13C NMR analysis reveals a link between L-glutamine metabolism, D-glucose metabolism and γ-glutamyl cycle activity in a clonal pancreatic beta-cell line
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- Brennan, L., Corless, M., Hewage, C. et al. Diabetologia (2003) 46: 1512. doi:10.1007/s00125-003-1184-7
Pancreatic islet cells and clonal beta-cell lines can metabolise L-glutamine at high rates. The pathway of L-glutamine metabolism has traditionally been described as L-glutamine→L-glutamate→2-oxoglutarate→oxidation in TCA cycle following conversion to pyruvate. Controversially, the metabolism of D-glucose to L-glutamate in beta cells is not widely accepted. However, L-glutamate has been proposed to be a stimulation-secretion coupling factor in glucose-induced insulin secretion. We aimed to investigate the metabolism of glutamine and glucose by using 13C NMR analysis.
BRIN-BD11 cells were incubated in the presence of 16.7 mmol/l [1-13C]glucose, 2 mmol/l [2-13C]L-glycine or 2 mmol/l [1,2-13C]glutamine in the presence or absence of other amino acids or inhibitors. After an incubation period the cellular metabolites were extracted using a PCA extract procedure. After neutralisation, the extracts were prepared for analysis using 13C-NMR spectroscopy.
Using 13C NMR analysis we have shown that L-glutamine could be metabolised in BRIN-BD11 cells via reactions constituting part of the γ-glutamyl cycle producing glutathione. Moderate or high activities of the enzymes required for these pathways of metabolism including glutaminase, γ-glutamyltransferase and γ-glutamylcysteine synthetase were observed. We additionally report significant D-glucose metabolism to L-glutamate. Addition of the aminotransferase inhibitor, aminooxyacetate, attenuated L-glutamate production from D-glucose.
We propose that L-glutamine metabolism is important in the beta cell for generation of stimulus-secretion coupling factors, precursors of glutathione synthesis and for supplying carbon for oxidation in the TCA cycle. D-glucose, under appropriate conditions, can be converted to L-glutamate via an aminotransferase catalysed step.
KeywordsPancreatic beta cellsNMRγ-glutamyl cycleL-glutamineL-glutamateglutathione
Nuclear Magnetic Resonance
A key enzyme in the metabolism of L-glutamine, mitochondrial glutamate dehydrogenase (GDH; EC 18.104.22.168) catalyses reversible oxidative deamination of L-glutamate to 2-oxoglutarate. GDH activity, as measured in vitro, is high in pancreatic beta cells  and in cell lines such as BRIN-BD11 . However the activity of the enzyme is tightly regulated in vivo by negative and positive effectors such as GTP, ADP and leucine. L-glutamine alone, which can be transported into the cell by a number of potential transport mechanisms  is rapidly converted into L-glutamate and other metabolic intermediates intracellularly, but either has little effect or only weakly stimulates insulin secretion [6, 8]. However, in the presence of leucine or its non-metabolizable analogue, BCH, L-glutamine potently enhances insulin secretion [12, 13]. Leucine-activated GDH is considered to enhance L-glutamate oxidation and increase ATP production by providing the TCA cycle with substrate (2-oxoglutarate), which by further metabolism and entry into the TCA cycle via acetyl-CoA, will close plasma membrane K+ATP channels and stimulate insulin secretion (Fig. 1). In support of this hypothesis it is known that patients with rare mutations in the inhibitory GTP-binding allosteric site on GDH show increased rates of insulin secretion, resulting in hypoglycaemia [14, 15, 16].
A recent study has shown that unregulated overexpression of GDH in MIN6 cells enabled glutamine alone to stimulate insulin secretion . This was interpreted by the authors to indicate that activation of GDH enhances oxidation of L-glutamate which stimulates insulin secretion . In contrast to this mechanism, glucose has been shown to inhibit the pathway of glutaminolysis (partial L-glutamine metabolism and oxidation involving conversion to glutamate, 2-oxoglutarate and related TCA cycle derived products ). However, while islet L-glutamate concentration was not altered in the presence of L-glutamine plus glucose compared to glutamine alone, the L-glutamate concentration was reduced when islets were incubated in the presence of glucose and BCH (2-amino-2-norbornane-carboxylic acid), a condition which enhanced insulin secretion . Thus the proposed role of L-glutamate as an important metabolic coupling factor, required for the amplifying pathway of glucose-stimulated insulin secretion [5, 18] is difficult to reconcile with the available experimental evidence.
