PMID- 21115116 OWN - NLM STAT- MEDLINE DCOM- 20111220 LR - 20171116 IS - 1096-1186 (Electronic) IS - 1043-6618 (Linking) VI - 63 IP - 3 DP - 2011 Mar TI - Pigment epithelium-derived factor (PEDF) inhibits proximal tubular cell injury in early diabetic nephropathy by suppressing advanced glycation end products (AGEs)-receptor (RAGE) axis. PG - 241-8 LID - 10.1016/j.phrs.2010.11.008 [doi] AB - Pigment epithelium-derived factor (PEDF) is a multifunctional glycoprotein with anti-angiogenic and anti-inflammatory properties, and it could block the development and progression of experimental diabetic retinopathy. However, a role for PEDF in early experimental diabetic nephropathy is not fully understood. Advanced glycation end products (AGEs) and their receptor (RAGE) axis stimulates oxidative stress generation and subsequently evokes inflammatory and fibrogenic reactions in renal tubular cells, thereby playing a role in diabetic nephropathy. Therefore, this study investigated whether PEDF could prevent AGE-elicited tubular cell injury in early diabetic nephropathy. Human proximal tubular cells were incubated with or without AGE-bovine serum albumin in the presence or absence of PEDF. Streptozotocin-induced diabetic rats were treated with or without intravenous injection of PEDF for 4 weeks. Gene expression was analyzed by quantitative real-time reverse transcription-polymerase chain reactions. Reactive oxygen species (ROS) was measured with dihydroethidium staining. PEDF or antibodies raised against RAGE inhibited the AGE-induced RAGE gene expression and subsequently reduced ROS generation, monocyte chemoattractant protein-1 (MCP-1) and transforming growth factor-beta (TGF-beta), fibronectin and type IV collagen mRNA levels in proximal tubular cells. RAGE gene expression, ROS generation and MCP-1 and TGF-beta mRNA levels were significantly increased in diabetic kidney, which were suppressed by administration of PEDF. Our present data suggest that PEDF could play a protective role against tubular injury in diabetic nephropathy by attenuating the deleterious effects of AGEs via down-regulation of RAGE expression. Administration of PEDF may offer a promising strategy for halting the development of diabetic nephropathy. CI - Copyright (c) 2010 Elsevier Ltd. All rights reserved. FAU - Maeda, Sayaka AU - Maeda S AD - Department of Pathophysiology and Therapeutics of Diabetic Vascular Complications, Kurume University School of Medicine, Kurume, Japan. FAU - Matsui, Takanori AU - Matsui T FAU - Takeuchi, Masayoshi AU - Takeuchi M FAU - Yoshida, Yumiko AU - Yoshida Y FAU - Yamakawa, Ryoji AU - Yamakawa R FAU - Fukami, Kei AU - Fukami K FAU - Yamagishi, Sho-ichi AU - Yamagishi S LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20101127 PL - Netherlands TA - Pharmacol Res JT - Pharmacological research JID - 8907422 RN - 0 (Eye Proteins) RN - 0 (Glycation End Products, Advanced) RN - 0 (Hypoglycemic Agents) RN - 0 (Nerve Growth Factors) RN - 0 (Receptor for Advanced Glycation End Products) RN - 0 (Receptors, Immunologic) RN - 0 (Serpins) RN - 0 (pigment epithelium-derived factor) SB - IM MH - Animals MH - Cattle MH - Cells, Cultured MH - Diabetic Nephropathies/*metabolism/pathology/*prevention & control MH - Eye Proteins/*therapeutic use MH - Glycation End Products, Advanced/antagonists & inhibitors/physiology MH - Humans MH - Hypoglycemic Agents/*therapeutic use MH - Kidney Tubules, Proximal/*drug effects/*metabolism/pathology MH - Male MH - Nerve Growth Factors/*therapeutic use MH - Rats MH - Rats, Wistar MH - Receptor for Advanced Glycation End Products MH - Receptors, Immunologic/*antagonists & inhibitors/*biosynthesis MH - Serpins/*therapeutic use EDAT- 2010/12/01 06:00 MHDA- 2011/12/21 06:00 CRDT- 2010/12/01 06:00 PHST- 2010/08/15 00:00 [received] PHST- 2010/11/21 00:00 [revised] PHST- 2010/11/22 00:00 [accepted] PHST- 2010/12/01 06:00 [entrez] PHST- 2010/12/01 06:00 [pubmed] PHST- 2011/12/21 06:00 [medline] AID - S1043-6618(10)00221-5 [pii] AID - 10.1016/j.phrs.2010.11.008 [doi] PST - ppublish SO - Pharmacol Res. 2011 Mar;63(3):241-8. doi: 10.1016/j.phrs.2010.11.008. Epub 2010 Nov 27.