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Journal of Obesity
Volume 2011 (2011), Article ID 475786, 10 pages
Oral Administration of Semicarbazide Limits Weight Gain together with Inhibition of Fat Deposition and of Primary Amine Oxidase Activity in Adipose Tissue
1Institut National de la Santé et de la Recherche Médicale, INSERM U1048, Equipe 3, 12MC, IFR 150, Bat. L4, CHU Rangueil, BP 84225, 31432 Toulouse Cedex 4, France
2Université Paul Sabatier, 12MC, Centre Hospitalier Universitaire de Rangueil, 31432 Toulouse, France
Received 28 June 2010; Accepted 22 December 2010
Academic Editor: A. Halpern
Copyright © 2011 Josep Mercader et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
An enzyme hitherto named semicarbazide-sensitive amine oxidase (SSAO), involved in the oxidation of primary amines, is abundantly expressed in adipocytes. Although SSAO physiological functions remain unclear, several molecules inhibiting its activity have been described to limit fat accumulation in preadipocyte cultures or to reduce body weight gain in obese rodents. Here, we studied whether oral administration of semicarbazide, a prototypical SSAO inhibitor, limits fat deposition in mice. Prolonged treatment with semicarbazide at 0.125% in drinking water limited food and water consumption, hampered weight gain, and deeply impaired fat deposition. The adiposomatic index was reduced by 31%, while body mass was reduced by 15%. Such treatment completely inhibited SSAO, but did not alter MAO activity in white adipose tissue. Consequently, the insulin-like action of the SSAO substrate benzylamine on glucose transport was abolished in adipocytes from semicarbazide-drinking mice, while their insulin sensitivity was not altered. Although semicarbazide is currently considered as a food contaminant with deleterious effects, the SSAO inhibition it induces appears as a novel concept to modulate adipose tissue development, which is promising for antiobesity drug discovery.
Pharmacological agents known to inhibit a membrane enzyme involved in the oxidation of various primary amines, and hitherto named semicarbazide-sensitive amine oxidase (SSAO, E.C. 18.104.22.168, pending novel classification E.C. 22.214.171.124) have been reported to limit body weight gain in diverse animal models. Most of these observations of such “slimming effect” with the tested agents were not expected since they were evidenced in studies initially focused on vascular pharmacology. The first reported observation was made by Yu and coworkers in the obese and diabetic KKAy mice . Whilst the authors aimed to demonstrate an antiatherogenic effect of (E)-2-(4-fluorophenethyl)-3-fluoroallylamine (FPFA), they observed that this compound reduced weight gain in obese KKAy mice fed an atherogenic diet. In the same report, Yu and colleagues demonstrated that FPFA was able to inhibit both SSAO and monoamine oxidases (MAO). More recently, by performing pharmacological research on arterial thickness alteration, Mercier and colleagues repeatedly administrated the reference inhibitor of SSAO, namely, semicarbazide, at 100 mg/kg bw/d to Sprague-Dawley , and Brown-Norway rats . In both models, the authors observed a dramatically reduced body weight gain in response to the SSAO inhibitor, which also induced a decrease in the pressure resistance of arteries, as initially expected.
We have also reported that aminoguanidine, which inhibits SSAO  together with nitric oxide synthases (NOS) and diamine oxidase (DAO) , was able to limit WAT extension without notably altering calorie intake and body weight gain in obese Zucker rats . Then, we observed that the combined inhibition of SSAO and MAO, obtained by repeated injections of semicarbazide plus pargyline, or by daily i.p. administration of phenelzine (an antidepressant which inhibits both MAO and SSAO), produced concomitant limitation of body weight gain in the obese Zucker rat [7, 8]. Therefore, at least four distinct pharmacological agents tested in vivo to inhibit SSAO were able to alter energy balance and to lower body weight gain in rodents.
