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Diabetes, Vol 49, Issue 7 1249-1257, Copyright © 2000 by American Diabetes Association
The diabetic milieu modulates the advanced glycation end product-receptor complex in the mesangium by inducing or upregulating galectin-3 expression
G Pugliese, F Pricci, G Leto, L Amadio, C Iacobini, G Romeo, L Lenti, P Sale, R Gradini, FT Liu and U Di Mario
Department of Clinical Sciences, La Sapienza University, Rome, Italy. demfound@tin.it
Nonenzymatic glycation has been implicated in the pathogenesis of the
dysregulated tissue remodeling that characterizes diabetic glomerulopathy,
via the formation of advanced glycation end products (AGEs) and their
binding to cell surface receptors. Several AGE-binding proteins have been
identified so far, including p60, p90, and the adhesive and
growth-regulating lectin galectin-3 (Gal-3), the components of the
so-called AGE-receptor complex. This study aimed to evaluate the mesangial
expression of the AGE-receptor complex and its modulation by the diabetic
milieu, both in vivo, in non-diabetic versus streptozotocin-induced
diabetic rats, and in vitro, in mesangial cells exposed to either normal
glucose (NG) levels (5.5 mmol/l), as compared with high glucose (HG) levels
(30 mmol/l) and iso-osmolar mannitol (M), or to native bovine serum albumin
(BSA), as compared with glycated BSA with AGE formation (BSA-AGE) and
glycated BSA in which AGE formation was prevented by aminoguanidine
(BSA-AM). In vivo, Gal-3 protein and mRNA were not detectable in glomeruli
from nondiabetic rats until 12 months after initiating the study. On the
contrary, in diabetic rats, Gal-3 expression was observed at 2 months of
disease duration, and it increased thereafter. Both p60 and p90
immunoreactivities were observed at the glomerular level with slightly
increased expression of p90, but not p60, in diabetic versus nondiabetic
animals. In vitro, Gal-3 was not detectable in mesangial cells cultured in
NG (although it became evident after a certain number of passages in
culture), whereas Gal-3 was detectable in cells grown on BSA. Prolonged
exposure (2-4 weeks) of mesangial cells to HG but not to M, as well as
growing cells on BSA-AGE and, to a lesser extent, BSA-AM, induced or
significantly increased the expression of Gal-3, both protein (up to
2.65-fold) and mRNA (up to 3.10-fold) and its secretion in the medium (by
approximately 50%). Both p60 and p90 were demonstrated in mesangial cells
under NG conditions, and the expression of p90, but not p60, was
upregulated by approximately 20% by HG or BSA-AGE. These results indicate
that 1) under basal conditions, Gal-3, unlike p90 and p60, is not
detectable in the mesangium but becomes expressed with aging and 2) the
diabetic milieu induces or upregulates Gal-3 production, whereas it
increases only slightly the expression of p90, but not p60. Gal-3
expression or overexpression may modulate the AGE-receptor-mediated events
by modifying the function of the AGE-receptor complex. Additionally, it may
exert direct effects on tissue remodeling by virtue of its adhesive and
growth-regulating properties.

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Copyright © 2000 by the American Diabetes Association.
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