PMID- 20379053 OWN - NLM STAT- MEDLINE DCOM- 20101028 LR - 20190608 IS - 1880-3873 (Electronic) IS - 1340-3478 (Linking) VI - 17 IP - 6 DP - 2010 Jun 30 TI - Blockade of renin-angiotensin system attenuates advanced glycation end products-mediated signaling pathways. PG - 590-600 AB - AIM: Advanced glycation end products (AGE) and a receptor for AGE (RAGE) play a key role in diabetic vascular complications. Matrix metalloproteinases (MMPs) and apoptosis contribute to plaque instability. The renin-angiotensin system (RAS) is crucial for NADPH oxidase-dependent redox signaling pathways in the vascular wall. We investigated the effects of RAS blockade on AGE-triggered signaling pathways and its downstream events, including MMP-9 and apoptosis. METHODS: We used cultured rabbit aortic smooth muscle cells (SMCs), which were stimulated with AGE in the presence or absence of temocaprilat or olmesartan. RESULTS: Angiotensin converting enzyme (ACE) mRNA levels were increased 4 to 6 hours after adding AGE. AGE induced Rac1 and p47(phox) membrane translocation, reactive oxygen species (ROS) generation and NF-kappaB phosphorylation within 15 minutes, and various molecular expressions after 18 hours, which were attenuated by RAS blockade by temocaprilat or olmesartan. AGE-induced RAGE expression, as well as other molecules, including membrane type 1-MMP (MT1-MMP), monocyte chemoattractant protein-1 (MCP-1) and plasminogen activator inhibitor-1 (PAI-1), was NADPH oxidase signaling-dependent and blunted by temocaprilat and olmesartan. The parameters of plaque instability, including MMP-9 expression and activity, and apoptosis were up-regulated by AGE, which was markedly attenuated by temocaprilat or olmesartan. Using isolated human monocyte culture, AGE-induced ROS generation and molecular expression were also attenuated by RAS blockade. CONCLUSION: The present study shows that AGE-triggered NADPH oxidase signaling pathways, including MMP-9 and apoptosis, were attenuated by RAS blockade, which may be an attractive strategy for treating plaque instability in diabetic vascular complications. FAU - Kamioka, Masashi AU - Kamioka M AD - Department of Cardiology and Hematology, Fukushima Medical University, Fukushima, Japan. FAU - Ishibashi, Toshiyuki AU - Ishibashi T FAU - Sugimoto, Koichi AU - Sugimoto K FAU - Uekita, Hironori AU - Uekita H FAU - Nagai, Ryoji AU - Nagai R FAU - Sakamoto, Nobuo AU - Sakamoto N FAU - Ando, Katsuya AU - Ando K FAU - Ohkawara, Hiroshi AU - Ohkawara H FAU - Teramoto, Tamio AU - Teramoto T FAU - Maruyama, Yukio AU - Maruyama Y FAU - Takeishi, Yasuchika AU - Takeishi Y LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100402 PL - Japan TA - J Atheroscler Thromb JT - Journal of atherosclerosis and thrombosis JID - 9506298 RN - 0 (Angiotensin II Type 1 Receptor Blockers) RN - 0 (Glycation End Products, Advanced) RN - 0 (Imidazoles) RN - 0 (Tetrazoles) RN - 0 (Thiazepines) RN - 2D6A12Q12R (temocaprilat) RN - 8W1IQP3U10 (olmesartan) RN - EC 1.6.3.- (NADPH Oxidases) SB - IM MH - Angiotensin II Type 1 Receptor Blockers/*pharmacology MH - Animals MH - Aorta/cytology MH - Cells, Cultured MH - Diabetic Angiopathies/drug therapy MH - Glycation End Products, Advanced/*pharmacology MH - Imidazoles/pharmacology MH - Myocytes, Smooth Muscle MH - NADPH Oxidases/metabolism MH - Rabbits MH - Renin-Angiotensin System/*drug effects MH - Signal Transduction/*drug effects MH - Tetrazoles/pharmacology MH - Thiazepines/pharmacology EDAT- 2010/04/10 06:00 MHDA- 2010/10/29 06:00 CRDT- 2010/04/10 06:00 PHST- 2010/04/10 06:00 [entrez] PHST- 2010/04/10 06:00 [pubmed] PHST- 2010/10/29 06:00 [medline] AID - JST.JSTAGE/jat/3624 [pii] AID - 10.5551/jat.3624 [doi] PST - ppublish SO - J Atheroscler Thromb. 2010 Jun 30;17(6):590-600. doi: 10.5551/jat.3624. Epub 2010 Apr 2.