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Endocrinology Vol. 140, No. 11 5285-5292
Copyright © 1999 by The Endocrine Society


ARTICLES

Insulin Inhibits Angiotensinogen Gene Expression via the Mitogen-Activated Protein Kinase Pathway in Rat Kidney Proximal Tubular Cells1

Shao-Ling Zhang, Xing Chen, Janos G. Filep, Shiow-Shih Tang, Julie R. Ingelfinger and John S. D. Chan

University of Montréal (S.-L.Z., X.C., J.G.F., J.S.D.C.), Maisonneuve-Rosemont Hospital, Research Center, Montréal, Québec, Canada H1T 2M4; Harvard Medical School (S.-S.T., J.R.I.), Massachusetts General Hospital, Pediatric Nephrology Unit, WAC 709, Boston, Massachusetts 02114-3117

Address all correspondence and requests for reprints to: Dr. John S. D. Chan, University of Montréal, Maisonneuve-Rosemmont Hospital, Research Center, 5415 boulevard de l’Assomption, Montréal, Québec, Canada, H1T 2M4.


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The present study aimed to investigate the molecular mechanism(s) of insulin action on angiotensinogen (ANG) secretion and gene expression in kidney proximal tubular cells exposed to high levels of glucose. Immortalized rat proximal tubular cells (IRPTC) were cultured in monolayer. The levels of rat ANG and ANG messenger RNA in the IRPTC were quantified by a specific RIA for rat ANG (RIA-rANG) and by an RT-PCR assay. Insulin inhibited the stimulatory effect of a high level of glucose (25 mM) and phorbol 12-myristate 13-acetate, an activator of protein kinase C) on the secretion of ANG and the expression of the ANG messenger RNA in IRPTC. This inhibitory action of insulin on the ANG secretion and gene expression was blocked by PD98059 (an inhibitor of mitogen-activated protein kinase kinase) but not by Wortmannin (an inhibitor of phosphatidylinositol-3-kinase). PD98059 was effective in inhibiting the phosphorylation of MEK 1/2 and p44/42 MAP kinase in IRPTC stimulated by insulin. These studies demonstrate that insulin prevents the stimulatory effect of high levels of glucose on the expression of the renal ANG gene in IRPTC, at least in part, via the MAPK kinase signal transduction pathway, subsequently inhibiting the activation of the local renal renin-angiotensin system.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
MESSENGER RNAs (mRNAs) for renin-angiotensin system (RAS) components, including angiotensinogen (ANG), renin, angiotensin-converting enzyme (ACE), and angiotensin II receptor (AT1-receptor) are expressed in murine (mouse and rat) kidney proximal tubular cell lines (1, 2, 3, 4, 5). We have recently reported that the ANG protein is secreted from rat immortalized renal proximal tubular cells (IRPTC) as measured by a specific RIA for rat ANG (RIA-rANG) (6), providing evidence that the intrarenal Ang II is probably derived from the ANG that is synthesized within renal proximal tubular cells.

Several studies have shown that incubation of murine proximal tubular cells in a high glucose (i.e. 25 mM) medium or in the presence of high levels of Ang II (i.e. 10-8 M) induces cellular hypertrophy and extracellular matrix protein synthesis (7, 8, 9, 10, 11, 12). We have previously reported that high levels of glucose stimulate the expression of the rat ANG gene in opossum kidney (OK) proximal tubular cells (13) and in IRPTC (14). This stimulatory effect of glucose is blocked in the presence of inhibitors of protein kinase C (PKC) and aldose reductase. These studies indicate that high levels of glucose may activate the local renal RAS via the stimulation of ANG gene expression. The local formation of Ang II may contribute to the induction of hypertrophy observed in proximal tubular cells in early diabetes.

Insulin therapy of patients with insulin-dependent diabetic mellitus (IDDM) delays the onset and slows the progression of nephropathy (15, 16). Studies in diabetic rats have shown that normalization of blood glucose by insulin reverses established glomerular hyperfiltration, renal hypertrophy and extracellular matrix protein synthesis (17, 18). The molecular mechanism(s) of the beneficial effects of insulin treatment, however, is not completely understood.

