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Lab 4
Lab 4
Lab 4
Carbohydrate Metabolism
Regulation of blood glucose levels is imperative for maintaining proper functioning of tissues
that rely almost exclusively on glucose for fuel (e.g. brain, RBCs) and minimum blood glucose
levels are maintained to ensure proper functioning of these tissues (Stipanuk & Caudill, 2013).
With ingestion of a meal, blood glucose levels rise dramatically above the normal fasting
range. Elevated blood glucose causes the -cells of the pancreas to secrete insulin, which
facilitates cellular glucose uptake and effectively lowers blood glucose levels (McArdle et al.,
2001). In healthy participants, hyperglycemia following a meal normally subsides within 1 to
2 h (Stipanuk & Caudill, 2013). In insulin resistant or diabetic states, the response to dietary
glucose differs vastly from the normal response, with plasma glucose and insulin levels
remaining high 2 h or more after consuming a glucose-containing meal.
Insulin sensitivity refers to the ability of insulin to lower blood glucose levels by stimulating
cells to take up glucose (Pacini & Mari, 2003). Decreased insulin sensitivity indicates an
inability of cells to respond adequately to insulin to increase glucose uptake (McArdle et al.,
2001). This is known as insulin resistance, a state in which the pancreas overproduces insulin
to try to compensate for the high circulating blood glucose levels (McArdle et al., 2001).
Insulin resistance is often present long before clinical manifestations of the Metabolic
Syndrome (MetS) are observed (Monzillo & Hamdy, 2003). The MetS is a common metabolic
disorder that is characterized by glucose intolerance (elevated fasting plasma glucose or type 2
diabetes), insulin resistance, central obesity, dyslipidaemia (high triglycerides and low
concentrations of HDL cholesterol), and hypertension (Eckel et al., 2005). Central obesity and
insulin resistance are thought to be important causative factors in the development of the MetS
(Eckel et al., 2005). Although there is sometimes a genetic susceptibility to insulin resistance,
obesity is strongly correlated, indicating a possible role of higher adiposity and/or positive
energy imbalance in the development of metabolic syndrome (Grundy, 2016). Individuals with
the MetS are at a significantly increased risk of developing type 2 diabetes, atherosclerosis and
cardiovascular disease (Grundy, 2016).
Assessment of carbohydrate metabolism is one of the best methods available to assess insulin
sensitivity and detect insulin resistance. A standard procedure known as the oral glucose
tolerance test (OGTT) was established to estimate insulin sensitivity based on insulin secretion
and disappearance of glucose from the blood (Monzillo & Hamdy, 2003). The OGTT requires
ingestion of a standard amount of glucose followed by venous blood sampling for 2 to 3 h
(generally at 0, 30, 60, 90 and 120 mins) (Pacini & Mari, 2003). Plasma glucose and insulin
concentrations are measured at each time point. Several indices have been derived in an
attempt to quantify insulin sensitivity, such as the Homeostasis Model of Assessment - Insulin
Resistance or HOMA-IR (fasting insulin x fasting glucose/22.5). The resulting value is
compared with normal reference values or ranges (Monzillo & Hamdy, 2003).
Lipid Metabolism
In humans, the size, frequency and composition of meals are often unpredictable. Lipid
metabolism rates must respond rapidly to continuously changing inputs of cholesterol and
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NUTR 301 Lab Manual
fatty acids. Lipids in excess of immediate needs must be selectively transferred to appropriate
storage sites and released later upon demand (Stipanuk & Caudill, 2013). Following a meal,
the small intestine packages triacylglycerols (or triglycerides; TG), cholesterol and
phospholipids, along with certain apolipoproteins, into large lipoprotein particles called
chylomicrons (CMs) for transport in the circulation. Once absorbed, larger CMs (also known
as triglyceride-rich lipoproteins) are rapidly hydrolyzed to smaller chylomicron-remnant
particles, which are able to be removed from the circulation via the liver. In turn, the liver re-
packages nutrients into other lipoprotein particles of different class and function. These include
high density lipoproteins (HDLs), low density lipoproteins (LDLs) and very low density
lipoproteins (VLDLs) (Stipanuk & Caudill, 2013). Collectively, CMs, VLDLs and LDLs are
responsible for transporting lipids to the peripheral tissues, where the lipid constituents are
used for energy, storage, cell membrane structural integrity, and so on (Stipanuk & Caudill,
2013). The HDL particles play a role in reverse transport of cholesterol from the tissues back to
the liver for eventual excretion (Stipanuk & Caudill, 2013) and thus the cholesterol associated
with HDLs has become known as ‘good cholesterol’.
