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1 use similar signaling pathways to mediate matrix protein synthesis in mesangial cells
Department of Internal Medicine, Division of Nephrology, Wayne State University School of Medicine and the John D. Dingell Veterans Affairs Medical Center, Detroit, Michigan 48201
Submitted 8 January 2003 ; accepted in final form 6 October 2003
Hyperglycemia-induced alterations in mesangial (MES) cell function and extracellular matrix (ECM) protein accumulation are seen in diabetic glomerulopathy. Transforming growth factor-
1 (TGF-
1) mediates high-glucose-induced matrix production in the kidney. Recent studies demonstrated that some of the effects of high glucose on cellular metabolism are mediated by the hexosamine biosynthesis pathway (HBP) in which fructose-6-phosphate is converted to glucosamine (GlcN) 6-phosphate. We previously showed that the high-glucose-mediated fibronectin and laminin synthesis in MES cells is mediated by the HBP and that GlcN is more potent than glucose in inducing TGF-
1 promoter luciferase activity. In this study, we investigated the hypothesis that the effects of glucose on MES matrix production occur via hexosamine regulation of TGF-
1. Culturing simian virus (SV)-40-transformed rat kidney MES cells in 25 mM glucose (HG) for 48 h increases cellular fibronectin and laminin levels about twofold on Western blots compared with low glucose (5 mM). GlcN (1.5 mM) or TGF-
1 (2.5-5 ng/ml) for 24-48 h also increases ECM synthesis. However, the effects of HG or GlcN with TGF-
1 are not additive. The presence of anti-TGF-
1 antibodies (20 µg/ml) blocks both TGF-
1- and GlcN-induced fibronectin synthesis. TGF-
1 increased ECM levels via PKA (laminin and fibronectin) and PKC (fibronectin) pathways. Similarly, TGF-
1 and hexosamines led to nonadditive increases in phosphorylation of the cAMP responsive element binding transcription factor. These results suggest that the effects of excess glucose on MES ECM synthesis occur via HBP-mediated regulation of TGF-
1.
diabetic nephropathy; hexosamine pathway; transforming growth factor-
; extracellular matrix protein; cell signaling
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