In the present studies, we investigated whether insulin might attenuate or inhibit the stimulatory effect of glucose on ANG gene expression in vitro and to study the possible underlying molecular mechanism(s) of action. Our studies showed that insulin inhibits the stimulatory effect of high levels of glucose (i.e. 25 mM) and phorbol 12-myristate 13-acetate (PMA) on the expression of the rat ANG gene in IRPTC. PD98059 (an inhibitor of MAP-kinase kinase, MEK) blocked the inhibitory effect of insulin on the ANG gene expression as well as on the phosphorylation of the MEK 1/2 and p44/42 MAP kinase. The addition of Wortmannin (an inhibitor of phosphatidylinositol-3-kinase (PI-3 kinase), however, did not reverse the inhibitory effect of insulin.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
D(+)-glucose, insulin and PMA (an activator of PKC) were purchased from Sigma (St. Louis, MO). Insulin growth factor I and II (IGF-I and IGF-II) were purchased from Life Technologies, Inc. (Burlington, Ontario, Canada). PD98059 and Wortmannin were purchased from Calbiochem Inc. (La Jolla, CA).

{gamma}-[32P-ATP](3000 Ci/mol) and Na125I were purchased from NEN Life Science Products (Boston, MA). Oligonucleotides were synthesized by Life Technologies, Inc. (Burlington, Ontario, Canada). Restriction and modifying enzymes were purchased from either Life Technologies, Inc., Roche Molecular Biochemicals (Dorval, Québec, Canada) or Pharmacia Inc. (Baie d’Urfé, Québec, Canada).

Phospho Plus MEK 1/2 antibody and Phospho Plus p44/42 MAP kinase kits were purchased from New England Biolabs, Inc. Ltd. (Mississauga, Ontario, Canada). The Phospho Plus MEK 1/2 and Phospho Plus p44/42 MAP kinase antibody kits are assays for rapid analysis of MEK 1/2 (Ser 217/221) and p44/42 MAP kinase (Thr 202/Tyr 204) phosphorylation status, respectively, that function in a mitogen-activated protein kinase cascade.

RIA for rat angiotensinogen
The RIA for rat ANG (RIA-rANG) was developed in our laboratory (JSDC), and the procedure has been previously described in detail (6). Purified rat plasma ANG (i.e. greater than 90% pure, as analyzed by PAGE containing SDS-PAGE and iodinated rANG were used as the hormone and tracer, respectively. This RIA is specific for intact rat ANG (i.e. 62–65 kilodalton rANG) and has no cross-reactivity with pituitary hormone preparations or other rat plasma proteins (6). The lower limit of detection for the RIA is approximately 2 ng of rANG. The intra and interassay coefficients of variation were 9% (n = 10) and 14% (n = 10), respectively.

Cell culture
IRPTC at passages 11 to 13 were used in the present studies. The characteristics of IRPTC have been previously described (4). These cells express the mRNA and protein of ANG, renin, angiotensin-converting enzyme, and angiotensin-II receptor (4).

IRPTC were grown in 100 x 20 mm plastic Petri dishes (Life Technologies, Inc.) in normal glucose (i.e. 5 mM) DMEM (pH 7.45), supplemented with 10% FBS, 100 U/ml of penicillin and 100 µg/ml of streptomycin. The cells were grown in a humidified atmosphere in 95% air, 5% CO2 at 37 C. For subculturing, cells were trypsinized (0.05% trypsin and EDTA) and plated at 2.5 x 104 cells/cm2 in 100 x 20 mm Petri dishes.

Effect of glucose and insulin on the secretion of IR-rANG in IRPTC
IRPTC were plated at a density of 1–2 x 105 cells/well in six-well plates and incubated overnight in normal glucose (i.e. 5 mM) DMEM containing 10% FBS. Cell growth was arrested by incubating the cells in serum-free medium with 5 mM glucose DMEM for 24 h. Various concentrations of insulin (10-13 to 10-5 M) were then added to a high (25 mM) glucose culture medium containing 1% depleted FBS (dFBS) in the presence or absence of PMA (10-7 M) and the cells were incubated for an additional 24 h. At the end of the incubation period, media were collected and stored at -20 C until assayed for IR-rANG. The depleted FBS (i.e. depletion of endogenous steroid and thyroid hormones) was prepared by incubation with 1% activated charcoal and 1% AG 1X 8 ion-exchange resin (Bio-Rad Laboratories, Inc., Richmond, CA) for 16 to 24 h at room temperature as described by Samuels et al. (19).

