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*
Division of Nephrology, University "La Sapienza" of Rome,
Italy
Division of Nephrology, 2nd University of Naples, Italy
Department of Experimental Medicine, University of L'Aquila,
Italy
Correspondence to Dr. Paolo Menè, Cattedra di Nefrologia, 2a Clinica Medica, Policlinico Umberto I, Viale del Policlinico, 00161 Rome, Italy. Phone: +39 06 445 2660; Fax: +39 06 445 2660; E-mail: mene{at}axrma.uniromal.it
Abstract. Advanced glycation end product (AGE) accumulation in a
high glucose (HG) environment is thought to mediate some of the vascular
complications of diabetes. Transmembrane signaling of contractile cells is
generally inhibited by HG, with implications for systemic and target organ
hemodynamics. In the kidney, glomerular mesangial cells grown in HG media are
hyporesponsive to the effects of vasoconstrictor agents, possibly explaining
the hyperfiltration and increased capillary pressure that eventually lead to
diabetic glomerulopathy. To verify whether AGE binding to specific mesangial
receptors could mediate these effects of HG, cultured human mesangial cells
(HMC) were exposed to in vitro glycated bovine serum albumin (BSA)
for 60 min at 37°C before measurement of cytosolic Ca2+
([Ca2+]i) by microfluorometric techniques in monolayers
or single cells. AGE-BSA (2 mg/ml) reduced Ca2+ release from
intracellular stores by 1 µM angiotensin II from peak
[Ca2+]i levels of 843 ± 117 to 390 ± 50 nM
in monolayers and from 689 ± 68 to 291 ± 36 nM in individual
cells (P < 0.05). Nonglycated BSA and BSA exposed to 250 mM
glucose-6-phosphate for 30 d in the presence of 250 mM aminoguanidine (AMGD),
an inhibitor of nonenzymatic glycation, had no effect on the angiotensin
II-induced [Ca2+]i spike (peak 766 ± 104 and 647
± 87 nM, monolayers/single cells, respectively, P = NS). AGE
also inhibited store-operated Ca2+ influx through plasma membrane
channels, assessed by addition of 1 to 10 mM extracellular Ca2+ to
cells previously held in Ca2+-free media (control 339 ±
46/593 ± 51, +AGE-BSA 236 ± 25/390 ± 56, +AMGD 483
± 55/374 ± 64 nM [Ca2+]i,
monolayers/single cells at 10 mM Ca2+, respectively; +AGE-BSA,
P < 0.05 versus control). Contrary to HG, AGE-BSA did not
translocate protein kinase C isoforms
,
, and
to the plasma
membrane. Culture of HMC in HG supplemented with 1 mM AMGD prevented
downregulation of [Ca2+]i signaling. These data suggest
that glycated macromolecules or matrix components may inhibit transmembrane
Ca2+ signaling of glomerular cells through binding to a specific
AGE receptor, thus mediating some of the known functional effects of HG on the
kidney.
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