A
correction
to this article has been published: El-Osta et al., J. Exp. Med. 205 (11) 2683
Published online
doi:10.1084/jem.20081188
The Journal of Experimental Medicine, Vol. 205, No. 10, 2409-2417
The Rockefeller University Press, 0022-1007 $30.00
© El-Osta et al.
Transient high glucose causes persistent epigenetic changes and altered gene expression during subsequent normoglycemia
Assam El-Osta1,
Daniella Brasacchio1,
Dachun Yao3,
Alessandro Pocai4,
Peter L. Jones5,
Robert G. Roeder6,
Mark E. Cooper2,3, and
Michael Brownlee3
1 Diabetes and Metabolism Division, Baker Epigenetics in Human Health and Disease, and 2 Diabetes and Metabolism Division, Juvenile Diabetes Research Foundation Danielle Alberti Memorial Centre for Diabetic Complications, Baker IDI Heart and Diabetes Institute, the Alfred Medical Research and Education Precinct, Commercial Road, Melbourne, Victoria 3004, Australia
3 Juvenile Diabetes Research Foundation International Center for Diabetic Complications Research and 4 Department of Medicine and Diabetes Research Center, Albert Einstein College of Medicine, Bronx, NY 10461
5 Department of Cell and Structural Biology, University of Illinois at Urbana-Champaign, Urbana, IL 61802
6 Laboratory of Biochemistry and Molecular Biology, The Rockefeller University, New York, NY 10021
CORRESPONDENCE Assam El-Osta: assam.el-osta{at}bakeridi.edu.au OR Michael Brownlee: brownlee{at}aecom.yu.edu
The current goal of diabetes therapy is to reduce time-averaged mean levels of glycemia, measured as HbA1c, to prevent diabetic complications. However, HbA1c only explains <25% of the variation in risk of developing complications. Because HbA1c does not correlate with glycemic variability when adjusted for mean blood glucose, we hypothesized that transient spikes of hyperglycemia may be an HbA1c–independent risk factor for diabetic complications. We show that transient hyperglycemia induces long-lasting activating epigenetic changes in the promoter of the nuclear factor
B (NF-
B) subunit p65 in aortic endothelial cells both in vitro and in nondiabetic mice, which cause increased p65 gene expression. Both the epigenetic changes and the gene expression changes persist for at least 6 d of subsequent normal glycemia, as do NF-
B–induced increases in monocyte chemoattractant protein 1 and vascular cell adhesion molecule 1 expression. Hyperglycemia-induced epigenetic changes and increased p65 expression are prevented by reducing mitochondrial superoxide production or superoxide-induced
-oxoaldehydes. These results highlight the dramatic and long-lasting effects that short-term hyperglycemic spikes can have on vascular cells and suggest that transient spikes of hyperglycemia may be an HbA1c–independent risk factor for diabetic complications.
Abbreviations used: BAEC, bovine aortic endothelial cell; ChIP, chromatin immunoprecipitation; cChIP, carrier ChIP; CVD, cardiovascular disease; GLO1, glyoxalase 1; H3k4me1, histone 3 lysine 4 monomethylation; H3K4me2, H3K4 dimethylation; H3K4me3, H3K4 trimethylation 4; HAEC, human aortic endothelial cell; HG, high glucose; HMT, histone methyltransferases; LCM, laser capture microdissection; LG, low glucose; MCP-1 monocyte chemoattractant protein 1; MnSOD, manganese superoxide dismutase; ROS, reactive oxygen species; TSA, trichostatin A; TSS, transcription start site; UCP-1, uncoupling protein 1; VCAM-1, vascular cell adhesion molecule 1.
D. Brasacchio and D. Yao contributed equally to this paper.
© 2008 El-Osta et al. This article is distributed under the terms of an Attribution–Noncommercial–Share Alike–No Mirror Sites license for the first six months after the publication date (see http://www.jem.org/misc/terms.shtml). After six months it is available under a Creative Commons License (Attribution–Noncommercial–Share Alike 3.0 Unported license, as described at http://creativecommons.org/licenses/by-nc-sa/3.0/).

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