To asses the specificity of the insulin effect, IGF-I or IGF-II at concentrations ranging between 1.3 x 10-11 to 1.3 x 10-8 M (final concentration) were added to the culture medium, and the cells were incubated for 24 h. To study whether the inhibitory effect of insulin is mediated via the PKC signal transduction pathway, IRPTC were pre-incubated for 24 h with 10-5 M PMA in a 25 mM glucose medium. Then, the cells were incubated with fresh 25 mM glucose medium containing 10-7 M PMA or various concentrations of insulin (10-11 to 10-5 M) for 24 h. To explore the involvement of the MAP kinase and PI-3 kinase pathways in mediating the effect of high levels of glucose or insulin on the secretion of the IR-rANG from IRPTC confluent cells were incubated for 24 h in media with 5 mM glucose, 25 mM glucose or 25 mM glucose and PMA (10-7 M) with or without insulin (10-7 M) plus various concentrations of PD98059 or Wortmannin. At the end of the incubation period, media were collected and stored at -20 C until assayed for IR-rANG.

Expression of ANG mRNA in IRPTC
To study the effect of glucose and insulin on the expression of ANG mRNA in IRPTC, the cells were incubated in 5 mM glucose, 25 mM glucose medium, 25 mM glucose medium and insulin (10-7 M) in the absence or presence of PD 98059 (10-5 M) for 24 h. At the end of the incubation period, cells were collected and total RNA was isolated using Trizol reagent (Life Technologies, Inc. Burlington, Ontario, Canada) according to the protocol of the supplier. The total RNA was used in an RT-PCR to quantitate the amount of ANG mRNA expressed in IRPTC as described previously (14). Briefly, 1 µg of total RNA was used to synthesize the complementary DNAs (cDNAs) by employing the Super Script preamplification system, following the protocol described by the supplier (Life Technologies, Inc.). Then, 2 µl of the cDNA reaction mixture was used to amplify the rat ANG cDNA fragment using the PCR-core kit according to the protocol of the supplier (Roche Molecular Biochemicals). The forward primer, 5' CCT CGC TCT CTG GAC TTA TC 3', and the reversed primer, 5' CAG ACA CTG AGG TGC TGT TG3', corresponding to the nucleotide sequence of N+676 to N+695 and N+882 to N+901 of the rat cDNA (20) were used in PCR. Furthermore, primers specific for rat ß-actin (21) (forward and reversed primers, 5' ATG CCA TCC TGC GTC TGG ACC TGG C3' AND 5' AGC ATT TGC GGT GCA CGA TGG AGG G3' corresponding to nucleotide N+155 to N+179 of exon 3 and nucleotide N+115 to N+139 of exon 5 of rat ß-actin) were used in another PCR reaction as an internal control. The RT-PCR reaction mixture was then separated on a 1.5% agarose gel and transferred onto a Gene-Screen Plus nylon membrane (NEN Life Science Products). Subsequently, 32P-labeled oligonucleotides corresponding to the nucleotide N+775 to N+798 of the rat ANG cDNA (20) and nucleotide of N+9 to N+35 of exon 4 of rat ß-actin (21) were used to hybridize the membrane. Finally, the membrane was washed and exposed to autoradiography. The relative densities of the PCR bands were determined with a computerized laser densitometer.

Phosphorylation of MEK 1/2 and p44/42 MAP kinase in IRPTC
The effect of glucose and insulin on the activation of MAPK signal transduction pathways in IRPTC was evaluated by the phosphorylation of MEK 1/2 and p44/42 MAP kinase by employing Phospho Plus MEK 1/2 and Phospho Plus p44/42 MAP kinase antibody kits, respectively. Briefly, cells were plated at 5 x 104 cells/well in six-well plates in 5 mM glucose DMEM containing 10% FBS, and were synchronized in 5 mM glucose-medium for 24 h. Subsequently, the cells were incubated in a 5 mM glucose, 25 mM glucose, 25 mM glucose and PD98059 (10-5 M) for 15 min. Then insulin (10-7 M) was added and the cells were incubated for another 10 min. Cells were lysed in 100 µl of lysis buffer (62.5 mM Tris-HCl, pH 6.8 containing 2% SDS (wt/vol), 10% glycerol, 50 mM DTT, and 0.1% bromophenol blue (wt/vol)) and harvested in Eppendorf tubes. The cell lysates were sonicated for 2 sec, heated at 95 C for 5 min, and then centrifuged at 12,000 x g for 2 min at 4 C. Small aliquots (20 µl) of the supernatants were subjected to polyacrylamide gel (10%) electrophoresis containing SDS-PAGE and then transferred onto a nitrocellulose membrane (Hybond C Extra, Amersham Pharmacia Biotech, Oakville, Ontario, Canada). The membrane was then blotted for the phosphorylated MEK 1/2 by employing the Phospho Plus MEK 1/2 or Phospho Plus p44/42 MAP kinase antibody kit.

