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Diabetes 52:1519-1527, 2003
© 2003 by the American Diabetes Association, Inc.

Protein Kinase C ß2-Dependent Phosphorylation of Core 2 GlcNAc-T Promotes Leukocyte-Endothelial Cell Adhesion

A Mechanism Underlying Capillary Occlusion in Diabetic Retinopathy

Rakesh Chibber, 1, Bahaedin M. Ben-Mahmud1, Giovanni E. Mann1, Jin J. Zhang2, and Eva M. Kohner3

1 Centre for Cardiovascular Biology & Medicine, Guy’s, King’s and St. Thomas’ School of Biomedical Sciences, King’s College London, London, U.K
2 Guy’s, King’s and St. Thomas’ Department of Ophthalmology, the Rayne Institute, St. Thomas’ Hospital, London, U.K
3 Department of Endocrinology, Diabetes & Internal Medicine, St. Thomas’ Hospital, London, U.K

Increased leukocyte-endothelial cell adhesion is a key early event in the development of retinopathy and atherogenesis in diabetic patients. We recently reported that raised activity of glycosylating enzyme [ß]1,6 acetylglucosaminyltransferase (core 2 GlcNAc-T) is responsible for increased leukocyte-endothelial cell adhesion and capillary occlusion in retinopathy. Here, we demonstrate that elevated glucose increases the activity of core 2 GlcNAc-T and adhesion of human leukocytes to retinal capillary endothelial cells, in a dose-dependent manner, through diabetes-activated serine/threonine protein kinase C ß2 (PKCß2)-dependent phosphorylation. This regulatory mechanism, involving phosphorylation of core 2 GlcNAc-T, is also present in polymorphonuclear leukocytes isolated from type 1 and type 2 diabetic patients. Inhibition of PKCß2 activation with the specific inhibitor, LY379196, attenuated serine phosphorylation of core 2 GlcNAc-T and prevented increased leukocyte-endothelial cell adhesion. Raised activity of core 2 GlcNAc-T was associated with a threefold increase in O-linked glycosylation of P-selectin glycoprotein ligand-1 on the surface of leukocytes of diabetic patients compared with age-matched control subjects. PKCß2-dependent phosphorylation of core 2 GlcNAc-T may thus represent a novel regulatory mechanism for activation of this key enzyme in mediating increased leukocyte-endothelial cell adhesion and capillary occlusion in diabetic retinopathy.



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