Melamine induces Ca2+-sensing receptor activation and elicits apoptosis in proximal tubular cells.
Published online on April 05, 2017
Abstract
Melamine causes renal tubular cell injury through inflammation, fibrosis and apoptosis. While melamine effects the rise in intracellular Ca2+ concentration ([Ca2+]i), reactive oxygen species (ROS) production, and pro-apoptotic pathway activation, the mechanism of upstream Ca2+ signaling is unknown. Since melamine has some structural similarities with L-amino acids, which endogenously activates Ca2+-sensing receptors (CSR), we examined the effect of melamine on CSR-induced Ca2+ signaling and apoptotic cell death. We show here that melamine activates CSR, causing a sustained Ca2+ entry in renal epithelial cell line, LLC-PK1. Moreover, such CSR stimulation resulted a rise in [Ca2+]i, leading to enhanced ROS production. Furthermore, melamine-induced elevated [Ca2+]i and ROS production caused a dose dependent increase in apoptotic (by DAPI staining, DNA laddering, Annexin V assay) and necrotic (propidium iodide staining) cell death. Upon examining the downstream mechanism, we found that transforming growth factor β1 (TGFβ1), which increases extracellular matrix genes and pro-apoptotic signaling were also up-regulated at lower doses of melamine, which could be due to an early event inducing apoptosis. Additionally, cells exposed to melamine displayed a rise in phospho-extracellular signal-regulated kinase (pERK) activation and lactate dehydrogenase (LDH) release resulting in cytotoxicity. These results offer a novel insight into the molecular mechanisms by which melamine exerts its effect on CSR, causing a sustained elevation of [Ca2+]i, leading to ROS generation, fibronectin production, pro-apoptotic pathway activation and renal cell damage. Together, these results thus suggest that melamine-induced apoptosis and/or necrosis may subsequently results in acute kidney injury (AKI) and promote kidney stone formation.