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P. 95

Long-­-life	
  supplementation	
  with	
  atenolol…	
  	
  

	
  
4.	
  DISCUSSION	
  

        In	
   the	
   present	
   work	
   we	
   comprehensively	
   studied,	
   for	
   the	
   first	
   time,	
   the	
  
chronic	
   effect	
   of	
   the	
   ß-­-1	
   blocker	
   atenolol	
   on	
   various	
   metabolic	
   and	
   oxidative	
   stress	
  
parameters	
   during	
   the	
   whole	
   life	
   span	
   of	
   a	
   sufficiently	
   large	
   population	
   of	
   healthy	
  
mice.	
  

        After	
  16	
  months	
  of	
  continuous	
  atenolol	
  treatment,	
  we	
  observed	
  quantitatively	
  
important	
   decreases	
   in	
   the	
   fatty	
   acid	
   unsaturation	
   degree	
   of	
   mitochondrial	
  
membranes,	
   as	
   well	
   as	
   in	
   protein	
   oxidation,	
   lipoxidation	
   and	
   glycoxidation	
   in	
  
mitochondria	
  from	
  the	
  two	
  tissues	
  studied:	
  heart	
  and	
  SKM.	
  This	
  agrees	
  with	
  similar	
  
changes	
  observed	
  after	
  15	
  days	
  of	
  treatment	
  with	
  the	
  same	
  dose	
  of	
  atenolol	
  in	
  mouse	
  
heart	
   (2),	
   indicating	
   that	
   the	
   most	
   important	
   capacity	
   of	
   this	
   drug	
   to	
   lower	
   this	
  
parameter	
  can	
  be	
  maintained	
  at	
  least	
  during	
  most	
  of	
  the	
  lifespan	
  of	
  the	
  animals.	
  

        These	
   results	
   indicate	
   that	
   blocking	
   of	
   the	
   ß1-­-adrenergic	
   signaling	
   pathway	
  
improves	
  one	
  of	
  the	
  only	
  two	
  known	
  parameters	
  which	
  link	
  longevity	
  and	
  oxidative	
  
stress,	
   the	
   DBI	
   and	
   PI	
   (reviewed	
   in	
   34,	
   35).	
   Strikingly,	
   the	
   potency	
   of	
   atenolol	
   is	
   so	
  
great	
  that	
  it	
  can	
  decrease	
  the	
  DBI	
  of	
  mitochondrial	
  membranes	
  from	
  that	
  of	
  a	
  mouse	
  
to	
   that	
   typical	
   of	
   a	
   mammal	
   of	
   around	
   40	
   years	
   in	
   longevity	
   (2),	
   taking	
   into	
   account	
  
the	
   known	
   relationship	
   between	
   membrane	
   FA	
   unsaturation	
   and	
   mammalian	
  
longevity	
  (34),	
  also	
  in	
  relation	
  to	
  the	
  extended	
  life-­-span	
  of	
  the	
  AC5KO	
  mice	
  (1).	
  

        In	
   our	
   longevity	
   experiment,	
   the	
   atenolol	
   treatment	
   did	
   not	
   modify	
   body	
  
weight,	
   heart	
   and	
   SKM	
   organ	
   weight,	
   or	
   food	
   intake,	
   this	
   ruling	
   out	
   the	
   possibility	
  
that	
   the	
   observed	
   changes	
   could	
   be	
   secondary	
   effects	
   of	
   caloric	
   restriction.	
   In	
   our	
  
study,	
   atenolol	
   treatment	
   did	
   not	
   change	
   either	
   complex	
   I	
   or	
   III	
   mtROS	
   generation	
  
rate	
  neither	
  with	
  glutamate/malate	
  nor	
  with	
  pyruvate/malate	
  as	
  substrates	
  or	
  with	
  
the	
   supplemented	
   complex	
   I	
   and	
   III	
   specific	
   inhibitors	
   rotenone	
   or	
   antimicyn	
   A.	
  
These	
   results	
   agree	
   with	
   those	
   from	
   our	
   short-­-term	
   study	
   in	
   the	
   heart	
   of	
   atenolol-­-
treated	
   C57BL/6	
   mice	
   (2),	
   and	
   are	
   in	
   contrast	
   to	
   dietary,	
   protein	
   and	
   methionine	
  
restriction	
  models	
  in	
  which	
  mtROSp	
  decreases	
  at	
  complex	
  I	
  (36).	
  All	
  of	
  these	
  dietary	
  
manipulations	
   increase	
   longevity	
   and	
   decrease	
   mtROSp	
   without	
   changing	
   the	
   DBI	
  
and	
   PI	
   (37).	
   However,	
   the	
   ß-­-adrenergic	
   signalling	
   blockade	
   seems	
   to	
   decrease	
   the	
  
other	
   longevity-­-related	
   trait	
   (lowers	
   the	
   DBI	
   and	
   PI)	
   without	
   changing	
   mtROSp.	
  
Therefore,	
   these	
   two	
   manipulations,	
   the	
   dietary	
   restrictions	
   and	
   the	
   atenolol	
  
treatment,	
  seem	
  to	
  be	
  complementary.	
  

        Supporting	
   that	
   general	
   idea,	
   long-­-term	
   treatment	
   with	
   atenolol	
   did	
   not	
  
change	
  any	
  of	
  the	
  mitochondrial	
  respiratory	
  chain	
  complexes	
  except	
  for	
  the	
  increase	
  
in	
  complex	
  II	
  (70	
  KDa	
  subunit,	
  Flavoprotein)	
  in	
  heart	
  mitochondria,	
  mtROSp	
  and	
  the	
  
level	
   of	
   8-­-oxodG	
   in	
   mtDNA	
   (which	
   indicates	
   the	
   balance	
   between	
   mtDNA	
   oxidative	
  
damage	
  and	
  repair).	
  mtROSp	
  and	
  8-­-oxodG	
  in	
  mtDNA	
  usually	
  change	
  together	
  and	
  in	
  
similar	
  direction	
  in	
  different	
  models	
  of	
  dietary	
  restriction	
  studied	
  and	
  both	
  are	
  lower	
  

                                                                                                                            	
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