2016 Volume 39 Issue 5 Pages 786-793
The effects of orally administered sphingomyelin-based liposomes (SM-lipo) on muscle function were investigated in senescence-accelerated mice prone 1 (SAMP1) for the purpose of protection against or treatment of sarcopenia. SM-lipo were prepared by thin lipid-film hydration followed by extrusion. Their spherical shape was observed by transmission electron microscopy. The obtained liposomes were stable in gastric liquid and intestinal fluid models as well as in water. In in vitro tests liposomalization of sphingomyelin significantly increased its transport into human intestinal epithelial Caco-2 cells. In addition, SM-lipo upregulated the proliferation of murine C2C12 myoblasts compared with free sphingomyelin or phosphatidylcholine-based liposomes (PC-lipo). Finally, SM-lipo orally administered to SAMP1 for 10 weeks significantly increased quadriceps femoris weight and extended swimming time until fatigue compared with PC-lipo. In conclusion, these findings indicate that SM-lipo are well absorbed into the body and improve muscle weakness caused by senescence.
Loss of muscle mass induces a progressive decline in physical performance; and it also leads to decrease in quality of life, including increased risk of disability and mortality.1) This age-related deficit is known as sarcopenia. Sarcopenia is a progressive, insidious process characterized by a 3–8% reduction in lean muscle mass. The etiology of sarcopenia is multi-factorial and involves both intrinsic and extrinsic factors.2,3) Increasing muscle mass is important to prevent sarcopenia. The promising approaches for increasing muscle mass are exercise training and proper nutrition. Exercise training is generally accepted as a useful strategy to increase the number of mitochondria and the expression of mitochondria-associated proteins, as well as to improve the function of mitochondria in muscle.4) Food nutrients such as sphingolipids, leucine, creatine, and whey protein are known to be involved in increasing muscle mass.5–7)
Sphingolipids were first characterized by Thudichum, who studied the chemical constituents of brain tissue; whereupon he named their novel and characteristic “sphingosine” backbone for “the many enigmas it has presented to the inquirer.”8) Most foods contain sphingolipids. Humans on an ordinary Western diet ingest 0.3–0.4 g of sphingolipids per day, of which sphingomyelin in meat, milk, egg products, and soybeans is a large part.9–11) Also, sphingolipids are highly bioactive molecules present mainly in polar lipids of animal origin9) and the second most abundant polar lipid next to phosphatidylcholine in plasma lipoproteins12); and they are associated with cellular signaling, insulin resistance, metabolic disease, dementia, and so on.13,14) As a type of sphingolipid, sphingomyelin in mammalian cells is co-localized with cholesterol mainly in the plasma membrane and in lysosomal and Golgi membranes. Dietary supplementation with sphingomyelin combined with exercise increases the swimming time of mice and the level of peroxisome proliferator-activated receptor gamma coactivator 1α (PGC-1α) mRNA expression in the soleus muscle of mice.15) It was shown in mice that sphingosine-1-phosphate, a product of sphingomyelin metabolism, promotes skeletal muscle regeneration.16,17) In addition, sphingosine-1-phosphate stimulates the growth of human airway smooth muscle cells and increases in muscle contractile force in mice.18,19) These findings suggest that one of mechanisms underlying the ameliorating effects of sphingomyelin on sarcopenia can be explained by signaling of sphingosine-1-phosphate.
Although dietary sphingomyelin is not absorbed intact, it is metabolized to ceramide, sphingosine, and fatty acids in the gut.20) Sphingomyelin digestion is an extended process with limited capacity and is catalyzed primarily by alkaline sphingomyelinase and neutral ceramidase, which are in part released into and act in the gut lumen and, therefore, sphingomyelin absorption is limited.20,21) Studies on lymphatic duct-cannulated rats that were fed [14C]stearic acid-labeled sphingomyelin showed that little radio-labeled sphingomyelin was absorbed intact to the chyle.22)
Liposomes, which are lipid bilayer vesicles composed of amphipathic phospholipids, have been used as delivery systems for a wide variety of biologically active substances. We previously reported that oral delivery of insulin into the bloodstream was achieved by its liposomalization.23) Liposomes have been found to be useful for effective absorption in the small intestines.24,25) Also, the preparation of sphingomyelin-based liposomes (SM-lipo) was achieved earlier26) and was applied to the basal layer or stratum corneum side of a 3D; three-dimensional culture human skin model.27) Furthermore, liposomes with phosphatidylethanol were also reported as a carrier for oral delivery of insulin.28) The physicochemical properties of sphingomyelin are similar to those of saturated phosphatidylcholine.26) Therefore, it is possible to use sphingomyelin as a component for liposome dispersions, which might be advantageous for both oral delivery and effective absorption.
