PMID- 16518329 OWN - NLM STAT- MEDLINE DCOM- 20060518 LR - 20131121 IS - 0085-2538 (Print) IS - 0085-2538 (Linking) VI - 69 IP - 4 DP - 2006 Feb TI - Prednisolone inhibits hyperosmolarity-induced expression of MCP-1 via NF-kappaB in peritoneal mesothelial cells. PG - 736-46 AB - The mechanism of peritoneal fibrosis in patients on continuous ambulatory peritoneal dialysis (CAPD) is poorly elucidated. We investigated the cellular mechanism of high-glucose-induced expression of monocyte chemoattractant protein-1 (MCP-1), which is important in recruiting monocytes into the peritoneum and progression of peritoneal fibrosis, and examined the inhibitory mechanism of glucocorticoids. Rat peritoneal mesothelial cells were cultured in high-glucose-containing medium and then analyzed for phosphorylation levels of p42/44 and p38 mitogen-activated protein (MAP) kinases (MAPK), MAPK or extracellular signal-regulated kinase kinase (MEK)1/2, c-Jun N-terminal kinase (JNK)1/2, and protein kinase C (PKC) by Western blotting. Expression of MCP-1 was examined by reverse transcription-polymerase chain reaction and enzyme-linked immunosorbent assay, respectively. DNA-binding activity of nuclear factor (NF)-kappaB was measured by electrophoretic mobility shift assay. High glucose increased MCP-1 mRNA and MCP-1 protein expression. Although glucose increased phosphorylation of MEK1/2, p42/44 MAPK, p38 MAPK, JNK1/2, and PKC, and DNA-binding activity of NF-kappaB, its effect on MCP-1 expression was suppressed only by PKC and NF-kappaB inhibitors. Mannitol caused a similar increase in PKC and NF-kappaB activation and MCP-1 synthesis. Prednisolone increased I-kappaB-alpha expression and inhibited glucose/mannitol-induced NF-kappaB DNA binding and MCP-1 expression without affecting PKC phosphorylation. The inhibitory effects of prednisolone on MCP-1 expression were reversed by mifepristone, a glucocorticoid receptor antagonist. Our results indicate that glucose induces MCP-1 mainly through hyperosmolarity by activating PKC and its downstream NF-kappaB, and that such effect was inhibited by prednisolone, suggesting the efficacy of prednisolone in preventing peritoneal fibrosis in patients on CAPD. FAU - Matsuo, H AU - Matsuo H AD - The Second Department of Internal Medicine, University of Occupational and Environmental Health School of Medicine, and Kidney Center, University Hospital, Kitakyushu, Japan. FAU - Tamura, M AU - Tamura M FAU - Kabashima, N AU - Kabashima N FAU - Serino, R AU - Serino R FAU - Tokunaga, M AU - Tokunaga M FAU - Shibata, T AU - Shibata T FAU - Matsumoto, M AU - Matsumoto M FAU - Aijima, M AU - Aijima M FAU - Oikawa, S AU - Oikawa S FAU - Anai, H AU - Anai H FAU - Nakashima, Y AU - Nakashima Y LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Kidney Int JT - Kidney international JID - 0323470 RN - 0 (Ccl2 protein, rat) RN - 0 (Chemokine CCL2) RN - 0 (I-kappa B Proteins) RN - 0 (NF-kappa B) RN - 0 (RNA, Messenger) RN - 320T6RNW1F (Mifepristone) RN - 9PHQ9Y1OLM (Prednisolone) RN - EC 2.7.11.13 (Protein Kinase C) RN - EC 2.7.11.24 (Mitogen-Activated Protein Kinases) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Animals MH - Blotting, Western MH - Cells, Cultured MH - Chemokine CCL2/*biosynthesis/genetics MH - Enzyme Activation/drug effects MH - Epithelium/chemistry/physiopathology MH - Fibrosis/etiology/physiopathology/prevention & control MH - Gene Expression Regulation/*drug effects MH - Glucose/pharmacology MH - I-kappa B Proteins/genetics/metabolism MH - Mifepristone/pharmacology MH - Mitogen-Activated Protein Kinases/metabolism MH - NF-kappa B/*physiology MH - Osmolar Concentration MH - Peritoneal Dialysis, Continuous Ambulatory MH - Peritoneum/*cytology/metabolism MH - Phosphorylation/drug effects MH - Prednisolone/*pharmacology MH - Protein Kinase C/metabolism MH - RNA, Messenger/analysis/genetics MH - Rats EDAT- 2006/03/07 09:00 MHDA- 2006/05/19 09:00 CRDT- 2006/03/07 09:00 PHST- 2006/03/07 09:00 [pubmed] PHST- 2006/05/19 09:00 [medline] PHST- 2006/03/07 09:00 [entrez] AID - S0085-2538(15)51540-8 [pii] AID - 10.1038/sj.ki.5000131 [doi] PST - ppublish SO - Kidney Int. 2006 Feb;69(4):736-46. doi: 10.1038/sj.ki.5000131.