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Diabetes 53:2921-2930, 2004
© 2004 by the American Diabetes Association, Inc.

Attenuation of Extracellular Matrix Accumulation in Diabetic Nephropathy by the Advanced Glycation End Product Cross-Link Breaker ALT-711 via a Protein Kinase C-{alpha}–Dependent Pathway

Vicki Thallas-Bonke1,2, Carsten Lindschau3, Bishoy Rizkalla1, Leon A. Bach2, Geoffrey Boner1,4, Matthias Meier3, Hermann Haller3, Mark E. Cooper1,2, and Josephine M. Forbes1,2

1 Danielle Alberti Memorial Centre for Diabetes Complications, Vascular Division, Wynn Domain, Baker Medical Research Institute, Melbourne, Australia
2 Department of Medicine, University of Melbourne, Austin Hospital, Heidelberg, Australia
3 Department of Nephrology, Hannover Medical School, Hannover, Germany
4 Department of Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

This study investigated the role of advanced glycation end products (AGEs) in mediating protein kinase C (PKC) isoform expression in diabetic nephropathy. In vitro, vascular smooth muscle cells incubated in a high-glucose (25-mmol/l) medium demonstrated translocation and increased expression of PKC-{alpha} as compared with those from a low-glucose (5-mmol/l) environment. Coincubation with the cross-link breaker ALT-711 and, to a lesser extent, with aminoguanidine, an inhibitor of AGE formation, attenuated the increased expression and translocation of PKC-{alpha}. Streptozotocin-induced diabetic rats were randomized to no treatment, treatment with ALT-711, or treatment with aminoguanidine. Diabetes induced increases in PKC-{alpha} as well as in the -ßI, -ßII, and -{varepsilon} isoforms. Treatment with ALT-711 and aminoguanidine, which both attenuate renal AGE accumulation, abrogated these increases in PKC expression. However, translocation of phosphorylated PKC-{alpha} from the cytoplasm to the membrane was reduced only by ALT-711. ALT-711 treatment attenuated expression of vascular endothelial growth factor and the extracellular matrix proteins, fibronectin and laminin, in association with reduced albuminuria. Aminoguanidine had no effect on VEGF expression, although some reduction of fibronectin and laminin was observed. These findings implicate AGEs as important stimuli for the activation of PKC, particularly PKC-{alpha}, in the diabetic kidney, which can be directly inhibited by ALT-711.


Address correspondence and reprint requests to Vicki Thallas-Bonke, Diabetes Complications, Vascular Division, Baker Medical Research Institute, P.O. Box 6492, St. Kilda Rd. Central, Melbourne, Australia. E-mail: vicki.thallas{at}baker.edu.au


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Diabetes Diabetes Care Clinical Diabetes Diabetes Spectrum
Copyright © 2004 by the American Diabetes Association.