Excessive transforming growth factor- (TGF-) activity in hyperglycemia contributes to the development of diabetic nephropathy. Glucose stimulation of TGF- activity and matrix synthesis are dependent on autocrine thrombospondin 1 (TSP1) to convert latent TGF- to its biologically active form. The mechanisms by which glucose regulates TSP1 are not known. High glucose inhibits nitric oxide (NO) bioavailability and decreased NO increases TGF- activity and extracellular matrix accumulation. Yet, the impact of NO signaling on TSP1 activation of TGF- is unknown. We tested the role of NO signaling in the regulation of TSP1 expression and TSP1-dependent TGF- activity in rat mesangial cells exposed to high glucose. On exposure to 30 mM glucose, NO accumulation in the conditioned media and intracellular cGMP levels were significantly decreased. The addition of an NO donor prevented the glucose-dependent increase in TSP1 mRNA, protein, and TGF- bioactivity. The effects of the NO donor were blocked by ODQ (a soluble guanylate cyclase inhibitor) or Rp-8-pCPTcGMPS (an inhibitor of cGMP-dependent protein kinase). These effects of high glucose were also reversed by the nitric-oxide synthase cofactor tetrahyrobiopterin (BH 4 ). These results show that high glucose mediates increases in TSP1 expression and TSP1-dependent TGF- bioactivity through down-modulation of NO-cGMP-dependent protein kinase signaling.Hyperglycemia is a crucial factor in the development of diabetic renal complications, with multiple lines of evidence suggesting that high glucose stimulates an increase in TGF- 1 activity (1-3). This is important because TGF- is a key mediator of the fibrotic changes in the pathogenesis of diabetic nephropathy (4 -6).TGF- is synthesized and secreted as latent complex (latent TGF-). It must be converted to the active state before binding to its receptors and eliciting cellular functions. Latent TGF- can be activated by a number of factors, including heat, extreme pH, plasmin, altered glycosylation, integrin binding, and reactive oxygen species (7-9). However, there is increasing evidence that the extracellular matrix protein, thrombospondin 1 (TSP1), is a major physiologic regulator of TGF- activation (10 -12). TSP1, a disulfide-linked 180-kDa trimer, is a multifunctional protein that is produced by a variety of cells, including mesangial cells. In vitro and in vivo studies show that high glucose up-regulates TSP1 expression (13)(14)(15)(16)31) and that TSP1 protein is increased in the kidneys of diabetic patients (17). Recently, we and others showed that TSP1 is responsible for the activation of TGF- in mesangial cells when exposed to high glucose for either short (2 days) or long term (3 weeks) treatment (18,19). However, the mechanisms involved in regulating TSP1 expression by high glucose concentrations are unclear.Nitric oxide has been implicated in the pathophysiology of diabetic nephropathy (20 -22). In glomerular mesangial cells, decreased nitric oxide (NO) bioavailability is observed at high glucose conce...