(VEGF) production in human monocyte/macrophages
Transkrypt
(VEGF) production in human monocyte/macrophages
Magdalena Pertyńska-Marczewska1, 2, Serafim Kiriakidis1, Robin Wait1, Jonathan Beech1, Katarzyna Cypryk2, Marc Feldmann1, Ewa M. Paleolog1 PRACA ORYGINALNA 1 Kennedy Institute of Rheumatology, Faculty of Medicine, Imperial College, London, United Kingdom, 2Polish Mother's Memorial Hospital Research Institute, Łódź, Poland Advanced glycation end products (AGE) enhance vascular endothelial growth factor (VEGF) production in human monocyte/macrophages Stymulacja końcowymi produktami glikacji (AGE) a wzrost produkcji czynnika wzrostu śródbłonka (VEGF) w ludzkich komórkach monocytarnych Streszczenie Wstęp. W następstwie cukrzycy w licznych tkankach dochodzi do zwiększenia ekspresji czynników wzrostu naczyń w odpowiedzi zarówno na hiperglikemię, jak i niedotlenienie tkanek. Najważniejszym regulatorem procesów angiogenezy jest czynnik wzrostu śródbłonka (VEGF). Końcowe produkty glikacji białek (AGE) powstają w reakcji Maillarda i obecnie uważa się je za współodpowiedzialne za rozwój powikłań naczyniowych, zwłaszcza cukrzycy. Cel. Określenie produkcji VEGF przez monocyty/makrofagi stymulowane glikowanym białkiem ludzkim (HSA), powstałym w różnych procesach glikacji in vitro oraz przez białko wołowe (BSA), modyfikowane przez Ne-(karboksymetyl)lizynę (CML-BSA). Materiał i metody. Glikowane białko ludzkie inkubowano z D-glukozą w buforze fosforanowym (PBS) lub w buforze sodowo-fosforanowym w 37°C (150 mM) przez różny okres czasu. Natomiast BSA inkubowano z cyjanobromowodor- Background The term advanced glycation end products (AGE) is applied to a broad range of advanced products of reacAdres do korespondencji: dr hab. med. Katarzyna Cypryk Klinika Endokrynologii ICZMP Rzgowska 281/289, Łódź tel. +48 (0 prefiks 42) 271 11 54 e-mail: [email protected] Diabetologia Doświadczalna i Kliniczna 2003, 3, 6, 481–487 Copyright © 2003 Via Medica, ISSN 1643–3165 kiem sodu oraz kwasem glioksylowym w buforze fosforanowym w celu otrzymania białka wołowego modyfikowanego Ne-(karboksymetyl)lizyną (CML- BSA). Wyniki. Zaobserwowano silną stymulację produkcji VEGF w nadsączach badanych komórek po stymulacji 600 mg/ml glikowanym HSA w stężeniu (9 tygodni inkubacji z 1,67 M glukozą) w NaH2PO4 w porównaniu ze stymulacją nieglikowanym HSA. Monocyty inkubowano przez okres od 4–24 godzin w obecności 1–9,5 mg/ml BSA modyfikowanego CML oraz niemodyfikowanego BSA. Znamienny wzrost produkcji VEGF zaobserwowano jedynie, stosując stężenie 9,5 mg/ml BSA-CML. Wnioski. Uzyskane wyniki sugerują, że AGE odgrywa bardzo ważną rolę w stymulacji rozwoju powikłań naczyniowych obserwowanych u chorych na cukrzycę. słowa kluczowe: czynnik wzrostu śródbłonka (VEGF), ludzkie makrofagi, powikłania naczyniowe cukrzycy tion, such as N-(carboxymethyl)hydroxylysine, pyraline, pentosidine, and cross-links. AGE are formed after glucose binds to protein amino residues and forms early glycation products such as Schiff bases and Amadori products. The final Maillard reaction leading to the production of AGE is slow, irreversible and dependent on plasma glucose concentration. AGE are thus non-enzymatically glycated and autooxidized proteins [1]. Targets of advanced glycation include structural proteins, such as collagen and aggrecan, plasma proteins, including immunoglobulins and albumin, and intracellular www.ddk.viamedica.pl 481 Diabetologia Doświadczalna i Kliniczna rok 2003, tom 3, nr 6 proteins, such as haemoglobin and lens crystallin [2]. Protein glycation in particular has the potential to alter many cellular functions, and as a consequence it has been suggested that AGE contribute to the pathogenesis of many diseases. For example, Ne-(carboxymethyl)lysine (CML) and pentosidine products are elevated in diabetes, and correlate with the severity