Abstract
Peroxisome proliferator-activated receptor γ (PPARγ) and its ligands have profound effects on glucose homeostasis, cardiovascular diseases, and bone metabolism. To explore the pathophysiological roles of PPARγ in diabetes with concomitant vascular calcification, we investigated changes in PPARγ expression and the effect of the PPARγ ligands troglitazone and rosiglitazone on vascular smooth muscle cell (VSMC) calcification induced by high glucose (HG, 25 mmol/L). Compared with low glucose, HG-induced VSMC calcification, and PPARγ mRNA, protein level was decreased. Troglitazone and rosiglitazone treatment markedly attenuated the VSMC calcification, whereas PPARγ antagonist GW9662 abolished the effect of rosiglitazone on calcification. Pretreatment of VSMCs with rosiglitazone, but not troglitazone, restored the loss of lineage marker expression: the protein levels of α-actin and SM-22α were increased 52 % (P < 0.05) and 53.1 % (P < 0.01), respectively, as compared with HG alone. Troglitazone and rosiglitazone reversed the change in bone-related protein expression induced by HG: decreased the mRNA levels of osteocalcin, bone morphogenetic protein 2 (BMP2), and core binding factor α 1 (Cbfα-1) by 26.9 % (P > 0.05), 50.0 % (P < 0.01), and 24.4 % (P < 0.05), and 48.4 % (P < 0.05), 41.4 % (P < 0.01) and 56.2 % (P < 0.05), respectively, and increased that of matrix Gla protein (MGP) 84.2 % (P < 0.01) and 70.0 %, respectively (P < 0.05), as compared with HG alone. GW9662 abolished the effect of rosiglitazone on Cbfα-1 and MGP expression. PPARγ ligands can inhibit VSMCs calcification induced by high glucose.
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Rydén, L. (2008). What are the risk factors for progression of coronary artery calcification in patients with type 2 diabetes? Nature Clinical Practice Cardiovascular Medicine, 5, 370–381.
Chen, N. X., Duan, D., O’Neill, K. D., & Moe, S. M. (2006). High glucose increases the expression of Cbfa1 and BMP-2 and enhances the calcification of vascular smooth muscle cells. Nephrology, Dialysis, Transplantation, 21, 3435–3442.
Wang, C. C., Sorribas, V., Sharma, G., Levi, M., & Draznin, B. (2007). Insulin attenuates vascular smooth muscle calcification but increases vascular smooth muscle cell phosphate transport. Atherosclerosis, 195, e65–e75.
Chen, B. H., Jiang, D. Y., & Tang, L. S. (2006). Advanced glycation end-products induce apoptosis involving the signaling pathways of oxidative stress in bovine retinal pericytes. Life Sciences, 79, 1040–1048.
Kumeda, Y., Inaba, M., Shoji, S., Ishimura, E., Inariba, H., Yabe, S., et al. (2008). Significant correlation of glycated albumin, but not glycated haemoglobin, with arterial stiffening in haemodialysis patients with type 2 diabetes. Clinical Endocrinology (Oxf), 69, 556–561.
Qiao, J. H., Mertens, R. B., Fishbein, M. C., & Geller, S. A. (2003). Cartilaginous metaplasia in calcified diabetic peripheral vascular disease: morphologic evidence of enchondral ossification. Human Pathology, 34, 402–407.
Ishimura, E., Okuno, S., Kitatani, K., Maekawa, K., Izumotani, T., Yamakawa, T., et al. (2004). C-reactive protein is a significant predictor of vascular calcification of both aorta and hand arteries. Seminars in Nephrology, 24, 408–412.
The Diabetes Control and Complications Trial Research Group. (1995). Effect of intensive diabetes management on macrovascular events and risk factors in the diabetes control and complications trial. American Journal of Cardiology, 75, 894–903.
Nathan, D. M., Lachin, J., Cleary, P., Orchard, T., Brillon, D. J., Backlund, J. Y., et al. (2003). Intensive diabetes therapy and carotid intima-media thickness in type 1 diabetes mellitus. New England Journal of Medicine, 348, 2294–2303.
Nathan, D. M., Cleary, P. A., Backlund, J. Y., Genuth, S. M., Lachin, J. M., Orchard, T. J., et al. (2005). Intensive diabetes treatment and cardiovascular disease in patients with type 1 diabetes. New England Journal of Medicine, 353, 2643–2653.
Kliewer, S. A., Xu, H. E., Lambert, M. H., & Willson, T. M. (2001). Peroxisome proliferator-activated receptors: From genes to physiology. Recent Progress Hormone Research, 56, 239–263.
Spiegelman, B. M. (1997). Peroxisome proliferator-activated receptor gamma: A key regulator of adipogenesis and systemic insulin sensitivity. European Journal of Medical Research, 2, 457–464.
