L-Carnitine antioxidant effect on protein concentration, acetylcholinesterase, Na+,K+-ATPase and Mg2+-ATPase activities in rat brain after forced swimming Theodore Tsakiris1, Panagoula Angelogianni1, Christi Tesseromatis2, Stylianos Tsakiris1 ,* and Kleopatra H. Schulpis3 1 Department of Experimental Physiology, Medical School, Athens University, P.O. Box 65257, GR-15401 Athens, Greece 2 Department of Experimental Pharmacology, Medical School, Athens University, 75 Mikras Asias Str., Goudi, GR-11527 Athens, Greece 3 Institute of Child Health, Research Center, “Aghia Sophia” Children's Hospital, GR-11527 Athens, Greece RUNNING TITLE: L-Carnitine effect on in swimming rat brain enzymes Keywords: Carnitine, exercise, acetylcholinesterase, Na+,K+-ATPase, Mg2+-ATPase, oxidation, free radicals * Corresponding author: S. Tsakiris, PhD, Associate Professor, Tel: +302107462662 ; fax:+302107462571 e-mail adress: stsakir@cc.uoa.gr (S. Tsakiris) INTRODUCTION The determinants of human exercise performance are multifactorial and complex. The performance of skeletal muscle work during exercise is dependent on the availability of biochemical energy in the form of ATP. Thus, it is not surprising that a variety of metabolic and biochemical markers are related to exercise performance and training [1,2] or that disorders of energy metabolism are frequently associated with impaired exercise performance [3]. Similarly, manipulations of bioenergetics have frequently been proposed as strategies to enhance exercise endurance or capacity. Carnitine is an endogenous molecule with well-established important roles in cellular metabolism [4]. The functions of carnitine in skeletal muscle are critical to sustaining normal bioenergetics during exercise. All biochemical actions of carnitine are based on the carnitine acyltransferasemeditated reversible transfer of carboxylic acids, or “acyl” groups, between carnitine and coenzyme A in reactions of the following form: Carnitine + Acyl-CoA ↔ Acylcarnitine + Coenzyme A Coenzyme A is an important cofactor in a number of catabolic and anabolic reactions. Thus, the carnitine pool consisting of carnitine, short-chain acylcarnitines (acylcarnitines corresponding to short- and medium-chain length carboxylic acid groups), and long-chain acylcarnitines (corresponding to long-chains length carboxylic acid), will dynamically interact with multiple coenzyme A-dependent biochemical pathways. Carnitine is required for mitochondrial long-chain faty acid oxidation [4], a major source of energy during exercise [5]. Long-chain acylcarnitines transport activated long-chains fatty acids into the mitochondrial matrix for β-oxidation. Short-chain acylcarnitines are generated from short- chain acyl-CoAs. This generation of short-chain acylcarnitines may be viewed as buffering the cellular coenzyme A pool from acyl-CoA accretion, as accumulation of short-chain acyl-CoAs may adversely affect cellular metabolism [6]. The reversible transfer of short-chain acyl groups between carnitine and coenzyme A occurs dynamically in muscle during exercise. For example, acetyl- carnitine accumulation in muscle at workloads above the lactate threshold [8-10] corresponds to the accumulation of acetyl-CoA in the muscle [11]. The important biochemical functions of carnitine and the altered muscle physiology associated with clinical carnitine deficiency [7] support the critical role of carnitine in muscle bioenergetics. However, the extrapolation of these established concepts to the effects of carnitine supplementation in healthy persons or in varied pathologic conditions is less clear. It is unknown whether supraphysiologic carnitine concentrations enhance exercise performance, or which pathophysiologic conditions might be associated with decreased muscle carnitine content or increased carnitine requirements [13,14]. Humans take in carnitine primarily from diet (75%) with the remaining 25% coming from endogenous synthesis. Another major role for the carnitine is the transfer of acetyl-CoA from the mitochondria into the cytoplasma, thereby providing acetyl groups in the synthesis of the neurotransmitter acetylcholine (ACh) [15]. In keeping with polar characteristics, L-C does not bind to plasma proteins (factor unbound-1) and enters erythrocytes very slowly. The uptake of L-C into most tissues of the body, including liver, kidney, skeletal and cardial muscle, neurons and epididymal tissue, involves carrier-mediated transport systems, which maintain high tissue-to-plasma concentration ratio [4]. The transport of L-C from the plasma into the neurons is mediated by a Na+ and energy dependent process and may involve the organic cation transporter [16,17]. The most widely established function for L-C is its obligate role in the