Statistical analysis
Three to four separate experiments per protocol were performed and each treatment group was assayed in triplicate. The data were analyzed with the Student’s t test or ANOVA analysis. A probability level of P <= 0.05 was regarded as statistically significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Effects of glucose and insulin on the secretion of IR-rANG in IRPTC
The secretion of the IR-rANG was increased (i.e. 150%) in IRPTC with a high level of glucose (i.e. 25 mM) in the culture medium compared with normal glucose (i.e. 5 mM) (Fig. 1AGo) (P <= 0.005). The addition of insulin to the culture medium abolished the high glucose (25 mM)-stimulated secretion of the IR-rANG in IRPTC in a dose-dependent manner (Fig. 1AGo) with a maximal effect observed at 10-7 to 10-5 M. This effective dose of insulin, i.e. 10-7 M, was therefore routinely used in all subsequent experiments. Unlike insulin, IGF-I or IGF-II, at concentrations ranging from 1.3 x 10-11 to 1.3 x 10-8 M had no significant effect on glucose-stimulated secretion of IR-rANG in IRPTC (Fig. 1BGo).



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Figure 1. A, Inhibitory effect of insulin on the secretion of immunoreactive rat angiotensinogen (IR-rANG) from IRPTC. Cells were incubated for 24 h in the presence of 5 mM glucose, 25 mM glucose, or 25 mM glucose plus various concentrations of insulin. Media were harvested and assayed for the level of IR-rANG. The levels of IR-rANG in the medium containing 5 mM glucose are expressed as 100% (control, i.e. 3.05 ± 0.21 ng/ml/106 cells). The inhibitory effect of insulin is compared with those cells that were incubated in 25 mM glucose (without the presence of insulin). Results are expressed as the percentage of controls (mean ± SD, n = 3) (**, P <= 0.01; ***, P <= 0.005). B, Lack of effect of IGF-I or IGF-II on the secretion of IR-rANG in IRPTC incubated with 25 mM glucose. Media were harvested and assayed for the level of IR-rANG. The levels of IR-rANG in the medium containing 25 mM glucose in the absence of IGF-I or IGF-II are expressed as 100% (control, i.e. 4.75 ± 0.25 ng/ml/106 cells). The effect of IGF-I or IGF-II is compared with those cells that were incubated in 25 mM glucose (without IGF-I or IGF-II). Results are expressed as the percentage of control (mean ± SD, n = 3). The blank bar represents cells incubated in the presence of IGF-I, and the solid bar represents the cells incubated in the presence of IGF-II. Similar results were obtained in two other experiments.

 
Antagonistic effect of insulin and PMA on the secretion of the IR-rANG in IRPTC
PMA at 10-7 M stimulated the secretion of the IR-rANG by approximately 150% (P <= 0.005) in IRPTC cultured in a normal (5 mM) glucose medium (Fig. 2AGo). This increase was similar to that observed in IRPTC incubated in 25 mM glucose medium. Addition of insulin to the culture medium inhibited the PMA stimulation of secretion of the IR-rANG in IRPTC incubated in 5 mM glucose medium (Fig. 2AGo). PMA (10-7 M) augmented the stimulatory effect of a high level (25 mM) of glucose to stimulate the secretion of the IR-rANG from IRPTC compared with control cells cultured in 5 mM glucose (P <= 0.005) (Fig. 2BGo). Insulin at 10-7 to 10-5 M completely inhibited the combined effect of PMA and high glucose (25 mM) medium on the secretion of the IR-rANG from IRPTC (Fig. 2BGo).



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Figure 2. Inhibitory effect of insulin on the secretion of immunoreactive rat angiotensinogen (IR-rANG) from IRPTC challenged with PMA. Cells were incubated for 24 h in the presence of 5 mM glucose and PMA (10-7 M) (A) or 25 mM glucose and PMA (10-7 M) (B) plus various concentrations of insulin. The levels of IR-rANG in the medium containing 5 mM glucose (i.e. 2.75 ± 0.01 ng/ml/106 cells in A and 3.17 ± 0.03 ng/ml/106 cells in B) are expressed as 100% (control). The inhibitory effect of insulin is compared with cells that were incubated in the presence of PMA (10-7 M) (without insulin). Results are expressed as the percentage of controls (mean ± SD, n = 3) (*, P <= 0.05; **, P <= 0.01; and ***, P <= 0.005). Similar results were obtained in three other experiments.