Amino acids can enter the beta cell via specific transport proteins [10, 19]. L-glutamine was reported to enter the cell primarily by the transport systems ASC and L . It is then converted to L-glutamate by the action of glutaminase (Fig. 1). Glutaminase from pancreatic islets was unaffected by ammonia but inhibited by L-glutamate . It has been suggested that in the presence of leucine both a high glutaminase activity and a high flux through GDH are necessary for enhanced insulin secretion. However, L-glutamine could be transported into the cell via γ-glutamyltransferase [21, 22] (Fig. 1). Despite an early report of beta-cell γ-glutamyl cycle activity  this route of glutamine metabolism has largely been ignored.
We have investigated the metabolism of L-[1,2-13C]glutamine, L-[2-13C]glycine and D-[1-13C]glucose in the presence of glutamine in the insulin secreting cell line BRIN-BD11. Our 13C NMR data provides new evidence for substantial metabolism of L-glutamine resulting in formation of L-glutamate, L-aspartate and glutathione. The hypothesis that D-glucose is converted into L-glutamate in the beta cell is controversial. However, we have shown previoustly, using 13C NMR, that glucose is converted to L-glutamate in the beta cell . This is difficult to reconcile with the common perception that GDH is operating in the direction of L-glutamate→2-oxoglutarate in physiological conditions in the beta cell. Using 13C NMR analysis we report that an aminotransferase is responsible for the 2-oxoglutarate→L-glutamate flux in the beta-cell. We propose that L-glutamate production is important to the beta cell, not because of a direct effect of the amino acid, but as a component of the γ-glutamyl cycle thus maintaining cellular glutathione concentration. Glutathione concentration has previously been positively correlated with insulin secretion .
Materials and methods
D-[1-13C]glucose was obtained from Goss Scientific (Great Baddow, Essex, UK), [1,2-13C]glutamine was obtained from Cambridge Isotope Laboratories (Mass., USA) and [2-13C]glycine was supplied by Aldrich (Milwaukee, USA). All other chemicals were obtained from Sigma-Aldrich Chemical (Poole, Dorset UK). Culture media and fetal bovine serum were obtained from Gibco (Glasgow, UK).
Culture and cellular extraction of BRIN-BD11 cells
Clonal insulin-secreting BRIN-BD11 cells were maintained in RPMI-1640 tissue culture medium with 10% (v/v) fetal bovine serum, 0.1% antibiotics (100 U/ml penicillin and 0.1 mg/ml streptomycin) and 11.1 mmol/l D-glucose, pH 7.4. The origin and characteristics of BRIN-BD11 cells are described in detail elsewhere [26, 27, 28, 29, 30]. The cells were maintained at 37°C in a humidified atmosphere of 5% CO2 and 95% air using a Forma Scientific incubator. Cells were washed with phosphate-buffered saline and preincubated at 37°C for 20 min in Krebs Ringer bicarbonate buffer with 1.1 mmol/l D-glucose (10 ml per T182 cm2 flask, 115 mmol/l NaCl, 4.7 mmol/l KCl, 1.28 mmol/l CaCl2, 1.2 mmol/l KH2PO4, 1.2 mmol/l MgSO4.7H2O, 10 mmol/l NaHCO3, 5 g/l bovine serum albumin, pH 7.4) in a humidified atmosphere of 5% CO2 and 95% air using a Forma Scientific incubator. This was followed by an incubation period of 1 h in Krebs Ringer bicarbonate buffer as described above but supplemented with: 2 mmol/l [1,2-13C]L-glutamine, 1 mmol/l [2-13C]L-glycine, or 16.7 mmol/l [1-13C]D-glucose plus different combinations of amino acids. For the aminotransferase inhibition experiment the cells were exposed to the aminotransferase inhibitor aminooxyacetate (5 mmol/l) in the presence of 16.7 mmol/l [1-13C]D-glucose. After incubation, the medium was removed and stored at −20°C and the cells were washed with phosphate-buffered saline. Perchloric acid (6%) was added and the cells were scraped off the culture flasks. The extracts of six culture flasks (approximately 108 cells in total) were pooled and centrifuged at 1500 rpm. The resulting supernatant was neutralised with KOH (5 mol/l and 0.1 mol/l solutions) and the pellets were soaked overnight in 0.1 mol/l NaOH. The protein concentration was determined using the Lowry method . The neutralised supernatant was centrifuged (1500 rpm) and the supernatant was treated with Chelex-100 resin and then lyophilised. Each experiment was carried out on at least two independent cultures of the BRIN-BD11 cells.
