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Renal Cell Biology Laboratory, Division of Nephrology, University of Miami
School of Medicine, Miami, Florida.
Division of Endocrinology, Diabetes and Metabolism, University of Miami
School of Medicine, Miami, Florida.
Vascular Biology Institute, University of Miami School of Medicine, Miami,
Florida.
Correspondence to Dr. Michael Karl, University of Miami School of Medicine, P.O. Box 016960 (R126), Miami, FL 33101. Phone: 305-243-2811; Fax: 305-243-2810; E-mail: mkarl{at}med.miami.edu
Abstract. Diabetic glomerulosclerosis is characterized by the
accumulation of extracellular matrix (ECM) in the mesangium. Estrogens seem to
retard whereas estrogen deficiency seems to accelerate progressive
glomerulosclerosis. Thus, mesangial cells (MC) may be a target for estrogens.
Estrogen action is mediated via estrogen receptor (ER) subtypes ER
and
ERß. Both ER subtypes were expressed in human and mouse MC. Using an
estrogen-responsive reporter construct in transfection assays, it also was
demonstrated that the nuclear ER were transcriptionally active. In the
presence of 17ß-estradiol (E2; 10-10 to
10-8 M), there was a progressive increase in the mRNA levels of
both ER
(approximately 1.8-fold and approximately 2.7-fold after 24 and
72 h, respectively) and ERß (approximately 1.3-fold and approximately
2.2-fold after 24 and 72 h, respectively). ER
protein levels increased
approximately 2.5-fold after 24 h (10-10 M, E2) and up
to approximately 5.4-fold after 72 h (10-9 M, E2).
ERß protein levels increased approximately 2.1-fold in the presence of
E2 (10-9 M) after 24 h. Thus, estrogens positively
regulate the expression of the ER subtypes, thereby maintaining or increasing
MC responsiveness to estrogens. Because diabetic glomerulosclerosis may be due
partly to a decrease in ECM degradation, the effects of estrogens on matrix
metalloproteinases (MMP) were studied. It was found that E2
(10-10 to 10-8 M) increased both MMP-9 mRNA and MMP-9
activity in MC. This may be an important mechanism by which estrogens
influence ECM turnover and protect against progression of diabetic
glomerulosclerosis.
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