 
Figure 3Go shows that the overnight incubation of IRPTC in 25 mM glucose with a high concentration of PMA (10-5 M) did not block the inhibitory effect of insulin on the secretion of the IR-rANG. The stimulatory effect of PMA (10-7 M), however, was abolished. These studies demonstrate that the insulin inhibition of the stimulatory effect of PMA on the secretion of the IR-rANG is independent of PKC activation and may be mediated downstream in the PKC signal transduction pathway or via another signal transduction pathway.



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Figure 3. Effect of a 24-h preincubation with PMA (10-5 M) on the secretion of immunoreactive rat angiotensinogen (IR-rANG) from IRPTC. After the preincubation of 24 h in the presence of 25 mM glucose and 10-5 M PMA, the cells were incubated in fresh medium containing insulin (10-11 to 10-5 M) or 10-7 M PMA for another 24 h. The media were then harvested and assayed for IR-rANG. Results are expressed (mean ± SD, n = 3) as a percentage of the levels found in media incubated with 25 mM glucose without insulin and PMA (i.e. 7.2 ± 0.72 ng/ml/106 cells) (*, P <= 0.05; **, P <= 0.01). Similar results were obtained in two other experiments.

 
Effect of PD98059 or Wortmannin on the secretion of the IR-rANG
Figure 4Go shows that PD 98059 (10-11 to 10-7 M) had no effect on the secretion of the IR-rANG from IRPTC stimulated by 25 mM glucose, wheras PD98059 at 10-5 M significantly (P <= 0.01) enhanced the stimulatory effect of 25 mM glucose. Similarly, PD98059 at 10-7 to 10-6 M had no effect on the secretion of the IR-rANG in IRPTC stimulated by 25 mM glucose plus 10-7 M PMA (Fig. 4BGo). Again, PD98059 at 10-5 and 10-4 M significantly (P <= 0.005) enhanced the stimulatory effect of 25 mM glucose and PMA (10-7 M). These studies indicate that the inhibition of MAP kinase enhances the stimulatory effect of high levels of glucose on the secretion of the ANG independent of the PKC pathway. On the other hand, the inhibitory action of insulin on the secretion of the IR-rANG from IRPTC cells was blocked by PD98059 in a dose-dependent manner (Fig. 5AGo) but was unaffected by Wortmannin (10-8 to 10-4 M) (Fig. 5BGo). These studies suggest that the inhibitory action of insulin is probably mediated via the activation of MEK activity, but not via activation of phosphatidylinositol-3-kinase.



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Figure 4. Effect of PD98059 on the secretion of IR-rANG from IRPTC. IRPTC were incubated for 24 h in the presence of 5 mM glucose, 25 mM glucose, or 25 mM glucose plus PD98059 (10-11 to 10-5 M) (A) or 5 mM glucose, 25 mM glucose, 25 mM glucose and PMA 10-7 M plus various concentrations of PD98059 (10-7 to 10-4 M) (B). The levels of IR-rANG in the medium containing 5 mM glucose (i.e. 2.87 ± 0.34 ng/ml/106 cells in A and 2.36 ± 0.02 ng/ml/106 cells in B) are expressed as 100% (control). The effect of PD98059 is compared with cells that were incubated in 25 mM glucose (A) or 25 mM glucose plus PMA (10-7 M) (B). Results are expressed as the percentage of controls (mean ± SD, n = 3) (**, P <= 0.01; ***, P <= 0.005). Similar results were obtained in two other experiments.

 


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Figure 5. Effect of PD98059 and Wortmannin on the secretion of IR-rANG from IRPTC in the presence of insulin. Treatment groups include cells incubated for 24 h in the presence of 5 mM glucose, 25 mM glucose, and 25 mM glucose plus 10-7 M insulin with or without PD98059 (A) or Wortmannin (B). Media were harvested and assayed for the level of IR-rANG. The effect of PD98059 or Wortmannin is compared with cells that were incubated in 25 mM glucose medium and in the presence of insulin (10-7 M). Results are expressed (mean ± SD with n = 3) as a percentage of the levels found in media from cells incubated with 5 mM glucose (i.e. 4.4 ± 0.1 ng/ml/106 cells) (**, P <= 0.01; ***, P <= 0.005). Similar results were obtained in two other experiments.