The lyophilised cell extracts were dissolved in 3 ml potassium phosphate buffer (100 mmol/l, pH 7.0) and then centrifuged. The supernatant was carefully removed and 10% D2O was added and the pH checked and adjusted when necessary with 0.1 mol/l NaOH and 0.1 mol/l HCl. An insert containing 5% v/v dioxane in water was used as an external signal intensity reference for quantification of the NMR spectra. A solution of L-alanine, L-glutamate, lactate and D-glucose, each at a concentration of 100 mmol/l, was prepared and used to quantitate concentrations of metabolites in the 13C spectra. Proton decoupled 13C spectra were acquired on a Bruker DRX 500 spectrometer using a 10 mm broadband probe. Typically spectra were acquired with 32 K data points using 9.4 µs pulses (90°pulse angle), 260 ppm spectral width, 2 s relaxation delay and 12000 scans. Spectra were recorded at 25°C. Chemical shifts in aqueous media were referenced to tetramethylsilane at 0 ppm as described previously . Data were processed with no zero filling using Bruker WINNMR software and exponential multiplications with 2 Hz line broadening were carried out. The assignments of the intermediate metabolites were made by comparison with chemical shift tables in the literature  or by addition of 100 mmol/l of unlabelled amino acid. The amount of 13C in each resonance was evaluated by integration of the extract peaks and the corresponding peaks in the standard sample relative to the dioxane signal. In the case of [1,2-13C]-proline the amount of 13C was estimated by using peak heights and a known concentration of dioxane, assuming both have similar line widths. Corrections for the natural abundance signal were made. The absolute enrichments of the L-glutamate were related to the glutamate concentration in the extracts, determined by enzymatic methods, to give the specific enrichments .
Measurement of glutamine consumption
For the measurement of glutamine consumption, cells were grown in T182 cm2 flasks. When confluent the cells were washed with phosphate-buffered saline and incubated at 37°C for 2 h in Krebs Ringer bicarbonate buffer with 1.1 mmol/l D-glucose and 2 mmol/l glutamine or 16.7 mmol/l D-glucose and 2 mmol/l glutamine. At 0 h and 2 h media (500 µl) was removed and centrifuged at 900 rpm for 5 min. The amount of glutamine in each sample was determined as described below.
Enzymatic determinations of metabolites
Lactate concentrations were measured using a lactate oxidase based assay kit supplied by Sigma. Cellular L-glutamate concentration was quantified using a glutamate dehydrogenase based assay (Roche Diagnostics, Darmstadt, Germany). Total glutathione concentrations were determined using an assay kit supplied by Dojindo (Kumamato, Japan). The assay is based on the reaction of glutathione with DTNB [5,5′-Dithiobis (2-nitrobenzioc acid)] to form 2-nitro-5-thiobenzoic acid which has an absorption maximum at 412 nm. Oxidised glutathione is also formed which is recycled to glutathione. Glutamine was measured using a protocol previously described .
Measurement of glutaminase activity
Glutaminase activity was measured as the amount of L-glutamate formed from glutamine. Cells were washed with phosphate-buffered saline and an extraction buffer consisting of 100 mmol/l phosphate buffer, 1 mmol/l EDTA, 50 mmol/l Tris-HCl at pH 8.6 was added. The cells were scraped off and sonicated. The experiment was carried out in a final volume of 1 ml and the assay buffer consisted of 50 mmol/l phosphate buffer, 0.2 mmol/l EDTA, 50 mmol/l Tris-HCl and 0.05% (v/v) triton-X-100 at pH 8.6. Cell homogenate and glutamine (20 mmol/l) were added and incubated for 20 min at 37°C. The reaction was stopped by adding 200 µl ice cold HClO4 (25%). The solution was neutralised with KOH and centrifuged (1500 rpm). L-glutamate was then measured in the supernatant. Blanks were incubated in the absence of cell homogenate. The protein concentration was measured using the Lowry method. The final results are averages of five determinations ± SD.
