Journal of the American Society of Nephrology
2007 JASN IMPACT FACTOR 7.111 HOME   AUTHOR INFO   EDITORIAL BOARD   SUBSCRIBE   FEEDBACK   ALERTS   HELP 
    advanced
CURRENT ISSUE ARCHIVES JASN Express ONLINE SUBMISSION


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by WAHAB, N. A.
Right arrow Articles by MASON, R. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by WAHAB, N. A.
Right arrow Articles by MASON, R. M.
J Am Soc Nephrol 11:1607-1619, 2000
© 2000 American Society of Nephrology

The Decorin High Glucose Response Element and Mechanism of Its Activation in Human Mesangial Cells

NADIA ABDEL WAHAB*, SUSAN PARKER*, JEAN-DANIEL SRAER{dagger} and ROGER M. MASON*

* Molecular Pathology Section, Division of Biomedical Sciences, Imperial College School of Medicine, London, United Kingdom
{dagger} Service de Néphrologie A, Hopital Tenon, Paris, France.

Correspondence to Roger M. Mason, Molecular Pathology Section, Division of Biomedical Sciences, Imperial College School of Medicine, Sir Alexander Fleming Building, South Kensington, London, SW7 2AZ, UK. Telephone: +44 20 7594 3019; Facsimile: +44 20 7594 3022; E-mail: roger.mason{at}ic.ac.uk


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Abstract. The decorin gene encodes a proteoglycan with putative structural and regulatory functions whose expression is markedly increased in human mesangial cells (HMC) exposed to high concentrations of glucose (15 to 30 mM). The gene has two promoters (P1 and P2) upstream of two alternative first exons. Transcripts driven by both promoters are present in HMC maintained in 4 mM D-glucose medium. After exposure to 30 mM D-glucose for 7 to 21 d, transcripts driven by P1 are markedly increased, whereas those driven by P2 decrease. Culture in 4 mM D-glucose medium containing transforming growth factor-ß1 (TGF-ß1) (1.25 ng/ml) has the same effect. However, addition of an excess of TGF-ß neutralizing antibody to the 30 mM D-glucose cultures only partly suppressed increased decorin transcription from P1. In transformed HMC transfected with a reporter (p-SAEP) driven by P1 or P2, P1 activity increased twofold on treatment with either 30 mM D-glucose or TGF-ß1 in 4 mM medium. P2 had little activity under any conditions. 5' deletion of P1 showed that basal transcriptional activity lies within the proximal 378 bp, while the major high glucose and TGF-ß response element is located in the -683 to -583-bp region. A putative cAMP response-like sequence (TGACGTTT) lies within this region. Electrophoretic mobility shift assays revealed the same pattern of multiple complexes between oligonucleotides containing this sequence and nuclear proteins extracted from HMC maintained in either 4 or 30 mM D-glucose conditions, but the latter were more prominent. cAMP response element binding protein (CREB) was identified as one transcription factor forming these complexes but other factors remain unidentified. Increased levels of phospho-(Ser 133) CREB were found in HMC exposed to 30 mM D-glucose. High glucose also activated and led to nuclear translocation of p42/44 mitogen-activated protein kinase and p38 mitogen-activated protein kinase, both of which can activate CREB by phosphorylation of serine 133.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Hyperglycemia is strongly implicated as the initiating factor in the pathogenesis of diabetic nephropathy (DN) (1). Our earlier work established a correlation between prolonged exposure to high concentrations of glucose and the overexpression and the accumulation of various extracellular matrix proteins by human mesangial cells (HMC) in culture (2,3). The proteoglycan decorin is one of these proteins. There is little information about the mechanisms of increased transcription of genes in response to high glucose conditions. Thus, we have investigated the promoter of the decorin gene to identify the regulatory elements responsible for mediating glucose-stimulated gene expression.

Decorin is a small proteoglycan whose core protein contains leucine-rich repeats of about 24 amino acids in length. Decorin is modified posttranslationally by polymerization of a single glycosaminoglycan chain onto a site near the amino terminus of the core protein and by N-glycosylation at three potential sites (4). It is a component of the extracellular matrix of many tissues and, due to the amphipathic leucine-rich repeats, is thought to interact with several other proteins and lipid molecules. It may be involved in the regulation of fundamental biologic functions, such as matrix assembly (5), modulating fibronectin- and thrombospondin-mediated cell adhesions (6,7), regulating transforming growth factor-ß (TGF-ß) activity, which is a key factor in tissue fibrosis (8,9,10), and in promoting cell proliferation (11). There is also evidence that decorin binds to and causes rapid phosphorylation of the EGF receptor with a concurrent activation of the mitogenic-activated protein (MAP) kinase signal pathway (12).

The decorin gene spans about 38 kbp and has eight exons that encode a protein of 359 amino acids. The human gene has been mapped to chromosome 12q23 (13). It has two promoters, P1(1a) and P2 (1b), each of which lies upstream of a leader exon, exon 1a and 1b, respectively. Both exons are correctly spliced to exon II and encode a portion of the 5' untranslated region of the mRNA (13). Thus, mRNA transcribed from either the P1 or the P2 promoter would be translated into only one protein. However, Iozzo and his collaborators found that only the P2 (1b) promoter was functional in HeLa and MG-63 osteosarcoma cells (14).

The regulation of decorin expression is not well understood. Upregulation of decorin mRNA in colon cancer has been shown to be associated with hypomethylation of the decorin gene (15). Conflicting results were reported when the influence of TGF-ß on decorin expression was investigated. TGF-ß upregulates the expression of decorin in some cell types such as primary mesangial cells (16), lung fibroblasts, and lung epithelial cells (17). TGF-ß also mediates increased decorin protein expression in the anti-Thy-1 model of glomerulonephritis (18) and in experimental hydronephrosis (19). However, marginal effects or even a downregulation of decorin expression by TGF-ß were observed in other types of cells such as human skin fibroblasts, a human osteosarcoma cell line (20), and in dermal and gingival fibroblasts (21,22). This clearly indicates cell type-specific control of decorin expression.

Interestingly, a TGF-ß inhibitor element (TIE) is present in the P2 (1b) promoter region of the decorin gene and has been demonstrated to negatively regulate its expression by TGF-ß (14). A TIE has also been shown to be the negative element in the promoter regions of transin/stromelysin (23), elastase (24), collagenase, gelatinase B, and matrilysin (25), and mediates their downregulation by TGF-ß.