 
Effect of high glucose and insulin on the cellular ANG mRNA level in IRPTC
Figure 6Go shows that a high glucose concentration (25 mM) stimulated the accumulation of the ANG mRNA. ANG mRNA levels were 2.0-fold higher than those found in control cells cultured in a medium containing 5 mM glucose (P <= 0.05). Insulin (10-7 M) completely inhibited the stimulatory effect of a high glucose (25 mM) on ANG mRNA in IRPTC. The addition of PD98059 blocked the inhibitory effect of insulin.



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Figure 6. Effect of glucose and insulin on the expression of rat angiotensinogen mRNA in immortalized renal proximal tubular cells. After a 24 h incubation period in media with 5 mM glucose, 25 mM glucose, 25 mM glucose plus insulin (10-7 M) in the absence or presence of PD98059 (10-5 M), cells were harvested and assayed for ANG mRNA levels with a RT-PCR assay. The DNA fragments of the RT-PCR reaction mixture were separated on a 1.5% agarose gel and then transferred onto a nylon membrane. Subsequently, the membrane was blotted with a 32P-labeled oligonucleotide corresponding to the nucleotide N+775 to N+798 of rat ANG and N+9 to N+35 of exon 4 of rat ß-actin, respectively. The relative densities of the PCR band of ANG were compared with the ß-actin control (A). The level of rANG mRNA in the cells normalized in 5 mM glucose (i.e. ratio of 0.94 ± 0.03: ANG/ß-actin) was considered as control (100%) (B). Each point represents the mean ± SD of three dishes (*, P <= 0.05). Similar results were obtained from another experiment.

 
Effect of high glucose and insulin on the phosphorylation of MEK 1/2 and p44/42 MAP kinase in IRPTC
Figure 7Go shows that insulin activated the phosphorylation of MEK 1/2 in IRPTC. The addition of PD98059 inhibited the phosphorylation of MEK 1/2. Similarly, PD98059 also inhibited the phosphorylation of p44/42 MAP kinase stimulated by insulin (Fig. 8Go). These studies demonstrate that insulin is effective in activating the MAPK signal transduction pathways in IRPTC.



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Figure 7. Effect of glucose and insulin on the phosphorylation of MEK 1/2 in IRPTC. After a 24-h incubation period in 5 mM glucose, cells were incubated in 5 mM glucose, 25 mM glucose, 25 mM glucose and PD98059 for 10 min. Then, insulin (10-7 M) was added and further incubated for 15 min. Cells were harvested and assayed for the phosphorylated MEK 1/2 by employing the Phospho Plus MEK 1/2 antibody kit. The relative densities fo the phosphorylated MEK 1/2 in the cells incubated in 5 mM glucose media was considered as control (100%). C, control phosphorylated MEK 1/2 supplied by the supplier. Each point represents the mean ± SD of three dishes (*, P <= 0.05; **, P <= 0.01; ***, P <= 0.005). Similar results were obtained in three other experiments.

 


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Figure 8. Effect of glucose and insulin on the phosphorylation of p44/42 MAP kinase in IRPTC. After a 24-h incubation period in 5 mM glucose, cells were incubated in 5 mM glucose, 25 mM glucose, 25 mM glucose, and PD 98059 for 10 min. Then, insulin (10-7 M) was added and further incubated for 15 min. Cells were harvested and assayed for the phosphorylated p44/42 MAP kinase by employing the Phospho Plus p44/42 MAP kinase antibody kit. The relative densities for the phosphorylated p44/42 MAP kinase in the cells incubated in 5 mM glucose media was considered as control (100%). C, Control phosphorylated p44/42 AP kinase supplied by the supplier. Each point represents the mean ± SD of three dishes (*, P <= 0.05; **, P <= 0.01; ***, P <= 0.005). Similar results were obtained in another experiment.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The present studies demonstrate that a novel action of insulin is to prevent the stimulatory effect of high levels of glucose on the expression of ANG gene in rat renal proximal tubular cells. This inhibitory action is mediated, at least in part, through activation of the MAPK signal transduction pathway.

While several previous reports have described the expression of renal RAS genes in experimental diabetes mellitus (22, 23, 24), conflicting results have been obtained from different groups. Studies of Correra-Rother et al. (22) found that the renal renin protein and mRNA expression were not different between the diabetic and normal animals, but that renal and liver ANG mRNA levels were lower in the diabetic group. Kalinyak et al. (23) reported that there were no significant differences in the expression of renal renal and ANG mRNA in rats 2 weeks after the induction of diabetes compared with controls. In contrast, Anderson et al. (24) reported a small increase in renal renin and ANG gene expression in rats 6 to 8 weeks after induction of diabetes. While there is no clear rationalization for these, one obvious difference is the duration of diabetes in experimental rats used by these investigators.