SSAO is historically known for its presence in vessels : in endothelial cells, where it is known as SSAO/VAP-1 owing to its vascular adhesion properties  and in smooth muscle cells, where it is involved together with another copper-containing amine oxidase, the lysyl oxidase, in extracellular matrix maturation [2, 11]. In fact, SSAO is also highly expressed in white adipose tissue (WAT) . Tissue-distribution studies have recently evidenced that the SSAO amount in adipocytes is extremely elevated, regarding gene expression , protein abundance , or activity level , including in man . With an approach aiming at unravelling the role for such SSAO abundance at the surface of fat cells , we observed in vitro that exogenous amines exert insulin mimicry when added to adipocyte preparations. Actually, at submillimolar concentrations, benzylamine elicits, in a SSAO-dependent manner, an activation of glucose transport and an inhibition of lipolysis in isolated fat cells, from human  or rodent origin . In addition, benzylamine , methylamine , or other SSAO substrates , activate adipocyte differentiation in several preadipocyte lineages and therefore partly reproduce the adipogenic action of insulin. Lastly, in vitro experiments showed that the hydrazine derivative phenelzine (which inhibits SSAO) alters the adipocyte differentiation of cultured human and mouse preadipocytes . We therefore hypothesized that endogenous or dietary amines may reproduce in vivo such anabolic insulin-like effects, and if the amines can reach WAT, any sustained pharmacological inhibition of their oxidation could hamper fat deposition. In this context, it appeared essential to verify whether inhibition of fat mass extension was an important issue occurring during the body weight gain reduction induced by the above-mentioned agents, all of them sharing the property to inhibit SSAO.
This prompted us to further test whether the per os administration of the prototypical SSAO inhibitor, semicarbazide, was limiting fat deposition. The following results show that, when given in the drinking water, semicarbazide not only inhibited the SSAO activity in WAT, but also limited food consumption, and to a larger extent, hampered fat accretion in both visceral and subcutaneous fat depots. Moreover, the prevention of body weight gain observed during oral administration of semicarbazide was not accompanied by any worsening of the plasma levels of metabolites or oxidative stress markers. Finally, since semicarbazide oral toxicity has been recently suspected [21–23], the need for further investigations of the putative antiobesity effects of other SSAO inhibitors is discussed.
2. Materials and Methods
2.1. Animals and Treatments
FVB/n male mice (Charles River, l’Arbresle, France) were separated in two groups of 8 mice with equivalent body weight at the age of 5 weeks. They were housed at 2 animals per cage with unlimited access to standard rodent chow (Global rodent diet, Harlan, France) and water (control), or to a semicarbazide solution (semicarbazide-drinking). Semicarbazide hydrochloride (Sigma-Aldrich, Saint Quentin Fallavier, France) was dissolved in drinking water and given as a 0.125% solution that was changed weekly. Body mass, food, and water consumption were checked weekly, and at the end of an 8-week treatment period, the mice were sacrificed after overnight fasting. Ten other 10-wk-old FVB/n mice grown under standard conditions were used for tissue distribution study of SSAO activity and preliminary lipolytic studies. Housing conditions and experimental procedures followed in the IFR 150 animal unit were in accordance with the European Union regulations on the use of animals for scientific research.
2.2. Tissue Sampling and In Vitro Functional Assays on Adipocytes
Once obtained, plasma was immediately frozen at −80°C, and circulating metabolites (glucose, insulin, triglycerides, fatty acids, etc.) were determined using a Cobas-Mira + multi-analyser, according to the manufacturer’ instructions (Roche, Neuilly, France). Once weighed, the perirenal, retroperitoneal, and epididymal white adipose tissues were pooled (and named as visceral WAT), immediately digested to obtain adipocyte preparations for glucose uptake assays and lipolysis measurements, as previously described , or for cell size determination under microscope using Lucia G software (Nikon). Portion of the tissues were also frozen for further determinations of DNA and protein contents and for amine oxidase assays. DNA content was assessed in WAT after proteinase K digestion, chloroform/ethanol extraction, and 260/280 nm spectrophotometric readings. Protein content was determined using DC Protein Assay kit (BioRad, Hercules, CA).
