Insight review articles


Activation of protein kinase C



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brownlee2001
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Activation of protein kinase C
The PKC family comprises at least eleven isoforms, nine of which are
activated by the lipid second messenger DAG. Intracellular hypergly-
caemia increases the amount of DAG in cultured microvascular cells
and in the retina and renal glomeruli of diabetic animals. It seems to
achieve this primarily by increasing de novo DAG synthesis from the
glycolytic intermediate dihydroxyacetone phosphate, through reduc-
tion of the latter to glycerol-3-phosphate and stepwise acylation
54
.
Increased de novo synthesis of DAG activates PKC both in cultured
vascular cells
55
and in retina and glomeruli of diabetic animals
54
. The
b- and d-isoforms of PKC are activated primarily, but increases in
other isoforms have also been found, such as PKC-
aand -;isoforms in
the retina
54
and PKC-
a and -b in glomeruli
56
of diabetic rats. 
Hyperglycaemia may also activate PKC isoforms indirectly through
both ligation of AGE receptors
57
and increased activity of the polyol-
pathway
58
, presumably by increasing reactive oxygen species.
In early experimental diabetes, activation of PKC-
b isoforms has
been shown to mediate retinal and renal blood flow abnormalities
59
,
perhaps by depressing nitric oxide production and/or increasing
endothelin-1 activity (Fig. 3). Abnormal activation of PKC has been
insight
review articles
NATURE
|
VOL 414
|
13 DECEMBER 2001
|
www.nature.com
815
Glucose
Glucose
Integrins
Matrix
Intracellular transducers
Proteins
Intracellular protein glycation
AGE precursors
ROS
NF-
κ
B
Endothelial cell
Macrophage/
mesangial cell
mRNA
RNA
DNA
Transcription factors
Transcription
AGE
plasma
proteins
AGE
receptor
Growth factors
and cytokines
AGE
receptor
Figure 2 Mechanisms by which
intracellular production of advanced
glycation end-product (AGE) precursors
damages vascular cells. Covalent
modification of intracellular proteins by
dicarbonyl AGE precursors alters several
cellular functions. Modification of
extracellular matrix proteins causes
abnormal interactions with other matrix
proteins and with integrins. Modification of
plasma proteins by AGE precursors
creates ligands that bind to AGE
receptors, inducing changes in gene
expression in endothelial cells, mesangial
cells and macrophages.

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