Measurements of plasma lipid concentrations in the postprandial period indicate not only the
amount of dietary fat absorbed, but also the efficiency of clearance from the blood. The
measurement of plasma lipid concentrations following a high fat meal is often referred to as a
fat tolerance test. After ingestion of a normal meal containing 1/3 of daily caloric intake,
plasma TG concentration typically peaks at about 3 hours and decreases toward (or below)
fasting levels by 9 h, returning to fasting levels by 12 h (Stipanuk & Caudill, 2013). The ability
to clear postprandial lipids (e.g. triglyceride-rich particles) is thought to correlate with risk of
developing cardiovascular disease (CVD) (Ginsberg and Illingworth, 2001; Lefebvre &
Scheen, 1998). Evidence suggests that sustained elevated postprandial TGs is an independent
predictor of coronary and carotid atherosclerosis (Cohn, 1998; Cohn, 1994). Other
abnormalities in lipid metabolism, including elevated fasting serum total cholesterol, LDL
cholesterol and TGs, are known risk factors for the development of CVD, as is low HDL
cholesterol (Singh & Mehta, 2002). Evidence suggests that postprandial TGs may be superior
to fasting TGs as a predictor of CVD risk (Criqui & Golomb, 1998). As mentioned above,
these lipid abnormalities, in combination with obesity, glucose intolerance and insulin
resistance, characterize the MetS (Eckel et al., 2005).
Animal Model
An animal model is defined (Farlex, 2015) as, “An animal that is an accidental or deliberate
(through selective inbreeding) model of a human disease. Such models are experimental living
systems that are used to study disease mechanisms and provide insight into possible
therapies.” The JCR:LA- corpulent rat is a unique animal model used to study coronary heart
disease, because it exhibits many of the risk factors (obesity, hyperlipidemia, insulin
resistance), as well as developing many features of the disease itself (atherosclerosis, ischemic
lesions of the heart, myocardial infarcts) (Russell & Proctor, 2006).
The corpulent (cp) gene mutation results in defective leptin receptors (Brindley & Russell,
2002). Defective receptors lead to increases in circulating leptin concentration; however the
signal is not recognized. Neuropeptide Y becomes elevated in response, strongly stimulating
feeding behavior and resulting in hyperphagia (Brindley & Russell, 2002). Thus, rats
homozygous for the cp gene (i.e. cp/cp) develop MetS in an extreme form, with marked
obesity, insulin resistance, hyperinsulinemia, hypertriglyceridemia, and atherosclerosis.
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At 3 weeks of age cp/cp rats are detectably obese (Brindley & Russell, 2002), however
hyperinsulinemia and insulin resistance develop as rats mature from 4 to 8 weeks of age
(Russell et al., 1998). Plasma TG is elevated by 4 weeks of age and continues to rise
thereafter, mostly due to marked hepatic hypersecretion of VLDL (Russell et al., 1998).
Importantly, JCR:LA-cp rats heterozygous (cp/+) or homozygous normal (+/+) for the cp
gene are lean and metabolically normal (Russell et al., 1998) and can therefore be used as
‘lean controls’ in nutritional studies. Female rats are less severely affected than male rats
(Russell et al., 1998); thus the male JCR:LA-cp rat provides a valuable model for studying
carbohydrate and lipid metabolism in the ‘normal’ versus insulin resistant state.
