KITLG Promotes Glomerular Endothelial Cell Injury in Diabetic Nephropathy by an Autocrine Effect

Diabetic nephropathy (DN) is an increasing threat to human health. The impact of hyperglycemia or its metabolites, advanced glycation end-products (AGEs), on glomerular endothelial cells (GECs) and their pathophysiologic mechanisms are not well explored. Our results reveal that AGEs increased the ex...

Full description

Bibliographic Details
Main Authors: Jiun-Chi Huang, Szu-Chia Chen, Wei-An Chang, Wei-Wen Hung, Ping-Hsun Wu, Ling-Yu Wu, Jer-Ming Chang, Ya-Ling Hsu, Yi-Chun Tsai
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/23/19/11723
_version_ 1797478939940093952
author Jiun-Chi Huang
Szu-Chia Chen
Wei-An Chang
Wei-Wen Hung
Ping-Hsun Wu
Ling-Yu Wu
Jer-Ming Chang
Ya-Ling Hsu
Yi-Chun Tsai
author_facet Jiun-Chi Huang
Szu-Chia Chen
Wei-An Chang
Wei-Wen Hung
Ping-Hsun Wu
Ling-Yu Wu
Jer-Ming Chang
Ya-Ling Hsu
Yi-Chun Tsai
author_sort Jiun-Chi Huang
collection DOAJ
description Diabetic nephropathy (DN) is an increasing threat to human health. The impact of hyperglycemia or its metabolites, advanced glycation end-products (AGEs), on glomerular endothelial cells (GECs) and their pathophysiologic mechanisms are not well explored. Our results reveal that AGEs increased the expression and secretion of the KIT ligand (KITLG) in GECs. Both AGEs and KITLG promoted endothelial-to-mesenchymal transition (EndoMT) in GECs and further increased the permeability of GECs through the AKT/extracellular-signal-regulated kinase pathway. Inhibition of KITLG’s effects by imatinib prevented AGE-medicated EndoMT in GECs, supporting the belief that KITLG is a critical factor for GEC injury. We found higher KITLG levels in the GECs and urine of db/db mice compared with db/m mice, and urinary KITLG levels were positively correlated with the urinary albumin-to-creatinine ratio (ACR). Furthermore, type 2 diabetic patients had higher urinary KITLG levels than normal individuals, as well as urinary KITLG levels that were positively correlated with urinary ACR and negatively correlated with the estimated glomerular filtration rate. KITLG plays a pathogenic role in GEC injury in DN and might act as a biomarker of DN progression.
first_indexed 2024-03-09T21:38:45Z
format Article
id doaj.art-ef9792edfabc4d3d8a7c2e4899734056
institution Directory Open Access Journal
issn 1661-6596
1422-0067
language English
last_indexed 2024-03-09T21:38:45Z
publishDate 2022-10-01
publisher MDPI AG
record_format Article
series International Journal of Molecular Sciences
spelling doaj.art-ef9792edfabc4d3d8a7c2e48997340562023-11-23T20:38:19ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-10-0123191172310.3390/ijms231911723KITLG Promotes Glomerular Endothelial Cell Injury in Diabetic Nephropathy by an Autocrine EffectJiun-Chi Huang0Szu-Chia Chen1Wei-An Chang2Wei-Wen Hung3Ping-Hsun Wu4Ling-Yu Wu5Jer-Ming Chang6Ya-Ling Hsu7Yi-Chun Tsai8Department of Internal Medicine, Kaohsiung Municipal Siaogang Hospital, Kaohsiung Medical University, Kaohsiung 812, TaiwanDepartment of Internal Medicine, Kaohsiung Municipal Siaogang Hospital, Kaohsiung Medical University, Kaohsiung 812, TaiwanDivision of Pulmonary and Critical Care Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, TaiwanDivision of Endocrinology and Metabolism, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, TaiwanSchool of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, TaiwanGraduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, TaiwanSchool of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, TaiwanDrug Development and Value Creation Research Center, Kaohsiung Medical