2.3. In Vitro 2-Deoxyglucose Uptake Assay
Freshly isolated adipocytes were diluted in around 10-fold their volume of Krebs-Ringer containing 15 mM sodium bicarbonate, 10 mM HEPES, 2 mM pyruvate, and 3.5% serum bovine albumin. Then 400 μL of cell suspension was distributed into plastic incubation vials and incubated 45 min at 37°C with the tested agents, just before 10 min exposure to 0.1 mM [3H]-2-deoxyglucose (2-DG). Separation between extracellular and internalized hexose was performed on 200 μL aliquots by centrifugation through dinonyl-phthalate layer which allowed to separate buoyant intact fat cells from medium, as previously described . 2-DG uptake was expressed as fold increase over basal uptake or even as percentage of maximal response to insulin, with basal uptake set at 1 or at 0%, respectively .
2.4. Amine Oxidase Activity
Oxidative deamination was measured by extracting the oxidation products of 0.1 mM [14C]-benzylamine (from Amersham Biosciences, Buckinghamshire, UK) or 0.5 mM [14C]-tyramine (from Sigma-Aldrich, St Quentin Fallavier, France) after incubation for 30 min in 200 μL of 200 mM phosphate buffer, pH 7.5, in the presence of protease inhibitors and approx. 100 μg protein of homogenates prepared just before assays from thawed tissues, as previously described . 15-min preincubation with 1 mM semicarbazide or 0.5 mM pargyline was used to selectively inhibit SSAO or MAO activity, respectively, as previously reported .
2.5. Gene Expression Analysis
Real-time quantitative RT-PCR was performed using oligonucleotide primers specific for the indicated genes, designed with Primer Express software (Perkin-Elmer Life Sciences, Courtaboeuf, F), and the sequences of which are reported in , for MAO-A, MAO-B, AOC2, and AOC3, or in  for adipokines, or either given as supplemental data to . Total RNAs were extracted from mature adipocytes, using RNeasy minikit, then reverse-transcribed using random hexamers and Superscript II reverse transcriptase (Invitrogen, Cergy-Pontoise, F). Reactions without reverse transcriptase (RT-) were performed in parallel to estimate DNA contamination. Real-time RT-PCR was performed using the primers in the presence of 6.25 ng cDNA and SYBR green Universal PCR Mix (Eurogentec, Angers, F). Fluorescence was analysed in an ABI PRISM 7500 Sequence Detection device (Taqman, Applied Biosystems, Foster City, CA). Analysis of 18 S RNA was performed in parallel using the Ribosomal RNA Control Taqman Assay Kit (Applied Biosystems) to normalize gene expression as already reported [25, 26]. For each gene, results were expressed as arbitrary units: , where Ct corresponds to the number of cycles reaching fluorescence threshold.
2.6. Statistical Analysis
Data are given as means ± standard error of the mean (SEM). Comparisons between semicarbazide-treated and control groups were determined using an unpaired Student’s t-test.
3.1. Tissue Distribution of SSAO Activity in Mice
Table 1 shows that the SSAO activity was higher in adipose depots than in any other studied organ. As previously reported , the oxidation of the prototypic SSAO substrate benzylamine was inhibited by semicarbazide in all the homogenates. However, the visceral WAT of FVB/n mouse was richer in SSAO activity than the subcutaneous WAT and than the interscapular brown fat. Aorta, duodenum, and kidney exhibited a lower capacity to oxidize benzylamine than the adipose depots.
