Dipeptidyl peptidase-4 inhibitor gemigliptin protects against vascular calcification in an experimental chronic kidney disease and vascular smooth muscle cells.

Although dipeptidyl peptidase-4 inhibitors, a class of antidiabetic drugs, have various pleiotropic effects, it remains undetermined whether gemigliptin has a beneficial effect on vascular calcification. Therefore, this study was performed to evaluate the effect of gemigliptin on vascular calcificat...

Full description

Bibliographic Details
Main Authors: Soon-Youn Choi, Hye-Myung Ryu, Eun-Joo Oh, Ji-Young Choi, Jang-Hee Cho, Chan-Duck Kim, Yong-Lim Kim, Sun-Hee Park
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2017-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0180393
_version_ 1818404477822042112
author Soon-Youn Choi
Hye-Myung Ryu
Eun-Joo Oh
Ji-Young Choi
Jang-Hee Cho
Chan-Duck Kim
Yong-Lim Kim
Sun-Hee Park
author_facet Soon-Youn Choi
Hye-Myung Ryu
Eun-Joo Oh
Ji-Young Choi
Jang-Hee Cho
Chan-Duck Kim
Yong-Lim Kim
Sun-Hee Park
author_sort Soon-Youn Choi
collection DOAJ
description Although dipeptidyl peptidase-4 inhibitors, a class of antidiabetic drugs, have various pleiotropic effects, it remains undetermined whether gemigliptin has a beneficial effect on vascular calcification. Therefore, this study was performed to evaluate the effect of gemigliptin on vascular calcification in a rat model of adenine-induced chronic kidney disease and in cultured vascular smooth muscle cells. Gemigliptin attenuated calcification of abdominal aorta and expression of RUNX2 in adenine-induced chronic kidney disease rats. In cultured vascular smooth muscle cells, phosphate-induced increase in calcium content was reduced by gemigliptin. Gemigliptin reduced phosphate-induced PiT-1 mRNA expression, reactive oxygen species generation, and NADPH oxidase mRNA expression (p22phox and NOX4). The reduction of oxidative stress by gemigliptin was associated with the downregulation of phospho-PI3K/AKT expression. High phosphate increased the expression of frizzled-3 (FDZ3) and decreased the expression of dickkopf-related protein-1 (DKK-1) in the Wnt pathway. These changes were attenuated by gemigliptin treatment. Gemigliptin restored the decreased expression of vascular smooth muscle cells markers (α-SMA and SM22α) and increased expression of osteogenic makers (CBFA1, OSX, E11, and SOST) induced by phosphate. In conclusion, gemigliptin attenuated vascular calcification and osteogenic trans-differentiation in vascular smooth muscle cells via multiple steps including downregulation of PiT-1 expression and suppression of reactive oxygen species generation, phospho-PI3K/AKT, and the Wnt signaling pathway.
first_indexed 2024-12-14T08:40:47Z
format Article
id doaj.art-f26827b560964680bf95f08e006055a8
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-14T08:40:47Z
publishDate 2017-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-f26827b560964680bf95f08e006055a82022-12-21T23:09:18ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01127e018039310.1371/journal.pone.0180393Dipeptidyl peptidase-4 inhibitor gemigliptin protects against vascular calcification in an experimental chronic kidney disease and vascular smooth muscle cells.Soon-Youn ChoiHye-Myung RyuEun-Joo OhJi-Young ChoiJang-Hee ChoChan-Duck KimYong-Lim KimSun-Hee ParkAlthough dipeptidyl peptidase-4 inhibitors, a class of antidiabetic drugs, have various pleiotropic effects, it remains undetermined whether gemigliptin has a beneficial effect on vascular calcification. Therefore, this study was performed to evaluate the effect of gemigliptin on vascular calcification in a rat model of adenine-induced chronic kidney disease and in cultured vascular smooth muscle cells. Gemigliptin attenuated calcification of abdominal aorta and expression of RUNX2 