Abstract

Hyperglycemia is an independent risk factor for development of vascular diabetic complications. Vascular dysfunction in diabetics manifests in a tissue-specific manner; macrovasculature is affected by atherosclerotic lesions, and microvascular complications are described as "aberrant angiogenesis": in the same patient angiogenesis is increased in some tissues (e.g. retinal neovascularization) and decreased in others (e.g. in skin). Molecular cell- and tissue-specific mechanisms regulating the response of vasculature to hyperglycemia remain unclear. Thrombospondin-1 (TSP-1), a potent antiangiogenic and proatherogenic protein, has been implicated in the development of several vascular diabetic complications (atherosclerosis, nephropathy, and cardiomyopathy). This study examines cell type-specific regulation of production of thrombospondin-1 by high glucose. We previously reported the increased expression of TSP-1 in the large arteries of diabetic animals. mRNA and protein levels were up-regulated in response to high glucose. Unlike in macrovascular cells, TSP-1 protein levels are dramatically decreased in response to high glucose in microvascular endothelial cells and retinal pigment epithelial cells (RPE). This down-regulation is post-transcriptional; mRNA levels are increased. In situ mRNA hybridization and immunohistochemistry revealed that the level of mRNA is up-regulated in RPE of diabetic rats, whereas the protein level is decreased. This cell type-specific posttranscriptional suppression of TSP-1 production in response to high glucose in microvascular endothelial cells and RPE is controlled by untranslated regions of TSP-1 mRNA that regulate coupling of TSP-1 mRNA to polysomes and its translation. The cell-specific regulation of TSP-1 suggests a potential mechanism for the aberrant angiogenesis in diabetics and TSP-1 involvement in development of various vascular diabetic complications.

Highlights

  • The precise regulation of these levels remains a problem

  • Increased TSP-1 Production in Macrovascular endothelial cells (EC)—We recently reported that the expression of TSP-1 is increased in the aorta and carotid artery of diabetic Zucker rats at the protein and mRNA levels [26].This increase in production of the potent antiangiogenic protein TSP-1 in macrovessels was associated with the decreased number of vasa vasorum, or small blood vessels, growing through the vascular wall and feeding the inner layers of vascular cells

  • Cell lines derived from microvascular endothelial cells (MVEC) and retinal pigment epithelial (RPE) (MVEC, CDC.EU/HMEC1 and RF/6A; RPE, ARPE19 and D407) retained this ability to suppress TSP-1 production upon incubation with high glucose (Fig. 2), suggesting that the differential regulation of TSP-1 in MVEC and RPE versus macrovascular EC and other cells from large blood vessels is an inherited property that is preserved in cell culture and in transformed cell lines

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Summary

Introduction

The precise regulation of these levels remains a problem. Vascular diabetic complications remain most prevalent and dangerous and account for the greatest numbers of deaths and hospitalizations in diabetic patients. We report a finding of a cell type- and cell origin-specific post-transcriptional mechanism of down-regulation of TSP-1 expression by glucose This mechanism is not present in endothelial cells (EC) from large blood vessels, vascular smooth muscle cells (SMC), and fibroblasts, where the transcriptional increase in TSP-1 mRNA upon acute glucose stimulation of cells leads to the increased expression of TSP-1 protein [26]. The mechanism controlling TSP-1 production is activated by high glucose, operates at the level of mRNA translation and is controlled by untranslated regions of mRNA The finding of such a cell type- and cell origin-specific mechanism of suppression of the protein production may provide a molecular basis for aberrant angiogenesis in diabetic individuals. Cell- and tissue-specific regulation of TSP-1 production may represent an important link between diabetes, hyperglycemia, and a variety of vascular complications of diabetes

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