3.2. Changes in Body Weight and Adiposity in Semicarbazide-Drinking Mice
FVB/n mice exhibits a rapid growth after weaning, which accounts for a week increase of about 10% of their body mass. We have therefore tested whether semicarbazide oral treatment could hamper adipose tissue development during such period of intense anabolism and substantial fattening. To this aim, semicarbazide was administered at 125 mg/100 mL in the drinking water of 5-week-old mice. Since changes in body mass and in water consumption occurred between the beginning and the end of the 8-week treatment, the ingestion of such dose of semicarbazide was calculated to reach a mean daily intake comprised between 123 and 150 mg/kg/day (equivalent to 1100–1350 μmol/kg/d). This range is similar to the dose used in toxicology studies showing no signs of any distress  and is lower than the oral LD50 stated in mouse (225 mg/kg, available at http://www.carl-roth.de/jsp/en-de/sdpdf/4681e.pdf). The semicarbazide oral administration clearly limited the growth of young mice. An immediate decline was detected in the growth curve after the first week of treatment, while retardation persisted throughout the treatment (Figure 1). At the end of the treatment, the semicarbazide-drinking mice weighed 15% less than their control, since body weights were 24.7 ± 0.6 and 29.1 ± 0.6 g, respectively (, ). The subsequent lowered body weight gain found after 8 weeks of semicarbazide ingestion (2.4 ± 0.5 g) represented only one third of that observed in the control group (6.9 ± 0.7 g, , ). It was concomitant with a significant reduction in the cumulative water and food consumption, observed during the same period (equivalent to a 29% and 12% reduction, resp., not shown).
A clear reduction of adiposity was found in the semicarbazide-drinking mice, at least when comparing the mass of the epididymal, perirenal, retroperitoneal, and inguinal fat pads (Figure 2). Since the body weight was lower in the semicarbazide-treated mice, it was more convenient to compare the adiposomatic index between the two groups, that is, the percentage of the sum of dissected fat depots relative to body weight . This index fell from 5.8 ± 0.3% to 4.0 ± 0.3% (, ), corresponding to a 31% reduction. The mass of the interscapular brown fat pad was also reduced by approximately 20% in semicarbazide-drinking mice: 82 ± 4 versus 103 ± 6 mg in control ().
Two approaches were performed to further examine the limitation of WAT development. First, the determination of adipocyte diameter distribution clearly showed a fall in the proportion of the larger adipocytes, together with an increase in the proportion of small fat cells (Figure 3(a)). This resulted in a significant decrease of the mean fat cell size (Figure 3(b)), reflecting an impaired lipid accumulation inside the fat cells. Second, the DNA content per 100 mg tissue was greater in WAT from semicarbazide-drinking mice than in control, indicating that more numerous and smaller cells were present per unit of tissue mass in the treated than in the control animals, the fat depots of which contained larger, heavier, lipid-laden adipocytes (Figure 3(c)). These two approaches, together with the lack of increased adipogenic markers (see below), indicated that the WAT of semicarbazide-drinking mice partially escaped to the age-dependent lipid accumulation and contained adipocytes having a reduced cell size/mass when compared with age-matched control mice.
Moreover, the maximal lipolytic activity of the adipocytes was elevated in the semicarbazide-treated group: in fat cells isolated from epididymal plus retroperitoneal and perirenal fat pads (pooled as visceral WAT, to obtain sufficient amount of biological material for the various determinations), the glycerol released in response to 10 μM isoprenaline was 3.14 ± 0.72 versus 1.90 ± 0.20 μmol/100 mg lipids/90 min in control (, ). Such observation supported that these small adipocytes were more metabolically active than larger fat cells. Therefore, chronic semicarbazide ingestion clearly appeared to prevent adipocyte hypertrophy and to facilitate lipid mobilization.
