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B Pathway
1 University of Chicago
2 The University of Chicago
* To whom correspondence should be addressed. E-mail: cyan{at}medicine.bsd.uchicago.edu.
The renin-angiotensin system (RAS) is a major mediator of renal injury in diabetic nephropathy. Our previous studies have demonstrated that 1,25-dihydroxyvitamin D3 (1,25(OH)2D3) plays a renoprotective role by suppressing the RAS, with renin and angiotensinogen (AGT) as the main targets. The mechanism whereby 1,25(OH)2D3) transcriptionally suppresses renin gene expression has been elucidated; however, how vitamin D regulates AGT remains unknown. Exposure of mesangial cells or podocytes to high glucose (HG, 30 mM) markedly stimulated AGT expression. In mesangial cells, the stimulation was inhibited by 1,25(OH)2D3) (20 nM) or NF-
B inhibitor BAY 11-7082, suggesting the involvement of NF-
B in HG-induced AGT expression and the interaction between 1,25(OH)2D3) and NF-
B in the regulation. Plasmid pNF-
B-Luc luciferase reporter assays showed that 1,25(OH)2D3) blocked HG-induced NF-
B activity. EMSA and ChIP assays demonstrated increased p65/p50 binding to a NF-
B binding site at -1734 in the AGT gene promoter, and the binding was disrupted by 1,25(OH)2D3) treatment. Overexpression of p65/p50 overcame 1,25(OH)2D3) suppression, and mutation of this NF-
B binding site blunted 1,25(OH)2D3) suppression of the promoter activity. In mice lacking the vitamin D receptor, AGT mRNA expression in the kidney was markedly increased compared to wild-type mice, and AGT induction in diabetic mice was suppressed by treatment with a vitamin D analog. These data indicate that 1,25(OH)2D3) suppresses hyperglycemia-induced AGT expression by blocking NF-
B-mediated pathway.
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