant age dependent directional metabolic changes of plasma of normal and CR animals.==========================================================Metabolites---NMR (ppm)===Aging Controls---Aging CR---Changes in CR ===9 years 15 years---9 years 15 years---9 years 15 years==========================================================Lipoproteins 1.27 Increase - Increase - Decrease -Unsaturated lipids 5.31 Increase - Increase - - DecreaseHDL 0.82 - - - - - IncreaseCholine 3.20 - - Increase Increase - IncreaseGPC 3.23 - Decrease Decrease Decrease - IncreaseAla 1.47 Decrease Decrease Decrease - - -Glu 2.35 Decrease Decrease Decrease - - IncreaseGly 3.57 Decrease Decrease - Decrease - -His 7.01 Decrease Decrease Decrease - - -Ileu 1.01 Decrease Decrease Decrease

Decrease - -Leu 0.96 Decrease Decrease Decrease Decrease - -Lys 1.72 Decrease Decrease Decrease Decrease - -Pro 3.35 Decrease - Decrease - - -Ser 3.83 Decrease Decrease Decrease Decrease - IncreaseTrp 7.75 Decrease Decrease Decrease - - -Tyr 6.91 Decrease Decrease Decrease Decrease - IncreaseVal 1.03 - Decrease Decrease - - -Citrate 2.54 Decrease - Decrease - - -Lactate 4.11 - - Decrease - - -Creatinine 4.05 Decrease Decrease Decrease Decrease Increase IncreaseDMA 2.74 - Decrease Decrease Decrease - DecreaseTMA 2.92 Decrease Decrease Decrease - - Increase========================================================== Key: Significant metabolic changes at the level of p < 0.05 are reported; Increase: increased concentration; Decrease: decreased concentration; -: no significant concentration change> Aging-related changes are reported at 9 years of treatment compared to 2

years and at 15 years compared to 9 years, CR-related changes are reported in CR animals compared to controls; NMR (ppm): NMR chemical shifts calibrated against the lactate signal at delta 1.33.

Finally, pairwise O-PLS-DA models between CR and normal aging animals were generated to characterize metabolic signatures of CR at years 9 and 15 (SI Fig. 3). The influential metabolites associated with CR are listed in Table 3. At year 9, the metabolic profiles of CR animals were marked by lower levels of lipoprotein (VLDL mainly), higher level of creatinine and an upward trend in gluconate and acetate. These CR-specific metabolic changes were maintained at year 15. In addition, higher plasma concentrations of glutamate, serine, tyrosine, choline, glycerophosphocholine (GPC), HDL, and TMA, lower concentrations of unsaturated lipids and DMA, and a downward trend in 3-D-hydroxybutyrate level were observed.

Discussion

Plasma metabotype analysis revealed characteristic age-related metabolic changes in both CR and control animals. The distinct differences in energy and lipoprotein metabolism suggest that CR preserves metabolic functions in aging animals, potentially delaying the onset of aging-associated diseases such as cardiovascular disease. The global metabonomic snapshot is highly consistent with our previous gene expression studies and further strengthen the notion that the regulation of PPARs may be central to the effects of CR (Corton and Brown-Borg, 2005; Masternak and Bartke, 2007; Weindruch et al., 2001).

An upward trend in gluconate, a key metabolite of PPP, and acetate, shown to increase flux through PPP (Flatt and Ball, 1966; Saggerson and Greenbaum, 1970) were observed under CR (Fig. 1 D). These changes were particularly significant in the three “strong responders†to CR that exhibited a distinct trajectory away from age-related metabolic shifts and were also strongly correlated with increased insulin sensitivity, a noted benefit of CR (Kemnitz et al., 1994; Roth et al., 2004). The modulation of energy metabolism by CR has already been reported in dogs with associated reductions in urinary excretion of creatine, 1-methylnicotinamide, lactate, acetate, and succinate (Wang et al., 2007). We previously showed in mice that aging is associated with a decline in the expression of PPP genes and that the changes are counteracted by CR (Lee et al., 1999; Lee et al., 2000). PPP is involved in the biosynthesis of NADPH, which is essential for various