In the present study, we sought to enhance the absorption of sphingomyelin and boost its effectiveness by liposomalization in senescence-accelerated mice prone 1 (SAMP1) mice. The findings from this study will help in the application of SM-lipo in the fields of foods and drugs.
Sphingomyelin from milk and dipalmitoylphosphatidylcholine (DPPC) were purchased from the NOF Corporation (Tokyo, Japan). Cholesterol was purchased from Sigma-Aldrich (St. Louis, MO, U.S.A.). All other chemicals and solvents were analytical grade. SM-lipo and phosphatidylcholine-based liposomes (PC-lipo) were prepared by thin lipid-film hydration followed by extrusion. In brief, sphingomyelin and cholesterol (7 : 3 as a molar ratio) dissolved in chloroform were transferred to a round-bottomed flask, evaporated until a thin lipid film had formed under reduced pressure, and stored in vacuo for at least 1 h. The dried film was hydrated with water, warmed at 65°C in a water bath, vortexed until the lipids had become detached from the side of the flask, and sonicated with a bath-type sonicator at 65°C. Three cycles of the following were performed: freezing of the liposomal solution in the flask with liquid nitrogen, thawing at room temperature, incubating at 65°C in a water bath for 5 min, and vortexing for 30 s. Then, the liposomes were extruded through polycarbonate membrane filters having 100-nm pores by use of an Extruder (Lipex, Vancouver, Canada) kept at 65°C.
Characterization of LiposomesThe particle diameter, ζ-potential, and polydispersity index (PDI) of the liposomes were determined with a Zeta Sizer (Nano-ZS; Malvern Instruments, Worcs, U.K.) after they had been diluted in phosphate-buffered saline, pH 7.4 (PBS). The structure of these liposomes was analyzed by transmission electron microscopy (TEM, JEM 2000; Jeol, Tokyo, Japan) after having been negatively stained with uranyl acetate solution.
Studies on Diffusion/Permeation of Sphingomyelin in Caco-2 CellsThe Caco-2 cell line was derived from a heterogeneous human epithelial colorectal adenocarcinoma. Although this cell line originated from a carcinoma, the cells become differentiated and polarized by being cultured under specific conditions, resulting in cells that resemble the enterocytes lining the small intestine.29,30) Caco-2 cell monolayers were prepared by cultivating Caco-2 cells for 3 weeks on polycarbonate membrane filters equipped on camber insert. The pore size of the membrane filters was 0.4 µm; and the diameter, 24 mm. The electrical resistances of the Caco-2 cell lines were measured over 300 Ω cm at room temperature in Dulbecco’s modified Eagle’s medium (DMEM). The integrity of the membrane was also checked after each experiment by measuring the electrical resistance. The Caco-2 cell monolayer on the membrane filter was placed between the donor (upper layer) and receptor (lower layer) compartments of a 24-well culture plate and used as a model of human intestinal absorption of drugs and other compounds. Sphingomyelin suspended in DMEM or SM-lipo in the medium was added to the upper layer (total sphingomyelin concentration of 3 mM), and the receptor compartment was filled with sphingomyelin-free medium. The samples were collected from the donor compartment, receptor one, and cell fraction after a 90-min incubation. Then the amounts of sphingomyelin in these samples were determined by HPLC (Chromaster, Hitachi, Japan). In the case of the cell fraction, SM was solubilized with Triton X-100 before being applied to HPLC. All experiments were carried out in triplicate.
