Livshits Leonid, Srulevich Ariel, Raz Itamar, Cahn Avivit, Barshtein Gregory, Yedgar Shaul, Eldor Roy
The Diabetes Research Center, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
Rev Diabet Stud. 2012 Summer-Fall;9(2-3):94-103. doi: 10.1900/RDS.2012.9.94. Epub 2012 Nov 15.
Diabetes mellitus, characterized by chronic hyperglycemia, is known to have a deleterious effect on erythrocyte structure and hemodynamic characteristics, which eventually contribute to diabetes-associated vascular complications. Protein kinase C alpha (PKCα) is a major regulator of many metabolic processes and structural changes in erythrocytes, and may play a significant role in the development of hyperglycemia-mediated cellular abnormalities.
We hypothesized that acute hyperglycemic stress may affect erythrocyte structure and metabolic properties through its effect on PKCα membrane content and activity.
Erythrocytes, from healthy individuals acutely exposed to a glucose enriched media, showed a significant decrease in the membranous fraction of PKCα and its phosphorylation (p = 0.005 and p = 0.0004, respectively). These alterations correlated with decreased affinity of PKCα to its membrane substrates (4.1R and GLUT1) and reduced RBC deformability (p = 0.017). Pre-activation of erythrocytes with PKC activator, PMA, minimized the effect of glucose on the membrane PKCα fraction and RBC deformability (p > 0.05).
Acute glycemia-induced inhibition of PKCα membranous translocation and activation is associated with reduced erythrocyte membrane deformability.
糖尿病以慢性高血糖为特征,已知其对红细胞结构和血液动力学特性具有有害影响,最终导致糖尿病相关的血管并发症。蛋白激酶Cα(PKCα)是红细胞中许多代谢过程和结构变化的主要调节因子,可能在高血糖介导的细胞异常发展中起重要作用。
我们假设急性高血糖应激可能通过影响PKCα膜含量和活性来影响红细胞结构和代谢特性。
急性暴露于富含葡萄糖培养基的健康个体的红细胞显示PKCα的膜部分及其磷酸化显著降低(分别为p = 0.005和p = 0.0004)。这些改变与PKCα对其膜底物(4.1R和GLUT1)的亲和力降低以及红细胞变形性降低相关(p = 0.017)。用PKC激活剂佛波酯(PMA)预激活红细胞可使葡萄糖对膜PKCα部分和红细胞变形性的影响最小化(p>0.05)。
急性血糖诱导的PKCα膜易位和激活的抑制与红细胞膜变形性降低有关。