transport of long-chain fatty acids into mitochondrial matrix where they enter β-oxidation [18]. Studies in humans have also demonstrated that a decrease on muscle free carnitine concentration occurs during short- duration high intensity exercise and at the onset of exhaustive submaximal exercise and is matched by an almost equivalent increase in acetylcarnitine [18]. These findings suggest that another important role for carnitine is in buffering excess acetyl group accumulation, which occurs when the rate of acetyl-CoA formation exceeds the rate at which the tricarboxylic acid cycle can recycle CoA [19,20]. Acetylcholinesterase (AChE) (E.C. 3.1.1.7) is a biological significant component of cell membrane, contributing to its integrity and to permeability changes occuring during synaptic transmissions and conduction. It is a membrane-bound enzyme with its active side exposed in the external leaflet of the bilayer (ectoenzyme). This enzyme participates in the hydrolysis of acetylocholine (ACh) and can modulate the cholinergic function [21]. If ACh action is enhanced and due to the wide spread distribution of cholinergic fuctions, toxic effects involve the sympathetic, parasympathetic, motor and central nervous system [21,22]. Na+,K+-ATPase (E.C. 3.6.1.3) is the enzymatic base of univalent cation transport [23]. It is implicated in neural excitability [24], metabolic energy production [25], uptake and release of catecholamines [26] and serotonin [27]. Additionally, the role of Mg2+-ATPase is to control the intercellular Mg2+ concentration, changes which can modulate the activity of Mg2+-dependent enzymes and regulate the rate of protein synthesis and cell growth [28,29]. Previous in vitro studies implicated low total antioxidant status (TAS) (e.g. free radicals production) with the activities of AChE, Na+,K+-ATPase and Mg2+-ATPase in rat brain [30,31]/ In addition, the above membrane enzyme activities were found modulated in the presence of the free radicals [32,33]. Previous study [34] showed that free radicals production leading to a failure of mitochondria function was ameliorated by L-C administration. Similarly, pretreatment with L-C enhanced trend of AChE inhibition in all selected brain parts comparing with single galantamine administration, a competitive AChe inhibition [35]. Since L-C action and free radicals production are closely related to ACh modulation, AChE activity and Na+-dependent energy process, we aimed to investigate AChE, Na+,K+-ATPase and Mg2+-ATPase activities in rat brain homogenates pre- and post-forced swimming before and after L- C administration. In addition, in an in vitro study, we aimed to find out a direct effect of L-C on the above rat brain enzymes. MATERIALS AND METHODS Animal care and training protocol Adult male Albino Wistar rats (Saint Savvas Hospital, Athens, Greece) were used in all experiments. Body weight was 260 ± 27 g (mean ± SD). They were housed four in a cage, at a constant room temperature (22 ± 1 oC) under a 12h light:12h dark (light 08:00 – 20:00h) cycle. Food and water were provided ad libitum. Animals were cared for in accordance with the principles of the “Guide for the Care and Use of Experimental Animals” [36]. Swimming was performed in a plastic waterpool (height 80 cm · width 50 cm and depth 55 cm), at a water temperature of 22 oC - 23 oC, between 09:00 and 14:00h. Swimming duration was 0h (animals were removed from the pool immediately after water immersion), 2h or 3h. Each of the three groups consisted of seven animals. Venditti at al. [37] found that prolonged (8h) swimming of rats induces oxidative stress, lipid peroxidation, and decreased antioxidant capacity in liver homogenates, whereas swimming of moderate duration (3h) did not produce these effects. However, the aim of our study was to evaluate the total antioxidant status, the protein concentration and the enzyme activities in rat brain, which may be affected earlier than liver by exercise. So, the above parameters were investigated under short (2h) or moderate (3h) swimming of rats. Control animals (21 rats) were kept in their home cages at a constant room temperature (22 ± 1 oC) during the period of exercise and seven rats for each group (0h, 2h or 3h) were used for tissue preparation and biochemical determinations (group A). In addition, groups of seven animals either were used as controls after L-C administration (300 mg/kg) ip [38] (group C) or were treated with 2h or 3h forced swimming as above. Tissue preparation Immediately after each treatment, rats were sacrificed by decapitation. The whole brain of each animal was quickly removed and homogenized in 10 volume ice-cold (0-4 oC) medium containing 50mM tris(hydroxymethyl)-aminomethane-HCl (Tis-HCl), pH=7.4 and 30mM sucrose