Quantification of SphingomyelinThe sphingolipid extracts were dissolved in methanol, mixed, and sonicated at room temperature for 10 min. The HPLC analysis was performed with a phase column containing high-purity silica gel (Inertsil SIL-100A; GL Science, Japan). The isocratic mobile phase was composed of acetonitrile–methanol–distilled water (65 : 21 : 14) with 0.1% (v/v) phosphoric acid, and the flow rate (1.3 mL/min) was accurately regulated. The UV detector was set at 210 nm.31)
Cell Culture and Proliferation AssayMurine C2C12 myoblasts (EC91031101-F0) were purchased from the European Collection of Cell Cultures (Dainippon Sumitomo Pharma Biomedical, Japan). The cells were plated onto flexible-bottomed plates previously coated with 1 mg/mL poly-L-lysine (Sigma-Aldrich) and fibronectin (Sigma-Aldrich), and maintained in 5% CO2 at 37°C in DMEM supplemented with 10% fetal bovine serum (Sigma-Aldrich). Murine C2C12 cells were seeded (1000 cells/well) into each well of a 96-well plate and incubated overnight in a CO2 incubator. After a change of the medium, the cells were incubated at 37°C for 72 h in the presence of 125 µM sphingomyelin dispersed in medium, SM-lipo, or PC-lipo. Then the viability of the cells was measured by performing the WST assay (Roche, Basel, Switzerland) according to the manufacturer’s instruction.
Animals and Experimental DesignSeven-week-old male SAMP1 were purchased from Japan SLC, Inc. (Hamamatsu, Japan) and maintained under controlled temperature, humidity, and lighting. The mice had free access to feeding and drinking water for a week. At the age of 9 weeks, all mice were weighed and measured swimming time until fatigue. Then they were divided into 3 groups, namely, the control group, which drank water; the SM group, which drank 2 mM SM-lipo; and the PC group, which drank 2 mM PC-lipo (n=6 per group, 3 mice per cage). From the age of 10 weeks, the mice were given SM-lipo, PC-lipo or normal water for 10 weeks (until 20 weeks old). These test solutions were exchanged for fresh ones every week. The volumes of liposome solutions and water, as well as the weight of the mice, were monitored every 2 weeks; and the swimming time until fatigue was measured every 5 weeks. None of the mice performed any specified exercise. Animal care and experiments were performed in accordance with the Guidelines for the Care and Use of Laboratory Animals of the University of Shizuoka. All animal procedures were approved by the Animal and Ethics Review Committee of the University of Shizuoka.
Biochemical AnalysisPlasma was obtained from the blood of the mice by centrifugation at 3500×g for 15 min. Plasma glucose, triglycerides (TG), and non-esterified fatty acid (NEFAs) were quantified by using Autokit Glucose (Wako Chemicals, USA, Inc., Richmond, VA, U.S.A.), TG E Test Wako (Wako Pure Chemical Industries, Ltd., Osaka, Japan) and NEFA-C Test Wako (Wako Pure Chemical Industries, Ltd.), respectively. All measurements were performed in accordance with the manufacturer’s instructions.
Statistical AnalysisAll values were presented as the mean±standard deviation (S.D.). Unpaired Student’s t-tests after F-test of the homogeneity of within-group variance were used to compare values between 2 groups. When more than 2 groups were compared, statistical analysis was conducted with one-way ANOVA followed by Fisher’s protected least significant difference or Dunnett’s post-hoc tests (Statview for Windows version 5.0; SAS Institute Inc., Cary, NC, U.S.A.). p<0.05 was considered as being statistically significant.
The particle diameter, zeta potential, and PDI of SM-lipo were 132.9 nm, −3.0 mV, and 0.139, respectively. Their spherical shape structure was observed by negative-staining TEM (Fig. 1). The liposomes were quite stable at room temperature at least for 30 d. Stability of SM-lipo in water, PBS, gastric liquid, and intestinal fluid models was examined. The particle diameter and zeta potential of the liposomes were little changed for at least 48 h (Fig. 2). These data suggest that SM-lipo was stable in gastrointestinal tract (GI tract) after oral administration.
Scale bar, 100 nm.
SM-lipo were incubated in water (♦), PBS (■), gastric liquid model (▲) or intestinal fluids model (●) at 25°C. Changes in the particle diameter (a) and zeta potential (b) of the liposomes during incubation were monitored.
