Department of Medicine, Drum Tower Hospital, Nanjing University Medical School, People's Republic of China.
Diabetes Metab Res Rev. 2010 Sep;26(6):455-63. doi: 10.1002/dmrr.1102.
Inflammation is a mechanism of glomerular damage in chronic glomerulopathies, in which dyslipidaemia plays an important role. Unlike native high-density lipoprotein (HDL), oxidized HDL is thought to be an adverse factor in chronic ischaemic disease and may increase the production of inflammatory cytokines in atheromatous plaques and plasma, but the effect of oxidized HDL on mesangial cells remains unclear.
Intracellular reactive oxygen species level was measured. The inflammatory and proapoptotic effects of oxidized HDL were detected in rat mesangial cells by measuring levels of tumour necrosis factor-alpha, regulated upon activation, normal T-cell expressed and secreted, monocyte chemoattractant protein-1, CXC chemokine ligand-1 and early apoptosis. The expression of mitogen-activated protein kinase (MAPK) (p38/MAPK, extracellular-regulated kinase/MAPK and c-Jun N-terminal kinase/MAPK), nuclear factor-kappaB activity and lipoprotein scavenger receptors (CD36, low-density lipoprotein receptor-1 and scavenger receptor BI) were also detected.
Oxidized HDL enhanced reactive oxygen species production and upregulated expression of proinflammatory factors, including tumour necrosis factor-alpha, regulated upon activation, normal T-cell expressed and secreted (RANTES), monocyte chemoattractant protein-1 and CXC chemokine ligand-1 by rat mesangial cells dose in a dependent fashion. Incubation with oxidized HDL also increased rat mesangial cells apoptosis in a dose-dependent manner. These effects partly depended on scavenger receptors CD36 and low-density lipoprotein receptor-1, but not scavenger receptor BI. In addition, co-culture with oxidized HDL activated P38/MAPK, extracellular-regulated kinase (ERK)/MAPK and nuclear factor-kappaB (NF-kappaB).
The results of the present study suggest that oxidized HDL enhanced proinflammatory properties in mesangial cells partly via CD36 and low-density lipoprotein receptor-1. MAPK and nuclear factor-kappaB pathways were involved in the process. The ability of oxidized HDL to negatively influence mesangial cell biology may represent an important mechanism of chronic kidney disease.
炎症是慢性肾小球疾病肾小球损伤的一种机制,其中血脂异常起着重要作用。与天然高密度脂蛋白(HDL)不同,氧化型 HDL 被认为是慢性缺血性疾病的不利因素,可能会增加动脉粥样斑块和血浆中炎症细胞因子的产生,但氧化型 HDL 对系膜细胞的影响尚不清楚。
测量细胞内活性氧水平。通过测量肿瘤坏死因子-α、激活正常 T 细胞表达和分泌、单核细胞趋化蛋白-1、CXC 趋化因子配体-1 和早期凋亡水平,检测氧化型 HDL 在大鼠系膜细胞中的炎症和促凋亡作用。还检测了丝裂原激活蛋白激酶(MAPK)(p38/MAPK、细胞外调节激酶/MAPK 和 c-Jun N 端激酶/MAPK)、核因子-κB 活性和脂蛋白清道夫受体(CD36、低密度脂蛋白受体-1 和清道夫受体 BI)的表达。
氧化型 HDL 以剂量依赖的方式增强了活性氧的产生,并上调了炎症因子的表达,包括肿瘤坏死因子-α、激活正常 T 细胞表达和分泌(RANTES)、单核细胞趋化蛋白-1 和 CXC 趋化因子配体-1。氧化型 HDL 还以剂量依赖的方式增加了大鼠系膜细胞的凋亡。这些作用部分依赖于清道夫受体 CD36 和低密度脂蛋白受体-1,但不依赖于清道夫受体 BI。此外,与氧化型 HDL 共培养激活了 P38/MAPK、细胞外调节激酶(ERK)/MAPK 和核因子-κB(NF-κB)。
本研究结果表明,氧化型 HDL 部分通过 CD36 和低密度脂蛋白受体-1 增强了系膜细胞的促炎特性。MAPK 和核因子-κB 途径参与了这一过程。氧化型 HDL 对系膜细胞生物学产生负面影响的能力可能代表了慢性肾脏病的一个重要机制。