Ibrahimi, A., Teboul, L., Gaillard, D., Amri, E. Z., Ailhaud, G., Young, P., et al. (1994). Evidence for a common mechanism of action for fatty acids and thiazolidinedione antidiabetic agents on gene expression in preadipose cells. Molecular Pharmacology, 46, 1070–1076.
Lehmann, J. M., Moore, L. B., Smith-Oliver, T. A., Wilkison, W. O., Willson, T. M., & Kliewer, S. A. (1995). An antidiabetic thiazolidinedione is a high affinity ligand for peroxisome proliferator-activated receptor gamma (PPAR gamma). Journal of Biological Chemistry, 270, 12953–12956.
Marx, N., Bourcier, T., Sukhova, G. K., Libby, P., & Plutzky, J. (1999). PPARgamma activation in human endothelial cells increases plasminogen activator inhibitor type-1 expression: PPARgamma as a potential mediator in vascular disease. Arteriosclerosis, Thrombosis, and Vascular Biology, 19, 546–551.
Law, R. E., Goetze, S., Xi, X. P., Jackson, S., Kawano, Y., Demer, L., et al. (2000). Expression and function of PPARgamma in rat and human vascular smooth muscle cells. Circulation, 101, 1311–1318.
Takano, H., & Komuro, I. (2009). Peroxisome proliferator-activated receptor gamma and cardiovascular diseases. Circulation Journal, 73, 214–220.
Sugawara, A., Uruno, A., Kudo, M., Matsuda, K., Yang, C. W., & Ito, S. (2010). Effects of PPARγ on hypertension, atherosclerosis, and chronic kidney disease. Endocrine Journal, 57, 847–852.
Stunes, A. K., Westbroek, I., Gustafsson, B. I., Fossmark, R., Waarsing, J. H., Eriksen, E. F., et al. (2011). The peroxisome proliferator-activated receptor (PPAR) alpha agonist fenofibrate maintains bone mass, while the PPAR gamma agonist pioglitazone exaggerates bone loss, in ovariectomized rats. BMC Endocrine Disorders, 26(11), 11.
Syversen, U., Aune, G., & Thommesen, L. (2003). PPAR-Alpha agonists increase bone mineral density in female rats. Abstract at ASBMR 25th Annual Meeting Minneapolis, Minnesota, USA.
Syversen, U., Stunes, A.K., Gustafsson, B.I., Obrant, K.J., Nordsletten, L., Berge, R., et al. (2009). Different skeletal effects of the peroxisome proliferator activated receptor (PPAR)α agonist fenofibrate and the PPARγ agonist pioglitazone. BMC Endocrine Disorder, 9, 10. doi:10.1186/1472-6823-9-10.
Schwartz, A. V., Sellmeyer, D. E., Vittinghoff, E., Palermo, L., Lecka-Czernik, B., Feingold, K. R., et al. (2006). Thiazolidinedione use and bone loss in older diabetic adults. Journal of Clinical Endocrinology and Metabolism, 91, 3349–3354.
Yaturu, S., Bryant, B., & Jain, S. K. (2007). Thiazolidinedione treatment decreases bone mineral density in type 2 diabetic men. Diabetes Care, 30, 1574–1576.
Grey, A., Bolland, M., Gamble, G., Wattie, D., Horne, A., Davidson, J., et al. (2007). The peroxisome proliferator-activated receptor-gamma agonist rosiglitazone decreases bone formation and bone mineral density in healthy postmenopausal women: a randomized, controlled trial. Journal of Clinical Endocrinology and Metabolism, 92, 1305–1310.
Abedin, M., Lim, J., Tang, T. B., Park, D., Demer, L. L., & Tintut, Y. (2006). N-3 fatty acids inhibit vascular calcification via the p38-mitogen-activated protein kinase and peroxisome proliferator-activated receptor-gamma pathways. Circulation Research, 98, 727–729.
Gaillard, V., Casellas, D., Seguin-Devaux, C., Schohn, H., Dauça, M., Atkinson, J., et al. (2005). Pioglitazone improves aortic wall elasticity in a rat model of elastocalcinotic arteriosclerosis. Hypertension, 46, 372–379.
Yu, J., Jin, N., Wang, G., Zhang, F., Mao, J., & Wang, X. (2007). Peroxisome proliferator-activated receptor gamma agonist improves arterial stiffness in patients with type 2 diabetes mellitus and coronary artery disease. Metabolism, 56, 1396–1401.
Paulik, M. A., & Lenhard, J. M. (1997). Thiazolidinediones inhibit alkaline phosphatase activity while increasing expression of uncoupling protein, and increasing mitochondrial mass in C3H10T1/2 cells. Cell and Tissue Research, 290, 79–87.