Purpose
The purpose of this lab is to characterize differences in carbohydrate and lipid metabolism in
obese animals exhibiting the metabolic syndrome versus metabolically normal control
animals.
Procedures
Data will be provided for plasma TG, glucose (GLC), total cholesterol (TC), and insulin (INS)
concentrations in lean and obese rats – via eClass. Instead of performing these analyses
yourself, you will watch a demonstration video prepared by students in Dr. Proctor’s lab. You
will need to write up your report as if you had performed the analyses and obtained the data
yourself because that is the level of understanding expected for this lab.
There will be several samples representing fasting and postprandial collections at different
time- points. Step-by-step instructions are included on subsequent pages. Plasma samples of
an unknown concentration are prepared by first diluting with double distilled water and each
sample is aliquoted in triplicate onto a 96-well plate, according to a plate layout map provided.
Standards of a known concentration, in triplicate, are also added to the plate according to the
map. This is followed by adding reagent, incubating the plate, and then having the plate “read”
by a spectrophotometer system (SpectraMax® 190 Microplate Reader, Molecular Devices
LLC, USA). The spectrophotometry software compares the absorbances of the known
standards of varying concentrations to the absorbances of the unknown samples on each plate
to back-calculate their concentrations.
The purpose of the discussion lab is to inspire speculation about the results of this experiment
in terms of physiological and metabolic processes most likely resulting in the blood values
observed. There will be an in-depth discussion of carbohydrate and lipid metabolism, and some
application to broader concepts (i.e. implications) and application of this knowledge (i.e. in
humans). Please come to the lab prepared for discussion as you will be asked to participate! It
may help to re-visit relevant information from the course notes and textbook prior to the lab.
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Results
Using the data provided, calculate average GLC, INS and TG concentrations and standard
error (SE=SD/√n) at each time-point for obese and lean rat groups. Present data as a line graph
with SE bars.
Do the same calculations for TC for lean and obese rat groups and present this data as bar
graph (column graph) format including SE bars.
As an index of insulin resistance, calculate the fasting HOMA-IR (Fasting insulin in µIU/ml
x Fasting glucose mol/l / 22.5) values for the lean and obese rat groups. Incorporate the
average HOMA-IR value for each group into the text of your Results section.
In your Appendix, show all raw data + means, standard deviation (SD) and SE at each time
point for each rat group. Show a sample calculation for all unique calculations that require
formulas in Excel (e.g. correct for dilutions and convert to mmol/L).
Discussion
As always, your discussion will primarily consist of observations from your results, whether
these were expected (or not) and why (or why not). Make sure you discuss the physiological
processes likely affecting the shape of the postprandial curves for each graph, and whether you
think the curves were inter-related. Additionally, please consider the following questions:
If the size of the meals is identical between the lean and obese groups, as well as content of
glucose (for MTT) and triglycerides (for FTT) in meals, why is there a difference in
concentration of glucose and triglycerides in the plasma after eating the meals?
Why were differences observed in total cholesterol between lean and obese rats? What is the
major lipoprotein source of this plasma cholesterol?
This lab was an observational comparison of JCR:LA-cp rat groups. Give an example of a
dietary intervention you think has the potential to “normalize” the metabolism of the obese
rats. Discuss.
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JCR:LA-cp rats (cp/cp) were raised in an established breeding colony at the University of
Alberta as previously described (Vine et al., 2007). Male rats (lean and obese) had free access
to water and a standard rat chow diet (see eClass) from weaning until 16 weeks of age, at
which point the diet was supplemented with fat and cholesterol (1%, w/w), to contain 42% of
energy from carbohydrate, 23.7% from protein and 34.3% from fat. When food intake was
measured, lean rats consumed an average of 19.7 g of food per day, whereas obese rats ate
32.4 g.
Seven days prior to the test, rats were acclimatized to a reverse light cycle to allow for
metabolic tests to be performed during the active feeding period of the animals.