of diabetic microvascular disease [3]. Moreover, AGE-bovine serum albumin (BSA) has been shown to increase adhesion molecule expression on endothelial cells [4, 5]. Although the mechanisms leading to the vascular complications of diabetes are not fully understood, formation and signalling through AGE is considered to be one of such important mechanisms [6]. A link between AGE and complications of diabetes is suggested by the observation that retinal, glomerular and nerve lesions induced by experimental diabetes in animals are prevented by aminoguanidine, an inhibitor of AGE formation [7]. Angiogenesis is regulated by vascular growth factor, particularly the vascular endothelial growth family of proteins (VEGF). Recently Ido and colleagues reported that vascular dysfunction induced by AGE is mediated by VEGF via mechanisms involving reactive oxygen species, guanylate cyclase, and protein kinase C [8]. AGE have also been shown to increase VEGF release and to stimulate the growth of microvascular endothelial cells, which might contribute to diabetic microangiopathies [8–11] and the amount of AGE has been reported to correlate with the severity of diabetic complications [12]. In this report we aim to show that AGE-modified proteins stimulate human monocyte-derived macrophages to produce VEGF. Our results suggest an important role for AGE in the stimulation of the development of angiogenesis observed in diabetic complications. incubation using Schleicher & Schuell filters with a cut off equivalent of 0.2 mm. All buffers were prepared in endotoxin-free H2O. HSA (1 mM) was minimally modified by AGE by incubation with 50 mM D-glucose in PBS at 37°C for 5 weeks. HSA (1 mM) was extensively modified by AGE by incubation with 1.67 M D-glucose in PBS at 37°C for 9 weeks. As controls, HSA was incubated without glucose in PBS for either 5 weeks or 9 weeks. Alternatively, both highly and minimally modified HSA were prepared in a 150 mM NaH2PO4 buffer of pH 7.4 as described above. After incubation, proteins were dialyzed against distilled water for 24 hours at 4°C to remove any unincorporated sugars [13]. Glycated BSA and HSA preparations were scanned in a Perkin Elmer Spectrometer Lambda Bio 50. BSA and HSA incubated in the absence of glucose were used as controls. Additionally, mass spectrometry was carried out to characterize the primary structure of the samples (data not shown). Synthesis of CML-modified albumin To synthesise CML-modified albumin, BSA (176 mg/ml) was dissolved in a 0.2 M NaH2PO4 buffer of pH 7.8, containing 450 mM sodium cyanoborohydride [14]. Glyoxylic acid was added to this solution to give a concentration of 155 mM, and the mixture was incubated for 24 hours at 37°C, before dialysis against cold PBS for 48 hours at 4°C. Control proteins were prepared under the same conditions, except that glyoxylic acid was omitted. The dialyzed CML-BSA and BSA control solutions were filter-sterilized and aliquoted for storage at –80°C. Isolation of monocyte/macrophages Materials and methods Reagents Bovine serum albumin (fraction V, 96–99% albumin, < 1 ng endotoxin/mg; BSA), b-D-glucose, human serum albumin (fraction V, 96 to 99% albumin, HSA), polimyxin B were purchased from Sigma (Poole, Dorset, UK). Escherichia coli lipopolysaccharide (LPS) was obtained from Sigma (St. Louis, USA). All reagents used to prepare AGE were of analytical grade. Preparation of HSA-AGE Glycated HSA was prepared under sterile conditions in the dark and in the presence of protease inhibitors (PMSF 1.5 mM, leupeptin 0.5 mg/ml, aprotinin 2 mg/ml, pepstatin 0.1 mg/ml). Each sample was filtered prior to 482 Human monocytes were differentiated to macrophages, as described previously [15, 16]. Briefly, single-donor platelet pheresis residues were purchased from North London Blood Transfusion Service (Colindale, UK). Mononuclear