Indoxyl Sulfate and P-Cresyl Sulfate Promote Vascular Calcification and Associate with Glucose Intolerance
BASIC RESEARCH www.jasn.org Indoxyl Sulfate and p-Cresyl Sulfate Promote Vascular Calcification and Associate with Glucose Intolerance Britt Opdebeeck ,1 Stuart Maudsley,2,3 Abdelkrim Azmi,3 Annelies De Maré,1 Wout De Leger,4 Bjorn Meijers,5,6 Anja Verhulst,1 Pieter Evenepoel,5,6 Patrick C. D’Haese,1 and Ellen Neven1 1Laboratory of Pathophysiology, Department of Biomedical Sciences, 2Receptor Biology Lab, Department of Biomedical Sciences, and 3Translational Neurobiology Group, Flanders Institute of Biotechnology Center for Molecular Neurology, Department of Biomedical Sciences, University of Antwerp, Antwerp, Belgium; 4Division of Molecular Design and Synthesis, Department of Chemistry and 6Laboratory of Nephrology, Department of Immunology and Microbiology, Catholic University of Leuven, Leuven, Belgium; and 5Division of Internal Medicine, Nephrology, University Hospitals Leuven, Leuven, Belgium ABSTRACT Background Protein-bound uremic toxins indoxyl sulfate (IS) and p-cresyl sulfate (PCS) have been associ- ated with cardiovascular morbidity and mortality in patients with CKD. However, direct evidence for a role of these toxins in CKD-related vascular calcification has not been reported. Methods To study early and late vascular alterations by toxin exposure, we exposed CKD rats to vehicle, IS (150 mg/kg per day), or PCS (150 mg/kg per day) for either 4 days (short-term exposure) or 7 weeks (long-term exposure). We also performed unbiased proteomic analyses of arterial samples coupled to functional bioinformatic annotation analyses to investigate molecular signaling events associated with toxin-mediated arterial calcification. Results Long-term exposure to either toxin at serum levels similar to those experienced by patients with CKD significantly increased calcification in the aorta and peripheral arteries.
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