in adenine-induced chronic kidney disease rats. In cultured vascular smooth muscle cells, phosphate-induced increase in calcium content was reduced by gemigliptin. Gemigliptin reduced phosphate-induced PiT-1 mRNA expression, reactive oxygen species generation, and NADPH oxidase mRNA expression (p22phox and NOX4). The reduction of oxidative stress by gemigliptin was associated with the downregulation of phospho-PI3K/AKT expression. High phosphate increased the expression of frizzled-3 (FDZ3) and decreased the expression of dickkopf-related protein-1 (DKK-1) in the Wnt pathway. These changes were attenuated by gemigliptin treatment. Gemigliptin restored the decreased expression of vascular smooth muscle cells markers (α-SMA and SM22α) and increased expression of osteogenic makers (CBFA1, OSX, E11, and SOST) induced by phosphate. In conclusion, gemigliptin attenuated vascular calcification and osteogenic trans-differentiation in vascular smooth muscle cells via multiple steps including downregulation of PiT-1 expression and suppression of reactive oxygen species generation, phospho-PI3K/AKT, and the Wnt signaling pathway.https://doi.org/10.1371/journal.pone.0180393
spellingShingle Soon-Youn Choi
Hye-Myung Ryu
Eun-Joo Oh
Ji-Young Choi
Jang-Hee Cho
Chan-Duck Kim
Yong-Lim Kim
Sun-Hee Park
Dipeptidyl peptidase-4 inhibitor gemigliptin protects against vascular calcification in an experimental chronic kidney disease and vascular smooth muscle cells.
PLoS ONE
title Dipeptidyl peptidase-4 inhibitor gemigliptin protects against vascular calcification in an experimental chronic kidney disease and vascular smooth muscle cells.
title_full Dipeptidyl peptidase-4 inhibitor gemigliptin protects against vascular calcification in an experimental chronic kidney disease and vascular smooth muscle cells.
title_fullStr Dipeptidyl peptidase-4 inhibitor gemigliptin protects against vascular calcification in an experimental chronic kidney disease and vascular smooth muscle cells.
title_full_unstemmed Dipeptidyl peptidase-4 inhibitor gemigliptin protects against vascular calcification in an experimental chronic kidney disease and vascular smooth muscle cells.
title_short Dipeptidyl peptidase-4 inhibitor gemigliptin protects against vascular calcification in an experimental chronic kidney disease and vascular smooth muscle cells.
title_sort dipeptidyl peptidase 4 inhibitor gemigliptin protects against vascular calcification in an experimental chronic kidney disease and vascular smooth muscle cells
url https://doi.org/10.1371/journal.pone.0180393
work_keys_str_mv AT soonyounchoi dipeptidylpeptidase4inhibitorgemigliptinprotectsagainstvascularcalcificationinanexperimentalchronickidneydiseaseandvascularsmoothmusclecells
AT hyemyungryu dipeptidylpeptidase4inhibitorgemigliptinprotectsagainstvascularcalcificationinanexperimentalchronickidneydiseaseandvascularsmoothmusclecells
AT eunjoooh dipeptidylpeptidase4inhibitorgemigliptinprotectsagainstvascularcalcificationinanexperimentalchronickidneydiseaseandvascularsmoothmusclecells
AT jiyoungchoi dipeptidylpeptidase4inhibitorgemigliptinprotectsagainstvascularcalcificationinanexperimentalchronickidneydiseaseandvascularsmoothmusclecells
AT jangheecho dipeptidylpeptidase4inhibitorgemigliptinprotectsagainstvascularcalcificationinanexperimentalchronickidneydiseaseandvascularsmoothmusclecells
AT chanduckkim dipeptidylpeptidase4inhibitorgemigliptinprotectsagainstvascularcalcificationinanexperimentalchronickidneydiseaseandvascularsmoothmusclecells
AT yonglimkim dipeptidylpeptidase4inhibitorgemigliptinprotectsagainstvascularcalcificationinanexperimentalchronickidneydiseaseandvascularsmoothmusclecells
AT sunheepark dipeptidylpeptidase4inhibitorgemigliptinprotectsagainstvascularcalcificationinanexperimentalchronickidneydiseaseandvascularsmoothmusclecells