cells were isolated by Ficoll-Hypaque centrifugation prior to monocyte separation in a Beckman Instruments JEL elutriator (Torrence, CA, USA). Monocyte purity was assessed by flow cytometry and was routinely found to be > 90%. Elutriated human monocytes were incubated at 106/ml in RPMI 1640 with 2 mM L-glutamine supplemented with 5% (v/v) heat-inactivated foetal calf serum (FCS) and 100 U/ml penicillin/streptomycin, together with macrophage colony-stimulating factor (M-CSF; 100 ng/ml; from Genetics Institute, Boston, MA, USA) for 48 hours for differentiation to a macrophage-like phenotype. Adherent cells were washed twice in FCS-free RPMI 1640 and removed using Cell Dissociation Medium (Sigma, Poole, UK). www.ddk.viamedica.pl Magdalena Pertyńska-Marczewska et al. AGE induces VEGF production in human macrophages Monocyte/macrophages were plated at 105 cells per 30 mm2 well and stimulated with or without glycated HSA or BSA, or with non-glycated product as a control. Cells were also stimulated under the same conditions with CML-modified BSA, or with unmodified BSA as a control. Polymyxin B (2.5 mg/ml) was used in all experiments, and LPS (10 ng/ml) was used as a control stimulus. After 4–24 hours at 37°C and 5% CO2, the cells were sedimented by centrifugation, the supernatants removed and assayed for cytokine release as described below. Alternatively, cells were lysed for measurement of tissue factor antigen, as described below. The addition of either minimally and extensively glycated HSA, or CML-BSA, was without effect on cell viability, monitored using MTT. Analysis of cytokine release by ELISA To assay VEGF production, polystyrene plates (Nunc-Immunoplate II, BRL, Middlesex, UK) were coated with anti-human VEGF antibody (R&D, Abingdon, UK; 100 ng/ml in PBS) overnight at 4°C. Recombinant human VEGF standard (R&D, Abingdon, UK) or samples were added overnight at 4°C. Biotinulated anti-human VEGF antibody (50 mg/ml in 0.5% BSA/PBS) was then added at room temperature for 2 hours. Plates were washed to remove the detection antibody and incubated for 1 hour with streptavidin-horseradish peroxidase (HRP; Amersham Life Sciences, Buckinghamshire, UK). After the removal of the HRP conjugate, the plates were washed with PBS containing 0.05% Tween 20, and a 1:1 mixture of H2O2 and 3, 3', 5, 5'-tetramethylbenzidine peroxidase substrate (Kirkegaard and Perry Laboratories, Gaithersburg, MD, USA) was added for 5 minutes. After addition of 2 M sulphuric acid, plates were read at 450 nm on a spectrophotometric ELISA plate reader (Labsystems Multiscan Biochromic) and analysed using a Delta Soft II-4 program. Statistical analysis Statistical analyses were performed using a GraphPad Prism software package (GraphPad Software, San Diego, CA). The one-way ANOVA test was used, and p < 0.05 was considered as statistically significant. Results Optical density determination of HSA glycation is highest for extensively glycated samples Figure 1 (a) shows the absorbance of HSA incubated with or without glucose in PBS, for 5 weeks or 60 days. HSA incubated with glucose for 60 days showed the highest values of absorbance units in the studied wavelength when compared to all other samples. We noticed as well that HSA incubated for 60 days without glucose showed higher values of absorbance units than HSA incubated for 5 weeks under the same conditions. Figure 1 (b) shows the absorbance of HSA incubated with or without glucose in a sodium phosphate buffer, for 5 weeks or 60 days. Again, HSA incubated with glucose for 60 days showed the highest values of absorbance units in the studied wavelength when compared to all other samples. Long-term incubation of human monocyte-derived macrophages with extensively glycated HSA upregulates release of VEGF When human monocyte-derived macrophages were stimulated with 