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Updated: Aug 6, 2026

Optimizing Isolation and Purification of Murine Glomerular Mesangial Cells
Published on: March 7, 2025
Glibenclamide prevents increased extracellular matrix formation induced by high glucose concentration in mesangial
Giovanna Giannico1, Pedro Cortes, Mohammed H Baccora
1Div. of Nephrology and Hypertension, Dept. of Medicine, Henry Ford Hospital, Clara Ford Pavilion-5, 2799 West Grand Blvd., Detroit, MI 48202, USA.
Abstract:
Other than stimulation of cell contractility, little is known about the potential metabolic effects induced by sulfonylureas, independently of insulin action. Previous studies from our laboratory demonstrated complete abrogation of glomerulosclerosis in an experimental model of type 1 diabetes chronically (9 mo) treated with low-dose sulfonylureas (Biederman JI, Vera E, Pankhaniya R, Hassett C, Giannico G, Yee J, Cortes P. Kidney Int 67: 554-565, 2005). Therefore, the effects of glibenclamide (Glib) on net collagen I, collagen IV, and fibronectin medium net secretion and cell layer collagen I deposition were investigated in mesangial cells continuously exposed to 25 mM glucose for 8 wk and treated with predetermined increasing concentrations of Glib for the same period. Clinically relevant concentrations (0.01 microM) of Glib fully suppressed the high glucose-enhanced accumulation of collagen I, collagen IV, and fibronectin in the medium and inhibited collagen I deposition in the cell layer. These effects occurred while transforming growth factor (TGF)-beta1 medium concentration remained elevated and glucose uptake was increased to levels above those in 25 mM glucose-incubated cultures. The decreased collagen I accumulation occurred simultaneously with enhanced collagen I mRNA expression in concert with marked suppression of plasminogen inhibitor type-1 (PAI-1) mRNA and protein expression. This strongly suggests an accelerated matrix turnover favoring breakdown. Glib-induced effects demonstrated a biphasic pattern, being absent or reversed in cells treated with higher Glib concentrations (0.1 or 1 microM). Therefore, chronic Glib treatment at low concentrations markedly diminishes the high glucose-induced enhanced accumulation of extracellular matrix components by suppression of steady-state PAI-1 transcriptional activity. These results and those previously reported in vivo suggest that long-term Glib treatment may prevent glomerulosclerosis in insulin-deficient diabetes.
Insights
Low-dose glibenclamide (Glib) prevents glomerulosclerosis by reducing extracellular matrix accumulation in diabetic kidney cells. This suggests potential therapeutic benefits for type 1 diabetes management.
Area of Science:
- Nephrology
- Endocrinology
- Pharmacology
Background:
- Sulfonylureas' metabolic effects beyond insulin action are poorly understood.
- Previous research showed low-dose sulfonylureas prevented glomerulosclerosis in a type 1 diabetes model.
- High glucose levels in diabetes promote extracellular matrix accumulation in kidney mesangial cells.
Purpose of the Study:
- To investigate the effects of glibenclamide (Glib) on extracellular matrix deposition in mesangial cells under high glucose conditions.
- To determine if Glib's effects are dose-dependent and independent of insulin action.
Main Methods:
- Cultured mesangial cells were exposed to 25 mM glucose for 8 weeks.
- Cells were treated with varying concentrations of glibenclamide (Glib) during the incubation period.
- Quantification of collagen I, collagen IV, and fibronectin secretion and deposition, alongside mRNA expression analysis for collagen I and plasminogen inhibitor type-1 (PAI-1).
Main Results:
- Clinically relevant low concentrations (0.01 microM) of Glib suppressed high glucose-induced accumulation of collagen I, collagen IV, and fibronectin.
- Glib inhibited collagen I deposition and enhanced collagen I mRNA expression, coupled with suppressed PAI-1 mRNA and protein.
- These beneficial effects were dose-dependent, with higher Glib concentrations (0.1 or 1 microM) showing absent or reversed effects.
Conclusions:
- Low-dose glibenclamide (Glib) significantly reduces extracellular matrix accumulation in mesangial cells exposed to high glucose.
- Glib appears to promote matrix turnover by suppressing PAI-1 transcriptional activity, independent of transforming growth factor-beta1 levels.
- These findings, along with prior in vivo data, suggest long-term low-dose Glib treatment may prevent glomerulosclerosis in insulin-deficient diabetes.
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