3.3. Benzylamine-Dependent Effects in Adipocytes
Of worth was to investigate whether the insulin-like effects of amines were abolished in fat cells after SSAO blockade. The glucose uptake was measured ex vivo in adipocytes isolated from visceral WAT. The submaximal stimulation of deoxyglucose uptake by 10 nM insulin reached 2.9 ± 0.3-fold increase over basal in control adipocytes, while it was equivalent to a 4.5 ± 0.5-fold increase in semicarbazide-drinking mice (, ). Again, the smaller fat cell size of semicarbazide-treated mice likely accounted for such enhanced insulin responsiveness. On the opposite, the insulin-like effect of benzylamine was dramatically impaired in the semicarbazide-treated mice, especially when the SSAO substrate was tested at 0.1 mM in the presence of 0.1 mM vanadium (Figure 4). The combination of vanadium and benzylamine produced more than 80% of the maximal insulin effect in control cells, as previously reported , whereas this effect did not exceed 25% after semicarbazide treatment. Similarly, the weak effect of benzylamine alone on glucose uptake also exhibited a tendency to be reduced in semicarbazide-treated mice (not shown).
3.4. Amine Oxidase Activities in Adipose Tissue
It was then verified whether SSAO activity was really blocked in WAT after semicarbazide treatment. As shown in Figure 5(a), the oxidation of benzylamine was totally abolished in the subcutaneous WAT of semicarbazide-drinking mice. This was in agreement with the fact that, in control WAT, benzylamine oxidation was exclusively SSAO-dependent. On the contrary, tyramine was oxidized by SSAO and MAO as well. Its oxidation was lower in the semicarbazide-treated mice than in control. The remaining tyramine oxidation found after semicarbazide treatment was explained by an unaltered MAO-dependent oxidation together with an almost total disappearance of the SSAO component (Figure 5(b)). A similar obliteration of SSAO activity was found in visceral WAT after semicarbazide treatment: the oxidation of 0.1 mM benzylamine fell from 2.74 ± 0.28 to 0.06 ± 0.02 nmol/mg protein/min (, ).
The total blockade of SSAO activity obtained after semicarbazide treatment was not accompanied by any alteration of MAO activity. This was supported by the lack of change in the expression of genes encoding for the monoamine oxidases A and B in adipocytes (Table 2). Similarly, there was no change for AOC2 gene, which is poorly expressed in WAT. More surprising was the decline in AOC3 expression, the gene encoding for SSAO, traducing that prolonged semicarbazide treatment did not only inhibit the SSAO enzymatic activity but also reduced its expression in WAT.
3.5. Semicarbazide-Induced Changes in Gene Expression in Adipocytes
To further analyse the changes occurring in adipose tissue after semicarbazide treatment, the expression of several genes was quantified in adipocytes from visceral WAT. As expected, the leptin expression was strongly inhibited in adipocytes from the smaller fat pads found in the semicarbazide-treated group (Table 2). However, no noticeable change in the expression of other adipokines was found, irrespective of their detrimental (TNFα, IL-6, resistin) or beneficial (adiponectin) effect on insulin resistance, with the exception of apelin, the mRNA abundance of which exhibited a 50% reduction that failed to reach statistical significance (). Regarding the genes involved in energy supply to adipocytes, there was no clear change in LPL or FAS expression (Table 2). The expression of the ubiquitous glucose transporter GLUT1 was reduced, but not that of the insulin-sensitive GLUT4. Catalase expression remained unaffected (not shown). Lastly, the expression of the adipogenic markers aP2 and PPARγ2 genes was unchanged in the semicarbazide-treated group (they were equivalent to 77% and 93% of the levels found in control, resp.) while a tendency to decrease was found for the macrophage marker F4/80 (not shown). Taken together, these last observations argued that the increased DNA content per mass unit of WAT was not due to an increased adipogenesis or to an infiltration of immune cells but was rather the consequence of the reduced size of the adipocytes: being of smaller mass, they were in higher number per 100 mg tissue than in control, the WAT of which was constituted with larger fat cells.
3.6. Absence of Abnormalities in the Circulating Metabolic Parameters of Semicarbazide-Drinking Mice
Regarding the adverse effects that might be provoked by semicarbazide prolonged ingestion, no change was found at the plasma level for the circulating values of glucose, insulin, triglycerides, free fatty acids, or cholesterol (not shown). Similarly, the plasma markers of lipid peroxidation did not differ between control and semicarbazide-drinking mice (malonyldialdehyde equivalents were 23.9 ± 2.0 and 22.5 ± 3.2, resp., ).