600 mg/ml extensively glycated HSA (9 weeks with 1.67 M glucose) in NaH2PO4, VEGF release was significantly increased (p < 0.01 by one-way ANOVA versus unstimulated cells, or versus cells incubated with HSA alone; figure 2). There was no comparable induction of VEGF by minimally glycated HSA (5 weeks with 50 mM glucose) in this buffer, or with samples minimally and extensively glycated in PBS. CML-modified BSA is an inducer of VEGF production in cultured human monocyte-derived macrophages To determine the effect of CML-modified BSA, prepared by incubating BSA with sodium cyanoborohydride and glyoxylic acid in a NaH2PO4 buffer for 24 hours, human monocyte-derived macrophages were incubated for 4–24 hours in the presence of 1–9.5 mg/ml CML-modified BSA or unmodified BSA. Significant VEGF production was only seen with 9.5 mg/ml CML-modified BSA (184 ± 8 pg/ml versus 75 ± 15 pg/ml in the presence of BSA alone; p < 0. 001; figure 3), and was undetectable after incubation times of less than 24 hours. Discussion Diabetes is a widespread disease with multiple complications that affect both the microvasculature and macrovasculature. Considerable evidence now supports a major role for AGE in the development of diabetes and diabetes related pathological conditions, such as retinopathy [17–19]. The formation and accumulation of AGE has been known to progress at an accelerated rate in diabetes. Recent understanding of this process has confirmed that AGE are implicated in the pathogenesis of diabetic va- www.ddk.viamedica.pl 483 Diabetologia Doświadczalna i Kliniczna rok 2003, tom 3, nr 6 A B Figure 1. Extensively glycated HSA show the highest values of absorbance units. A. HSA highly modified by AGE was prepared by incubation of HSA (50 mg/ml) with 1.67 M glucose in 150 mM sodium phosphate buffer pH 7.4 at 37°C for 60 days. HSA without glucose was incubated in the same buffer for 60 days as a control. HSA minimally modified by glucose derived AGE was prepared by incubation of HSA (50 mg/ml) in a 150 mM sodium phosphate buffer of pH 7.4 at 37°C for 5 weeks. HSA without glucose was incubated in the same buffer for 5 weeks as a control. B. HSA highly modified by AGE was prepared by incubation of HSA (50 mg/ml) with 1.67 M glucose in PBS, pH 7.4 at 37°C for 60 days. HSA without glucose was incubated in the same buffer for 60 days as a control. HSA minimally modified by glucose derived AGE was prepared by incubation of HSA (50 mg/ml) in PBS, pH 7.4 at 37°C for 5 weeks. HSA without glucose was incubated in the same buffer for 5 weeks as a control Rycina 1. Ekstensywnie glikowane HSA wykazuje najwyższe wartości absorbancji. A. HSA w znacznym stopniu zmodyfikowane przez AGE przygotowano, inkubując HSA (50 mg/ml) z 1,67 M roztworem glukozy w 150 mM buforze sodowo-fosforanowym (pH 7,4) w temperaturze 37°C przez 60 dni. W tym samym buforze inkubowano przez 60 dni HSA bez glukozy jako roztwór kontrolny. HSA w niewielkim stopniu zmodyfikowane przez AGE przygotowano, inkubując HSA (50 mg/ml) w 150 mM buforze sodowo-fosforanowym (pH 7,4) w temperaturze 37°C przez 5 tygodni. W tym samym buforze inkubowano przez 5 tygodni HSA bez glukozy jako roztwór kontrolny. B. HSA w znacznym stopniu zmodyfikowane przez AGE przygotowano, inkubując HSA (50 mg/ml) z 1,67 M roztworem glukozy w PBS (pH 7,4) w temperaturze 37°C przez 60 dni. W tym samym buforze inkubowano przez 60 dni HSA bez glukozy jako roztwór kontrolny. HSA w niewielkim stopniu zmodyfikowane przez AGE przygotowano, inkubując HSA (50 mg/ml) w PBS (pH 7,4) w temperaturze 37°C przez 5 tygodni. W tym samym buforze inkubowano przez 5 tygodni HSA bez glukozy jako roztwór kontrolny scular complications [20, 21]. One of the potential pathogenic mechanisms linking AGE to diabetes related vascular complications is VEGF [9, 22, 23]. Macrophages play a role in the progression