HMC exposed to chronic high glucose conditions express markedly elevated levels of both TGF-ß and decorin at both the transcriptional and protein level (2). This raises the question of how the decorin gene escapes the negative control of TGF-ß under these conditions. The present study aimed to elucidate the molecular basis of upregulation of decorin gene expression in high glucose. Identification of the enhancer element(s) and the transcription factors that mediate overexpression of decorin and other extracellular matrix molecules in high glucose mesangial cells may also point to the signal transduction cascades that are initiated when the cells are exposed to prolonged high glucose concentrations.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
HMC Cultures
Primary normal adult HMC (NHMC 5155-1) were purchased from BioWhittaker (Wokingham, United Kingdom) and maintained in culture as described previously (2). For experiments, confluent post-log phase cultures of HMC (passages 8 to 10) were maintained in growth medium containing 10% (vol/vol) fetal calf serum (FCS) and either 4 mM (low glucose) or 30 mM (high glucose) D-glucose. Some media were supplemented with a neutralizing TGF-ß antibody (AF101NA; R&D Systems, Abingdon, United Kingdom). The medium was changed every 48 h. After 21 d, cultures were washed extensively with phosphate-buffered saline (PBS) and used for extraction of RNA and nuclear proteins. An immortalized mesangial cell line (C2TM2) (26) was maintained in RPMI 1640 growth medium containing 4 mM D-glucose as for primary cells, but the concentration of FCS was 5% (vol/vol) and no insulin, transferrin, selenite was added.

RNA Extraction
Total RNA was extracted from 6 x 106 mesangial cells using the RNAzol B method (AMS Biotechnology, Oxfordshire, United Kingdom). Samples were treated with DNase I using the Message Clean Kit of BioGene Ltd. (Bolnhurst, Bedfordshire, United Kingdom). RNA was dissolved in diethylpyrocarbonate—distilled H2O, quantified, and stored at -70°C until used.

Reverse Transcription-PCR Analysis
Equal amounts of total RNA (2 µg) from each sample were reverse-transcribed into cDNA, using SuperScript II RNase H+ reverse transcriptase (Life Technologies BRL, Paisley, United Kingdom) and random primers. Equal amounts (1 µl) of the reverse transcription (RT) reaction (20 µl) were subjected to PCR amplification in a 100-µl volume containing 10 µl of 10 x PCR buffer, 16 µl of dNTP (1.25 mM each), 2 mM MgCl2, 20 µM of each specific primer, and 1.25 U of Amplitaq DNA polymerase. Amplification was started with 5 min of denaturation at 94°C followed by 30 PCR cycles. Each cycle consisted of 60 s at 94°C, 60 s at 50°C, and 60 s at 72°C. The final extension was 10 min at 72°C in all instances. To quantify PCR products comparatively and to confirm the use of equal amounts of the RNA, we coamplified the housekeeping gene, ß-actin or GAPDH. The amount of reverse transcription reaction used for the amplification (1 µl) was selected as being nonsaturating for the PCR product of both ß-actin and the gene under investigation after 30 cycles of amplification.

The sequences of primers were designed from the published sequences of the human genes and are listed in Table 1. After amplification, 10 µl of each PCR reaction mix was electrophoresed through a 2% (wt/vol) agarose gel containing ethidium bromide (0.5 µg/ml).


View this table:
[in this window]
[in a new window]

 
Table 1. Primer sequences
 

Cloning and Sequence Analysis
The genomic clones DEC-10 and DEC-1 were kindly provided by Dr. Renato V. Iozzo (Thomas Jefferson University, Philadelphia, PA). The DEC-10 plasmid contained the decorin gene promoter P2 (1b) and exon 1b, while the DEC-1 plasmid contained DNA sequences for the P1 (1a) promoter and exon 1a (20). Nested deletions were generated along the 5' prime end of each promoter by PCR amplification of the desired segment, using the DEC-1 and DEC-10 plasmids as templates and the designed primers with KpnI or XhoI sites for unidirectional cloning. The promoterless secreted human placental alkaline phosphatase plasmid vector pSEAP2-Basic was used for all promoter studies (Clontech Laboratories, Palo Alto, CA). An SV40 promoter-ß-galactosidase reporter vector pßgal-control (Clontech Laboratories) was used as an internal control for evaluating the efficiency of transfections in each experiment. An SV40 promoter-secreted placental alkaline phosphatase reporter vector (pSEAP2-Control) was used to evaluate the transcription strength of the decorin promoter. PCR products were KpnI/XhoI digested and subcloned into compatible sites of the SEAP reporter plasmid, upstream of the SEAP cDNA. The constructs were sequenced to verify the accuracy of ligation and sequences. For transfection, plasmid DNA was purified using Qiagen Maxi-prep ion-exchange cartridges (Qiagen, Crawley, United Kingdom).

Transient Transfection
Decorin promoter-reporter constructs (20 µg) or the pSEAP2-Control (10 µg) were transfected with 5 µg of the pßgal-control vector into 25 x 106 C2TM2 cells in 0.5 ml of electroporation buffer (137 mM NaCl, 5 mM KCl, 0.7 mM Na2HPO4, 6 mM D-glucose, 21 mM Hepes, pH 7.1) per transfection. Briefly, the cells and plasmid DNA were incubated at room temperature for 10 min and electroporated at 250 V, 500 microfarad, using the Bio-Rad Gene Pulser (Bio-Rad, Hemel Hempstead, United Kingdom). After an additional 10 min at room temperature, the cells were seeded into 5 ml of growth medium containing either 4 or 30 mM D-glucose, 4 mM D-glucose + 1.25 ng/ml TGF-ß1, or 30 mM D-glucose + 1.25 ng/ml TGF-ß1.

The transfected cells were incubated at 37°C in 5% CO2 for 48 h, after which media were collected for measuring SEAP activity. The cells were scraped and assayed for ß-galactosidase activity.

Secreted Alkaline Phosphatase and ß-Galactosidase Assays
Enzyme activities were determined as described by the supplier of the reporter vectors, using chemiluminescent detection kits. The chemiluminescent signals were detected using a 96-well plate luminometer (Luminoskan Ascent 100-240V; Labsystems, Helsinki, Finland). Measurements were performed after various incubation times (10 to 60 min), and light signals were recorded as 5- to 20-s integrals.

Preparation of Nuclear Extracts
Nuclear extracts were prepared as described by Abmayr and Workman (27). Confluent mesangial cells that had been maintained under the conditions described above were scraped from the tissue culture dishes in PBS buffer using a cell scraper and were collected by centrifugation at 1500 x g for 5 min. The cell pellets were resuspended in hypotonic buffer (10 mM Hepes, pH 7.9, 1.5 mM MgCl2, 10 mM KCl, 0.2 mM phenylmethylsulfonyl fluoride [PMSF], and 0.5 mM dithiothreitol [DTT]) and homogenized with 10 strokes of a glass Dounce homogenizer. Nuclei were isolated by centrifugation at 3300 x g for 15 min. Nuclear proteins were extracted by suspending the nuclei in an equal volume of extraction buffer (20 mM Hepes, pH 7.9, 25% glycerol, 1.5 mM MgCl2, 0.8 M KCl, 0.2 mM ethylenediaminetetra-acetic acid, 0.2 mM PMSF, and 0.5 mM DTT). The extract was dialyzed against 20 mM Hepes (pH 7.9), 20% glycerol, 100 mM KCl, 0.2 mM ethylenediaminetetra-acetic acid, 0.2 mM PMSF, and 0.5 mM DTT. The protein concentration was determined using Coomassie Plusprotein assay reagent (Pierce and Warriner, Chester, United Kingdom).

