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Originally published In Press as doi:10.1074/jbc.M400753200 on May 15, 2004
J. Biol. Chem., Vol. 279, Issue 30, 31930-31936, July 23, 2004
Glucose Regulates Interleukin-8 Production in Aortic Endothelial Cells through Activation of the p38 Mitogen-activated Protein Kinase Pathway in Diabetes*
Suseela Srinivasan ,
David T. Bolick ,
Melissa E. Hatley ,
Rama Natarajan ,
Kelly B. Reilly ,
Michael Yeh¶,
Carol Chrestensen||,
Thomas W. Sturgill||, and
Catherine C. Hedrick ||**
From the
Department of Diabetes, Beckman Research Institute, City of Hope National Medical Center, Duarte, California, the ¶Division of Cardiology, UCLA, Los Angeles, California, and the Division of Endocrinology and Metabolism, Cardiovascular Research Center and ||Department of Pharmacology, University of Virginia, Charlottesville, Virginia 22908
We have shown that chronic elevated glucose (25 mM) increases monocyte adhesion to human aortic endothelial cells (EC). This increased adhesion is mediated primarily through induction of interleukin (IL)-8 via activation of the transcription factor AP-1 (Srinivasan, S., Yeh, M., Danziger, E. C., Hatley, M. E., Riggan, A. E., Leitinger, N., Berliner, J. A., and Hedrick, C. C. (2003) Circ. Res. 92, 371377). In the current study, we identified the elements in the AP-1 transcriptional complex that are activated by glucose. These elements include c-Jun, c-Fos, and Fra-1. AP-1 is activated by cellular oxidative stress, and we have reported significant production of ROS by high glucose-cultured cells. We examined signaling pathways upstream of AP-1 in EC that lead to AP-1 activation by HG. EC cultured in 25 mM glucose had a 2-fold increase in p38 phosphorylation compared with control normal glucose-cultured EC. Inhibition of the p38 pathway using 5 µM SB203580 significantly reduced glucose-mediated IL-8 mRNA production by 60%. Furthermore, blocking p38 pathway activation using a dominant-negative p38 construct significantly reduced glucose-mediated monocyte adhesion by 50%. Thus, glucose-stimulated monocyte adhesion is primarily regulated through phosphorylation of p38 with subsequent activation of AP-1, leading to IL-8 production. To study this pathway in the setting of diabetes, we used the db/db mouse. P38 phosphorylation was increased in diabetic db/db mice compared with control mice. We found a dramatic elevation in plasma levels of KC, the mouse ortholog of IL-8 in diabetic db/db mice (1800 ± 100 pg/ml KC in db/db versus 300 ± 75 pg/ml in C57BL/6J control mice, p < 0.0001). Inhibition of the p38 pathway in diabetic db/db mice significantly reduced monocyte adhesion by 50%. Taken together, these data indicate that chronic elevated glucose in diabetes activates the p38 MAP kinase pathway to increase inflammatory IL-8 gene induction and monocyte/endothelial adhesion.
Received for publication, January 23, 2004
, and in revised form, May 11, 2004.
* This work was supported by National Institutes of Health Grant P01 HL55798-09 (to C. C. H. and R. N.), the Parke-Davis/Pfizer Atorvastatin Research Award (to C. C. H.), and the American Heart Association (Mid-Atlantic Affiliate) (to C. C. H.). The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
** To whom correspondence should be addressed: Cardiovascular Research Center, University of Virginia, P.O. Box 801394, 415 Lane Rd., MR5 Rm. G123, Charlottesville, VA 22908. E-mail: cch6n{at}virginia.edu.

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Copyright © 2004 by the American Society for Biochemistry and Molecular Biology.
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