University, Kaohsiung 807, TaiwanSchool of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, TaiwanDiabetic nephropathy (DN) is an increasing threat to human health. The impact of hyperglycemia or its metabolites, advanced glycation end-products (AGEs), on glomerular endothelial cells (GECs) and their pathophysiologic mechanisms are not well explored. Our results reveal that AGEs increased the expression and secretion of the KIT ligand (KITLG) in GECs. Both AGEs and KITLG promoted endothelial-to-mesenchymal transition (EndoMT) in GECs and further increased the permeability of GECs through the AKT/extracellular-signal-regulated kinase pathway. Inhibition of KITLG’s effects by imatinib prevented AGE-medicated EndoMT in GECs, supporting the belief that KITLG is a critical factor for GEC injury. We found higher KITLG levels in the GECs and urine of db/db mice compared with db/m mice, and urinary KITLG levels were positively correlated with the urinary albumin-to-creatinine ratio (ACR). Furthermore, type 2 diabetic patients had higher urinary KITLG levels than normal individuals, as well as urinary KITLG levels that were positively correlated with urinary ACR and negatively correlated with the estimated glomerular filtration rate. KITLG plays a pathogenic role in GEC injury in DN and might act as a biomarker of DN progression.https://www.mdpi.com/1422-0067/23/19/11723KITLGadvanced glycation end-productsendothelial–to–mesenchymal transitionglomerular endothelial celldiabetic nephropathybiomarker
spellingShingle Jiun-Chi Huang
Szu-Chia Chen
Wei-An Chang
Wei-Wen Hung
Ping-Hsun Wu
Ling-Yu Wu
Jer-Ming Chang
Ya-Ling Hsu
Yi-Chun Tsai
KITLG Promotes Glomerular Endothelial Cell Injury in Diabetic Nephropathy by an Autocrine Effect
International Journal of Molecular Sciences
KITLG
advanced glycation end-products
endothelial–to–mesenchymal transition
glomerular endothelial cell
diabetic nephropathy
biomarker
title KITLG Promotes Glomerular Endothelial Cell Injury in Diabetic Nephropathy by an Autocrine Effect
title_full KITLG Promotes Glomerular Endothelial Cell Injury in Diabetic Nephropathy by an Autocrine Effect
title_fullStr KITLG Promotes Glomerular Endothelial Cell Injury in Diabetic Nephropathy by an Autocrine Effect
title_full_unstemmed KITLG Promotes Glomerular Endothelial Cell Injury in Diabetic Nephropathy by an Autocrine Effect
title_short KITLG Promotes Glomerular Endothelial Cell Injury in Diabetic Nephropathy by an Autocrine Effect
title_sort kitlg promotes glomerular endothelial cell injury in diabetic nephropathy by an autocrine effect
topic KITLG
advanced glycation end-products
endothelial–to–mesenchymal transition
glomerular endothelial cell
diabetic nephropathy
biomarker
url https://www.mdpi.com/1422-0067/23/19/11723
work_keys_str_mv AT jiunchihuang kitlgpromotesglomerularendothelialcellinjuryindiabeticnephropathybyanautocrineeffect
AT szuchiachen kitlgpromotesglomerularendothelialcellinjuryindiabeticnephropathybyanautocrineeffect
AT weianchang kitlgpromotesglomerularendothelialcellinjuryindiabeticnephropathybyanautocrineeffect
AT weiwenhung kitlgpromotesglomerularendothelialcellinjuryindiabeticnephropathybyanautocrineeffect
AT pinghsunwu kitlgpromotesglomerularendothelialcellinjuryindiabeticnephropathybyanautocrineeffect
AT lingyuwu kitlgpromotesglomerularendothelialcellinjuryindiabeticnephropathybyanautocrineeffect
AT jermingchang kitlgpromotesglomerularendothelialcellinjuryindiabeticnephropathybyanautocrineeffect
AT yalinghsu kitlgpromotesglomerularendothelialcellinjuryindiabeticnephropathybyanautocrineeffect
AT yichuntsai kitlgpromotesglomerularendothelialcellinjuryindiabeticnephropathybyanautocrineeffect