Gel Mobility Shift Assay
Oligonucleotides encoding the CRE-like element were synthesized by Perkin Elmer (Warrington, Cheshire, United Kingdom). Double-stranded oligonucleotide probes were prepared by mixing equimolar amounts of two complementary single-stranded DNA, heating to 80°C for 5 min, and allowing the oligonucleotides to cool slowly to room temperature. The annealed oligonucleotides were end-labeled with {gamma}-32pATP and T4 DNA polynucleotide kinase. Both labeling and binding reactions were carried out using the Promega gel shift assay system according to the manufacturer's instructions (Promega, Southampton, United Kingdom). Nuclear extract and oligonucleotide probe mixtures were incubated at room temperature for 20 min, after which 2 µl of 5x gel loading buffer (20% glycerol, 0.1% bromphenol blue, 0.1% xylene cyanol in 5x TBE running buffer) was added before loading onto a 6% nondenaturing polyacrylamide gel. Electrophoresis was carried out at 100 V in 1x TBE buffer until the bromphenol blue dye had migrated three-quarters of the way down the gel. The gel was then transferred onto 3MM filter paper (Whatman International, Ann Arbor, MI), dried, and autoradiographed. Supershift assays were performed by adding polyclonal antibodies against either cAMP response element binding protein (CREB), CREB2, cJun, ATF1, or ATF2 (Autogen Bioclear, Calne, United Kingdom) to the nuclear extract for 30 min at 4°C before the addition of the probe.

Immunoblotting
Immunoblots of gel shift assays were performed by electroblotting the 6% polyacrylamide gels onto polyvinylidene difluoride (PVDF) membranes (Immobilon-P; Millipore, Bedford, United Kingdom), using a Bio-Rad transfer apparatus. Membranes were dried and autoradiographed to locate DNA/protein complexes. Blots were then hydrated and probed for CREB, CREB2, c-jun, ATF1, and ATF2.

For Western blot analysis, nuclear proteins were run on a 4 to 12% sodium dodecyl sulfate-polyacrylamide gradient gel and electroblotted onto PVDF membranes as above. Membranes were blocked in 5% nonfat dry milk for 2 h, then incubated overnight at 4°C in the recommended concentrations of primary antibodies (1/1000 of each anti-P-CREB and anti-CREB) (New England Biolabs, Hitchin, Hertfordshire United Kingdom). Blots were washed and incubated with horseradish peroxidase-conjugated secondary antibodies. Immunodetection was performed essentially as described by Towbin et al. (28). Bound antibodies were visualized with Phototope-horseradish peroxidase Western detection kit (New England BioLabs).

Immunocytochemistry
Cells were grown on glass coverslips for 2 d in medium containing 0.5% FCS and 4 mM D-glucose. Cells were then exposed to medium containing 0.5% FCS and either 30 mM D-glucose, 4 mM D-glucose + 26 mM mannitol, or 4 mM D-glucose for 24 h. Cells were rinsed briefly in PBS and fixed in paraformaldehyde (3.7% in PBS) for 20 min at 4°C. Cells were washed once with PBS, then permeabilized with Triton X-100 (0.1% in PBS) for 10 min at room temperature, after which they were washed again 3 times for 5 min each with PBS. Cells were then blocked overnight at 4°C with goat serum (5% in PBS), aspirated, and incubated with anti-phospho-p38 MAP kinase (New England Biolabs) or Anti-ACTIVE mitogen-activated protein kinase (MAPK) pAb (Promega) primary antibodies (at the recommended dilution in PBS containing 5% BSA) overnight at 4°C, or for 1 h at 37°C, and then washed 3 times for 5 min each with PBS. Cells were then incubated in the dark for 1 h with fluorescein-conjugated goat anti-rabbit secondary antibody (Sigma-Aldrich, Dorset, United Kingdom) at a dilution of 1:200 in PBS containing 5% BSA, before being washed 3 times for 5 min each with PBS. Coverslips were mounted on glass slides with anti-fade mounting media (Vector Laboratories, Peterborough, United Kingdom) and examined using a fluorescence microscope (Olympus AX70).

Statistical Analyses
Results are given as mean ± SEM. Unpaired t test was used to assess differences between means. A value of P < 0.05 was accepted as indicating a significant difference.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Decorin Promoter Usage in HMC
To investigate promoter usage under both low glucose (4 mM) and high glucose (30 mM) conditions, we designed two sense primers specific to exon 1a (Z1) or exon 1b (Z2) and an antisense primer that is specific to exon 7 (Z3) (Table 1, Figure 1). Total RNA was extracted from cells exposed to either low glucose or high glucose conditions for up to 21 d and then used for RT-PCR analysis. Figure 2 shows that the two species of decorin transcripts are expressed under low glucose conditions. However, the transcripts driven by the distal promoter P1 appear to predominate. The figure also shows that high glucose conditions upregulate decorin transcripts driven by the distal promoter P1 while downregulating the transcripts driven by the proximal promoter P2. The latter are hardly detected after 3 wk exposure to high glucose conditions. Similar results were obtained when RNA was extracted from mesangial cells maintained in 4 mM D-glucose in the presence or absence of 1.25 ng/ml TGF-ß for 48 h (Figure 3).



View larger version (28K):
[in this window]
[in a new window]
[as a PowerPoint slide]
 
Figure 1. Structure of the human decorin gene and the location of the primers specifically designed to amplify the two decorin transcripts.

 


View larger version (69K):
[in this window]
[in a new window]
[as a PowerPoint slide]
 
Figure 2. Reverse transcription (RT)-PCR amplification of decorin transcripts driven by its two promoters. RT-PCR was performed using the primers for amplifying the 1a and 1b transcripts as described in Materials and Methods, using total RNA extracted from 4 and 30 mM D-glucose-treated mesangial cells for 1 wk (a) and for 3 wk (b). Ten microliters of each PCR reaction was electrophoresed through a 2% agarose gel with ethidium bromide.

 


View larger version (33K):
[in this window]
[in a new window]
[as a PowerPoint slide]
 
Figure 3. RT-PCR amplification of decorin transcripts from mRNA extracted from 4 mM D-glucose-treated mesangial cells in the presence or absence of transforming growth factor-ß (TGF-ß). RT-PCR was performed using the primers for amplifying the 1a and 1b transcripts as described in Materials and Methods, using total RNA extracted from 4 mM D-glucose-treated mesangial cells in the presence or absence of 1.25 ng/ml TGF-ß1 for 48 h.

 

Because endogenous TGF-ß expression is elevated in HMC exposed to high glucose (2), we investigated whether the stimulatory effect of 30 mM glucose on decorin expression is mediated by the endogenous growth factor. Cultures were maintained in medium containing either 4 mM glucose, 30 mM glucose, or 30 mM glucose and anti-TGF-ß neutralizing antibody for 1 wk, after which decorin 1a and 1b transcripts were estimated by RT-PCR. The concentration of antibody (2.6 µg/ml) was calculated to be at least fourfold greater than that needed to neutralize the endogenous TGF-ß. The expected amount of TGF-ß was calculated from previous experiments. Media were changed every 2 d. The level of decorin 1a transcripts in 30 mM D-glucose cultures treated with anti-TGF-ß antibody was still elevated (1.7x) compared with 4 mM D-glucose, but was less than that in 30 mM cultures without antibody (2.6x) (Figure 4). This suggests that the stimulatory effect of glucose on decorin transcription driven by the P1 promoter is mediated partly by endogenous TGF-ß and partly by TGF-ß-independent signaling pathways. The inhibitory effect of 30 mM D-glucose on the production of decorin 1b transcripts via promoter 2 was, if anything, slightly alleviated by the anti-TGF-ß antibody (Figure 4).