At 24 weeks of age, the day prior to the test, rats were weighed and fasted for 12 h overnight.
The day of the test, at approximately 8:00 am, a fasting blood sample was taken from each
rat, referred to as the “0” time sample. A meal tolerance test or fat challenge test was
performed (as described in Russell et al., 2007 and Vine at al., 2007, respectively) immediately,
in which rats were placed in individual clean cages and given a 5 g pellet of food. Time was
recorded when half the food was eaten and this was used for subsequent blood draw timings.
For Meal Tolerance Tests (to test carbohydrate metabolism), rats were given a pellet of regular
rat chow (~24% protein w/w, 5% fat w/w, 49% carbohydrate w/w). Blood samples were taken
30 and 60 minutes later.
For Fat Tolerance Tests (to test lipid metabolism), rats were given a pellet of high-fat food
(comprised of ~24% milk fat w/w, prepared by mixing English Double Devon Cream at 47%
milk fat w/w with rat chow). Blood samples were taken 2, 4, 6, 8, and 10 hours later.
For both tests, blood samples were collected in heparinized tubes and put on ice. Samples
were spun in a centrifuge (~3000 rpm for 15 mins) and the plasma (supernatant) was pipetted
into labeled tubes and stored in a -80ºC freezer until analysis by lab technicians.
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How does the spectrophotometer determine that a certain color intensity equates to a specific
concentration of substance in a plasma sample?
In order to determine the unknown concentration of a substance in plasma samples (referred to
as “samples”), prepare a range of samples where the concentration of that substance is known
(referred to as “standards”). This way, the colour intensities produced by standards can be
equated to known concentrations. Specifically, you need to prepare standards containing the
substance of interest in amounts chosen to span the range of concentrations you expect to find
in the unknown samples. The spectrophotometer creates and uses a standard curve to equate
the colour intensity of the standards with the known concentrations (as input by the technician).
A standard curve is a graph relating measured optical densities to the standard concentrations
using linear regression. The spectrophotometer calculates a standard curve by plotting
absorbance (Y axis) versus concentration (X axis). The curve can be used to determine
concentrations of the substance in unknown plasma samples as shown in Figure 1. A sample
with an absorbance of 0.250 equates to [TG] of 83 mg/dl.
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NUTR 301 Lab Manual
Peroxidase
H2O2 + Hydroxybenzoate + 4-aminoantipyrine Quinoneimine dye (red) + 4 H2O
Step 1:
GK, GPO Catalase
Free glycerol 2 H2O2 2 H2O + O2
ATP
Step 2:
LPL
Triglyceride Glycerol + 3 FFAs
GK
Glycerol Glycerol-3-Phosphate
ATP
GPO
Glycerol-3-Phosphate + O2 Glycerone phosphate + H2O2
Peroxidase
H2O2 + HDAOS + 4-aminoantipyrine Blue pigment (450 nm)
Note: GK, Glycerol Kinase; GPO, Glycerol-3-Phosphate Oxidase; LPL, Lipoprotein Lipase; FFAs, Free
Fatty Acids
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NUTR 301 Lab Manual
Cholesterol Assay
The cholesterol assay (Wako Chemicals USA, Inc.) is an enzymatic method for the
quantitative determination of total cholesterol (TC) in serum or plasma. To determine the
amount of TC in the sample (free cholesterol + cholesterol in cholesterol esters), cholesterol
esters first need to be hydrolyzed to free cholesterol.
Cholesterol Oxidase
*Free Cholesterol H2O2
Peroxidase
H2O2 + 4-aminoantipyrine + DAOS Blue Color Complex + 2 H2O (600 nm)
*Note: This is total free cholesterol (free cholesterol in plasma + free cholesterol hydrolyzed from cholesterol
esters)
Low Density Lipoprotein (LDL) Cholesterol (note: FYI, not done in lab or included ethods)
LDL cholesterol (LDLc) concentration is determined in a similar way to TC in plasma,
however a two- step process is needed. In the first step, added reagent protects the LDLs while
all non-LDLs are oxidized. The sample has to read by the spectrophotometer at this point to
establish a baseline color. Reagent is added in a second step, whereby remaining LDLs are
oxidized and a blue color complex is formed in proportion to the amount of LDLc in the
plasma sample.
