Mj. Horney et al., ELEVATED GLUCOSE INCREASES MESANGIAL CELL SENSITIVITY TO INSULIN-LIKE-GROWTH-FACTOR-I, American journal of physiology. Renal, fluid and electrolyte physiology, 43(6), 1998, pp. 1045-1053
To determine the effects of glucose on Insulin-like growth factor I (I
GF-I)-induced mesangial cell (MC) proliferation, we have examined the
relationships between IGF binding protein 2 (IGFBP-2) secretion and pr
oliferation in murine MCs (MMCs). MMCs incubated in high glucose (HG,
25 mM) exhibited a 25-30% reduction in IGFBP-2 secretion compared with
cells in normal glucose (NG, 5.6 mM). This loss was not due to cell s
urface binding; it correlated with a 3.1-fold decrease in IGFBP-2 mRNA
. IGFBP-2 secretion was stimulated by IGF-I in NG but was unaltered in
HG. Insulin treatment yielded similar results at 10-fold higher doses
, indicating that this response is IGF-I receptor dependent. MMCs in H
G displayed increased TGF-I-stimulated insulin receptor substrate-1/2
phosphorylation and activator protein-1 transcriptional activity compa
red with NG controls. Accordingly, although IGF-I was not proliferativ
e in NG, it increased [H-3]thymidine incorporation and cell number in
HG to an extent proportional to the decrease in IGFBP-2. Thus hypergly
cemia, as seen in diabetes, may increase MC IGF-I sensitivity by reduc
ing IGFBP-2 expression, in turn increasing its proliferative and secre
tory responses and contributing to the development of diabetic glomeru
losclerosis.