View larger version (41K):
[in this window]
[in a new window]
[as a PowerPoint slide]
 
Figure 4. RT-PCR amplification of decorin transcripts from mRNA extracted from 4 mM D-glucose and 30 mM D-glucose-treated mesangial cells in the presence or absence of anti-TGF-ß neutralizing antibody. RT-PCR was performed using the primers for amplifying the 1a and 1b transcripts as described in Materials and Methods, using total RNA extracted from 4 and 30 mM D-glucose-treated mesangial cells in the presence or absence of 2.6 µg/ml anti-TGF-ß neutralizing antibody for a period of 7 d.

 

The molecular basis of this marked regulation of transcription of the decorin gene in HMC was investigated by analyzing the two promoter sequences for transcription factor binding sites using the Transcription Element Search database (http:// pdap1.trc.rwcp.or.jp/research/db/TFSEARCH.html). Putative response elements are indicated in Figure 5.



View larger version (31K):
[in this window]
[in a new window]
[as a PowerPoint slide]
 
Figure 5. Organization of the potential response elements on the decorin promoters. E, E box; dr, direct repeat; sp1, sp1 motif; CRE-like, cAMP-like response element; IE1, sequence found in the 5' flanking region of several {alpha}- and ß-interferon-inducible genes; InE, enhancer core sequence of insulin enhancer region E1; TIE, TGF-ß inhibitory element.

 

Functional Activity of the Decorin Promoters
We subcloned the two promoters of decorin into the Great Escape Reporter System. In this system, any cloned promoter will drive the transcription of the SEAP reporter gene, which encodes a form of human placental alkaline phosphatase. This form is secreted, heat stable, and resistant to alkaline phosphatase inhibitors. Transient expression of SEAP driven by each promoter was determined after transfecting C2TM2 mesangial cells with the appropriate construct. SEAP activity was assayed 48 h after transfection and was normalized to ß-galactosidase activity to correct for any difference in transfection efficiency.

The relative activity of the decorin promoters in driving transcription in the presence of 4 mM D-glucose, 30 mM D-glucose, 4 mM D-glucose + 1.25 ng/ml TGF-ß, and 30 mM D-glucose + 1.25 ng/ml TGF-ß was tested. Figure 6 summarizes the results of six independent experiments. Under the 4 mM D-glucose conditions, P1 promoter activity was almost twice that of the P2 promoter activity (P = 0.002). Significantly, both high glucose (P = 0.0001) and TGF-ß (P = 0.006) enhanced the activity of the P1 promoter, with maximal response when both are present together (threefold, P = 0.0001). In contrast, high glucose and TGF-ß had no effect on the activity of the P2 promoter. The latter result fails to confirm the suppression effect of high glucose and TGF-ß on the P2 promoter, demonstrated by RT-PCR experiments using primary mesangial cells (Figures 2 and 3). This may be due to the low functional activity of the P2 promoter in the transient cell transfection experiments, using the immortalized human mesangial cell line.



View larger version (63K):
[in this window]
[in a new window]
[as a PowerPoint slide]
 
Figure 6. Effect of high glucose and TGF-ß on the transcriptional activity of decorin P1 and P2 promoters. Cells were cotransfected with P1 and P2 constructs of the decorin promoters linked to the secreted placental alkaline phosphatase (SEAP) gene, together with the pßgal-Control vector by electroporation as described in Materials and Methods. The cultures were incubated in medium containing 4 mM D-glucose ([UNK]), 30 mM D-glucose ([UNK]), 4 mM D-glucose + 1.25 ng/ml TGF-ß1 ([UNK]), 30 mM D-glucose + 1.25 ng/ml TGF-ß1 ([UNK]). The transfected cells were incubated at 37°C in 5% CO2 for 48 h, after which the media were collected for measuring SEAP activity, and the cells were scraped for ß-galactosidase activity. SEAP activity was normalized to the ß-galactosidase activity to correct for any difference in transfection efficiency. The results represent the mean ± SEM of six independent experiments.

 

Minimal Sequence Required for Promoter P1 Response to High Glucose
A series of nested 5' deletions of the promoter was tested for the ability to drive the enhanced expression of the SEAP reporter gene in the transiently transfected mesangial cell line exposed to high glucose conditions or to TGF-ß1. The results of detailed studies using six independent experiments, each run in duplicate, are given in Figure 7. Deleting the promoter region from -2102 to -387 bp resulted in a statistically significant decrease in basal activity in the presence of 4 mM D-glucose. This suggests that the core promoter elements responsible for basal P1 promoter activity in HMC are located within the proximal 387 bp. Both high glucose and TGF-ß enhanced the relative activity of the promoter constructs within the -2102 to -583-bp region, with maximal response when added together. Deletion from position -1275 to -1021 led to a 15% reduction in the stimulatory effect of high glucose, TGF-ß, or both together. This region contains putative HSF2 and SP1 sites, and an E-box. Deletion from position -683 to -583 bp led to the loss of the high glucose and TGF-ß stimulation effects. This indicates that this region contains an important positive regulatory element.



View larger version (49K):
[in this window]
[in a new window]
[as a PowerPoint slide]
 
Figure 7. 5' end deletion analysis of the human P1 decorin promoter. (A) Diagram of overlapping P1 decorin promoter-SEAP constructs. (B). Functional activity of various 5' end deletion constructs in transient cell transfection experiments of human mesangial cell line. Cells were cotransfected with the 5' deletion constructs of the P1 decorin promoter linked to the SEAP gene, together with the pßgal-Control vector by electroporation as described in Materials and Methods. The cultures were incubated in medium containing 4 mM D-glucose ([UNK]), 30 mM D-glucose ([UNK]), 4 mM D-glucose + 1.25 ng/ml TGF-ß ([UNK]), 30 mM D-glucose + 1.25 ng/ml TGF-ß ([UNK]). The transfected cells were incubated at 37°C in 5% CO2 for 48 h, after which media were collected for measuring SEAP activity, and the cells were scraped for ß-galactosidase activity. SEAP activity was normalized to the ß-galactosidase activity to correct for differences in transfection efficiency. The results represent the mean ± SEM of six independent experiments. The position of the 5' end of each construct is indicated below the histogram bars.

