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Original Article

Reductive Metabolism of AGE Precursors: A Metabolic Route for Preventing AGE Accumulation in Cardiovascular Tissue

  1. Shahid P. Baba,
  2. Oleg A. Barski,
  3. Yonis Ahmed,
  4. Timothy E. O'Toole,
  5. Daniel J. Conklin,
  6. Aruni Bhatnagar and
  7. Sanjay Srivastava
  1. From the Diabetes and Obesity Center, University of Louisville, Louisville, Kentucky.
  1. Corresponding author: Sanjay Srivastava, sanjay{at}louisville.edu.
Diabetes 2009 Nov; 58(11): 2486-2497. https://doi.org/10.2337/db09-0375
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  • FIG. 1.
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    FIG. 1.

    High glucose–induced AGE formation. A: Western blot analysis of total cell lysates prepared from HUVECs cultured in the presence of normal (NG; 5.5 mmol/l) or high (HG; 30 mmol/l) glucose for 7 days and probed with anti-argpyrimidine antibodies. Western blots from two representative experiments are shown. Inset shows the major immunopositive spot resolved by two-dimensional gel analysis of the cell lysates. The spot, corresponding to a molecular weight of 27 kDa and a pI of 7.83, was identified to be HSP27 by MALDI/MS analysis. B: Fluorescence-activated cell sorter data obtained from HUVECs cultured in normal (i, iii) and high (ii, iv) glucose. Extracellular AGEs were detected by labeling the cells with the anti-argpyrimidine antibody and phycoerythrin-conjugated secondary antibody. To detect total (extracellular + intracellular) AGEs, the cells were permeabilized before antibody treatment. Relative mean fluorescence was calculated by subtracting the fluorescence obtained from the isotype-matched antibody control. Group data are presented as means ± SE. *P < 0.05 vs. normal glucose; n = 3–4.

  • FIG. 2.
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    FIG. 2.

    Methylglyoxal metabolism in endothelial cells. A: GC-MS analysis of acetol formation in HUVECs. For acetol quantification, 13C3-methylglyoxal was synthesized from 13C3-acetone and 13C3-acetol was prepared by incubating 13C3-methylglyoxal with AKR1B1 and 0.15 mmol/l NADPH. i: Natural and 13C3-methylglyoxal were derivatized using O-(2,3,4,5,6 pentaflourobenzyl)-hydroxylamine hydrochloride (PFBHA) extracted in hexane and separated by gas chromatography. The 1,2 dioxime methylglyoxal eluted with a retention time of 13.1 min (inset). On MS analysis, the fragmentation pattern of 12C-1,2, dioxime methylglyoxal showed a parent ion with m/z 462. Ions with m/z 432 and 265 represented the loss of nitric oxide (NO) [M-30] and OC7H3F5 [M-197] groups, respectively, from 1,2 dioxime methylglyoxal. Corresponding ions with m/z 465, 435, and 268 are because of the 13C3-methylglyoxal. ii: Acetol was derivatized using PFBHA and N,O-bis (trimethylsilyl) trifluoroacetamide with trimethylchlorosilane (BSTFA). Derivatized acetol eluted with a retention time of 7.5 min (inset). Ions with m/z 326 and 285 were assigned to TMS-2-oxime acetol suffering a loss of CH3 [M-15] or C3H4O [M-56], respectively. Corresponding ions with m/z 329 and 286 are because of 13C3-acetol. iii: Acetol formation in HUVECs, cultured in media containing 1 mmol/l methylglyoxal for 24 h in the absence and presence of the AKR1B inhibitors sorbinil (50 μmol/l) or tolrestat (25 μmol/l). After treatment, 13C3-acetol was added to cell lysates and lysates were derivatized and analyzed by GC-MS. *P < 0.05 vs. control. B: Western analysis of lysates prepared from HUVECs cultured in normal (NG) or high (HG) glucose, with or without sorbinil (50 μmol/l), probed with anti-argpyrimidine and anti-HSP27 antibodies. Intensity of immunopositive band (argpyrimidine) was normalized to HSP27. Data are presented as means ± SE. *P < 0.05 vs. normal glucose (n = 4) and #P < 0.05 vs. high glucose without sorbinil (n = 4).

  • FIG. 3.
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    FIG. 3.

