Differential effects of indoxyl sulfate and inorganic phosphate in a murine cerebral endothelial cell line (bEnd.3)

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Abstract

Endothelial dysfunction plays a key role in stroke in chronic kidney disease patients. To explore the underlying mechanisms, we evaluated the effects of two uremic toxins on cerebral endothelium function. bEnd.3 cells were exposed to indoxyl sulfate (IS) and inorganic phosphate (Pi). Nitric oxide (NO), reactive oxygen species (ROS) and O2•- were measured using specific fluorophores. Peroxynitrite and eNOS uncoupling were evaluated using ebselen, a peroxide scavenger, and tetrahydrobiopterin (BH4), respectively. Cell viability decreased after IS or Pi treatment (p < 0.01). Both toxins reduced NO production (IS, p < 0.05; Pi, p < 0.001) and induced ROS production (p < 0.001). IS and 2 mM Pi reduced O2•- production (p < 0.001). Antioxidant pretreatment reduced ROS levels in both IS- and Pi-treated cells, but a more marked reduction of O2•- production was observed in Pi-treated cells (p < 0.001). Ebselen reduced the ROS production induced by the two toxins (p < 0.001); suggesting a role of peroxynitrite in this process. BH4 addition significantly reduced O2•- and increased NO production in Pi-treated cells (p < 0.001), suggesting eNOS uncoupling, but had no effect in IS-treated cells. This study shows, for the first time, that IS and Pi induce cerebral endothelial dysfunction by decreasing NO levels due to enhanced oxidative stress. However, Pi appears to be more deleterious, as it also induces eNOS uncoupling. © 2014 by the authors; licensee MDPI, Basel, Switzerland.