 

Identification of a CRE-Like Response Element and Proteins Binding to It
Examination of the -683 to -583 region indicated the presence of a putative cAMP response element (CRE)-like sequence (TGACGTTT) located between -625 to -632 bp. This CRE variant is two nucleotides different from the CRE consensus (TGACGTCA). Gel mobility shift assays were performed with a 32P-labeled oligonucleotide containing the CRE-like sequence and revealed multiple complexes with mesangial cell nuclear proteins. No differences were observed in the mobility of complexes formed with nuclear proteins extracted from low glucose and high glucose-treated mesangial cells (Figure 8). However, binding activity, as assessed by the intensity of the DNA-protein band, appears to be stronger with extracts from high glucose cells compared with those from low glucose cells. Excess unlabeled CRE-like oligonucleotide competed for these complexes, indicating specific binding. Excess unlabeled consensus CRE oligonucleotide was able to compete with only the upper band of the complexes (Figure 8A). Parallel experiments were performed using labeled consensus CRE oligonucleotide and gave similar results (Figure 8B). Interestingly, the binding activity of the complexes that were formed were also stronger with extracts from high glucose cells. Excess unlabeled CRE-like oligonucleotides competed only partially for these complexes, indicating differences in the composition of the complexes formed with CRE and CRE-like oligonucleotides.



View larger version (71K):
[in this window]
[in a new window]
[as a PowerPoint slide]
 
Figure 8. Gel shift mobility assays of decorin CRE-like oligonucleotide binding to nuclear extracts from mesangial cells exposed to 4 and 30 mM D-glucose conditions. Gel shift mobility assays were performed with 32P-labeled oligonucleotides containing the CRE-like sequence found in the P1 promoter (A) or the consensus CRE sequence (B), as described in Materials and Methods. The nuclear extracts used were from mesangial cells exposed to 4 mM D-glucose, lanes 1 through 5, or 30 mM D-glucose, lanes 6 through 9, for a period of 21 d.

 

To characterize the protein complex binding to the CRE-like sequence, nuclear extracts from high glucose-treated mesangial cells were incubated with antibodies against several common CRE transcription factors before detecting DNA-protein interactions by gel mobility shift assay. As shown in Figure 9, antibodies against CREB, c-Jun, ATF1, and CREB2 (lanes 5, 6, 7, and 8) induced supershift of the labeled consensus CRE probe. In contrast, only the antibody against CREB (lane 1) shows a slight interaction with the protein complex bound to the CRE-like oligonucleotide, as shown by the reduction of the DNA/protein complex band intensity but not by the formation of supershift band as with the CRE oligonucleotide. This may be due to the antibody binding site being very near to the CREB/other transcription factor binding site, which in turn could affect binding to the DNA protein complex. Immunoblots of the electrophoretic mobility shift assay gels confirmed these results. Immunoblots probed with antibodies to CREB, c-Jun, CREB2, ATF-1, and ATF-2 revealed the presence of CREB protein in the CRE-like protein complexes. Figure 10 shows a gel shift mobility assay performed in the absence or presence of nuclear extracts from low glucose-treated mesangial cells (Panel A, lanes 1 and 2). This gel was blotted and probed with antibody against CREB. The antibody cross-reacted with a band localized to the vicinity of the CRE-like protein complexes (Panel B, lane 2).



View larger version (48K):
[in this window]
[in a new window]
[as a PowerPoint slide]
 
Figure 9. Supershift analysis of nuclear proteins binding to the decorin CRE-like oligonucleotide. Supershift assays were performed by adding polyclonal antibodies against CREB, c-Jun, ATF1, and CREB2 to nuclear proteins prepared from 30 mM D-glucose-treated mesangial cells before the addition of labeled CRE-like or consensus CRE oligonucleotides.

 


View larger version (50K):
[in this window]
[in a new window]
[as a PowerPoint slide]
 
Figure 10. Immunoblot of CRE/protein complexes. A gel shift mobility assay was performed, as described in Materials and Methods, in the absence of nuclear extracts (lane 1) or in the presence of nuclear extracts from 4 mM D-glucose mesangial cells (lane 2). The gel was electroblotted onto Immobilon-P membrane, dried, and autoradiographed to locate CRE/protein complexes (A). The blot was then hydrated and probed for CREB (B).

 

Phosphorylation of CREB in High Glucose Conditions
Because phosphorylation of CREB at serine 133 is thought to be obligatory for its activation, we examined nuclear proteins prepared from 4 and 30 mM glucose-treated mesangial cells for the level of activated CREB. Figure 11A shows that the anti-phospho-CREB (Ser 133) antibody detects activated CREB and also the phosphorylated form of the CREB-related protein ATF-1. Nuclear extract prepared from 30 mM glucose-treated mesangial cells contains high levels of activated CREB compared with nuclear extract prepared from either 4 mM glucose-treated mesangial cells or HeLa cells. To ensure that the increased reactivity is not due to increased amounts of protein loaded onto the gel, we adjusted the amount of loaded samples to give equal signals with CREB antibody, as shown in Figure 11B. Serine 133 of CREB has been shown to be phosphorylated through a number of signal transducing pathways. Thus, we examined the ability of high glucose to activate two of these pathways in HMC. Figure 12 shows that high glucose causes the activation and the nuclear translocation of both the p38MAPK and MAPK (extracellular signal-regulated kinase) pathways. Interestingly, 4 mM D-glucose supplemented with 26 mM mannitol as an osmotic control also resulted in some activation and nuclear translocation of both kinases, although this was much less than that observed with 30 mM D-glucose.



View larger version (42K):
[in this window]
[in a new window]
[as a PowerPoint slide]
 
Figure 11. Western blot demonstrating that high glucose induces CREB phosphorylation at Ser 133 in human mesangial cells. Nuclear proteins prepared from mesangial cells exposed to 4 and 30 mM D-glucose conditions or from HeLa cells were subjected to gradient sodium dodecyl sulfate/polyacrylamide gel electrophoresis (4 to 12% gel). Proteins were electroblotted onto polyvinylidene difluoride membranes and probed for phospho-CREB (A) and CREB (B). The amount of protein loaded was adjusted to give equal signals with the CREB antibody. Lane 1, low glucose conditions mesangial cell nuclear extract (15 µg); lane 2, high glucose conditions mesangial cell nuclear extract (9 µg); lane 3, HeLa cell nuclear extract (15 µg).

 


View larger version (91K):
[in this window]
[in a new window]
[as a PowerPoint slide]
 
Figure 12. Phosphorylation and nuclear translocation of p38MAPK and MAPK by high glucose. Mesangial cells were grown on glass coverslips under the following conditions. 4 mM D-glucose, 4 mM D-glucose + 26 mM mannitol, 30 mM D-glucose, for 24 h. The cells were then fixed and processed for in situ detection of phosphorylated p38 MAPK (A) and phosphorylated MAPK (extracellular signal-regulated kinase) (B).

 


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
There is strong evidence that hyperglycemia is the major factor initiating the development of nephropathy in diabetes (1). The hallmark of diabetic nephropathy is the accumulation of extracellular matrix in the mesangium of the glomerulus (29). We reported previously that chronic exposure (28 d) of HMC to high glucose in vitro induced a 20-fold increase in decorin mRNA and a fivefold fold increase in decorin protein, as well as increased expression of a number of other extracellular proteoglycans and proteins. Decorin mRNA is also increased more than twofold in mouse kidney cortex in vivo after induction of diabetes with streptozotocin (30). Decorin is an interesting gene for investigating how high glucose concentration induces changes in gene expression because it has two promoters and its product has several interesting biologic functions (31). RT-PCR experiments indicated that decorin gene expression in cultured mesangial cells occurs predominately from the P1 promoter. This is in contrast to human skin fibroblasts, in which decorin gene expression appears to be predominantly from the P2 promoter (13). The P1 promoter sequence was unable to drive transcription of a reporter CAT gene in transient transfection assays in a number of cells, including human embryonic and human adult skin fibroblast lines, MG-63 osteosarcoma cells, and HeLa cells (14). Thus, decorin promoter usage is regulated in a cell-specific manner.

