Barley-ß-glucans reduce systemic inflammation, renal injury and aortic calcification through ADAM17 and neutral-sphingomyelinase2 inhibition

Sci Rep. 2019 Nov 28;9(1):17810. doi: 10.1038/s41598-019-54306-8.

Abstract

In chronic kidney disease (CKD), hyperphosphatemia-induced inflammation aggravates vascular calcification (VC) by increasing vascular smooth muscle cell (VSMC) osteogenic differentiation, ADAM17-induced renal and vascular injury, and TNFα-induction of neutral-sphingomyelinase2 (nSMase2) to release pro-calcifying exosomes. This study examined anti-inflammatory β-glucans efficacy at attenuating systemic inflammation in health, and renal and vascular injury favoring VC in hyperphosphatemic CKD. In healthy adults, dietary barley β-glucans (Bβglucans) reduced leukocyte superoxide production, inflammatory ADAM17, TNFα, nSMase2, and pro-aging/pro-inflammatory STING (Stimulator of interferon genes) gene expression without decreasing circulating inflammatory cytokines, except for γ-interferon. In hyperphosphatemic rat CKD, dietary Bβglucans reduced renal and aortic ADAM17-driven inflammation attenuating CKD-progression (higher GFR and lower serum creatinine, proteinuria, kidney inflammatory infiltration and nSMase2), and TNFα-driven increases in aortic nSMase2 and calcium deposition without improving mineral homeostasis. In VSMC, Bβglucans prevented LPS- or uremic serum-induced rapid increases in ADAM17, TNFα and nSMase2, and reduced the 13-fold higher calcium deposition induced by prolonged calcifying conditions by inhibiting osteogenic differentiation and increases in nSMase2 through Dectin1-independent actions involving Bβglucans internalization. Thus, dietary Bβglucans inhibit leukocyte superoxide production and leukocyte, renal and aortic ADAM17- and nSMase2 gene expression attenuating systemic inflammation in health, and renal injury and aortic calcification despite hyperphosphatemia in CKD.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • ADAM17 Protein / antagonists & inhibitors*
  • Adult
  • Animals
  • Disease Models, Animal
  • Female
  • Healthy Volunteers
  • Hordeum / chemistry*
  • Humans
  • Inflammation / diet therapy
  • Male
  • Mice
  • Middle Aged
  • RAW 264.7 Cells
  • Rats
  • Rats, Sprague-Dawley
  • Renal Insufficiency, Chronic / diet therapy*
  • Sphingomyelin Phosphodiesterase / antagonists & inhibitors*
  • Vascular Calcification / diet therapy*
  • Young Adult
  • beta-Glucans / pharmacology
  • beta-Glucans / therapeutic use*

Substances

  • beta-Glucans
  • SMPD3 protein, human
  • Smpd3 protein, mouse
  • Smpd3 protein, rat
  • Sphingomyelin Phosphodiesterase
  • ADAM17 Protein
  • ADAM17 protein, human
  • Adam17 protein, mouse
  • Adam17 protein, rat