The present study highlights decrease in both body weight gain and fattening as marked consequences of semicarbazide subchronic ingestion. The total SSAO blockade found in WAT, together with the decreased lipogenic effect of benzylamine, which can be considered as one representative of the dietary amines reaching visceral fat during the digestion process, led us to propose that pharmacological inhibition of SSAO can be considered as a way to mitigate obesity. Since SSAO is largely expressed in fat depots, a peripheral mode of action can be envisaged, but other central mechanisms, participating to the observed 12% reduction of calorie intake cannot be excluded.
The clear-cut blockade of benzylamine oxidation found in the WAT of treated mice agrees with the fact that benzylamine oxidation is almost exclusively catalyzed by SSAO activity in this tissue. As a consequence, the insulin-like action of the SSAO substrate benzylamine on glucose transport was abolished in adipocytes from semicarbazide-treated mice. This was concomitant with substantial reductions in the fat mass and in the mean fat cell size. Whether the decrease in SSAO expression was a consequence of fat cell size reduction appears unlikely since the shrinking of lipid stores observed during prolonged fasting is not accompanied by a reduction of SSAO activity in adipose depots . On the opposite, agents known to inhibit SSAO have been observed to limit lipogenesis in vitro . On the basis of these previous observations, it can be proposed that inhibition of lipogenic effects of endogenous/dietary SSAO substrates participates to the limitation of fat deposition. The reduced number of large adipocytes together with the increased DNA content per WAT mass and the unchanged adipocyte differentiation markers (aP2, PPARγ2), indicated that the differentiated adipocytes already present at the beginning of treatment, at the age of 5 weeks, were less capable to accumulate lipids in semicarbazide-drinking mice than in the control group. The resulting fat cells of moderate size were present in a larger number per mass unit and consequently gave higher DNA richness per mass unit of WAT, higher lipolytic capacity, and higher insulin responsiveness. In this view, the inhibition of peripheral SSAO, which is abundant in fat cells [15, 25], but which is not expressed in neurones, may represent a fascinating novel approach to modulate WAT development. Such paradigm is relevant only whether endogenous or dietary amines spontaneously exert insulin-like effects, which is far from being demonstrated. Indeed, it is widely accepted that numerous amines are spontaneously present in foods [30, 31] or may be generated during digestion process by the intestinal flora : for instance, tyramine is present at around 45 mg/kg in rodent chow  and benzylamine reaches around 3–10 mg/kg in edible vegetables . However, it has never been demonstrated (or ruled out) whether such dietary amines might exert in vivo the lipogenic effects they exhibit in vitro , and so facilitate fat accretion once ingested.
Moreover, SSAO is not only expressed in fat cells but also in vessels, in endothelial cells, where it is involved in leukocyte extravasation, and in smooth muscle cells, where it is involved in glucose transport  and in collagen-elastin maturation [2, 3]. The tendency to decrease the F4/80 macrophage marker level found in mice after semicarbazide exposure is probably related to the anti-inflammatory properties of SSAO/VAP-1 blocking agents . Whether the improved in vitro responsiveness to insulin in the adipocytes from semicarbazide-drinking mice is a consequence of such reduced low-grade inflammation or is related to the smaller size of fat cells remains to be determined. In the treated adipocytes, there was no change in the expression of TNFα and IL-6, two cytokines involved in insulin resistance, together with a decrease of the proinflammatory adipokine leptin and a tendency to lower the expression of apelin, another adipokine recently shown to facilitate glucose utilization . Such absence of enhanced WAT inflammation was associated with an absence of oxidative stress (evidenced by unchanged lipid peroxidation markers or catalase content). This context may explain the increased ex vivo insulin responsiveness of adipocytes, which was not sufficient to fill the fat cells of semicarbazide-drinking mice via sustained lipogenic pathways, since it was occurring together with a reduced calorie intake. Of interest is to test whether the insulin-sensitizing action of SSAO blockade also occurs acutely in obese insulin-resistant models, and improve the insulin-dependent and independent antilipolytic responses, since adipose tissue lipolysis regulation has been proposed to be instrumental in the treatment of obesity and metabolic syndrome .