Figures

  • Figure 1. Effect of indoxyl sulfate (IS) (a) and inorganic phosphate (Pi) (b) on cerebral endothelial cell viability. bEnd.3 cells were incubated with IS or Pi at 37 °C for 24 h, and then treated with 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) (MTT) for 3 h. Cell viability was determined by measuring absorbance at 570 nm. Cell viability of untreated control cells was taken as 100%. Data are expressed as mean ± SEM of three independent experiments. ** p < 0.01 vs. control. ISn, normal IS concentration; ISu, uremic IS concentration; ISm, maximal IS concentration; Pi2, 2 mM Pi; Pi3, 3 mM Pi.
  • Figure 2. Effect of IS (a) and Pi (b) on NO production in cerebral endothelial cells. bEnd.3 cells were incubated with 0.1 µM DAF-FM in D-PBS at 37 °C for 1 h and then treated with IS or Pi. NO was determined immediately by measuring fluorescence (λEx 492 nm, λEm 510 nm). NO production in untreated control cells was taken as 100%. Data are expressed as mean ± SEM of four independent experiments. (a) * p < 0.05—ISm vs. Control, ISu + L-Name vs. ISu, *** p < 0.001—ISn vs. Control, ISn + L-Name vs. ISn; (b) *** p < 0.001—Pi2 + L-Name vs. Pi2, Pi3 vs. Control, Pi3 + L-Name vs. Pi3. ISn, normal IS concentration; ISu, uremic IS concentration; ISm, maximal IS concentration; Pi2, 2 mMPi; Pi3, 3 mM Pi; L-Name (N-nitro-L-arginine methyl ester), an inhibitor of eNOS activity.
  • Figure 3. Effect of IS (a) and Pi (b) on ROS production in cerebral endothelial cells. bEnd.3 cells were incubated with 1 µM DCFH-DA in D-PBS at 37 °C for 30 min and then treated with IS or Pi. ROS was determined immediately by measuring fluorescence (λEx 492 nm, λEm 535 nm). ROS production in untreated control cells was taken as 100%. Data are expressed as mean ± SEM of four independent experiments. *** p < 0.001 vs. control. ISn, normal IS concentration; ISu, uremic IS concentration; ISm, maximal IS concentration; Pi2, 2 mM Pi; Pi3, 3 mM Pi.
  • Figure 4. Effect of antioxidants on IS- (a) and Pi- (b) induced ROS production in cerebral endothelial cells. bEnd.3 cells were incubated with 1 µM DCFH-DA in D-PBS at 37 °C for 30 min and then treated with ISm or 3 mM Pi, with or without the antioxidants α-tocopherol (Vit E, 10 µg/mL) and N-acetyl-L-cysteine (NAC, 10 mM), respectively. ROS levels were determined immediately by measuring fluorescence (λEx 492 nm, λEm 535 nm). ROS levels in untreated control cells were taken as 100%. Data are expressed as mean ± SEM of four independent experiments. (a) * p < 0.05 vs. ISm, *** p < 0.001 vs. control; (b) *** p < 0.001—Pi3 vs. control, Pi3 + NAC vs. Pi3 and Pi3 + Vit E vs. Pi3. ISn, normal IS concentration; ISu, uremic IS concentration; ISm, maximal IS concentration; Pi2, 2 mM Pi; Pi3, Pi 3 mM Pi.
  • Figure 5. Effect of IS (a) and Pi (b) on O2•– production in bEnd.3 cells. bEnd.3 cells were incubated with 10 µM DHE in D-PBS at 37 °C for 1 h and then treated with IS and Pi. O2•– was determined immediately by measuring fluorescence (λEx 492 nm, λEm 615 nm). O2•– production in untreated control cells was taken as 100%. Data are expressed as mean ± SEM of four independent experiments. *** p < 0.001 vs. Control. ISn, normal IS concentration; ISu, uremic IS concentration; ISm, maximal IS concentration; Pi2, 2 mM Pi; Pi3, 3 mM Pi.
  • Figure 6. Effect of antioxidants on IS- (a) and Pi- (b) induced O2•– production in bEnd.3 cells. bEnd.3 cells were incubated with 10 µM DHE in D-PBS at 37 °C for 1 h and then treated with IS and Pi with or without the antioxidants α-tocopherol (Vit E, 10 µg/mL) and N-acetyl-L-cysteine (NAC, 10 mM). O2•– was determined immediately by measuring fluorescence (λEx 492 nm, λEm 615 nm). O2•– production in untreated control cells was taken as 100%. Data are expressed as mean ± SEM of four independent experiments. (a) * p < 0.05 vs. IS; (b) *** p < 0.001 vs. Pi3. ISn, normal IS concentration; ISu, uremic IS concentration; ISm, maximal IS concentration; Pi2, 2 mM Pi; Pi3, 3 mM Pi.
  • Figure 7. Effect of ebselen on IS (a) and Pi (b) induced ROS production in bEnd.3 cells. bEnd.3 cells were incubated with 1 µM DCFH-DA alone or with ebselen (10 µM) at 37 °C for 30 min and then treated with IS and Pi. ROS was determined immediately by measuring fluorescence (λEx 492 nm, λEm 535 nm). ROS production in untreated control cells was taken as 100%. Data are expressed as mean ± SEM of four independent experiments. (a) *** P<0.001—ISn vs. Control, ISu vs. Control, ISm vs. Control, Control + Eb vs. Control, ISn + Eb vs. ISn, ISu + Eb vs. ISu, ISm + Eb vs. ISm, Isn vs. Control, Isu vs. Control, Ism vs. Control; (b) *** p < 0.001—Control + Eb vs. Control, Pi2 + Eb vs Pi2, Pi3 + Eb vs. Pi3. ISn, normal IS concentration; ISu, uremic IS concentration; ISm, maximal IS concentration; Pi2, 2 mM Pi; Pi3, 3 mM Pi; Eb, Ebselen, a peroxide scavenger.
  • Figure 8. eNOS uncoupling in IS- and Pi- treated bEnd.3 cells. bEnd.3 cells were incubated overnight with 10 µM BH4. The cells were subsequently incubated with 10 µM DHE or 0.1 µM DAF-FM in D-PBS at 37 °C for 1 h and then treated with ISm and Pi3. O2•– (Figure 8a) and NO (Figure 8b) were determined immediately by measuring fluorescence: λEx 492 nm, λEm 615 nm and λEx 492 nm, λEm 510 nm, respectively. O2•– and NO production in untreated control cells were taken as 100%. Data are expressed as mean ± SEM of four independent experiments. (a) *** p < 0.001—Control + BH4 vs. Control, Pi3 + BH4 vs. Pi3. (b) *** p < 0.001—Pi + BH4 vs. Pi3. ISm, maximal IS concentration; Pi3, 3 mM Pi; BH4, ((6R)-5,6,7,8-tetrahydro-L-biopterin), a redox cofactor of Enos.

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Stinghen, A. E. M., Chillon, J. M., Massy, Z. A., & Boullier, A. (2014). Differential effects of indoxyl sulfate and inorganic phosphate in a murine cerebral endothelial cell line (bEnd.3). Toxins, 6(6), 1742–1760. https://doi.org/10.3390/toxins6061742

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