using an ice- chilled glass homogenizing vessel at 900 rpm (4-5 strokes). Then, the homogenate was centrifuged at 1000 x g for 10 min to remove nuclei and debris. In the resulting supernatant, the protein content was determined according to the method of Lowry et al. [39] and then the total antioxidant status (TAS) and enzymatic activities were measured. The enzyme incubation mixture was kept at 37 oC. Incubation of rat brain homogenates in the presence or absence of L-Carnitine 100μg protein of rat brain homogenate from group B (3h) or group D (3h) were incubated with 50 mM Tris-HCl, pH 7.4, 120 mM NaCl in the presence or absence of L-C (5 mM) for 1h at 37 oC. Then, AChE as well as Na+,K+-ATPase activities were evaluated in he reaction mixture [40,41]. L- C (5 mM) concentration was adapted because this value expresses the mean valua of total concentration in the vlood of healthy individuals in Greece, as previously reported (42]. Determination of brain total antioxidant status TAS was evaluated in each homogenized fresh rat brain. The total antioxidant capacity was measured spectrophotometrically by a commercial kit (Randox Laboratories Ltd., Cat. No. NX2332, UK) as previously reported [43]. 2,2'-Azino-di-(3-ethylbenzthiazoline sulphonate) (ABTS) was incubated with a peroxidase (met-myoglobin) and H2O2 in order to produce the radical cation which was measured at 600 nm. Inhibited values of TAS reflect the increase in brain free radical production, whereas stimulated TAS values show the decrease in free radical production and the increase in the antioxidant compounds. Determination of AChE activity AChE activity was determined by following the hydrolysis of acetylthiocholine according to the method of Ellman et al. [44] as described in detail previously [45]. The incubation mixture (1 ml) contained 50 mM Tris-HCl, ph 8, 240 mM sucrose, and 120mM NaCl. Pseudocholinesterase activity was not detected in the brain homogenate by using 2 · 10-2 mM quinidine sulfate in the above reaction mixture. Protein concentration of the incubation mixture was 80 – 100 μg/ml. The reaction was initiated after the addition of 0.03 ml of 5,5'-dithionitrobenzoic acid (DTNB) and 0.05 ml of acetylthiocholine iodide which was used as substrate. The final concentrations of DTNB and substrate were 0.125 and 0.5 mM, respectively. The reaction was followed spectrophotometrically by the increase of absorbance (Δ OD ) at 412 nm. Determination of Na+,K+-ATPase and Mg2+-ATPase activities Na+,K+-ATPase activity was calculated as the difference between total ATPase activity (Na+,K+,Mg2+-dependent ATPase) and Mg2+-dependent ATPase activity. Total ATPase activity was assayed in an incubation medium consisting of 50 mM Tris-HCl, ph 7.4, 120 mM NaCl, 20 mM Kcl, 4 mM MgCl2, 240 mM sucrose, 1 mM ethylenediamine tetraacetic acid K2-salt (K+-EDTA), 3 mM disodium ATP, and 80 – 100 μg protein from the homogenate in a final volume of 1 ml. Ouabain (1 mM) was added in order to determine the activity of Mg2+-ATPase. The reaction was started by adding ATP and stopped after an incubation period of 20 min by the addition of 2 ml of mixtyre consisting of 1% lubroil and 1% ammonium molybdate in 0.9 M H2SO4 [46]. The yellow colour which developed was read at 390 mM. Statistical Analysis Data were analyzed by ANOVA or Student's t-test. P values of < 0.05 were considered statistically insignificant. RESULTS As presented in Table 1, protein concentration in the homogenized whole brain was found significantly decreased especially after 3h forced swimming whereas it remained unaltered in the group with L-C administration at the same time of study. As shown in Table 2, both TAS and AChE activity were remarkably decreased in the rat brain after 3h forced exercise. After L-C administration, a significant increase was observed in TAS levels and in AChE activities in controls followed by a significant reduction in TAS whereas AChE activity was significantly decreased after 2h or 3h forced tranining. As illustrated in Table 3, a remarkable increase of and Mg2+-ATPase activities were measured in homogenized rat brain after exposed to forced swimming. In contrast, a significant increase of Na+,K+-ATPase activity was observed 3h after forced training. In the group with L-C administration, Mg2+-ATPase activities remained unaltered pre vs. post swimming in all studied groups. As shown in Table 4, both reduced enzyme activities restored to normal after incubation with L-C. DISCUSSION It is known that free radical production during prolonged exercise induces damage to skeletal and cardial muscles as well as to liver [37]. The observed decrease in brain TAS during swimming (group B, Table 2) shows the increase in free radical production and possibly the decrease in brain