Fu, M., Zhang, J., Lin, Y. Y., Zhu, X., Willson, T. M., & Chen, Y. E. (2002). Activation of peroxisome proliferator-activated receptor gamma inhibits osteoprotegerin gene expression in human aortic smooth muscle cells. Biochemical and Biophysical Research Communications, 294, 597–601.
Mbalaviele, G., Abu-Amer, Y., Meng, A., Jaiswal, R., Beck, S., Pittenger, M. F., et al. (2000). Activation of peroxisome proliferator-activated receptor-gamma pathway inhibits osteoclast differentiation. Journal of Biological Chemistry, 275, 14388–14393.
Khan, E., & Abu-Amer, Y. (2003). Activation of peroxisome proliferator-activated receptor-gamma inhibits differentiation of preosteoblasts. Journal of Laboratory and Clinical Medicine, 142, 29–34.
Shioi, A., Nishizawa, Y., Jono, S., Koyama, H., Hosoi, M., & Morii, H. (1995). Betaglycerophosphate accelerates calcification in cultured bovine vascular smooth muscle cells. Arteriosclerosis, Thrombosis, and Vascular Biology, 15, 2003–2009.
Zhou, Y. B., Jin, S. J., Cai, Y., Teng, X., Chen, L., Tang, C. S., et al. (2009). Lanthanum acetate inhibits vascular calcification induced by vitamin D3 plus nicotine in rats. Experimental Biology and Medicine, 234, 908–917.
Sodhi, C. P., Phadke, S. A., Batlle, D., & Sahai, A. (2001). Hypoxia stimulates osteopontin expression and proliferation of cultured vascular smooth muscle cells: Potentiation by high glucose. Diabetes, 50, 1482–1490.
Johnson, R. C., Leopold, J. A., & Loscalzo, J. (2006). Vascular calcification: Pathobiological mechanisms and clinical implications. Circulation Research, 99, 1044–1059.
Shao, J. S., Cai, J., & Towler, D. A. (2006). Molecular mechanisms of vascular calcification: Lessons learned from the aorta. Arteriosclerosis, Thrombosis, and Vascular Biology, 26, 1423–1430.
Demer, L. L., & Tintut, Y. (2008). Vascular calcification: Pathobiology of a multifaceted disease. Circulation, 117, 2938–2948.
Steitz, S. A., Speer, M. Y., Curinga, G., Yang, H. Y., Haynes, P., Aebersold, R., et al. (2001). Smooth muscle cell phenotypic transition associated with calcification: Upregulation of Cbfa1 and downregulation of smooth muscle lineage markers. Circulation Research, 89, 1147–1154.
Okura, T., Kurata, M., Enomoto, D., Jotoku, M., Nagao, T., Desilva, V. R., et al. (2010). Undercarboxylated osteocalcin is a biomarker of carotid calcification in patients with essential hypertension. Kidney Blood Pressure Research, 33, 66–71.
Shimizu, T., Tanaka, T., Iso, T., Matsui, H., Ooyama, Y., Kawai-Kowase, K., et al. (2011). Notch signaling pathway enhances bone morphogenetic protein 2 (BMP2) responsiveness of Msx2 gene to induce osteogenic differentiation and mineralization of vascular smooth muscle cells. Journal of Biological Chemistry, 286, 19138–19148.
Engelse, M. A., Neele, J. M., Bronckers, A. L., Pannekoek, H., & de Vries, C. J. (2001). Vascular calcification: expression patterns of the osteoblast-specific gene core binding factor alpha-1 and the protective factor matrix gla protein in human atherogenesis. Cardiovascular Research, 52, 281–289.
Atkins, K. B., Northcott, C. A., Watts, S. W., & Brosius, F. C. (2005). Effects of PPAR-gamma ligands on vascular smooth muscle marker expression in hypertensive and normal arteries. American Journal of Physiology Heart Circulatory Physiology, 288, H235–H243.
Luo, G., Ducy, P., McKee, M. D., Pinero, G. J., Loyer, E., Behringer, R. R., et al. (1997). Spontaneous calcification of arteries and cartilage in mice lacking matrix GLA protein. Nature, 386, 78–81.
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This work was supported by the National Natural Science Foundation of China (Grant Nos. 30770869, 30871013 to YF Qi).
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Ye-Bo Zhou and Jing Zhang contributed equally to this work
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Zhou, YB., Zhang, J., Peng, DQ. et al. Peroxisome Proliferator-Activated Receptor γ Ligands Retard Cultured Vascular Smooth Muscle Cells Calcification Induced by High Glucose. Cell Biochem Biophys 66, 421–429 (2013). https://doi.org/10.1007/s12013-012-9490-7
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DOI: https://doi.org/10.1007/s12013-012-9490-7