High glucose activates intracellular signaling processes, including the polyol pathway and the generation of reactive oxygen species (ROS). These pathways further activate the Janus kinase/signal transducers and activators of transcription (JAK/STAT) pathway in glomerular mesangial cells.
1-3)The JAK/STAT pathway responds to intracellular ROS, oxidative stress may be a major contributor to diabetes and diabetic nephropathy. [4][5][6][7] The activation of JAK/STAT pathway is essential for high glucose-induced glomerular mesangial cell growth. It also contributes greatly to the production of the cytokine transforming growth factor-b1 (TGF-b1) and extracellular matrix proteins, which contribute to diabetic nephropathy. 1,3,8) Probucol is a drug used clinically for lowering cholesterol with anti-oxidant and anti-proliferative effects. Also, it is a potential inhibitor of DNA damage. 9,10) Recent studies suggest that probucol may be used for the prevention of type-2 diabetes by preventing the increases in aldose reductase, and partly arrested proteinuria and disease progression in glomerulonephritis in rats. [10][11][12][13] It also exerted multiple beneficial morphological effects, including reduced cardiac fibrosis and cardiac apoptosis in rat models.
14)Glomerular mesangial cells have a central role in maintaining the structure and function of the glomerular capillary tuft. High glucose-induced growth of glomerular mesangial cells is a characteristic feature of diabetes-induced renal complications. 1,15,16) Mesangial cells cultured under high glucose conditions produce TGF-b1, connective tissue growth factor (CTGF) and extracellular matrix molecules at a significantly faster rate than those cultured under normal glucose conditions, which is one of the basic underlying mechanisms of diabetic nephropathy and induce persistent fibrosis in vivo. [16][17][18][19] To date, there have been no reports on the effect of probucol on the JAK/STAT pathway, the growth of human mesangial cells (HMCs), and the production of TGF-b1 and CTGF in HMCs. In this study, we investigated the effect of probucol on HMCs cultured under high glucose conditions, and also investigated the molecular mechanisms underlying this effect. Cell Culture Primary HMCs were seeded in 25-cm 2 tissue culture flasks in Mesangial Cell Medium under normal glucose (NG, 5.5 mmol/l glucose), high glucose (HG, 25 mmol/l glucose), or control (5.5 mmol/l glucoseϩ19.5 mmol/l mannitol) conditions. The culture medium was supplemented with 10% fetal bovine serum, 100 U/ml penicillin and 100 mg/ml streptomycin in a 5% CO 2 atmosphere. The cell medium was changed every other day until the cells became confluent. Cells in passages 3-6 were used. The HMCs at about 70-80% confluence, were cultured in serum-free 1640 with NG for 24 h to synchronize the cell Nephrology, Daqing Oilfield General Hospital; Daqing 163000, P. R. China. Received November 15, 2009; accepted January 28, 2010; published online February 2, 2010 Probucol is a cholesterol-lowering drug with an anti-p...