of any vascular injury [26], which develops during the progression of diabetes. These cells take up AGE through AGE-specific cell surface receptors [25]. AGE are known as well to exhibit a growth inhibitory action on pericytes, which would lead to pericyte loss, the earliest histological hallmark in diabetic retinopathy [20]. In view of these literature data, we decided to look at different methods of albumin glycation and its effect on VEGF production. We used HSA, either extensively glycated (9 weeks with 1.67 M glucose), or minimally glycated (5 weeks with 50 mM glucose), in either PBS or a sodium phosphate buffer. Absorbance and mass spectrometry analyses suggested that HSA extensively glycated in a sodium phosphate buffer showed the greatest degree of lysine modification by glucose. Elutriated monocytes were differentiated to macrophages in the presence of M-CSF [13]. When these human mono- 484 cyte-derived macrophages were stimulated with HSA extensively glycated in a sodium phosphate buffer, we observed a significantly increased VEGF release compared to unstimulated cells, or cells incubated with HSA. There was no comparable induction of VEGF by HSA minimally glycated in this buffer, or with samples minimally and extensively glycated in PBS. Finally, we chose to prepare CML adducts, since CML-modified proteins are the predominant AGE in vivo, and play a central role in disease pathogenesis. In particular, CML provide an important link between AGE and chronic inflammation without loss of glycaemic control, since these products are likely to form in diseases associated with oxidative stress, such as rheumatoid arthritis. Addition of CML-BSA, prepared by incubation in the presence of sodium cyanoborohydride and glyoxylic acid, strikingly upregulated the release of VEGF. The identity of the receptor on macrophages involved in the induction of VEGF release is at present unclear. Cell surface AGE receptors (including AGE-R1, -R2 and -R3) have been identified on macropha- www.ddk.viamedica.pl Magdalena Pertyńska-Marczewska et al. AGE induces VEGF production in human macrophages Figure 2. Induction of VEGF release from human macrophages by HSA extensively glycated in NaH2PO4. Human monocyte-derived macrophages were incubated for 24 hours in the presence of 600 mg/ml HSA, minimally modified by 50 mM glucose for 5 weeks or extensively modified by 1.67 M glucose for 9 weeks, in either PBS or a 150 mM NaH2PO4 buffer. HSA without glucose was incubated in the same buffers as a control. LPS (10 ng/ml) was used as a control stimulus. Data shown are VEGF release (mean pg/ml ± SEM), and are from a total of 3 experiments Rycina 2. Indukcja wydzielania VEGF przez ludzkie makrofagi po zastosowaniu HSA ekstensywnie glikowanego w NaH2PO4. Makrofagi ludzkie indukowano przez 24 godziny w obecności 600 mg/ml HSA nieznacznie zmodyfikowanego przez 50 mM roztwór glukozy przez 5 tygodni lub znacznie zmodyfikowanego przez 1,67 M roztwór glukozy przez 9 tygodni, w PBS lub buforze sodowo-fosforanowym. W tych samych buforach inkubowano HSA bez glukozy jako roztwór kontrolny. Jako bodziec kontrolny użyto LPS. Przedstawiono uwalnianie VEGF (średnia [pg/ml] ± SEM); dane pochodzą z trzech eksperymentów ges, monocytes and endothelial cells [28], but receptors include scavenger receptor class A (ScR-A), lectin-like oxidised low density lipoprotein receptor-1 (LOX-1) and RAGE, a multi-ligand member of the immunoglobulin superfamily of cell surface molecules, expressed in multiple tissues and interacting also with other ligands [27]. The signalling pathways activated by AGE to induce responses such as VEGF, cytokines and tissue factor probably involve mitogen-activated protein kinases and NFkB. For example, endothelial cells upregulate tissue factor and VCAM-1 in response to AGE through NFkB [14, 28]. AGE-induced