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Diabetes Research Unit (M.K., R.D., I.R.), and Department of Medicine (M.K., I.R., S.N.H.), Hadassah Hospital, Ein Kerem, Mt. Scopus, and the Hebrew University Medical School, Jerusalem 91240, Israel; and Departments of Cardiology (S.H.) and Physiology (Z.A.), Rappaport Faculty of Medicine, Technion, Haifa 31048, Israel
Address all correspondence and requests for reprints to: Mogher Khamaisi, M.D., Ph.D., Department of Medicine, Hadassah Hospital, Ein Kerem and the Hebrew University Medical School, P.O. Box 12000, Jerusalem 91240, Israel. E-mail: m_khamaisi{at}rambam.health.gov.il Khamaisi{at}gmail.com.
Increased expression of endothelin converting enzyme-1 (ECE-1) is associated with diabetic nephropathy. The molecular mechanisms underlying this association, as yet unknown, possibly involve protein kinase C (PKC) pathways. In the present study, we examined the effects of high glucose and PKC activation on ECE-1 expression in primary human umbilical vein endothelial cells (HUVECs) and in HUVEC line (EA.hy926). Increasing glucose concentration, but not mannitol, from 5.5–22.2 mmol/liter for 3 d, enhanced prepro endothelin-1 (ET-1) mRNA expression, ET-1 levels, ECE-1 protein, and mRNA expressions by 7, 4, 20, and 2.6-fold, respectively. High glucose increased ECE-1 protein expression dose and time dependently. By Western blot analysis, PKC-β1, -β2, and -
isoform levels were significantly increased relative to other isoforms when glucose level was increased. Treatment with Rottlerin, a PKC-
isoform inhibitor, reduced significantly the glucose-induced ET-1 secretion, and ECE-1 protein expression, but (S)-13-[(dimethylamino)methyl]-10,11,14,15-tetrahydro-4,9:16,21-dimetheno 1H,13H-dibenzo[e,k]pyrrolo[3,4-h] (1, 4, 3) oxadiaza-cyclohexadecene-1,3(2H)-dione or Gö6976, specific PKC-β and -
inhibitors, respectively, did not. Overexpression of PKC-
but not PKC-
or -β1 isoforms by adenovirus vector containing the respective cDNA in HUVECs incubated with 5.5 mmol/liter glucose, increased in parallel PKC proteins, and glucose-induced endothein-1 and ECE-1 protein expression by 4- to 6-fold. These results show that enhanced ECE-1 expression induced by hyperglycemia is partly due to activation of the PKC-
isoform. Thus, inhibition of this PKC isoform may prevent diabetes-related increase in ET-1.
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