Weiss R H, Ramirez A
Department of Internal Medicine, University of California, Davis 95616, USA.
Nephrol Dial Transplant. 1998 Nov;13(11):2804-13. doi: 10.1093/ndt/13.11.2804.
Glomerulonephritis is characterized by the accumulation of extracellular matrix protein within the glomerulus. This process, when allowed to proceed unimpeded, leads to glomerulosclerosis and eventually to cessation of glomerular filtration. There is evidence that protein kinase C (PKC) activation plays an important role in mediating at least some of the effects of TGF-beta in vascular smooth-muscle cells. The current study was undertaken to determine whether PKC activity is required for both TGF-beta and angiotensin II (Ang II) to induce mesangial cell matrix protein secretion.
PKC was inhibited by two separate methods, and [3H]thymidine incorporation was assessed in both the presence and the absence of PKC inhibition. Conditioned medium from cells stimulated with TGF-beta or Ang II was collected and analysed for secreted matrix proteins and sulphated proteins by SDS-polyacrylamide gel electrophoresis and western blotting.
Twenty-four-hour incubation of rat mesangial cells with phorbol-12-myristate-13-acetate (PMA) reduced total PKC activity to basal levels. Both TGF-beta and Ang II were mitogenic in mesangial cells, and chronic PMA pre-incubation inhibited this DNA synthesis. TGF-beta-and Ang-II-induced sulphated protein secretion into conditioned medium was markedly attenuated in PKC-downregulated cells. Secretion of the specific matrix proteins laminin and fibronectin by mesangial cells stimulated with either TGF-beta or Ang II was also diminished in PKC-downregulated cells and in cells pre-incubated with the specific PKC inhibitor, chelerythrine. There was no evidence of generalized cell toxicity or decreased non-specific protein synthesis caused by these PKC inhibitors.
PKC is a key intermediary in the process by which TGF-beta and Ang II cause DNA synthesis and mesangial cell matrix protein production. Thus, PKC inhibitors deserve further study as potential therapeutic agents for a variety of glomerular diseases.
肾小球肾炎的特征是肾小球内细胞外基质蛋白的积累。如果这个过程不受阻碍地持续下去,会导致肾小球硬化,最终导致肾小球滤过停止。有证据表明,蛋白激酶C(PKC)激活在介导转化生长因子-β(TGF-β)对血管平滑肌细胞的至少某些作用中起重要作用。本研究旨在确定PKC活性是否是TGF-β和血管紧张素II(Ang II)诱导系膜细胞基质蛋白分泌所必需的。
采用两种不同方法抑制PKC,并在有和没有PKC抑制的情况下评估[3H]胸腺嘧啶核苷掺入情况。收集用TGF-β或Ang II刺激的细胞的条件培养基,通过十二烷基硫酸钠-聚丙烯酰胺凝胶电泳和蛋白质印迹分析分泌的基质蛋白和硫酸化蛋白。
用佛波醇-12-肉豆蔻酸酯-13-乙酸酯(PMA)孵育大鼠系膜细胞24小时可将总PKC活性降低至基础水平。TGF-β和Ang II在系膜细胞中均有促有丝分裂作用,而慢性PMA预孵育可抑制这种DNA合成。在PKC下调的细胞中,TGF-β和Ang-II诱导的硫酸化蛋白分泌到条件培养基中的情况明显减弱。在用TGF-β或Ang II刺激的系膜细胞中,PKC下调的细胞以及用特异性PKC抑制剂白屈菜红碱预孵育的细胞中,层粘连蛋白和纤连蛋白等特异性基质蛋白的分泌也减少。没有证据表明这些PKC抑制剂会导致普遍的细胞毒性或非特异性蛋白质合成减少。
PKC是TGF-β和Ang II导致DNA合成和系膜细胞基质蛋白产生过程中的关键中介。因此,PKC抑制剂作为多种肾小球疾病的潜在治疗药物值得进一步研究。