Department of Biology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Circ Res. 2011 May 13;108(10):1199-208. doi: 10.1161/CIRCRESAHA.110.230888. Epub 2011 Apr 7.
Fetuses that develop in diabetic mothers have a higher incidence of birth defects that include cardiovascular defects, but the signaling pathways that mediate these developmental effects are poorly understood. It is reasonable to hypothesize that diabetic maternal effects are mediated by 1 or more pathways activated downstream of aberrant glucose metabolism, because poorly controlled maternal glucose levels correlate with the frequency and severity of the defects.
We investigated whether RasGRP3 (Ras guanyl-releasing protein 3), a Ras activator expressed in developing blood vessels, mediates diabetes-induced vascular developmental defects. RasGRP3 is activated by diacylglycerol, and diacylglycerol is overproduced by aberrant glucose metabolism in diabetic individuals. We also investigated the effects of overactivation and loss of function for RasGRP3 in primary endothelial cells and developing vessels.
Analysis of mouse embryos from diabetic mothers showed that diabetes-induced developmental defects were dramatically attenuated in embryos that lacked Rasgrp3 function. Endothelial cells that expressed activated RasGRP3 had elevated Ras-ERK signaling and perturbed migration, whereas endothelial cells that lacked Rasgrp3 function had attenuated Ras-ERK signaling and did not migrate in response to endothelin-1. Developing blood vessels exhibited endothelin-stimulated vessel dysmorphogenesis that required Rasgrp3 function.
These findings provide the first evidence that RasGRP3 contributes to developmental defects found in embryos that develop in a diabetic environment. The results also elucidate RasGRP3-mediated signaling in endothelial cells and identify endothelin-1 as an upstream input and Ras/MEK/ERK as a downstream effector pathway. RasGRP3 may be a novel therapeutic target for the fetal complications of diabetes.
在患有糖尿病的母亲所孕育的胎儿中,先天缺陷的发生率较高,其中包括心血管缺陷,但介导这些发育影响的信号通路尚未完全明确。因此,可以合理地假设,糖尿病对母体的影响是由异常葡萄糖代谢下游激活的 1 个或多个通路介导的,因为血糖控制不佳与缺陷的频率和严重程度相关。
我们研究了 RasGRP3(Ras 鸟嘌呤核苷酸释放蛋白 3),一种在发育中的血管中表达的 Ras 激活物,是否介导了糖尿病引起的血管发育缺陷。RasGRP3 被二酰基甘油激活,而糖尿病患者的异常葡萄糖代谢会导致二酰基甘油过度产生。我们还研究了 RasGRP3 在原代内皮细胞和发育中的血管中的过度激活和功能丧失的影响。
对来自糖尿病母亲的小鼠胚胎的分析表明,缺乏 Rasgrp3 功能的胚胎中,糖尿病引起的发育缺陷明显减轻。表达激活型 RasGRP3 的内皮细胞中 Ras-ERK 信号升高,迁移能力受损,而缺乏 Rasgrp3 功能的内皮细胞中 Ras-ERK 信号减弱,对内皮素-1 无反应性迁移。发育中的血管表现出需要 Rasgrp3 功能的内皮素刺激的血管畸形发生。
这些发现首次提供了证据表明,RasGRP3 导致了在糖尿病环境中发育的胚胎中发现的发育缺陷。研究结果还阐明了 RasGRP3 在内皮细胞中的介导信号,并确定了内皮素-1 作为上游输入和 Ras/MEK/ERK 作为下游效应途径。RasGRP3 可能是糖尿病胎儿并发症的新的治疗靶点。