    AKR-catalyzed reduction of methylglyoxal in mouse heart. A: Acetol generated in effluents of isolated wild-type (C57) or aldose reductase–transgenic hearts perfused with 20 μmol/l methylglyoxal. Acetol concentration was measured by GC-MS after derivatization with PFBHA and BSTFA. 13C3 Acetol was used as an internal standard. Data are presented as means ± SE. *P < 0.01 vs. wild type (n = 4). B: Western blot analysis of cardiac myocytes isolated from adult male C57 mice probed with antibodies raised against AKR1B1 (aldose reductase), AKR1B8 (FR-1), and AKR1A4 (ALDR). Figure shows bands from three different mice. C: Rate of methylglyoxal reduction in homogenates prepared from hearts of wild-type mice (n = 6) or mice with cardiac myocyte–specific transgene expressing AKR1B4 (rat aldose reductase; n = 6) or AKR1B8 (FR-1; n = 6). The enzyme activity was determined with 1 mmol/l methylglyoxal and 0.15 mmol/l NADPH, with or without 1 μmol/l sorbinil. Inset shows Western blots from wild-type and transgenic hearts developed with anti–aldose reductase and anti–FR-1 antibodies. *P < 0.01 vs. wild type (control), #P < 0.01 vs. aldose reductase–transgenic (control), and §P < 0.01 vs. FR1–transgenic (control). AR-TG, aldose reductase–transgenic; WT, wild type.

  • FIG. 4.
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    FIG. 4.

    Genetic ablation of AKR1B3 (aldose reductase) diminishes the reduction of AGE precursors. A: Rate of reduction of glyceraldehyde (i), methylglyoxal (ii), 3-deoxyglucosone (iii), and glyoxal (iv) in cardiac homogenates prepared from wild-type and akr1b3-null mice. The enzyme activity was determined with glyceraldehyde (10 mmol/l), glyoxal (1 mmol/l), methylglyoxal (1 mmol/l), or deoxyglucosone (1 mmol/l) and 0.15 mmol/l NADPH, with or without 1 μmol/l sorbinil. Values are presented as means ± SE. *P < 0.05 vs. wild type (n = 6). Inset shows the expression of the proteins in wild-type and aldose reductase–knockout mice. B: Rate of formation of S-d-lactoylglutathione (i) and S-glycolylglutathione (ii) in homogenates prepared from wild-type and akr1b3-null hearts. Glyoxalase I activity was measured with methylglyoxal (1 mmol/l) or glyoxal (1 mmol/l) and GSH (1 mmol/l) in the absence or presence of glyoxalase I inhibitor BBGC (0.2 mmol/l). Inset to panel i shows Western blots developed from wild-type and akr1b3-null (knockout) hearts using the anti–glyoxalase-I antibody. Data are means ± SE (n = 6). *P < 0.01 vs. wild-type (methylglyoxal or glyoxal) and #P < 0.01 vs. aldose reductase–null mice (methylglyoxal or glyoxal). Inset shows the expression of glyoxalase I in wild-type and aldose reductase–knockout mice. C: Computer simulations for the relative contributions of aldose reductase and glyoxalase I in the metabolism of glyoxal (i) and methylglyoxal (ii). Relative contribution of the enzymes was calculated on the basis of measurement of aldose reductase and glyoxalase I enzyme activities assuming that the concentration of AGE precursors is in steady state achieved between the processes of formation and those of elimination. AR, aldose reductase; WT, wild type.

  • FIG. 5.
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    FIG. 5.

    Increased accumulation of plasma AGEs in the aldose reductase–null mice. Western blots of plasma from nondiabetic and diabetic wild- type and akr1b3-null (aldose reductase–null) mice, probed with anti-argpyrimidine (A) and anti-CML (B) antibodies. Inset shows positive recognition of glyoxlyic acid–treated BSA. Bar graphs show the intensity of indicated anti-argpyrimidine- or anti-CML–positive bands normalized to Amido-Black–stained blots. Data are presented as means ± SE. *P < 0.01 vs. wild type (control), #P < 0.01 vs. aldose reductase–null (control), and §P < 0.01 vs. wild-type diabetic plasma. AR, aldose reductase; WT, wild type.

  • FIG. 6.
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    FIG. 6.

    Increased AGE accumulation in the hearts of aldose reductase–null mice. A: Western blots of heart homogenates from diabetic and nondiabetic wild-type and aldose reductase–null mice were probed with anti-argpyrimidine (A) and anti-CML (B) antibodies. Nondiabetic wild-type and aldose reductase–null hearts served as respective controls. The expression of aldose reductase, FR-1, and ALDR in the hearts of these mice was examined by Western blots developed using anti–aldose reductase, FR-1, and ALDR antibodies. Recombinant proteins were used as positive controls. Bar graphs show the intensity of the indicated anti-argpyrimidine- or anti-CML–positive bands normalized to GAPDH. Data are presented as means ± SE. *P < 0.01 vs. wild type (control), #P < 0.01 vs. aldose reductase null (control), and §P < 0.01 vs. wild-type diabetic. C: Immunohistochemical analyses of AGE accumulation in hearts of diabetic wild-type and aldose reductase–null mice. Sections were stained with anti-argpyrimidine antibody, and staining was quantified by image analysis. Group data shows the extent of staining quantified using the MetaMorph imaging software. Data are presented as means ± SE. *P < 0.01 vs. wild type (diabetic). AR, aldose reductase; RP, recombinant proteins; WT, wild type. (A high-quality color digital representation of this figure is available in the online issue.)