Measurement of γ-glutamyltransferase activity
BRIN-BD11 cells were scraped off the culture dish in Tris-HCl (100 mmol/l, pH 9.0) and sonicated. The γ-glutamyltransferase activity was measured using an assay kit supplied by Sigma (Poole, Dorset UK) based on the transfer of the glutamyl group from L-glutamyl-p-nitroanilide to glycylglycine over a 20-min incubation period. The p-nitroaniline formed was diazotized and the absorbance was measured at 540 nm. This absorbance is proportional to the γ-glutamyltransferase activity. The assay was done on six independent cell cultures.
Measurement of γ-glutamylcysteine synthetase
Cells were washed with phosphate-buffered saline and an extraction buffer consisting of 50 mmol/l Tris-HCl and 1 mmol/l EDTA at pH 8.6 was added. The cells were scraped off and sonicated. The activity was determined using a method described previously  with 2 mmol/l L-glutamate and 10 mmol/l α-aminobutyrate as substrates in the presence of MgCl2 (20 mmol/l) and ATP (5 mmol/l). After incubation for 1 h the reaction was terminated by adding 10% trichloroacetic acid. The inorganic phosphate released was determined. The enzyme inhibitor, L-methione-S-sulphoximine, was used to determine the non-specific inorganic phosphate formation. These values were subtracted from the total value to give the activity of γ-glutamylcysteine synthetase. The protein concentration was measured using the Lowry method.
The results are presented as mean ± SD. Groups of data were compared using a Student's unpaired t test. Differences were considered significant at a p value of less than 0.05.
Metabolism of [1,2-13C]glutamine
Rates of L-glutamine consumption in the presence of 1.1 mmol/l or 16.7 mmol/l D-glucose
Rate of L-glutamine consumption
2 mmol/l L-glutamine +1.1 mmol/l glucose
2 mmol/l L-glutamine +16.7 mmol/l glucose
Concentrations of labelled intracellular glutamate and aspartate derived from metabolism of D-[1-13C]glucose or L-[1,2-13C]glutamine respectively
D-[1-13C]glucose+2 mmol/l L-glutamine
D-[1-13C]glucose+10 mmol/l L-glutamine
2 mmol/l L-[1,2-13C]glutamine
2 mmol/l L-[1,2-13C]glutamine+D-glucose
Effect of the aminotransferase inhibitor aminooxyacetate on metabolism
When the cells were incubated in the presence of aminooxyacetate and L-glutamine there was no inhibition of the production of L-glutamate from L-glutamine.
Effect of L-glutamine on D-glucose metabolism
Percent 13C enrichments of the carbon positions of glutamate after incubation with [1-13C]glucose or [1-13C]glucose plus L-glutamine
D-[1-13C]glucose +2 mmol/l L-glutamine
Effect of L-glutamine on cellular glutathione concentration
Total cell glutathione determined in the presence of glucose, L-glutamine or both
1.1 mmol/l glucose
16 .7 mmol/l glucose
16 .7 mmol/l glucose + 2 mmol/l L-glutamine
1.1 mmol/l glucose + 2 mmol/l L-glutamine
Activities of glutaminase, γ-glutamyltransferase and γ-glutamylcysteine synthetase
The glutaminase activity measured in optimal conditions (50 mmol/l phosphate) in BRIN-BD11 cells (69.9±7.3 nmol/mg protein/min) was similar to that reported previously . The activity was found to be phosphate dependent, decreasing to 47.4±3.2 nmol/mg protein/min in the presence of 10 mmol/l phosphate in agreement with an earlier report of beta-cell phosphate-dependent glutaminase activity . The activity of γ-glutamyltransferase in BRIN-BD11 cells, measured under optimal conditions, was 66±12 nmol/mg protein/60 min, considerably lower than the value of 0.80±0.12 nmol/µg protein/60 min reported for islets . The presence of γ-glutamyltransferase activity in BRIN-BD11 cells could be important for cellular function. The activity of γ-glutamylcysteine synthetase, the rate limiting enzyme for glutathione production, was found to be 110±10 nmol/mg protein/60 min.
