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Published on: January 25, 2019
Role of protein kinase C in diabetic complications
George L King1, Net Das-Evcimen2
1a Professor of Medicine, Harvard Medical School, Department of Vascular Cell Biology, Senior Vice President, Research Director, Joslin Diabetes Center, 1 Joslin Place, Boston, MA 02215, USA. george.king@joslin.harvard.edu.
Abstract:
Hyperglycemia is an important factor in the development of macrovascular and microvascular complications in all diabetic patients. Several hypotheses have been postulated to explain the adverse effect of hyperglycemia on the vasculature; and one of these hypotheses is the activation of specific isoforms of protein kinase C (PKC) by diabetes. In this review, we summarize the molecular mechanisms of PKC activation and its relationship to diabetic complications. PKC activity regulates vascular permeability, contractility, extracellular matrix synthesis, hormone receptor turnover and proliferation, cell growth, angiogenesis, cytokine activation and leukocyte adhesion. All of these properties are abnormal in diabetes and are correlated with increased diacylglycerol-PKC pathway and PKCα, β1/2 and δ isoforms activation in the retina, aorta, heart and renal glomeruli.
Insights
High blood sugar (hyperglycemia) contributes to diabetic complications by activating protein kinase C (PKC). This review details how PKC activation impacts blood vessels, leading to various health issues in diabetic patients.
Area of Science:
- Biochemistry
- Molecular Biology
- Endocrinology
Background:
- Hyperglycemia is a key driver of macrovascular and microvascular complications in diabetes.
- The activation of specific protein kinase C (PKC) isoforms by diabetes is a proposed mechanism for these vascular effects.
Purpose of the Study:
- To review the molecular mechanisms underlying PKC activation in diabetes.
- To elucidate the relationship between PKC activation and the development of diabetic vascular complications.
Main Methods:
- Review of existing literature on PKC signaling pathways.
- Analysis of studies investigating PKC isoform activation in diabetic vasculature.
Main Results:
- PKC activity influences numerous vascular functions including permeability, contractility, and cell growth.
- Abnormalities in these vascular properties are observed in diabetes.
- Increased diacylglycerol-PKC pathway activation and specific PKC isoforms (PKCα, β1/2, δ) are correlated with diabetic complications in key organs like the retina, aorta, heart, and kidneys.
Conclusions:
- PKC activation is a significant molecular mechanism linking hyperglycemia to diabetic vascular complications.
- Targeting the diacylglycerol-PKC pathway and specific PKC isoforms may offer therapeutic strategies for managing diabetic complications.
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