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Publication : Vitamin C deficiency exacerbates diabetic glomerular injury through activation of transforming growth factor-β signaling.

First Author  Ji X Year  2017
Journal  Biochim Biophys Acta Gen Subj Volume  1861
Issue  9 Pages  2186-2195
PubMed ID  28652077 Mgi Jnum  J:269897
Mgi Id  MGI:6104546 Doi  10.1016/j.bbagen.2017.06.018
Citation  Ji X, et al. (2017) Vitamin C deficiency exacerbates diabetic glomerular injury through activation of transforming growth factor-beta signaling. Biochim Biophys Acta 1861(9):2186-2195
abstractText  BACKGROUND: The hyperglycemia and hyperoxidation that characterize diabetes lead to reduced vitamin C (VC) in diabetic humans and experimentally diabetic animals. Herein, we access the effects of VC deficiency on the diabetic kidney injury and explore the underlying mechanism. METHODS: l-gulonolactone oxidase conventional knockout (Gulo(-/-)) mice genetically unable to synthesize VC were subjected to streptozotocin-induced diabetic kidney injury and the role of VC deficiency was evaluated by biochemical and histological approaches. Rat mesangial cells were cultured to investigate the underlying mechanism. RESULTS: Functionally, VC deficiency aggravates the streptozotocin-induced renal insufficiency, exhibiting the increased urine albumin, water intake, and urine volume in Gulo(-/-) mice. Morphologically, VC deficiency exacerbates the streptozotocin-induced kidney injury, exhibiting the increased glomerular expansion, deposition of Periodic Acid-Schiff- and Masson-positive materials, and expression of alpha-smooth muscle actin, fibronectin and type 4 collagen in glomeruli of Gulo(-/-) mice. Mechanistically, VC activates protein kinase B (Akt) to destabilize Ski and thereby induce the expression of Smad7, resulting in suppression of TGF-beta/Smad signaling and extracellular matrix deposition in mesangial cells. CONCLUSIONS: VC is essential for the renal function maintenance in diabetes. GENERAL SIGNIFICANCE: Compensation for the loss of VC could be an effective remedy for diabetic kidney injury.
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