Beta 2-adrenergic receptor agonists are novel regulators of macrophage activation in diabetic renal and cardiovascular complications.
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ABSTRACT: Macrophage activation is increased in diabetes and correlated with the onset and progression of vascular complications. To identify drugs that could inhibit macrophage activation, we developed a cell-based assay and screened a 1,040 compound library for anti-inflammatory effects. Beta2-adrenergic receptor (?2AR) agonists were identified as the most potent inhibitors of phorbol myristate acetate-induced tumor necrosis factor-? production in rat bone marrow macrophages. In peripheral blood mononuclear cells isolated from streptozotocin-induced diabetic rats, ?2AR agonists inhibited diabetes-induced tumor necrosis factor-? production, which was prevented by co-treatment with a selective ?2AR blocker. To clarify the underlying mechanisms, THP-1 cells and bone marrow macrophages were exposed to high glucose. High glucose reduced ?-arrestin2, a negative regulator of NF-?B activation, and its interaction with I?B?. This subsequently enhanced phosphorylation of I?B? and activation of NF-?B. The ?2AR agonists enhanced ?-arrestin2 and its interaction with I?B?, leading to downregulation of NF-?B. A siRNA specific for ?-arrestin2 reversed ?2AR agonist-mediated inhibition of NF-?B activation and inflammatory cytokine production. Treatment of Zucker diabetic fatty rats with a ?2AR agonist for 12 weeks attenuated monocyte activation as well as pro-inflammatory and pro-fibrotic responses in the kidneys and heart. Thus, ?2AR agonists might have protective effects against diabetic renal and cardiovascular complications.
SUBMITTER: Noh H
PROVIDER: S-EPMC5483383 | biostudies-literature | 2017 Jul
REPOSITORIES: biostudies-literature
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