title: Growth factor midkine is involved in the pathogenesis of diabetic nephropathy.
abstract: Diabetic nephropathy is a life-threatening disease associated with diabetes mellitus. Longstanding hyperglycemia induces pathological reactions of glomerular mesangial cells, such as overproduction of extracellular matrix, which finally lead to nephropathy. However, the mechanisms underlying its pathogenesis have not been completely elucidated. Using the Streptozotocin-induced model of diabetes, we report that mice deficient in the growth factor midkine (Mdk-/-) exhibited strikingly milder nephropathy than Mdk+/+ mice, even though both mice showed similar extents of hyperglycemia after Streptozotocin injection. Midkine expression was induced in the glomerular mesangium of Mdk+/+ mice with diabetic nephropathy and in primary cultured mesangial cells exposed to high glucose. Mdk-/- mesangial cells exhibited reduced phosphorylation of protein kinase C and extracellular signal-regulated kinase as well as reduced production of transforming growth factor-beta(1) on high glucose loading. Addition of exogenous midkine restored extracellular signal-regulated kinase phosphorylation in Mdk-/- cells under high glucose conditions, whereas a midkine antisense oligodeoxynucleotide suppressed midkine in Mdk+/+ cells. Therefore, this study identifies midkine as a key molecule in diabetic nephropathy and suggests that midkine accelerates the intracellular signaling network evoked by hyperglycemia in nephropathy.
authors.affiliation: Department of Biochemistry, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan.
authors.forename: Tomoki
authors.initials: T
authors.lastname: Kosugi
authors.forename: Yukio
authors.initials: Y
authors.lastname: Yuzawa
authors.forename: Waichi
authors.initials: W
authors.lastname: Sato
authors.forename: Hanayo
authors.initials: H
authors.lastname: Kawai
authors.forename: Seiichi
authors.initials: S
authors.lastname: Matsuo
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Takei
authors.forename: Takashi
authors.initials: T
authors.lastname: Muramatsu
authors.forename: Kenji
authors.initials: K
authors.lastname: Kadomatsu
mesh_terms: D000818:Animals; D015153:Blotting, Western; D002478:Cells, Cultured; D016207:Cytokines / Q000235:genetics / Q000378:metabolism*; D003921:Diabetes Mellitus, Experimental / Q000150:complications*; D003928:Diabetic Nephropathies / Q000209:etiology*; D004797:Enzyme-Linked Immunosorbent Assay; D048049:Extracellular Signal-Regulated MAP Kinases / Q000378:metabolism; D005260:Female; D005920:Glomerular Mesangium / Q000378:metabolism; D006943:Hyperglycemia / Q000209:etiology / Q000503:physiopathology; D007150:Immunohistochemistry; D051379:Mice; D008817:Mice, Mutant Strains; D000078792:Midkine; D011493:Protein Kinase C / Q000378:metabolism; D016212:Transforming Growth Factor beta / Q000378:metabolism; D053773:Transforming Growth Factor beta1
chemical_list: D016207:Cytokines; C508961:Tgfb1 protein, mouse; D016212:Transforming Growth Factor beta; D053773:Transforming Growth Factor beta1; D000078792:Midkine; D011493:Protein Kinase C; D048049:Extracellular Signal-Regulated MAP Kinases