High glucose (HG) is the underlying factor contributing to long term complications of diabetes mellitus. The molecular mechanisms transforming the glomerular mesangial cell phenotype to cause nephropathy including diacylglycerol-sensitive protein kinase C (PKC) are still being defined. Reactive oxygen species (ROS) have been postulated as a unifying mechanism for HG-induced complications. We hypothesized that in HG an interaction between ROS generation, from NADPH oxidase, and PKC suppresses mesangial Ca 2؉ signaling in response to endothelin-1 (ET-1). In primary rat mesangial cells, growth-arrested (48 h) in 5.6 mM (NG) or 30 mM (HG) glucose, the total cell peak High glucose (HG) 1 is the key factor contributing to long term complications of diabetes mellitus (1). One of the phenotypic changes observed in mesangial cells exposed to HG is altered Ca 2ϩ signaling. Several groups have shown that the Ca 2ϩ signal induced by vasoactive compounds, including endothelin-1 (ET-1), is markedly reduced in the presence of HG. The mechanism(s) by which HG may depress Ca 2ϩ signaling is unknown. One possible candidate is the activation of protein kinase C (PKC) in HG. Mené et al. (2) have shown that HG inhibits Ca 2ϩ influx through store-operated channels via a PKC-dependent mechanism. An alternative postulate is the involvement of reactive oxygen species (ROS), which have been demonstrated to modify intracellular Ca 2ϩ signaling responsiveness depending on the cell type, the species of ROS, and the magnitude and duration of ROS generation. HG induces dysfunction in mesangial cells and other target cells through enhanced synthesis of autocrine growth factors such as transforming growth factor- 1 , ET-1, and altered signaling via pathways such as PKC (3, 4). In the last few years, enhanced production of ROS in response to HG, identified in many target cells including mesangial cells (5, 6), has been postulated as a unifying mechanism causing diabetes complications (7-9).Although ROS have been implicated in causing cell damage and apoptosis, they also play a physiological role in intracellular signaling pathways (10, 11). In particular, several growth factors including ET-1, angiotensin II, plateletderived growth factor, and epidermal growth factor stimulate production of ROS as second messengers (12,13). In several cell types, signaled ROS production is due to activation of NADPH oxidase, a multicomponent enzyme (14). In phagocytic cells, the multiple subunits of NADPH oxidase are localized in subcellular compartments. gp91 phox , the catalytic moiety of the phagocyte oxidase, and p22 phox associate to form a flavocytochrome in the plasma membrane. The cytosol components p47 phox , p67 phox , p40 phox , and the small GTPase, Rac1 (or Rac2), are recruited to the membrane for assembly of a fully active oxidase (15)(16)(17). In nonphagocytic cells, most of the subunits of NADPH oxidase have been identified, although the precise mechanisms of regulation are not completely understood. A functional glomerular mesangial NADPH oxid...