High extracellular glucose plays a pivotal role in the pathophysiology of diabetic nephropathy. Here we report 200 genes, identified using suppression-subtractive hybridization, that are differentially expressed when human mesangial cells are propagated in high ambient glucose in vitro. The major functional classes of genes identified included modulators and products of extracellular matrix protein metabolism, regulators of cell growth and turnover, and a cohort of actin cytoskeleton regulatory proteins. Actin cytoskeletal disassembly is a prominent feature of diabetic nephropathy. The induction of actin cytoskeleton regulatory gene expression by high glucose was attenuated by the inhibitor of reactive oxygen species generation, carbonyl cyanide m-chlorophenylhydrazone but not by the protein kinase C inhibitor GF 109203X and was not mimicked by the addition of transforming growth factor . Enhanced expression of actin cytoskeleton regulatory genes was also observed following disruption of the mesangial cell actin cytoskeleton by cytochalasin D. In aggregate, these results suggest that the induction of genes encoding actin cytoskeleton regulatory proteins (a) is a prominent component of the mesangial cell transcriptomic response in diabetic nephropathy and (b) is dependent on oxidative stress, is independent of protein kinase C and transforming growth factor-, and represents an adaptive response to actin cytoskeleton disassembly.
Diabetic nephropathy (DN)1 accounts for over one-third of all new cases of end stage renal failure in Western society (1).Glomerulosclerosis is the pathological hallmark of DN and reflects, in large part, altered mesangial cell matrix metabolism (2-6). The latter is triggered, in turn, by the complex interplay of metabolic and hemodynamic stress (2-6). Putative mediators of high glucose-induced mesangial cell dysfunction include oxidative stress, glomerular hypertension, protein kinase C (PKC) activation, transforming growth factor (TGF-), cell sorbitol accumulation, and advanced glycosylation end products (2-7). The molecular components of the mesangial cell response to high glucose stress are still being defined. With the completion of the human genome project, the monitoring of changes in the cellular transcriptome in response to diseasemimicking stimuli provides a powerful methodology for dissecting the molecular basis of disease. Here we employed a PCRbased technique, namely suppression-subtractive hybridization (SSH), to assess the influence of high extracellular glucose on gene expression by cultured human mesangial cells. This technique has the advantage over most other PCR-based techniques, such as differential display PCR, of including a normalization step that removes bias for the more abundant cellular transcripts. SSH may be more sensitive than most currently available oligonucleotide microarray systems, being able to detect relatively small changes in gene expression down to 1.5-fold as judged by Northern blot analysis. SSH identified some 200 genes that are differentiall...