antioxidant compounds under the described stress conditions. In contrast, TAS was slightly elevated when the animals were administrated with L-C (pre- vs post- training). This finding could be due to the well known antioxidant action of L-C [15]. Physical exercise increases ROS production, which could cause damage to proteins and/or synaptosomal plasma membranes [47]. This phenomenon may be implicated in the observed decrease in brain protein concentration during 2h and prolonged (5h) forced swimming. We have previously reported that free radicals are produced in the blood of phenylketonuric patients “off diet” [43] and induce inhibition of their erythrocyte membrane AChE [48]. In addition, we have suggested that this erythrocyte AChE inhibition may be due to diminished protein synthesis. Furthermore, the AChE inhibition observed during the present treatment (group B) may be due to diminished number of peripheral AChE sites on synaptosomal plasma membranes caused by free radicals [49]. However, it cannot be excluded that a decrease ina acetylcholine may be related to the above AChE inactivation. Furthermore, a decrease in acetylcholine release could be induced by the observed Na+,K+-ATPase activation (Table 3), as suggested by Meyer and Cooper [50]. This suggestion is supported by the findings of Fatranska et al. [51] who reported a significant acetylcholine decrease in hippocampus and cerebral cortex after 20 min of forced swimming. The observed brain Na+,K+-ATPase stimulation during rat swimming may be caused by increased concentrations of catecholamines [52], serotonin [53] and/or corticosterone [54]. In a previous study [55] we have observed a Na+,K+-ATPase activation in rat celebrum and cerebellum 3h after the initiation of another kind of stress (cold and immobilization). Additionally, Carageorgiou et al. [56] have found in vivo a whole rat brain Na+,K+-ATPase stimulation as a dose-dependent effect of acute (8h) Cd administration. Similar effects were observed after a long-term (4-months) Cdinduced oxidative stress. On the other hand, a rat brain Na+,K+-ATPase inhibition was induced by free radicals in in vitro experimental conditions [45]. It seems likely that there are two opposite effects in rat brain Na+,K+-ATPase activity, closely depending on experimental conditions of stress, a stimulatory effect produced by increased levels of catechomalines, serotonin and/or corticosterone and an inhibitory one induced by free radicals. Fujino et al. [53] have reported an increased serotonin release in mice frontal cortex and hippocampus induced by acute physiological stressors. Glucocorticoids (cortisol) [10], catecholamines [58,59] and/or serotonin xan stimulate brain Na+,K+- ATPase. Moreover, modulation of brain protein synthesis could be produced by increased levels of dopamine [60], corticosterone [61] and serotonin [62, 63], as in the case of the present exercise stress. Finally, the observed Na+,K+-ATPase activation may cause modulation of brain neural excitability [61] and metabolic energy production [59]. Interestingly, we paradoxically found a reduction of both rat brain enzymes, AChE, (Na+,K+)- ATPase activities in the animals with L-C addition, post-training, although their TAS were significantly elevated at the same time of study. As mentioned before, strenuous exercise increases the production of free radicals associated with depletion of antioxidant defense [64]. In addition, another study showed decreased free carnitine level in the blood after exercise [65]. There are many factors which have to be taken into account when considerin changes in serum carnitine levels. Such regulatory factors included changes in blood volume, cernitine uptake and release in the muscle and acylation of carnitine outside the contracting muscle [65]. Although we did not measure carnitine blood levels in the animals pre- vs post-exercise for technical reasons, a limitation of this study, we may suggest that the inhibition of the studied enzymes in group D may be due to the sudden depletion of carnitine from the blood due to its shunt into the exercising muscles as found by other authors [65] and the simultaneous withdraw of its protection from the enzyme membrane lipid peroxidation, since carnitine is a polar substance and enters the enzyme membrane. This suggestion is further supported by our in vitro study: the decreased activities of the rat brain AChE and Na+,K+-ATPase from group D were totally restored to normal after 1h incubation with L-C concentration (5 mM) similar to that determined in the blood of healthy people [42]. The absence of a significant alteration of the rat brain enzyme activities from group B after incubation with L-C may be due to their long-lasting exposure into free radicals during