In outpatient laboratories and some human research labs, plasma LDLc concentration is often
calculated, rather than measured. The TC, HDLc and TG concentrations can be determined
by an automated enzymatic method and then the Friedewald (1972) equation used to calculate
LDLc: LDLc = TC - HDLc - TG/5.0 (g/dl). In this equation, TG/5 is used to estimate VLDL
cholesterol concentration in plasma (VLDLs carry most of the TGs in fasting plasma and
cholesterol from this source can be estimated in this way).
It should be noted that cholesterol metabolism in rats and mice differ from humans in that
cholesterol transport is primarily based on HDLs, rather than on LDLs (Russell & Proctor,
2006).
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sandwich technique in which two monoclonal antibodies are directed against separate
antigens on the insulin molecule. Insulin in the plasma sample binds to anti-insulin antibodies
coated on the wells of a 96 well plate and then to anti- insulin peroxidase conjugated
antibodies. A washing step removes unbound enzyme labeled antibody. Bound conjugate
antibody is detected by reaction with the enzyme substrate. The reaction is stopped by adding
acid to give a colorimetric endpoint. If this seems confusing, see this 2 minute explanation
developed by Cary Engleberg at the University of Michigan: https://youtu.be/RRbuz3VQ100
PREPARATION OF STANDARD SOLUTIONS (note: standards have been prepared for you)
Formula: Ci * Vi = Cf * Vf
Ci = initial stock concentration Cf = final concentration
Vi = initial stock volume Vf = final volume
Sample Calculation: How would you prepare 100 l of a 45 mg/dl glucose standard solution
if you were given a 90 mg/dl glucose standard stock solution?
Vi = (Cf * Vf)/Ci
(200 mg/dl *100 l)/400 mg/dl = 50 l of glucose standard stock solution
Therefore you would need 50 l of the glucose standard stock solution and 50 l of ddH20.
This is known as a 1 in 2 dilution as you have one volume (50 l) of glucose standard stock
solution and two volumes of total solution (100 l).
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Glucose Analysis Procedure (Based on the Instruction Manual for the Diagnostic
Chemicals Limited Glucose Assay Kit).
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NOTE: This will not be done during the lab, instead you will be provided with insulin data to
analyze. However, you will need to include insulin analysis information in your Methods.
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Rat plasma Samples: labeled either A or B (lean or obese animal group), a number to
distinguish individual samples, and plasma collection time point (0 only = fasting), i.e. A3-0
is sample #3, A group, at the 0 hour time-point.
Empty tubes: for diluted plasma (1:3).
Cholesterol Standard solutions.
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NUTR 301 Lab Manual
Preparation of Standards and Samples (Note: this has been completed for you, proceed to step 5)
1. Label all empty tubes for diluted plasma samples before you begin.
2. Vortex all standard and plasma sample tubes.
3. Dilute plasma samples for all time-points; for A rats: 1 in 3 dilutions (60 l plasma +
120 l)
4. ddH2O) and for B rats: 1 in 20 dilutions (9 l plasma + 171 l ddH2O)
5. Once transferred to new tubes - vortex. Centrifuge liquid to bottom of tube if needed.
*Note: Normally absorbance readings obtained following Enzyme Color A are subtracted
from absorbance readings after Enzyme Color B (using the SoftMax® Pro GxP Software), to
correct for the presence of free glycerol in plasma samples. However with time constraints of
the lab, this step may be omitted.
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NUTR 301 Laboratory Manual
An example of a 96-well plate layout plan for a triglyceride assay is shown below.
1 2 3 4 5 6 7 8 9 10 11 12
A 0 0 0 A-0 A-0 A-0 B-0 B-0 B-0
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