Methylglyoxal (MGO), an active metabolite of
glucose, can cause cellular injury which has an affinity for the progression of diabetes-associated
atherosclerosis.
Phosphocreatine (PCr) is a well-known high-energy
phosphate compound. However, its protective effects and mechanism in the formation of a diabetes-associated
atherosclerosis have not been clarified. In the present study, we investigated whether PCr could prevent MGO-induced apoptosis in human umbilical vascular endothelial cells (HUVECs) and explored the possible mechanisms. Cells were pre-treated with PCr and then stimulated with MGO. Cell morphology, cytotoxicity and apoptosis were assessed by light microscopy, MTT assay, and
Annexin V-FITC respectively. Apoptotic-related
proteins were evaluated by Western blotting.
Reactive oxygen species (ROS) generation, intracellular
calcium and mitochondrial membrane potential (
MMP) were measured with
fluorescent probes. Our results showed that PCr dose-dependently prevented MGO associated HUVEC cytotoxicity and suppressed MGO activated ROS generation as well as apoptotic biochemical changes such as
lactate dehydrogenase,
malondialdehyde leakage, loss of
MMP, decreased Bcl-2/
Bax protein ratio, levels of
caspase-3 and 9. In addition, the antiapoptotic effect of PCr enhanced p-Akt/Akt
protein ratio,
NO synthase (eNOS) activation, NO production and cGMP levels and also was partially suppressed by a PI3K inhibitor (
LY294002). Furthermore, PCr also inhibited MGO-induced transcriptional activity of
Nuclear factor kappa B (NFκB). In conclusion, our data described that PCr exerts an antiapoptotic effect in HUVECs exposed to oxidative stress by MGO through the mitochondrial pathway and the modulation of PI3K/Akt/eNOS and NF-κB signaling pathway. Thus, it might be a candidate therapeutic agent for diabetic-associated
cardiovascular diseases.