training in the absence of L-C- mediated membrane protection. Brain Mg2+-ATPase activity was also found elevated during exercise/ We have suggested that brain Mg2+-ATPase stimulation may be induced by free radical action. However, during prolonged swimming of rats, we cannot exclude a decrease in glucose levels (hupoglycemia) [64], which may further modulate Mg2+-ATPase. This enzyme activation increases intracellular Mg2+ concentration, which may control rates of protein synthesis [65]. Such an alteration in brain protein synthesis may also occur after prolonged swimming of rats, as found in the present study. This suggestion is supported by the unaltered Mg2+-ATPase activity pre- vs post-swimming after L-C administration and TAS normalization. Additionally, the stimulated Mg2+-ATPase (as an ectoenzyme) may also modulate the availability of ATP and the activity of other extracellular ATP-dependent enzymes (e.g. protein kinases). It is also proposed that Mg2+-ATPase may modulate the neurotransmitter role of ATP [66]. From this point of view, we could assume that short and especially forced swimming may have harmful effects on rat brain function. In conclusion, forced swimming of rats induces oxidative stess, which may result in a reduction in brain protein concentration and AChE activity. Increased activities of Na+,K+-ATPase and Mg2+- ATPase were observed under the same experimental conditions. This type of stress may modulate brain intracellular Mg2+ concentration, neural excitability, mtabolic energy production, as well as cholinergic, catecholaminergic and/or serotoninergic mechanism(s). Carnitine supplementation may result in an increase of antioxidant capacity and normalize the modulated activities of the studied enzymes induced by forced training. Acknowledgements This study was funded by the university of Athens. Many thanks are expressed to Dr Filia Stratigea (veterinary surgeon) and medical student Pantazopoulos Anastasios for their significant assistance. REFERENCES 1. Holloszy JO, Coyle EF; Adaptations of skeletal muscle to endurance exercise and theirmetabolic consequences. J Appl Physiol 1984; 56:831-838 2. Berthon P. Freyssenet D, Chatard J-C, Castells J, Mujika I, Geyssant A, Guezennec C-Y, Denis C: Mitochondrial ATP production rate in 55 to 79-year-old men: effect of endurance training. Acta Physiol Scand 1995; 154:269-274 3. Elliott DL, Buist NRM, Goldberg LM Kennaway NG, Powell BR, Kuehl MS: Metabolic myopathies: evaluation by graded exercise testing. Medicine 1989; 68:163-172 4. Bremer J: Carnitine metabolism and functions. Physiol Rev 1983; 63:1420-1480 5.Wasserman K, Whipp BJ: Exercise physiology in health and disease. Am Rev Resp Dis 1975; 112:219-249 6. Brass EP: Overview of coenzyme A metabolism and its role in cellular toxicity. Chem Biol Interact 1994; 90:203-214 7. Gilbert EF: Carnitine deficiency. Pathol 1985; 17:161-169 8. Hiatt WR, Wolfel EE, Regensteiner JG, Ruff L, Brass EP: Carnitine metabolism during exercise in humans: dependence on skeletal muscle metabolic state. J Clin Invest 1989; 84:1167-1173 9. Sahlin K: Muscle carnitine metabolism during incremental dynamic exercise in humans. Acta Phsyiol Scand 1990; 138:259-262 10. Minkler PE, Bras EP, Hiatt WR, Ingalls ST, Hoppel CL: Quantification of carnitine, acetylcarnitine and total carnitine in tissues by high- performance liquid chromatography: the effect of exercise onc arnitine homeostasis in man. Analyt Biochem 1995; 231:315-322 11. Constantin-Teodosiu D, Carlin JI, Cederblad G, Harris RC, Hultman E: Acetyl group accumulation and pyruvate dehydrogenase activity in human muscle during incremental exercise. Acta Physiol Scand 1991; 143:367-372 12. Bremer J: The role of carnitine in intracellular metabolism. J Clin Chem Biochem 1990; 28:297- 301 13. Goa KL, Brogden RN: L-Carnitine. Drugs 1987; 34:1-24 14. Brass EP: Pharmacokinetic considerations for the therapeutic use of carnitine in hemodialysis patients. Clin Ther 1995; 17:176-185 15. Virmani A, Binieda Z. Role of carnitine esters in brain neuropathology. Mol Aspects Med. 2004; 25:533-49 16. Wu X, Huang W, Prasad PD, Seth P, Rajan DP, Leibach FH, Chen J, Conway SJ, Canapathy V. Functional characteristics and tissue distribution pattern of organic cation transporter 2 (OCTN2), an organic cation/ carnitine transporter. J Pharmacol Exp Ther. 1999; 290:1482-92 17. Dhitavat S, Ortiz D, Shea TB, Rivera ER. Acetyl-L-carnitine protects against amyloid-beta neurotoxicity: roles of oxidative buffering and ATP levels. Neurochem Res. 2002; 27:501-5. 18. Ebert D, Haller RG, Walton ME. Energy contribution of octanoate to intact rat brain metabolism measued by 13C nuclear magnetic resonance spectroscopy. J Neurosci. 2003; 23:5928-35. 