reductive biosynthetic processes (lipogenesis and cholesterol synthesis), and the synthesis of ribose-5-phosphate for nucleotide production. The importance of PPP in regulating hepatic glucose output, ï¢-oxidation in muscle, and systemic insulin sensitivity is emerging (Wu et al., 2005). We previously reported that CR up-regulates the expression of PPARdelta in skeletal muscle (Lee et al., 1999), the activation of which increases the insulin sensitivity of liver and peripheral tissue by increasing glucose flux through the PPP and enhancing fatty acid synthesis (Lee et al., 2006). The concomitant activation of related genes by PPARdelta results in reduced hepatic glucose production, increased fatty acid oxidation in muscle, and improved peripheral insulin sensitivity (Tanaka et al., 2003).

Aging is associated with a decline in plasma levels of acetate (Skutches et al., 1979), a metabolite derived from both colonic fermentation of dietary fibers and the endogenous metabolism of glucose and fatty acids (Bergman, 1990). Studies suggest that acetate may positively influence insulin sensitivity (Ostman et al., 2005; Yamashita et al., 2007) and increase the flux of glucose-carbon through PPP in adipocytes (Flatt and Ball, 1966; Saggerson and Greenbaum, 1970). This is mediated via a G-protein-coupled receptor, GPR43, and is dependent on the up-regulation of PPAR-gamma, a recognized insulin sensitizer (Hong et al., 2005). Acetate is a natural ligand for GPR41 and GPR43, which are highly expressed on adipocytes, immune cells and gastrointestinal tissue (Brown et al., 2005; Covington et al., 2006). These GPRs have been shown to play critical roles in nutrient sensing (including secretion of leptin), lipid and glucose metabolism, and regulation

of inflammation. GPRs have recently become therapeutic targets for diabetes (Rayasam et al., 2007).

Aging is associated with decreased levels of free amino acids (FAAs) that can be attributed to declines in protein synthesis, lean body mass, renal tubular function and hormonal changes affecting the amino acid homeostasis (Lindeman and Goldman, 1986; Millward et al., 1997). The plasma levels of creatinine, a metabolite for which the urinary excretion was associated with lean mass variations (Davies et al., 2002), show a less marked decrease with age in CR animals as evidenced by body composition data. This aging-dependant creatinine change was also observed in the urinary 1H-NMR profiles of CR dogs compared to controls (Wang et al., 2007). The decrease in branched-chained amino acids (BCAA; leucine, isoleucine and valine) (Chan, 1999; Rudman et al., 1989), which are oxidized peripherally and serve as a fuel source to decrease protein degradation and to stimulate protein synthesis, indicate a reduced contribution of muscle to total body protein

metabolism. Surprisingly, despite the attenuated loss of lean mass in CR animals (Colman et al., 2008), e.g., -5.5 % compared to - 13.8 % in control animals, very little differences in BCAAs levels were seen at year 15. However, higher levels of other FAAs, particularly serine, tyrosine and glutamate in aging CR animals (SI Fig. 1 and Table 3), suggest the maintenance of protein turnover rate despite aging (Tavernarakis and Driscoll, 2002). Furthermore, the maintenance of plasma serine, tyrosine and glutamate along with choline and glycerylphosphorylcholine (GPC), metabolites important for neurotransmitter biosynthesis and brain function, may have relevance to the preservation of neurological function often observed with CR (Ingram et al., 2007).

Alterations of the lipoprotein profile were remarkably different between the control and CR groups (SI Fig. 1 and Fig. 2). The lipoprotein profile changes with age between years 2 and 9 are dominated by significant increase in HDL in CR animals and VLDL in controls. These results were further supported by clinical quantitation of HDL and TG (Fig. 2). The trend in lipoprotein profile, the increasing TG with decreasing HDL levels, observed in the controls with age is recognized in humans as an atherogenic profile common to metabolic syndrome and/or diabetes. The lipoprotein profile affects 60% of high-risk humans and is especially associated with adverse cardiovascular outcomes (Szapary and Rader, 2004). Clinically, treatment with PPAR agonists such as fibrates often produces a profile that closely resembles that observed in the CR monkeys. Given the proposed role of PPARs in CR, the similarities in lipoprotein profile may suggest commonalities in

