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Mitogen-activated protein kinases as glucose transducers for diabetic complications
1Division of Neuroscience, School of Biological Sciences, University of Manchester, Manchester, UK.
Abstract:
The damaging effects of glucose on the cells which contribute to the development of diabetic complications are ill-understood. There are three major hypotheses - the sorbitol pathway, non-enzymatic glycation of proteins and increased oxidative stress - and many examples illustrate inter-connections between the three. It is suggested that these pathways, together with other biochemical anomalies arising from hyperglycaemia, can synergise by sharing the capacity to activate mitogen-activated protein kinases (MAP kinases) and that these enzymes in actual fact form glucose transducers. The more recent hypothesis, namely that activation of a specific isoform of protein kinase C (PKC) underpin damaging changes in retinopathy and neuropathy, can also be related because protein kinase C is an effective activator of mitogen-activated protein kinases. These latter kinases phosphorylate transcription factors, which in turn alter the balance of gene expression. In this way they can alter cellular phenotype, promote division or increase production of extracellular material. In short, mitogen-activated protein kinases have the capacity to trigger all the cellular events necessary for the development of diabetic nephropathy, retinopathy and neuropathy and it is suggested that their pharmacological modulation might provide therapeutic control of these conditions. [Diabetologia (1999) 42: 1271-1281]
Insights
High glucose levels damage cells through pathways like the sorbitol pathway and oxidative stress, activating mitogen-activated protein kinases (MAP kinases). Targeting these MAP kinases may offer therapeutic control for diabetic complications.
Area of Science:
- Biochemistry
- Cell Biology
- Endocrinology
Background:
- Diabetic complications arise from glucose-induced cellular damage, with mechanisms including the sorbitol pathway, protein glycation, and oxidative stress.
- These pathways are interconnected and contribute to hyperglycaemia-associated biochemical anomalies.
Purpose of the Study:
- To explore the role of mitogen-activated protein kinases (MAP kinases) as central mediators of glucose-induced cellular damage.
- To investigate the link between protein kinase C (PKC) activation and MAP kinase signaling in diabetic complications.
Main Methods:
- Review of existing hypotheses on glucose toxicity in diabetes.
- Analysis of the interconnectedness of biochemical pathways activated by hyperglycaemia.
- Examination of the role of MAP kinases and PKC in cellular signaling.
Main Results:
- Mitogen-activated protein kinases (MAP kinases) are proposed as glucose transducers, activated by hyperglycaemia-related pathways.
- Protein kinase C (PKC) activation, implicated in retinopathy and neuropathy, effectively activates MAP kinases.
- MAP kinases phosphorylate transcription factors, altering gene expression, cellular phenotype, and extracellular matrix production.
Conclusions:
- Mitogen-activated protein kinases (MAP kinases) can initiate cellular events leading to diabetic nephropathy, retinopathy, and neuropathy.
- Pharmacological modulation of MAP kinases presents a potential therapeutic strategy for managing diabetic complications.
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