19. Hoppel CL, Davis AT. Inter-tissue relationships in the synthesis and distribution of carnitine. Biochem Soc Trans. 1986; 14:673-4. 20. Chavez E, Pena A, Zazueta C, Ramirez J, Garcia N, Carrillo R. Inactivation of mitochondrial permeability transition pore by octylguanidine and octylamine. J Bioenerg Biomembr. 2000; 32:193-8. 21. Lotti M. Cholinesterase inhibition: complexicities in interpretation. Clin Chem 1995; 41:1814- 1818 22. Sussman JL, Harel M, Frolow F, Oefner C, Goldman A, Toker L, Silman I. Atomic structure of acetylcholinesterase from Torpedo californica: a phototypic, acetylcholine-binding protein. Science 1991; 253:872-879. 23. Sweadner KJ, Goldin SM. Active transport of sodium and potassium ions: mechanism, function and regulation. N Engl J Med 1980; 302:777-783 24. Sasrty BS, Phillis JW. Antagonism of biogenic amine-induced depression of cerebral cortical neurones by Na+,K+-ATPase inhibitors. Can J Physiol Pharmacol 1977; 55:170-179 25. Mata M, Fink DJ, Gainer H, Smith CB, Davidsen L, Savaki H, Schwartz WJ, Sokoloff L. Activity-dependent energy metabolism in rat posterior pituitary primarily reflects sodium pump activity. J Neurochem 1980; 34:213-215. 26. Bogdanski DF, Tissari A, Brodie BB. Role of sodium, potassium, ouabain and reserpine in uptake, storage and metabolism of biogenic amines in synaptosomes. Life Sci 1968; 7:419-428. 27. Hernandez J. Brain Na+,K+-ATPase activity possibly regulated by a specific serotonin receptor. Brain Res 1987; 408:399-402. 28. Sanui H, Rubin H. The role of magnesium in cell proliferation and transformation. In: Boynton AL, McKeehan WL, Whitfield JF, editors (eds). Lons, Cell Proliferation and Cancer. New York: Academic Press, 1982: pp517-537. 29. Cunningham HB, Yazaki PJ, Domingo RC, Oades KV, Bohlen H, Sabbadino RA, Dahms AS. The skeletal muscle transverse tubular MG-ATPase identity with Mg-ATPas of smooth muscle and brain. Arch Biochem Biophys 1993; 303:32-33. 30. Tsakiris S. Effacts of L-phenylalanine on acetylcholinesterase and Na+,K+-ATPase activities in adult and aged rat brain. Mech Ageing Dev 2001; 122:491-501. 31. Tsakiris S, Angelogianni P, Schulpis KH, Behrakis P. Protective effect of L-cysteine and glutathione on rat brain Na+,K+-ATPase inhibition induced by free radicals. Z Naturforsch 2000; 55:271-277. 32. Schulpis KH, Tsakiris S, Kaikas GA, Moukas M, Behrakis P. Effect on plasma total antioxidant status in phenylketonuric patients. Eur J Clin Nutr 2003; 57:383-387. 33. Schulpis KH, Michelakakis H, Tsakiris T, Tsakiris S. The effect of diet on total antioxidant status, erythrocyte membrane Na+,K+-ATPase and Mg2+-ATPase activities in patients with galactosaemia. Clin Nutr 2005; 24:151-157. 34. Virmani A, Gaetani F, Imam S, Biniends Z, Syed Ali. Possible mechanism for the neuroprotective effects of l- carnitine on methanpenthamine-evoked neurotoxicity. Ann NY Acac Sci; 2003, 993:197-207 35. Svoboda Z, Kvetina J, Herink J, Baigar J, Bartosora L, Palicka V, Zivny P. Galantamine antiacetylcholinesterase activity in rat brain influenced by L- Carnitine. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2005 Dec; 149(2):335-7 36. Committee on Care and Use of Laboratory Animals. Guide for the Care and Use of Laboratory Animals. Washington, DC: Institute of Laboratory Animal Resources. National Research Council, 1985: 83 37. Venditti P, Masullo P, Di Meo S. Effect of exercise duration on characteristics of mitochondrial population from rat liver. Arch Biochem Biophys 1999; 368:112-120 38. Rani Arockia JP, C Panneerselvam. Carnitine as a free radical scavenger in ageing. Experimental Gerontology 2001, 36:1713-1726 39. Lowry OH, Rosebrough NJ, Farr AL, Randall RJ. Protein measurement with the folin phenol reagent. J Biol Chem 1951; 193:265-275 40. Ellman GL, Courtney KD, Andres V Jr, Feather-Stone RM. A new and rapid colorimetric determination of acetylcholinesterase activity. Biochem Pharmacol 1961; 7:88-95. 41. Schulpis KH, Tjamouranis J, Karikas GA, Michelakakis H, Tsakiris S. In vivo affects of high phenylalanine blood levels on Na+,K+-ATPase, Mg2+-ATPase activities and biogenic amine concentrations in phenylketonuria. Clin Biochem 2002; 35:281-285. 42. Georgala S, Schulpis KH, Georgala C, Michas T. L-Carnitine supplementation in patients with cystic acne on isotretinoin therapy. J Eur Acad Dermatol Venereol 1999; 13:205-209. 