The main end-product from metabolism of L-[1,2-13C]glutamine was L-glutamate which could enter a number of possible pathways of metabolism in the beta cell including glutathione production, GABA formation, ornithine formation, in addition to 2-oxoglutarate formation . [1,2-13C]5-oxoproline, which is an intermediate of the γ-glutamyl cycle, was observed in the 13C NMR spectra of cell extracts and incubation medium of BRIN-BD11 beta cells. This observation suggests that glutamine could be entering the cell via γ-glutamyltransferase as well as through the ASC and L transport systems . Higher concentrations of 5-oxoproline were detected in the incubation medium but we have determined that the 5-oxoproline associated with the media was derived from spontaneous conversion from extracellular L-glutamine. We observed statistically significant activities of the enzymes γ-glutamyltransferase and γ-glutamylcysteine synthetase which form part of the γ-glutamyl cycle. 13C NMR data in this paper have shown that on addition of 2 mmol/l glutamine to medium containing the glutathione precursors L-[2-13C]glycine and L-cysteine, the intensity of the glutathione peak increased. Despite an early report of beta-cell γ-glutamyltransferase and related γ-glutamyl cycle activity  this route of L-glutamine metabolism has largely been ignored. The activity of beta-cell phosphate-dependent glutaminase was very high and well in excess of the γ-glutamyltransferase activity suggesting that glutamine can be metabolised by at least two key pathways in the beta cell but that the glutaminase pathway is quantitatively the most important. The L-glutamate formed could enter the γ-glutamyl cycle (Fig. 1) resulting in increased production of glutathione reported.
Our data have also provided evidence for 2-oxoglutarate (derived from D-glucose) flux through an aminotransferase resulting in the production of L-glutamate. Addition of the aminotransferase inhibitor, aminooxyacetate, attenuated L-glutamate production from D-glucose (with no observable glutamate in the 13C-NMR spectra). Thus it seems that under physiological and metabolic conditions in the beta cell, L-glutamate conversion to 2-oxoglutarate was catalysed by GDH  but that 2-oxoglutarate conversion to L-glutamate was catalysed by an aminotransferase reaction. Thus L-glutamate is an important intracellular metabolite in the beta cell which can be formed from L-glutamine or D-glucose.
The formation of glutathione, an intracellular thiol, via the γ-glutamyl cycle from L-glutamate is important for cellular antioxidant defences [37, 38, 39, 40] but could also play a role in enhancing or maintaining mitochondrial function [41, 42]. Thus glutathione could indirectly, through increasing the ATP to ADP ratio, affect early as well as late signalling events in the nutrient stimulated insulin secretory process. Previous studies on the effects of glutathione on insulin secretion in pancreatic islets have shown that a reduction in glutathione content resulted in a decrease in glucose-stimulated insulin secretion . Glucose was found to increase reduced glutathione (GSH) and decrease oxidised glutathione (GSSG) leading to the hypothesis that glucose modifies the redox state of NADPH/NADP and GSH/GSSG and thus modulates the sensitivity of the beta cell to the release of insulin by glucose . A study of the importance of glutathione reductase showed that a lower GSH content caused an inhibition of L-glutamine and L-leucine-dependent insulin release . In contrast, attenuation of γ-glutamylcysteine synthetase in the cell line MIN 6 resulted in low cellular glutathione enhanced rates of insulin secretion . The latter study used an assay based on a measurement of released insulin after 24 h as opposed to the widely accepted method of brief acute incubation (20–60 min) followed by insulin measurement. The 24 h incubation period would not provide data on the critical acute '1st phase' insulin release which is absolutely dependent on cell metabolism.