RT-PCR experiments indicated that both high glucose and exogenous TGF-ß1 upregulate decorin expression in HMC through the P1 promoter and downregulate expression through the P2 promoter. Thus, we investigated whether increased transcription from P1 resulted from increased levels of endogenous TGF-ß produced by mesangial cells exposed to 30 mM D-glucose. A large excess of anti-TGF-ß neutralizing antibody only partially reduced the increased level of decorin in transcripts from P1 in high glucose, indicating that upregulated transcription depends on stimulation by both TGF-ß-dependent and TGF-ß-independent pathways. Transient transfection experiments with an SEAP-reporter gene driven by the P1 promoter confirmed that high glucose concentration and TGF-ß1 stimulate gene expression via this promoter in HMC. However, the P2 promoter was very poor in driving the transcription of SEAP reporter gene. Thus, we were unable to confirm downregulation of transcription via the P2 promoter by high glucose and TGF-ß1, as observed in the RT-PCR experiments.

Functional analysis of the human decorin P1 promoter showed that both high glucose and TGF-ß exert their effects through the same two sets of positive regulatory sequence. One set is located at - 1275 to - 1021 bp from the transcription start site and accounts for approximately 15% of the enhancement activity. This region contains putative HSF2 and SP1 sites and an E-box. The other set is located between position -683 and -583 bp and accounts for most of the high glucose/TGF-ß stimulation effect. This region contains a CRE-like sequence that differs in its last two bases from the consensus CRE sequence. The latter is an 8-bp palindromic sequence (TGACGTCA) (32). Several genes that are regulated by a variety of endocrinologic stimuli contain similar sequences in their promoter regions, although at different positions. A comparison of CRE sequences identified to date shows that the 5' half of the palindrome, TGACG, is the best conserved, whereas the 3' TCA motif is less constant (33).

Multiple CRE-binding proteins have been detected in cellular extracts, and at least 10 cDNA of CRE-binding proteins have been cloned. All of the CRE-binding proteins contain similar functional domains, called Bzip. These consist of a basic DNA binding region followed by a leucine zipper motif. Dimerization between two of these molecules through the leucine zipper is required for DNA binding (34). All of the CRE-binding proteins form homodimers and certain members form heterodimers (35). Different dimers exhibit different binding affinities for variant CRE (36), and thus transactivate such variants to different degrees.

Gel mobility shift assays revealed the formation of multiple complexes between mesangial cell nuclear proteins and an oligonucleotide containing the decorin CRE-like sequence. Although there were no differences in the mobility of complexes between the oligonucleotide and proteins isolated from 4 and 30 mM D-glucose-treated cells, the binding activity was stronger for the latter. High glucose conditions increased the mRNA levels of several CRE-binding proteins such as CREB, CREB2, CRE-BP1, and c-jun (N. Abdel Wahab, R. M.Mason, unpublished results), but supershift assays and immunoblots identified only CREB as a transcription factor involved in the formation of these complexes.

Interestingly, high glucose conditions and TGF-ß have been reported to stimulate fibronectin gene expression in HMC through a consensus CRE located at - 170 bp of the fibronectin gene (37,38). Nuclear extracts from HMC treated for up to 48 h with either high glucose conditions or with TGF-ß1, or with both, contained proteins that formed complexes with an oligonucleotide corresponding to the fibronectin CRE motif. The mobility and abundance of these complexes in gel shift assays were the same for both treatments. The CREB and ATF1 transcription factors were identified as components of the CRE-protein complexes, and, as for many other CRE-containing genes, induction of fibronectin transcription was due primarily to the phosphorylation of CREB (38). We also found that CREB is phosphorylated in HMC exposed to high glucose for the period of 21 d.

Phosphorylation of CREB at serine 133 appears to be obligatory for its activation. A number of signaling pathways can induce phosphorylation of this residue, including activation of the adenyl cyclase pathway (39). Phosphorylation of CREB by protein kinase A (PKA) causes a modest increase in its binding to high-affinity CRE sites and a stronger enhancement in binding to low-affinity CRE (40). Wang et al. (41) found that TGF-ß stimulation of fibronectin expression in murine mesangial cells was blocked in cells overexpressing an inhibitory peptide of PKA. They proposed that PKA activation contributes to the TGF-ß stimulation of fibronectin expression by phosphorylating CRE-binding factors. However, Kreisberg et al. (37,38) reported that the phosphorylation of CREB in HMC treated with high glucose or TGF-ß was independent of PKA activation. Nevertheless, we found that the mRNA levels for both the PKA regulatory subunit (RIß) and the catalytic subunit (C{alpha}) are increased in HMC under high glucose conditions (unpublished results).

Phosphorylation of CREB-serine 133 also occurs via p42/44 MAP kinase and by p90 (MAPKAP-KI) (42), as well as via p38 MAP kinase and MAPKAP-K2 (42). TGF-ß activates p38 MAP kinase (43), implicating this pathway in the activation of CREB in high glucose conditions. Recently, the new kinase MSK1 (mitogen and stress-activated protein kinase) was shown to be activated by both the p42/44 MAPK and p38 MAPK pathways and thus mediate both the growth factor and stress-induced activation of CREB (44). In this study, we found that the p42/44 and p38 kinases are activated and nuclear-translocated when mesangial cells are exposed to high glucose conditions. Another signal that can induce CREB-serine 133 phosphorylation is increased intracellular Ca2+. This activates CaMKII and CaMKV, which subsequently phosphorylate CREB (45). However, there is little evidence for elevated Ca2+ levels in mesangial cells exposed long term to high glucose conditions (46).

In summary, this study enhances our understanding of the molecular mechanisms involved in the upregulation of decorin gene expression in mesangial cells exposed to high glucose concentration. High glucose induces increased expression of TGF-ß isoforms, which then stimulate decorin transcription via a CRE-like element in the P1 promoter of the gene. CREB was identified as a major transcription factor interacting with this site and may be phosphorylated by the TGF-ß-activated p38 MAPK. Other non-TGF-ß-dependent signaling pathways may also contribute to the phosphorylation of CREB in high glucose mesangial cells, and additional evidence that TGF-ß-independent pathways are involved in stimulating decorin transcription in high glucose was obtained with a TGF-ß neutralizing antibody. A second element in the P1 promoter (- 1275 to - 1021 bp) is also responsive to high glucose and TGF-ß, but plays a relatively minor role in upregulating decorin transcription compared with the CRE-like element (-683 to -583 bp). Clearly, the cell-specific use of the P1 promoter in mesangial cells and the effects of high glucose and TGF-ß on these two elements in that promoter far outweigh any potential for TGF-ß to inhibit overall decorin transcription via the TIE in the P2 promoter.