The major concern is that semicarbazide itself cannot currently be proposed as antiobesity drug since this derivative has been described to exert deleterious toxic effects. In 2003, the European Food Safety Authority has banned the use of azodicarbonamide as a blowing agent for plastics used in food processing or packaging, or as a flour treatment, since it can be transformed into semicarbazide, which is suspected to be a food contaminant exerting toxicological effects on consumers. However, this hydrazine derivative is not only a food contaminant, the origin of which is limited to the transformation of known chemical substances used (or even prohibited) in food processing , but can also naturally occur in certain foods [38, 39]. As a consequence, the DNA damaging effects of ingested semicarbazide have been intensively studied to bring health risk assessments. But these recent toxicological studies inconsistently demonstrated the genotoxic properties of semicarbazide, since they raised variations according to the model and the protocol used. Briefly, semicarbazide has very poor genotoxic effects on human lymphocytes when tested in vitro  and is not genotoxic in mice when administered in vivo at 120 mg/kg b.w. . However semicarbazide exhibits carcinogenic potential—with marginal statistical relevance—when orally given to rats at 150 mg/kg . Of note, other aspects of semicarbazide toxicity have also been stated very recently and have produced more consensual results. Indeed, a toxicological study showed a dramatic decrease in body weight with orally given semicarbazide as mixed in the food at doses up to 1000 ppm, giving a daily intake of 65 to 70 mg/kg in male and female rats . The decrease in adiposity was not assessed in this study. However, the relative weights of the brain, heart, and kidneys were unchanged or even increased, depending on the sex, while body weights were clearly lower in the semicarbazide-treated rats. This may indicate that while semicarbazide ingestion limits WAT expansion, as assessed in our conditions, other organs are preserved during the body weight loss. Unfortunately, exposure to semicarbazide was accompanied by serious adverse effects such as deformation of bones and lesions of articular cartilages . In the aorta, alteration of connective tissues was suspected to increase fragility of arterial walls. Nonetheless, no inflammatory disease was found. In view of these toxicological effects of chronic exposure to semicarbazide, the no observed adverse effect level (NOAEL) was estimated by the authors to be lower than 18–21 mg/kg/day in rat. Accordingly, the NOAEL in juvenile rats on another strain has recently been proposed to be lower than 40 mg/kg for semicarbazide oral administration . In this study describing the toxicity of semicarbazide on biochemical and behavioural parameters, the authors observed a clear-cut inhibition of body weight gain and defects in cartilage mineralization . During the completion of the present work, the same italian group reported that semicarbazide behaves as an endocrine disrupter, being able to reduce estrogen levels or to alter testosterone catabolism . Anyhow, semicarbazide inhibited body weight gain and food consumption in postweaning male and female rats when orally given from the dose of 40 to 140 mg/kg/d period.
Thus, semicarbazide administration is univocally recognized to reduce body weight gain in diverse obese or nonobese models [2, 3, 7, 8, 21] and regarding this aspect our findings are confirmatory. Our detailed analysis of adiposity of juvenile mice, together with the high expression of SSAO in adipocytes, brings novel insight, focusing the attention on WAT as a major target of semicarbazide. However, this hydrazine derivative cannot be safely used as a “slimming” agent for toxic issues in bones, joints, and vessels. Although other SSAO inhibitors have also been reported to limit body weight gain, several semicarbazide effects other than inhibiting SSAO will be discussed here in an attempt to detect whether SSAO blockade is necessary and/or sufficient to limit fat deposition.
