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B Transcriptional Activities
1 Division of Endocrinology, Diabetes and Medical Genetics, Department of Medicine, Medical University of South Carolina, Charleston, SC, USA
2 Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC, USA
3 Department of Biostatistics, Bioinformatics & Epidemiology, Medical University of South Carolina, Charleston, SC, USA
4 College of Dental Medicine, Medical University of South Carolina, Charleston, SC, USA
5 Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC, USA; Division of Endocrinology, Diabetes and Medical Genetics, Department of Medicine, Medical University of South Carolina, Charleston, SC, USA
* To whom correspondence should be addressed. E-mail: huangyan{at}musc.edu.
The plasma lactate concentration in patients with obesity and type 2 diabetes is often higher than that in nondiabetic individuals. Although it is known that increased lactate concentration is an independent risk factor for developing type 2 diabetes, the underlying mechanisms are not well understood. Since inflammation plays an important role in the development of type 2 diabetes, we postulated that increased lactate level might contribute to the pathogenesis of type 2 diabetes by enhancing inflammation. In the present study, we demonstrated that pre-exposure of U937 macrophage-like cells to sodium lactate increased lipopolysaccharide (LPS)-stimulated matrix metalloproteinase (MMP)-1, interleukin (IL)-1
and IL-6 secretion. The augmentation of LPS-stimulated MMP-1 secretion was diminished when sodium lactate was replaced by lactic acid that reduced pH in the culture medium. Furthermore, quantitative real-time PCR indicated that the increased secretion of MMP-1, IL-1
and IL-6 was due to increased mRNA expression. To explore the underlying signaling mechanism, blocking studies using specific inhibitors for NF
B and MAPK cascades were performed. Results showed that blocking of either NF
B or MAPK pathways led to the inhibition of MMP-1, IL-1
and IL-6 expression stimulated by sodium lactate, LPS or both. Finally, electrophoretic mobility shift assays showed a synergy between sodium lactate and LPS on AP-1 and NF
B transcriptional activities. In conclusion, this study has demonstrated for the first time that sodium lactate and LPS exert synergistic effect on MMP and cytokine expression through NF
B and MAPK pathways and revealed a novel mechanism potentially involved in the development of type 2 diabetes and its complications.
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