The percent penetration of sphingomyelin through Caco-2 cells (n=3) by use of SM-lipo was 15.4%; whereas sphingomyelin, which dispersed in the medium, didn’t penetrate at all after incubation at 37°C for 90 min. Additionally, 3.5% of the SM-lipo was taken up by the Caco-2 cells, although sphingomyelin was little absorbed (Fig. 3). Simultaneously, the donor chamber volume for SM-lipo was 85.6%; and that for sphingomyelin, 96.5%.
Sphingomyelin dispersed in DMEM or SM-lipo in DMEM were added to the donor compartment, where Caco-2 cells were cultured on a membrane filter of the filter-equipped insert; and the receptor compartment was filled with sphingomyelin-free DMEM. The samples were collected from the donor and receptor compartments and cell fraction after 90-min incubation. Then, the amount of sphingomyelin in each sample was determined with HPLC. The experiment was repeated 3 times, and results are shown as the mean±S.D. of these experiments taken together.
We also demonstrated the penetration of sphingomyelin by using the Parallel Artificial Membrane Permeability Assay (PAMPA). PAMPA is performed in a 96-well format, and rapid quantification can be achieved by using a UV plate reader. In the PAMPA study, the percent membrane absorption of SM-lipo was 41.8% for 24 h, whereas that of sphingomyelin was 9.4% (Supplementary Fig. 1).
Effect of SM-lipo on the Proliferation of Murine C2C12 MyoblastsTreatment of murine C2C12 myoblasts with SM-lipo significantly enhanced cell proliferation compared with that for all other groups (Fig. 4). The cell number was increased approximately 1.2-fold by SM-lipo treatment for 72 h. In contrast, no significant difference in the number of proliferating cells was observed among sphingomyelin, PC-lipo, and water treatment groups.
C2C12 myoblasts were incubated in the presence of sphingomyelin, SM-lipo or PC-lipo for 72 h. The same volume of PBS as that of the other samples was added to the serum-containing DMEM as a control. Then the number of viable cells was determined by performing the WST assay. The experiment was repeated 3 times, and results are shown as the mean±S.D. of these experiments taken together. Significant difference are shown as ** p<0.05 and ** p<0.01.
SAMP1 were given water containing SM-lipo, PC-lipo or water alone ad libitum for 10 weeks. During this period, there was no difference in water or food intake or in body weight change among the groups treated without or with water containing liposomes (Supplementary Fig. 2). The SM-lipo-treated SAMP1 tended to show extended swimming time until fatigue compared with the PC-lipo- or plain water-treated groups (Fig. 5). These data showed a certain trend toward significance (p=0.08). Additionally, SAMP1 that had ingested SM-lipo had a significantly increased weight of their quadriceps femoris muscle compared with PC-lipo- or plain water-treated groups (Fig. 6). The weight of the quadriceps femoris muscle increased approximately 1.5-fold in SM-lipo-treated group compared with that for the control. On the other hand, the weight of soleus muscle and gastrocnemius muscle showed no significant increase (Figs. 6A, B). Interestingly, SAMP1 that had ingested PC-lipo showed a significant increase in the weight of their quadriceps femoris muscle compared with the given plain water (Fig. 6C). Blood component levels (glucose, TG, and NEFAs) were hardly changed after liposome intake (data not shown).
SAMP1 mice (10 weeks old) were reared for an additional 5 or 10 weeks with standard chow and plain drinking water (■) or drinking water containing 2 mM SM-lipo (●) or 2 mM PC-lipo (▲). Swimming time of the mice (n=6) was determined before (0 week) or after 5 and 10 weeks of intake. Swimming-time changes are shown as the mean±S.D., where the control swimming time was about 700 s.
SAMP1 were cared for as described in the legend of Fig. 5: Each group was given access to plain drinking water (■) or to drinking water containing 2 mM SM-lipo (●) or 2 mM PC-lipo (▲) for 10 weeks. Then, the mice were sacrificed and the indicated muscles were removed. The weights of soleus muscle (A), gastrocnemius muscle (B), and quadriceps femoris muscle (C) are shown. Results are shown as the mean±S.D. Significant difference is shown as follows: * p<0.05, *** p<0.001.