Another well-recognized effect of semicarbazide is to inhibit lysyl oxidase, a copper-containing amine oxidase involved in the stabilization of extracellular matrix by cross-linking of proteins such as collagen and elastin [2, 3], therefore explaining part of the semicarbazide toxic effects on bones and joints. However, the lysyl oxidase inhibitor β-aminopropionitrile, reported to decrease insoluble elastin and collagen content and to impair collagen cross-linking does not decrease body weight gain, excepted when combined with semicarbazide .
Semicarbazide has been reported to inhibit glutamic acid decarboxylase, a γ-amino butyric acid-synthesizing enzyme [41, 42], and its administration is therefore believed to impair γ-amino butyric acid (GABA) formation and to lower GABA brain levels. This has been proven to induce “freezing” behaviour in rodents after central administration . However, it is striking to note that relatively high doses of gamma-vinyl GABA, an irreversible inhibitor of the enzyme GABA-transaminase, which is involved GABA catabolic pathway, have been recently reported to produce significant weight loss in rats . Likewise, another inhibitor of the GABA degradation exhibits anorectic potency in obese rats , while it has been proposed that a rat strain resistant to high-fat diet feeding reduces its food intake via an elevation of brain GABA levels . In fact, it is difficult to understand how the chronic in vivo administration of semicarbazide, supposed to inhibit GABA synthesis, alters the GABA-ergic systems in a manner that results in reduced food intake, as it is the case with inhibitors of GABA degradation. To pour more complexity, it has been recently reported that several semicarbazide derivatives elevate GABA levels in the midbrain and exert anticonvulsant activity . It could be therefore of interest to determine the relative proportion of the central GABA-ergic alterations and of the peripheral SSAO blockade in the “slimming” action of semicarbazide before establishing whether more selective SSAO blockers, devoid of interaction with the GABA-ergic system, also elicit antiobesity effects. Otherwise, the current number of SSAO-interacting agents that have been also reported to reduce weight gain (FPFA , aminoguanidine , phenelzine ) suggests a nonnegligible influence of the component related to SSAO inhibition in the observed effect of semicarbazide.
Semicarbazide has also been described to inhibit sphingosine-1-phosphate (S1P) lyase , but it is not clear whether such nonspecific inhibition may have some bearing on our observations. As in the case of GABA-ergic system, it must be quoted that novel semicarbazide derivatives act differently from semicarbazide itself, since instead of inhibiting a S1P-degrading enzyme, they are selective inhibitors of a subset of the G protein-coupled S1P receptors (S1P2) . This emphasizes that semicarbazide is a molecule with multiple aspects, each one being selectively developed by the association of a functional and selective moiety to the semicarbazide turntable structure. Such drug design is out of the scope of the present study, while SSAO inhibition, obtained by the various above-mentioned pharmacological agents was always found to be concomitant with a decreased body weight gain. The need for searching novel, selective SSAO inhibitors is not only a concern for our proposed antiobesity pharmacology, but also relies with the general biology of the enzyme, which will soon change of denomination, from SSAO to primary amine oxidase, a fact indicating that its definition based on its sensitivity to semicarbazide will become historical once the many other inhibitors under development will be fully characterized.
Taken together, our results demonstrate that oral administration of the prototypical SSAO inhibitor semicarbazide limits weight gain and fat deposition in mouse. In spite of the toxicity of the high doses of this agent, the use of other specific SSAO inhibitors might reveal more beneficial for the pharmacologic treatment of obesity.
Conflict of Interests
The authors have no conflict of interests to declare.
This study was partly supported by a grant from INTERREG IVB-SUDOE-FEDER (DIOMED, SOE1/P1/E178, http://diomed-sudoe.eu), by “Communauté de Travail des Pyrénées” and by “Balaton Programme” for French-Spanish and French-Hungarian exchanges, respectively. The authors express gratitude to all the members of Inserm U1048 team 3 and of IFR 150 (Toulouse) for invaluable help.
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