  • FIG. 7.
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    FIG. 7.

    Genetic ablation of aldose reductase exacerbates diabetic lesion formation and AGE accumulation. A: Photomicrographs of cross sections of innominate arteries of 20-week-old nondiabetic (control) and diabetic apoE-null and akr1b3-apoE–null mice. Sections were stained with hematoxylin and eosin, and the lesion area was quantified by image analysis. Data are presented as means ± SE. *P < 0.01 vs. apoE-null (control), #P < 0.01 vs. aldose reductase/apoE–null (control) and §P < 0.01 vs. apoE-null (diabetic). Arterial sections of diabetic apoE-null and akr1b3-apoE–null mice stained with anti-argpyrimidine (B), anti-CML (C), and anti–3-deoxyglucosone imidazolone (D) antibodies. The extent of staining was quantified by image analysis. Data are presented as means ± SE. *P < 0.05 vs. apoE-null (diabetic). AR, aldose reductase. (A high-quality color digital representation of this figure is available in the online issue.)

Tables

  • Figures
  • TABLE 1

    Steady-state kinetic parameters for the reduction of AGE precursors by AKRs

    SubstratesGenbank accession numberProteinsKm (μM)kcat (min−1)kcat/Km (min−1/μM−1)
    GlyoxalNM_021473AKR1A43,229 ± 90445.8 ± 4.20.014
    NM_001628AKR1B1350 ± 2029.5 ± 2.020.082
    NM_009658AKR1B3333 ± 6212.1 ± 0.360.036
    NM_009731AKR1B77,450 ± 1,5005.6 ± 0.350.001
    NM_008012AKR1B8635 ± 8120 ± 0.520.031
    NM_020299AKR1B107,800 ± 3598.87 ± 0.630.002
    NM_030611AKR1C3NDA——
    NM_013778AKR1C612,073 ± 1,03112.8 ± 0.670.001
    NM_134066AKR1C18NDA——
    NM_025337AKR7A55,931 ± 1,39312.87 ± 0.270.002
    MethylglyoxalAKR1A4874 ± 91483 ± 0.270.55
    AKR1B122 ± 237.2 ± 2.211.698
    AKR1B335 ± 419.5 ± 2.30.56
    AKR1B71,996 ± 2748.9 ± 0.310.004
    AKR1B8184 ± 1518.2 ± 1.210.098
    AKR1B101,250 ± 8926.82 ± 50.389
    AKR1C3NDA——
    AKR1C6139 ± 357.65 ± 0.70.054
    AKR1C18NDA——
    AKR7A59,075 ± 1,25022 ± 0.70.002
    FurfuralAKR1A45,918 ± 1,37917.4 ± 0.780.002
    AKR1B1316 ± 3430.86 ± 1.910.097
    AKR1B369 ± 1013.36 ± 0.931.91
    AKR1B7NDA——
    AKR1B8622 ± 1002.6 ± 0.270.001
    AKR1B101,617 ± 287178 ± 150.11
    AKR1C3156 ± 353.09 ± 0.330.019
    Hydroxymethyl FurfuralAKR1A46,428 ± 1,47924.05 ± 40.003
    AKR1B1482 ± 9214.55 ± 20.03
    AKR1B398 ± 154.15 ± 0.30.042
    AKR1B7NDA——
    AKR1B81,197 ± 1177.82 ± 0.050.016
    AKR1B101,117 ± 135100 ± 150.085
    AKR1C31,939 ± 425167 ± 0.020.008
    DeoxyglucosoneAKR1A42,067 ± 178777 ± 250.376
    AKR1B1112 ± 538.9 ± 20.345
    AKR1B389 ± 511.6 ± 10.13
    AKR1B103,293 ± 11814.36 ± 1.90.004
    AKR1B103,293 ± 11814.36 ± 1.90.004
    • Enzyme activity was measured in 0.1 mol/l potassium phosphate (pH 7.0) using the indicated substrates and 0.15 mmol/l NADPH at room temperature. Proteins were reduced with dithiothreitol before assay. NDA, no detectable activity.

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Reductive Metabolism of AGE Precursors: A Metabolic Route for Preventing AGE Accumulation in Cardiovascular Tissue
Shahid P. Baba, Oleg A. Barski, Yonis Ahmed, Timothy E. O'Toole, Daniel J. Conklin, Aruni Bhatnagar, Sanjay Srivastava
Diabetes Nov 2009, 58 (11) 2486-2497; DOI: 10.2337/db09-0375

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Reductive Metabolism of AGE Precursors: A Metabolic Route for Preventing AGE Accumulation in Cardiovascular Tissue
Shahid P. Baba, Oleg A. Barski, Yonis Ahmed, Timothy E. O'Toole, Daniel J. Conklin, Aruni Bhatnagar, Sanjay Srivastava
Diabetes Nov 2009, 58 (11) 2486-2497; DOI: 10.2337/db09-0375
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