VEGF expression has been shown to occur via NFkB [29], and we have shown that VEGF expression in macrophages is NFkB-dependent [14]. The activation of the NFkB pathway in macrophages stimulated with HSA modified by glucose-derived AGE and CML-BSA is currently being investigated in our laboratory. In a study published by Festa et al, the authors examined the expression of AGE binding sites on peripheral mono- cytes, serum levels of AGE and AGE-induced cytokine production in patients with insulin-dependent diabetes mellitus, compared to healthy control subjects. They found that AGE-binding capacity was significantly increased in patients, and that there was only one class of binding sites. They also found much higher levels of circulating AGE in patients as compared to controls. The increased presence of AGE-binding proteins on diabetic monocytes did not result in enhanced cytokine production after activation by AGE [30]. In summary, the interactions between blood borne AGE, cytokines, growth factors, and the different vessel wall cell types which contribute to atherogenesis and other vascular complications, are extremely complex and multi-factorial. Our results show that VEGF production in human monocyte/macrophages is augmented in the presence of proteins highly modified by AGE. Thus, AGE-induced activation of macrophages may contribute to vascular complications by regulation of angiogenic processes. www.ddk.viamedica.pl 485 Diabetologia Doświadczalna i Kliniczna rok 2003, tom 3, nr 6 Figure 3. CML-modified BSA upregulates VEGF production by human monocyte-derived macrophages BSA. Human monocyte-derived macrophages were incubated in the absence or presence of CML-modified BSA, prepared by incubating BSA with sodium cyanoborohydride and glyoxylic acid in 0.2 M NaH2PO4 buffer for 24 hours. VEGF production by human monocyte-derived/macrophages incubated for 24 hours in the presence of 1–9.5 mg/ml CML-modified BSA or unmodified BSA Rycina 3. Podwyższanie produkcji VEGF w ludzkich makrofagach przez modyfikowaną CML. Ludzkie makrofagi inkubowano z lub bez BSA modyfikowanego CML (przygotowanego przez inkubację BSA z cyjanoborowodorkiem sodu i kwasem glioksylowym w 0,2 M buforze sodowo-fosforanowym przez 24 godziny). Wytwarzanie VEGF przez makrofagi ludzkie inkubowane przez 24 godziny w obecności modyfikowanego BSA w stężeniach 1–9,5 mg/ml lub niemodyfikowanego BSA Acknowledgements The Kennedy Institute of Rheumatology is a division of Imperial College, London, and receives a Core Grant from arc (Registered Charity No. 207711). Dr Magdalena Pertyńska-Marczewska was supported by a NATO Science Fellowships Programme. The expert advice of Dr David Moyes, Dr Claudia Monaco and Professor Brian Foxwell is gratefully acknowledged. Abstract Background. It is becoming apparent that diabetes results in the increased expression of angiogenic growth factors in numerous tissues. Angiogenesis is regulated by growth factors, particularly the vascular endothelial growth family (VEGF) of proteins. During the course of diabetes, glucose binds to protein amino residues and forms early glycation products. The final Maillard reaction leads to the production of advanced glycation end products (AGE), and is slow, irreversible and dependent on plasma glucose concentrations. AGE are now 486 thought to contribute to the development of chronic vascular dysfunction, including the complications of diabetes. Aim. To determine VEGF production in human monocyte-derived macrophages stimulated with glycated albumin, or Ne-(carboxymethyl)lysine (CML)-modified albumin. Methods. Human serum albumin (HSA), modified by glucose-derived AGE, was prepared by incubation with glucose for differing periods of time. Alternatively, bovine serum albumin (BSA) was incubated with sodium cyanoborohydride and glyoxylic acid in a NaH2PO4 