mechanism. Clinically, PPAR-alpha agonists produce 30-50% reduction in TG and 10-20% increase in HDL, while having moderate, if any, effects on LDL or total cholesterol (Szapary and Rader, 2004). The effect is thought to precipitate as a consequence of increased lipoprotein lipolysis and hepatic fatty acid uptake, reduction of hepatic triglyceride production, and a change in lipoprotein metabolism (Staels et al., 1998). PPARdelta and PPAR-gamma agonists are also considered for this therapeutic approach (Barish et al., 2006; , 2008). In the present study, the CR animals at years 9 and 15, when compared to controls, showed lower TG and higher HDL with no noticeable differences in LDL. In rhesus monkeys, PPAR-delta agonist increases HDL, while lowering TG and fasting insulin (, 2008). The elevation of HDL in the CR monkeys was also seen in previous CR studies in our monkeys ( et al., 2001) as well as those in another study (Verdery

et al., 1997) and in humans on long-term CR (Fontana et al., 2004). Augmentation of plasma lipids and lipoproteins were also recently reported as a metabonomic outcome in a life-long CR study in dogs (s et al., 2008).

An association between HDL and extension of life expectancy was first observed over 40 years ago (Glueck et al., 1976), and later supported by data from the Framingham Heart Study (Schaefer et al., 1989) and a study in Ashkenazi Jews (Barzilai et al., 2003). The latter study further revealed that polymorphisms in the gene for cholesterol-ester transfer protein (CETP), which metabolizes HDL, were strongly associated with exceptional longevity. Interestingly, the increase in HDL by PPAR-alpha agonists is highly dependent on the concomitant decrease in the activity of CETP (Kersten, 2008).

Although the significance of HDL on aging and longevity in humans is still not fully understood, the relevance of increased HDL on cardiovascular health is well established. Serum HDL level has been consistently shown to be inversely related to the risk of cardiovascular disease (Toth, 2005). HDL has not only been recognized as a target for preventive measures but also as a target that may be able to successfully produce the regression of existing atherosclerosis (Dansky and Fisher, 1999). Furthermore, the combined effects of decreasing TG and increasing HDL levels in human populations without the traditional high-risk LDL levels produce about 22% relative reduction in the risk of major coronary events (Rubins et al., 1999). This illustrates the significance of the observation in the CR monkeys, especially in context of features of the metabolic syndrome.

In addition to the lipoprotein changes, we also observed lower levels of unsaturated lipids in old CR animals compared to old control animals. In a previous metabonomic study in humans, we observed that unsaturated lipids in plasma were higher in old compared to young, and in obese compared to lean males (Kochhar et al., 2006). Thus the observation in the current study may be explained in part by the lower fat mass of CR animals.

This work demonstrates the potential of data-driven metabolic approaches to generate global system information including gut microbial symbiotic interactions. The observed differences in plasma levels of mammalian gut microbial co-metabolites (i.e. acetate, choline, and methylamines) ( et al., 2008; Zeisel et al., 1983), highlight the importance of understanding the molecular basis of the host-microbiome interaction and its relation to nutritional stimuli. In particular, the changes of choline and methylamines (TMA, DMA) are a well documented example of metabolites derived from host-microbial interactions produced within the large intestine ( et al., 1994). The first reaction of the methylamine pathway involves conversion of dietary choline into TMA by gut microbiota (al-Waiz et al., 1992). Therefore, changes in plasma levels these compounds may reflect different bacterial production of methylamines ( and Macfarlane, 1989) in

relation to age-dependent changes in gut microbial populations and activities. An implication of the gut microbiota activity in the metabolic response to CR was recently reported in a study of aging in dogs (Wang et al., 2007), with CR being associated with elevated urinary concentrations of aromatic metabolites (i.e. hippurate, phenylacetylglycine, 4-hydroxyphenylacetate and 3-hydroxyphenylpropionate) that provided additional evidence of age-dependent changes in diet processing by gut bacteria. Our findings provide a global view of aging- and CR-associated changes in energy metabolism in monkeys and consequential changes in lipoprotein metabolism that modulate immune responses (Chait et al., 2005; Murch et al., 2007) that potentially impact the onset of many aging associated diseases.

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