The secretion of IR-rANG from IRPTC was increased by 1.5-fold in the presence of a high glucose (25 mM) medium compared with a normal glucose (5 mM) medium (Fig. 1AGo). This level of stimulation is similar to our previous studies, which showed that a high level of glucose (25 mM) stimulated the expression of the rat ANG gene by 1.5-fold in OK cells (13) and in IRPTC (14). Studies by Chang and Perlman (25) have shown that insulin attenuated the expression of the ANG mRNA in rat hepatoma cells in vitro. More recently, Aubert et al. (26) also demonstrated that insulin down-regulated ANG gene expression and secretion in cultured adipose tissue. Consistent with these findings, we have also observed that insulin inhibited the stimulatory effect of glucose on the secretion of IR-rANG in a dose-dependent manner (Fig. 1AGo). These results, together with those of Chang and Perlman (25) and Aubert et al. (26), suggest that insulin may down-regulate ANG gene expression. We did not observe any significant inhibition of the secretion of IR-rANG in IRPTC treated with various concentrations of IGF-I or IGF-II (Fig. 1BGo), suggesting that the inhibitory action of insulin on the secretion of IR-rANG in IRPTC is specific for insulin and the insulin receptor.

The present studies show that PMA (10-7 M) stimulated the secretion of IR-rANG in IRPTC incubated either in a normal (5 mM) glucose medium (Fig. 2AGo) or in a high (25 mM) glucose medium (Fig. 2BGo), supporting the hypothesis that the effect of high glucose levels on the expression of the ANG gene is mediated via the PKC pathway (13, 14). Indeed, the involvement of PKC in modulating the expression of ANG in IRPTC is confirmed by our recent studies where it was reported that the stimulatory effect of a high level (25 mM) of glucose on the expression of rat ANG gene in OK cells (13) and IRPTC (14) is blocked in the presence of inhibitors of PKC (i.e. staurosporine and H-7) and that PMA (10-7 M) increased the ANG mRNA level in IRPTC when incubated in 5 mM glucose medium (unpublished results). It is interesting that insulin blocked the stimulatory effect of PMA on the secretion of IR-rANG in IRPTC in a dose-depedent manner (Fig. 2Go, A and B). Whereas overnight incubation of IRPTC with a high dose of PMA (10-5 M) did not abolish the inhibitory effect of insulin on the secretion of IR-rANG but it did abolish the stimulatory effect of a lower dose of PMA (10-7 M) (Fig. 3Go). These results are consistent with the notion that the prolonged exposure to PMA will down-regulate the PKC activity and protein expression levels (27). While we do not understand the molecular mechanism(s) of the opposing effect of PMA and insulin on the secretion of IR-rANG from IRPTC, our observations raise the possibility that the inhibitory effect of insulin on the secretion of the ANG may be mediated downstream of the PKC signal transduction pathway or mediated via other signal transduction pathways.

It is also interesting to note that PD 98059 [an inhibitor of MEK (28)] at concentrations of 10-5 M or greater enhanced the stimulatory effect of 25 mM glucose (Fig. 4AGo) and 25 mM glucose plus PMA (Fig. 4BGo) on the secretion of the rANG. These results indicate that the stimulatory effect of high glucose (25 mM) and PMA on the secretion of ANG may be enhanced by inhibition of the MEK signal transduction pathway. Indeed, our results show that PD 98059 blocked the inhibitory effect of insulin in a dose-dependent manner (Fig. 5AGo), whereas the addition of Wortmannin [an inhibitor of phosphatidylinositol-3-kinase activity (29)] had no effect (Fig. 5BGo). Furthermore, our preliminary studies (Zhang, S. L., and J. S. D. Chan, unpublished results) showed that PMA (10-7 M) did not stimulate the phosphorylation of p44/42 MAP kinase in IRPTC. These data are consistent with the notion that the inhibitory effect of insulin is mediated, at least in part, via the MEK pathway and independent of PKC signal transduction pathway.

The effects of glucose and insulin on ANG gene expression appears to occur at the mRNA level. Exposure of IRPTC to a high glucose concentration (25 mM) significantly (P <= 0.05) stimulated the expression of ANG mRNA (i.e. an increase of 2-fold) compared with expression in control cells (cultured in 5 mM glucose medium) (Fig. 6Go). Insulin (10-7 M) completely blocked the stimulatory effect of 25 mM glucose. PD98059 reversed the inhibitory effect of insulin. At present, it is uncertain whether insulin decreases ANG mRNA levels at the transcriptional level or affects the stability of the ANG mRNA in IRPTC. Studies are ongoing in our laboratory to investigate these possibilities.

