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Calcitriol blunts the deleterious impact of advanced glycation end products on endothelial cells
Yeela Talmor1, Eliezer Golan, Sydney Benchetrit
1Renal Physiology Laboratory, Department of Nephrology and Hypertension, Meir Medical Center, Kfar-Saba, Tchernichovsky 59, Kfar-Saba 44281, Israel.
Abstract:
Advanced glycation end products (AGEs), which are elevated in diabetic and uremic patients, may induce vascular dysfunctions, and calcitriol may improve the cardiovascular complications. Therefore, we examined whether calcitriol may modify the endothelial response to AGEs stimulation. Knowing the importance of nuclear factor-kappaB in endothelial inflammatory responses, the effect of AGEs and calcitriol on this pathway was also studied. Calcitriol was added to endothelial cells previously incubated with AGE-human serum albumin (HSA). AGE-HSA induced a decrease in endothelial nitric oxide synthase (eNOS) mRNA expression and enzyme activity. Addition of calcitriol to AGE-HSA-treated endothelial cells improved the decreased action of AGEs on the eNOS system. AGE-HSA increased the AGEs receptor mRNA and protein, which were both blunted by calcitriol. The parallel elevation of interleukin-6 mRNA in the presence of AGE-HSA was also blunted by calcitriol. The NF-kappaB-p65 DNA binding activity was enhanced and associated with a decrease in inhibitor kappaBalpha (IkappaBalpha) and an increase in phosphorylated (p)-IkappaBalpha levels. Addition of calcitriol blunted the AGEs-induced elevation of NF-kappaB-p65 DNA binding activity, a phenomenon related to an increased expression of IkappaBalpha. This increase was correlated to declined p-IkappaBalpha levels. The present results support the concept that calcitriol may act as a vascular protective agent counteracting the probable deleterious actions of AGEs on endothelial cell activities.
Insights
Calcitriol may protect blood vessels by counteracting the harmful effects of advanced glycation end products (AGEs) on endothelial cells. This vitamin D analog reduces AGEs-induced inflammation and improves nitric oxide synthase function.
Area of Science:
- Vascular biology
- Endocrinology
- Molecular medicine
Background:
- Advanced glycation end products (AGEs) are implicated in vascular dysfunction, particularly in diabetes and uremia.
- Calcitriol, a form of Vitamin D, is known to potentially improve cardiovascular complications.
Purpose of the Study:
- To investigate whether calcitriol can modify endothelial cell responses to AGEs stimulation.
- To examine the effects of AGEs and calcitriol on the nuclear factor-kappaB (NF-κB) pathway in endothelial cells.
Main Methods:
- Endothelial cells were treated with AGE-human serum albumin (HSA) with or without calcitriol.
- Assessed endothelial nitric oxide synthase (eNOS) mRNA expression and activity.
- Measured AGEs receptor, interleukin-6 (IL-6) mRNA, and NF-κB pathway components (NF-κB-p65, IκBα, p-IκBα).
Main Results:
- AGE-HSA decreased eNOS expression and activity, which was improved by calcitriol.
- Calcitriol blunted AGE-HSA-induced increases in AGEs receptor and IL-6 mRNA.
- AGE-HSA enhanced NF-κB-p65 DNA binding activity; calcitriol reversed this by increasing IκBα expression and decreasing p-IκBα.
Conclusions:
- Calcitriol demonstrates vascular protective effects against AGEs-induced endothelial dysfunction.
- Calcitriol mitigates AGEs-mediated inflammation and preserves eNOS system function.
- These findings suggest calcitriol's potential therapeutic role in conditions associated with elevated AGEs.
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