buffer for 24 hours, to produce Ne-(carboxymethyl)lysine-modified BSA (CML-BSA). Results. Human monocyte-derived macrophages stimulated with 600 mg/ml HSA extensively glycated (9 weeks with 1.67 M glucose) in NaH2PO4, showed significant VEGF release. Human monocyte-derived macrophages were also incubated for 4–24 hours in the presence of 1–9.5 mg/ml CML-modified BSA or unmodified BSA. However, significant VEGF production was only seen with 9.5 mg/ml CML-modified BSA and was undetectable at incubation times of less than 24 hours. Conclusions. In summary, albumin extensively modified by glucose-derived AGE and by CML induced the release of VEGF, suggesting that AGE-induced activation of macrophages may contribute to vascular complications by the regulation of angiogenesis. key words: vascular endothelial growth factor (VEGF), human monocyte-derived macrophages, diabetic vascular complications www.ddk.viamedica.pl Magdalena Pertyńska-Marczewska et al. AGE induces VEGF production in human macrophages References 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Ahmed M.U., Thorpe S.R., Baynes J.W. Identification of N epsilon-carboxymethyllysine as a degradation product of fructoselysine in glycated protein. J. Biol. Chem. 1986; 261: 4889–4894. Chappey O., Dosquet C., Wautier M..P., Wautier J.L. Advanced glycation end products, oxidant stress and vascular lesions. Eur. J. Clin. Invest. 1997; 27: 97–108. Krolewski A.S., Warram J.H., Valsania P., Martin B.C., Laffel L.M., Christlieb A.R. Evolving natural history of coronary artery disease in diabetes mellitus. Am. J. Med. 1991; 90: S56–S61. Schmidt A.M., Hori O., Chen J.X., Li J.F., Crandall J., Zhang J., Cao R., Yan S.D., Brett J., Stern D. Advanced glycation endproducts interacting with their endothelial receptor induce expression of vascular cell adhesion molecule-1 (VCAM-1) in cultured human endothelial cells and in mice. A potential mechanism for the accelerated vasculopathy of diabetes. J. Clin. Invest. 1995; 96: 1395–1403. Basta G., Lazzerini G., Massaro M., Simoncini T., Tanganelli P., Fu C., Kislinger T., Stern D.M., Schmidt A.M., De Caterina R. Advanced glycation end products activate endothelium through signal-transduction receptor RAGE: a mechanism for amplification of inflammatory responses. Circulation 2002; 105: 816–822. Nishikawa T., Edelstein D., Yamagishi X. L. et al. Normalizing mitochondrial superoxide production blocks three pathways of hyperglycaemic damage. Nature 2000; 404: 787–790. Wautier J. L., Wautier M. P., Schmidt A. M. et al. Advanced glycation end products (AGE) on the surface of diabetic erythrocytes bind to the vessel wall via a specific receptor inducing oxidant stress in the vasculature: a link between surface-associated AGE and diabetic complications. Proc. Natl. Acad. Sci. USA 1994; 91: 7742–7746. Ido Y., Chang K.C., Lejeune W.C. et al. Vascular dysfunction induced by AGE is mediated by VEGF via mechanisms involving reactive oxygen species, guanylate cyclase, and protein kinase C. Microcirculation 2001; 8: 251–263. Lu M., Kuroki M., Amano S. Advanced glycation end products increase retinal vascular endothelial growth factor expression. J. Clin. Invest. 1998; 101: 1219–1224. Treins C., Giorgetti-Peraldi S., Murdaca J., van Obberghen E. Regulation of vascular endothelial growth factor expression by advanced glycation end products. J. Biol. Chem. 2001; 276: 43836–43841. Urata Y., Yamaguchi M., Higashiyama Y. Reactive oxygen species accelerate production of vascular endothelial growth factor by advanced glycation end products in RAW264. 