PMID- 19158351 OWN - NLM STAT- MEDLINE DCOM- 20090326 LR - 20240109 IS - 1533-3450 (Electronic) IS - 1046-6673 (Print) IS - 1046-6673 (Linking) VI - 20 IP - 3 DP - 2009 Mar TI - Ketohexokinase-dependent metabolism of fructose induces proinflammatory mediators in proximal tubular cells. PG - 545-53 LID - 10.1681/ASN.2008060576 [doi] AB - Increased consumption of fructose may play an important role in the epidemic of metabolic syndrome and may presage the development of diabetes, cardiovascular disease, and chronic kidney disease. Once in the cell, fructose is phosphorylated by ketohexokinase (KHK), leading to consumption of ATP, formation of AMP, and generation of uric acid through xanthine oxidoreductase (XOR). This study aimed to examine the direct effects of fructose in human kidney proximal tubular cells (HK-2) and whether they are mediated by the fructose metabolism via KHK. At a similar concentration to that observed in peripheral blood after a meal, fructose induced production of monocyte chemotactic protein 1 (MCP-1) and reactive oxygen species in HK-2 cells. Knockdown of KHK by stable transfection with small hairpin RNA demonstrated that these processes were KHK dependent. Several antioxidants, including specific inhibitors of NADPH oxidase and XOR, prevented MCP-1 secretion. We detected XOR mRNA in HK-2 cells and confirmed its activity by identifying uric acid by mass spectrometry. Fructose increased intracellular uric acid, and uric acid induced production of MCP-1 as well. In summary, postprandial concentrations of fructose stimulate redox- and urate-dependent inflammatory mediators in proximal tubular cells. FAU - Cirillo, Pietro AU - Cirillo P AD - Division of Nephrology, Hypertension and Transplantation, Department of Medicine, University of Florida, Gainesville, FL 32610-0224, USA. FAU - Gersch, Michael S AU - Gersch MS FAU - Mu, Wei AU - Mu W FAU - Scherer, Philip M AU - Scherer PM FAU - Kim, Kyung Mee AU - Kim KM FAU - Gesualdo, Loreto AU - Gesualdo L FAU - Henderson, George N AU - Henderson GN FAU - Johnson, Richard J AU - Johnson RJ FAU - Sautin, Yuri Y AU - Sautin YY LA - eng GR - R01 HL068607/HL/NHLBI NIH HHS/United States GR - HL-68607/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20090121 PL - United States TA - J Am Soc Nephrol JT - Journal of the American Society of Nephrology : JASN JID - 9013836 RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (DNA Primers) RN - 0 (Inflammation Mediators) RN - 0 (RNA, Messenger) RN - 0 (RNA, Small Interfering) RN - 0 (Reactive Oxygen Species) RN - 268B43MJ25 (Uric Acid) RN - 30237-26-4 (Fructose) RN - 8L70Q75FXE (Adenosine Triphosphate) RN - EC 1.17.1.4 (Xanthine Dehydrogenase) RN - EC 2.7.1.- (Fructokinases) RN - EC 2.7.1.3 (ketohexokinase) SB - IM CIN - J Am Soc Nephrol. 2009 Mar;20(3):457-9. PMID: 19244571 MH - Adenosine Triphosphate/metabolism MH - Animals MH - Base Sequence MH - Cell Line MH - Chemokine CCL2/biosynthesis MH - DNA Primers/genetics MH - Fructokinases/antagonists & inhibitors/genetics/*metabolism MH - Fructose/*metabolism/pharmacology MH - Humans MH - Inflammation Mediators/*metabolism MH - Kidney Tubules, Proximal/drug effects/*metabolism MH - Male MH - Metabolic Syndrome/etiology/metabolism MH - Oxidation-Reduction MH - RNA, Messenger/genetics/metabolism MH - RNA, Small Interfering/genetics MH - Rats MH - Rats, Sprague-Dawley MH - Reactive Oxygen Species/metabolism MH - Renal Insufficiency, Chronic/etiology/metabolism MH - Transfection MH - Uric Acid/pharmacology MH - Xanthine Dehydrogenase/genetics/metabolism PMC - PMC2653686 EDAT- 2009/01/23 09:00 MHDA- 2009/03/27 09:00 PMCR- 2010/03/01 CRDT- 2009/01/23 09:00 PHST- 2009/01/23 09:00 [entrez] PHST- 2009/01/23 09:00 [pubmed] PHST- 2009/03/27 09:00 [medline] PHST- 2010/03/01 00:00 [pmc-release] AID - ASN.2008060576 [pii] AID - 0576 [pii] AID - 10.1681/ASN.2008060576 [doi] PST - ppublish SO - J Am Soc Nephrol. 2009 Mar;20(3):545-53. doi: 10.1681/ASN.2008060576. Epub 2009 Jan 21.