Linagliptin improves high glucose-induced glomerular endothelial hyper- permeability through AMPK activation and RhoA/ROCK suppression
Abstract OBJECTIVEHyperglycemia is a major cause of albuminuria relevant to glomerular endothelial dysfunction of the kidney in diabetes mellitus. Linagliptin, dipeptidyl peptidase-4 (DPP-4) inhibitor, was shown to have pleiotropic protective effects to improve albuminuria and endothelial dysfunction in diabetic conditions. The purpose of this research was to investigate the molecular mechanism by which linagliptin improves human renal glomerular endothelial cells (HRGECs) barrier dysfunction caused by hyperglycemia.MATERIALS AND METHODSWe examined the DPP-4 activity, the transendothelial electrical resistance of the monolayer in HRGECs, and the horseradish peroxidase–albumin leakage after the treatment with high glucose (HG) in the presence or absence of linagliptin preincubation. The distribution of F-actin remodeling was detected by a fluorescence probe. The phosphorylation of myosin light chain (MLC), AMPK, and RhoA activity were evaluated in the endothelial cells by Western blotting. The effects of inhibition AMPK or RhoA/ROCK pathway on linagliptin-mediated protective effect on the endothelial barrier in HG status were observed.RESULTSHG caused MLC-dependent reorganization of F-actin, leading to endothelial barrier disruption. However, these changes in HRGECs were attenuated by the Rho-dependent kinase (ROCK) inhibitor Y-27632 or linagliptin. The phospho-MLC (pMLC) activated in HRGECs was regulated by RhoA/ROCK signaling. AMPK activation participated in the repair process of HG-induced RhoA-dependent endothelial cell hyperpermeability by linagliptin . Similarly , AMPK activation by linagliptin attenuated HG-induced RhoA dependent F-actin rearrangement and endothelial cell barrier dysfunction, whereas compoud C diminished the effect of linagliptin. CONCLUSIONSOur data showed that HG led to increases in the activity of RhoA and DPP-4. These changes resulted in the rearrangement of endothelial cell cytoskeleton and the dysfunction of the glomerular endothelial barrier, which were mediated by MLC. The present study revealed a novel mechanism of linagliptin-mediated AMPK activation in preventing RhoA-dependent F-actin cytoskeleton rearrangement and reduced glomerular endothelial barrier permeability in diabetic conditions.