7 mouse macrophAGE. Free Radic. Biol. Med. 2002; 32: 688–701. Krolewski A.S. , Warram J.H., Valsania P., Martin B.C., Laffel L.M., Christlieb A.R. Evolving natural history of coronary artery disease in diabetes mellitus. Am. J. Med. 1991; 90: S56–S61. Westwood M.E., Argirov O.K., Abordo E.A., Thornalley P.J. Methylglyoxal — modified arginine residues — a signal for receptor — mediated endocytosis and degradation of proteins by monocytic THP-1 cells. Biochim. Biophys. Acta 1997; 1356: 84–94. Kislinger T., Fu C., Huber B. N(epsilon)-(carboxymethyl)lysine adducts of proteins are ligands for receptor for advanced glycation end products that activate cell signaling pathways and modulate gene expression. J. Biol. Chem. 1999; 274: 31740–31749. 15. Foxwell B., Browne K., Bondeson J. Efficient adenoviral infection with IkappaB alpha reveals that macrophage tumor necrosis factor alpha production in rheumatoid arthritis is NF-kappaB dependent. Proc. Natl. Acad. Sci. USA 1998; 95: 8211–8215. 16. Kiriakidis S., Andreakos E., Monaco C., Foxwell B., Feldmann M., Paleolog E. et al. VEGF expression in human macrophages is NF-κB-dependent: studies using adenoviruses expressing the endogenous NF-κB inhibitor IkBa and a kinase defective form of the IkB kinase 2. Journal of Cell Science 2003; 116: 665–674. 17. Hammes H.P., Alt A., Niwa T. et al. Differential accumulation of advanced glycation end products in the course of diabetic retinopathy. Diabetologia 1999; 42: 728–736. 18. Stitt A.W., Moore J.E., Sharkey J.A. et al. Advanced glycation end products in vitreous: Structural and functional implications for diabetic vitreopathy. Invest. Ophthalmol. Vis. Sci. 1998; 39: 2517–2523. 19. Stitt A.W. Advanced glycation: an important pathological event in diabetic and age related ocular disease. Br. J. Ophthalmol. 2001; 85: 746–753. 20. Endo M., Yanagisawa K., Tsuchida K. et al. Increased levels of vascular endothelial growth factor and advanced glycation end products in aqueous humor of patients with diabetic retinopathy. Horm. Metab. Res. 2001; 33: 317–322. 21. Chiarelli F., de Martino M., Mezzetti A. et al. Advanced glycation end products in children and adolescents with diabetes: relation to glycemic control and early microvascular complications. J. Pediatr. 1999; 134: 486–491. 22. Hirata C., Nakano K., Nakamura N. et al. Advanced glycation end products induce expression of vascular endothelial growth factor by retinal Muller cells. Biochem. Biophys. Res. Commun. 1997; 236: 712–715. 23. Murata C., Nagai R., Ishibashi T., Inomuta H., Ikeda K., Horiuchi S. The relationship between accumulation of advanced glycation end products and expression of vascular endothelial growth factor in human diabetic retinas. Diabetologia 1997; 40: 764–769. 24. Radoff S., Cerami A., Vlassara H. Isolation of surface binding protein specific for advanced glycosylation end products from mouse macrophage-derived cell line RAW 264. 7. Diabetes 1990; 39: 1510–1518. 25. Schmidt A.M., Yan S.D., Yan S.F., Stern D.M. The multiligand receptor RAGE as a progression factor amplifying immune and inflammatory responses. J. Clin. Invest. 2001; 108: 949–955. 26. Stitt A.W., He C., Vlassara H. Characterization of the advanced glycation end-product receptor complex in human vascular endothelial cells. Biochem. Biophys. Res. Commun. 1999; 256: 549–556. 27. Schmidt A.M., Yan S.D., Yan S.F., Stern D.M. The multiligand receptor RAGE as a progression factor amplifying immune and inflammatory responses. J. Clin. Invest. 2001; 108: 949–955. 28. Bierhaus A., Illmer T., Kasper M. et al. Advanced glycation end product (AGE)-mediated induction of tissue factor in cultured endothelial cells is dependent on RAGE. Circulation 1997; 96: 2262–2271. 29. Lu M., Kuroki M., Amano S. et al. Advanced glycation end products increase retinal vascular endothelial growth factor expression. J. Clin. Invest. 1998; 101: 1219–1224. 30. Festa A., Schmolzer B, Schernthaner G., Menzel E. Differential expression of receptors for advanced glycation end products on monocytes in patients with IDDM. Diabetologia 1998; 41: 674–680. www.ddk.viamedica.pl 487