Ras modulation of superoxide activates ERK-dependent fibronectin expression in diabetes-induced renal injuries

C-L Lin1, F-S Wang, Y-R Kuo

  • 1Department of Nephrology, Chiayi Chang Gung Memorial Hospital & Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Chiayi, Taiwan. linchunliang@adm.cgmh.org.tw

Kidney International
|March 31, 2006
PubMed

Insights

Oxidative stress from superoxide radicals, not other reactive oxygen species, drives high glucose-induced kidney damage by activating Ras-ERK pathways. Scavenging superoxide effectively reduces early diabetic nephropathy markers.

Area of Science:

  • Nephrology
  • Molecular Biology
  • Diabetology

Background:

  • Diabetic nephropathy involves extracellular matrix accumulation in mesangial cells.
  • The precise molecular mechanisms of high glucose-induced matrix deposition are not fully understood.

Purpose of the Study:

  • To elucidate the role of superoxide radicals in high glucose- and advanced glycation end product (AGE)-induced mesangial cell matrix protein deposition.
  • To investigate the involvement of Ras-ERK signaling in this process and its therapeutic implications.

Main Methods:

  • Cultured rat mesangial cells under high glucose/AGE conditions with various inhibitors.
  • Assessed transforming growth factor-beta1 (TGF-beta1), fibronectin, Ras, ERK, p38, and c-Jun activation.
  • Administered superoxide dismutase (SOD) to streptozotocin-induced diabetic rats.

Main Results:

  • Superoxide, not nitric oxide or hydrogen peroxide, mediated high glucose/AGE-induced TGF-beta1 and fibronectin expression.
  • Inhibiting Ras or ERK signaling reduced superoxide generation and downstream fibronectin expression.
  • SOD treatment in diabetic rats attenuated markers of kidney injury, including albuminuria and fibronectin.

Conclusions:

  • Superoxide-driven oxidative stress, mediated by Ras-ERK activation, is a key factor in high glucose-induced extracellular matrix accumulation in diabetic nephropathy.
  • Reducing oxidative stress by scavenging superoxide presents a potential therapeutic strategy for early diabetic kidney disease.