PMID- 16174288 OWN - NLM STAT- MEDLINE DCOM- 20060117 LR - 20131121 IS - 1320-5358 (Print) IS - 1320-5358 (Linking) VI - 10 Suppl DP - 2005 Oct TI - Reactive oxygen species amplify glucose signalling in renal cells cultured under high glucose and in diabetic kidney. PG - S7-10 AB - Diabetic nephropathy is characterized by excessive accumulation of extracellular matrix (ECM) in the kidney. Reactive oxygen species (ROS) play a central role in the ECM synthesis and degradation in the glomeruli and tubulointerstitium leading to renal fibrosis. High glucose (HG) induces cellular ROS through protein kinase C (PKC)-dependent activation of NADPH oxidase and through mitochondrial metabolism. ROS thus generated activate signal transduction cascade (PKC, mitogen-activated protein kinases, and janus kinase/signal transducers and activators of transcription) and transcription factors (nuclear factor-kappaB, activated protein-1, and specificity protein-1), up-regulate transforming growth factor-beta1 (TGF-beta1), angiotensin II (Ang II), monocyte chemoattractant protein-1 (MCP-1), and plasminogen activator inhibitor-1 (PAI-1) gene and protein expression, and promote formation of advanced glycation end-products (AGE). PKC, TGF-beta1, Ang II, and AGE also induce cellular ROS and signal through ROS leading to enhanced ECM synthesis. NF-kappaB-MCP-1 pathway is activated by ROS and promotes monocyte recruitment and profibrotic process in the kidney. HG- and TGF-beta1-induced PAI-1 up-regulation is mediated by ROS and contribute to ECM accumulation via suppression of plasmin ativity. TGF-beta1-induced myofibroblast transformation of renal tubular epithelial cells (epithelial-mesenchymal transition) is also mediated by ROS and contribute to tubulointerstitial fibrosis. In summary, ROS transduce and amplify glucose signalling in renal cells under high glucose environment and play a critical role in excessive ECM deposition in the diabetic kidney. A better understanding of ROS production and removal will allow more effective therapeutic strategies in diabetic renal and other vascular complications. FAU - Ha, Hunjoo AU - Ha H AD - Hyonam Kidney Laboratory, Soon Chun Hyang Universtiy, Yongsan-gu, Seoul, Korea. FAU - Lee, Hi Bahl AU - Lee HB LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - Australia TA - Nephrology (Carlton) JT - Nephrology (Carlton, Vic.) JID - 9615568 RN - 0 (Reactive Oxygen Species) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Animals MH - Cells, Cultured MH - Diabetic Nephropathies/*metabolism/pathology MH - Dose-Response Relationship, Drug MH - Glucose/*administration & dosage/*metabolism/pharmacology MH - Humans MH - Kidney/cytology/*metabolism/pathology MH - Reactive Oxygen Species/*metabolism MH - *Signal Transduction RF - 48 EDAT- 2005/09/22 09:00 MHDA- 2006/01/18 09:00 CRDT- 2005/09/22 09:00 PHST- 2005/09/22 09:00 [pubmed] PHST- 2006/01/18 09:00 [medline] PHST- 2005/09/22 09:00 [entrez] AID - NEP448 [pii] AID - 10.1111/j.1440-1797.2005.00448.x [doi] PST - ppublish SO - Nephrology (Carlton). 2005 Oct;10 Suppl:S7-10. doi: 10.1111/j.1440-1797.2005.00448.x.