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1 Department of Cell Biology and Neurosciences, Istituto Superiore di Sanita', Rome, Rome, Italy
2 Department of Clinical Sciences, "La Sapienza" University, Rome, Rome, Italy
* To whom correspondence should be addressed. E-mail: giuseppe.pugliese{at}uniroma1.it.
Aging is characterized by renal functional and structural abnormalities resembling those
observed in diabetes. These changes have been related to the progressive accumulation of
advanced glycation endproducts (AGEs) and cumulative oxidative stress occurring in both
conditions. We previously reported that galectin-3 ablation is associated with increased
susceptibility to diabetes- and AGE-induced glomerulopathy, thus indicating a protective role
of galectin-3 as an AGE receptor. To investigate the role of the AGE/AGE receptor pathway
in the pathogenesis of age-related renal disease, we evaluated the development of glomerular
lesions in aging galectin-3 knockout (KO) vs. wild type (WT) mice and their relation to the
increased AGE levels and oxidative stress characterizing the aging process. KO mice showed
significantly more pronounced age-dependent increases of proteinuria, albuminuria,
glomerular sclerosis and glomerular and mesangial areas, starting at 18 months, as well as
renal extracellular matrix mRNA and protein expression, starting at 12 months, vs. age-matched
WT mice. Circulating and renal AGEs, plasma isoprostane 8-epi-prostaglandin F2
levels, glomerular content of the glycoxidation and lipoxidation products N
-
carboxymethyllysine and 4-hydroxy-2-nonenal, and renal nuclear factor
B activity also
increased more markedly with age in KO than WT mice. AGE levels correlated significantly
with renal functional and structural parameters. These data indicate that aging galectin-3 KO
mice develop more pronounced changes in renal function and structure than coeval WT mice,
in parallel with a more marked degree of AGE accumulation, oxidative stress and associated
low-grade inflammation, thus supporting the concept that the AGE/AGE receptor pathway is
implicated in age-related renal disease.
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