High glucose–induced Smad3 linker phosphorylation and CCN2 expression are inhibited by dapagliflozin in a diabetic tubule epithelial cell model

Autor: Xinlu Pan, Mark Edward Carl Dockrell, Mysore K. Phanish, Deborah L. Baines
Jazyk: angličtina
Rok vydání: 2021
Předmět:
0301 basic medicine
MAPK/ERK pathway
medicine.medical_treatment
030232 urology & nephrology
Biophysics
Smad2 Protein
Glucose Transporters
Biochemistry
Kidney Tubules
Proximal

Transforming Growth Factor beta1
03 medical and health sciences
chemistry.chemical_compound
0302 clinical medicine
Glucosides
medicine
Humans
Diabetic Nephropathies
Dapagliflozin
Diabetic Kidney Disease
Benzhydryl Compounds
Phosphorylation
Extracellular Signal-Regulated MAP Kinases
Molecular Biology
Sodium-Glucose Transporter 2 Inhibitors
Diagnostics & Biomarkers
Research Articles
Cells
Cultured

Diabetes & Metabolic Disorders
Kidney
Gene Expression & Regulation
Growth factor
Glucose transporter
Connective Tissue Growth Factor
Epithelial Cells
Cell Biology
Molecular biology
Fibrosis
Blot
030104 developmental biology
medicine.anatomical_structure
Metabolism
Glucose
chemistry
Sodium/Glucose Cotransporter 2
Cell Membranes
Excitation & Transport

Smad3
Signal Transduction
Zdroj: Bioscience Reports
ISSN: 1573-4935
0144-8463
Popis: Background: In the kidney glucose is freely filtered by the glomerulus and, mainly, reabsorbed by sodium glucose cotransporter 2 (SGLT2) expressed in the early proximal tubule. Human proximal tubule epithelial cells (PTECs) undergo pathological and fibrotic changes seen in diabetic kidney disease (DKD) in response to elevated glucose. We developed a specific in vitro model of DKD using primary human PTECs with exposure to high D-glucose and TGF-β1 and propose a role for SGLT2 inhibition in regulating fibrosis. Methods: Western blotting was performed to detect cellular and secreted proteins as well as phosphorylated intracellular signalling proteins. qPCR was used to detect CCN2 RNA. Gamma glutamyl transferase (GT) activity staining was performed to confirm PTEC phenotype. SGLT2 and ERK inhibition on high D-glucose, 25 mM, and TGF-β1, 0.75 ng/ml, treated cells was explored using dapagliflozin and U0126, respectively. Results: Only the combination of high D-glucose and TGF-β1 treatment significantly up-regulated CCN2 RNA and protein expression. This increase was significantly ameliorated by dapagliflozin. High D-glucose treatment raised phospho ERK which was also inhibited by dapagliflozin. TGF-β1 increased cellular phospho SSXS Smad3 serine 423 and 425, with and without high D-glucose. Glucose alone had no effect. Smad3 serine 204 phosphorylation was significantly raised by a combination of high D-glucose+TGF-β1; this rise was significantly reduced by both SGLT2 and MEK inhibition. Conclusions: We show that high D-glucose and TGF-β1 are both required for CCN2 expression. This treatment also caused Smad3 linker region phosphorylation. Both outcomes were inhibited by dapagliflozin. We have identified a novel SGLT2 -ERK mediated promotion of TGF-β1/Smad3 signalling inducing a pro-fibrotic growth factor secretion. Our data evince support for substantial renoprotective benefits of SGLT2 inhibition in the diabetic kidney.
Databáze: OpenAIRE