The formation of glutathione, via the γ-glutamyl cycle, is important for both cellular antioxidant defences and enhanced mitochondrial function. The respiratory chain (electron transport chain) includes four individual enzyme complexes (I-IV). The enzyme complexes, notably NADH-ubiquinone oxidoreductase (complex I) and cytochrome c oxidase (complex IV) can be inhibited by reactive oxygen and nitrogen species such as nitric oxide. Nitric oxide production is stimulated in a wide variety of conditions, including nutrient availability in islet cells, where it was shown that nitric oxide generation resulted in a decreased glucose-induced insulin release . Complex I inhibition by nitric oxide is facilitated, in vitro, by depletion of reduced glutathione . Additionally apoptotic cell death is associated with reduced intracellular GSH concentrations and the production of ROI . The release of cytochrome c from the mitochondrial inner membrane is essential for some forms of stress-mediated apoptosis as it activates the Apaf-1/caspase 9 complex, which in turn activates caspase 3 thus precipitating apoptosis . However, even a low level of cytochrome c release will result in impaired mitochondrial ATP production. GSH could actually prevent the release of cytochrome c, perhaps through interaction with bcl-2 . We have reported increased beta-cell glutathione concentrations in the presence of L-glutamine (compared to glucose alone). Thus we propose that by maintaining cellular GSH concentration and thus optimising mitochondrial function, L-glutamine may influence nutrient-induced insulin secretion. It is possible that maximal glucose-dependent stimulation of insulin secretion in this condition is dependent on glucose derived glutamate, which by virtue of GSH production, enhances ATP production and thus insulin secretion.
Our data show that although the addition of glucose did not alter the consumption of L-glutamine, it decreased the rate of oxidative L-glutamine metabolism (e.g. the [1-13C]aspartate and [4-13C]aspartate peaks were reduced in magnitude) resulting in an increase in glutamate concentration. This agrees with results reported by  where glucose inhibited glutaminolysis in pancreatic islets while inhibiting GDH. In this proposed mechanism glucose increased GTP concentrations and decreased ADP. The GTP to ADP ratio could influence GDH activity and thus regulate glutaminolysis. It is possible that a decrease in glutaminolysis in the presence of glucose is responsible for the absence of a stimulatory effect of the amino acid. In contrast it is possible that activation or overexpression of GDH in the beta cell allows for greater flux of glutamine/glutamate carbon in the 2-oxoglutarate direction. The result is enhanced insulin secretion. The production of labelled glutamate from [1-13C]glucose decreased (p<0.05) in the presence of L-glutamine and the specific enrichment of L-glutamate from labelled D-glucose decreased demonstrating that L-glutamate is produced preferably from L-glutamine via glutaminase in these conditions. L-leucine has been proposed to stimulate L-glutamine metabolism and insulin secretion via allosteric activation of GDH . However, an alternative explanation for the L-leucine-dependent stimulation of insulin secretion is metabolism via branched-chain keto-acid dehydrogenase, conversion to acetyl-CoA and subsequent oxidation .
In addition to 2-oxoglutarate formation and glutathione production L-glutamate can enter a number of possible pathways of metabolism in the beta cell including GABA formation and ornithine formation . GABA might not have been detected in our cellular extracts due to a high activity of enzymes of the GABA shunt which will return carbon back to the TCA cycle in the form of succinate. L-glutamate could be converted to pyrroline 5-carboxylate and onward to L-proline, a pathway known to exist in the liver and small intestine. This would explain the 13C peak associated with L-proline detected in our beta-cell extracts.
In summary L-glutamine metabolism is important for L-glutamate and glutathione production in a clonal beta-cell line. Additionally we provide evidence for D-glucose conversion to L-glutamate via 2-oxoglutarate in a transamination reaction. The new route of L-glutamine metabolism described here seems to be especially important in the beta cell, due to optimisation of mitochondrial function. Thus L-glutamine is used by the beta cell not only for oxidation but also for glutathione production. We speculate that in conditions where activation or overexpression of GDH activity is promoted, the metabolism of L-glutamine will contribute to a rise in the ATP to ADP ratio, thus inactivating the K+ATP channel and depolarising the plasma membrane . In conditions where extracellular L-glutamine is limiting, D-glucose metabolism could provide the L-glutamate essential for glutathione production. Our work therefore supports the hypothesis that cytosolic glutamate generation is an important factor for the regulation of insulin secretion [5, 18] but we suggest that downstream metabolites of glutamate metabolism, e.g. glutathione, confer regulatory effects on insulin secretion.
This work was generously supported by the Health Research Board (HRB) of Ireland and the Research Development Office of Northern Ireland Department for Health and Personal Social Services. We would like to acknowledge also The Wellcome Trust (Grant No. 055637/Z/98) for funding the DRX 500 NMR spectrometer and for supporting C. Hewage. L. Brennan was the recipient of a Conway Institute (University College Dublin) Research Fellowship and more recently a HRB Postdoctoral Fellowship.