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p21(WAF1/CIP1) Expression is Differentially Regulated by Metformin and Rapamycin
Zoltan Molnar1, Ann B Millward1, Wai Tse1
1Renal Unit and Diabetes Clinical Research Unit, Derriford Hospital, Plymouth, PL6 8DH, UK.
Abstract:
The mammalian target of rapamycin (mTOR) pathway plays an important role in the development of diabetic nephropathy and other age-related diseases. One of the features of DN is the elevated expression of p21(WAF1/CIP1). However, the importance of the mTOR signalling pathway in p21 regulation is poorly understood. Here we investigated the effect of metformin and rapamycin on mTOR-related phenotypes in cell lines of epithelial origin. This study reports that metformin inhibits high glucose-induced p21 expression. High glucose opposed metformin in regulating cell size, proliferation, and protein synthesis. These effects were associated with reduced AMPK activation, affecting downstream mTOR signalling. However, the inhibition of the mTOR pathway by rapamycin did not have a negative effect on p21 expression, suggesting that metformin regulates p21 upstream of mTOR. These findings provide support for the hypothesis that AMPK activation may regulate p21 expression, which may have implications for diabetic nephropathy and other age-related pathologies.
Insights
Metformin inhibits high glucose-induced p21 expression in epithelial cells, independent of mTOR signaling. This suggests AMPK activation may regulate p21, impacting diabetic nephropathy and aging.
Area of Science:
- Cell Biology
- Molecular Biology
- Endocrinology
Background:
- The mammalian target of rapamycin (mTOR) pathway is implicated in diabetic nephropathy (DN) and aging.
- Elevated p21(WAF1/CIP1) expression is a hallmark of DN.
- The role of mTOR signaling in p21 regulation remains unclear.
Purpose of the Study:
- To investigate the effects of metformin and rapamycin on mTOR-related phenotypes.
- To elucidate the role of metformin and rapamycin in regulating p21 expression in epithelial cells.
Main Methods:
- Utilized epithelial cell lines to study mTOR signaling.
- Administered metformin and rapamycin under high glucose conditions.
- Assessed cell size, proliferation, protein synthesis, AMPK activation, and p21 expression.
Main Results:
- Metformin inhibited high glucose-induced p21 expression.
- High glucose counteracted metformin's effects on cell size, proliferation, and protein synthesis.
- Rapamycin's inhibition of mTOR did not affect p21 expression, indicating metformin acts upstream of mTOR.
Conclusions:
- Metformin regulates p21 expression independently of direct mTOR pathway inhibition.
- AMPK activation by metformin may be responsible for p21 regulation.
- Findings suggest potential therapeutic implications for diabetic nephropathy and age-related diseases.
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