At present, we do not understand the exact molecular mechanism(s) of high glucose levels on the expression of the ANG gene in IRPTC. One possibility may be that high glucose levels may stimulate de novo synthesis of diacylglycerol (DAG) from metabolized glucose via the polyol pathway as suggested by Tilton et al. (30), leading to an increase PKC activity. Indeed, our recent studies showed that high levels of glucose increase the cellular levels of DAG and PKC activity in IRPTC (14). Once PKC is activated, it may phosphorylate the 43-kDa cAMP-responsive element binding protein (CREB) or CREB-like nuclear protein(s) because 43 kDa CREB contains the site of phosphorylation by PKC (31). Moreover, recent studies by Kreisberg et al. (32) have shown that PMA and high glucose levels stimulate the phosphorylation of 43 kDa CREB. Phosphorylated CREB then binds to the cAMP-responsive element (CRE) of the rat ANG gene (TGACGTAC, nucleotides N-795 to N-788) (33). Subsequently, the bound CREB stimulates the expression of the rat ANG gene. This possibility is supported by our recent studies, which demonstrated that the transient transfection of 43 kDa CREB into OK cells stimulates the expression of rat ANG gene promoter activity (34) and that ANG-CRE binds with the 43 kDa-CREB (35).

Similarly, we do not understand the precise molecular mechanism(s) of action of the inhibitory effect of insulin on the expression of ANG gene in IRPTC. One possibility might be that insulin activates the MAP kinase signal transduction pathway as shown in Figs. 7Go and 8Go and induces the phosphorylation or expression of certain protein(s). The insulin-induced protein(s) then suppress(es) the expression of the ANG gene via a yet undefined pathway. Indeed, recent studies have shown that insulin induces c-Fos expression via MAP kinase but not PI-3 kinase in 32 D mouse myeloid progenitor cells (36) and in vascular smooth muscle cells (37), suggesting that MAP kinase signal transduction pathway is important for insulin action. Whether insulin will also induce the expression of c-Fos gene in IRPTC, remains, however, to be studied. Alternatively, the inhibitory effect of insulin may be mediated, at least in part, via an insulin-responsive element (IRE) in the 5'-flanking region of the ANG gene. Several studies have reported that insulin stimulates and/or inhibits the gene expression via the putative IRE in the 5'-flanking region of various genes (38, 39, 40). To our best knowledge, the IRE in the rat ANG gene has not yet been identified. Studies along these lines, however, are underway in our laboratory.

It is unlikely that the inhibitory action of insulin on the expression of the ANG gene is mediated via the PI-3 kinase signal transduction pathway, because Wortmannin failed to block the inhibitory effect of insulin on the secretion of the ANG from IRPTC (Fig. 5Go).

In summary, our studies demonstrate that the exposure of IRPTC to 25 mM glucose directly stimulates the expression of the rat ANG gene in IRPTC. This stimulatory effect of high glucose was blocked by insulin via the MAPK kinase signal transduction pathway. These findings raise the possibility that the expression of the renal ANG gene may be stimulated by hyperglycemic states in vivo. Consequently, the increased local formation of renal Ang II may contribute to renal remodeling (i.e. renal hypertrophy observed in early diabetes). Insulin therapy may therefore attenuate this event by inhibiting the activation of local renal RAS. Furthermore, chronic treatment with inhibitors of angiotensin-converting enzyme (ACE) and AT1-angiotensin II (Ang II) receptor have also been shown to delay the onset and the development of nephropathy in patients with insulin-dependent diabetic mellitus (41, 42, 43, 44, 45). These studies raise the possibility that a combination of both insulin and ACE-inhibitor(s) or AT1-receptor antagonists may be a more effective therapy than the treatment with either insulin or ACE-inhibitor alone. Therefore, this therapeutic approach should be explored in experimental animals and in patients with diabetic mellitus.


    Acknowledgments
 
We would like to thank Mrs. Ilona Schmidt for her expert secretarial assistance and Dr. Kenneth D. Roberts for his comments.


    Footnotes
 
1 This work was supported by a grant from the Medical Research Council of Canada (MRC, MT-13420 and MT-15070 to J.S.D.C. and MT-12573 to J.G.F.) and NIH Grants HL-48455 (to J.R.I.) and DK-50836 (to S.-S.T.). Back

Received February 11, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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