Abstract
PurposeGlucosamine (GlcN) supplements are promoted for medical reasons, for example, for patients with arthritis and other joint-related diseases. Oral intake of GlcN is followed by uptake in the intestine, transport in the circulation and thereafter delivery to chondrocytes. Here, it is postulated to have an effect on synthesis and turnover of extracellular matrix constituents expressed by these cells. Following uptake in the intestine, serum levels are transiently increased, and the endothelium is exposed to increased levels of GlcN. We investigated the possible effects of GlcN on synthesis of proteoglycans (PGs), an important matrix component, in primary human endothelial cells.MethodsPrimary human endothelial cells were cultured in vitro in medium with 5 mM glucose and 0–10 mM GlcN. PGs were recovered and analysed by western blotting, or by SDS-PAGE, gel chromatography or ion-exchange chromatography of 35S-PGs after 35S-sulphate labelling of the cells.ResultsThe synthesis and secretion of 35S-PGs from cultured endothelial cells were reduced in a dose- and time-dependent manner after exposure to GlcN. PGs are substituted with sulphated glycosaminoglycan (GAG) chains, vital for PG function. The reduction in 35S-PGs was not related to an effect on GAG chain length, number or sulphation, but rather to the total expression of PGs.ConclusionExposure of endothelial cells to GlcN leads to a general decrease in 35S-PG synthesis. These results suggest that exposure to high levels of GlcN can lead to decreased matrix synthesis, contrary to what has been claimed by supporters of such supplements.
Highlights
Use of glucosamine (GlcN) as a dietary supplement for patients with arthritis has been highly debated [1, 2]
PGs are important constituents of the extracellular matrix and are proteins modified with linear GAG chains
Through the GAG chains, PGs have the ability to bind to partner molecules including matrix components, chemokines, growth factors and proteases, and they offer structure as well as protection, transport and presentation of these molecules
Summary
Use of glucosamine (GlcN) as a dietary supplement for patients with arthritis has been highly debated [1, 2]. GlcN supplements have been used with the intention to increase the supply of the building blocks for PG biosynthesis, to increase synthesis and to decrease degradation of cartilage. It is highly controversial whether dietary supply of GlcN and chondroitin is of any use in this disease [4, 5]. GlcN is further converted to uridine diphosphate (UDP)N-Acetyl glucosamine (UDP-GlcNAc) and UDP-N-Acetylgalactosamine (UDP-GalNAc), building blocks for the glycosaminoglycan (GAG) side chains of PGs. Articular cartilage does not have blood vessels, nerves or lymphatics, and delivery of circulatory molecules is slow. Creativecommons.org/licenses/by/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license
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