Elsevier

Kidney International

Volume 61, Issue 1, January 2002, Pages 148-156
Kidney International

Cell Biology – Immunology – Pathology
AGEs bind to mesothelial cells via RAGE and stimulate VCAM-1 expression

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AGEs bind to mesothelial cells via RAGE and stimulate VCAM-1 expression.

Background

Excess advanced glycation end-products (AGEs) are formed during renal failure, and AGE formation also may be connected with the high glucose concentration of peritoneal dialysis (PD) fluids. To determine the effect of human peritoneal mesothelial cell (HPMC) exposure to glycated proteins, we studied the HPMC receptor of AGE expression (RAGE), and analyzed the results of AGE–RAGE interaction on adhesion molecule expression and leukocyte binding.

Methods

RAGE was detected by FACS analysis, and RAGE mRNA by reverse transcription–polymerase chain reaction (RT–PCR). Vascular and intercellular cell adhesion molecule (VCAM-1 and ICAM-1) expression was measured by a known radiometric technique under basal conditions, after the addition of an AGE-specific compound, Nε-carboxylmethyllysine (CML–albumin). Leukocyte adhesion on HPMC was analyzed by videomicroscopy after HPMC stimulation.

Results

RAGE protein was detected on HPMC, and RAGE mRNA was evidenced by RT-PCR. VCAM-1 expression was stimulated by CML-albumin (P < 0.01), while ICAM-1 was unchanged. By blocking the AGE–RAGE interaction, anti-RAGE antibodies or recombinant RAGE inhibited the increase in VCAM-1 expression. CML–albumin stimulation potentiated leukocyte adhesion to HPMC (P < 0.001). This effect was prevented by the incubation of leukocytes with recombinant VCAM-1 (P < 0.001).

Conclusions

AGE binding to RAGE stimulated mesothelial cell activity, and resulted in the overexpression of VCAM-1, a structure for leukocyte adhesion. The AGE–RAGE interaction resulted in HPMC activation, which may promote local inflammation, and thus is implicated in the peritoneal injury found in long-term PD patients.

Keywords

peritoneal dialysis
glycation
inflammation
advanced glycation end products
leukocytes

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