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Metformin induces suppression of NAD(P)H oxidase activity in podocytes
Agnieszka Piwkowska1, Dorota Rogacka, Maciej Jankowski
1Mossakowski Medical Research Centre Polish Academy of Sciences, Gdańsk, Poland. apiwkowska@cmdik.pan.pl
Abstract:
Hyperglycemia increases the production of reactive oxygen species (ROS). NAD(P)H oxidase, producing superoxide anion, is the main source of ROS in diabetic podocytes and their production contributes to the development of diabetic nephropathy. We have investigated the effect of an antidiabetic drug, metformin on the production of superoxide anion in cultured podocytes and attempted to elucidate underlying mechanisms. The experiments were performed in normal (NG, 5.6mM) and high (HG, 30mM) glucose concentration. Overall ROS production was measured by fluorescence of a DCF probe. Activity of NAD(P)H oxidase was measured by chemiluminescence method. The AMP-dependent kinase (AMPK) activity was determined by immunobloting, measuring the ratio of phosphorylated AMPK to total AMPK. Glucose accumulation was measured using 2-deoxy-[1,2-(3)H]-glucose. ROS production increased by about 27% (187+/-8 vs. 238+/-9 arbitrary units AU, P<0.01) in HG. Metformin (2mM, 2h) markedly reduced ROS production by 45% in NG and 60% in HG. Metformin decreased NAD(P)H oxidase activity in NG (36%) and HG (86%). AMPK activity was increased by metformin in NG and HG (from 0.58+/-0.07 to. 0.99+/-0.06, and from 0.53+/-0.03 to 0.64+/-0.03; P<0.05). The effects of metformin on the activities of NAD(P)H oxidase and AMPK were abolished in the presence of AMPK inhibitor, compound C. We have shown that metformin decreases production of ROS through reduction of NAD(P)H oxidase activity. We also have demonstrated relationship between activity of NAD(P)H oxidase and AMPK.
Insights
Metformin reduces harmful reactive oxygen species (ROS) in diabetic kidney cells by decreasing NAD(P)H oxidase activity. This mechanism involves AMP-dependent kinase (AMPK) activation, offering potential benefits for diabetic nephropathy.
Area of Science:
- Nephrology
- Diabetology
- Biochemistry
Background:
- Diabetic nephropathy is characterized by increased reactive oxygen species (ROS) production in kidney podocytes, primarily from NAD(P)H oxidase.
- Hyperglycemia exacerbates ROS production, contributing to kidney damage in diabetes.
Purpose of the Study:
- To investigate the effect of metformin on superoxide anion production in cultured podocytes.
- To elucidate the underlying mechanisms of metformin's action, focusing on NAD(P)H oxidase and AMP-dependent kinase (AMPK) pathways.
Main Methods:
- Cultured podocytes were exposed to normal (NG) and high glucose (HG) conditions.
- Reactive oxygen species (ROS) production was measured using a DCF probe.
- NAD(P)H oxidase activity was assessed via chemiluminescence.
- AMPK activity was determined by immunoblotting for phosphorylated AMPK.
- The role of AMPK was confirmed using an AMPK inhibitor (compound C).
Main Results:
- High glucose significantly increased ROS production in podocytes.
- Metformin markedly reduced ROS production under both normal and high glucose conditions.
- Metformin decreased NAD(P)H oxidase activity and increased AMPK activity.
- The effects of metformin on NAD(P)H oxidase and AMPK were dependent on AMPK activation.
Conclusions:
- Metformin effectively reduces ROS production in podocytes by inhibiting NAD(P)H oxidase activity.
- AMPK activation is a key mechanism mediating metformin's protective effects against hyperglycemia-induced oxidative stress.
- These findings highlight metformin's potential therapeutic role in managing diabetic nephropathy.
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