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Nephrology Dialysis Transplantation 2005 20(2):306-311; doi:10.1093/ndt/gfh612
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Nephrol Dial Transplant Vol. 20 No. 2 © ERA–EDTA 2005; all rights reserved


Original Article

Mechanical stress and glucose concentration modulate glucose transport in cultured rat podocytes

Barbara Lewko1,3, Ewa Bryl2, Jacek M. Witkowski2, Elzbieta Latawiec1, Stefan Angielski1,3 and Jan Stepinski1,3

Departments of 1 Immunopathology and 2 Pathophysiology, Medical University of Gdansk and 3 Laboratory of Cellular and Molecular Nephrology, Medical Research Centre of the Polish Academy of Sciences, Warsaw/Gdansk, 80-952 Gdansk, Debinki 7, Poland

Correspondence and offprint requests to: Barbara Lewko, PhD, Department of Immunopathology, Medical University of Gdansk, ul. Debinki 7, 80-952 Gdansk, Poland. Email: blew{at}amedec.amg.gda.pl

Background. Recent studies show that mechanical stress modifies both morphology and protein expression in podocytes. Ambient glucose is another factor modulating protein synthesis in these cells. In diabetes, podocytes experience elevated glucose concentrations as well as mechanical strain generated by high intracapillary pressures. Both these factors are responsible for podocyte injury, leading to impairment of kidney glomerular function. In the present study, we examined the effects of glucose concentration and mechanical stress on glucose uptake in podocytes.

Methods. Following a 24 h pre-incubation in low (2.5 mM, LG), normal (5.6 mM, NG) or high (30 mM, HG) glucose media, cultured rat podocytes were exposed to 4 h mechanical stress. We used the labelled glucose analogue, [3H]2-deoxy-D-glucose, to measure glucose uptake. The distribution of facilitative glucose transporters GLUT2 and GLUT4 was assessed by flow cytometry.

Results. In the control (static) cells, glucose uptake was similar in the three glucose groups. In mechanically stressed podocytes, glucose uptake increased 2-fold in the LG and NG groups but increased 3-fold in the HG group. In the NG cells, mechanical load increased the membrane expression of GLUT2 and reduced the membrane-bound GLUT4. In stretched HG cells, the membrane expression of both GLUT2 and GLUT4 was decreased. High glucose decreased the plasma membrane GLUT2 content in the stretched cells, whereas both static and stretched podocytes showed an elevation in GLUT4.

Conclusion. Mechanical stress potentiated glucose uptake in podocytes and this effect was enhanced by high ambient glucose. The decreased expression of GLUT2 and GLUT4 on the surface of stretched cells suggests that the activity of other glucose transporters may be regulated by mechanical stress in podocytes.

Keywords: cultured podocytes; GLUT2; GLUT4; high glucose; mechanical stress


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