Cao L C, Honeyman T, Jonassen J, Scheid C
Department of Physiology, University of Massachusetts Medical School, Worcester, Massachusetts 01655-0127, USA.
Kidney Int. 2000 Jun;57(6):2403-11. doi: 10.1046/j.1523-1755.2000.00099.x.
Oxalate exposure produces oxidant stress in renal epithelial cells leading to death of some cells and adaptation of others. The pathways involved in these diverse actions remain unclear, but appear to involve activation of phospholipase A2 (PLA2) and redistribution of membrane phospholipids. The present studies examined the possibility that oxalate actions may also involve increased accumulation of ceramide, a lipid-signaling molecule implicated in a variety of pathways, including those leading to apoptotic cell death.
Ceramide accumulation was examined in renal epithelial cells from pig kidney (LLC-PK1 cells) and from dog kidney [Madin-Darby canine kidney (MDCK cells)] using the diacylglycerol kinase assay. Sphingomyelin degradation was assessed by monitoring the disappearance of 3H-sphingomyelin from cells that had been prelabeled with [3H]-choline. The effects of oxalate were compared with those of other oxidants (peroxide, xanthine/xanthine oxidase), other organic acids (formate and citrate), and a known activator of sphingomyelinase in these cells [tumor necrosis factor-alpha (TNF-alpha)]. Separate studies determined whether oxalate-induced accumulation of ceramide could be blocked by pretreatment with antioxidants [Mn (III) tetrakis (1-methyl-4-pyridyl) porphyrin (Mn TMPyP, a superoxide dismutase mimetic) or N-acetylcysteine (NAC; an antioxidant)], with an inhibitor of ceramide synthase [fumonisin B1 (FB1)] or with an inhibitor of PLA2 [arachidonyl trifluoromethylketone (AACOCF3)].
Oxalate exposure produced a significant time- and concentration-dependent increase in cellular ceramide. A reciprocal decrease in 3H-sphingomyelin was observed under these conditions. Increases in cellular ceramide levels were also observed after treatment with other oxidants (hydrogen peroxide, and xanthine/xanthine oxidase), activators of sphingomyelinase (TNF-alpha), exogenous sphingomyelinase, or arachidonic acid. Formate produced similar (albeit smaller) effects, and citrate did not. The oxidant-induced increases in ceramide were attenuated by pretreatment with NAC (a glutathione precursor) and MnTMPyP (a superoxide dismutase mimetic), suggesting a role for cellular redox states. The oxalate-induced increase in ceramide was also attenuated by pretreatment with AACOCF3, suggesting a role for PLA2. Pretreatment with FB1 produced a small but statistically insignificant attenuation of the response to oxalate.
Oxalate exposure produces a marked accumulation of ceramide in renal epithelial cells by a process that is redox sensitive and mediated in part by activation of PLA2. Since cellular sphingomyelin decreased as ceramide increased, it seems likely that oxalate actions are mediated, at least in part, by an increase in sphingomyelinase activity, although alterations in ceramide synthase are also possible. Further study is required to define the steps involved in oxalate actions and to determine the extent to which ceramide signaling mediates oxalate actions.
草酸盐暴露会在肾上皮细胞中产生氧化应激,导致一些细胞死亡,另一些细胞适应。这些不同作用所涉及的途径尚不清楚,但似乎涉及磷脂酶A2(PLA2)的激活和膜磷脂的重新分布。本研究探讨了草酸盐作用是否还可能涉及神经酰胺的积累增加,神经酰胺是一种脂质信号分子,参与多种途径,包括导致凋亡性细胞死亡的途径。
使用二酰基甘油激酶测定法检测猪肾(LLC-PK1细胞)和犬肾[麦迪逊-达比犬肾(MDCK细胞)]肾上皮细胞中的神经酰胺积累。通过监测预先用[3H]-胆碱标记的细胞中3H-鞘磷脂的消失来评估鞘磷脂的降解。将草酸盐的作用与其他氧化剂(过氧化氢、黄嘌呤/黄嘌呤氧化酶)、其他有机酸(甲酸盐和柠檬酸盐)以及这些细胞中已知的鞘磷脂酶激活剂[肿瘤坏死因子-α(TNF-α)]的作用进行比较。单独的研究确定了草酸盐诱导的神经酰胺积累是否可以通过用抗氧化剂[锰(III)四(1-甲基-4-吡啶基)卟啉(Mn TMPyP,一种超氧化物歧化酶模拟物)或N-乙酰半胱氨酸(NAC;一种抗氧化剂)]、神经酰胺合酶抑制剂[伏马菌素B1(FB1)]或PLA2抑制剂[花生四烯酰三氟甲基酮(AACOCF3)]预处理来阻断。
草酸盐暴露导致细胞神经酰胺显著的时间和浓度依赖性增加。在这些条件下观察到3H-鞘磷脂相应减少。在用其他氧化剂(过氧化氢和黄嘌呤/黄嘌呤氧化酶)、鞘磷脂酶激活剂(TNF-α)、外源性鞘磷脂酶或花生四烯酸处理后,也观察到细胞神经酰胺水平增加。甲酸盐产生了类似(尽管较小)的作用,而柠檬酸盐则没有。用NAC(一种谷胱甘肽前体)和MnTMPyP(一种超氧化物歧化酶模拟物)预处理可减弱氧化剂诱导的神经酰胺增加,表明细胞氧化还原状态起作用。用AACOCF3预处理也可减弱草酸盐诱导的神经酰胺增加,表明PLA2起作用。用FB1预处理对草酸盐反应产生了轻微但无统计学意义的减弱。
草酸盐暴露通过对氧化还原敏感且部分由PLA2激活介导的过程,在肾上皮细胞中产生显著的神经酰胺积累。由于随着神经酰胺增加细胞鞘磷脂减少,草酸盐的作用似乎至少部分是由鞘磷脂酶活性增加介导的,尽管神经酰胺合酶的改变也有可能。需要进一步研究来确定草酸盐作用所涉及的步骤,并确定神经酰胺信号传导介导草酸盐作用的程度。