43. Schulpis KH, Tsakiris S, Karikas GA, Moukas M, Behrakis P. Effect of diet on plasma total antioxidant status in phenylketonuric patients. Eur J Clun Nutr 2006; 57:383-387 44. Ellman GL, Courtney D, Andres D, Featherstone RM. A new and rapid colorimetric determination of acetylcholinesterase activity. Biochem Pharmacol 1961; 7:88-95 45. Tsakiris S. Effects of L-phenylalanine on acetylcholinesterase and Na+,K+-ATPase activities in adult and aged rat brain. Mech Ageing Dev 2001; 122:491-501 46. Tsakiris S, Angelogianni P, Schulpis KH, Behrakis P. Protective effect of L-cysteine and glutathione on rat brain Na+,K+-ATPase inhibition induced by free radicals. Z Naturforsch 2000; 55C:271-277 47. Leeuwenburgh L, Hansen P, Shaish A, Holoszy JO, Heinrcke JW. Markers of protein oxidation by hydroxyl radical and reactive nitrogen species in tissues of aging rats. Am J Physiol 1998;274: 453-461 48. Tsakiris S, Schulpis KH, Tjamouranis J, Michelakakis H, Karikas GA. Reduced acetylcholinesterase activity in erythrocyte membranes from patients with phenylketonuria. Clin Biochem 2002; 35:615-619 49. Götz ME, Küning G, Riederer P, Youdim MBH. Oxidative stress: Free radical production in eural degeneration. Pharmac Ther 1994; 63:37-122 50. Meyer EM, Cooper JR. Correlations between Na+,K+-ATPase activity and acetylcholine release in rat cortical synaptosomes. J Neurochem 1981; 39:467-475 51. Fatranska M, Budai D, Oprsalove Z, Kretnansky R. Acetylcholine and its enzymes in some brain areas of the rat under stress. Brain Res 1978; 424:109-114 52. Tanaka M, Kohno Y, Nakagawa R, Ida Y, Takeda S, Nagasaki N. Time related differences in noradrenaline turnover in rat brain regions by stress. Pharmacol Biochem Behav 1982; 16:315-319 53. Fujino K, Yoshitake T, Inoue O, Ibii N, Kehr J, Ishida J, Nohta H, Yamaguchi M. Increased serotonin release in mice frontal cortex and hippocampus induced by acute psychological stressors. Neurosci Lett 2002; 320:91-95 54. Tanaka M, Kohno Y, Nakagawa R, Ida Y, Takeda S, Nagasaki N. Regional characteristics of stress-induced increases in brain noradrenaline release in rats. Pharmacol Biochem Behan 1983; 19: 543-547 55. Tsakiris S, Kontopoulos AN. Time changes in Na+,K+-ATPase, Mg2+-ATPase and acetylcholinesterase activities in the rat cerebrum and cerebellum caused by stress. Pharmacol Biochem Behan 1993; 44:339-342 56. Carageorgiou H, Tzotzes V, Pantos C, Mourousis C, Zarros A, Tsakiris S. In vivo and in vitro effects of cadmium on adult rat brain total antioxidant status, actylcholinesterase, (Na+,K+)-ATPase and Mg2+-ATPase activities: Protection by L-Cysteine. Basic Clin Pharmacol Toxicol 2004; 94:112- 118 57. Bogdanski DF, Tissuri A, Brodie BB. Role of sodium, potassium, ouabain and respine in uptake, storage and metabolism of biogenic amines in synaptosomes. Life Sci 1968; 7:418-428 58. Mata M, Fink DK, Gainer H, Smith CB, Davidsen L, Savakis H, Swartz WJ, Sokoloff L. Activity-dependent energy metabolism in rat posterior pituitary primarily reflects sodium pump activity. J Neuchem 1981; 34:213-215 59. Viggiano D, Vallone D, Ruocco LA, Sadile AG. Behavioural, pharmacological, morpho- functional molecular studies reveal a hyperfunctioning mesocortical dopamine system in an animal model of attention deficit and hyperactivity disorder. Neurosci Biobehav Rev 2003; 27:683-689 60. Molteni R, Fumagalli F, Magnaghi V, Roceri M, Gennaralli M, Racagni G, Melcangi RC, Riva MA. Modulation of fibroblast growth factor-2 by stress and corticosteroids: from developmental events to adult brain plasticity. Brain Res Rev 2001; 37:249-258 61. Segal OL, Mats VN, Kruglikov RI. Changes in the protein level in rat hippocampal neurons during development of the alimentary conditioned reflex under normal conditions and after treatment with iproniazid. Nauchnye Doki Vyss Biol Nauki 1987; 4:55-60 62. Yamada K, Iida R, Miyamoto Y, Saito K, Sekikawa K, Seishima M, Nabeshima T. Neurobehavioral alterations in mice with a targeted deletion of the tumor necrosis factor-alpha gene: implications for emotional behavior. J Neuroimmunol 2000; 111:131-138 63. Hermansen L, Hultman E, Saltin B. Muscle glycogen during prolonged sever exercise. Acta Physiol Scand 1967; 71:129-139 64. Sanui H, Rubin H. The role of megnesium in cell proliferation and transformation. Ib: Boynton AL, McKeehan WL, Whitfield JF (eds). Ions, Cell Proliferation and Cancer. New York: Academic Press, 1982: 517-537 65. Cunningham HB, Yazaki PJ, Domingo RC, Oades KV, Bohlen H, Sabbadini RA, Dahms AS. The skeletal muscle transverse tubular MG-ATPase identity with Mg-ATPase of smooth muscle and brain. Arch Biochem Biophys 1993; 303:32-43 Table 1. Changes in protein concentration in homogenized whole brain of rats (n = 7) exposed to forced swimming for various periods with 300 mg/kg (group D) or without (group B) L-Carnitine (L-C) administration. Treatment A-3h (in cage) A0h A2h A3h B0h B2h B3h C-3h (in cage) C0h C2h C3h D0h D2h D3h Protein concentration (mg protein/ml) 5.80 0.40 6.00 0.24 6.15 0.50 5.70 0.42 5.90 0.38 (-2%) 5.22 0.20** (-15%) 3.99 0.15*** (-30%) 5.95 0.30 6.05 0.40 5.82 0.35 5.75 0.45 5.80 0.32 (-4%) 6.00 0.42 (+3%) 5.85 0.30 (+2%) Each value indicates the mean SD of seven independent