Polyenylphosphatidylcholine (PPC), a soybean extract, provides protection against alcohol-induced oxidative stress in the liver of non-human primates, and preliminary results indicate a similar effect in pancreas. To determine whether this is associated with incorporation of PPC components into these tissues, PC species, including 18:2-18:2 PC (DLPC), the main constituent of PPC, were determined by HPLC and GC/MS in rats fed for eight weeks with adequate liquid diets rich in vitamin E (30 IU/1000 cal.) and containing PPC (3g/1000 cal. or equivalent amounts of linoleic acid as triglycerides in safflower oil) with either ethanol (36% of energy) or isocaloric carbohydrates. Compared to safflower oil, PPC significantly increased DLPC content in hepatic (0.204±0.019 vs 0.124_+0.008 lamol/g; p<0.05) and pancreatic (1.12 ± 0.22 vs 0.32 ± 0.09 lamol/g; p<0.001) phosphnlipids. Similar results were obtained when expressed per protein. Alcohol tended to decrease DLPC in pancreas, but when PPC was added to the ethanol, it restored the levels to normal or above. There was a similar effect of PPC on hepatic and pancreatic content of 18:1-18:2 PC, another species of PPC, whereas 18:0-20:4 PC and 16:0-20:4 PC, which are primarily endogenous PC species, were not significantly affected by PPC. They both decreased after alcohol, in liver as well as pancreas. The greater effect of PPC on pancreatic than hepatic phospholipids may reflect a correspondingly more rapid phospholipid turnover. Alcohol also produced a significant oxidative stress: 4-hydroxynonenal (4-HNE) and F2-isoprostanes (F2-IP) measured by GC/MS, increased respectively from 33.8±3.6-ng/g to 52.4±6.4 (p<0.01) and 2.07 ±0.06to 2.62_+0.14 (p<0.01) in the liver, and from 8.6± 1.1 to 17.9 _+ 3.3 (p<0.01) and 1.8 ± 0.1 to 2.7 _+ 0.4 (p<0.01) in the pancreas. In both tissues, PPC feeding provided total protection against this oxidative stress, with restoration of 4-HNE and F2-IP to normal. The mechanism of the protection has not been elucidated but does not involve vitamin E, which remained normal and unchanged in both tissues. In liver, and now also in pancreas (Kessova et al, unpublished) it was shown that ethanol induces the activity of cytochrome P450 2El which generates free radicals. PPC did not affect 2El activity. Therefore, it most likely acts by boosting the cellular defense systems against the oxidative stress. Indeed, DLPC readily traps free radicals and may thereby protect the cellular membranes against alcohol. Conclusions: 1) PC species provided as PPC (such as 18:2-18:2 PC and 18:1-18:2 PC) are actively incorporated into liver phospholipids, and even more in those of pancreas. 2) PPC supplementation restores the level of some PC species depleted by alcohol, and corrects the concomitant oxidative stress in the liver and pancreas. Because of the associated protection against tissue injury and fibrosis, PPC is being tested in patients with alcoholic liver disease. Extension to pancreatic disorders should now also be considered since the effects on pancreas were found to be greater than those in liver.
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