The biologic effect of increased expression of decorin in high glucose HMC remains to be investigated. Decorin mRNA levels are increased in the cortex of kidneys of streptozotocindiabetic rats (30). Because there is evidence that decorin can neutralize the profibrotic effects of TGF-ß (47), it was proposed that its overexpression in diabetic kidneys may counter-act sclerosis induced by the growth factor (30). However, there is also evidence that in other situations decorin has no effect on TGF-ß bioactivity (48) or may even stimulate it (9); hence, additional experimental work is required to determine its function in the hyperglycemic mesangium.


    Acknowledgments
 
This work was supported by a project grant from the Medical Research Council (United Kingdom).


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. The Diabetic Control and Complications Trial Research Group: The effect of intensive treatment of diabetes on the development and progression of long-term complication in insulin-dependent diabetes mellitus. N Engl J Med 329:977 -986, 1993[Abstract/Free Full Text]
  2. Abdel Wahab N, Harper K, Mason RM: Expression of extracellular matrix molecules in human mesangial cells in response to prolonged hyperglycaemia. Biochem J 316:985 -992, 1996
  3. Abdel Wahab N, Mason RM: Modulation of neutral protease expression in human mesangial cells by hyperglycaemic culture. Biochem J 320: 777-783,1996
  4. Krusius T, Ruoslahti E: Primary structure of an extracellular matrix proteoglycan core protein deduced from cloned cDNA. Proc Natl Acad Sci USA 83:7683 -7687, 1986[Abstract/Free Full Text]
  5. Vogel KG, Paulsson M, Heinegrd D: Specific inhibition of type I and type II collagen fibrillogenesis by the small proteoglycan of tendon. Biochem J223 : 587-597,1984[Medline]
  6. Winnemoller M, Schmidt G, Kresse H: Influence of decorin on fibroblast adhesion to fibronectin. Eur J Cell Biol45 : 10-17,1991
  7. Winnemoller M, Schon P, Vischer P, Kresse H: Interactions between thrombospondin and the small proteoglycan decorin: Interference with cell attachment. Eur J Cell Biol 59:47 -55, 1992[Medline]
  8. Yamaguchi Y, Mann DM, Ruoslahti E: Negative regulation of transforming growth factor-ß by the proteoglycan decorin. Nature 346:281 -284, 1990[Medline]
  9. Takeuchi Y, Kodama Y, Matsumoto T: Bone matrix decorin binds transforming growth factor-ß and enhances its bioactivity. J Biol Chem 269:32634 -32638, 1994[Abstract/Free Full Text]
  10. Isaka Y, Brees DK, Ikegaya K, Kaneda Y, Imai E, Nobole NA, Border WA: Gene therapy by skeletal muscle expression of decorin prevents fibrotic disease in rat kidney. Nat Med2 : 418-423,1996[Medline]
  11. Patel S, Santra M, McQuillan DJ, Iozzo RV, Thomas AP: Decorin activates the epidermal growth factor receptor and elevates cytosolic Ca2+ in A431 carcinoma cells. J Biol Chem273 : 3121-3124,1998[Abstract/Free Full Text]
  12. Iozzo RV, Moscatello DK, McQuillan DJ, Eichstetter I: Decorin is a biological ligand for the epidermal growth factor receptor. J Biol Chem 274:4489 -4492, 1999[Abstract/Free Full Text]
  13. Danielson KG, Fazzio A, Cohen I, Cannizzaro LA, Eichstetter I, Iozzo RV: The human decorin gene: Intron-exon organization, discovery of two alternatively spliced exons in the 5' untranslated region, and mapping of the gene to chromosome 12q23. Genomics15 : 146-160,1993[Medline]
  14. Santra M, Danielson KG, Iozzo RV: Structural and functional characterization of the human decorin gene promoter. J Biol Chem 269:579 -587, 1994[Abstract/Free Full Text]
  15. Adany R, Iozzo RV: Hypomethylation of the decorin proteoglycan gene in human colon cancer. Biochem J276 : 301-306,1991
  16. Border WA, Okuda S, Languino LR, Ruoslahti E: Transforming growth factor-ß regulates production of proteoglycans by mesangial cells. Kidney Int 37:689 -695, 1990[Medline]
  17. Bassols A, Massague J: Transforming growth factor beta regulates the expression and structure of extracellular matrix chondroitin/dermatan sulfate proteoglycans. J Biol Chem263 : 3039-3045,1988[Abstract/Free Full Text]
  18. Okuda S, Languino LR, Ruoslahti E, Border WA: Elevated expression of transforming growth factor-ß and proteoglycan production in experimental glomerulonephritis: Possible role in expansion of mesangial extracellular matrix. J Clin Invest86 : 453-462,1990
  19. Diamond JR, Levinson M, Kreisberg R, Ricardo SD: Increased expression of decorin in experimental hydronephrosis. Kidney Int 51:1133 -1139, 1997[Medline]
  20. Breuer B, Schmidt G, Kresse H: Non-uniform influence of transforming growth factor-beta on the biosynthesis of different forms of small chondroitin sulphate/dermatan sulphate proteoglycan. Biochem J 269: 551-554,1990[Medline]
  21. Kahari VM, Larjava H, Uitto J: Differential regulation of extracellular matrix proteoglycan (PG) gene expression. J Biol Chem 266:10608 -10615, 1991[Abstract/Free Full Text]
  22. Mauviel A, Santra M, Chen YQ, Uitto J, Iozzo RV: Transcriptional regulation of decorin gene expression. J Biol Chem270 : 11692-11700,1995[Abstract/Free Full Text]
  23. Kerr LD, Miller DB, Matrisian LM: TGF-ß1 inhibition of transin/stromelysin gene expression is mediated through a fos binding sequence. Cell 61:267 -278, 1990[Medline]
  24. Stevenson BJ, Hagenbuechle O, Wellauer PK: Sequence organization and transcriptional regulation of the mouse elastase II and trypsin gene. Nucleic Acids Res 14:8307 -8330, 1986[Abstract/Free Full Text]
  25. Gaire M, Magbanua Z, McDonnell S, McNeil L, Lovett DH, Matrisian LM: Structure and expression of the human gene for the matrix metalloproteinase matrilysin. J Biol Chem269 : 2032-2040,1994[Abstract/Free Full Text]
  26. Sraer D-J, Delarue F, Hagege J, Feunteun J, Pinet F, Nguyen G, Rondeau E: Stable cell lines of T-SV40 immortalized human glomerular mesangial cells. Kidney Int 49:267 -270, 1996[Medline]
  27. Abmayr SM, Workman JL: Preparation of nuclear and cytoplasmic extracts from mammalian cells. In: Current Protocols in Molecular Biology, Vol. 2, Suppl. 11, edited by Ausubel FM, Brent R, Kingston RE, Moore DD, Seidman JG, Smith JA, Struhl K, New York, Greene Publishing and Wiley-Interscience, 1990, pp12.1.1 -12.1.9
  28. Towbin H, Staehelin T, Gordon J: Electrophoretic transfer of proteins from polyacrylamide gels to nitrocellulose sheets: Procedure and some applications. Proc Natl Acad Sci USA76 : 4350-4354,1978
  29. Mauer SM, Steffes MW, Ellis EN, Sutherland DER, Brown DM, Goetz FC: Structural-functional relationships in diabetic nephropathy. J Clin Invest 74:1143 -1155, 1984
  30. Moygorosi A, Ziyadeh FN: Increased decorin mRNA in diabetic mouse kidney and in mesangial and tubular cells cultured in high glucose. Am J Physiol 275:F827 -F832, 1998[Abstract/Free Full Text]
  31. Iozzo RV: Matrix proteoglycans: From molecular design to cellular function. Annu Rev Biochem 67:609 -652, 1998[Medline]
  32. Comb M, Birnberg NC, Seasholtz A, Herbert E, Goodman HM: A cyclic-AMP- and phorbol ester-inducible DNA element. Nature 232:353 -356, 1986
  33. Borrelli E, Montmayeur JP, Foulk NS, Sassone-Corsi P: Signal transduction and gene control: The cAMP pathway. Crit Rev Oncog 3: 321-338,1992[Medline]
  34. Kouzarides T, Ziff E: The role of the leucine zipper in the fos-jun interaction. Nature 336:646 -651, 1988[Medline]
  35. Benbrook DM, Jones NC: Heterodimer formation between CREB and JUN proteins. Oncogene 5:295 -302, 1990[Medline]
  36. Benbrook DM, Jones NC: Different binding specificities and transactivation of variant CREs by CREB complexes. Nucleic Acids Res 22:1463 -1469, 1994[Abstract/Free Full Text]
  37. Kreisberg JI, Garoni JN, Radnik RA, Ayo SH: High glucose and TGFß1 stimulate fibronectin gene expression through a cAMP response element. Kidney Int 46:1019 -1024, 1994[Medline]
  38. Kreisberg JI, Radnik RA, Kreisberg SH: Phosphorylation of cAMP responsive element binding protein after treatment of mesangial cells with high glucose plus TGFß or PMA. Kidney Int50 : 805-810,1996[Medline]
  39. Lee CQ, Yun Y, Hoffer JP, Habener JF: Cyclic-AMP-responsive transcriptional activation involves interdependent phosphorylated subdomains. EMBO J 9:4455 -4465, 1990[Medline]
  40. Nichols M, Weih F, Schmid W, DeVack C, Kowenz-Leutz E, Luckow B, Boshart M, Schutz G: Phosphorylation of CREB affects its binding to high and affinity sites: Implication for cAMP induced gene transcription. EMBO J 11:3337 -3346, 1992[Medline]
  41. Wang L, Zhu Y, Sharma K: Transforming growth factor ß-1 stimulates protein kinase A in mesangial cells. J Biol Chem 273:8522 -8527, 1998[Abstract/Free Full Text]
  42. Tan Y, Rouse J, Zhang A, Cariati S, Cohen P, Comb MJ: FGF and stress regulate CREB and ATF-1 via a pathway involving p38 MAP kinase and MAPKAP kinase-2. EMBO J 15:4629 -4642, 1996[Medline]
  43. Hannigan M, Zhan L, Ai Y, Huang C-K: The role of p38 MAP kinase in TGFß-1-induced signal transduction in human neutrophils. Biochem Biophys Res Commun 246:55 -58, 1998[Medline]
  44. Deak M, Clifton AD, Lucocq LM, Alessi DR: Mitogen- and stress-activated protein kinase-1 (MSK1) is directly activated by MAPK and SAPK2/p38, and may mediate activation of CREB. EMBO J17 : 4426-4441,1998[Medline]
  45. Sheng M, Thompson MA, Greenberg ME: CREB: A Ca2+-regulated transcription factor phosphorylated by calmodulin-dependent kinases. Science252 : 1427-1430,1991[Abstract/Free Full Text]
  46. Mene P, Pugliese G, Pricci F, Di Mario U, Cinotti GA, Pugliese F: High glucose level inhibits capacitative Ca2+ influx in cultured rat mesangial cells by a protein kinase C-dependent mechanism. Diabetologia 40:521 -527, 1997[Medline]
  47. Border WA, Noble NA, Yamamoto T, Harper JR, Yamaguchi Y, Pierschbacher MD, Ruoslahti E: Natural inhibitor of transforming growth factor-beta protects against scarring in experimental kidney disease. Nature 360:361 -364, 1992[Medline]
  48. Wolf YG, Rasmussen LM, Ruoslahti E: Antibodies against transforming growth factor-beta 1 suppress intimal hyperplasia in a rat model. J Clin Invest 93:1172 -1178, 1994
Received for publication September 9, 1999. Accepted for publication February 10, 2000.