Sarcopenia is a disease associated with loss of muscle strength and function during the aging process. Because of increasing aging of the population in recent years, especially in developed countries, medical bills related with sarcopenia have become problematic throughout the world, especially in those countries. Sarcopenia is thought to affect 30% of individuals over 60 years of age and more than 50% of those over 80 years.32) When the elderly suffer from both sarcopenia and osteoporosis, the risk of falling and subsequent fracture incidence is increased.33) Therefore, appropriate treatment of sarcopenia should help to lessen its burden on co-existing disease. Although the biochemical and molecular mechanisms responsible for the loss of muscle during aging are not fully understood,2,3) the loss of muscle during aging is known to be the result of both decreased protein synthesis and increased protein degradation.34,35)
Currently, protection against or prevention of sarcopenia is exercise and eating proper nutrition. Exercise, specifically resistance training or strength training, increases muscle strength and endurance. Resistance training has been reported to positively influence the neuromuscular system, hormone concentration, and rate of protein synthesis.36,37) Eating a proper nutrition is also important to build muscle. Dietary proteins are recommended to prevent sarcopenia. To maximize muscle protein synthesis while being cognizant of total energy intake, a dietary plan was proposed that includes 25–30 g of high-quality protein per meal.38) As it is difficult for the elderly to eat over 20 g of such protein at each meal, nutrition in small quantity must be achieved. Recent evidence shows that many of the signaling components involved in sphingomyelin metabolism are present in skeletal muscle,39) suggesting that sphingomyelin metabolism is activated in exercised muscle. In addition, sphingosine 1-phosphate and sphingosine, which are sphingomyelin metabolites, have been shown to have protective effects against muscle fatigue.40) Although sphingomyelin has the potential to build muscle, its absorption is limited.20,21)
In this study, we prepared SM-lipo to enhance the absorption of sphingomyelin and evaluated them in both in vitro and in vivo experiments. Firstly, we prepared SM-lipo by thin lipid-film hydration. Although only sphingomyelin formed liposomes without the addition of any other lipids, these liposomes with a gel-phase bilayer due to their high phase-transition temperature may not interact strongly with the fluid-phase plasma membrane of the cells in the GI tract. Therefore, we used cholesterol to make the fluid-phase of SM-lipo more stable. SM-lipo, composed of sphingomyelin–cholesterol (7 : 3 as a molar ratio), was stable at 25°C at least for 30 d (Fig. 1). Cholesterol is often included in the liposome formulation to give further rigidity to the fluid bilayer, which contributes to both in vitro and in vivo stability of liposomes.
It is generally known that orally administered phospholipids are degraded by phospholipase, absorbed into the lymphatic vessels of the small intestines, and then transferred to the bloodstream. It is important for enhancing the oral absorption of liposomes that they be stable in the presence of gastric liquid and intestinal fluids. Particle diameter and zeta-potential of SM-lipo incubated in water, PBS, gastric liquid model or intestinal fluids model were not changed (Fig. 2). These data indicated that SM-lipo were stable in vivo after oral administration.
Subsequently, we demonstrated the absorption of sphingomyelin in the small intestine model using Caco-2 cells. Such cell culture models are of current interest for the prediction of oral drug absorption and have been used in studies on the effects of absorption enhancers.41) Caco-2 cells have been recommended for studies on both active and passive drug transport in the presence of nutrients and other chemicals.42) The effects of substances such as absorption enhancers on this layer can be easily studied.42,43) The penetration by sphingomyelin formulated in liposomes was 15.4%, whereas there was little penetration by free sphingomyelin (Fig. 3). Also, we checked the penetration of sphingomyelin by using PAMPA. This technique involves no cell culture. PAMPA uses 2 aqueous buffer solution wells separated by an artificial membrane. The artificial membrane consists of a lipid in organic diluent.44) Thus, PAMPA can easily evaluate the absorption of drugs or nutrition. Since PAMPA features a single permeability mechanism (passive diffusion), whereas Caco-2 cells have a greater variety of permeability mechanisms, PAMPA is effective for measuring the absorption when passive diffusion is predominant.45) In the PAMPA study, the percent membrane absorption of sphingomyelin with SM-lipo was higher than that with dispersed sphingomyelin. These results indicated that the liposome formulation was effective for absorption across both Caco-2 cell monolayers and PAMPA.
