PMID- 20803229 OWN - NLM STAT- MEDLINE DCOM- 20110809 LR - 20211020 IS - 1591-9528 (Electronic) IS - 1591-8890 (Linking) VI - 11 IP - 2 DP - 2011 Jun TI - Vardenafil, an inhibitor of phosphodiesterase-5, blocks advanced glycation end product (AGE)-induced up-regulation of monocyte chemoattractant protein-1 mRNA levels in endothelial cells by suppressing AGE receptor (RAGE) expression via elevation of cGMP. PG - 131-5 LID - 10.1007/s10238-010-0109-2 [doi] AB - Decreased production and/or impaired action of nitric oxide (NO) play a role in the pathogenesis of atherosclerotic cardiovascular disease and erectile dysfunction (ED) in diabetic patients. Under hyperglycemic conditions, formation and accumulation of advanced glycation end products (AGE) have been known to progress, thus contributing to tissue damage in diabetes. However, effects of inhibitors of phosphodiesterase-5 (PDE-5), an enzyme that catalyzes the degradation of cyclic guanosin-monophosphate (cGMP) and subsequently blocks the actions of NO, on AGE-exposed endothelial cells remain unknown. Therefore, this study investigated whether and how vardenafil, an inhibitor of PDE-5, could block the deleterious effects of AGE on human umbilical vein endothelial cells (HUVEC). Gene and protein expression was analyzed in quantitative real-time reverse transcription polymerase chain reaction (RT-PCR) and western blots, respectively. Intracellular formation of reactive oxygen species (ROS) was evaluated with dihydroethidium staining. AGE increased receptor for AGE (RAGE) mRNA and protein levels in HUVEC, both of which were significantly inhibited by the treatments with 30 nM vardenafil or 5 muM 8-Br-cGMP, an analogue of cGMP. Further, vardenafil reduced the AGE-induced ROS generation and subsequently inhibited up-regulation of monocyte chemoattractant protein-1 (MCP-1) mRNA levels in HUVEC. We demonstrated here for the first time that vardenafil could block the AGE-induced up-regulation of MCP-1 mRNA levels in HUVEC by suppressing RAGE expression and subsequent ROS generation via elevation of cGMP. Our present results suggest that vardenafil directly acts on endothelial cells and it could work as an anti-inflammatory agent against AGE. FAU - Ishibashi, Yuji AU - Ishibashi Y AD - Department of Pathophysiology and Therapeutics of Diabetic Vascular Complications, Kurume University School of Medicine, Japan. FAU - Matsui, Takanori AU - Matsui T FAU - Takeuchi, Masayoshi AU - Takeuchi M FAU - Yamagishi, Sho-ichi AU - Yamagishi S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100829 PL - Italy TA - Clin Exp Med JT - Clinical and experimental medicine JID - 100973405 RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Glycation End Products, Advanced) RN - 0 (Imidazoles) RN - 0 (Phosphodiesterase 5 Inhibitors) RN - 0 (Piperazines) RN - 0 (RNA, Messenger) RN - 0 (Receptor for Advanced Glycation End Products) RN - 0 (Receptors, Immunologic) RN - 0 (Sulfones) RN - 0 (Triazines) RN - 5O8R96XMH7 (Vardenafil Dihydrochloride) RN - H2D2X058MU (Cyclic GMP) SB - IM MH - Blotting, Western MH - Cells, Cultured MH - Chemokine CCL2/*biosynthesis MH - Cyclic GMP/*metabolism MH - Endothelial Cells/*drug effects MH - Gene Expression Profiling MH - Glycation End Products, Advanced/*metabolism MH - Humans MH - Imidazoles/*metabolism MH - Phosphodiesterase 5 Inhibitors/*metabolism MH - Piperazines/*metabolism MH - RNA, Messenger/biosynthesis MH - Receptor for Advanced Glycation End Products MH - Receptors, Immunologic/*antagonists & inhibitors MH - Reverse Transcriptase Polymerase Chain Reaction MH - Sulfones/metabolism MH - Triazines/metabolism MH - Up-Regulation MH - Vardenafil Dihydrochloride EDAT- 2010/08/31 06:00 MHDA- 2011/08/10 06:00 CRDT- 2010/08/31 06:00 PHST- 2010/06/15 00:00 [received] PHST- 2010/08/05 00:00 [accepted] PHST- 2010/08/31 06:00 [entrez] PHST- 2010/08/31 06:00 [pubmed] PHST- 2011/08/10 06:00 [medline] AID - 10.1007/s10238-010-0109-2 [doi] PST - ppublish SO - Clin Exp Med. 2011 Jun;11(2):131-5. doi: 10.1007/s10238-010-0109-2. Epub 2010 Aug 29.