This article has been cited by other articles:


Home page
Am. J. Pathol.Home page
K. J. Williams, G. Qiu, H. K. Usui, S. R. Dunn, P. McCue, E. Bottinger, R. V. Iozzo, and K. Sharma
Decorin Deficiency Enhances Progressive Nephropathy in Diabetic Mice
Am. J. Pathol., November 1, 2007; 171(5): 1441 - 1450.
[Abstract] [Full Text] [PDF]


Home page
Arterioscler. Thromb. Vasc. Bio.Home page
J. W. Fischer, S. A. Steitz, P. Y. Johnson, A. Burke, F. Kolodgie, R. Virmani, C. Giachelli, and T. N. Wight
Decorin Promotes Aortic Smooth Muscle Cell Calcification and Colocalizes to Calcified Regions in Human Atherosclerotic Lesions
Arterioscler. Thromb. Vasc. Biol., December 1, 2004; 24(12): 2391 - 2396.
[Abstract] [Full Text] [PDF]


Home page
Cancer Res.Home page
A. G. Banerjee, I. Bhattacharyya, W. M. Lydiatt, and J. K. Vishwanatha
Aberrant Expression and Localization of Decorin in Human Oral Dysplasia and Squamous Cell Carcinoma
Cancer Res., November 15, 2003; 63(22): 7769 - 7776.
[Abstract] [Full Text] [PDF]


Home page
J. Am. Soc. Nephrol.Home page
R. M. Mason and N. A. Wahab
Extracellular Matrix Metabolism in Diabetic Nephropathy
J. Am. Soc. Nephrol., May 1, 2003; 14(5): 1358 - 1373.
[Abstract] [Full Text] [PDF]


Home page
Nephrol Dial TransplantHome page
G. La Greca, A. Amore, U. Armato, G. Coles, C. Esposito, R. Deppisch, M. Feriani, R. Mason, D. Noonan, E. Schleicher, et al.
The un-physiology of peritoneal dialysis solution and the peritoneal membrane: from basic research to clinical nephrology
Nephrol. Dial. Transplant., May 1, 2001; 16(5): 905 - 912.
[Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by WAHAB, N. A.
Right arrow Articles by MASON, R. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by WAHAB, N. A.
Right arrow Articles by MASON, R. M.


HOME CURRENT ISSUE ARCHIVES JASN Express ONLINE SUBMISSION AUTHOR INFO
EDITORIAL BOARD SUBSCRIBE FEEDBACK ALERTS HELP