experiments (seven rats per group). The average of each experiment arose from three evaluations of the homogenated brain of each animal. Group A represents “nontreatment” control group and group C controls administered L-C dose intraperitonally (ip). Values of controls with NaCl 0.9% (SC-3h and SC3h) were not statistically different to that C-3h (data not shown). Note: Only the statistically significant values are presented. **: p < 0.01 (vs all controls), ***: p < 0.001 (vs all controls) Table 2: Changes in total antioxidant status (TAS) and acetylcholinesterase (AChE) activity in homogenized whole brain of rats (n = 7) exposed to forced swimming for various periods with 300 mg/kg (group D) or without (group B) L-Carnitine (L-C) administration. Treatment A-3h (in cage) A0h A2h A3h B0h B2h B3h C-3h (in cage) C0h C2h C3h D0h D2h D3h TAS (mmol/l) 55.15 2.15n 53.85 1.19a 54.50 1.64b 52.15 2.05c 54.00 1.35d (+0.2%) 43.60 1.00e, ** (-20%) 39.11 1.17f, *** (-25%) 55.50 1.80h 56.70 2.40g (+5%) 63.34 1.90i, ** (+16%) 64.62 2.10j, *** (+24%) 54.00 2.00k (-5%) 52.25 2.15l, ** (-18%) 54.51 1.80m, ** (-16%) AChE (ΔOD/min x mg protein) 0.906 0.045b 0.926 0.051a 0.916 0.035c 0.886 0.035d 0.888 0.045e (-4%) 0.645 0.038f, ** (-30%) 0.576 0.032g , *** (-45%) 0.600 0.030i 0.636 0.038h (+6%) 0.696 0.031j, * (+16%) 0.726 0.043k, ** (+21%) 0.629 0.029l (-1%) 0.668 0.040m (-4%) 0.600 0.031n, * (-17%) Each value indicates the mean SD of seven independent experiments (seven rats per group). The average of each experiment arose from three evaluations of the homogenated brain of each animal. Group A represents “nontreatment” controls and group C controls administered L-C dose intraperitonally (ip). Values of saline controls (SC-3h and SC3h) were not statistically different as compared to SC3h (data not shown). Note: Only statistically significant values are presented. *: p < 0.05 (vs control) , **: p < 0.01 (vs control), ***: p < 0.001 (vs control) TAS: a/e, a/f, a/i, a/j, a/m, n/e, n/j, n/l, n/m, b/e, b/j, b/i, b/f, c/f, b/c, c/e, c/j, c/h, c/g, c/i = p < 0.01 AChE: a/f, a/g, a/h, a/i, a/j, a/k, a/l, a/m, a/n, b/f, b/g, b/n, b/i, b/j, b/k, b/l, b/m, b/n, c/f, c/g, c/i, c/h, c/j, c/k, c/l, c/m, c/n, d/f, d/g, d/i, d/h, d/j, d/k, d/l, d/m, d/n = p <0.01 Table 3: Changes in Na+, K+-ATPase and Mg2+-ATPase activities in homogenized whole brain of rats (n = 7) exposed to forced swimming for various periods with 300 mg/kg (group D) or without (group B) L-Carnitine (L-C) administration. Treatment A-3h (in cage) A0h A2h A3h B0h B2h B3h C-3h (in cage) C0h C2h C3h D0h D2h D3h Na+, K+-ATPase activity Mg2+-ATPase activity (μmol Pi / h x mg protein) 5.72 0.51a 7.30 0.78a 5.80 0.48b 7.44 0.66b 6.05 0.55c 7.52 0.60c d 5.92 0.59 7.00 0.58d 6.00 0.36e (+3.4%) 7.20 0.65 (-3%) f, 10.89 1.08 *** (+80%) 10.53 1.05e, *** (+40%) g, 11.84 1.12 *** (+100%) 11.20 1.18f, *** (+60%) 3.08 0.24h 6.95 0.70 i 3.76 0.31 (+22%) 6.80 0.61 (-2%) j, 4.19 0.40 ** (+36%) 6.83 0.65 (-2%) 5.11 0.56k, *** (+66%) 6.54 0.72 (-6%) l 2.98 0.28 (-21%) 6.55 0.62 (-4%) m, 2.80 0.28 ** (-33%) 6.70 0.60 (-2%) n, 2.77 0.22 ** (-46%) 6.66 0.53 (+2%) Each value indicates the mean SD of seven independent experiments (seven rats per group). The average of each experiment arose from three evaluations of the homogenated brain of each animal. Group A represents “nontreatment” control and group C controls administered L-C dose intraperitonally (ip). Values of saline controls (SC-3h and SC3h) were not statistically different as compared to that C-3h (data not shown). Note: Only statistically significant values are presented. **: p < 0.01 (vs control), ***: p < 0.001 (vs control) Na+, K+-ATPase: a/f, a/g, a/h, a/i, a/j, a/l, a/m, a/n, b/f, b/g, b/h, b/i, b/j, b/l, b/m, b/n, c/f, c/g, c/h, c/i, c/j, c/l, c/m, c/n, d/f, d/g, d/h, d/i, d/j, d/l, d/m, d/n = p < 0.01 Mg2+-ATPase: a/e, a/f, b/e, b/f, c/e, c/f, d/e, d/f = p < 0.001 Table 4: The effect of L-C (5 mM) incubation on the swimming rat brain AChE and Na+, K+-ATPase activities with L-C (group D) or without L-C (group B) administration post-3h-swimming (see Materials and Methods). AChE activity (ΔOD/min x mg prot) Na+, K+-ATPase activity (μmol Pi/h x mg prot) AChE activity (ΔOD/min x mg prot) Na+, K+-ATPase activity (μmol Pi/h x mg prot) Control 3h (group A) 0.886 0.035a Swimming 3h (group B) 0.576 0.032b Group B 3h + L-C incubation 0.592 0.040e 5.92 0.59a 11.84 1.12b 11.14 0.95e L-C Control 3h (group C) 0. 726 0.043c Swimming 3h (group D) 0.600 0.031d Group D 3h + L-C incubation 0.730 0.038f 5.11 0.56c 2.77 0.22d 5.00 0.48f Values are expressed as mean SD, for four different experiments. AChE: a/b, a/e, c/d, d/f, = p < 0.001; b/e, c/f = NS Na+, K+-ATPase: a/b, a/e, c/d, d/f, = p < 0.001; b/e, c/f = NS NS= not statistically significant