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Arteriosclerosis, Thrombosis, and Vascular Biology. 2005;25:1401-1407
Published online before print April 21, 2005, doi: 10.1161/01.ATV.0000167522.48370.5e
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(Arteriosclerosis, Thrombosis, and Vascular Biology. 2005;25:1401.)
© 2005 American Heart Association, Inc.


Vascular Biology

At Least 2 Distinct Pathways Generating Reactive Oxygen Species Mediate Vascular Cell Adhesion Molecule-1 Induction by Advanced Glycation End Products

Giuseppina Basta; Guido Lazzerini; Serena Del Turco; Gian Michele Ratto; Ann Marie Schmidt; Raffaele De Caterina

From the C.N.R. Institutes of Clinical Physiology (G.B., G.L., S.D.T., R.D.C.) and Neurophysiology (M.R.), Pisa, Italy; the College of Physicians and Surgeons (A.M.S.), Columbia University, New York, NY; and Chair of Cardiology (R.D.C.), "G. d’Annunzio" University, Chieti, Italy.

Correspondence to Raffaele De Caterina, MD, PhD, Chair of Cardiology, "G. d’Annunzio" University, Chieti, C/o Ospedale S. Camillo de Lellis, Via Forlanini, 50, 66100 Chieti, Italy. E-mail rdecater{at}ifc.cnr.it

Objective— The interaction of advanced glycation end products (AGEs) with their main receptor RAGE in endothelial cells induces intracellular generation of reactive oxygen species (ROS) and the expression of vascular cell adhesion molecule (VCAM)-1. We investigated the role of distinct sources of ROS, including the mitochondrial electron transport chain, NAD(P)H oxidase, xanthine oxidase, and arachidonic acid metabolism, in AGE-induced VCAM-1 expression.

Methods and Results— The induction of ROS and VCAM-1 by AGEs in cultured human umbilical vein endothelial cells was specifically blocked by an anti-RAGE antibody. The inhibition of NAD(P)H oxidase by apocynin and diphenylene iodonium, and of the mitochondrial electron transport system at complex II by thenoyltrifluoroacetone (TTFA), significantly inhibited both AGE-induced ROS production and VCAM-1 expression, whereas these effects were potentiated by rotenone and antimycin A, specific inhibitors of mitochondrial complex I and III, respectively. The inhibition of Cu/Zn superoxide dismutase inhibited both ROS and VCAM-1 induction, indicating that H2O2 by this source is involved as a mediator of VCAM-1 expression by AGEs.

Conclusions— Altogether, these results demonstrate that ROS generated by both NAD(P)H-oxidase and the mitochondrial electron transport system are involved in AGE signaling through RAGE, and indicate potential targets for the inhibition of the atherogenic signals triggered by AGE-RAGE interaction.

We investigated the role of distinct sources of reactive oxygen species (ROS), including the mitochondrial electron transport chain, NADPH oxidase, xanthine oxidase, and arachidonic acid metabolism, in advanced glycation end product (AGE)-induced VCAM-1 expression. ROS generated both by NAD(P)H oxidase and the mitochondrial electron transport system are involved in AGE signaling.


Key Words: diabetes mellitus • endothelium • reactive oxygen species • signal transduction • superoxide • vascular biology • VCAM-1 • adhesion molecules




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