AGEs对肾小管上皮细胞转分化、1型胶原合成及smad信号通路的影响

目的:观察终末期糖基化终产物(AGEs)对正常大鼠近端肾小管上皮细胞（NRK52E ）转分化、collagenⅠ合成及Smads信号通路的影响。 方法:应用自制的AGEs（AGE-BSA）刺激NRK52E细胞，采用免疫细胞化学方法检测pmad2/3核表达情况；ELISA方法检测细胞培养上清TGF-β₁的浓度；RT-PCR检测TGF-β₁、Smad2、Smad3和Smad7 mRNA的表达；Western印迹检测α-平滑肌肌动蛋白（SMA）、E-钙粘着糖蛋白（cadherin）和1型胶原（collagenⅠ）蛋白的表达。 结果: AGE-BSA刺激15 min后pSmad2/3核表达明显增加，于30 min（68%）和24 h（76%）出现两个高峰，与刺激前及时间匹配的BSA对照组比较均有显著差异（P<0.05）；AGE-BSA以时间依赖方式上调TGF-β₁、Smad2、Smad3和Smad7 mRNA的表达；NRK52E细胞α-SMA和collagenⅠ蛋白表达高于对照组（P<0.01），E-cadherin蛋白表达低于对照组（P<0.01），细胞上清液TGF-β₁的浓度高于对照组（P<0.01）。 结论:AGEs可诱导肾小管上皮细胞Smads信号通路活化，促进肾小管上皮细胞转分化和细胞外基质collagenⅠ的合成。

Activation of smad signaling and collagen Ⅰ synthesis in NRK52E cells induced by advanced glycation end products

AIM:To investigate the effects of advanced glycation end products on activation of Smad signaling pathway and collagenⅠ synthesis in proximal tubular epithelial cells. METHODS:Advanced glycation end products (AGE-BSA) were prepared by incubation of bovine serum albumin (BSA) with D-glucose. Normal rat proximal tubular epithelial (NRK52E) cells were cultured in RPMI-1640 medium with AGE-BSA. Phosphorylation and nuclear translocation of Smad2/3 were examined by immunocytochemistry. Levels of TGF-β1 in supernatant of cell culture were measured by enzyme-linked immunosorbent assay (ELISA). Expression of TGF-β1, Smad2, Smad3 and Smad7 mRNA were detected by RT-PCR. Expression of α-SMA , E-cadherin and collagenⅠproteins were detected by Western blotting.RESULTS:AGE-BSA induced Smad2/3 phosphorylation and nuclear translocation, two peaks occured at 30 min (68% vs 16%, P<0.05) and 24 h (76% vs 16%, P<0.05) compared to 0 min. The level of TGF-β1 markedly increased in supernatant of cell culture by induced AGE-BSA at 24 h and 48 h. The expression of TGF-β1 mRNA markedly increased at 24 h, and associated with high expression of Smad2, Smad3 and Smad7 mRNA at 48 h. AGE-BSA up-regulated significantly the expression of α-SMA and collagenⅠproteins, down-regulated the expression of E-cadherin protein. CONCLUSION:AGEs induces activation of Smad signaling, as well as transdifferentiation and collagenⅠ synthesis in proximal tubular epithelial cells.