As affirmation of the effect of the SM-lipo formulation on sphingomyelin penetration, we evaluated the effect of these liposomes on the proliferation of muscle cell in vitro. We selected the murine C2C12 cells, which grow as proliferating myoblasts. Recent microarray studies on C2C12 cells have afforded a broad molecular description of myogenesis and identified sets of genes that display transcriptional variations in expression between proliferating and differentiating cells.46–48) Another report showed that the treatment of stretched C2C12 cells with sphingomyelin significantly increased Dok-7 gene expression.49) When we evaluated the proliferation rate of C2C12 cells treated with SM-lipo, the results revealed that these murine C2C12 myoblasts showed greater cell proliferation than those treated with sphingomyelin or PC-lipo (Fig. 4). Androgens are modulators of skeletal muscle adaptation and regeneration processes, and the differentiation and proliferation of C2C12 cells is known to be stimulated by androgens and associated with the modulation of myostatin and Pax7 expression.50) So this result can be understood to indicate that SM-lipo were highly taken up into C2C12 cells and enhanced the proliferation of these cells.
Finally, we demonstrated the effect of SM-lipo on muscle in vivo by using SAMP1. As a result, SAMP1 that had ingested SM-lipo tended to demonstrate an extended swimming time until fatigue compared with SAMP1 with PC-lipo or water intake (Fig. 5). Additionally, SAMP1 having ingested SM-lipo also showed a significant increase in the mass of their quadriceps femoris muscle compared with SAMP1 that had ingested PC-lipo or water (Fig. 6C). In contrast, there was no significant difference in the weight of the soleus or gastrocnemius muscle between the SM-lipo group and other groups (Figs. 6A, B). These results indicated that long-term feeding with SM-lipo was effective in increasing the mass of the quadriceps femoris of SAMP1 mice. The differences in mass gain between the muscles after the SM-lipo treatment appear to be related to the differences in myosin heavy chain (MHC) isoforms expressed in each muscle.51) Sphingosine-1-phosphate might stimulate the secretion of insulin-like growth factor-1 (IGF-1), a growth factor which activates the transcription of MHC IIB and X in satellite cells.52,53) Because the expression of MHC IIB and X was shown to be higher in quadriceps femoris muscle than in soleus or gastrocnemius muscle,51) it is possible that the SM-lipo treatment resulted in significant mass gain of quadriceps femoris muscle via IGF-1 signaling activation. Although the reason for increase in the weight of quadriceps femoris muscle in the PC-lipo group (Fig. 6C) is unclear, phosphatidylcholine might support cell membrane expansion during muscle growth.54)
In conclusion, SM-lipo increased the transport of sphingomyelin into Caco-2 cells and up-regulated the proliferation of murine C2C12 myoblasts. Moreover, SAMP1 mice that had ingested SM-lipo demonstrated a significantly increased mass of their quadriceps femoris muscle and an extended swimming time. These results suggest that SM-lipo enhanced the absorption of sphingomyelin and increased muscle mass both in vitro and in vivo, thus making them a candidate for protection against or treatment of sarcopenia.
The authors declare no conflict of interest.
The online version of this article contains supplementary materials.
Supplementary Fig. 1. Absorption of Sphingomyelin or Sphingomyelin-Based Liposomes Assessed by the Parallel Artificial Membrane Permeability Assay (PAMPA)
Sphingomyelin (■) or SM-lipo (●) were added to each well of a 96-well plate and an insert having an artificial membrane was set on each well with filling water. After incubation for 24 h, the residual amount of SM in the lower compartment was determined with HPLC. The experiment was repeated 3 times, and results shown are the mean values.
Supplementary Fig. 2. Body-Weight Change and Water Intake during the Experiment Each group was given access to plain drinking water (■) or drinking water containing 2 mM SM-lipo (●) or 2 mM PClipo (▲) for 10 weeks. The body weight of each mouse was monitored weekly (a). The amount of loss of plain water or water containing liposomes in each cage (three mice) was determined once a week (b). The results shown are the mean value±S.D.